In his weekly clinical update, Dr. Griffin and Vincent Racaniello discuss the rise in norovirus infections, contamination of infant formula and botulism outbreak, confusion and response to the CDC's ACIP decision to reverse the recommendation for a birth dose of the hepatis B virus vaccine and how states in the Northwest and Northeast are responding as well as some insurance companies, then deep dives into recent statistics on the measles epidemic, RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, South Carolina's imposed quarantine of individuals due to their accelerated measles outbreak, neurotropism of H1N1, benefits of the RSV and COVID vaccines, where to find PEMGARDA, how to access and pay for Paxlovid, long COVID treatment center, where to go for answers to your long COVID questions, and contacting your federal government representative to stop the assault on science and biomedical research.

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Links for this episode

• Norovirus season! (Wastewater Scan)
• Outbreak Investigation of Infant Botulism: Infant Formula (November 2025) (FDA: Foodborne illnesses)
• Botulism outbreak sickens more than 50 babies and expands to all ByHeart products (AP News)
• CDC advisers drop decades-old universal hepatitis B birth dose recommendation, suggest blood testing after 1 dose (CIDRAP)
• Health and Economic Benefits of Routine Childhood Immunizations in the Era of the Vaccines for Children Program — United States, 1994–2023 (CDC: MMWR)
• Universal Hepatitis B vaccination at birth: safety, effectiveness and public health impact (CIDRAP)
• Recommended Child and Adolescent Immunization Schedule for Ages 18 years or younger (American Academy of Pediatrics)
• West Coast health experts reject RFK Jr. panel, say hepatitis B vaccines at birth should continue (The Oregonian)
• Statement from the Northeast Public Health Collaborative In Response to ACIP's Hepatitis B Vote (NJ.Gov Health)
• Governors Denounce ACIP Recommendation on Hepatitis B Vaccination, Reaffirm Commitment to Strong, Evidence-Based Childhood Vaccination Programs (Governors Public Health Alliance)
• Blue Cross and Blue Shield Companies Statement on Vaccines (Blue Cross Blue Shield)
• AHIPStatement on Vaccine Coverage (AHIP)
• Pediatricians reject CDC advisers' guidance, plan to continue vaccinating all newborns against hepatitis B (CIDRAP)
• Survey: Social media on par with CDC as trusted vaccine source (Healio)
• FDA to investigate whether adult deaths linked to COVID vaccine (Washington Post)
• Exclusive: US FDA launches fresh safety scrutiny of approved RSV therapies for infants (Reuters)
• Marburg Outbreak in Ethiopia: Current Situation (CDC: Marburg Virus Disease)
• Contemporary highly pathogenic avian influenza (H5N1) viruses retain neurotropism in human cerebral organoids (OFID)
• Confirmations of Highly Pathogenic Avian Influenza in Commercial and Backyard Flocks (USDA: Animal and Plant Health Inspection Service)
• Indiana, cases of New World screwworm in Mexico, rising US flu activity
• (CIDRAP)
• Mexico reports 92 cases of myiasis in humans caused by screwworm (Expreso.press)
• Wastewater for measles (WasterWater Scan)
• Measles cases and outbreaks (CDC Rubeola)
• Tracking Measles Cases in the U.S. (Johns Hopkins)
• Measles vaccine recommendations from NYP (jpg)
• Weekly measles and rubella monitoring (Government of Canada)
• Measles (WHO)
• Get the FACTS about measles (NY State Department of Health)
• Measles (CDC Measles (Rubeola))
• Measles vaccine (CDC Measles (Rubeola))
• <a href="https://fda-