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N.B. records 5 deaths from invasive Group A strep in January — already half of 2023 total

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One month into 2024, New Brunswick is already halfway to last year’s total number of deaths from severe Group A strep infections, according to the province’s acting chief medical officer of health.

New Brunswick has recorded five deaths from invasive Group A streptococcal infections in January, compared to 10 in all of last year, said Dr. Yves Léger.

Three of the deaths have been within the past couple of weeks.

Among them was Dan Wetmore, 49, of Moncton, who died on Jan. 19, after being sick for more than a week. It started with a sore throat and went on to include tiredness, body aches and vomiting, his widow Kim Wetmore told CBC.

He thought it was just the flu, she said, but then he started to get worse. He called 911 and was taken by ambulance to the hospital, where he died later that day, said Wetmore, who is urging people to go to the hospital or get tested if they’ve got symptoms of strep A.

N.B. fatality rate nearly double national figure

Invasive Group A streptococcal disease happens when the common bacteria that can cause a variety of common illnesses — such as strep throat, scarlet fever and skin infections — spreads into sterile parts of the body, such as the bloodstream or the liquid around the brain, or into soft tissue. It can cause life-threatening conditions, such as toxic shock syndrome, the rapidly worsening symptoms from failure of many different organs, and necrotizing fasciitis, more commonly known as flesh-eating disease.

Canada is seeing a record number of cases of the bacterial infection that kills roughly one in 10 people who contract it, according to data obtained by CBC News.

New Brunswick’s fatality rate has been nearly double that this month, with five deaths out of 27 confirmed cases, as of Jan. 26, or 18.5 per cent.

 

Province keeping close eye on Strep A numbers: Dr. Yves Léger

 

New Brunswick’s acting chief medical officer of health says the province is already halfway to last year’s total number of deaths from the infection.

It’s also about double the province’s fatality rate in 2023, when 10 out of 107 confirmed New Brunswick cases died, or nine per cent.

The Department of Health did not immediately respond to a request to provide the ages of the people who have died but of the two deaths reported earlier this month, one was a child under the age of nine and the other was a person aged 10 to 59.

“It certainly is something that we are watching very closely,” said Léger.

It’s important to pay attention to symptoms, and to see a health-care provider if an illness persists, or gets worse, he said.

Symptoms of invasive Group A strep vary depending on the type of infection, but can include high fever; severe pain, swelling and redness of the affected area; dizziness and confusion; widespread red rash; and nausea, vomiting and abdominal pain.

No plans for home rapid tests

Six New Brunswick pharmacies are offering point-of-care testing and prescribing for Group A strep as part of a pilot project announced in July.

The Department of Health has no plans to offer rapid home tests, said Léger.

“We feel that there are a number of areas where people can access testing and treatment,” he said, citing family physicians, nurse practitioners, after-hours clinics or emergency departments as examples.

A bald man with a beard, wearing a black shirt.
Invasive Group A strep is a reportable disease in New Brunswick so cases can be tracked and contacts can be managed, says Dr. Yves Léger, the province’s acting chief medical officer of health. (Government of New Brunswick/Zoom)

Anyone who tests positive for strep A will need to be prescribed antibiotics, said Léger.

Seeking medical attention early in the course of an infection “can ensure rapid treatment, which can help prevent more severe outcomes,” noted department spokesperson Sean Hatchard.

When to seek help

Léger recommends people consider getting assessed by a health-care provider if they’re “very ill” and “going downhill really fast.”

A fever that lasts for more than three days should also trigger a visit. “Or if it goes away and then it comes back, or you’re feeling better and you again feel worse, those are signs that something’s not right,” he said.

Other concerning signs include difficulty breathing, blue lips, if a person is very sleepy or having a hard time waking up or is confused.

In addition, any signs of the skin infection, such as if an area is very red, painful, swollen, or has fluid draining from it, should also be seen by a clinician, said Léger.

His advice to parents is to follow their instincts.

“As a parent, you typically know best. You know how your child usually behaves and how they respond. And if you feel that something’s off, you know, follow your gut, go see someone, have that assessment.”

Who gets it and how?

Anyone can develop invasive Group A strep infections, but it occurs at higher rates in younger children and adults aged 65 and older, as well as in those with chronic underlying medical conditions such as diabetes, heart disease, cancer or HIV, and those who use injection drugs, according to the Public Health Agency of Canada.

The bacteria spreads from person to person through close contact with secretions from the nose or throat of an infected person, such as kissing, or through contact with infected wounds or sores on the skin.

There is no vaccine for invasive Group A strep available, but it’s important to get vaccinated against other viruses, such as COVID-19, the flu, and chickenpox, to limit the likelihood of serious infection, said Léger.

“We know that recent viral infections … does increase the risk of Group A strep. So if you’re up to date with your vaccines that can help,” he said.

The Public Health Agency of Canada has said the increase in severe Group A infections may be due to an increase in the circulation of the less serious ones, following a period of reduced incidence during the COVID-19 pandemic, noted Hatchard.

How to reduce your risk

To reduce your risk of being infected by Group A strep, Léger recommends many of the same protective measures as for other respiratory viruses, such as COVID-19 and the flu. These include wearing a well-fitted mask in public indoor spaces, staying home if you’re ill, and washing your hands regularly.

You should also avoid contact with other people’s saliva and respiratory secretions, he said. “So you know, not sharing things like straws, cups, utensils or cigarettes.”

People with cuts or wounds should be careful to keep those clean and covered.

Anyone concerned about symptoms or invasive Group A strep infections should consult with their primary care provider, call Tele-Care 811 to speak with a registered nurse, visit an after-hours clinic, contact eVisitNB, or visit their local emergency department.

 

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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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