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SARS virologist warns Wuhan virus far worse

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The virus that has infected hundreds in China shows signs of being far worse than SARS, the pandemic that killed nearly 800 people 17 years ago, a prominent virologist has warned after travelling to Wuhan, where the new coronavirus first began to spread.

Yi Guan, who played an important role in tracing the development of SARS, spoke hours before authorities prepared to place a second Chinese city on lockdown, as local officials employ increasingly harsh measures in hopes of controlling the spread of the deadly Wuhan virus. Beginning at midnight Thursday, all public transport will halt in Huanggang and checks mandated for every person entering or exiting the city of 7.5 million, situated 70 kilometres east of Wuhan. All theatres, cafes and entertainment venues will be closed as well. Authorities said they would also close rail stations in nearby Ezhou, a city of one million.

“Conservative estimates suggest that the scale of infection may eventually be 10 times higher than SARS,” said Dr. Guan, director of the State Key Laboratory of Emerging Infectious Diseases at the University of Hong Kong, told China’s Caixin media group on Thursday. Dr. Guan spent two days in Wuhan this week.

China locks down the central city to try to contain the virus which has killed at least 17 and infected nearly 600. Reuters

The World Health Organization said it would deliberate again on Thursday whether it should declare a global emergency around the 2019-nCoV virus, which causes pneumonia-like symptoms and is believed to have originated at a market that sold wild game.

Ivan Hung, chief of the infectious diseases division at the University of Hong Kong, said the ability to rapidly identify the virus in patients should help authorities to counteract its spread. And, he said, “so far the virus is behaving in a less lethal manner than the SARS.”

Dr. Guan, however, left Wuhan convinced that “the epidemic situation was out of control.”

Most viral outbreaks ”are controllable,” he said. He pointed to SARS, H5N1 and swine fever.

“I’ve experienced so much and I’ve never felt scared before,” he said. “But this time I’m scared.”

By Thursday evening, Chinese authorities had identified 634 confirmed cases, 422 suspected cases and 17 deaths in 30 provinces and regions, including Hong Kong and Macau. Singapore on Thursday confirmed its first case: a 66-year old man from Wuhan. Further cases have been confirmed in Taiwan, Thailand, South Korea, Japan and the U.S.

The comments from Dr. Guan mark the strongest warning to emerge from a professional who has travelled to Wuhan, a city of 11 million that on Thursday entered a partial lockdown. At 10 a.m., authorities shut down the city’s public transit and barred the boarding of outbound trains and planes.

Local officials described taking “war-time measures,” state media reported. That included the return of China’s familiar heavy-handed control of information: Censors quickly deleted a post from the Wuhan Health Commission admitting to “long queues and a shortage of beds in fever clinics.” The commission has been an important source of local updates. Numerous people in Wuhan took to social media to say they were unable to get medical treatment — or refused diagnostic tests, calling into question the thoroughness of official statistics, even as the scale of the lockdown pointed to significant concern.

But the draconian measures being undertaken may be too late, Dr. Guan said, pointing to the great numbers of people who had already left Wuhan to return to childhood homes across China before the lockdown was imposed.

“When these people returned to their hometowns, they took the virus to all parts of the country,” he said. In Wuhan, doctors told Caixin that the number of people infected could reach as high as 6,000. Using computer modelling, researchers at Imperial College London now estimate as many as 4,000 cases could exist in Wuhan alone.

Given the incubation period of the virus, Dr. Guan estimated that pneumonia-like symptoms may begin to appear more broadly across China beginning Jan. 25. It called into question whether the nation-wide public rush to wear masks — few faces remained uncovered at airports and train stations across the country Thursday — had also come too late.

Other experts disagreed. “We have got the genetic sequence of the novel coronavirus and the ability to perform rapid diagnosis,” said Dr. Hung, at the University of Hong Kong. “During SARS, we were playing catchup and had no knowledge of the SARS coronavirus until very late stage — likely five to six months after the outbreak.”

At the Beijing West Train Station, a porter on Thursday told passersby that bullet trains passing through Wuhan were being disinfected several times a day. Chinese social media called attention to accounts this week from people encountering frontline workers at state-owned firms who had been told not to wear masks, lest it add to the sense of seriousness. By Thursday, those staff were wearing masks.

Foreign experts have said early indications suggest the virus is not as deadly as early coronavirus pandemics, such as SARS and Middle East Respiratory Syndrome (MERS). The Wuhan virus has so far proven deadly only for older people. Among those who have died to date, the youngest is 48 years old.

The major organs of Chinese state media, however, gave little coverage to the spread of the virus, devoting greater attention to smiling pictures of president Xi Jinping issuing greetings for the Lunar New Year.

It stood in stark contrast to the uncertainty and fear that coursed through Wuhan, where people raced to leave the city early Thursday morning, worried that authorities had declared an open-ended moratorium on trips out of the city. The lockdown appears to have also extended to highways in and out of Wuhan, with state media reporting closures.

“The biggest concern to me is how long this sealing-off will last,” said Li Mei, who operates a popular shop selling flat cakes in Wuhan. “We only know it started at 10 a.m. today, and the buses have stopped.”

At the city’s Wanfangtang Drug Store, a shopkeeper who gave her name only as Ms. Liu described six days of working 8 am to midnight, in an attempt to serve a never-ending queue of customers buying masks, alcohol disinfectant and anti-viral medication.

She was so tired, “I almost passed out,” she said. The shop had run out of many products, and “even more people rushed to our store since the lockdown was announced this morning.”

“It’s obvious,” she added, “that people are feeling a greater and greater sense of panic. But it remains under control — at least they are lining up to make purchases.”

Her store, she said, “is probably the busiest place on the street,” as public spaces in Wuhan emptied of people.

“You can barely see anyone wandering outside,” said Duan Jie, a manager at the Wuhan branch of an LED lighting company. Many aspects of life remained normal: “We can still go out to shop, and go to the supermarket to buy fruit and vegetables to prepare for the blackout period,” he said. But he worried about the sufficiency of the city’s food supplies if the lockdown remains in place for long.

Car owners like him have more options, since only public transit has been halted.

Dr. Guan, however, warned that too little was being done in Wuhan, telling Caixin that too few places were being disinfected. Based on what he saw on Tuesday and Wednesday, “local health protection has not been upgraded at all.”

Mr. Duan had nonetheless cancelled plans to drive with his wife and daughter to his hometown for Lunar New Year celebrations, known in China as Spring Festival. They planned to stay home instead.

But he and others barely grumbled.

Spring Festival without extended family might be lonely.

But “I care more about the situation with this disease, and how to make sure my families all safely get through it,” Mr. Duan said.

“Not leaving Wuhan won’t kill you. But the virus could.”

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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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