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NACI says Oxford-AstraZeneca vaccine now recommended for use on seniors – Kamloops This Week

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OTTAWA — Canada’s expert vaccine panel said Tuesday there is now enough “real-world evidence” to show the Oxford-AstraZeneca COVID-19 shot is both safe and effective for seniors.

The decision from the National Advisory Committee on Immunization (NACI) reverses its advice from March 1, when a lack of data for seniors in AstraZeneca’s clinical trials prompted the panel to not recommend it be used for people over 65. It said seniors should instead be prioritized for shots from Pfizer-BioNTech and Moderna.

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The new advice comes as authorities debate whether Canada is moving into a third wave of the pandemic, and investigate concerns about blood clots and AstraZeneca’s vaccine.

Dr. Marc Berthiaume, director of the medical sciences branch at Health Canada, said the department is following the issue but currently sees no evidence of a safety concern.

“If we do hear that there’s a specific risk, links to the AstraZeneca vaccine, then we will immediately take action,” he said in French.

The European Medicines Agency is investigating a number of reports of patients developing blood clots, some of them fatal, within about two weeks of getting the AstraZeneca vaccine.

The agency said late Tuesday it is still reviewing reports from EU members, but “currently remains of the view that the benefits of the AstraZeneca vaccine in preventing COVID-19, with its associated risk of hospitalization and death, outweigh the risks of side effects.”

Thrombosis Canada said last week evidence did not show a link between the vaccine and blood clots. AstraZeneca said Sunday a review of 17 million patient safety records following vaccination also did not show a link.

Many European countries have suspended the vaccine temporarily pending the review. That includes Germany and France, which initially stood by the vaccine after the first reports of blood clots.

Several of those countries are the same ones that earlier this month decided their initial advice not to give AstraZeneca to seniors was no longer sound, as new evidence on the widespread use of the vaccine on seniors showed it was quite effective.

That same evidence is what led NACI to change its advice as well. Its chair, Dr. Caroline Quach, said those studies weren’t available when NACI developed its first guidance.

Most provinces heeded the warning two weeks ago not to give AstraZeneca to seniors, prioritized for doses across Canada because of their higher risk from COVID-19.

Provincial health authorities must now decide whether they will adjust their plans. Ontario Premier Doug Ford expressed frustration with the frequent changes.

“I can’t begin to tell you the logistics behind it,” he said. “It just messes everything up.”

Provinces might have some leeway. Most of the first 500,000 doses of AstraZeneca delivered are already spoken for and more doses are not set to arrive in Canada until April.

Chief public health officer Dr. Theresa Tam said Tuesday the warning bells are sounding that a third wave of COVID-19 infections is hitting Canada.

“We’re watching, of course, that epidemic curve really carefully, because there is this upswing we’re seeing now,” she said.

Over the last week the average number of new cases per day was about 3,200, she said. That’s up from 3,052 daily cases between March 5 and 11, and up from about 2,900 a day between mid-February and early March.

The death counts, however, have continued to drop, with an average of about 31 deaths a day in the last week, down from 41 a day a week ago, 52 at the beginning of March, and more than 80 in mid-February.

Tam said it’s too soon to know if the death rate is falling because of vaccines, though she said provincial governments have reported the rates of COVID-19 among people over 80, who were in the first groups to get inoculated, are now below rates for other age groups.

“That suggests that the vaccines might have a good effect,” said Tam.

Canada vaccinated almost 125,000 people Monday, the highest one-day total so far. More than 3.2 million doses have been given to date, with 2.6 million Canadians receiving at least one dose.

Tam said the existence of more contagious variants of the novel coronavirus brings added pressure and urged Canadians to remain careful even as vaccinations ramp up.

“This is not the time to increase your contacts,” she said.

There are more than 3,400 confirmed cases of variants in Canada, more than 90 per cent the B.1.1.7 variant that first emerged in the United Kingdom, but Tam said they are just “the tip of the iceberg.” There are potentially at least hundreds more cases screened for one of the mutations common to all variants, that have not yet been fully screened to identify which one.

Ontario’s “science table” said Tuesday it believed almost half the new cases in that province are now variants.

Canada had some positive vaccine news Tuesday as Quebec-based Medicago announced it was beginning the Phase 3 trial of its vaccine here. It is the only Canadian company on the list of seven vaccines procured by the federal government, and the first Canadian-made vaccine to get to this stage.

Nathalie Landry, the executive vice president of scientific and medical affairs, said it is also enrolling people in the United States and up to nine other countries.

Landry said the hope is to report results by the summer, and approval by the fall. If that happens, she said, Medicago can deliver 20 million doses to Canada by the end of 2021.

Moderna also reported Tuesday it had begun dosing kids under 12 in a study of its vaccine. Currently only Pfizer is approved for use on kids as young as 16. Moderna, AstraZeneca and Johnson and Johnson are only approved for 18 years of age and older.

This report by The Canadian Press was first published March 16, 2021.

— With files from Shawn Jeffords in Toronto

Note to readers: This is a corrected story. A previous version said Moderna’s new study on children was for kids over the age of 12.

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

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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.

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

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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.

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

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Pediatric group says doctors should regularly screen kids for reading difficulties

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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.

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