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N.B.'s top doctor warns of March break measles risk – CBC.ca

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With March break just days away, New Brunswick’s acting chief medical officer of health is urging people to make sure  they’re fully immunized against measles before travelling outside the country.

Dr. Yves Léger says a global surge in measles cases, due in part to a decline in vaccinations during the COVID-19 pandemic, has him worried about the potential for travel-related cases in the province.

“Diseases that happen in other countries pose a risk to us as well, because people can easily go to other countries, pick up those infections and can be back here in New Brunswick and be contagious in a very short period of time,” Léger said Wednesday.

Measles is a highly contagious disease that can cause serious illness and severe complications, including deafness, brain damage and even death.

The virus is transmitted through the air when an infected person breathes, coughs, sneezes or talks, or by direct contact with infected nasal or throat secretions.

New Brunswick’s last incidence of measles — an outbreak in Saint John in 2019 that resulted in 12 cases — started through international travel. A person who had recently travelled to Europe became the pr

Travelling for March break? N.B’s top doctor wants you immunized against measles

15 hours ago

Duration 0:57

Dr. Yves Léger is on alert after Canada’s chief public health officer voiced concern ahead of a busy time for international travel. Canada now has six known measles cases, although the disease is considered eliminated in this country.

ovince’s first confirmed case of measles since 2017.

Public Health prepares for potential case 

“In light of the situation that’s happening across the globe, we’ve already started to beef up our preparations in anticipation of a potential case,” said Léger. “Hopefully, there won’t be, but we certainly would rather be prepared if that’s the case.”

Public Health officials have been reviewing their guidelines for how they manage measles cases, as well as contacts, to ensure they’re up to date, he said.

WATCH | Top doc urges immunization to prevent measles spread:

They’ve also worked with the communications branch to increase social media posts about measles and to try to encourage people to ensure they’re up to date with their vaccines, especially if they’re travelling.

In addition, they intend to distribute a memo to health-care practitioners soon to raise their awareness, make sure they’re keeping an eye out for any potential cases, and encouraging vaccines with their patients.

“It’s always better to prevent than to try and treat or to manage … outbreaks,” Léger said.

His comments echo a warning issued by Canada’s chief medical officer of health last Friday. Dr. Theresa Tam urged people to ensure their measles vaccinations are up to date before any international travel.

“As we head into the spring break travel season, I am concerned that the global surge in measles activity, combined with the decline in measles vaccine coverage among school-aged children in Canada, could lead to an increase in imported measles cases, potentially resulting in transmission in communities in Canada,” she said in a statement.

Although measles has been considered eliminated in Canada since 1998, meaning the disease is no longer constantly present, cases can still occur when people who are not fully vaccinated travel to or from a country where the virus is circulating. These imported cases can lead to subsequent spread of measles in Canada among unvaccinated or under-vaccinated people, Tam advised.

6 confirmed cases in Canada

As of Friday, the Public Health Agency of Canada was aware of six measles cases in Canada, “most” of which involve unvaccinated or under-vaccinated children who travelled internationally. Some cases have required hospitalization.

More than 90 per cent of people who are not immune to measles and who come into contact with the virus will become infected, according to Tam.

Children under five, adults older than 20, pregnant people and people who are immunocompromised are at higher risk of complications.

Not too late

Ideally, the measles vaccine should be administered at least two weeks before travel, said Léger.

But it can still provide benefits if your departure is sooner, he said.

“Your body will still start to produce some immunity during that time and will hopefully provide some protection even though it’s not complete protection.”

Dr. Yves Léger, the province’s acting chief medical officer of health, said because measles is so highly contagious, any decrease in vaccination rates ‘opens up the door for measles cases to take hold and to spread.’ (Government of New Brunswick/Zoom)

Since October 1995, all children born in New Brunswick have been offered two free doses of the measles, mumps, rubella and varicella (chicken pox), or MMR, vaccine, at 12 months and 18 months of age.

Together, the doses are almost 100 per cent effective at preventing infection, according to health officials.

Nearly 92 per cent of New Brunswick students entering school in 2022-23 were immunized, the Department of Health has said.

Two doses of the measles vaccine are nearly 100 per cent effective at preventing infection, according to health officials. (Damian Dovarganes/The Associated Press)

Léger described the vaccination rate as “pretty good,” but would like to see it higher.

“It’s not quite meeting the national target” of 95 per cent to be able to prevent cases from spreading, he said.

People born in 1970 or later who have not received two doses of MMRV vaccine should contact their health-care provider to be immunized.

Adults born before 1970 are generally considered immune to measles, through previous exposure to the virus.

The Canadian Immunization Guide recommends that adults who don’t know whether they received two shots get a booster, especially if they’re travelling.

Symptoms to watch for

People who do travel outside the country are encouraged to monitor for measles symptoms for the first couple of weeks.

Measles typically starts with cold-like symptoms, such as a fever, runny nose, cough and red, watery or sore eyes, said Léger. Tiny white spots may appear on the inside of the mouth two to three days after symptoms begin.

A red blotchy rash also usually appears on the face within three to seven days, then spreads to the rest of the body.

About three to seven days after measles symptoms begin, the tell-tale rash that looks like small red spots appears. It usually starts on the head and neck and spreads down the body, arms and legs, the Department of Health said. (U.S. Centers for Disease Control and Prevention)

Anyone who suspects they have symptoms should get checked out immediately, said Department of Health spokesperson Katelin Dean.

They should wear a mask, and immediately inform their health-care provider of their recent travel, she said in an emailed statement.

Most people are sick for up to 10 days and then recover completely.

How the 2019 outbreak unfolded

The first confirmed case of the 2019 outbreak was announced on April 26, but the infected person had visited the Saint John Regional Hospital’s emergency room before being diagnosed and potentially exposed more than 2,000 people to the virus.

The second case, confirmed on May 13, was related to the first. A person from Kennebecasis Valley High School in Quispamsis was in the emergency room at the same time as the European traveller, and the potential exposures multiplied.

About 460 teachers from Rothesay, Quispamsis, Belleisle and Hampton had attended the local branch meeting of the New Brunswick Teachers’ Association at KVHS just days before that person was diagnosed. They were invited to attend a special vaccination clinic at the school.

Before the month was over, 10 more cases were confirmed, eight linked to KVHS.

About 400 people who attended an academic awards ceremony at the school on May 23 were exposed and urged by the Department of Health to watch for symptoms.

Two other schools in the Kennebecasis Valley — Harry Miller Middle School and Rothesay Park School — decided to cancel their Grade 8 trips to Quebec because of the long incubation period of the virus.

The Health Department set up a dedicated phone line to help people check their immunization records.

Public Health started reserving its vaccine supply for those considered most at risk — infants and people who had direct contact with somebody with measles.

The 12th case was confirmed on May 31, when the outbreak spread to Hampton High School, where another special vaccination clinic was held.

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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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