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Manitoba doctors prescribe healthy dose of caution when relaxing public health orders – CBC.ca

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Three Manitoba doctors who signed a letter calling for a provincewide lockdown in the fall say easing restrictions too soon and too fast could lead to another surge of COVID-19 cases in the province. 

“Based on what I’m seeing, it seems to me that there’s a very high probability that if we implement all of the lifting of restrictions that were listed, we’re going to be right back with restrictions in, you know, three, four weeks,” said Dr. Anand Kumar, an infectious disease expert and Winnipeg intensive care specialist.

While all of Manitoba is at the critical level on Manitoba’s pandemic response system, the province announced Tuesday it was considering relaxing some of the current health measures, in all regions but the north, as early as Saturday.

Possible changes include allowing people to have two visitors inside their home, five guests outside on their property and increasing the number of people allowed at a funeral to 10.   

The province is also considering allowing stores to reopen, as long as they comply with occupancy limits and physical distancing measures, and removing restrictions on the purchase of non-essential items. 

Additionally, hair salons and barber shops are on the list of businesses that could begin operating again.  

Kumar said one-one-one services like those offered at a hair salon are lower risk as long as safety measures, including masking, are in place. 

However, he said he’d like to see the province wait until the number of new infections reported daily is around 40 or 50, which he thinks would allow for aggressive contact tracing, and a test positivity rate closer to five per cent before making too many changes at once.

Dr. Anand Kumar says loosening restrictions too soon could send the province back into a situation where the health system is overloaded with COVID cases. (John Woods/The Canadian Press)

Kumar said new, more infectious variants of COVID-19 have been detected in Canada and the province’s health care system needs to be able to respond if case numbers soar. 

“If you just push the numbers below what will cause overload, it takes very little to go past overload,” said Kumar. “If we get the new infectious variant and we have that level of where we are just managing to handle it, we’re overloaded in two weeks.”

Manitoba reported 154 new cases of COVID-19 on Wednesday, including 70 cases in the northern health region. Winnipeg’s five-day test positivity rate dropped to 6.7 per cent, the lowest it has been since October. Manitoba’s five-day test positivity rate was 9.5 per cent. 

Dr. Kelly MacDonald, an infectious disease expert and professor at the University of Manitoba, said people need to remember that even if infection rates are lower in Winnipeg and parts of southern Manitoba, case numbers are surging in the northern region and the health care system serves the entire province. 

“It doesn’t matter if you’re from Treherne, Man., from Churchill, or from Flin Flon or from Winnipeg. If you need cardiac surgery you need to go to St. Boniface hospital,” said MacDonald. “If that ICU is full of COVID patients, you’re out of luck. So we need to make sure that we, you know, deal with capacity issues for everybody in the whole province.”  

MacDonald said she is among a group of physicians who at the beginning of January cautioned the provincial government against easing restrictions too quickly. 

“My thinking is that if we are going to loosen things up, we should do so in a stepwise manner so that we know what the impact is,” said MacDonald. “And that we let people know that this is a … sort of temporary measure to see the impact.”  

Manitoba’s acting deputy chief public health officer, Dr. Jazz Atwal, said at a news conference Wednesday that the province would be making careful choices about what will be allowed to reopen. 

“We need to take our time to do this, to do it right, so we don’t have to go back and forth. Opening and closing, opening and closing is not something we want to do.”

Dr. Philippe Lagace-Wiens a microbiologist and physician at St. Boniface hospital said he has concerns about allowing large shopping centres like malls to reopen. 

“Even at 25 per cent of capacity, there’s going to be a lot of people congregating there, a lot of people congregating in food courts and things like that,” he said. “I think that is a substantial risk that needs to be reconsidered.”

Dr. Philippe Lagace-Wiens is a medical microbiologist and physician at St. Boniface Hospital. (Philippe Lagace-Wiens/Facebook)

He said Manitobans should remember that even as restrictions ease, they still need to protect themselves against COVID-19. 

That includes wearing masks when visiting with another household, physical distancing, maximizing things like curbside pickup and deliveries and following public health guidelines about gathering sizes. 

“Keep those individuals consistent,” he said. “It can very, very damaging to the process if you decide, ‘I’m allowed to have two people, but I’m going to have two people today, and two different people tomorrow and two different people the day after that.’ At that point, it becomes essentially the same as gathering of a large number of people over time.”

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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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