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Health experts urging quicker vaccine rollout as COVID-19 cases surge, doses sit in freezers – CTV News

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TORONTO —
Health experts and seniors advocacy groups are urging provinces to speed up COVID-19 vaccinations as coronavirus infections surge following the holiday season.

Since the first vaccine was administered three weeks ago, on Dec. 14, slightly more than 121,000 people have received Pfizer or Moderna shots. That’s 0.319 per cent of the Canadian population. As of Monday afternoon, only Prince Edward Island had administered doses to more than 1 per cent of its population, according to the CTVNews.ca vaccine tracker. In Ontario, more than 110,000 doses — or more than 70 per cent of the province’s supply — sit in freezers, with approximately 42,000 administered in three weeks.

“Vaccine helps nobody if it’s in the closet,” Laura Tamblyn Watts, CEO of CanAge, a national seniors advocacy organization, told CTV News Channel on Monday.

“This needs to be a 24-7 initiative as we have seen in other countries. Vaccine spread is what we need to do. We need to make sure that it gets into the arms of people who need it because the virus does not stop for holidays.”

The calls for a speedier rollout come following weeks of an intensified second wave of COVID-19 infections around the country that has included new outbreaks in long-term care and retirement homes where much of Canada’s most vulnerable people live. Since mid-December, Canadian health officials have recorded more than 130,000 new infections. The majority of those infections have been in Ontario and Quebec, two provinces that have differing immunizations strategies. In Quebec, health officials have suggested they may forego second doses of Pfizer or Moderna vaccines in favour of immunizing more people with available shipments.

DOSING TWO-SHOT VACCINES

It’s a strategy that has faced a range of reactions from health experts, some of whom say the idea could help speed up immunity and others who say it’s too risky.

Quebec’s plan to speed up vaccination by delaying or even eliminating the second dose of the Pfizer or Moderna vaccines could backfire, said Dr. Colin Furness, an epidemiologist and assistant professor at the University of Toronto, who said that strategy uses people as “experimental subjects” without their consent.

“We also think that giving people partial immunity might actually provide an excellent opportunity for COVID-19 to mutate around the vaccine,” he told CTV News Channel on Monday. “I think that we need to proceed with what’s been proven.”

Other experts have said that using up all current shipments, rather than holding back some doses for later, is a more appropriate strategy. Infectious disease expert Dr. Sumon Chakrabarti said everyone should get both, but the one-dose strategy could work in the meantime to speed things up.

“Having many people that are partially protected, I think, is better on the whole than having a few people that are fully protected and still a lot of people who are vulnerable,” he told CTV News Channel.

MANAGING COLD LOGISTICS

One of the major slow-downs with the initial shipments of COVID-19 vaccines was the complicated storage requirements of the Pfizer-BioNTech product, which needs to be kept at temperatures between -60 C and -80 C until injection. Ontario has been particularly cautious with this guidance compared to Quebec, British Columbia and other jurisdictions around the world, said Dr. Samir Sinha, the Director of Geriatrics at Mount Sinai and the University Health Network in Toronto.

While much has been made about the difficulty of transporting the Pfizer vaccine, Dr. Sinha says that might not have been necessary.

“When you actually read the product monograph, you can actually transport these vaccines with dry ice and other things,” he said, adding that West Virginia vaccinated all 214 of its long-term care facilities by Dec. 30.

“If West Virginia can get it done, why can’t we get this done in Ontario?” he said on CTV News Channel on Monday.

“We’ve got health professionals who’ve been raising their hands saying ‘If it’s just a matter of you need more people, we’re willing to do this 24-7.’” 

IMMUNIZING LONG-TERM CARE

Long-term care and retirement homes have facilitated mass immunizations before, as recently as last fall, noted Sinha. In October, there was concern that those facilities would bear the brunt of what some called a “twindemic” of influenza and COVID-19. Instead, provinces mobilized long-term care and retirement homes quickly.

“These homes, without a whimper, got all their residents and staff vaccinated within a week or two,” he said. “We have tens of thousands of dose[s] of just the Moderna vaccine that are still sitting in fridges and freezers that have been here long enough.”

Sinha’s is the same message that CanAge CEO Tamblyn Watts has for federal and provincial officials: use the systems that have long been in place.

“This is a vaccine problem, not really a logistics problems,” said Tamblyn Watts. “We have existing systems to put vaccine into people … Get public health involved, get doctors involved, get pharmacists involved. Don’t keep it so off to the side that people can’t get vaccinated.”

‘CUTTING DOWN BUREAUCRACY’

Though much red tape was cut to expedite the development of COVID-19 vaccines in 2020, the distribution of those vaccines in Canada may be facing official procedures contributing to the slow rollout. “There is something to be said about the bureaucracy of what’s been going on recently,” said Dr. Zain Chagla, an infectious disease specialist and associate professor at McMaster University in a phone interview with CTVNews.ca on Monday, noting public health protocols, the implementation of registration systems, and the development of teams to go into a variety of health facilities, to name a few procedures.

Compared to other countries, Canada has procured the most vaccine doses per citizen, but is falling behind in the rollout. Israel has vaccinated more than 14 per cent of its population, according to Our World in Data. The U.S. has vaccinated millions, or more than 1.2 per cent of its population. Health officials in Canada could consider looking at global models for the future rollout, particularly models that are “good enough” and not based on “perfection.”

“They don’t necessarily deal with models where there’s perfection around tracking, there’s perfection around registration and all that stuff,” he said. “It gives us a good scope to start looking at how [we can] minimize the bureaucracy in rollout.”

‘THE WAY FORWARD’

The irony of the vaccine rollout is that putting needles into arms is not difficult, added Chagla. While there are certainly human resource and training issues related to staffing and proper care at nursing homes and other facilities, injecting needles is not one of them. 

“Most nursing students and medical students as well as other health professionals — it’s a core competency off the bat,” said Chagla.

Provinces will have to find a way to register individuals quickly and on a mass scale who can help with administering vaccines, but also other health professionals like pharmacy technicians to handle medications appropriately, non-clinical professionals to work through clerical procedures like registration and consent.

“Realistically, there’s a huge human resource potential to tap into to optimize all of that, such that every community has access to vaccine,” he said. 

“Honestly, the way forward is not with hospitals,” he added, though the finicky Pfizer vaccine may be best for hospital use considering it must be stored at extreme cold temperatures. Instead, the rollout of more COVID-19 vaccines, first with Moderna, will depend on more than hospital systems but also public health and primary care, said Chagla.

“Realistically, that Moderna campaign really does need to be taken to communities and engaged at all levels,” he said.

“There is certainly a big lesson to be learned here in that, and a lesson to be learned in cutting down bureaucracy and how to recruit the community appropriately, because there are resources out there.” 

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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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