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Breast cancer: More screening for Black people, docs urge

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When Patricia Russell was in her late 30s, she felt a lump in her breast. She knew the texture, the feel of the lump, was not normal.

“I was at a stage in my life where I wanted to take charge of my health. But I wasn’t expecting [breast cancer], I wasn’t looking. As a matter of fact, I’m one of the women who said ‘this will never happen to me,’” she said at a press conference Thursday.

But after finding the lump, Russell began examining herself and found what felt like may have been a mass.

“This feels weird, this is not normal, I wanted to push it off,” she said. She fought that instinct and went to get examined, and ended up being diagnosed with breast cancer.

Since that fateful day,Russell has survived two bouts with the disease. Now, she is part of a campaign launched this week with Toronto-based lingerie company Love & Nudes to not only raise awareness about breast cancer in Black people, but to urge the federal government to lower the age of breast cancer screening programs across the country to include those who are 40 years old so that more people of colour can have cancer detected earlier.

Russell spoke at the press conference with other breast cancer survivors and doctors to discuss health disparities, and why Black people, who have worse outcomes when it comes to breast cancer, are being screened less for the disease and are up against a health-care system they saypromotes resources that are centered on white people.

Canada does not routinely track race-based data around breast cancer screening rates, but other Western nations have shown Black people have clear, poorer outcomes when it comes to breast cancer.

In the U.S., Black women are 40 per cent more likely to die from breast cancer and the figure has remained that high for over a decade, according to the American Cancer Society (ACS).

As well, Black women younger than age 50 had a death rate that was twice as high as white women at that age, according to the ACS. The group states that screening rates have not increased and racial disparities in screening rates need to be addressed to start to fix the issue.

According to 2021 data from the federal government and the Canadian Cancer Society, cancer screening rates are lower for racialized people, whoface multiple barriers to screenings, and late diagnosis results in poorer outcomes and a lower survival rates.

The COVID-19 pandemic has also disproportionately impacted Black people due to structural racism and neglect of communities, meaning that these challenges to getting screened have likely been made worse, the report states.

As well, the report notes that two in five Canadians will develop cancer in their lifetime, and about a quarter of all Canadians will die from cancer in their lifetime. For women in 2021, breast cancer was the most common cancer diagnosis, making up 25 per cent of the close to 111,000 cancer cases found in women that year. The Canadian Cancer Society also estimates about 15 women die of breast cancer per day in Canada.

WHY BLACK PEOPLE HAVE WORSE OUTCOMES

Love & Nudes, a lingerie company founded in 2017 by entrepreneur Chantal Carter, sells nude underwear that matches the skin tones of racialized women. Carter told CTVNews.ca in a phone interview Thursday that traditional “nude” colours in lingerie too often are designed with only white people in mind.

This image provided by Love & Nudes shows the insert the lingerie company plans to provide to customers, to show how a cancerous lump could present on those with darker skin tones. (Love & Nudes)

For the campaign on breast cancer, the company is planning to include an insert, in multiple skin tones, with purchases inthe near future that has been made to mimic how a cancerous lump might look on a person of colour. For instance, the redness that could appear for those in lighter skin tones will not be present for the example meant to reflect Black people, said Carter.

She said many people in her life have been impacted by breast cancer, and a close family friend died of the illnesses in her 40s.

“When I discovered these statistics that Black women have a mortality rate that’s 40 per cent higher than white women, it reminded me of my brand and what it stands for:representation,” she said. “The face of cancer is not usually ours.”

The collection with the inserts has been named “Stage Zero” to highlight that awareness and prevention can help keep Black peoplefrom being given a fatal diagnosis, with the hope breast cancer can be caught earlier if screenings are encouraged.

Dr. Mojola Omole, a Toronto-based surgical oncologist who is participating in the Love & Nudes campaignand helped design the insert, told CTVNews.ca via a phone interview Friday that issues with receiving a timely diagnosis are due to systemic barriers around getting screened and accessing care.

“All women, and especially racialized women, should be screened at the age of 40 and it should be yearly. You can’t be afraid of what you might find out, because you don’t want to upstage your disease,” she said.

The earlier the disease is caught, the more easily it can be treated, she said.

Across provinces and territories, mammography is used for screening for breast cancer with the goal of catching any signs or symptoms before the illness actually develops. Programs around screenings start at age 50, though women can often request an earlier screening.

Within Black communities, there can be stigma around discussing cancer due to fear, said Omole.

“By ignoring it, it doesn’t go away,” she said.

People are not always getting access to information about how detecting cancer early can give someone a better chance to return to their normal life, she said.

There’s lots of misinformation online, and the health-care system doesn’t always target specific groups or address their concerns, she said.

This image shows the inserts Love & Nudes plans to send to customers to highlight how a cancerous lump could appear on various skin tones. (Love & Nudes)

Omole said inserts that show what a lump looks and fees likes, such as the ones being distributed by Love & Nudes,should be included in other spaces where people receive health care, even at their local pharmacy.

“The images can be a really powerful thing. When you don’t feel included in the conversation, you just exclude yourself, you don’t think that is a possibility for you … you think ‘that’s a white person’s disease,’” she said.

“We don’t really educate people, that’s what’s needed in medicine in general,” she said.

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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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