13 times more babies born with syphilis in Canada over 4 years, data shows | Canada News Media
Connect with us

Health

13 times more babies born with syphilis in Canada over 4 years, data shows

Published

 on

The Current15:57Tackling rising syphilis cases across Canada

 

There has been a sharp increase in the number of babies born in Canada with syphilis, an infection that one doctor says “can be particularly devastating in pregnancy.”

“It can lead to outcomes such as fetal demise … or stillbirth,” said Dr. Darrell Tan, an infectious disease physician at St. Michael’s Hospital in Toronto, and the Canada Research Chair in HIV Prevention and STI Research.

“And then in a child [born with syphilis] there can be many, many manifestations … it can affect organ systems like the brain, the bones and joints, virtually any organ system in the body,” he told The Current’s guest host Mark Kelley.

Figures from the Public Health Agency of Canada (PHAC) show that there were seven cases of congenital syphilis in 2017, but 96 cases in 2021 — an increase of 1,271 per cent over four years. A similar trend has been observed south of the border.

 

Growing number of infants infected with syphilis

 

Thirty newborns in Manitoba have been infected with congenital syphilis through the first eight months of 2020, according to information obtained by the Opposition NDP.

That increase is tied to rates of infection within the general population, which have been increasing steadily for the past decade. Last month, health authorities in B.C. revealed a 27 per cent increase in cases from 2021-22.

Historically, the disease has disproportionately affected men who have sex with men (MSM), but Dr. Troy Grennan said B.C. figures show a shift in 2022.

“For the first time the majority — so more than 50 per cent — of the new cases we’re seeing [in B.C. are] in non-MSM populations,” said Grennan, lead physician at B.C.’s Centre for Disease Control’s sexual health programs.

“One of the key challenges around that is that we’re seeing increasing cases in folks who are capable of getting pregnant,” he said.

Experts say there’s likely multiple factors behind the increase, including reduced condom use — a 2020 survey found that seven in 10 of Canadian respondents don’t use condoms. Some experts also point to the increasing availability of routine testing, and the idea that numbers are up in part because more infections are being detected.

Tan said the spread into new demographics “may simply be a numbers game.”

“When you have cases, case rates that are going up to this degree, you start to see it spread beyond just the core sexual networks that had traditionally been involved,” he said.

If caught early, an infection can be easily treated with antibiotics. But Tan said that structural inequalities, such as racism and the legacy of colonization, can also “impact people’s willingness or perhaps ability to access care at earlier stages — where we can maybe nip things in the bud.”

Syphilis can affect ‘virtually any organ system in the body,’ said Dr. Darrell Tan. (Lauren Pelley/CBC)

Diverse symptoms, or none at all

Syphilis can present a diverse range of symptoms, which can complicate catching the infection early, Tan said.

On initial infection, an ulcer can appear at the part of the body that was exposed, he said. But that ulcer might be painless, and perhaps on a body part where it’s hard to see, such as the vagina or rectum.

In other cases, the infection sparks a fever or rash. These symptoms may prompt someone to seek medical attention, but they can also be mistaken for many other illnesses.

“The most confusing and frustrating thing is that it can cause no symptoms at all, and people can contract it without even realizing it,” Tan said.

If left untreated, the infection can have serious implications, including neurological problems, organ damage, loss of vision and even death.

Rates of syphilis infection have been increasing steadily over the last 10 years. (Getty Images)

Vaccine work ‘not very far along’

Research into syphilis is complicated by the fact that the “bacterium is very difficult to work with,” said Caroline Cameron, one of the few researchers studying the infection in Canada.

“We really don’t understand how it works, how it infects a person or ways to appropriately combat it, or prevent that infection,” said Cameron, a professor in the department of biochemistry and microbiology at the University of Victoria.

While Cameron said she was drawn to those challenges, they’ve dissuaded many other researchers — but that is slowly changing.

“We are starting to get more philanthropic organizations who are providing funding for research and we’re starting to see more people join the field, which is what is really needed in order to get those innovative research programs going,” she said.

The aim is to produce better medical interventions, perhaps even a vaccine for syphilis, she said. But the difficulties in studying it mean that, globally, the research is “not very far along,” she said.

“Conservative estimates [for a vaccine] are five to 10 years away. But we really need more people to join the field to expand the research population,” she said.

New syphilis rapid test could slow disease’s spread, doctors say

Doctors and outreach workers are hopeful wider use of a new rapid test for syphilis could help slow the spread of the dangerous sexually transmitted infection.

Get tested, get treated

Syphilis can be detected by a simple blood test “that can be ordered by any clinician relatively easily,” but the challenge is often knowing when to request it, Tan said.

He suggested people who are sexually active with multiple partners should seek routine STI testing, as frequently as every three months.

PHAC guidelines stipulate universal screening for syphilis during the first trimester of pregnancy. For those at greater risk of exposure, the guidelines suggest a repeat screening at 28 to 32 weeks, and again at delivery.

However, problems can arise for “folks who unfortunately don’t access pre-natal care,” he said.

“We do have very effective treatments … simply two or more injections of plain old penicillin,” Tan said.

“But if folks are not accessing care earlier in the course of infection … then we can see cases continue to spiral as we’ve seen, and have a hard time getting control of the epidemic.”

Source link

Continue Reading

Health

What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

Published

 on

Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Continue Reading

Health

Here is how to prepare your online accounts for when you die

Published

 on

 

LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

Source link

Continue Reading

Health

Pediatric group says doctors should regularly screen kids for reading difficulties

Published

 on

 

The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

Source link

Continue Reading

Trending

Exit mobile version