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Invasive Group A Strep Infections Rising Among Children

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Well, it’s official. The U.S. has a GAS issue, where GAS stands for Group A Streptococcus or Group A Strep. The Centers for Disease Control and Prevention (CDC) has confirmed that there has indeed been a rise in the number invasive group A streptococcal (iGAS) infections among children. Now, you may have already heard about possible increases in such infections in different states. For example, on December 15, the Colorado Department of Public Health and Environment reported on 11 cases since November 1, 2022, in the Denver metropolitan area with two deaths among these cases. But “possible” ain’t the same as a “hey, let’s alert everyone about this” situation, which is what the CDC did in issuing a Health Alert Network (HAN) Health Advisory on December 22.

So, add this rise in such bacterial infections to the rises in respiratory virus infections such as Covid-19, the flu, and respiratory syncytial virus (RSV) infections that the U.S. has been facing, and the Winter of 2022-2023 has become quite a cough, cough affair. iGAS infections are caused by not surprisingly Group A Streptococcus bacteria. It’s actually quite common to have GAS—GAS bacterial infections, that is. Group A strep can cause a variety of common skin and soft tissue infections. And most likely you’ve heard of strep throat, which is a pharyngitis or inflammation of the throat caused by GAS bacteria. This typically isn’t a deep throat problem because a course of oral antibiotics can usually clear the infection when taking in a timely manner.

iGAS infections are a different story. Although they usually are much rarer, much bigger problems can arise when the bacteria gets more invasive. In this case, invasive doesn’t mean that the bacteria asks you a bunch of very personal questions such as how many partners have you had and why do you have handcuffs in the closet. Rather, it means that the bacteria gets deeper inside your body causing bad things such as sepsis, streptococcal toxic shock syndrome, and necrotizing fasciitis. All of these things can be quite life threatening.

Sepsis is when the infection spreads to your bloodstream and prompts a rather extreme reaction from your immune system and body. It can result in change in your mental status, severe drops in your blood pressure, very rapid breathing, and eventually organ failure. Having sepsis is not a positive thing. When sepsis proceeds to septic shock, mortality can jump to around 40%.

Toxic shock syndrome may sound like the name of a punk rock band but is when toxins secreted by bacteria lead to a variety of systemic problems in your body. This can include fever, lethargy, confusion, rash, skin peeling, drops in blood pressure, and damage to different organs. Clearly anything with the words “toxic” and “shock” are not good things, unless you are saying something like “I’m shocked that you are not as toxic as I had thought.”

Necrotizing fasciitis is a severe form of skin and soft tissue infection. If your date calls you necrotizing, then that doesn’t bode well for a second date. Necrotizing means causing necrosis, which is the death of living tissue. Therefore, necrotizing fasciitis is when pieces of your skin and underlying tissue begin to die and potentially slough off your body. That clearly is not a positive thing either.

Yep, all of these possibilities ain’t good. Therefore, when you or your child has a GAS infection, you certainly should stay vigilant about any signs that things are getting more invasive. Stay aware of any indication that the bacteria is spreading beyond the throat or the initial portion of the skin affected. Contact your doctor if the antibiotics do not seem to be improving symptoms within two to three days.

Vigilance does not mean panic, though. It also doesn’t mean flapping your arms above you and yelling, “It’s just like the Covid-19 pandemic! It’s just like the Covid-19 pandemic!” It isn’t. Before you drop everything and start hoarding toilet paper again, keep in mind that the CDC did indicate that the overall number of these more severe invasive cases among children has “remained relatively low.” Therefore, if you or your child has a GAS infection, chances are it won’t progress to iGAS as long as you get proper treatment in a timely manner. Nevertheless, any rise in such severe, albeit very rare, illnesses does deserve monitoring from the CDC, other public health authorities, health care systems, and health care professionals. Hence the CDC alert.

It’s not completely surprising that iGAS infections among children have been on the rise. Over the years prior to the Covid-19 pandemic, cases of GAS infections in the U.S. have tended to follow a seasonal pattern, rising during the Winter months, peaking in December through April, and subsiding during the late Spring and Summer. Over the past two Winters, GAS infections have actually been lower than normal, probably due to people taking Covid-19 precautions. Such precautions could have directly prevented the transmission of GAS, which occurs via direct contact, respiratory droplets, or contaminated objects and is typically highest among school-aged children from five to 15 years of age.

Additionally, such precautions could have indirectly decreased GAS infection by decreasing the activity of viruses such as influenza. In the past, iGAS infections have tended to go up when flu activity has been high. An influenza infection can make you more prone to get bacteria infections because your immune system is busy fighting the virus.

So what do you do to prevent a GAS infection, which could potentially progress to iGAS? Here are several things:

  • Wash your hands frequently and thoroughly. If you already haven’t figured out that good hand hygiene is important after the past three years, then please don’t touch anyone else’s food ever.
  • Regularly clean and disinfect high-touch surfaces. Similarly, this is a practice that you should have down pat by now.
  • Get up-to-date on all recommended vaccinations. This includes getting the influenza, varicella (chickenpox), and Covid-19 vaccines. Having the flu or chicken pox can increase you risk for an iGAS infection.
  • Keep your wounds clean and properly covered. You probably won’t run into too many people who’ll tell you that open and dirty wounds are sexy. Plus, wounds and other things that cause cracks and openings in your skin can essentially create a revolving door for bacteria.
  • Don’t come into close contact with someone who has GAS, meaning a GAS infection. This can be easy to remember if you just keep repeating, “Stay away from anyone with any kind of gas.”
  • Maintain Covid-19 precautions. Again, it’s probably no coincidence that iGAS infections dropped the past two Winters when many more folks were wearing face masks while in public indoors and practicing more social distancing.

Most of the recently reported iGAS cases have been in kids ranging in age from 10 months to 6 years. But remember the Group A Streptococcus bacteria, like most such pathogens, doesn’t discriminate by age. The bacteria won’t say, “You’re too old for me,” and avoid infecting you if you are beyond a certain age range. In fact, those over 65 years of age are at greater risk for an iGAS. Those who live long-term care facilities, have chronic medical conditions such as diabetes, heart disease, lung disease, kidney disease, or cancer, inject drugs, or are experiencing homelessness are at higher risk as well.

Again, this new CDC warning doesn’t mean that you should panic. It’s not the same as the Covid-19 pandemic. Just try to maintain the aforementioned precautions. And if you or your child does get a GAS infection, get the proper antibiotic treatment as soon as you can. Meanwhile, be on the lookout for any signs that the GAS infection may be getting worse and becoming invasive. After all, you don’t want to add “i” to the GAS problem that you are having.

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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.

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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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