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Measles: What to know about symptoms & risks as Ontario's top doctor warns of 'potential outbreaks' – Yahoo Canada Shine On

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This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Contact a qualified medical professional before engaging in any physical activity, or making any changes to your diet, medication or lifestyle.

Measles virus particle, illustration. This virus, from the Morbillivirus group of viruses, consists of an RNA (ribonucleic acid) core surrounded by an envelope studded with surface proteins haemagglutinin-neuraminidase and fusion protein, which are used to attach to and penetrate a host cell. Measles is a highly infectious itchy rash with a fever. It mainly affects children, but one attack usually gives life-long immunity.

There are four confirmed cases of measles in Canada, and doctors are worried. (Getty)

Ontario’s top doctor is sounding the alarm to public health officials about a “dramatic rise” in measles cases in other parts of the world.

Chief Medical Officer of Health Dr. Kieran Moore told health agencies Tuesday there are four active cases of measles in Canada, including two in Ontario. “Given this dramatic rise in cases globally, health system partners in Ontario must be prepared for the continued importation of cases and potential outbreaks,” Moore’s memo said.

“While measles is no longer considered endemic in Canada, outbreaks can happen when susceptible individuals (e.g., unvaccinated) travel to and return from countries where measles is circulating.”

The Ontario cases of measles involve two children who recently travelled, and one was hospitalized in Toronto earlier this month.

Moore is urging doctors and health providers to encourage vaccinations for measles, especially with March Break around the corner. “Importation and resultant local transmission can, and has, led to measles outbreaks in Canada,” he added.

Toronto and the Peel region public health agencies said they were reaching out to known contacts who might’ve been exposed to the highly-contagious virus in the two confirmed cases. “A reminder for anyone who is planning international travel to a destination with high levels of measles to ensure they are immunized against measles,” PPH noted in mid-February, adding all Ontarians are eligible for two publicly-funded doses of the MMR vaccine.

Measles cases are rising worldwide, according to a recent report from the World Health Organization. (Photo via Getty Images)Measles cases are rising worldwide, according to a recent report from the World Health Organization. (Photo via Getty Images)

Measles cases are rising worldwide, according to a recent report from the World Health Organization. (Photo via Getty Images)

A November report from the World Health Organization (WHO) and the Centers for Disease Control confirmed measles cases are rising worldwide — and more people are dying from it.

The report indicated there was an 18 per cent increase in estimated measles cases and a 43 per cent increase in estimated measles deaths in 2022 compared with 2021.

Researchers said this is a result of millions of children missing measles vaccinations during the COVID-19 pandemic. “Global coverage with measles-containing vaccine (MCV) declined during the COVID-19 pandemic to the lowest levels since 2008, and measles surveillance was suboptimal,” the report said.

Canadian infectious disease specialist Dr. Isaac Bogoch previously told Yahoo Canada he wasn’t surprised by the report, adding it was clear there was “a breakdown of many public health programs throughout the course of the pandemic.”

Bogoch described the virus as the “canary in the coal mine” of public health, adding outbreaks are “visible, and they’re explosive, and obviously, they can be devastating.”

In 2022, there were 136,200 deaths from measles. Nearly all of those deaths were children, the majority of whom were under the age of five.

Should Canadians be worried about these rising numbers or the recent cases found closer to home? Read on to learn everything you should know about measles and prevention.

Measles symptoms include high fever, cough and a rash all over the body. (Photo via Getty Images)Measles symptoms include high fever, cough and a rash all over the body. (Photo via Getty Images)

Measles symptoms include high fever, cough and a rash all over the body. (Photo via Getty Images)


What is measles?

According to the WHO, measles is a “highly contagious disease” caused by a virus of the same name.

It “spreads easily when an infected person breathes, coughs or sneezes,” the agency explained, adding the virus attacks the respiratory system first, before spreading through the body.

Symptoms can include:

Complications from measles are what causes the majority of deaths, including:

  • blindness

  • encephalitis (an infection causing brain swelling or damage)

  • severe diarrhea and dehydration

  • ear infections

  • severe breathing problems

These complications are most likely to occur in children under five years old and adults over 30, the WHO said.

Bogoch added there’s a misconception, “some people think measles is no big deal. … It’s important to note that it’s associated with significant morbidity. You can get very, very sick from measles.”


How common is measles in Canada?

Despite the global surge, Canada has reported very few cases of measles, thanks to the nation’s high vaccination coverage. Although, some parts of the country are seeing a decline in vaccine uptake, including Alberta where vaccination rates in 2022 dropped from 2018.

Bogoch noted the few cases seen in Canada are predominantly imported, often originating from regions with lower vaccine rates. However, the issue could be that some Canadian children missed out on routine vaccination during the pandemic.

Current recommendation for routine measles vaccines is two doses, the first administered at 12 to 15 months of age and the second dose at 18 months of age or after, but before school.

“Could we see the propagation of cases in Canada after we’d have an important case, if we do see lapses of vaccination?” Bogoch questioned, answering it wouldn’t be surprising. “There’s so little wiggle room with with measles.”


Should Canadians be worried about rising cases globally?

A child about to be given the MMR (mumps, measles, rubella) vaccination into their arm by a surgery nurse with a hypodermic syringe, England, UK.A child about to be given the MMR (mumps, measles, rubella) vaccination into their arm by a surgery nurse with a hypodermic syringe, England, UK.

Two doses of a measles vaccine provides nearly 100 per cent protection from the virus. (Getty)

Bogoch advocated awareness rather than undue concern.

While Canada has few measles cases, individuals who choose not to be vaccinated might face risks, especially when travelling to areas with lower vaccine coverage. It’s crucial for Canadians to stay informed about their vaccination status and ensure that routine vaccinations are up to date.

The vaccine is safe, effective, and does a remarkable job in preventing infection.Dr. Isaac Bogoch

Bogoch said some individuals, despite being pro-vaccine, might not be up to date due to receiving only one dose, especially those born before the 1990s. He encouraged those in doubt to consult health-care providers, including physicians, nurse practitioners or pharmacists.

“One dose provides pretty good protection against measles, but two doses is much better,” he claimed.

While Canadians may not face an immediate threat from the global rise in measles cases, awareness and proactive vaccination are essential.

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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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