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COVID-19 booster shots shouldn’t be Canada’s priority, experts say – Global News

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Although the U.S. will soon offer COVID-19 vaccine booster shots to the general population, Canadian experts aren’t sure that Canada should follow suit.

The U.S. Centers for Disease Control and Prevention made the announcement Wednesday that they are planning to offer a third dose of the Pfizer and Moderna vaccines to Americans, eight months after they had their second dose.

They expect to start offering booster shots to people in September, as Americans who received their shots first become eligible. The overall plan is awaiting a Food and Drug Administration evaluation of the safety and effectiveness of a third dose, the officials said.

Read more:
U.S. will give COVID-19 vaccine boosters to all Americans amid Delta surge

The CDC decision was expected, said Alyson Kelvin, a Canadian vaccinologist who works with the Vaccine and Infectious Disease Organization in Saskatoon, but she’s not sure it’s the right one. “Looking at the evidence, I think that many scientists are conflicted whether or not the general public does need booster shots,” she said.

The CDC points to three pre-print studies released Wednesday that examined how well vaccines protected against infection and hospitalization with COVID-19 in the real world. However, all three studies measure vaccine effectiveness over a period before and after the Delta variant became the predominant COVID-19 variety in the U.S..

In other words, it’s hard to tell from these studies whether increasing case numbers are due to people’s immunity fading over time, or whether it’s due to vaccines being less effective against the Delta variant.

“This study could not differentiate the independent impact of the Delta variant from other factors, such as potential waning of vaccine-induced immunity,” reads one study, which examined people in nursing homes. “Further research on the possible impact of both factors on VE (vaccine effectiveness) among nursing home residents is warranted.”


Click to play video: 'Ontario to offer 3rd COVID-19 shot to ‘vulnerable’ populations, 1st shot to ages 12+'



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Ontario to offer 3rd COVID-19 shot to ‘vulnerable’ populations, 1st shot to ages 12+


Ontario to offer 3rd COVID-19 shot to ‘vulnerable’ populations, 1st shot to ages 12+

Waning immunity?

To some leading scientists, the studies “would not be sufficient, in and of themselves, to make the case for a booster,” said Dr. William Schaffner, an infectious-diseases expert at Vanderbilt University, and a liaison to an expert advisory panel that helps the CDC form its vaccination recommendations.

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, noted that other studies looking at antibodies suggest that immunity fades over time and higher antibody levels might be needed to combat the Delta variant. Giving a third dose causes a “dramatic increase” in antibody levels, he said.

Even though it is calling for a booster shot, the CDC emphasized that the vaccine remained effective against catching COVID-19 and helped prevent serious outcomes from the disease. “While we are still learning about how these vaccines perform over time and how long they will last against emerging variants, one thing is very clear: Getting vaccinated can keep you out of the hospital. Getting vaccinated can save your life,” said CDC director Dr. Rochelle Walensky.

In recent weeks, several other countries have decided to offer booster shots to older adults and people with weak immune systems, including Israel, Germany and France. European Union officials said on Wednesday they do not yet see a need to give booster shots to the general population.

Read more:
Ontario giving 3rd COVID-19 vaccine dose to high-risk people. What about other provinces?

“I think that there’s some evidence that immunity does wane,” Kelvin said. “This happens with all vaccines or even infections.”

When it comes to new variants though, Kelvin isn’t sure how much a third dose of the exact same vaccine will help. “Is this a boost of the same vaccine or is this a boost that’s matching the most prominent circulating variant?” she asked.

If your antibodies are different from the circulating virus, “It doesn’t matter if you get another vaccine to the original SARS-CoV-2 spike protein because it’s a mismatch already,” she said.


Click to play video: 'Canada’s top doctor says discussion on COVID-19 booster shots still ‘evolving’'



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Canada’s top doctor says discussion on COVID-19 booster shots still ‘evolving’


Canada’s top doctor says discussion on COVID-19 booster shots still ‘evolving’ – Aug 5, 2021

Reaching the right people

The Public Health Agency of Canada didn’t respond to specific questions about the CDC decision by deadline, however it noted that people in specific populations who are immunosuppressed might not mount as strong a defence against the virus as others after they get vaccinated. The National Advisory Council on Immunization is reviewing evidence for a booster shot in this population, PHAC said, and will update its recommendations “in the coming weeks.”

People who take immunosuppressant drugs, such as organ transplant patients who take them so they don’t reject their new organs, often have weaker responses to vaccines, said Dr. Deepali Kumar, director of transplant infectious diseases at the University Health Network in Toronto.

“It’s not surprising that that the response to mRNA vaccines would be low in immunocompromised people, and third doses seem to somewhat overcome that problem,” she said. “If a transplant patient gets COVID, they are more likely to end up in the hospital, more likely to end up in the ICU and more likely to die. And so this is a population that we really need to protect.”

Ontario recently announced that it will give booster shots to certain at-risk populations, and other provinces are considering similar measures.

Read more:
3rd COVID-19 vaccine dose increased protection in transplant patients, study shows

Until we have more specific data though, Kelvin thinks that Canada’s vaccination focus shouldn’t be on giving third doses to fully-vaccinated people in the general population.

“Helping vaccines reach underserved communities in North America is really going to help us achieve our goal of reducing COVID-19 infections,” she said. She thinks it’s more important to reach people who haven’t gotten their first and second doses.

“My perspective as a vaccinologist would be: trying to get as much vaccine coverage both in areas of North America as well as all over the world, is going to help bring down the virus circulating and the number of COVID-19 cases that we’re seeing.”

Kumar agrees. “We need to focus on making sure that the first and second doses are in people’s arms first,” she said. “I mean, we still have a good proportion of the younger population that hasn’t had their first or second doses. So I think, if we’re going to stop the pandemic, we need to cast a broad net and make sure that that everyone’s vaccinated.”

-with files from the Associated Press

© 2021 Global News, a division of Corus Entertainment Inc.

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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.

___

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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