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Health officials searching for passengers after Toronto’s coronavirus patient showed symptoms on his flight

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Toronto public health officials are tracking down almost 30 passengers who sat within a two-metre radius of a man who had coronavirus symptoms while travelling by plane to Toronto.

“It’s just a little under 30,” said Dr. Eileen de Villa, Toronto’s medical officer of health, when asked by the Star for the number of passengers her office is contacting. She added that some of those passengers are likely somewhere outside of the city.

The passengers are being contacted by phone, informed that they may have been exposed to the coronavirus, told of the health symptoms to look for, and to seek medical treatment if necessary, de Villa said in a phone interview.

The 50-year-old man presumed to be infected with the coronavirus experienced dry coughing and muscle aches while on the flight from China to Pearson airport, she said. News that he had symptoms of the illness while travelling to Toronto was revealed earlier Sunday by Canada’s chief public health officer.

“Based on the latest information, the patient had symptoms on the plane,” Dr. Theresa Tam told an Ottawa news conference, which included federal Health Minister Patty Hajdu.

The man arrived Wednesday on China Southern Airlines flight CZ311. He flew from Wuhan, the epicentre of the coronavirus outbreak, to Guangzhou and from there directly to Toronto.

Protocols implemented at international airports in Toronto, Vancouver and Montreal instruct passengers to inform border officials if they are experience flu-like symptoms, including fever, coughing and shortness of breath. But Dr. Rita Shahin, Toronto’s associate medical officer of health, told the Star the infected man arrived in Toronto the day before those protocols were implemented at Pearson.

“Screening was not yet in place when that flight came in,” Shahin said. “Screening started the following day.”

 

Asked why the screening wasn’t in place earlier at the airport, Shahin said that’s a question best answered by federal authorities. But neither Tam or Hajdu seemed to realize protocols weren’t in place when they held their news conference Sunday morning.

Tam told reporters that airport protocols were followed when the man landed. She explained that arrival screens instruct passengers to inform border service officers if they’re sick after travelling to coronavirus affected areas. Health screening questions are also asked when using electronic customs kiosks at the three airports.

A passenger who reports symptoms after travelling to an infected area is quarantined and medically assessed, Tam said, adding she did not currently see the need for more extreme airport protocols.

“The system is working,” she said, referring to the patient’s example. “The person obviously got the information that they needed to enter the health system in a safe and responsible manner.”

But asked repeatedly if the man had reported to Pearson airport authorities that he was experiencing symptoms, Tam suggested she didn’t know, noting the information about symptoms on the plane had been newly received Sunday morning after an interview with the patient.

“This patient may have had some mild symptoms, certainly not something that would have been particularly obvious,” Tam said, adding her agency had received no report about the patient when he came through Pearson airport.

Toronto Public Health now says the protocols weren’t in place, so the patient likely didn’t know he had to tell border officials about his symptoms, or that he had been to Wuhan.

Tam said passengers who weren’t within the two-metre radius with the patient on the plane “should not be overly concerned.”

“For the rest of the plane, if you don’t get a call from public health authorities it means you were not right next to that two-metre radius,” Tam said, adding that passengers who are not contacted “should remain calm.” Two metres is about the distance that infected droplets from a cough would travel.

Tam’s deputy, Dr. Howard Njoo, said it’s possible some passengers who were seated close to the patient live in provinces outside of Ontario.

In a statement Sunday, de Villa said passengers have been showing up at local hospital emergency departments without symptoms.

“While we appreciate that people may have concerns, and that people may worry about their health, we encourage people who were on this flight and who do not have signs of illness to continue with their routine activities and we ask that these people do not present to the health care system,” de Villa said.

After landing in Toronto, the infected man was taken from the airport in a private vehicle and authorities say he had little contact with anyone since his arrival outside of his immediate family. The patient called 911 the day after his arrival, was taken by ambulance to hospital Thursday, and is in stable condition.

De Villa said in an interview that only one member of the man’s family was in close contact with him. The family member has no symptoms and is doing well.

China’s health minister, Ma Xiaowei, told reporters in Beijing Sunday that an infected person can spread the coronavirus to others before experiencing symptoms. That’s different than the SARS coronavirus, which couldn’t be spread during incubation. The SARS outbreak began in China in 2002 and killed almost 800 people worldwide. The current coronavirus so far seems less dangerous than SARS. But de Villa cautioned that the virus was identified less than a month ago and the situation is “evolving.”

Hajdu stressed that “the risk is extremely low for Canadians,” noting the virus is spread only through close contact. “There is no need for Canadians to be alarmed,” she said, adding health authorities have learned much since SARS killed 44 people in Toronto.

Given global travel patterns, Tam said she expects more coronavirus cases will be “imported into Canada in the near term.” And she urged people participating in large public gatherings to take typical winter time precautions — “wash your hands, don’t cough towards someone, cough into a tissue or into your sleeve and discard the tissue properly. And stay home if you’re sick.”

The United States government is sending a charter plane to fly its consular staff out of Wuhan. Hajdu said the Canadian government is not currently planning a similar airlift for Canadians citizens there. But the government will assist Canadians who want help leaving Wuhan if they reach out to Global Affairs, she added.

The man believed to be infected was taken by ambulance to Toronto’s Sunnybrook hospital Thursday with a fever and cough. Tests came back positive for coronavirus on Saturday and the man is now being treated in isolation in a “negative pressure” room at the hospital. Dr. Jerome Leis, Sunnybrook’s medical director of infection prevention and control, said Sunday the patient remains in stable condition, and will only be released when he’s no longer a contagion risk. Leis said the patient’s presence at the hospital is not affecting care being given to other patients.

Tam said she expects laboratory confirmation on the presumed coronavirus infection within 24 hours.

Toronto Public Health is investigating every place the patient may have visited and any people he came in contact with, said Dr. Eileen de Villa, Toronto’s medical officer of health, at a separate press conference on Saturday.

Health officials around the world are working to contain the coronavirus, known as 2019-nCoV, which as of Sunday had infected nearly 2,000 people and led to 56 deaths in China, where it originated. Despite its rapid spread, the virus had not been declared an international public health emergency by the World Health Organization.

In central China’s Hubei province, some 51 million in 16 cities are essentially quarantined and under a travel ban.

 

Aside from China and Canada, cases have been reported in the U.S., Japan, South Korea, Thailand, Singapore, Vietnam and Hong Kong.

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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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