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Coronavirus: Spotlight on hard-hit elderly homes as toll emerges – Al Jazeera English

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Authorities in several countries, including the United States, Italy, Spain, France and Canada, have launched inquiries into how elderly care facilities have responded to the coronavirus crisis after reports emerged of high death rates at those facilities.

The pandemic has put a spotlight on nursing homes across the world, where thousands of elderly residents, who are most vulnerable to the disease, are believed to have died after contracting it.

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To date, more than 2.25 million people have been infected worldwide with COVID-19 and at least 154,000 have died due to the pandemic.

As governments continue the struggle to bring the pandemic under control, the accounting of the elderly residents of nursing facilities who have been infected or died from COVID-19 remains fragmented – the result of overburdened health authorities and a dearth of widespread testing early on in the outbreak.

In March, Spain’s state prosecutor launched an investigation after soldiers found elderly patients abandoned or dead in retirement homes in the country. 

In the US, the governor of the state of New Jersey on Thursday ordered a probe into a nursing home in the town of Andover, where 17 bodies had been found in a makeshift morgue.

In the Canadian city of Montreal, officials are investigating after health authorities were called to the Residence Herron elderly home, which had been largely abandoned by the staff.

Responders found residents dehydrated, unfed for days and lying listlessly in bed, some covered in excrement. The deaths of two residents had gone unnoticed for several days.

Moira Davis, whose father Stanley Pinnell died at the facility on April 8, told the AFP news agency she was sick to her stomach when she learned of the conditions. 

“All of a sudden these questions started flying through my head: ‘What could we have done differently? Why did nobody tell us?'” she said. “Why, why, why?” 

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Marylouise McLaws, an infectious disease expert and professor at the University of New South Wales, told Al Jazeera the toll on residents of elderly homes globally is “only just coming to light”. 

“[Elderly home residents] are incredibly vulnerable because they’re within a situation that we would call a super spreading environment: Being kept inside an age care facility, often sharing rooms, having common dining rooms,” she said.

Italian care home probed after 143 residents died

“We really need to look after our most vulnerable in the community, regardless of which country we’re talking about. There is no acceptable explanation for this.”

report released by academics at the London School of Economics (LSE) on April 15 said between 42 percent and 57 percent of deaths from the coronavirus in Italy, Spain, France, Ireland and Belgium have been linked to care homes for the elderly.

The report notes those figures are based on partial data. Meanwhile, several countries had no such data available, researchers said.

In Italy, the country’s National Institute of Health estimated that 40 percent of the 6,773 residents in elderly care facilities who have died since February 1 had been diagnosed with COVID-19 or were showing symptoms. That number is only a fraction of the country’s nursing home death total, as the survey was based on data from a third of some 3,000 nursing homes contacted.

In a dramatic scene on Friday, the Italian military blocked off one facility in Rocca di Papa outside of Rome after 118 patients and 30 healthcare workers tested positive for the coronavirus. At least five patients had died there.

An ambulance passes a roadblock leading to San Raffaele healthcare and hospice facility in Rocca di Papa, near Rome [Andrew Medichini/The Associated Press]

“Inside it’s a ghost town,” Luciano Bambino, a funeral home worker who emerged from the home with a body in the back of his hearse, told the Associated Press news agency.

In neighbouring France, the regional public health authority has launched an investigation into why so many people died at a nursing home in Cote D’Azur.

At the La Riviera nursing home, 36 of the 109 residents had died from coronavirus-related illnesses after the first infection was confirmed at the home, according to the local mayor’s office, which registers the deaths. 

Experts have said the deaths underline the need for blanket testing at such facilities, where staff attempted to isolate those believed to be infected, but where systematic testing was not implemented for 20 days. 

“Maybe if we had been able to test from the beginning, everything would have been different,” Florence Arnaiz-Maume, an official with the National Union of Private Homes and Facilities for the Elderly (SYNERPA), told the Reuters News Agency.

Death toll will never completely be known

The first two deaths reported in the US from the coronavirus were residents at the Life Care Center of Kirkland, an elderly home in Washington state. 

Since then, officials have said at least 35 coronavirus deaths have been associated with the facility, which faces a federal fine of more than $600,000 after investigators determined the home did not have a proper system in place to deal with the outbreak and did not respond properly.

While the federal government has not released a national tally, a count by the AP news agency has linked 6,912 coronavirus deaths to nursing homes in the country.

To date, more than 37,000 people have died from COVID-19 in the US, among 706,700 cases.

A report released by authorities in New York on Friday, which according to the AP news agency tally accounts for 40 percent of coronavirus deaths linked to elderly homes in the country, said at least 55 residents at one nursing home in Brooklyn had died from COVID-19.

Four other facilities reported at least 40 deaths related to coronavirus, while 19 listed at least 20 deaths.

“Every death is heartbreaking,” Dr Roy Goldberg, medical director at Kings Harbor Multicare Center, a 720-bed home in New York City borough of the Bronx which reported 45 fatalities, told the AP news agency. “These have been surreal times.” 

In neighbouring Connecticut, a similar list released on Thursday said nursing home residents account for 375 of the state’s 971 deaths as of that point.

McLaws said even after the government completed their initial count, the toll in nursing homes is likely to rise further, while many coronavirus deaths will never be properly reflected. 

“Often after an epidemic or a large pandemic, each country will revise their numbers, they will look at their deaths which have been put aside – due to old age, maybe heart disease, or influenza – and then assess the likelihood that it was COVID-19,” McLaws said.

“Many of these deaths will not have a forensic investigation to identify actually how they did die. So the number will never be perfect for how many of them died from COVID-19,” she 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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