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A doctor’s plea for a safe consumption site for Kenora as it deals with spike in HIV/AIDS

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More cases of HIV/AIDS have been reported in Kenora, Ont., in the last 12 months than in the last eight years, and a doctor practising in the community says a safe consumption site is needed to help address the issue.

In 2022, the Northwestern Health Unit (NWHU) reported nine confirmed cases of HIV/AIDS in the northwestern Ontario city. In the previous eight years, there were only eight confirmed cases, according to NWHU data.

Dr. Jonny Grek says that number may be much higher — he’s seen 15 new cases reported in the past nine months, and said the health unit’s data lags behind what he’s seeing at the ground level.

“Our numbers are from the street point-of-care testing, which are then followed up with a lab confirmed test — and so far, there have been no false positives on the point-of-care testing,” Grek told CBC News in an interview.

The NWHU’s medical officer of health, Dr. Young Hoon, doesn’t dispute Grek’s numbers, but said the NWHU must follow provincial standards for reporting cases and cannot rely on preliminary testing or other clinical information to confirm them.

Grek practises family medicine at Kenora’s Paterson Medical Centre, and provides outreach and street medicine through the Sunset Country Family Health Team. He’s seen a lot of struggle on Kenora’s streets since he came to the area 4½ years ago.

The attitude and the feel on the streets here is one of, I would say, despair on top of despair.– Dr. Jonny Grek

“The attitude and the feel on the streets here is one of, I would say, despair on top of despair,” he said.

He works closely with people who may be more vulnerable to viruses, including those who use drugs, are homeless or underhoused, or work in the sex trade.

Being a street doctor means Grek literally meets people where they’re at. Sometimes, they may feel more comfortable doing a consultation at the homeless shelter or the Kenora Fellowship Centre.

HIV (human immunodeficiency virus) attacks the immune system, or its ability to fight off disease. Left untreated, HIV can lead to AIDS (acquired immunodeficiency syndrome), which can be controlled through various treatments.

In Ontario in 2020, it’s estimated over 22,000 people were living with HIV, according to the Ontario HIV Epidemiology and Surveillance Initiative.

The virus is primarily spread through bodily fluids including blood and semen. Young Hoon said unprotected sex, and sharing needles or drug preparation equipment are the most common ways people contract HIV/AIDS.

Officials in Kenora recently held an emergency council meeting where members of the public shared their concerns regarding public safety in the downtown area.

Grek, who was at the meeting, said there was a collective agreement that conversations about these issues need to be had — but there was also a lot of anger and resentment about the situation.

He said he would like to see more empathy toward people who use drugs, rather than judgment and fear of them.

Safe consumption sites

As part of addressing the opioid crisis, there have been calls for safe consumption sites — where people are legally allowed to bring drugs for use in a clean, safe environment, and may also receive addiction support from health-care workers.

In Ontario, there are 26 safe consumption sites. But the closest one to Kenora is Path 525, at 525 Simpson St. in Thunder Bay, Ont.

In the latter half of 2022, the NWHU worked with LBCG Consulting for Impact Inc. to conduct a supervised consumption services feasibility study. The study looked at whether supervised consumption services are needed in Kenora, Dryden, Fort Frances and Sioux Lookout, and what form they might take.

“The main goal is to prevent [opioid] overdoses, but it does have the ability to increase access to the clean needles and drug preparation equipment, and that of course would reduce the spread of HIV,” said Young Hoon.

The NWHU is currently reviewing drafts of the report, with hopes of finalizing and publishing the results in February.

Drug paraphernalia is shown at the Molson Overdose Prevention Site in the downtown Eastside of Vancouver on Sept. 10, 2019. In Kenora, there’s no safe consumption site, but the rise in HIV/AID in the Ontario city is prompting a call for one. (Ben Nelms/CBC)

In Grek’s view, a safe consumption site “would mean everything” for Kenora.

“We’re past the point here where we can stop people from using drugs. We are way past the point of being able to control or stabilize even the unsafe … the toxic supply of drugs that are in the market at the moment,” he said. “But what we’re not past the point of is showing that people who use drugs are human beings.”

And when — not if — Kenora recognizes this is the right approach, he said, it must be more than “just a drop-in space where you go and use drugs and then you leave.”

He encourages people to challenge their perspectives by having open conversations, like the one held at last week’s Kenora council meeting.

“We all get healthier when we learn more, especially if it means that we’re just a bit more open minded to people,” he said.

Ramping up testing, prevention programs

Anyone who believes they’re at risk of getting HIV/AIDS can receive a blood test by reaching out to their primary health-care provider, or going to a community health centre, primary care or outreach clinic. Some NWHU offices also offer testing, said Young Hoon.

Dr. Kit Young Hoon, the NWHU’s medical officer of health, says, ‘Early detection and treatment of HIV means that people with HIV can live with it for a very, very long time and live with it in a healthy way.’ (Submitted by Lindsay Koch)

Young Hoon emphasized that conversations with health-care practitioners are confidential.

“Many years ago, when less was known and there [were] less treatment options for HIV, the diagnosis of it did feel like it could be a death sentence, but it’s not that way anymore,” she said. “Early detection and treatment of HIV means that people with HIV can live with it for a very, very long time and live with it in a healthy way.”

But treatment must start as soon as possible.

Testing helps prevent spread of HIV, as does access to clean needles and barrier protection like condoms during sex. A list of needle distribution sites can be found on the NWHU’s website. Many clinics also give out condoms for free.

Making these services accessible to vulnerable populations — people who are underhoused or affected by poverty — is critical, Young Hoon said.

The health unit is closely monitoring HIV/AIDS case numbers to see what additional actions may be needed.

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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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