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Loved ones worried about low staff vaccination rates at nursing homes – CBC.ca

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An average of only 65 per cent of long-term care staff working in Ottawa long-term care homes have received vaccinations against COVID-19, a survey by CBC reveals, leaving residents in some facilities to face further isolation and confinement as homes grapple to contain outbreaks, mainly involving staff.

The low staff vaccination rate is a serious concern for residents’ families, many of whom had hoped that once their loved ones and caregivers were vaccinated, there would be more freedom.

“Where’s public health?” asks Betty Yakimenko, head of the family council at Madonna Care Community in Orléans, where just 51 per cent of workers have received the vaccine.”

What it all boils down to is our family members are now still stuck in their rooms, yet again.– Betty Yakimenko, head of family council at Madonna Care Community

Yakimenko added: “Something needs to be changed. This is ludicrous. What it all boils down to is our family members are now still stuck in their rooms, yet again.”

Over the week of March 15, CBC Ottawa surveyed all 28 long-term care homes in the city, asking each home for the percentage of staff and residents vaccinated.

CBC compiled this research because information about staff vaccination rates is not public and could not be provided by Ottawa Public Health. OPH’s dashboard information was used to compare outbreaks, deaths and total case numbers. 

Two homes refused to provide CBC Ottawa with information: Villa Marconi and Manoir Marochel. 

An analysis of the data showed a stark contrast in the number of residents vaccinated versus staff across the city, and revealed that some homes have experienced a remarkable difference in success in vaccinating staff. 

Eight homes had fewer than 53 per cent of staff vaccinated against COVID-19. Five of those homes are currently in outbreaks. A select few homes have had success getting staff vaccinated, with five homes seeing an uptake of over 85 per cent.

In general, resident vaccination rates have been exceedingly high, with every home reporting at least 87 per cent of residents vaccinated.

The home with the lowest rate is Centre D’Accueil Champlain in Vanier, a city-run facility, where only 43 per cent of the 230 staff members have received at least one COVID-19 vaccine dose. 

The facility with the highest number of workers vaccinated is Osgoode Care Centre, a non-profit facility in Ottawa’s rural south. It’s seen a 95 per cent uptake among its 150 staff members. However, it is also experiencing its first outbreak of the pandemic, with one staff member with COVID-19.

WATCH | ‘Something needs to be changed’:

7 outbreaks in LTC home since last April

At Madonna Care Community — where 47 residents, two staff members and the spouse of a worker died of COVID-19 in 2020 — only 51 per cent of workers have received the vaccine, compared to 96 per cent of the residents by early February.

Madonna, operated by Sienna Senior Living, is in its seventh outbreak since last April, once again forcing residents to isolate in their rooms.  

“The fact that only 51 per cent of staff are vaccinated is a huge concern … it’s been a continuous outbreak and it’s all staff related,” said Yakimenko, whose mother, Elsie Stadler, has not contracted COVID-19.

Close to half the staff at Madonna have tested positive for COVID-19 since last spring, according to Ottawa Public Health (OPH).

We continue to work with health-care unions to encourage vaccination for all our team members.– Extendicare statement

Yakimenko, who is an essential caregiver and has already been vaccinated, doesn’t understand why uptake isn’t higher.

“If the staff don’t look after themselves, then who’s going to look after the residents?” said Yakimenko.

A spokesperson for Sienna told CBC it plans to hold staff town halls to provide “opportunities to learn about the vaccine and ask questions.” Sienna is also making arrangements to provide transportation to vaccinations.

The city and OPH have plans underway to make vaccinations available at nursing homes in the region. 

“An on-site clinic is scheduled for this Friday at the Centre d’Accueil Champlain home for staff and residents,” said Dean Lett, director of long-term care at the city.

A staff member at Ottawa’s Carlingview Manor waves from a window on May 15, 2020. An average of 65 per cent of long-term care staff working in Ottawa-area homes have received their COVID-19 vaccine, a CBC data analysis reveals. (Francis Ferland/CBC)

‘People are confused’

CBC spoke to two personal support workers at Ottawa homes where only about half the staff have been vaccinated. 

Both PSWs said co-workers fear there’s not enough proof vaccines are safe. 

“People are confused,” said one worker from Extendicare’s West End Villa, where 47 per cent of staff members have been vaccinated.  

In a statement to CBC, Extendicare said: “We continue to work with health-care unions to encourage vaccination for all our team members.

“However, until mass vaccination is completed and herd immunity is achieved in the community, the virus will continue to circulate and represent a threat to our homes.”

Access to vaccination delivery is also a concern for Natalie Mehra, executive director of the Ontario Health Coalition.

In some cases, staff had to find their own transportation to vaccination clinics and seek appointments on their days off, she previously told CBC.

“That staff group has been very severely exploited. They are often racialized. They have a lot of distrust of what’s being told to them and what’s happening.”  

Dr. Samir Sinha, director of geriatrics at Sinai Health System and the University Health Network in Toronto, has told CBC’s Ottawa Morning that Ontario’s rate of vaccinations among nursing home staff was ’embarrassingly low.’ (Ousama Farag/CBC)

Province won’t mandate vaccinations

The provincial government estimates 74 per cent of long-term care workers across Ontario have received one vaccination dose. 

Dr. Samir Sinha, director of geriatrics at Mount Sinai and the University Health Network Hospitals in Toronto, had told CBC’s Ottawa Morning that Ontario’s rate of vaccinations among nursing home staff is “embarrassingly low.”

“I don’t really want to blame anything on the staff here, because, frankly, Ontario’s support for its staff and its long-term care and retirement homes hasn’t honestly been terrific,” said Sinha. 

In an interview with CBC, the minister of health and long-term care, Merrilee Fullerton, said since nursing home staff were the first to be offered the shots, they “might have had some vaccine hesitancy. 

“Everyone who’s doing the vaccine is doing a tremendous job looping back to the homes to see if there are additional staff that would like to be vaccinated now that they understand more,” said Fullerton.

Yakimenko thinks the provincial government should make the vaccine mandatory.

The minister says that’s not something she plans to do at this point. 

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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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