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Ontario child vaccinations years behind following pandemic

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Ontario is still playing catch-up on routine vaccinations that many children missed during the pandemic and public health officials are warning that it could take years to solve the problem.

“What we see around the world is when the vaccination rates drop, you have a resurgence of vaccine preventable disease,” Dr. Anna Banerji, a Toronto-based pediatric infectious disease specialist, told CTV News Toronto.

“If someone had measles and they were with a group of unvaccinated kids, then for every person that has measles, they typically would infect about nine or 10 other kids. And so it’s extremely, extremely infectious.”

About 60 per cent of seven-year-olds are fully vaccinated against the measles—as well as other illnesses such as mumps and varicella—according to a report published by Public Health Ontario in the end of March.

This is a significant drop from coverage in 2019-2020, when those numbers were between 82 per cent and 86 per cent.

Ontario has seen a mild resurgence of the measles this year, with 13 cases identified in 2024 so far.

Of the seven children infected, five children were unvaccinated while the immunization status of two others were unknown.

Three of the adults had two doses of the vaccine while one was unvaccinated and the status of two others are unknown. All but one case has been tied to travel.

In 2023 there were seven lab-confirmed cases of measles reported in Ontario.

 

For the 2022-2023 school year, just under 60 per cent of seven-year-olds were vaccinated against diphtheria, tetanus, polio and pertussis. Immunization coverage rates were similar for 17-year-olds with the exception of the polio vaccine, which has a strong 90 per cent coverage rate.

Hepatitis B coverage among 12-year-old students stands at about 58.4 per cent for that school year, while HPV immunization coverage is at 47.8 per cent.

A spokesperson for Public Health Ontario said factors such as lack of in-person health care and delayed non-essential appointments during the COVID-19 pandemic negatively affected childhood vaccinations.

School immunization programs were also put on hold due to closures. The report noted that while in-person classes resumed for most students in 2021-2022, most public health units didn’t resume immunization programs until the following year.

“This was very disruptive to the delivery of immunizations during routine well-child visits and for adolescents needing their tetanus-diphtheria-pertussis booster at 14-16 years of age,” officials said in a statement.

“This has probably led to under-reporting of immunizations to public health, but the degree to which this under-reporting has impacted our coverage estimates is unclear.”

Some communities may also have a general difficulty accessing health care, Banerji said, adding that factors such as miscommunication with new immigrants or misinformation can also play a part.

“The reason why we’re living so long and the reason why kids aren’t dying at a young age is three things really: It’s access to clean water, sanitation and vaccination,” she added.

“I think that people forget that.”

Could take 7 years for Peel to catch up

At a meeting last week, Peel’s Medical Officer of Health Dr. Katherine Bingham said that about 50 per cent of students in the region were missing at least one mandated vaccine dose.

A report presented to Reel Region’s council noted that “multi-year strategies” are needed to address the backlog and disruptions to routine childhood immunizations.

“Without significant dedicated resources, we estimate it will take seven years to complete screen and catch-up and achieve pre-pandemic coverage rates,” Bingham said in the meeting.

In Toronto, it is unclear when immunization coverage rates will return to pre-pandemic levels.

“This is a really important question,” Dr. Vinita Dubey, Associate Medical Officer of Health, told CTV News Toronto.

According to city data, there is 57.1 per cent immunization coverage for Toronto students between grades 10 and 12 for Hepatitis B.

Coverage for the HPV vaccine is 50 per cent and the meningococcal quadrivalent vaccine is 77.5 per cent.

“Why are we 10 per cent lower when we are doing the same program that we did pre-pandemic and that’s, I think, something that we really need to pay close attention to. Is it vaccine fatigue, is it vaccine hesitancy, or is it just complacency?”

Dubey says the vaccination rates in Toronto speak to the importance of school immunization programs, especially for vaccines that require multiple doses over time.

“These vaccines can prevent cancers and it’s the kind of thing that you ideally get before you’re ever exposed to these infections. And then it will give you that protection into your life.”

‘We need to be resourced’

The COVID-19 pandemic showed that if resources are funnelled into immunization programs, they can be successful, Dubey said.

“We need to pay attention to that. We may actually need to put in more efforts to get back to where we were. It’s not just restarting what we had,” she added. “We need to be resourced accordingly.”

In November, Toronto’s Board of Health asked for $3.8 million from the Ministry of Health to support catch-up immunizations through vaccinations clinics as well as the promotion of routine vaccination.

A spokesperson for the Minister of Health said in a statement they have increased investments to public health units by an average of 16 per cent since 2018.

They also said they restored a 75-25 funding model to public health units in 2023. However the same government also slashed funding 2019 to a formula that had the province funding 70 per cent of funding and 30 per cent being contributed by municipalities.

“We are also working with PHU’s to clarify their roles and responsibilities. All changes are in direct response to the asks of Public Health Units and Municipalities across the province,” the statement says.

“Our government knows it is never too late to get caught up, and back on track with immunization schedules. That is why we are working with our partners, including public health units to catch children up on their routine vaccines. This includes memos from the Chief Medical Officer of Health communicating this focus to PHUs over the last few years. We have seen efforts remain strong across providers, including increases in school-based programs in the last two school years and we will continue to build on this progress.”

There is also a concern that some children may have received their vaccinations but that parents may not have reported it.

The data is reliant on parents and guardians submitting their children’s immunization record to public health units. Both Peel Region and Toronto officials have said it would be beneficial if physicians and clinics could input the data directly into a provincial system.

As it stands, if a child is missing a dose of a mandatory vaccine, public health units have to send parents notifications, threaten students with suspensions, and then actually suspend students if their vaccinations aren’t up to date. Dubey said the process is successful, and both Toronto data as well as numbers provided by Public Health Ontario show that immunizations are starting to slowly go up.

In Peel Region, officials have said that they are currently “mailing orders of suspension to students in Junior Kindergarten to Grade 1 who have not provided updated immunization records”

The ministry did not say if they would consider a provincial immunization registry when asked by CTV News Toronto.

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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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