A new year renews concerns for hospitals grappling with COVID-19, experts warn - BarrieToday | Canada News Media
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A new year renews concerns for hospitals grappling with COVID-19, experts warn – BarrieToday

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OTTAWA — The fraught, often frightening year of 2020 may be over, but experts warn the dawn of a new one doesn’t leave behind the troubles caused by the second wave of the COVID-19 pandemic.

Patients in multiple Canadian hotspots are flooding hospitals at an alarming rate and expected to arrive in even greater numbers in the weeks to come, doctors and health centres said Friday.

“If these rates of increase continue the way they are, the months of January and February are absolutely going to be brutal. It’s just a question of how brutal will it be,” said Anthony Dale, head of the Ontario Hospital Association.

One-fifth of the province’s intensive care capacity is now devoted to COVID-19 patients, with Toronto and the regions of Peel, York, and Windsor-Essex hardest hit.

Dale said 45 of the 149 COVID-19 patients admitted into intensive care in Ontario last week have died.

“We will see accelerating numbers of unnecessary deaths — more people dying. We will see more people suffering in intensive care and in hospitals,” he said, calling the situation “totally unsustainable.”

The spike could jeopardize elective surgeries and other care. Some hospitals have already started to cancel procedures, adding to the backlog created after 160,000 were nixed in the first wave, he added.

“Even though COVID’s going on, people still get cancer, they still get heart disease, they still need organ transplants.”

He said the pandemic has prompted staff shortages at numerous hospitals, with some front-line workers redeployed to testing centres, labs and long-term care homes.

Hospitals in the greater Montreal area are on track to exceed capacity within the next three weeks, with almost two-thirds of beds designated for coronavirus patients already occupied, according to a report from INESSS, a government-funded health institute.

“Unfortunately, if the trend continues, this will have to be compensated in particular by the additional shedding of non-COVID treatments in our hospitals,” Quebec Health Minister Christian Dubé said Thursday in a Twitter post in French.

However, the projection did not take into account Premier François Legault’s shutdown of all non-essential businesses in the province from Dec. 25 to Jan. 11., which could help curb the spread, said Dr. Luc Boileau, who heads the institute.

“The good news behind all of this is the vaccinations coming on,” Boileau said. “The impact of this will be manifest on the outbreaks inside health services and of course lowering mortality.”

Nearly 500,000 doses of the Pfizer-BioNTech vaccine, which requires ultracold storage, have been distributed across the Canada since Health Canada approved it on Dec. 9.

The Moderna vaccine — green-lighted on Dec. 23 — has also started to roll off tarmacs, beginning to reach remote and First Nations communities over the past week. Its -20 C storage temperatures make for easier delivery compared to the -70 C needed for the Pfizer vaccine.

The country’s not in the clear yet.

Individuals need to make sensible choices around social distancing and staying home, said Tim Sly, an epidemiologist and professor emeritus at Ryerson University’s School of Public Health.

“We’re still seeing knucklehead parties from seven to 14 to 25 people, raving out there with no masks, lots of booze and drinking and hugging and kissing and so on,” Sly said. “That’s avoidable.”

Public officials are not above making dubious travel choices, with several prominent politicians taking heat for holiday travel despite public-health guidelines to stay home.

On Friday evening, the federal NDP released a statement saying that MP Niki Ashton travelled to Greece to see an ill family member, and would consequently be relieved of her shadow cabinet roles, which include transportation.

“While we are sympathetic to Ms. Ashton’s situation and understand her need to be with her family, millions of Canadians are following public health guidelines, even when it made it impossible for them to visit sick or aging relatives,” the party said.

Earlier, Rod Phillips resigned as Ontario’s finance minister after cutting short a Caribbean vacation, while Alberta Municipal Affairs Minister Tracy Allard came under fire for a Hawaiian getaway from Dec. 19 to Dec. 31.

Surgeries typically ramp-up following a winter holiday lull, but more could now be sidelined due to the ripple effects of rule-flouting, said Dr. Zain Chagla, an infectious disease physician at St. Joseph’s hospital in Hamilton and an associate professor at McMaster University.

“If there’s no beds to put those patients in afterwards, unfortunately those surgeries just get cancelled,” he said.

St. Joseph’s has opened a satellite site in a revamped hotel, transferring dozens of patients to the renovated facility in order to keep the main health centre’s occupancy rate below 90 per cent to handle the expected surge.

“We’re filled to the brim,” Chagla said.

“I have patients that didn’t have COVID but had horrible outcomes because … they weren’t able to access care the way they should,” he added, recalling the first wave.

“I’m very worried about those individuals again going into the next three to four months, that we’re going to see a fallout of people that have missed cancer diagnoses or infections that needed to be treated earlier.

“It’s a lot of strain on a system that is already strained,” he said.

Canada’s two largest provinces reported new record highs of COVID-19 cases on Thursday. 

Ontario reported 3,328 new cases and 56 more deaths linked to the virus, matching the highest death toll from the first wave. In Quebec, there were 2,819 new cases and 62 deaths.

The Public Health Agency of Canada said Thursday more than 720 patients hospitalized with the virus are now receiving treatment in ICUs, including 337 in Ontario and 165 in Quebec.

This report by The Canadian Press was first published Jan. 1, 2021.

Christopher Reynolds, The Canadian Press

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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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