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Barriers remain to COVID-19 treatment in Niagara, despite expanded access – St. Catharines Standard

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Although patients typically have a prescription in their hands when they stop in a pharmacy to pick up medication, a Niagara pharmacist said it might make more sense for patients to contact their pharmacy first if the medication they need is Paxlovid.

Because time is of the essence when using the coronavirus-fighting drug, said pharmacist Donnie Edwards — an Ontario Pharmacists Association board member.

“The sooner you get this drug after symptoms, the better,” he said.

Edwards said the drug only works within five days of the onset of symptoms, and the earlier the drug is taken the more effective it is. If people wait for doctor appointments, it might be too late to benefit from taking it.

He said the Easter long weekend is an example of how access to the medication can be delayed.

“The physician’s offices are closed tomorrow (Good Friday), a lot of pharmacies are closed. And if someone comes in this afternoon needing Paxlovid, it has to be started within five days of symptoms appearing and you want that patient to get the drug at the right time,” Edwards said. “That’s important, the right drug for the right person at the right time.”

Although the drug requires a prescription, Edwards said pharmacists can facilitate that, too.

The pharmacy Edwards co-owns in Ridgeway is one of roughly 58 throughout Niagara that received limited supplies of Paxlovid after the province increased eligibility for the treatment this week. Throughout the region, there are 24 pharmacies in St. Catharines, nine in Niagara Falls and eight in Welland, and five in Fort Erie stocking Paxlovid, as well as a few pharmacies in each of Niagara’s smaller communities.

Edwards said pharmacists first assess if patients qualify for Paxlovid, including anyone over 70 who has tested positive for the virus, people 60 and up with fewer than three vaccine doses, and people 18 and over who are immuno-compromised, or have had fewer than three vaccine doses and have at least one risk condition such as pregnancy, obesity, diabetes, heart disease or developmental disabilities.

If patients qualify, he said pharmacists will then contact the patient’s doctor or primary health-care provider and ask the physician to write a prescription. The pharmacists can also assist patients who do not have a family doctor.

Edwards said Paxlovid can interact with at least 100 other medications, “and we want to make sure it’s safe for people to take.”

“Being the drug experts, I think we would be able to advise a physician or prescriber the best with that,” he said.

Ultimately, if infections continue to increase along with demand for the drug, Edwards said “it would make sense for the pharmacists just to be able to prescribe it and send a note to their (the patient’s) physician saying I’ve dispensed Paxlovid for your patient.”

Despite expanded access to treatment, Niagara’s acting medical officer of health Dr. Mustafa Hirji said, “major barriers remain.”

“There are still barriers in people not knowing about treatment options, not knowing that they need to seek treatment as soon as they become sick even when symptoms are mild — it is no longer effective a few days later when one gets worse,” he said.

“The province’s materials are very complex on treatment and so those who don’t speak English as their first language, who have less education, etc., will struggle to access treatment. People without a family doctor will continue to have a huge barrier to getting treatment. For people who don’t have paid sick time, they will struggle to find the time to make the appointments needed to get treatment and meanwhile might be working and spreading infection.”

Hirji said the province needs to better promote the treatment, simplify information and processes to make it easier for people to obtain care, increase transportation support, ensure workers have ongoing paid sick leave and to ensure high-risk individuals have access to primary care options.

Meanwhile, cases of infection and hospitalizations continue to increase in Niagara, with Niagara Region Public Health reporting 195 new cases Thursday, as well as 1,864 active infections.

Niagara Health on Thursday reported the death of a patient who was being treated for coronavirus — the fourth this month. The hospital system said the patient, a Niagara resident, died Wednesday. There are now 64 people hospitalized with the virus, including five in intensive care.

Niagara Health’s medical director for infection prevention and control, Dr. Karim Ali said COVID-19 therapeutics such as Paxlovid are also available for eligible patients at the hospital system’s Clinical Assessment Centre located at its Niagara Falls site. However, clinic appointments are only available through referrals.

“We have come a long way in learning about the virus and how to provide cutting edge therapies to manage patients in our care,” he said in an email.

Ali said patients with mild to moderate symptoms of COVID-19 are assessed for antiviral treatment options based on guidance from the Ministry of Health as well as the Ontario COVID-19 Science Advisory Table.

Niagara Health also administers Remdesivir infusion for patients who qualify based on provincial criteria, he said.

“The Ministry of Health’s expansion of patient eligibility and support of primary care providers to assess and prescribe antivirals will enable more patients who meet the criteria to access this treatment,” Ali said.

Staying safe on Easter weekend

After seeing infections of COVID-19 spike following almost every long weekend for the past two years, Niagara’s acting medical officer of health Dr. Mustafa Hirji is bracing for an increase yet again as families and friends gather for Easter celebrations.

“We have seen increases in COVID-19 in past years after long weekends for exactly this reason. With the current sixth wave, there is substantial risk of infection spreading at these events,” Hirji said. “However, we also now have more tools to make it safer to attend these.”

Hirji advised:

  • Make sure vaccinations are up to date before participating in any Easter events, with three doses for most people.
  • Do not attend celebrations if you do not feel well.
  • If it’s a larger event, take a rapid test before attending to be sure you don’t bring infection to others.
  • Hold celebrations outdoors where the risk of infection is reduced by better ventilation.
  • Consider wearing masks at larger celebrations.

  • Allow room for physical distancing as well, including spacing out seating at tables where people will be dining “to limit the chance of infection spreading.”

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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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