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Alberta shifts to allow preventive monkeypox vaccines as some gay men were heading out of province for shots – CBC.ca

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The Alberta government announced on Thursday that it will begin offering the monkeypox vaccine to people who self-identify as meeting the eligibility criteria for targeted prevention prior to an exposure — bringing the province’s policy in line with British Columbia, Ontario and Quebec, where some gay and bisexual Alberta men had been travelling in order to receive shots.

Gay and bisexual men and their advocates have told CBC News that they were frustrated by having to travel to other provinces to get vaccinated against monkeypox.

While British Columbia, Ontario and Quebec have been offering preventative vaccination campaigns targeted at those considered at high risk of being exposed to the virus, until Thursday’s policy shift, Alberta was only giving the shot to people who have actually been exposed.

But as of July 29, Albertans 18 and older who self-identify as meeting the eligibility criteria for targeted prevention prior to an exposure can get the monkeypox vaccine, Alberta Health said in Thursday’s news release.

Those eligible will include:

  • Transgender, cisgender or two-spirit individuals who self-identify as belonging to the gay, bisexual and other men who have sex with men (gbMSM) community and who meet at least one of the following criteria:   
         

    • Have received a recent (in the last six months) diagnosis of a sexually transmitted infection.
    •    

    • Are planning to have, or in the past 90 days had, sex outside of a mutually monogamous relationship.
    •    

    • Have attended venues for sexual contact within the past 90 days (e.g., bath houses, sex clubs) or may be planning to, or who work/volunteer in these settings.
    •    

  • Any sexual contacts of the individuals described above.
  • Staff and volunteers in a social setting or venue or event where sexual activities between men (individuals described above) may take place.

Some Albertans were seeking shots out of province

Edmonton resident Kory deGroot is planning to head to Montreal next week with his partner on holiday. While there, the two were going to try to get vaccinated because the vaccine wasn’t available to them in Alberta, despite being at higher risk of contracting the virus and fitting the vaccination criteria in other provinces.

The majority of new monkeypox cases in Canada and Europe have occurred in men who have sex with men (MSM) and deGroot, a gay man, said prior to the change that he was frustrated by what he saw as Alberta’s slow reaction to an unfolding public health emergency.

“I don’t want to get [the virus] and you know, I just want to decrease risk,” he said. “I feel like what we’ve learned through the pandemic is just, prevention is key.”

DeGroot searched Alberta Health and AHS websites for ways he might be able to get a monkeypox vaccine but couldn’t find any indication he was eligible. Then he spoke with friends and found out it was being offered in Montreal.

“So we do plan on getting it while we’re there because tourists can get the monkeypox vaccine,” he said.

Many places in Canada have already been approaching vaccination based on self-identified behaviours, vaccinating trans people, gay, bi and other groups of men who have sex with men who are having non-monogamous sex.

An Alberta Health policy dated June 7 said the monkeypox vaccine was only available to those who have been exposed to the virus.

As of Wednesday, Alberta had given out 36 doses of Imvamune, the vaccine used to prevent and treat monkeypox and smallpox. The province currently has 1,200 doses from the federal government and is working with the feds to acquire more, according to an Alberta Health spokesperson.

As of July 26, there have been 13 confirmed case of monkeypox in Alberta.

By comparison, there have been 58 monkeypox cases in B.C., as of July 26.

Vancouver Coastal Health (VCH), the B.C. health authority stretching from Richmond to the Sunshine Coast and part of the Central Coast, started a pre-exposure vaccination campaign on July 1. It targets transgender people, gay, bisexual and other men who have sex with men who meet additional high-risk criteria and are 18 years old and over, a spokesperson said in an email.

A health-care worker prepares monkeypox vaccine in Montreal on July 23, 2022. Tourists are among those lining up to get monkeypox vaccines in Montreal, as the World Health Organization declares the virus a global health emergency. (Graham Hughes/The Canadian Press)

As of July 26, VCH had vaccinated more than 6,000 people — some of whom reside outside of B.C. — at booked clinic appointments and at pop-up outreach clinics at events and businesses in Vancouver’s queer community.

“We are not actively encouraging people from outside of B.C. to seek vaccination at our clinics,” wrote VCH public affairs specialist Jeremy Deutsch, “but if they are in the VCH region and meet the eligibility criteria, they can be vaccinated.”

Deutsch added they did not know how many or what percentage of patients had come from out of province.

A colourized transmission electron micrograph of monkeypox particles (teal) found within an infected cell (brown), is shown in a handout photo captured at the NIAID Integrated Research Facility (IRF) in Fort Detrick, Maryland. (HO-National Institute of Allergy and Infectious Diseases/The Canadian Press)

Many who work in gay men’s health see it only as a matter of time before case numbers start to grow in Alberta.

“Even though our case numbers are still relatively low in comparison to places like Ontario, Quebec and in British Columbia, it’s hard not to see us as behind the eight ball,” said Nolan Hill, a gay men’s heath specialist at the Centre for Sexuality in Calgary. 

He said there is a lack of information from the provincial government for patients who are increasingly asking about testing and vaccinations for monkeypox when coming in for STI testing.

Instead it’s falling on the community who are often left in the dark, which he said leads to increased stigma and worries of monkeypox being seen as a gay disease.

“That lack of information just I think breeds a sense of mistrust and a sense of feeling left behind by the health system,” he said.

“We’ve seen that there is historical mistrust of the community, in our health systems, starting all the way back in with the AIDS epidemic.”

DeGroot is hopeful the lack of pre-exposure vaccination isn’t because of discrimination but still worries it could be.

“It would be interesting to see the response if it was impacting a different demographic, for sure,” he said.

DeGroot still plans to get his vaccine when he heads to Montreal next week but he worries about the equity issues for those who aren’t planning vacations or just can’t afford the plane ticket.

“If it continues to be like the only way that Albertans can get a vaccine is by travelling out of province,” he says, “that is a huge concern.”

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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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