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A very sneezy Christmas in store amid viral siege

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It is going to be a sniffly Christmas for many in Cayman amid a ‘viral siege’ that is leaving doctors’ offices full and pharmacy aisles empty.

The combination of COVID-19 and a significant resurgence of traditional winter cold and flu viruses has been described as a ‘tripledemic’, with many Cayman residents, particularly children, facing an onslaught of different illnesses over the winter season.

It is the first Christmas since the end of the COVID-era lockdowns. And while the dreaded virus has not gone away, it is the return of virulent strains of more traditional cold and flu viruses that is causing the majority of illnesses over the festive season.

Dr. Heidi Fahy, of Cayman Clinic in George Town, said the facility was seeing an unusually large number of non-COVID related viral illnesses.

She said the restart of travel in the latter half of the year, building towards record arrival numbers in the past few months, had brought back the germs that Cayman had been sheltered from during the COVID border closure. Schools have been particularly badly hit, with the impact spreading to siblings and parents ahead of the holidays.

“People are generally reporting being unwell for longer than what’s usual for them and I think part of the problem is our immune systems hibernated a bit during the lockdown,” she said.

“We rarely saw colds and coughs during that period so now that we are fully open with unrestricted travel, germs are moving around and being quite successful.”

COVID remains a concern, she said, but currently colds, coughs and traditional flu are causing more problems for patients.

Dr. Sara Watkin, paediatrician at Integra Healthcare on West Bay Road, said the amount of colds, coughs and general illness was much higher than in the past few years. She said young children particularly were getting much sicker than pre-COVID.

Dr. Sara Watkin- Photo: Courtesy of Integra Healthcare

“It is not just in Cayman, it is happening all over the world,” she said.

“We are absolutely putting it down to the fact that people were locked down, wearing masks, sanitising their hands all the time and, of course, in Cayman there was no travel. We had very little exposure to infectious diseases.

The bubble has burst

Those viruses appear to have come back stronger, with people getting worse symptoms for longer periods and children suffering particularly severe effects.

Young children, especially, have grown up in a bubble in Cayman, without exposure to the usual colds and coughs that help toughen the immune system.

“In their first year in childcare or school, the average child picks up 8-10 viruses. During COVID many children didn’t get that exposure so this is effectively their first true year in school.”

Triple threat

Public health officials are reporting exponential growth in flu-like illnesses over the past months.

From a reported 111 cases per week in September, the amount of cases has risen to an average of 244 each week in December. The total number of cases for the season for the calendar year is expected to be more than 7,000, making it now of the most active flu seasons on record.

Timothy McLaughlin, Cayman’s senior public health surveillance officer, said there had been a slight increase in hospitalisations, with 3-7 admissions per week for flu-like illnesses.

The reopening of the borders brought back much needed tourism, but also exposure to a host of illnesses.

While COVID remains a factor, particularly for elderly people, it is the more traditional cold viruses that are impacting children.

“Many of these cases were the result of there being three different viral illness circulating simultaneously, namely the Flu (Influenza), Covid 19 (Corona Virus) and Respiratory Syncytial Virus (RSV) detected in children admitted to the paediatric unit,” he said.

COVID-19 weekly cases dropped from 126 cases in September and have stayed consistent at just over 60 per week through the rest of the winter, according to Public Health.

Medicine shortages

The effect is being seen in supermarket aisles and at pharmacy counters too.

Michael Anderson, head pharmacist at the Foster’s chain of stores, said there had been a steady increase in prescriptions, as well as rising demand for over-the-counter cold and flu remedies.

Cold medication has been in short supply in Canada, in particular, during an especially virulent cold and flu season. And while Cayman pharmacies are facing some challenges, they are able to keep up.

Anderson said some of the popular brands were “depleted on the shelves” but the store holds back supplies behind the pharmacy counter and is able to meet demand.

“We are facing a bit of pressure, but because of the diversity of our suppliers we are keeping it steady. I think this year is unique because of what is happening the US and Canada. That puts pressure on out sales as well.”

Mental impact

There’s a psychological element, too, says Dr. Fahy.

We’ve forgotten that we get colds and coughs in the winter months and are feeling the pain a little more acutely than we might otherwise.

To stay healthy, she advises all the basic tips that kept people safe during COVID – wearing masks, washing hands, staying away from large gatherings.

Dr. Heidi Fahy

But she cautions that having a cold or cough is a normal part of life and, in the long term, it is good for the immune system.

“Trying to remain germ free sounds appealing but leaves our immune systems vulnerable so a happy balance would be ideal. Being a germaphobe is not a good idea either.”

Dr. Watkin agrees.

“Children need these viruses to keep them healthy in the long term. We don’t want to go back to masks and isolation but sensible hygiene to avoid spreading is something that we should all be doing.”

International phenomenon

While flu and now COVID are the most common illness people think they have when the sniffles start, it is most likely to be a respiratory syncytial virus.

Data out of the US shows that COVID remains the biggest threat in terms of hospitilisations.

But RSV illnesses are among the highest on record and are impacting younger people, especially children at a higher rate.

Weekly hospitalisations for RSV among children are the highest they have been since the Centers for Disease Control and Prevention began its surveillance in the 2018-19 season, the New York Times reported.

“Roughly one in every 70 babies 6 months and younger have been hospitalized since the beginning of October, according to preliminary estimates.”

Cayman’s virus profile typically reflects the countries that fly into the island, with the US being the primary supplier of tourists. The island is also exposed to viruses from the UK and the Caribbean. With more than 20 gateway cities now flying into Grand Cayman, we are particularly exposed to a wide range of viruses.

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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.

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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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