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Can you get measles if vaccinated? What to know as cases rise

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As measles cases continue to rise in Canada, last week brought an uncommon occurrence.

A fully-vaccinated 30-year-old teacher in Ontario contracted the highly contagious infectious disease. This event has drawn the attention of health officials, highlighting its rarity.

The man had close contact with students and teachers at a high school in the York Region, north of Toronto, and the case was likely related to community transmission, the region’s medical health officer said on Monday.

Although fully-vaccinated people can get measles, Dr. Sumontra Chakrabarti, an infectious diseases physician at Trillium Health Partners, stressed how infrequent it is.

“This vaccine is very good at preventing infection, but it’s not 100 per cent. It’s about 95- to 97-per cent effective,” he said.

“So there are going to be people who are fully vaccinated that still might get measles. It still does protect you against the more severe aspects of it.”

This particular case adds to the 17 reported instances of measles across Quebec, Ontario, Saskatchewan, and British Columbia as of Monday. More than half of these cases have been concentrated in the Montreal area.

Measles is one of the most contagious diseases in the world and is airborne. It is so contagious, Chakrabarti said if someone with measles exits a room, others can be infected up to two hours after that person has left.

“The best protection that you have is the vaccination by far,” he stressed. “(The measles) is an exceptionally, if not the most, contagious virus that we know in terms of identified human pathogens. If you don’t want to get infected, you should avoid crowded indoor spaces. But apart from that, it’s something that’s very, very difficult to avoid.”

 

About the measles vaccine

The measles vaccine is available in Canada as measles-mumps-rubella (MMR) or measles-mumps-rubella-varicella (MMRV) vaccine.

Since its approval in Canada in 1963, the vaccine has led to a decrease of more than 99 per cent in measles cases, according to the federal government.


Number and incidence rates (per 100,000 population) of reported measles cases in Canada by year, 1924 to 2023.


Health Canada

The efficacy of a single dose of the measles vaccine given at 12 or 15 months of age is estimated to be between 85 and 95 per cent. Health Canada states that with a second dose, efficacy is nearly 100 per cent.

The disease was declared eradicated in Canada in 1988 following an extensive immunization campaign. However, in recent years, it has resurfaced due to a decline in vaccination rates, according to Health Canada. Most cases come from abroad, brought into the country by travellers who are not vaccinated or under-immunized.

The risk of measles spreading is heightened where there are a lot of unvaccinated or non-immune people clustered together in regions or communities. And while measles vaccination rates are high in Canada, Health Canada said they are still below “the necessary threshold for community immunity in some places.”

The target vaccination coverage for measles is 95 per cent, according to Health Canada.

The 2021 Childhood National Immunization Coverage Survey shows that 91.6 per cent of two-year-olds in Canada have received at least one dose of a vaccine.

“The target vaccination for measles in the community would be 100 per cent, that would be my dream,” Chakrabarti said. “But when you start to get anywhere above 95 per cent to 97-per cent coverage, that’s when you have an excellent wall of protection.”

 

Who should get the measles vaccine?

The measles vaccine is recommended for anyone over the age of one. The vaccine is administered as a two-shot series, with the first shot given at around 12 to 15 months of age. The second shot is given at 18 months or between ages five and six years (before your child starts school), according to the Canadian Pediatric Society.

Infants under the age of one could potentially receive the measles vaccine and Chakrabarti recommended parents consult with their health-care provider for guidance.

Although the measles vaccine was initially available in the 1960s, in 1971, it was combined with the mumps and rubella vaccines to create the three-in-one MMR shot.

Adults born before 1970 can be “presumed to have acquired natural immunity to measles,” according to Health Canada, and only one dose is recommended.

“Before the 1970s, most people would have been infected with measles, and so that infection provides them with a level of immunity,” explained Matthew Miller, the director of the Degroote Institute for Infectious Disease Research at McMaster University.

“That is why they really need one dose of the vaccine to boost that immunity and give them really strong additional protection,” he said.

For adults born after the 1970s, two doses are recommended.

Chakrabarti said if you are unsure how many measles shots you received, there are a few ways to find out.

The first option is to visit your family physician, who may already have your vaccination record on file. If your record isn’t available, Chakrabarti reassured that there’s no harm in receiving an additional dose.

“If you already had two doses and you get a third one, it’s not going to be harmful. But if you’ve only gotten one dose, it certainly can help,” he said.

Health-care providers also offer blood tests to verify vaccination status, he added.

 

What happens if you get the measles?

Miller and Chakrabarti underscored that vaccination remains the most effective defence against measles.

If you’re vaccinated and contract measles, the symptoms are typically milder.

“The reasons that happen sometimes has to do more with an individual’s health status than with how good the vaccine is,” Miller said. “There are people who may have sort of undetected immunological deficiencies at the time that they become vaccinated. And so that vaccine just doesn’t work as well in those types of individuals, which can lead them more susceptible to infection.”

However, Miller cautions that without immunization, you face a higher risk of severe complications and spreading the disease to others.

“One of the things that people don’t recognize, because most people would not have experienced measles in the recent past, is how severe measles can be for children who do become infected. It’s not something to be trivialized,” Miller said.

When you become infected with the measles virus, you may experience a range of symptoms. Initially, you might have a high fever, cough, runny nose, and red, watery eyes. After a few days, a characteristic rash typically develops, starting on the face and spreading to the rest of the body.

But measles can also lead to severe consequences, especially in children.

This includes cases of “bad viral pneumonia, brain inflammation, deafness, and a very scary thing called SSP, where a young child can get measles and completely recover from it,” Chakrabarti explained. “But then in the next 10, 15 years, they all of a sudden get a decline in their cognitive function to the point that they’re in a vegetative state.”

He added that while measles cases are on the rise in Canada, this trend has occurred in the past, so it’s not unprecedented. He emphasized that vaccines have proven highly effective in halting the spread of measles previously.

— with files from 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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