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Experts question, criticize new CDC guidance to shorten COVID-19 isolation – Global News

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U.S. health officials’ decision to shorten the recommended COVID-19 isolation and quarantine period from 10 days to five is drawing criticism from some medical experts and could create confusion among many Americans.

To the dismay of some authorities, the new guidelines allow people to leave isolation without getting tested to see if they are still infectious.

The guidance has raised questions about how it was crafted and why it was changed now, in the middle of another wintertime spike in cases, this one driven largely by the highly contagious omicron variant.

Read more:

CDC now recommends those with COVID-19 isolate for 5 days, down from 10

Monday’s action by the Centers for Disease Control and Prevention cut in half the recommended isolation time for Americans who are infected with the coronavirus but have no symptoms. The CDC similarly shortened the amount of time people who have come into close contact with an infected person need to quarantine.

The CDC has been under pressure from the public and the private sector, including the airline industry, to shorten the isolation time and reduce the risk of severe staffing shortages amid the omicron surge. Thousands of flights have been canceled over the past few days in a mess blamed on omicron.

“Not all of those cases are going to be severe. In fact, many are going to be asymptomatic,” CDC Director Dr. Rochelle Walensky said Monday. “We want to make sure there is a mechanism by which we can safely continue to keep society functioning while following the science.”

CDC officials said the guidance is in keeping with growing evidence that people with the virus are most infectious in the first few days.


Click to play video: 'COVID-19: Quebec to allow health-care, essential workers to work even if tested positive on case-by-case basis'



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COVID-19: Quebec to allow health-care, essential workers to work even if tested positive on case-by-case basis


COVID-19: Quebec to allow health-care, essential workers to work even if tested positive on case-by-case basis

Louis Mansky, director of the Institute for Molecular Virology at the University of Minnesota, agreed there is a scientific basis to the CDC’s recommendations.

“When somebody gets infected, when are they most likely to transmit the virus to another person?” he said. “It’s usually in the earlier course of the illness, which is typically a day or two before they actually develop symptoms and then a couple of days to three days after that.”

Research, including a study published in the journal JAMA Internal Medicine in August, backs that up, though medical experts cautioned that nearly all of the data predates omicron.

The CDC released a report Tuesday on a cluster of six omicron cases in a Nebraska household and found the median incubation period — the time between exposure and the appearance of symptoms — was about three days, versus the five days or more documented earlier in the pandemic. The six people also experienced relatively mild illness.

But other experts questioned why the guidelines let people leave isolation without testing.

“It’s frankly reckless to proceed like this,” said Dr. Eric Topol, founder and director of the Scripps Research Translational Institute. “Using a rapid test or some type of test to validate that the person isn’t infectious is vital.”

“There’s no evidence, no data to support this,” he added.

Read more:

Ontario health officials evaluating new CDC guidance on shortened COVID isolation

Mansky said CDC probably didn’t include exit testing in its guidelines for logistical reasons: There is a run on COVID-19 rapid tests amid the spike in cases and the busy holiday travel season. In many places, at-home tests are difficult or impossible to find.

The CDC is “driven by the science, but they also have to be cognizant of the fact of, you know, what are they going to tell the public that they’ll do,” Mansky said. “That would undermine CDC if they had guidance that everybody was ignoring.”

Qamara Edwards, director of business and events for Sojourn Philly, which owns four restaurants in Philadelphia, said about 15 per cent of its employees are out sick with COVID-19, and staffing is tight.

The CDC changes are “great for businesses, they do allow people to return to work sooner than they’ve expected,” Edwards said, though she understands why workers might be resistant and worried about their safety.

In Los Angeles, King Holder, who runs the StretchLab Beverly fitness business, likewise said omicron has caused “ample disruption” to his company, and he welcomed the more relaxed guidelines.

“The possibility of five days compared to 10-14 days is huge for our business and allows us to stay afloat,” he said.


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Doug Ford comments on COVID-19 vaccine rollout, Ontario schools


Doug Ford comments on COVID-19 vaccine rollout, Ontario schools

But Dana Martin, a 38-year-old Philadelphia teacher and educational consultant, said: “The looser COVID guidelines make me nervous. I’m more hesitant to participate in holiday activities because of the omicron variant and the seemingly more lax protocols.”

Marshall Hatch, senior pastor of New Mount Pilgrim Church on Chicago’s West Side, said he is bracing for some confusion in his congregation. The church has been a strong advocate for testing, vaccinations and booster shots.

Hatch said the CDC’s latest guidance is confusing and “a little incongruous.”

“Either we’re in a surge that we need to take very seriously or are we winding down the pandemic and that’s why we’re shortening the isolation and quarantine times,” he said Tuesday. “They might want to give us a little more information to go with.”

Hatch said some members of the largely Black congregation, particularly senior citizens, are skeptical of information from government.

The CDC move follows global efforts to adjust isolation rules, with policies differing from country to country.

Read more:

Ontario reports 8,825 new COVID cases on Tuesday

England last week trimmed its self-isolation period for vaccinated people who have tested positive for COVID-19 to seven days in many cases, provided two negative lateral flow tests are taken a day apart.

The French government said Monday that it will soon relax its isolation rules, although by exactly how much isn’t yet clear.

Health Minister Olivier Veran said the rule changes will be aimed at warding off “paralysis” of public and private services. By some estimates, France could be registering more than 250,000 new infections per day by January.

Italy, meanwhile, is considering doing away with a quarantine altogether for those who have had close contact with an infected person as long they have had a booster shot. Projections indicate as many as 2 million Italians could be put in quarantine over the next two weeks as the virus spreads.


Click to play video: 'COVID-19: Ontario issues temporary restrictions on long-term care homes amid Omicron surge'



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COVID-19: Ontario issues temporary restrictions on long-term care homes amid Omicron surge


COVID-19: Ontario issues temporary restrictions on long-term care homes amid Omicron surge

The U.S. airline industry applauded the CDC move.

“The decision is the right one based upon science,” said the lobbying group Airlines for America.

But the head of a flight attendants union criticized the change, saying it could lead businesses to pressure sick employees to come back before they are well.

If that happens, “we will make clear it is an unsafe work environment, which will cause a much greater disruption than any `staffing shortages,”’ warned Sara Nelson, president of the Association of Flight Attendants-CWA International.

© 2021 The Canadian Press

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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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