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COVID-19 outbreak at B.C. nursing home must be met with compassion and caution, experts say – Global News

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The announcement of an outbreak of the new coronavirus at a North Vancouver nursing home marks a turning point in the spread of the virus in British Columbia, and experts say how officials respond next is crucial.

Two residents and a worker at the Lynn Valley Care Centre have tested positive for COVID-19, health officials announced Saturday. The worker had previously been announced as Canada’s first case of possible transmission within the community.

Chief medical health officer Dr. Bonnie Henry said the centre is under an “outbreak protocol,” meaning visitors are restricted and measures are being taken to ensure staff and residents are kept safe.


READ MORE:
B.C. declares COVID-19 outbreak at North Vancouver care home, 6 new cases announced

But experts say while clamping down on the potential spread of the virus is critical for such facilities that can quickly become a hotbed for infectious diseases, it’s just as important to balance those measures with compassion.

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“Research has shown us that with people living in nursing homes and other institutionalized people, social interaction and connection is very strongly related to lifespan and life expectancy,” said Colin Furness, an assistant professor in the faculty of information at the University of Toronto.






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Coronavirus outbreak: B.C. health minister stresses importance of combating COVID-19 misinformation

“You can literally change the length of someone’s life through companionship. And we should never forget that because yes, locking everyone down, that would be great. But how do you strike a balance with compassion? That’s awfully difficult.”

Furness — who specializes partly in the risk that diseases pose to long-term care facilities — says the potential for the outbreak to quickly escalate and spread to other care homes is high, despite the best efforts of health officials.

“It would do what any respiratory virus does: it will wreak havoc and it will kill a lot of people,” he warned. “The exact percentage is going to depend on a lot of things.”

Elderly most at risk

The new cases announced in B.C. echo the much larger outbreak at the Life Care Center in the Seattle suburb of Kirkland, where 13 deaths have been linked to the virus and dozens of workers and residents are showing symptoms.

That home is the epicentre of the disease in Washington state at large, which reported a total of 16 deaths Saturday and 102 total cases. More than 70 of those cases are believed to be linked to Life Care.

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Kerry Bowman, a bioethicist in the Institute of Medical Science at the University of Toronto, says the risk of COVID-19 to the elderly is particularly high, and nursing homes — where the average age is around 80 years old, with most residents exhibiting pre-existing conditions and weakened immune systems — are a prime incubator.

“We need to be making sure that we are protecting the most vulnerable people in our society, and right now that’s the elderly,” he said. “So we may have to start changing direction.”

While the World Health Organization has pegged the overall fatality rate for COVID-19 at 3.4 per cent, studies show it’s far higher for older populations.






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Coronavirus outbreak: World Health Organization stresses mortality rate increases with age


Coronavirus outbreak: World Health Organization stresses mortality rate increases with age

In a study last month of the more than 72,000 cases of coronavirus in mainland China as of Feb. 11, the Chinese Center for Disease Control found the fatality rate is 14.8 per cent for people 80 and older, and eight per cent for those in their 70s.

While the first impulse would be to isolate care home residents and other elderly people to protect them, Furness says it’s not that easy, and could lead to other problems like depression.


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He says he’s seen policies in hospitals like health care staff sanitizing patients’ hands for them, which could help make up for the cancellations of parties and other gatherings that are a key social feature of nursing homes.

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“They should absolutely stop large gatherings, but if you lock people down and don’t have human contact, you’re creating damage of a different sort,” he said. “I would hope that [staff] are finding that balance.”

Worker concerns

Beyond the residents, Furness and Bowman say they were particularly concerned when Henry and Health Minister Adrian Dix noted care home workers often work at multiple facilities just to make a “family-supporting” wage.

While officials say they are working to identify where the infected Lynn Valley worker is also employed to prevent spread at those facilities, Bowman says the case highlights a flaw in the health-care system.






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“They identified this with [the] SARS [outbreak in 2003],” Bowman said. He became infected with that disease while working at a Toronto hospital, where he observed a similar practice.

“I do not blame these people. I mean, these are people that can barely scratch together a living. But this was identified as a risk factor [during the SARS outbreak], and I find it surprising that even with COVID-19 preparations, this wasn’t addressed.”

Furness says it’s also likely that workers aren’t properly trained to deal with infectious disease management, and that policies and training can often vary between care homes, particularly within the private and public sectors.


READ MORE:
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“I would definitely be in favour of professionalizing the workforce so that, among other things, their training is balanced and they’re paid equitable wages so they don’t have to work multiple jobs,” he said.

Henry and Dix said it’s common for health care workers to be employed at multiple facilities, but did not speak to whether the practice should be a concern.

Dr. Michael Curry, a clinical associate professor in the department of emergency medicine at the University of British Columbia, says many health care staff actually enjoy working as much as possible and didn’t see working multiple jobs as a problem.

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“People move around, and it’s common not just for low-level staff and caregivers but doctors and nurses as well,” he said. “It may need to be looked at more closely in this instance and it may have to be put on hold, but I wouldn’t call it an issue.”






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How Canadian long-term care homes are preparing for COVID-19


How Canadian long-term care homes are preparing for COVID-19

Furness says while long-term care homes present a host of issues for the new coronavirus, that shouldn’t stand in the way of younger people and families also practicing a mix of compassion and caution.

“It’s a perfect example of where we can take smart steps to still allow social interaction and to do it safely,” he said, adding wearing personal protective equipment while visiting residents could become common practice.

“But of course, if you’re sick yourself, stay home. Don’t visit, and don’t immerse yourself somewhere where you can get even more sick.”

© 2020 Global News, a division of Corus Entertainment Inc.

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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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