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My third COVID-19 infection: Why reinfection can be anything but mild

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As the pandemic approaches its third anniversary, most people are well and truly bored with COVID-19. With so many of us having recovered from at least one COVID-19 infection, not to mention being vaccinated and/or boosted, it is seductive to believe that catching it again won’t matter.

I’ve been to pubs and parties, packed myself onto public transport without a facemask, and entertained various guests with ‘colds’. But having just experienced COVID for the third time, I am regretting letting my guard down.

This is particularly true in the Omicron era, where we’re encouraged to believe that COVID-19 is ‘nothing but a minor sniffle’ and we must ‘learn to live with the virus’. I too have been enjoying largely living life as if the pandemic never happened in recent weeks and months. I’ve been to pubs and parties, packed myself onto public transport without a facemask, and entertained various guests with ‘colds’. But having just experienced COVID for the third time, I am regretting letting my guard down.

I am not advocating a return to full or even partial lockdowns; I desperately want my kids to continue attending school, and I don’t think pubs or restaurants need to stop serving customers indoors either. But as evidence mounts that northern hemisphere countries could experience a new wave of COVID-19 infections as winter approaches, combined with the return of influenza and other everyday illnesses, the onus is on everyone to do what they can to keep themselves – and each other – healthy.

COVID-19 reinfection

This latest bout of COVID-19, was my third in less than three years. The first, in March 2020, was characterised by a persistent cough and chest pains; the second, in June 2021, by fatigue and loss of taste and smell (I still suffer from “parosmia”). Having recovered from these infections, and been vaccinated, and boosted – twice – I had assumed that were I to catch it again, any illness would be negligible.

Ever since the rise of Omicron, scientists have talked about its relative mildness – particularly in healthy people who have been vaccinated, like me. But my third experience of COVID-19 has been my worst yet.

Part of the problem, I think, is that the medical description of “mild illness” is at odds with the normal perception of “mild”, such as with mild weather or mild cheese. When doctors and scientists talk about “mild COVID-19”, what they mean is “not severe enough to cause breathing difficulties”.

This time, I experienced various “cold-like” symptoms – sore throat, sneezing, runny nose – but it was the feverishness and headaches that immobilised me in bed for three days, unable to cook, do anything for my kids, or work. Fortunately, I am gradually starting to feel better, but my experience of “mild COVID” was easily on par with flu – an illness I previously vowed never to catch again. The possibility of going through it all again next year, assuming that’s what ‘living with coronavirus’ means, is already filling me with dread.

Waning immunity

Whereas at the start of the pandemic, nobody had any immunity to SARS-CoV-2, nearly three years on, everyone’s immune systems are on a slightly different learning curve.

Unfortunately, current COVID-19 vaccines still only top-up people’s immune protection for a limited period before their antibody levels begin to drop. They will still be largely protected against severe disease and death, but waning antibodies increase individuals’ susceptibility to reinfection.

Although at the extreme end of the spectrum, reinfections tend to be less severe than people’s first brush with SARS-CoV-2, data from the UK’s Office for National Statistics have suggested that the proportion of people reporting symptoms during reinfection varies according to which variants they have been infected with before. When they were infected, relative to their last COVID-19 infection or vaccination, could also influence their symptom severity, because levels of protective antibodies gradually diminish over time.

Then there’s how much virus someone is exposed to. According to Ben Krishna, a postdoctoral researcher in immunology and virology at the University of Cambridge, UK, infection with a higher dose of virus (say, if someone with COVID-19 sneezes in your face) could enable higher levels of virus to gain a foothold in the body before the immune system manages to stamp them out, resulting in more severe symptoms.

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Booster campaign

My last COVID-19 booster was in June, so I was surprised to have come down with it again so soon. My experience shows that boosters do not offer total protection from the disease even though they are very effective in preventing severe disease and death. COVID-19 vaccines have had a massive impact on people’s risk of being hospitalised with or dying from the disease, and are the reason many countries have largely been able to return to normal life, without hospitals being overwhelmed.

Unfortunately, current COVID-19 vaccines still only top-up people’s immune protection for a limited period before their antibody levels begin to drop. They will still be largely protected against severe disease and death, but waning antibodies increase individuals’ susceptibility to reinfection.

Unlike the COVID-19 waves we experienced during 2020 and 2021, where a single variant, such as Delta, rapidly outcompeted all others and spread across the world, virologists are currently tracking the growth of multiple subvariants

The rationale for some countries launching COVID-19 booster campaigns in the coming weeks and months is to temporarily boost antibodies, reducing the risk of a sharp increase in severe cases, precisely when hospitals are likely to be grappling with a spike in influenza admissions. It is therefore important to take up the offer of a booster vaccine, if you are offered one, but it won’t make you invincible.

Viral evolution

Then there’s the issue of increasingly immune-resistant subvariants. Although the WHO hasn’t assigned any new Greek letters since Omicron, the subvariant that’s making me sick is likely very different to the one that infected my husband in early March, which was itself quite different to the original BA.1 version of Omicron that emerged in November 2021. The number of new, and potentially worrying Omicron subvariants in circulation right now, is unprecedented.

Unlike the COVID-19 waves we experienced during 2020 and 2021, where a single variant, such as Delta, rapidly outcompeted all others and spread across the world, virologists are currently tracking the growth of multiple subvariants, each carrying overlapping changes to the spike protein, which SARS-CoV-2 uses to grab onto, and infect human cells. Crucially, these mutations affect the ability of antibodies to recognise the virus and block it from infecting us.

If you are unfortunate enough to be reinfected, it is still likely that your infection will be mild. But mild doesn’t necessarily mean trivial. Not everyone has the benefit of sick pay, or a partner who can take over all childcare duties while their other half quarantines in bed.

Although vaccination and previous COVID infections have left us with other weapons against the virus, its ongoing evolution and individuals’ waning immunity means that even people who caught COVID-19 in May or June, when the BA.4 and BA.5 Omicron subvariants took off, could be susceptible to reinfection with the newest crop of subvariants, assuming they continue to spread.

Disruptive illness

If you are unfortunate enough to be reinfected, it is still likely that your infection will be mild. But mild doesn’t necessarily mean trivial. Not everyone has the benefit of sick pay, or a partner who can take over all childcare duties while their other half quarantines in bed. Even for those lucky enough to have these things, the risk of Long COVID still looms large.

COVID-19 isn’t just about individual risk. There are still plenty of people in our communities who risk being hospitalised, or developing lasting disability, if they catch COVID-19 – even if they’ve been vaccinated. This includes people who may look relatively young and healthy. Living life as if there’s no pandemic is risky – for everyone.

It is also unsustainable. Widespread absences due to COVID-19, flu, or any other infection, risks there being too few teachers, delivery drivers, healthcare staff and other essential workers to keep society running as normal.

Everyone wishes for a return to normal life, but behaving as if there is no COVID-19 will have consequences. Relative normality is another matter. With a few common-sense precautions – such as avoiding mixing with people if you are unwell; wearing a good quality facemask in crowded indoor spaces if local case numbers are high (particularly if you are unwell); taking a COVID-19 test if you can; getting a booster vaccine if you are offered one; and keeping indoor spaces ventilated – we can all help to keep everyone protected.

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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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