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Heavier breathing, spewing droplets, poor ventilation add to gyms' superspreading risk – CBC.ca

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A recent COVID-19 outbreak at a southern Ontario fitness studio is illustrating how certain indoor settings can provide a perfect storm for superspreading events.

The studio, a downtown Hamilton Spinco location, has been connected to 69 cases of COVID-19 as of Wednesday, despite screening customers, operating at 50 per cent capacity and keeping the recommended two-metre radius around bikes.

So how did so many cases originate there? And does it raise concern about how the novel coronavirus can spread in a gym setting?

“Certainly, this event makes you wonder that,” said Dr. Matthew Oughton, an infectious disease expert at Jewish General Hospital and McGill University in Montreal.

“I can see where this could lead to perhaps gyms having serious restrictions placed on them if they want to avoid similar superspreading events.”

Ontario and Quebec recently reintroduced closures at gyms in virus hot spots, including Toronto, Montreal and Ottawa, for a four-week period to help limit spread.

And Dr. Barbara Yaffe, Ontario’s associate chief medical officer, said Wednesday authorities are reviewing guidelines for fitness studios across the province after the Hamilton outbreak.

Oughton said gyms and fitness studios have a few strikes against them when it comes to tailoring them for the pandemic.

Heavier breathing expels droplets farther

They’re operating almost exclusively indoors, which makes for poorer ventilation, and patrons aren’t usually masked when engaging in strenuous exercise.

High-impact activity also leads to heavier breathing, which means droplets are being expelled from peoples’ mouths at an accelerated rate — and being propelled farther distances.

An employee at a Gatineau, Que., gym wipes down equipment in late June during the pandemic. When people are exercising vigorously, the volume and distance of what comes out of their mouth and their lungs differs than when they speak normally. (Frédéric Pepin/Radio-Canada)

Dr. Andrew Morris, a professor of medicine at the University of Toronto, likens it to throwing a ball. The harder you throw, the farther it goes.

“We still don’t have a perfect understanding of this,” he said. “But we do know that when people are exercising vigorously, the volume and distance of what comes out of their mouth and their lungs is dramatically different than when somebody is speaking [in a normal way].”

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If people are shouting, cheering or singing — which often happens in a spin class where music is blaring and instructors spew out encouragement to keep participants’ intensity up — that can make things worse.

“And if you mix that in with a space that may not have proper ventilation, there is risk for a lot of spread to occur,” Morris said.

Dr. Ilan Schwartz, an infectious disease expert with the University of Alberta, said spin classes may pose more risk than other group settings because of the bikes themselves. In theory, the rapidly spinning wheels could aerosolize droplets by flinging them farther distances.

“I haven’t seen any studies of this, but theoretically it makes sense,” he said.

“I think going to the gym isn’t necessarily high-risk, unless individuals are close together and there’s poor ventilation. But there might be specific circumstances that could make it higher-risk, where something with fast, moving parts [or] a rapidly moving fan can generate aerosols as well.”

Holland Philpott participates in an outdoor yoga class in a dome to facilitate distancing and proper protocols to prevent the spread of COVID-19, in Toronto in June. (Carlos Osorio/Reuters)

But Morris said the real danger comes when people are spewing out droplets in a poorly ventilated space.

Fitness class dangers not equal

The prolonged length of time spent in a spin class, typically one hour, and the number of people in the room will also impact risk.

Not all fitness classes will present the same dangers, he added.

A low-impact yoga class where hearts aren’t racing and breathing is kept under control seems safer than a high-impact spin class but not if it’s crowded and poorly ventilated.

A dance class, where participants are crisscrossing into airspace previously occupied by others, can be risky as well in the same environment.

A lone jogger, wearing a protective face mask, runs with her dog in the Tuileries Garden in Paris as a lockdown is imposed in March. Masks, while uncomfortable when working out, can be worn. (Charles Platiau/Reuters)

“Assuming that room has relatively poor ventilation, that’s the kind of setting where yes, you’d be concerned about the potential for transmission,” Oughton said. “But if you had the exact same room with an excellent HVAC system, or the same room where windows were kept open … those are the kinds of things you could do to reduce the risk.”

Morris said finding ways to make these activities safer is always better than banning them.

Masks, while uncomfortable when working out, can be worn in most instances, he said. Improving ventilation and limiting numbers of people even further can also help.

“If we’re going to be successful, we can’t keep telling people they can’t have these things,” Morris said. “We need to be able to point to something and say, ‘This is the better choice.”‘

Schwartz said frequent hand-cleaning and the sanitization of equipment should also be kept in mind, even if surface transmission isn’t as concerning as it was earlier in the pandemic.

“And for now, I think it’s probably a good idea to avoid spin classes,” he added.

Oughton foresees people taking their workouts outdoors in new ways over the winter if gyms and fitness centres are deemed too risky.

That could mean dusting off the skates or ski boots.

“I think this is going to re-emphasize the safety and the necessity of being able to get some activity and fresh air outside,” he said.

“Hopefully, we find new appreciation for outdoor winter sports that we can all enjoy.”

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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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