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Canada liver disease in kids: The facts so far – CTV News

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Since early April, health officials around the world have been on alert for healthy, young children suddenly developing severe cases of hepatitis with no known cause.

According to the latest estimates by the European Centre for Disease Prevention and Control (ECDC) and the World Health Organization (WHO), there are at least 194 probable and confirmed cases reported around the world, excluding an unknown number of potential cases in Canada.

Here is what we know so far about these cases.

WHAT IS HEPATITIS?

Hepatitis is an inflammation of the liver. The organ can become damaged or inflamed as a result of a virus, heavy alcohol consumption, toxins, some medications or another health condition. The liver serves numerous essential functions and acts like a filter for the blood that leaves the stomach and intestines. It regulates chemical levels in the blood, creates nutrients, carries away waste, helps fight infections and more.

Acute hepatitis is when the liver function is impaired for less than six months. Chronic hepatitis is when the inflammation lasts longer. Some cases of hepatitis can be severe – even fatal – if left untreated. Other cases can be mild and require no treatment.

What makes these cases of acute hepatitis unusual is that doctors have not determined their cause.

WHAT ARE THE SYMPTOMS?

Medical officials have said that a number of cases began with gastrointestinal symptoms such as stomach pains, diarrhea and vomiting. The children later exhibited signs of jaundice, where the skin and whites around the eyes turn yellow. Jaundice is an indication that something is wrong with the liver, and medical advice should be sought immediately.

Other common symptoms of hepatitis include fever, fatigue, loss of appetite, nausea, dark urine, light-coloured stools and joint pain.

Dr. Deirdre Kelly, professor of paediatric hepatology at the University of Birmingham, told CTV News on Tuesday that the majority of children have spontaneously recovered.

“While this is a serious disease if their child develops it, the chances are they will recover on their own,” she said.

HOW MANY GLOBAL CASES AND HOW SERIOUS ARE THEY?

Based on numbers compiled by the ECDC in a report on April 28 and the WHO on April 23, there are at least 194 cases so far of hepatitis with no known cause in countries including the U.K., Spain, Israel, the U.S., Denmark, Ireland, the Netherlands, Italy, Norway and France.

As of April 21, 114 cases were from the U.K., according to the WHO. As of April 27, there were “approximately 55 probable and confirmed cases” from a dozen countries within the European Union and European Economic Area, 12 cases from the U.S., and another 12 out of Israel,” the ECDC said. Japan has reported one case.

“The severe hepatitis for which there is no cause, we rarely see more than about 20, 25 max in the whole year. And we’ve seen 114 in the first three to four months of this year,” Kelly said.

“These are perfectly normal children. They’ve got no comorbidities and no other infections and they’re developing severe hepatitis, of which 10 per cent have required liver transplantation.”

The 10 per cent figure is based on an earlier tally of cases from the WHO on April 23 that found 17 children required a liver transplant. One child in Britain reportedly died.

The hepatitis cases involve children between the ages of one month and 16 years, health agencies have said, with the majority occurring in young children between the ages of two and five.

Scotland’s public health agency was the first to raise the alarm about these unusual hepatitis cases in early April, after one child became sick in January and nine others in March. All were severely ill and had to be taken to the hospital where they were diagnosed with hepatitis.

The majority of similar U.S. cases were found in nine previously healthy children between the ages of one and six from Alabama. Two of the children reportedly required liver transplants. Five children with significant liver injury of unknown origin, including some experiencing acute liver failure, were admitted at a children’s hospital in Alabama as early as October 2021.

Two additional severe cases were also flagged in North Carolina and three in Illinois, with local media reporting that one resulted in a liver transplant and two others being placed on a transplant list.

ARE THERE CASES IN CANADA?

While there are no confirmed cases in Canada, the Public Health Agency of Canada (PHAC) had previously told CTV News that it was “aware of reports of severe acute hepatitis of unknown origin in young children in Canada.”

“[PHAC] is working with its international partners as well as provincial and territorial partners to gather information on this evolving situation,” the agency told CTV News in an email statement on Friday.

“Potential cases in Canada are being investigated further to determine if they are related to cases in the United Kingdom and the United States.”

WHAT ARE SOME THEORIES BEING INVESTIGATED?

Health authorities are investigating a number of possible causes for these hepatitis cases. So far, the WHO has ruled out the viruses that cause hepatitis A, B, C, D and E, based on laboratory testing.

While toxin exposure is another consideration, experts believe this is less likely due to the cases being documented in different countries. Health authorities have also not found any links to international travel among the cases either.

Currently, investigations suggest a link to an adenovirus, according to the WHO and ECDC. Adenoviruses make up a large family of viruses that can spread from person to person, causing a range of illnesses including colds, pinkeye and gastroenteritis. Officials say there has been a recent rise in adenovirus infections, particularly in the U.K.

Close to half of the hepatitis cases, including those in Alabama, have been tied to an adenovirus, with lab tests indicating some children were infected with type 41, which is associated with gastroenteritis, causing diarrhea and vomiting. At least 19 cases also involved a SARS-CoV-2 co-infection.

“While adenovirus is currently one hypothesis as the underlying cause, it does not fully explain the severity of the clinical picture,” the WHO said in its April 23 report. The health agency noted this particular virus has not previously been tied to hepatitis, adding that it is a common pathogen that usually causes self-limited infections.

COVID-19 is also being considered, although a number of the cases did not involve a previously known infection.

“We don’t really know the causes yet and COVID may be implicated in some cases,” Dr. Simon Taylor-Robinson, a professor and liver researcher at London’s Imperial College, previously told CTV’s Your Morning.

“In fact, we know COVID can cause inflammation in any part of the body, not just the lungs.”

Another theory being considered is that children’s immune systems, weakened during pandemic lockdowns and distancing, may be more vulnerable to other diseases.

It is also possible that two viruses working “in concert” with each other could also be behind the hepatitis cases, some health experts say. Researchers are also exploring the possibility that the adenovirus may have mutated.

COULD COVID-19 VACCINES BE THE CAUSE?

Despite disinformation being spread on social media suggesting a link between the hepatitis cases and COVID-19 vaccinations, health authorities have definitively ruled out COVID-19 vaccinations as a potential cause because they say the vast majority of cases involve children who are too young to be eligible for vaccinations.

“None of the currently confirmed cases in the U.K. has been vaccinated,” a representative of the U.K. Health Security Agency told Reuters. “There is no link to the COVID-19 vaccine.”

WHAT CAN PARENTS DO?

Adenoviruses are spread through close personal contact like touching, through the air by coughing and sneezing, or by touching contaminated objects and surfaces and then touching areas of the face before washing your hands. In some cases, it can also spread through an infected person’s stool, according to the U.S. Centers for Disease Control and Prevention (CDC).

Everyday measures, such as hand washing and general good hygiene measures, along with those adopted during the pandemic should help, experts say, adding that suddenly developing a severe case of hepatitis with no known cause is still rare despite the current global cases.

“They should (be) reassured it’s relatively unusual in normal children, and good hand hygiene as we’ve all been used to in the COVID pandemic, and good general hygiene in the home should be sufficient,” according to Kelly.

With files from CTV National News reporter Vanessa Lee, Reuters, and The Associated 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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