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Not too late to get flu, COVID-19 shots before Christmas: experts

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The 14-year-old record of lab-confirmed influenza cases in a week in Alberta fell last week.

The record was set during the H1N1 swine flu pandemic in 2009.

For the week ending Dec. 9, there were 1,800 lab-confirmed influenza cases in the province, surpassing the previous record of 1,778 set in the week of Oct. 25, 2009.

Representing nearly nine in 10 of the cases, influenza A (H1N1) is driving this epidemic as we approach the end of the calendar year.

With Christmas get-togethers just days away, there are some tried and true ways to prevent giving or receiving influenza as a gift.

At the top of Dr. Daniel Gregson’s list is getting vaccinated.

“That’s the most important thing,” the University of Calgary infectious diseases assistant professor said. “That’s going to really reduce your risk of getting infections by about half, your risk of getting in the hospital by about half.”

Gregson also recommended using the days ahead of a dinner or other get-together to prevent bringing an unwanted guest.

“You might think about other things we used, non-pharmaceutical things to prevent infection during that week before your Christmas function,” he said. “Avoiding large crowds, going out in large crowds with masks on. Those are all things you can do to reduce your risk over the holiday seasons.”

The Public Health Agency of Canada says the use of respirators, like NIOSH-certified N95 or certified KN95, can help prevent the spread of COVID-19, guidance that matches with what aerosol scientists say about preventing airborne diseases.

“The other thing really is that if you’re sick, don’t go,” Gregson said.

Dr. Lynora Saxinger, an infectious disease specialist at the University of Alberta Hospital, said there were lessons learned from the COVID-19 pandemic that can be used in a season of heightened influenza levels.

“If you’re about to go into a social situation in a smaller, enclosed space with a whole bunch of people and some of them are quite elderly or have medical compromise, you might want to rethink the space and the time for that, or spread out the visits with smaller groups over a larger time, or at least pay some attention to ventilation,” she said.

Like Gregson, Saxinger said someone starting to feel like they’re coming down with something should take a rain check on the visit.

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“If you are going to be visiting elderly people in long term care or something, because that’s when you do that, masking remains important and people often forget hand-washing actually really does help too,” she said.

While the very old and the very young tend to have weaker immune systems that are more susceptible to severe outcomes from infections, Saxinger said the H1N1 family of influenza viruses is known to produce worse for younger populations.

“I just checked the hospitalized flu case breakdown by age and indeed it has flipped. So last year, the highest group was 65-plus, and this year the highest group is 18 to 65 years old,” she said.

She said the hospital capacity situation this year is much different than 2009, with hospitals around Alberta already under high stress.

“Hospitalization numbers tend to peak a little bit later (than the peak of case counts),” she said. “People who have a complicated course may end up staying in hospital for a while, and that could really create some issues when we’re already running kind of like 110 per cent in many of our hospitals.

“Making more space is really challenging. And so it is a bit of a worry, I’ll be honest.”

 

Walk-ups available

One pharmacist told Global News there’s so much supply of influenza and COVID-19 vaccinations that many of his colleagues are able to help people on a walk-in basis.

Vishal Sukhadaya, pharmacist and owner of a Medicine Shoppe in Lethbridge, likened vaccinations to a first line of defence.

“The vaccines actually train our immune cells how to fight with actual viruses. If we don’t have any training, we won’t be able to fight with the viruses accordingly,” he said.

“This year, surprisingly, the flu vaccination rate is substantially low compared to last year. So we are seeing many flu cases and we have actually a few patients who are dealing with severe complications.

“I would encourage everyone to just get the vaccination done at their closest pharmacy.”

Saxinger said she expects there to be a higher than normal population of Albertans who are vulnerable to influenza, perhaps because of a loss of community-level immunity.

“I’m not sure that the influenza vaccine campaign really got a lot of traction this year. It didn’t seem super visible,” the infectious diseases specialist said.

According to the province’s dashboard, only 22.1 per cent of Albertans have received an influenza shot, making it the second-lowest coverage rate since 2009.

In the 2009-10 influenza season (which runs from autumn to autumn), 36 per cent of Albertans were immunized by the end of May 2010.

That was following the World Health Organization’s declaration of the swine flu pandemic in 2009. The province’s report reviewing that pandemic said record levels of coverage in many populations, including high-risk and Indigenous populations, were achieved due to public health officials delivering vastly more influenza shots using tactics like mass immunization clinics.

It was only in the 2020-21 flu season that Alberta broke the 2009-10 high-water mark of vaccinations.

Saxinger was quick to note that people cannot get sick with influenza from the vaccine.

“There’s no actual virus involved in the vaccine that you’re given,” she said. “It’s just sub-units.”

Saxinger noted that Albertans over 65 with a medical condition or who are immunocompromised can be eligible for prescriptions to treat an influenza or COVID infection.

“In both cases the treatment is best if started early. And so if people are beginning to become ill and they know that there’s been a horrible fever, cough illness that they’ve been exposed to, that’s probably influenza and they should consider getting tested and treated because there is useful treatment that can help keep people out of trouble.”

According the province’s dashboard, there have been 1,097 hospitalizations, 132 intensive care admissions and 34 deaths due to influenza this influenza season. The youngest death was an Albertan in their 30s, which was recorded this month.

The year of the swine flu pandemic, 64 Albertans died of that disease, 1,276 were hospitalized and 240 were admitted to ICU.

Public health officials say it takes on average about two weeks for antibodies to be produced following an immunization.

This fall, new formulas for flu and COVID-19 shots have been formulated to address strains most likely to be in circulation.

“It’s not too late for your flu shot,” Gregson said, looking ahead to the Christmas break.

 

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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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