N.B. move to monthly COVID-19 updates 'wrong thing to do,' says epidemiologist | Canada News Media
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N.B. move to monthly COVID-19 updates ‘wrong thing to do,’ says epidemiologist

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An infection control epidemiologist says he disagrees with New Brunswick’s decision to cut back its COVID-19 updates to monthly instead of weekly, as of this week.

Colin Furness, an assistant professor at the University of Toronto, who has followed the progression of the pandemic in New Brunswick, says the move “reflects an attitude that COVID is a seasonal virus, a respiratory virus, and not a particularly serious health concern.”

“In my estimation COVID is not seasonal, it’s not a respiratory virus, and it’s extremely concerning,” he said.

“So I think … the decision is consistent with their logic. I just think that their logic is wrong.”

Tuesday marked the final weekly COVIDWatch report before New Brunswick switches to monthly updates. The province recorded four more COVID deaths, 11 hospitalizations because of the virus, 78 new lab-confirmed cases and a positivity rate of 11 per cent.

The new Omicron subvariant that has caused a surge in India and has been detected in at least 33 countries, has now also spread to New Brunswick. Two cases of XBB.1.16 have been confirmed in the province to date, according to the Department of Health.

COVID-19 activity “continues to be an ongoing concern,” Dr. Jennifer Russell, New Brunswick’s chief medical officer of health, has said. But case numbers, hospitalizations and deaths have been “relatively stable” since January.

The switch to monthly COVID updates is “to ensure consistency in [the province’s] reporting on respiratory illnesses,” such as influenza, Russell has said.

Not necessarily seasonal and not ‘only’ respiratory

Furness contends treating COVID like the flu, with a “silent assumption” that it’s seasonal, is “dangerous.”

It may be logical to expect COVID numbers will be higher in the fall and winter, when people are gathered indoors more, with windows and doors closed, he said. That’s when all viruses tend to flourish, including common colds, which are not actually very contagious and require close indoor contact to spread.

However, COVID is “far more contagious” and doesn’t require ideal conditions to multiply.

So to assume COVID isn’t “worth paying attention to” during the summer months is “foolish,” said Furness.

Infection control epidemiologist Colin Furness said he understands the province’s logic in moving to monthly COVID-19 updates, but he ‘firmly disagrees with it.’ (CBC)

The change in reporting becomes “self-reinforcing” though, he said. “We’re going to conclude that we don’t need to measure it and we’ll justify that by not having any data to contradict.”

Similarly, Furness challenges the characterization of COVID as being “only” a respiratory virus.

He points to long COVID and the wide range of symptoms it can cause, such as brain fog.

“A data-driven view of COVID is that this is a virus that has efficiently evolved beyond being a respiratory virus to be a highly contagious, systemic virus causing neurological, vascular and organ damage, and immune dysregulation – along with an acute respiratory phase,” he said.

Maintaining the view COVID is only a respiratory virus, however, “enables social acceptance that it is not serious and that money does not need to be spent making people safer.”

Taking away ability to gauge risks

New Brunswick isn’t alone, Furness noted. Other provincial governments have also moved away from keeping the public informed about COVID. “It’s all in lockstep with the notion of ‘living with COVID,’ which is a euphemism for, ‘Let’s do nothing and see what happens.'”

It’s “wrong-minded,” according to Furness. He cites low vaccination rates as a consequence of the public not getting the clear message they should.

As of mid-April, only about 13 per cent of New Brunswickers aged five and older have received a COVID-19 vaccine booster dose in the past five months. That’s around 100,000 people.

COVID-19 vaccination rates have been stalled for weeks, the latest data from the province shows. Only 30.5 per cent of eligible New Brunswickers have received a second booster. (Ben Nelms/CBC)

Many people don’t think COVID is a significant problem anymore and don’t think getting boosted is worthwhile, said Furness.

“If we were doing public health well, we would be concerned about sickness, we would be concerned about disease and about equipping people to gauge risk.

“And we’re taking that away. I think that’s the wrong thing to do.”

‘Wastewater doesn’t lie’

Furness acknowledges some of that data in the province’s COVIDWatch reports has become less valuable over time in terms of helping to gauge risks.

COVID deaths, for example, are often a couple of months after the fact, due to a lag in reporting from date of death to the registration of death, according to the province. There are also fewer PCR (polymerase chain reaction) lab tests being conducted now because they’re available only to people with symptoms, where the results would directly influence their treatment, and a referral from a health-care provider is required.

That’s why he thinks more wastewater monitoring is needed.

New Brunswick has COVID-19 wastewater monitoring in Moncton, Fredericton, Saint John, Bathurst, Campbellton and Miramichi. (Submitted by Graham Gagnon)

People who are infected shed the virus in their feces in the form of a genetic material called ribonucleic acid, or RNA, before they show symptoms of COVID-19. This can be found in raw sewage and can detect the virus in a community up to 10 days prior to clinical testing, according to the Public Health Agency of Canada.

“Wastewater doesn’t lie,” said Furness.

It also doesn’t rely on people getting tested, and it focuses on “what’s coming” instead of what has already happened, he said.

Should track changes in life expectancy, like U.S.

In addition, Furness would like to see New Brunswick and other jurisdictions track changes in population life expectancy. They should look, for example, at rates of heart attacks, strokes and other diseases associated with long COVID.

The United States does keep track of these, he said, and they’re going up.

Although Canada looked at the U.S. earlier in the pandemic “with a sense of horror” for “letting [COVID] run wild,” the two countries are “more or less the same now” in terms of their attitudes and policies, according to Furness.

“So I think we can look at the U.S. data and say, ‘Well, that’s almost certainly to some extent what’s going on here too.'”

It’s difficult to predict what changes new variants like XBB.1.16 might bring, said Furness.

The virus seems to be settling on an evolution track where it’s improving its ability to infect and reinfect without becoming more severe, which he suspects will continue.

It could, however, change at any time, he stressed.

Precautions urged

For now, Furness cautions against being “fooled” into thinking COVID isn’t a problem by those who want the pandemic to be over and are taking risks.

People should continue to take steps to protect themselves to avoid infection or reinfection, he said. “There’s no question the cumulative harm is there. Not for everybody, it’s a bit of a Russian roulette game. But you don’t want to find out the wrong way or the hard way that that reinfection really, really hurt.”

He recommends people stay outside as much as possible this summer, use ventilation indoors, and avoid large crowds. “There’s lots of ways to have fun while also minimizing that risk.”

The next COVIDWatch report is scheduled to be released on May 30.

 

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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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