Delays Turn Canada’s Covid Vaccination Optimism Into Anxiety - The New York Times | Canada News Media
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Delays Turn Canada’s Covid Vaccination Optimism Into Anxiety – The New York Times

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After quickly approving a vaccine and getting an early start to inoculations, Canadians worry as the country falls behind in vaccinations.

OTTAWA — Canada seemed to be off to a quick start. Its regulator had approved a coronavirus vaccine codeveloped by Pfizer just ahead of the United States, and national newscasts were soon filled with images of people getting their first injections.

But the hopes raised by the vaccination launch in December — buoyed, too, by news that Canada had ordered doses equal to 10 times its population — have soured. Production issues at Pfizer and Moderna, makers of the only two vaccines currently approved in Canada, have led to reduced shipments — including some weeks in which no vaccine has arrived at all.

But while the disruptions have become the talk of the nation, more fundamental factors involving Canada’s strategic decisions and its production realities have always meant that the launch of vaccinations would be more of a test run than a full-on rollout.

Even if Canada gets back on schedule, this nation of 37.5 million people is expected to receive just six million doses by the end of next month. To date, only about 1.5 million people have been injected.

Updates of a global ranking of vaccinations now receive nearly as much attention as hockey scores in the Canadian media. As Britain and even the United States, despite its problems, continue to rise in the rankings, Canada has dropped well down the list, sandwiched this week between Bangladesh and Romania.

The nation’s vaccine anxiety has, according to polls, led to a drop in approval ratings for Prime Minister Justin Trudeau’s performance during the pandemic. Nearly 60 percent of Canadians think the country should be performing better or at least as well as other industrialized nations, one poll found.

It’s also prompted sometimes heated criticism from the Conservative opposition in Parliament and from several provincial premiers whose governments are responsible for sticking needles into arms.

“While the world is vaccinating by the millions, the government can only deliver a few thousand,” Erin O’Toole, the Conservative leader, said in Parliament on Tuesday. “Where is the plan to get vaccines into the arms of Canadians?”

Carlos Osorio/Reuters

Mr. Trudeau, while acknowledging the impatience, has tried to offer assurances.

“People are worried, people are tired of this pandemic,” he said at a news conference last week. “There’s a lot of anxiety, and there’s a lot of noise going on right now. That’s why I want to reassure Canadians that we are on track.”

Canada has not been alone. Short shipments of vaccines have also led to tensions in Europe and other parts of the world

The pressure on Mr. Trudeau may begin to ease. After slowing and briefly cutting off shipments to Canada while it modified a factory in Belgium to increase production, Pfizer sent its largest shipment of vaccine so far to Canada this week. Part of that shipment, however, was delayed by severe weather as it transited through the United States.

While the prime minister has said that Pfizer’s renewed deliveries will allow Canada to hit its target of six million doses by the end of March, that still means the overwhelming majority of Canadians will still be waiting, probably well into summer, for their shots.

Vaccine and infection control specialists say that Canada’s start was always going to be sluggish because of several key factors, notably its decision last year to spread its 414 million orders among seven different companies to reduce risk rather than bet on a single vaccine in exchange for early delivery. Only two of those companies have vaccines approved for use in Canada so far.

And Canada faces inherent disadvantages, too: primarily the lack of an established vaccine producer headquartered in the country and its relatively limited production capacity to make the vaccines developed by foreign companies.

Blair Gable/Reuters

Experts said that the short or delayed shipments so far should not have surprised anyone.

“There’s never been a vaccine rollout where there weren’t shortages because of issues around working the bugs out of the manufacturing,” said Dr. Scott Halperin, a professor of medicine at Dalhousie University in Halifax and the medical director of the Canadian Center for Vaccinology. “So anybody who didn’t anticipate that there’d be some hiccups in the manufacturing process just wasn’t aware of the past.”

Dr. David N. Fisman, a professor of epidemiology at the University of Toronto’s Dalla Lana School of Public Health, attributed the national hand-wringing to another factor.

“It looks more like we’ve gotten what we had been expecting, with occasional hiccups,” he said. “So I think most of the sound and fury really relates to just political point scoring. Is there anything the federal government realistically could have done to have received more vaccine earlier and magically stopped those hiccups?”

Doug Ford, Ontario’s conservative premier, proposed one answer, though its political viability has been questioned. During a news conference last month he urged President Biden to send Canada one million doses of vaccine from a Pfizer factory in Michigan that’s within driving distance of the international border.

“Our American friends, help us out,” said Mr. Ford, who has avoided criticizing Mr. Trudeau. “You have a new president, no more excuses.”

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Under Canada’s system, the provinces are responsible for running health care systems, including performing vaccinations, while the federal government regulates vaccines and drugs and negotiates prices. With the pandemic, Mr. Trudeau also took on responsibility for buying the country’s vaccine stockpile.

Carlos Osorio/Reuters

Brian Pallister, the premier of Manitoba, broke with that program last week and announced that his province will spend 36 million Canadian dollars to buy vaccines from a small company in Calgary, Alberta, that switched from developing a vaccine for cancer to the coronavirus.

“I just want a Canadian home field advantage,” Mr. Pallister, said as he called on other premiers to join him in “building a Canadian-made solution, not just for today but for tomorrow.”

But vaccine from the Calgary company, Providence Therapeutics, won’t speed up inoculation rates any time soon. The company, which has asked Mr. Trudeau’s government for financial aid, began the first phase of human trials for its vaccine only in late January.

Assuming its vaccine is approved, Providence expects to begin production late this year or early next year — long after Mr. Trudeau’s September target to vaccinate all Canadians.

Because Canada has released little information about its vaccine contracts, Mahesh Nagarajan, a professor at the Sauder School of Business at the University of British Columbia in Vancouver, said it’s impossible to determine if anything could have been done to speed deliveries.

But Dr. Nagarajan said the country’s relatively small population and its lack of membership in a trade bloc like the European Union put it in a comparatively weak negotiating position.

“When production is done in other places and when resources are scarce, you cannot simply assume people are going to ship things out,” said Dr. Nagarajan, adding that provincial efficiency in administering vaccines will probably determine whether Mr. Trudeau’s September target can be met.

Dr. Fisman said he is optimistic that Canada “will be awash in vaccine supply by summer.” Until then, he had some advice for Canadians.

“Folks need to take a few deep breaths and get through March and April,” he said. “I think we’re actually in an OK place.”

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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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