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Health-care system’s history with Black community is affecting attitudes around COVID-19 vaccine

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Before Brayana Taylor went into labour with her now 16-month-old daughter, she read up and carefully planned for the day. While much of it was a blur, she says she remembers her time at the hospital as traumatic, and that her concerns and feelings were dismissed.

“I just feel like, during the most vulnerable and crucial moments of my entire life, my care was mishandled.”

She rarely talks about what happened to her in detail, but after speaking to another Black mother, Taylor soon found out that she wasn’t alone in her experience. It’s something that she says has hurt her trust in the health-care system, and it has also affected how Taylor feels about the COVID-19 vaccine.

While health professionals are stressing to Canadians that the approved COVID-19 vaccines are safe, Taylor is one of those who attribute their vaccine hesitancy to eroded trust in the health-care system as a whole for its treatment of Black and Indigenous people.

Taylor runs an Instagram page called Black Motherhood Collective. In response to pushback she and others have received for being vaccine-hesitant, she put out a post outlining statistics about Black maternal health as an answer to why some Black women feel skeptical about the medical system.

One of them is an alarming stat from the U.S. National Center for Health Statistics that reveals 84 per cent of pregnancy-related deaths in the United States in 2018 were Black women. There’s limited race-based medical research data available in Canada, but a 2015 McGill study found that Black women have significantly higher preterm births than white women.

“I think to a lot of people, it’s just hard to imagine why somebody wouldn’t want a vaccine, you know, because the pandemic has been around for what seems like forever at this point,” Taylor said.

“But in practice, we have to understand that there [are] a lot of kinks in our institutions and in our systems that really do obstruct a lot of progress when it comes to our communities.”

 

Brayana Taylor runs an Instagram account called Black Motherhood Collective. She says it was important to her that the skepticism she and other Black women feel about the COVID-19 vaccine and the health care system be taken seriously. (Ousama Farag/CBC)

 

Black people have also been disproportionately affected by the COVID-19 pandemic. Despite making up 9 per cent of Toronto’s population, a quarter of patients hospitalized with COVID-19 are Black.

It’s something Cheryl Prescod, the executive director of the Black Creek Community Health Centre in North York, Ont., is working hard to address as part of the effort to vaccinate all Canadians and stop the spread of the virus.

Prescod notes that the predominantly Black and brown neighbourhood is home to many essential workers living in precarious conditions. Social distancing is made harder when they shuttle to work in crowded buses and come home to densely populated, high-rise apartment buildings.

“This has been a hotspot since the beginning of COVID. We have a high number of positive cases, and we also have a low testing rate,” Prescod said.

Of the top 10 COVID-19 hot spots in Toronto last month, eight were in the city’s north-west end.

Prescod adds that while the vaccine isn’t yet available to most of the general public, the work to address their questions and inform them about it needs to happen now.

 

Cheryl Prescod, executive director of the Black Creek Community Health Centre, says she sees first-hand how Black and other racialized Torontonians have been disproportionately affected by the COVID-19 pandemic. (Ousama Farag/CBC)

 

In a recent virtual information session, the Black Creek Community Health Centre put together a panel of health professionals and community members to take questions about the COVID-19 vaccine.

Attendees weighed in with questions ranging from how the COVID-19 vaccine works differently than the flu vaccine, to whether or not there was a microchip in it being used to track people, particularly low-income people of colour. Prescod has heard a lot of it before.

“Can we trust that substance? Can we trust what’s happening? There’s still that mistrust around that science, around the development of the vaccine, around the fact that certain populations might be used as guinea pigs,” Prescod said.

One of the historical examples Prescod hears patients refer to is the Tuskegee Syphilis Study, where 600 Black men in Alabama were experimented on without being told what for. In Canada, Indigenous children in residential schools were also experimented on to learn about the effects of malnutrition.

 

The Tuskegee Syphilis Study, conducted in Alabama from the 1930s to the 1970s, took blood samples from Black men for an experiment they didn’t know they were participating in. The unethical study is often cited by experts when systemic racism in health care is discussed. (National Archives and Records Administration)

 

Dr. Upton Allen, head of infectious diseases at Sick Kids Hospital, has been meeting with the Ontario government, urging it to factor the need to repair relationships with vulnerable communities into the province’s vaccine rollout plan.

“It’s really important to ensure that the Black community is engaged in discussions and decision-making, and that the community can feel that they are part of the process,” Dr. Allen said.

“It’s important to ensure that the messaging relating to vaccine prioritization is appropriate, and is very transparent and very clear, so that there’s no misinterpretation of intent.”

Dr. Allen says he received his first dose of the vaccine a few weeks ago, and that he is confident recommending it to others in the Black community.

He also emphasizes the importance of Black people being involved and considered at every level of health care. Dr. Allen leads a team of researchers at Sick Kids looking at the rates of COVID-19 infection among Black Canadians and the factors behind them, as well as pushing for their participation in antibody testing. He says the lack of diversity in medical research can contribute to inequities in the system.

“One needs to make sure that all the major groups are included so that one can generalize across several groups, not just in terms of racial groups, but also in terms of age groups,” Dr. Allen said. “And so moving forward, it’s important that vaccine related studies — and there will be more — will include Black representatives, Black participants.”

 

Health professionals are stressing to Canadians that the approved COVID-19 vaccines are safe, but some say their trust in the system has been eroded due to its past treatment of vulnerable communities. (Jon Cherry/Getty Images)

 

In a statement to CBC News, Nosa Ero-Brown, Assistant Deputy Minister of Ontario’s Anti-Racism Directorate, says that the province is talking to community health groups about how these concerns can be addressed through the Communities at Risk COVID-19 Vaccine Task Force Sub-Group.

“We will be working with partners to develop culturally relevant and responsive outreach strategies for each community as part of our Vaccine Distribution Plan, so that all Ontarians can access and understand the facts they need to make an informed decision on getting vaccinated,” the statement said.

The Ministry of Health says it is allocating $12.5 million in funding towards community health agencies in 15 high-risk communities for community outreach and increased testing. It adds that at-risk areas will be prioritized in Phase 2 of the vaccine roll-out.

This week, the City of Toronto announced a new Black Community COVID-19 Response Plan, allocating $6.8 million in funding towards 12 Black-led and Black-serving organizations to provide additional support, from food delivery to vaccine education.

The Black Health Alliance has been advocating for investment in grassroots organizations that are trusted in the communities they serve.

The government is not going to be able to build trust with the Black community overnight.– Paul Bailey, Black Health Alliance

“The government is not going to be able to build trust with the Black community overnight,” said Paul Bailey, executive director of the Black Health Alliance. “The agencies or the organizations that have to engage with certain parts of the population will be able to build trust over time.”

It’s the kind of commitment Taylor says she’s been looking for from those in power.

“Make the effort and let us know that this is something that you’re very serious about, and you’re adamant about repairing the relationship, and making sure that there is a level of trust between the Black community and health-care professionals so that we can have confidence moving forward,” Taylor said.

Dr. Allen remains cautiously optimistic that the advocacy work he and others are doing is leading to change.

“I think that the issues are being heard, steps are being taken, but it’s early in the game to see whether or not these steps are going to be sustainable and appropriately resourced.”

 

 

Source: – CBC.ca

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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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