Cervical cancer could be eliminated in N.B. in about a decade, says provincial oncologist | Canada News Media
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Cervical cancer could be eliminated in N.B. in about a decade, says provincial oncologist

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The rate of cervical cancer in New Brunswick is either holding steady or increasing slightly, depending on who you ask, but the head doctor with the New Brunswick Cancer Network and the Canadian Cancer Society both agree the disease could realistically be wiped out in little more than a decade.

The Canadian Cancer Society’s latest annual statistical report showed the national cervical cancer rate has begun to increase significantly.

Following a 30-year decline, incidence has risen 3.7 per cent a year since 2015, representing the biggest jump for any type of cancer affecting females.

The latest projections for New Brunswick are 35 new cases a year and 10 deaths.

Dr. Eshwar Kumar of the New Brunswick Cancer Network said that’s on par with the average number of new cases for the past 15 to 20 years.

 

New Brunswick averaging about 30 new cases of cervical cancer a year, says doctor

 

Dr. Eshwar Kumar of the New Brunswick Cancer Network says ‘a lot of progress’ has been made trying to reduce cervical cancer.

If you look at some other statistics, however, New Brunswick is seeing a slight increase, said Heather Mulligan, manager of advocacy for the Canadian Cancer Society in Atlantic Canada.

For example, the age-adjusted rate per 100,000 females in the province is now 8.8 new cases a year, she said, up from 7.5 two years ago.

In 2021, cervical cancer was estimated to account for 1.2 per cent of all new female cancer cases in the province, she said, but the 2023 estimate creeped up to 1.3 per cent.

A variety of factors could be behind the increase, such as demographics, said Mulligan.

The human papilloma virus vaccine only came out in the 2000s, she noted.

It’s now known that HPV, a sexually transmitted infection, causes virtually all cervical cancer, said Mulligan. (According to the Cancer Society, HPV is also linked to cancers of the penis, anus, vulva, vagina, mouth and throat.)

“The things that we have in place will hopefully reduce the risk considerably and hopefully eliminate it,” said Kumar.

(Canadian Cancer Society)

New Brunswick has a well-established HPV vaccination program. Immunization clinics are held in schools for all students in Grade 7.

Any females born since 1995 and males born since 2005 who missed getting the shot in school are still able to get it for free until the age of 27.

Outside of those birth dates and age ranges, anyone who wants the shot must get a prescription and pay for it.

The target is to get 90 per cent of 15-year-old girls around the world vaccinated by 2040, said Kumar. Canada expects to achieve that goal by 2030 or 2035 at the latest, he said.

The most recent vaccination figures in New Brunswick are headed in the wrong direction.

According to a provincial Health Department report on school immunization, the female participation rate in the Grade 7 vaccine program fell to 75.5 per cent last year, down from 81.5 per cent the year before.

Kumar acknowledged there is room for improvement.

In order to avoid getting vaccinated, some children don’t go to school on the day clinics are held, he said.

Sensitive issue in some cultures

The participation rate in screening is also lower than he would like, he said, particularly in some cultural communities.

“I think there’s been a lot of immigration from countries where perhaps things like this … screening for women is … culturally sensitive,” said Kumar.

That may be partly because HPV is sexually transmitted, he said.

In “many, many” cultural communities, preventive health care for women is “probably not as strong as it can be,” said Kumar.

Heather Mulligan, an advocate for the Canadian Cancer Society in Atlantic Canada, says there’s still work to do in getting message to underserved communities. (Submitted by Heather Mulligan)

He is optimistic that a bit of outreach can make a big difference.

“Many of our staff are actively involved, going out to the community, meeting with newcomers and trying to get them to understand why it’s so important and what we can achieve by participating.”

Cervical cancer screening has been promoted very proactively, said Kumar.

“In spite of the fact that sometimes we may be short of resources, we have not hesitated to promote screening as being an important aspect of reducing the burden of cancer.”

The health authorities have been “very, very good” at opening up clinics for pap testing, he said, estimating there are about 20 around the province, available to women who don’t have a family doctor.

Women aged 21 to 69 are eligible.

Research is underway at the universities to identify barriers for various communities of new immigrants, he added, then education and awareness activities will be tailored to try to address those concerns.

The ability to take a screening test in one’s own home will also be a “huge step forward,” said Kumar.

That’s supposed to start within the next five to seven years, as the province transitions from pap testing to HPV testing.

The phased-in plan is for primary HPV testing to commence over the next 12 months, while pap smears continue to be done, said Kumar.

An advisory committee of primary care physicians, nurse practitioners, gynecologists, lab directors, pathologists and oncologists is currently working out what will be New Brunswick’s standards for HPV testing, including the frequency required, method of testing, interpretation of samples and guidelines for clinical practices and reporting.

“We need to ensure that the lab infrastructure is in place and the lab standardization has occurred. That’s going to take us about a year.”

Computer systems also need an upgrade, said Kumar, to keep track of HPV testing and ensure followup care for patients.

Oncologist Dr. Eshwar Kumar says the ability to take an HPV screening test at home will be a ‘huge step forward.’ (Pierre Fournier/CBC)

The Cancer Society is “thrilled” that PEI and New Brunswick are “leading the charge,” in terms of transitioning to HPV testing, said Mulligan, while adding that more needs to be done.

At-home testing is really important, she agreed, as well as identifying underserved and undervaccinated populations.

“Every effort should be taken,” said Mulligan.

“We have an opportunity in front of us to say we live in a province where cervical cancer rates are low or non-existent.”

For so many other cancers, the risk factors and deaths are many, while effective preventions and treatments are few.

A cancer with different outlook overall

According to the statistics, there are about 20 kinds of cancers that affect and kill more people. At the top of the list are lung, breast, colorectal and prostate.

When it comes to cervical cancer, “it’s a matter of vaccination, treating infection and preventing spread,” she said. “We can get it off the list.”

National and international goals have been set to eliminate cervical cancer by 2035 or 2040.

“It’s very rare — very unusual for oncologists and people involved in cancer to talk about eliminating cancer,” said Kumar.

“I’ve been an oncologist for quite a long time now and … I still am excited about the possibilities of the things that we can achieve,” he said.

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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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