In his weekly clinical update, Dr. Griffin with Vincent Racaniello are dismayed by the government shutdown, the firings at the CDC including EIS agents, H5N1 isolation from backyard birds and its stability in raw milk and cheese, before Dr. Griffin deep dives into recent statistics on the measles epidemic, RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, the quarantining of college students in the US due to measles, Japan’s declaration of a national influenza outbreak, effectiveness of the influenza and COVID vaccines, where to find PEMGARDA, how to access and pay for Paxlovid, can you be retreated with Paxlovid, long COVID treatment center, results from PLATCOV studies- still no antiviral activity attributed to ivermectin, where to go for answers to your long COVID questions, long COVID in pediatrics, patient reported outcomes from the STOP-PASC clinical trial, contacting your federal government representative to stop the assault on science and biomedical research and the listener reminder that measles vaccine in those with interferonopathy may result in severe adverse affects. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Trump Administration Lays Off Dozens of C.D.C. Officials (NY Times) CDC walks back hundreds of firings as US shutdown persists (Yahoo News/ Reuters) CDC battered by government shutdown firings, while some are rescinded (STAT 10) Confirmations of Highly Pathogenic Avian Influenza in Commercial and Backyard Flocks (USDA: Animal and Plant Health Inspection Service) Flurry of H5N1 activity noted in commercial poultry, wild birds(CIDRAP) H5N1 influenza virus stability and transmission risk in raw milk and cheese(Nature Medicine) Hundreds of U.S. students quarantined amid measles outbreaks (NBC News)