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A Plan For Covid-19 The Next Normal: Part 1 – A Roadmap – Forbes

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Getting to and Sustaining the Next Normal: A Roadmap for Living with COVID is a blueprint written by a who’s who of health, scientific, and policy experts as a comprehensive report to set us on the path to the “next normal” with Covid-19. The group, assembled and orchestrated by Dr. Ezekiel Emanuel, is the most detailed attempt to once and for all confront the threat that Covid-19 still presents. This report comes not a moment too soon, as we are hungering for a return to pre-pandemic times. And lest we develop a collective amnesia during this Omicron wave respite, this is a must read for not only our political leaders, but every person whose life has been altered by this deadly virus.

Following both President Biden’s State of the Union address and the Covid-19 White House Response Team press briefings, this 136-page report examines everything from future Covid-19 scenarios to the health and morale of our healthcare workforce. This Covid-19 Strategic Roadmap, is the brainchild of Dr Emanuel, who said in an interview, “this report hopes to influence critical decisions that must be made to positively affect the future of US security, economic and healthcare planning.”

This is all juxtaposed in a global environment where we are experiencing the greatest possible super-spreader event of this pandemic. I refer to the mass evacuation of more than 1.5-million people from Ukraine. Very few, if any of these refugees are wearing masks or practicing social distancing as they stand in endless lines or cram into packed shelters and trains.

The report is very quick to raise two serious pandemic complications. The first is fatigue. People are tired of Covid-19 and its attendant restrictions. The second is the ability of the virus to surprise the experts, making it challenging to anticipate what lies ahead, especially as new variants evolve, making it virtually impossible to foresee the consequences to schools and the negative economic realities we could face.

Again, infections and deaths in the US have declined from their February highs. But as one of the authors, Dr. Rick Bright reminds us, “some think that we are finished with this pandemic, but with 1,500 deaths a day – we are not. Many of us are done with the virus, but the virus is certainly not done with us. This is the moment when we need to identify the right tools and approaches to address this pandemic and any future pathogen threat.”

In recognizing the realities of previous Covid-19 missteps, the report also calls for establishing a Deputy Assistant to the President for Biosecurity (DAP-B). The Deputy Assistant would manage national pandemic policy coordination and prevention efforts, including communications. If the past two years have taught us one thing, it is the importance of clear and consistent messaging. Misinformation and disinformation, not only cause confusion, they also spawn conspiracy theories and pseudo-medical claims that thwart coordinated responses.

In its Executive Summary, the report outlines twelve fundamental elements. Here is an outline of five of them giving a multi-faceted approach for the next normal:

  1. We know extraordinarily little about Post-Acute Covid-19 Syndrome (PACS) also known as long-Covid. A significant percentage of patients who recover from acute infection (including those who did not require hospitalization and those who were asymptomatic) develop long-term symptoms. Persistent symptoms of fatigue, respiratory difficulties, and cognitive difficulties (brain fog) limit one’s ability to perform daily activities. Such patients may be unable to return to work. Those affected by long-Covid represent a new category of patients, requiring chronic care and support. The toll on our workforce and economy has yet to be calculated.
  2. Creating an infectious diseases dashboard to guide both the public and policymakers at the national, state, and local levels on the need to introduce, modify, or lift public health measures. Such a dashboard would provide “guidance on the distribution of therapeutics and other special protections for the immunocompromised, elderly, and other vulnerable populations.”
  3. Accurate, transparent, and accessible data is essential to reaching the next normal. To this end, the report delineates the need for a robust data infrastructure with information gathered through increased testing and surveillance. Key to this element is standardization.” With standardization we will be able to analyze and compare region to region and sub-population to sub-population. This is essential to achieve better health equity and avoid creation of health care deserts.
  4. Viruses are often transmitted through the air we breathe. To address this reality the report asks the Environmental Protection Agency (EPA) and the Occupational Safety and Health Administration (OSHA) to develop standards to improve indoor air quality.” Again, standardization is essential. Such measures would apply to schools, childcare facilities, private and public buildings. Improved air quality will not only reduce viral transmission, but will also offer the potential to reduce the severity of conditions such as asthma and seasonal allergies caused by airborne irritants.
  5. Vaccines, monoclonal therapeutics, anti-inflammatory therapeutics and now anti-virals have given us considerable defense in this pandemic. Yet, they are not panaceas to forever lead us into the next normal. More effective therapeutic designs must be supported, and we must be creative in developing these new therapeutics. Additional damage caused by illnesses like Covid-19 results from a disruption of our immune system. An out-of-control immune response is as damaging as a deficient immune response. Interrupting or preventing immune system hyperactivation through therapeutics will mitigate the damage of not just Covid-19 but also a host of other diseases. The development of new therapeutics will require a collaborative effort between the public and private sectors. Innovation comes from such undertakings. Although, availability is different from access and access for all at-risk groups is a fundamental aspect of new discoveries which must be considered.

Other chapters outline specific action plans for implementation of the fundamentals. To date, we have not seen a clearer presentation. It is the result of collaboration of authorities from multiple areas of expertise. This report does not take the form of a fiat but that of a consensus. Consensus on best practices will lead to the next normal; anything less will keep us riding one wave of infection after the other.

This might be considered an expensive proposition. One might justifiably ask where is all this money to come from to support this effort? The answer is simply that this investment is the only way to safeguard our present and future existence. We cannot afford to do otherwise, lest we continue to repeat the experiences of the last two years. We cannot be blasé and assume that this will pass and that there will not be another threat to our health and well-being. We cannot afford to do otherwise.

The next installment will be: A Plan For Covid-19 The Next Normal: Part 2 – Therapeutics.

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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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