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N.B. breaks record for flu cases and hospitalizations, as RSV and COVID-19 cases climb

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New Brunswick has recorded an all-time high of 836 positive flu cases in one week and 115 hospitalizations, nearly double the previous record, says the acting chief medical officer of health.

Close to 20 per cent of those hospitalized were children and youth, Dr. Yves Léger told reporters Tuesday. That’s one in five, which he described as being “maybe a little bit higher” than previous years.

Since the beginning of the 2022-23 flu season on Aug. 28, a total of 61 youth under age 20 have been hospitalized in New Brunswick, he revealed. The “majority” of them have been under 10.

The number of respiratory syncytial virus, or RSV, cases also continues to increase, along with COVID-19 case counts and hospitalizations, he said.

The situation has gotten worse since his last media briefing on Nov. 18, when he urged New Brunswickers to help change “worrisome” course of the triple threat of respiratory viruses by taking protective measures, such as wearing a mask indoors, limiting social contacts and staying home when ill.

‘Call to action’ hasn’t helped

The simultaneous activity of these viruses is putting added pressure on strained hospitals and is impacting the education system and workplaces through high rates of absences, he said.

Léger had hoped sharing his concerns last month would “serve as a call to action.”

But he remains very concerned, he said, particularly with holiday gatherings quickly approaching.

Léger warned he expects to see an increase in respiratory virus activity across the province after the holidays, “unless we all adopt many of these [protective] strategies.”

Asked why he doesn’t recommend the government impose some mandatory protective measures in advance of the holidays, he said it’s something Public Health continues to “discus and review.”

“These are measures that … remove people’s liberties to make decisions on their own so they’re certainly not taken lightly. And there are a number of factors that need to be carefully weighed before we make those decisions.

“We don’t feel that we’re there at this point. But certainly, if we do feel that we get there eventually we will certainly make sure that that gets communicated to New Brunswickers.”

6 more flu deaths

The flu killed another six New Bunswickers between Nov. 27 and Dec. 3, raising the total number of deaths so far this season to 20, the latest influenza report, posted Tuesday, shows.

The victims have ranged from their 30s to their 90s, according to the Department of Health. They died between Oct. 20 and Nov. 28, said spokesperson Adam Bowie.

No other details about the victims, such as any underlying health conditions or their vaccination status, have been released.

The province’s flu death toll all of last season was five.

The 836 lab-confirmed cases reported during the week in question, referred to as week 48, is the highest ever recorded since the province started influenza reporting during the 2005-06 season, Léger told reporters.

The previous record occurred during the 2009-10 season, when 712 cases were confirmed, according to the department.

The 115 flu hospitalizations is nearly double the province’s previous record high of 69 in January 2019, Léger said.

An increase in flu testing in the province this year could account for some of the increases in cases and even hospitalizations, according to Léger. (Ben Nelms/CBC)

He noted the province is doing “a lot more testing” than in previous years. “That additional testing could account for part of the increase in cases or even hospitalizations that may have been missed in previous years,” he said.

“Nevertheless, an increase in respiratory virus activity was expected this year, which is reflected in part through this testing.”

The test positivity rate is also continuing to increase, he said, but remains below the historical high.

Flu shots still 10% below last year

As of Dec. 12, a total of 196,976 influenza vaccines have been administered, according to the Department of Health. That’s down about 10 per cent from the 219,475 vaccines administered at the same time last year.

“It’s important to note that flu immunizations began a week earlier last season, and some changes around the reporting process for pharmacies and primary care providers may be contributing to a lag in the reporting of this data,” the department spokesperson said in an emailed statement.

In B.C., where six children have died after contracting influenza this fall, the government launched a flu vaccine clinic blitz last Friday. It opened drop-in clinics across the province for all residents aged six months and older throughout the weekend.

Asked why New Brunswick isn’t offering something similar, Léger did not answer directly, but did say the lower than usual vaccination rates are a concern.

“We do want to message that and emphasize the importance of getting [the] flu vaccine,” he said, noting there is availability of doses and clinics.

“We are looking at increasing our messaging around our campaign to encourage people to do that,” he added, without providing any specifics.

Of the shots administered so far, about 8,164 have been for children aged six months to eight years, and 7,814 for youth aged nine to 18 years.

A total of 83,317 shots have been administered to people aged 19 to 64 years, and about 97,681 have been provided to those aged 65 years or older.

May hold public update in future

Léger held the media availability via Zoom, along with Greg Doiron, vice-president of clinical operations for the Horizon Health Network, and Sharon Smyth-Okana, vice-president of clinical services for the Vitalité Health Network.

Asked why he didn’t hold a public news conference instead, Léger said he feels media briefings are “quite effective” at getting information out to New Brunswickers.

“But certainly [it’s] something that we will look at going forward,” he said.

It’s been months since Public Health held a public update.

The opposition has repeatedly called for a public update. Last month, Liberal health critic Rob McKee, the leader of the Official Opposition, alleged he was “being muzzled” by the Higgs government.

On Tuesday, Léger denied the government has any sway on when he holds updates and whether they are available to the public.

“I’ve always committed to making sure that I would communicate with New Brunswickers when there were important messages to share,” he said.

“I do remain committed to doing that and will continue to do so and feel that I’m quite able to make those decisions on my own, as part of Public Health.”

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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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