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COVID-19 'absolutely' a contributing factor to overdose rise in KFL&A – Kingstonist

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Naloxone kits, which are used to help interrupt opioid overdoses, are available free of charge in many places in Kingston. Photo by Dr. James Heilman.

Public Health Nurse Rhonda Lovell said COVID-19 is “absolutely” a contributing factor to the rise of overdoses in the Kingston, Frontenac, Lennox & Addington (KFL&A) public health region this year.

For the past three years, Lovell has worked on the opioid overdose portfolio at KFL&A.

“We are at an intersection right now between an [opioid] epidemic and a pandemic,” she said, “and it’s really just a challenging time.”

Jurisdictions across Canada, including Vancouver, Toronto and Ottawa have all made headlines in recent weeks, connecting the dots between the COVID-19 lock-down and a nationwide spike in overdoses. 

Preliminary results from the Ontario coroners office indicate a 25 per cent increase in overdose deaths between March and May of this year, compared to 2019.

“It’s not just people in Canada that are overdosing,” Lovell said, “not just people in Ontario, but people right here in the KFL&A area at risk from a highly toxic, unregulated drug supply.”

Supply chain disruption

On Monday, May 25, 2020, KFL&A Public Health warned that local emergency room departments, harm reduction centres and first responders were fielding an increased number of drug-related overdoses, attributed to a “bad batch” of street drugs circulating in the area. 

Street drugs are often contaminated with other very harmful substances, Lovell said. Now, disruptions in international travel due to COVID-19 have made an unregulated drug supply even more unpredictable, and potentially more toxic.

“We’re hearing about disruptions in the drug supply chain itself,” she said. “There are lots of restrictions on movement right now, moving the drugs themselves, or the precursors, or ingredients.” 

Substances that might have been coming from overseas may not be crossing borders as easily as they once were, she said, pushing dealers and users to work with whatever is available. 

Those changes in drug supplies can also force users to make “challenging decisions” she said, about what they can do — or take — to avoid a period of withdrawal.

“I don’t even know how to accurately describe it. Its just a situation that you don’t want to find yourself in, going through an opioid withdrawal without adequate support,” she said.

“When someone is using drugs from an unregulated market, they might believe that they’re using one thing, but can’t say with certainty what’s in there. It’s not just drugs. Other contaminants that might be in there as well.” 

Crystal methamphetamine and cocaine for example, she said, can both be contaminated with fentanyl, an opioid responsible for many overdose fatalities. 

Other factors: stress, isolation

Public health advocates and social workers in Ottawa and Toronto have suggested that easy access to cash through the Canadian Emergency Response Benefit (CERB) could also be a factor in rising overdoses.

“I see that it could be,” Lovell said. “It makes logical sense… The theory applies quite widely and we’re hearing this speculation across the country.”

She said that general feelings of stress and uncertainty, social isolation, and loss of access to services also contribute .

“Job loss or just the general sense of fear and uncertainty from this can be very triggering on a lot of levels,” she said.

People actively using drugs at the start of the pandemic might increase their consumption, she said, while people in recovery risk using again, “particularly if they’ve experienced some of the losses related to the pandemic, or they’ve lost access to supports that they’ve had.”

With many social spaces shuttered during the COVID-19 pandemic, the public has been encouraged to practice social distancing for safety reasons. This presents risks of its own for people with drug addiction, Lovell said.

“Its a loaded statement right now to tell people: ‘Don’t use alone,’” she explained of a harm-reduction strategy often advised by social service workers. “But certainly if people are going to use alone, they need to make sure that someone is available to at least check in on them, make sure they’re okay, or call 911.”

She said that the local social service network has responded well to the crisis. 

“One of the things that I’m so proud of in our community… is that we’ve seen just a great modification of services to try to keep as much access as we possibly can, so people are not going without those supports,” Lovell said.

She said KFL&A public health has taken on the issue of overdose risk and awareness more actively in the past few years, and has had a “much more active role in letting the community know that this risk is out there.”

Lovell said she will be watching the outcomes of harm-reduction strategies in British Columbia, where the provincial health authority has recently enabled access to a “safe supplies” of regulated opioids on the street.

“They’re certainly ahead of us in that regard,” Lovell said. “Hopefully we’ll get some attention on that here in Ontario, to see if it might be a solution to help mitigate some of these impacts.”

KFL&A Public Health advice

KFL&A Public Health is urging all those who use drugs not to mix them, to do test amounts, and to never use alone. Public Health is also reminding residents that the Public Consumption and Treatment Service at Kingston’s Street Health Centre is open seven days a week from 9 a.m. to 4 p.m., providing a safe place for anyone who wants to use drugs to do so under the supervision of people who are trained in how to respond to an overdose. Additionally, the Rapid Access Addictions Medicine Clinic at the Street Health Centre is open Monday through Friday from 9 a.m. to 12 p.m. and 1 p.m. to 4 p.m. by appointment. That clinic can provide individuals with support in getting help for a substance use disorder.

KFL&A Public Health is encouraging all residents to be aware of the signs of an opioid overdose and pick up a free naloxone kit. Free kits are available at the following locations:

  • KFL&A Public Health (Kingston office): Monday to Friday from 8:30 a.m. to 4:30 p.m.
  • Street Health Centre: Monday to Sunday 9 a.m. to 12 p.m. and 1 to 4 p.m.
  • HIV/AIDS Regional Services: Contactless drop off available Monday to Friday (call 613-329-6932). Mobile outreach unit is located at Street Health Centre from 4 to 8 p.m. on Mondays, Tuesdays, Thursdays, and Saturdays.
  • St. Vincent de Paul Society of Kingston: Monday to Friday from 9 a.m. to 1 p.m.
  • Martha’s Table: Monday to Sunday 11 a.m. to 1 p.m.
  • Home Base Housing Street Outreach Team: Monday to Friday at Lunch By George from 11 a.m. to 11:30 a.m. and Street Health Centre from 12 to 1 p.m.
  • Change Health Care: Monday to Friday 6:30 a.m. to 4 p.m.; Saturday to Sunday 8 a.m. to 12 p.m.
  • Napanee and Area Community Health Centre: Monday to Friday 9:30 to 11:30 a.m. and 1 to 3 p.m.

For more locations, visit https://www.ontario.ca/page/where-get-free-naloxone-kit.

It is also important for residents to remember that an overdose is a medical emergency. Anyone who suspects or witnesses an overdose should call 911, and the Good Samaritan Drug Overdose Act provides some legal protection against simple drug possession charges for anyone who experiences, witnesses or responds to an overdose and calls authorities.

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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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