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Pharmacies facing flu shot shortages

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With a major pharmacy chain suspending its Ontario flu shot program because of supply problems, experts warn that the province may be missing its chance to boost vaccine uptake in a critically important year and beyond.

Rexall said appointments would be “temporarily paused due to supply issues that are currently being experienced across the province,” noting that vaccine supply is determined by the Ministry of Health.

Last week, an executive for McKesson Canada, the company that distributes flu shots to more than three-quarters of Ontario pharmacies and that owns Rexall, warned in a letter that its government-supplied inventory of flu shots would be depleted by Oct. 29.

Vaccinations are still available at doctors’ offices and public health clinics, and most of these clinics don’t usually ramp up until November. Premier Doug Ford on Monday highlighted the successes of the province’s largest-ever flu shot program, noting the province would get 1 million more doses compared to last year.

But with nearly 90 per cent of the province’s order of 5.4 million doses already distributed, and some primary care clinics reporting problems of their own obtaining enough doses or setting up vaccination clinics amid pandemic-related safety concerns, experts worried that Ontario would miss a rare opportunity.

This is “the one year that (people) are finally willing to roll up their sleeves to get a vaccination,” noted Dr. Samir Sinha, director of geriatrics at Sinai Health System and University Health Network in Toronto.

The province-wide influenza vaccination rate has hovered somewhere between 30 and 40 per cent in recent years, Sinha noted, despite the Public Health Agency of Canada recommending a target of 80 per cent coverage. Canada has worse flu vaccine coverage among seniors than other industrialized countries, including the U.S. and U.K.

This historic complacence is out of step with the harms of influenza, which exerts a massive strain on our health-care system. The flu causes an average of 12,200 hospitalizations and 3,500 deaths in Canada annually, with seniors and those with chronic health conditions especially at risk, according to a 2018 white paper.

 

Health experts have been dreading the “twindemic” of influenza and COVID-19, two infectious respiratory diseases slamming into the same vulnerable populations simultaneously, and threatening the same limited health-care resources. The one silver lining is that COVID-related restrictions may diminish flu too: Australia and other bellwether southern-hemisphere countries experienced historically low levels.

But frustrating people who are finally willing to line up for a flu shot could have long-term consequences outside of this critical season, Sinha said.

“We may have actually further eroded that very delicate level of public confidence that we need, that we can’t be complacent about … it’s going to make it harder to regain their confidence next year.”

In a 2018 research paper on influenza and Canada’s elderly, Sinha and other co-authors highlighted research showing that increasing flu vaccine availability in pharmacies raises vaccine coverage rates overall: Convenience is a key factor.

This year Ontario originally ordered 5.1 million flu shot doses for its population of almost 15 million. Another 300,000 doses were later added, according to the health ministry. The province has distributed nearly 4.7 million doses of that order as of Oct. 31, with about 30 per cent, or 1.4 million doses, going to third-party distributors for pharmacies.

McKesson is the largest of these distributors, supplying flu shots to about 80 per cent of participating pharmacies, according to the Ontario Pharmacists Association. A spokesperson for McKesson blamed the province for failing to meet “significant and early” demand.

“Unfortunately, the government’s allocation of flu vaccines to pharmacies is insufficient to service this increase in demand and pharmacies are having to turn away patients looking to be vaccinated due to limited vaccine supply,” Andrew Forgione said in a statement. (Shoppers Drug Mart is in a similar position, said Justin Bates, chief executive officer of the Ontario Pharmacists Association.)

Ford hit back at a press conference on Monday, saying the company’s pharmacies had booked more flu shot appointments than the doses it knew it would receive.

“My friends at Rexall, you knew the allocations that you had, so don’t overbook people. It’s (as) simple as that,” Ford said. “If you have 100 flu shots, don’t book 200 people, you won’t have the problem.”

Approximately 3.3 million doses have also been distributed to public health units, the province says. Health units then distribute those to hospitals, long-term care homes, primary care clinics and their own flu shot programs. Toronto Public Health says it’s own flu shot clinics are running as planned.

Primary care clinics have reported mixed experiences, according to doctors in this sector. Some large, well-staffed family health teams are vaccinating as usual, while others have come up with creative solutions like drive-thru clinics or banding up with other health-care providers to find sufficient staff.

But other family doctors are reporting problems obtaining the doses they ordered, and even those that do get their full order are struggling to vaccinate at normal volumes.

 

“It’s not very transparent, how the flu shot distribution is done and who has responsibility for what,” said Dr. Tara Kiran, a family doctor at St. Michael’s Hospital and a professor in the Department of Family and Community Medicine at the University of Toronto.

“At any one time, you don’t know what you’re going to get next and when you’re going to get it,” making it difficult to plan clinics, Kiran said. “And then we’re also hearing from many family doctors offices where they didn’t get nearly enough flu shot relative to how much they know they’re going to need to give.”

 

Doctors are prioritizing kids under five who can’t be vaccinated at pharmacies, seniors and other high-risk groups, Kiran and others said — and many offices are telling patients to visit their local pharmacy.

A spokesperson said the health ministry is looking to reallocate existing inventory to areas where demand is high including in pharmacies, and is working closely with pharmacy and other providers on options for them to redistribute their current flu shot supply while maintaining vaccine safety, adding any future shipments would go to areas of greatest demand and providers focusing on high-priority populations.

 

Health Minister Christine Elliott said the province has reached out to the federal government and international suppliers for additional vaccine and that $28 million has been earmarked to purchase more.

With files from Rob Ferguson

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Kate Allen is a Toronto-based reporter covering science and technology for the Star. Follow her on Twitter: @katecallen

Source: – Toronto Star

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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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