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Calgary daycares begin reopening after E. coli outbreak

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Four Calgary daycares that were closed as part of an E. coli outbreak that includes 231 lab-confirmed cases have reopened, a week after the outbreak was first confirmed by Alberta Health Services (AHS).

On Monday, an AHS spokesperson confirmed 41 more cases had been linked to the outbreak in the past day.

The provincial health authority said there are now 26 patients in hospital: 25 children and one adult.

Since the outbreak was declared at the start of last week, 11 patients have been discharged from hospital.

As well, 21 children have been diagnosed with hemolytic uremic syndrome (HUS), a severe complication of the kidneys and other organs.

“They are stable and receiving the appropriate care in hospital,” AHS said.

‘Roller coaster’ to reopening

Almond Branch School, Little Oaks Early Education (formerly Mangrove), Fueling Brains Academy Bridgeland and Braineer Academy were all allowed to reopen their doors after AHS determined no lab-confirmed cases of E. coli were connected to their locations.

“It was very shocking. Over the course of last week, it was quite a roller coaster,” Hoyt Hangtian She, Braineer co-founder and co-owner, said.

The co-owner said he got a call from an AHS officer on the evening of Sept. 2, verifying his identity and connection with the daycare.

He was then told he was part of a swath of closures of 11 daycares linked to a central kitchen that Calgary Zone medical officer officer of health Dr. Franco Rizzuti previously said was “out of an abundance of caution.”

The Braineer co-owner said he and his team communicated with parents on a daily basis, to keep them updated on items like a thorough sanitization of the facility, an AHS inspection, whether any cases had been linked to Braineer and an anticipated open date.

“Fortunately, towards the end of the week, we realized that no one from our centre was tested positive. And we feel fortunate on that front,” She said. “I’m also very saddened by the fact that there are 190 children who are currently sick.”

She said the AHS inspectors were satisfied with Braineer’s food handling practices during the inspection.

“These are the things that we follow strictly and then we still got into this kind of incident,” he said.

“It was really just quite a bit disheartening of feeling like a victim in general.”

The co-owner said he’s glad to see kids back at Braineer, who said they “seem happy and healthy.” He also said the parents seem happier than they did last week.

Braineer is using a “transitional period” of only serving packaged snacks, using disposable plates and cutlery, and asking parents to pack lunches for their children.

The Braineer co-owner said they’re not sure whether they’ll be returning to the services of Fueling Minds, the catering kitchen they were using previously.

“It will take us some time to figure out what is the safest and the most nutritious way to cater for the kids and also make sure it’s convenient for the parents,” She said.

“We haven’t heard from (Fueling Minds) so far and we don’t even know what’s going on.”

 

‘A complete nightmare’ without answers

Alexander Zam, three, was one of the children at a daycare that was infected by the Shiga toxin-producing E. coli. He’d been attending the daycare for years.

Zam’s father Ryan said the three-year-old was “feeling uncomfortable” on Sept. 3 and by that evening had bloody diarrhea.

At the time Alexander was showing tell-tale symptoms of an E. coli infection, the Zam family received an email from Fueling Brains Academy with advice to take their child to hospital with those symptoms. The next day, stool tests showed Alexander was infected by the bacterium.

“It was a complete nightmare from Sunday night (Sept. 3) all the way until probably Saturday when we finally got the bloodwork that he was no longer at risk of developing HUS or that he wasn’t going to be prolonged stay in the hospital,” Ryan said.

AHS said it is “highly likely” the outbreak’s source was distributed from a central kitchen and while it hasn’t been able to identify the food item that was the source, it continues to investigates.

When Alexander will return to daycare is still in question, but he does have to meet some criteria.

“We were told by the doctors it could be up to 30 days before the E. coli leaves the system. So we need two negative E.coli tests before he’s allowed at any child-care facility,” Ryan said.

But Ryan said the communication about a gastrointestinal bug going around Fueling Brains locations lacked detail and frequency.

“The daycare emails were kind of sporadic. Initially, we weren’t really hearing much of anything and everything was vague,” he said.

“Yesterday… was the first time that the daycare was actually called to check on how our son is doing. We missed the phone call. It was a voicemail.

“It probably wouldn’t have been very good if we would have gotten it.”

A visit from Alexander’s cousin also turned out to have secondary effects.

“(Our nephew) was playing with our son and we had obviously no idea about the E. coli and found out a couple of days ago that he was developing symptoms and now has to go in and out of the hospital, the same as our son did,” Ryan said.

Dr. Ted Steiner, an infectious diseases physician in Vancouver, said E. coli can be spread easily.

“You don’t need a lot of bacteria in order to get sick and what that means is it can actually spread from person to person,” Steiner told Global News.

Ryan said he had “numerous fits” of anger over the entire situation.

“On the 5th of September, I actually emailed the premier’s office to let them know about this and what was going on, and got an email back on Sept. 6 saying that they had received it and it was being forwarded to the Minister of Children and Family Services,” he said.

Premier Danielle Smith and Health Minister Adriana LaGrange offered their “thoughts and prayers” to the children and families affected by the outbreak via social media on Sunday.

“The fact that it took until the 10th of September to hear anything, I think, is a little bit ridiculous.”

Ryan wants to see an inquiry into the cause of the outbreak.

Smith said she asked for a “full assessment” of the outbreak from LaGrange and Children and Family Services Minister Searle Turton “to prevent this from happening in the future.”

LaGrange, Turton, chief medical officer of health Dr. Mark Joffe and Dr. Tania Principi, the section chief of pediatric emergency medicine at Alberta Children’s Hospital, will provide an update on the outbreak Tuesday at 9 a.m.

Ryan said any light shed on the outbreak can help him, like other parents, decide on next steps for his child.

“I want to know if we were to send our child back there or send our child to any other daycare facility, that this isn’t going to happen again,” he said.

The eight other daycares that were closed as part of the outbreak will be allowed to reopen on Tuesday, but anyone who tested positive as part of the outbreak will require two negative tests to return to the daycares.

“The wait lists for daycares to get a child in is over a year for some places. And I imagine now with everything that’s gone on, that list has probably only gone up,” Ryan said.

“We may be forced to just have him go back, which is terrifying.”

 

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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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