Some have called the prospect of duelling epidemics a Dickensian disaster. Others are taking comfort in the Southern Hemisphere’s freakishly mild flu season
Health
Health care workers prepare for possible 'twindemic' this fall — a double whammy of COVID-19 and flu – Sherwood Park News
The body’s blood vessels are lined with tiny, super-soft “hairs” that wave around like tentacles in the blood. They normally keep platelets, the cells that form clots to stop bleeding, from sticking inside the vessels, because when one platelet sticks, more stick, until a potentially lethal blood clot forms.
“Why are critically sick COVID-19 patients clotting?” has been one of the biggest mysteries confronting doctors. This week, a London, Ont. team offered a potential answer: In response to COVID-19, the body’s immune system churns out enzymes that shear off these little sugar-coated hairs. The blood vessels become inflamed and exposed, allowing platelets to glob on, causing micro clots in the lungs and throughout the body.
In addition to the clotting mystery, Dr. Douglas Fraser and his co-authors identified six molecules that appear to predict which people with severe COVID are at the highest risk of death. It could mean knowing when to intervene earlier and more aggressively in people destined to have a very bad outcome, says Fraser.
“It also gives us an opportunity to have really frank and honest conversations with substitute decision makers and loved ones,” says the ICU doctor and lead researcher from Lawson Health Research Institute. How aggressive would they want us to be?
If backed up with more research, the twin studies could lead to better treatments for a new disease that’s about to converge with a familiar foe. What happens when COVID and flu collide?
Some have called the prospect of duelling epidemics a Dickensian disaster. Others are taking some comfort in the Southern Hemisphere’s freakishly mild flu season. “They’re testing really aggressively in Australia and they’re just not finding cases,” says Dr. David Buckeridge, a professor in McGill University’s School of Population and Global Health.
The Southern Hemisphere’s experience is, in some ways, “a good reflection that all of the good public health measures that people are continuing to practise, the hand washing, the physical distancing as much as possible, the use of non-medical masks and so on that help prevent or limit the transmission of COVID-19, would also work equally well for other respiratory infections, including influenza,” Dr. Howard Njoo, Canada’s deputy chief public health officer, said this week.
Others aren’t convinced we’ll get off so easily, noting that peak flu season in the Southern Hemisphere happened when most schools were closed. In Canada, classrooms are just starting to reopen. “Influenza is predictably unpredictable,” said Dr. Mark Loeb, a professor of pathology and molecular medicine at McMaster University.
“Almost nothing is known” about co-infection with flu and COVID-19, American epidemiologists Michael Osterholm and Edward Belongia write in Science. Most people remain vulnerable to the pandemic virus, they note, and if a COVID-19 surge in the fall overlaps with a surge in flu, the stress on hospitals could be crushing. However, it’s also possible the number of people infected with each virus will peak at different times.
Related
Public health experts are pushing for an uptake in flu shots. In a Pollara survey in May of 1,912 Canadians, 57 per cent said they “definitely” or “probably” will get a flu shot, up from 45 per cent who claimed they had one last year. But a potential “twindemic” is creating unique challenges to getting the vaccine into deltoids. With many offices shuttered, there are fewer office flu clinics. Will there be sufficient PPE for vaccinators in pharmacies and other places? Will the public fear potential exposure to COVID-19 while lining up for shots?
The provinces and territories are being encouraged by the Public Health Agency of Canada to consider different strategies: multiple, smaller clinics instead of big ones, administering shots outdoors in parking lots or drive-thru clinics, mobile clinics in vans or buses, fly-in teams in remote and isolated communities — measures that could be a run-through for the day if and when COVID-19 vaccines become available.
The provinces and territories have bumped up their flu vaccine orders in anticipation of increased demand, to more than 13 million doses, from 11.2 million last flu season. The composition of this season’s flu vaccine has been tweaked, but there isn’t enough information on currently circulating strains to know which will be dominant in Canada this fall and winter. Flu shots are generally 40 to 60 per cent effective if a decent match with the strains circulating.
Both flu and COVID can be deadly, particularly to older people and those with underlying illnesses. Studies suggest a dual or co-infection — flu, plus COVID-19 — is rare, but a risk. One of the key issues will be early testing, so that doctors know what they’re dealing with — is this flu or COVID?
There’s a huge overlap in symptoms but treatments differ. It’s a matter of testing early, and getting a diagnosis, Loeb says, and if there’s a surge in both viruses, it could overwhelm testing systems. Knowing which is which “will be an essential component for public health surveillance,” in addition to how sick people are managed.
The extent to which people keep social distancing and masking will be important for both COVID-19 and the flu. There’s control over that, Loeb says. “On the other hand there’s a lot of return-to-normal activities, like school,” which might make it more difficult to contain both.
In Ontario, a child who gets ill with symptoms of COVID-19 will be isolated and sent home, and one case in a classroom could shut down the class for 14 days.
“We’re seeing a spike in infections just as schools are opening up,” says Steven Taylor, a professor and clinical psychologist at the University of British Columbia. Historically, schools have been hotspots for flu and other respiratory infections, “and likely will be hotspots for COVID-19 transmission,” Taylor says, though countries with low virus rates haven’t seen significant transmission among school children.
“Schools will send children home if the school is unable to determine whether a child has COVID-19 versus a cold or flu,” Taylor says. “For many families that means parents will have to try to work from home.”
But McGill’s Buckeridge says there’s room for hope. “As far as we know people don’t transmit influenza virus unless they have symptoms,” he says. “It would be almost societally unacceptable right now to be walking around with those kind of symptoms. And that’s when you’re transmissible for flu. We would expect there to be much more prompt isolation of cases of infectious influenza” than usual, he says.
• Email: skirkey@postmedia.com | Twitter: sharon_kirkey
Health
What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season
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.
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Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca. |
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Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca. |
Health
Here is how to prepare your online accounts for when you die
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 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.
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Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.
Health
Pediatric group says doctors should regularly screen kids for reading difficulties
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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