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Lung cancer death rates decreasing but still biggest cancer killer, report says

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MaryAnn Bradley was bracing herself for a heart disease diagnosis when her cardiologist told her an X-ray showed a shadow on her right lung.

“I just thought I was going to die. That was it,” she said.

Bradley, now 68, had been pushing doctors to find out what was behind an unrelenting pain in the left side of her neck.

The St. Catharines, Ont., woman was “completely devastated” to learn she had stage 1 lung cancer, especially because her father had died of the disease years before.

A few weeks later, a thoracic surgeon removed the tumour.

“Everything went fantastically well,” Bradley said.

She’s been cancer-free for 10 years now, and goes back for CT scans to make sure it’s caught early if it ever returns.

“I had a great recovery and I’ve never looked back,” said Bradley, who now advocates for early detection of lung cancer and volunteers with Lung Cancer Canada as a peer mentor for others who get the diagnosis.

An annual report on cancer statistics released Wednesday says more people with lung cancer are surviving like Bradley.

Lung cancer death rates are declining faster than any other type of cancer in this country, according to Canadian Cancer Statistics 2023, which is compiled by the Canadian Cancer Statistics Advisory Committee, along with the Canadian Cancer Society, Statistics Canada and the Public Health Agency of Canada.

Lung cancer death rates have decreased by 4.3 per cent per year since 2014 for males and 4.1 per cent per year since 2016 for females, the report says.

“To me, this finding really highlights the progress that has been made in reducing lung cancer incidence through commercial tobacco control,” said Jennifer Gillis, an epidemiologist in Vancouver and senior manager of surveillance at the Canadian Cancer Society.

According to the cancer society, smoking tobacco is a factor in about 72 per cent of lung cancer deaths.

As of 2021, about 11.8 per cent of people age 12 and older in Canada smoked, Statistics Canada says.

The Canadian Cancer Society aims to reduce the smoking rate to five per cent by 2035, estimating it could prevent more than 50,000 cancer cases.

Other risk factors that can increase someone’s risk for lung cancer include radon gas, asbestos and air pollution, it said.

More research is also needed on e-cigarettes and vaping to determine the long-term effects of the chemicals they contain, the report said.

In addition to cutting down smoking rates, the report reflects progress in early screening and advances in treatment options, Gillis said.

“We’re really improving outcomes for people who have been diagnosed and are affected by lung cancer,” she said.

But despite the progress made, lung cancer is still responsible for about one in four cancer deaths in Canada, and remains the leading cause of cancer mortality, the report said.

The report estimates 20,600 people in Canada are expected to die from lung cancer in 2023.

Statistics Canada estimates lung cancer survival rates are 62 per cent for people diagnosed at stage 1, and 39 per cent at stage 2. That drops to 16 per cent at stage 3 and three per cent at stage 4.

The report says colorectal cancer is expected to be the second leading cause of cancer death in 2023, followed by pancreatic cancer.

Early lung cancer screening through CT scans makes a “powerful” difference, said Dr. Christian Finley, a thoracic surgeon at McMaster University in Hamilton, and a member of the Canadian Cancer Statistics Advisory Committee.

Ontario and British Columbia are running programs and several other provinces are trying to pilot them, he said.

Where lung cancer screening is available now, it’s targeted to people with a long history of smoking, Finley said.

Reducing stigma around lung cancer is also critical, he said.

“It’s one of the great sadnesses I have that I meet people for the first time and we talk about that they may have lung cancer and there’s so much self-blame there,” Finley said.

Bradley has experienced that stigma first hand.

Although she’s not a regular smoker, “my workmates and I would go out on Friday evening after work and have a drink, and with that drink we would have a cigarette,” she said.

“Was that the cause of my cancer? I don’t know. There was nothing that pointed towards that,” Bradley said.

“You always have that bit of guilt that maybe if I didn’t do that, I wouldn’t have gotten cancer.”

Stigma around lung cancer is so damaging that it can even affect people’s health-care decisions, Bradley said.

A couple of years ago, she volunteered as a peer mentor for a 48-year-old man in Thunder Bay, Ont., who had been diagnosed with lung cancer, she said.

He died and talking about him still brings her close to tears.

“He refused treatment because he blamed himself,” Bradley said.

“He just said, ‘No, I’ve done this to myself. I can’t go through anything. I just can’t because I did this to myself.’ He was so depressed. It was really awful,” she said.

Stigma and shame around lung cancer has also affected funding for research, prevention and treatment, said Finley.

Finley was a co-author of a study comparing research funding for different cancers published in 2018 in the journal Current Oncology.

Compared to other cancers, lung cancer is “dramatically underfunded,” he said.

“Lung cancer is responsible for 25 per cent of the (cancer) mortality and it gets five per cent of the funding,” he said.

The Canadian Cancer Society has been working to change that, investing millions of dollars into lung cancer research through “breakthrough grants,” Gillis said.

Patients with lung cancer have lots of reason for hope, Finley said.

“We’re doing minimally invasive surgeries that are really exciting. So people are going home the next day,” he said.

“Radiation is getting more targeted and better. And then the chemotherapy phase, they’ve got these new immunotherapies which can do miraculous things.”

“I’m optimistic,” he said.

This report by The Canadian Press was first published Nov. 8, 2023.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

Nicole Ireland, The Canadian Press

 

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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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