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Rapidly escalating COVID-19 cases amid reduced virus surveillance forecasts a challenging autumn and winter in the WHO European Region – World Health Organization

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Statement by WHO Regional Director for Europe Dr Hans Henri P. Kluge    

At this time last year, WHO/Europe spoke about a new wave of COVID-19 sweeping across the Region, driven by the Delta variant amid the lifting of restrictions and increased social mixing.  

It’s now abundantly clear we’re in a similar situation to last summer – only this time the ongoing COVID-19 wave is being propelled by sub-lineages of the Omicron variant, notably BA.2 and BA.5, with each dominant sub-lineage of Omicron showing clear transmission advantages over the previously circulating viruses. 

With rising cases, we’re also seeing a rise in hospitalizations, which are only set to increase further in the autumn and winter months as schools reopen, people return from holidays and social mixing moves indoors with the onset of colder weather. This forecast presents a huge challenge to the health workforce in country after country, already under enormous pressure from dealing with unrelenting crises since 2020.  

Consider the current situation: The European Region has seen a tripling of new COVID-19 cases over the past 6 weeks, with close to 3 million new cases reported last week, accounting for nearly half of all new cases globally. While hospitalization rates due to COVID-19 have doubled in the same period, intensive care unit admissions have so far remained relatively low. However, as infection rates in older groups continue to rise, Europe is still seeing close to 3000 people die of COVID-19 every week. 

  

These numbers paint a picture of the recent past. Looking to and preparing for the future is much more difficult, yet must be urgently tackled. That’s why today, WHO/Europe is releasing its autumn/winter strategy for COVID-19 and other respiratory viruses – to help prepare for the coming waves of infection. Waiting for the autumn to act will be too late.   

The strategy calls on countries to relaunch mitigation efforts and be ready to respond to an increased burden on their health-care systems. The consistent application of the following 5 pandemic stabilizers will continue to be critical to protect people this autumn and winter:   

  • increasing vaccine uptake in the general population;  
  • administering a second booster dose to immunocompromised people aged 5 and above and their close contacts, and considering offering a second booster to specific at-risk groups, at least 3 months after their last dose;
  • promoting mask-wearing indoors and on public transportation;
  • ventilating crowded and public spaces (such as schools, offices and public transport); and 
  • applying rigorous therapeutic protocols for those at risk of severe disease.  

These stabilizers should be underpinned by:   

  • strengthening laboratory capacities to ensure reliable rapid diagnostic SARS-CoV-2 detection and tracking of variants, complemented by continued population use of rapid diagnostic testing;
  • integrating population-based surveillance systems for influenza, SARS-CoV-2 and other respiratory viruses to monitor the spread and intensity of respiratory viruses;   
  • prioritizing contact tracing and quarantining based on WHO recommendations for individuals, high-risk settings and situations of concern;
  • promoting informed individual choices around protection measures, including respiratory hygiene, mask-wearing, ventilation, handwashing and vaccination; and 
  • strengthening infection control practices in all health-care and care settings, as well as in the community.  

COVID-19 remains a nasty and potentially deadly illness. Just 2 weeks ago, I was struck down with the virus for the first time, and it knocked me off my feet. I spent 3 awful days and nights with high fever, shivers and shortness of breath. I can only imagine how bad it would have been had I not been fully vaccinated and received my additional dose. I recovered at home, in isolation, with my family nearby to keep an eye on me. I didn’t need hospitalization or treatment. The vaccine-induced antibodies in my immune system set to work and fought off the infection. 

My advice to everyone who gets infected is to take it easy. Just because your symptoms have ceased does not necessarily mean you have fully recovered. And when you do return to your normal routine, do it gradually, if at all possible. 

   

More than 2 years into the pandemic, we’re all aware of the tools we have to keep ourselves safe, assess our level of risk and take the necessary steps to protect others if we get infected. Make your own informed decisions. Just because a mask isn’t mandated doesn’t mean it’s prohibited.   

Repeated infections with SARS-CoV-2 are occurring due to the continued evolution of the virus, and each new infection could lead to long COVID. In the United Kingdom alone, for example, an estimated 2 million people – 3% of the population – suffer from long COVID. Much more needs to be done to establish best practices for the detection, treatment and rehabilitation of long COVID patients. I continue to call on countries to recognize the problem and invest in the research needed to respond to COVID-19’s shadow pandemic.  

To reiterate: my message to governments and health authorities is to act now to prepare for the coming months. Right now, the southern hemisphere, where it is winter, is experiencing a very active influenza season, which, along with COVID-19, is putting a continued strain on health systems. We are likely to see a similar scenario in the northern hemisphere come autumn and leading into winter. 

If health authorities act now, they can help reduce the anticipated disruptions to society, including health worker absences and overburdened health systems, struggling businesses and travel chaos.   

Our health systems and society at large must continue to adapt our collective response to this virus – and any future variants of concern. We must continue to do all we can to protect those most at risk. This means we must continue to monitor and track the evolution of SARS-CoV-2, which remains a highly unpredictable virus. Yet most countries in the European Region have stopped or greatly reduced COVID-19 surveillance, creating a dangerous blind spot in our knowledge of how the virus is evolving.  

I therefore urge all countries to continue to strengthen COVID-19 surveillance as part of wider, resilient, population-based surveillance for respiratory viruses and to get ready for the autumn. Knowledge has been and remains a vital tool against the virus. Let’s not throw that away.

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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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