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Covid-19 vaccine rollout was a moment of hope in pandemic's 'darkest days,' expert says. But the dark days aren't yet over – CNN

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“I never would have imagined that within a year of identifying … a new virus, we would have a vaccine that is being administered to people, that is safe, and is effective and it gives us hope,” said Dr. Richard Besser, former acting director of the Centers for Disease Control and Prevention. “On one of the darkest days in this pandemic, we finally have a ray of hope.”
Across the country, many health care workers looked on in awe and disbelief as their coworkers received the vaccine. In California, an ICU nurse became one of the first people in the state to get vaccinated. In Washington DC, George Washington University Hospital emergency department nurse Barbara Neiswander was among the first health care workers to receive the first dose of the vaccine and reported “no side effects at all.” And about 200 staff members at the University Medical Center of Southern Nevada were also vaccinated Monday, including doctors, nurses and respiratory technicians.
“We really had tears in our eyes as the vaccine arrived here,” CEO Mason Van Houweling said.
All 50 states, Washington DC, and Puerto Rico received vaccine doses Monday. More shipments are expected through the rest of the week, Gen. Gustave Perna, chief operating officer of Operation Warp Speed, said Monday, adding vaccinations are also expected to start in nursing homes.
But vaccines will make little impact on what’s coming up ahead: a devastating winter that leading health officials have projected will be one of the most difficult times in the nation’s history.
The US has in the past week averaged more than 215,000 cases daily — a number that’s likely to keep growing as states continue to report the aftermath of Thanksgiving gatherings and travel. Officials also warn holiday gatherings this month could further fuel an already rampant spread of the virus and result in another surge.
Covid-19 hospitalizations are higher than ever — with now more than 110,500 patients nationwide, according to the COVID Tracking Project. Every day for the past week, an average of 2,389 Americans lost their lives to the virus. More than 300,000 have died since the pandemic’s start across the country. Another 186,000 are projected to lose their lives over the next three months, according to the University of Washington’s Institute for Health Metrics and Evaluation.
“This vaccine, as wonderful as it is, is not going to change the trajectory of what we experience this winter,” Besser told CNN. “It’s not going to change what we need to do; it’s not going change the need for us all to wear masks, and social distance and wash our hands.”

Overcoming vaccine hesitancy

To help the US get to the other side, some of the challenges that officials are working to tackle include addressing skepticism from many communities about the vaccine.
“Nothing has been in my heart more than this issue over the past several weeks to months,” US Surgeon General Dr. Jerome Adams told CNN. “I’ve been working with Pfizer, with Moderna, with AstraZeneca, with Johnson & Johnson to make sure we have appropriate numbers of minorities enrolled in these vaccine trials so that people can understand that they are safe.”
Adams said he’s been working with leaders in minority communities, including faith leaders and fraternities and sororities, as well as celebrity influencers who can “use their megaphone to share the appropriate information with people, because vaccine hesitancy is one of the greatest social injustices out there.”
“There are tens of thousands of Black and brown people dying every year because they are distrustful of the system,” Adams added. “In many cases, rightly so, but also because they’re not getting the facts to help restore their trust in the system.”
Sandra Lindsay, an ICU nurse at Long Island Jewish Medical Center in Queens, New York City, was among the first Americans to get a shot of the vaccine.
“I understand the mistrust among the minority community,” she said. “I don’t ask people to do anything that I would not do myself and so I was happy to volunteer to be among the first.”
“I did not know that I would make history and that’s not why I did it. I wanted to do it to inspire people who may be skeptical about taking the vaccine and trust in the science,” Lindsay added.

Beginning of the end … but not the end

Impacts of the vaccinations won’t come overnight, Dr. Anthony Fauci said Monday.
“It’s not going to be like turning a light switch on and off,” he said during a Center for Strategic and International Studies virtual health event. “I don’t believe we’re going to be able to throw the masks away and forget about physical separation in congregate settings for a while, probably likely until we get into the late fall or early next winter.”
Health and Human Services Secretary Alex Azar said Monday he believes the general public could start getting vaccinated by late February and March — earlier than other experts have estimated.
“It really, again, is going to be up to our nation’s governors, but with the Moderna and Pfizer vaccine, we’ll have, as I said, as many as 100 (million) shots in arms by the end of February,” he told NBC on Monday.
“If we get the Johnson & Johnson or AstraZeneca vaccine approved in January, when their data comes in, we’ll have significant additional supplies,” Azar added. “Late February, in the March time period, I think you’ll start seeing much more like a flu vaccination campaign — people going into their Kroger, their CVS, or Walgreens, Walmart.”
Returning to normality, officials have said, will depend on how quickly vaccinations happen — and how many Americans get vaccinated. About 70% to 80% of the American public needs to be immune to the virus before it is “gone,” according to Dr. Francis Collins, the director of the National Institutes of Health.
“We think we can get there by June or so for almost all of the 330 million Americans who are interested in getting this vaccine,” Collins told NBC on Sunday. “But if only half of them do so, this could go on and on and on.”

Difficult months are ahead

In the meantime, the US is preparing to face some of the pandemic’s darkest days yet. in California, Gov. Gavin Newsom said that while the vaccines offered a moment of hope, he added “we are in the midst of the worst moment of this pandemic.”
The state added more than 30,000 new Covid-19 cases for the fourth straight day and hospitalizations and ICU admissions are at all-time highs.
Los Angeles County health officials said Monday new cases have increased 625% since November 1, with “younger people continuing to drive the increase in community transmission.”
More than 4,200 people are hospitalized with Covid-19, officials said, and 21% of those are in the ICU.
“Our reality is frightening at the moment,” they said. “By next weekend, there are likely to be over 5,000 patients hospitalized and more than 50% of ICU beds occupied by COVID-19 patients.”
In New York City, Mayor Bill de Blasio hinted at tighter restrictions in the coming weeks, saying the city was on a “very troubling” trajectory, “in terms of the number of people who get sick, the number of people we would lose … and obviously the impact on hospitals, their ability to treat people.”
“We’ve got to start planning on bigger actions now,” he said Monday. “I think the natural time to do that is immediately after Christmas.”
In Nevada, Gov. Steve Sisolak announced this week he was extending Covid-19 restrictions through January 15, saying the state was “at a critical point.”
“We will be monitoring and evaluating our current situation day to day and … (we) will remain under the current restrictions for now, with the goal of getting through the next month.”
“But I need to be clear,” the governor added. “If officials and experts agree that our trends are going beyond our ability to respond, I will be forced to come in front of you all again with tougher actions.”

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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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