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COVID-19 threat could erode with time just as with H1N1, say experts – CNA

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SINGAPORE: The outbreak of COVID-19 infections that started in Wuhan, China and has now spread to almost 30 other countries including Singapore could follow the same trajectory seen in the H1N1 influenza outbreak in Mexico just over a decade ago. It could fade into something less sinister later on, said infectious disease experts. 

In early March 2009, Mexico experienced outbreaks of respiratory illness and increased reports of patients with flu-like symptoms in several areas of the country.

This new human H1N1 strain, which originated from swine flu in pigs, swept across the world and by the World Health Organization’s (WHO) estimate, was responsible for more than 18,000 deaths globally in the 2009 pandemic. 

JUST ANOTHER FLU BUG

WHO declared the virus a public health emergency on Apr 24, 2009. Four days later, Singapore raised its Disease Outbreak Response (DORSCON) from Green to Yellow. This was raised to Orange on Apr 30, when the WHO raised its pandemic alert level from phase 4 to phase 5.

READ: DORSCON: What you need to know about the framework that guides Singapore’s pandemic response

But it was not until May 26, 2009 that Singapore saw its first case of H1N1, 15 days after the Ministry of Health (MOH) revised the DORSCON alert back down to Yellow. A 22-year-old undergraduate returning from New York had developed symptoms on the flight and later tested positive for the virus. 

The outbreak in Singapore peaked in Aug 2009, and the country saw 18 H1N1 fatalities in that year. By the time the DORSCON alert was lowered from yellow to green on Feb 21, 2010, about 415,000 people islandwide had been infected with the virus, with most experiencing mild illness. 

“Everyone then realised that it was just another flu bug. The initial deaths in Mexico were not seen in Singapore. Very surprising,” said Dr Leong Hoe Nam, an infectious disease specialist at Mount Elizabeth Novena Hospital.

“Now when you revisit Mexico, the same virus circulates there, but it doesn’t kill that much.” This is because the threat of H1N1 eroded over the years, he added. 

And the same is likely to happen for COVID-19, said experts CNA spoke to. 

VIRUSES BECOME MILDER OVER TIME: EXPERTS

Professor Tikki Pang, visiting professor at the Lee Kuan Yew School of Public Policy under the National University of Singapore (NUS) said the coronavirus causing the COVID-19 outbreak is likely to stabilise and eventually disappear from public consciousness. 

“This is the historical pattern of past pandemics, and happens because the virus ‘burns out’ and runs out of people to infect as a result of many factors,” said Prof Pang, citing warmer temperatures, better public awareness and public health measures. 

“There is a possibility that the virus could mutate into something more ‘sinister’, (that) spreads faster (or causes) more severe disease, but, so far, we have not seen any evidence of this happening.”

According to Dr Leong, there are four circulating coronaviruses that cause the common cold, and one of them periodically causes severe pneumonia. 
 
“I believe they came into existence much like the current COVID-19. It killed many people and virology or technology was not sufficiently established then to identify the cause of the illness. But it became attenuated with time,” said Dr Leong.
 
“COVID-19 will go the same way. What we need is time for it to accumulate mutations, and it will become milder.”

READ: How wide the spread of COVID-19 might actually be

READ: How China tests for COVID-19

According to Dr Leong, there is a “natural tendency” for viruses to mutate to something milder. 

If the virus is too pathogenic and it kills its host, it is unable to continue spreading. But if it is mild, it can continue to propagate and pass on to other individuals, eventually picking up mutations that reduce the virus’ ability to cause disease, said Dr Leong. 

He noted that increasing awareness of H1N1 treatment and availability of vaccines also contributed to the threat fading. 

READ: China COVID-19 toll leaps past 1,600 as new cases slow

READ: From manufacturing to retail, Singapore firms brace for supply issues amid COVID-19 outbreak

According to experts, H1N1 is currently a dominant flu strain in Singapore, although this may vary between seasons, and flu vaccines provide immunity against it. Countries in the region face a similar situation – Taiwan’s Centre for Disease Control said earlier this month that 56 patients there had died of H1N1 flu virus-affected respiratory failure in the past three months. 

In the years following the 2009 pandemic, H1N1 became less common globally, but has been on the increase in recent years, said Professor Clarence Tam from the Saw Swee Hock School of Public Health, NUS. 

“This is likely because, after the pandemic, many people were infected with H1N1 and developed immunity against this influenza strain, so the virus couldn’t spread as easily,” said Prof Tam. 

“But we know that immunity against influenza is short-lived, and as the level of immunity drops in the population, more people are now becoming infected with this strain again.”

Dr Leong said: “It becomes another flu bug. And it helps with the fact that Singaporeans cannot distinguish between flu and the common cold, making the concept of flu in Singapore much milder.

“People soon became complacent of H1N1. But, some lethality maintained. If there is a bad case of influenza in the intensive care (unit), it would usually be a H1N1 (case). But overall, we see less and less of a problem.” 

TRANSMISSION OF COVID-19, H1N1 SIMILAR

Speaking at a press conference on Friday (Feb 14), Minister for National Development Lawrence Wong had said that it is “clearly emerging” that COVID-19 is different from Severe Acute Respiratory Syndrome (SARS) and has more similarities with H1N1. 

“The transmission mechanism of COVID-19 is different from SARS. In fact, the transmission mechanism is closer to H1N1 or influenza,” said Mr Wong.

Researchers at the National Centre for Infectious Diseases (NCID) have confirmed this, he added. Researchers found that, like influenza, COVID-19 is infectious when symptoms are mild. 

Because of this transmission mechanism, COVID-19, like the flu, can spread “quite quickly”, said Mr Wong. 

“With our mild symptoms, we sometimes let our guard down – we continue going out even though we don’t really feel well, and that’s how the virus transmits,” he added. 

Mr Wong also said it was “a matter of time” before “a lot of people around the world” will be infected with COVID-19. 

Citing the widespread community transmission seen in the 2009 H1N1 pandemic, Mr Wong said: “We’re not saying that this will happen for COVID-19. It’s a different disease than H1N1 so the patterns of transmission and the number of people contracting the disease will be different,” he said. 

“But because the transmission patterns are similar to H1N1, we should be prepared for a scenario where you get wider transmission around the world.” 

Prof Tam stressed that even if the risk of mortality from a virus is low, it can still cause a large number of deaths if it spreads easily, citing the current COVID-19 outbreak as an example. 

“The available data indicate that this new virus is not as deadly as SARS, but spreads much more readily from person to person. Consequently, the number of reported deaths has already surpassed deaths from SARS in less than two months,” he said.

“The same applies for influenza viruses. Even though the proportion of all influenza cases that succumb to the disease is low, an estimated 300,000-500,000 people worldwide die each year from influenza.”

Adding that it is “difficult to predict” whether the COVID-19 will take the same route as the H1N1 pandemic, Prof Tam said: “The concern is that if current efforts to contain the virus aren’t ultimately enough to stamp out human transmission, it could spread rapidly across the globe causing many more hospitalisations and deaths before a vaccine can be developed or enough immunity builds up in the population to bring the epidemic under control.” 

BOOKMARK THIS: Our comprehensive coverage of COVID-19 and its developments

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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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