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Pandemic-induced declines in routine vaccination rates worry experts – CBC.ca

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When Bill Rodger and his family moved to Bridgewater, N.S., prior to his daughter’s first birthday, everything seemed in line for her to receive her first routine vaccines, including her mumps and measles shots.

But when the third wave of COVID-19 struck, the shots were put on hold.

“What they told me at that point was that they were pausing vaccines for children that were not assigned to doctors,” he told The Current. “A lot of nurses that I spoke to were very, extremely helpful people, but had their hands tied with COVID.”

“They kind of prioritized [the] COVID response.”

In the end, Rodger managed to get his daughter inoculated in the right time frame, but not every parent has been as lucky. 

According to a 2021 report by the World Health Organization and the U.S. Centers for Disease Control and Prevention, more than 22 million infants worldwide missed their first dose of the measles vaccine in 2020. It’s an increase of three million from 2019 — the largest increase in two decades.

CanAge CEO Laura Tamblyn Watts says there’s an overwhelming number of people who don’t know what routine vaccines they’re supposed to be taking. (Laura Tamblyn Watts/CanAge)

Things aren’t much better in Canada, where one in four children have missed their scheduled shots during the pandemic, according to 19 to Zero, a group that promotes safe vaccination behaviour.

“With the drops that we’re talking about … these kids [are] at risk of all sorts of illnesses that we don’t see a lot of anymore, and we haven’t seen a lot of during the pandemic because we’ve sort of been on these lockdown situations,” said 19 to Zero CEO and public health physician Dr. Jia Hu in Calgary.

By the time we get back to normal, I think it’s very easy to see a resurgence of whooping cough, or measles, or one of the things that’s sort of gone the wayside.-Dr. Jia Hu

And it’s not just Canadian kids who are missing their routine inoculations. According to a report card released by CanAge, a national seniors advocacy organization, Canada received a D minus for how well it’s protecting older Canadians against the flu, pneumonia and shingles. 

“We know about one in seven older people — and that number really needs an asterisk next to it because it’s probably much more than that — have missed some form of routine vaccination because of COVID-19,” said CanAge founder and CEO Laura Tamblyn Watts.

These numbers have some doctors worried about a potential resurgence of various diseases post-pandemic.

“By the time we get back to normal, I think it’s very easy to see a resurgence of whooping cough or measles or one of the things that’s sort of gone [by] the wayside,” Hu said.

A pre-pandemic problem

Alhough the numbers are concerning, Tamblyn Watts said these problems, particularly around senior vaccinations, existed prior to the pandemic.

“We’re actually extremely bad at vaccinating older people with routine vaccinations to begin with.” 

Dr. Jia Hu says because the pandemic has closed doctors’ offices in parts of Canada, some parents who rely on their doctor to remind them of their children’s routine vaccinations are forgetting. (Erin Collins/CBC)

Part of it has to do with the cost of some vaccines — such as shingles, which if not covered, Tamblyn Watts said could cost around $300 per dose.

“It’s over the course of two shots, so for a family living on a fixed income, $600 is just a barrier that most people can’t afford.” 

But a bigger reason why some senior Canadians miss their routine vaccinations could be a lack of information.

“On the whole, older people, if they know about adult vaccines, typically want to get them,” Tamblyn Watts said. “But it is hard to get them; either the right ones aren’t covered or they don’t know where to get them.

“What we see overwhelmingly is that people don’t know what vaccines they’re supposed to have.”

This is a similar case for parents of infants and children who should be taking routine vaccinations.

“I don’t think this is really anybody’s fault per se. But in places where family doctors provide vaccinations … you know, family doctors’ offices have often been closed,” Hu said. “So it’s hard to get your vaccine, and public health have been sort of redeployed to do other things.”

Hu said this is the main driving factor behind the decrease in child routine inoculations in the pandemic — but he doesn’t blame parents of medical staff for it.

“It’s quite a complex schedule … and if you’re seeing your pediatrician or family doctor probably every two months to kind of remind you … it’s easy to kind of forget.”

Routine vaccine awareness

If there is good news to come out of the pandemic, experts say it’s the greater population’s heightened awareness of the importance of vaccines. 

“I think we faced some challenges, namely that the health system and public health … was very, very burnt out,” Hu said. “But the good news is we’ve mobilized much of society who now cares and is aware of the importance of these things.”

Hu said by optimizing vaccine access through pharmacies and community-based clinics, numbers like school-based vaccination rates have been pushed to higher than 70 per cent.

“So we really want to restore access to at least what it was before the pandemic — and through the pandemic, we’ve learnt a lot about how better to provide vaccinations and deploy those tactics to hopefully get those rates higher than they were before,” he said.

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That heightened awareness can be seen in some pockets of progress when it comes to senior vaccines, according to Tamblyn Watts. 

She said some provinces and territories, such as Prince Edward Island and Yukon, have expanded their coverage and done specific outreach for vulnerable populations.

Nonetheless, there’s more work to be done — hopefully, for Tambyln Watts, on the federal end.

“It really should be the federal government that funds, like COVID-19, all of these [routine] vaccines under its public health mandate and gives it to the provinces,” she said.

“We learned that that way of doing vaccine purchasing and distribution works, and we should do it because right now, we have serious vaccine inequity.”

Hu suggested vaccine outreach groups that targeted demographics that were disproportionately impacted by COVID-19 should continue to operate post-pandemic.

“I think that a lot of these groups now know a lot about vaccines and have the trust of the populations they serve, and I think engaging them to help address the issues around routine vaccination is also critical,” he said. 

It’s part of educating the greater population about routine vaccinations, which Hu believes is key coming out of the pandemic. 

“Get educated, talk to your family doctor, talk to your pharmacist, give public health the call and find out what you need, and go get it.”


Written by Mouhamad Rachini. Produced by Alison Masemann and Joana Draghici.

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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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