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School outbreaks of COVID-19 will happen. Doctors offer tips to keep them in check – CBC.ca

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As schools across Canada finalize their back-to-class plans, doctors say there are a few things educators and parents should keep in mind during COVID-19.

People will form new routines that build on the advice provincial medical officers of health regularly share about hand washing, avoiding touching your face and trying to keep two metres away from others. Schools will now put students into smaller groups, check ventilation and consider use of masks.

Cases of COVID-19 haven’t overwhelmed health systems in Canada thanks to collective sacrifices, but cases continue to occur. 

CBC News is breaking down need-to-know information on the pandemic based on questions sent via email to COVID@cbc.ca. Here, physicians offer advice and answer questions on back-to-school topics like distancing, health checks, safe nap times and when to stay home.

Dr. Lisa Barrett, an infectious diseases physician at Dalhousie University in Halifax, said keeping school as safe as possible for kids to learn and socialize doesn’t follow a set timetable.

Evidence suggests toddlers actually have less chance of transmitting COVID-19 than a 20-year-old who is napping, said Dr. Laura Sauvé, a pediatric infectious disease specialist at the University of British Columbia. (Fiona-Lee Quimby/Fairfax Media/Getty)

By necessity, she said, school plans can’t be perfect and people won’t follow all of the basics to the letter at all times.

“If we don’t do a better job of tracking and tracing, then some of these school plans … are going to fail, and we’re going to see outbreaks and clusters we can’t control,” she said.

Layering public health measures for all Canadians on top of testing and contact tracing aims to keep outbreaks manageable. 

Priority 1: Keep COVID-19 out

Many school boards have not yet offered details on what they’ll be implementing to keep children safe and how. Until then, infectious disease and public health experts say some precautions will be the most effective.

Infectious disease physicians stress prevention before control — meaning they’d like to keep the novel coronavirus out of schools altogether.

That’s why they, along with pediatricians and epidemiologists, repeat that people need to stay home when sick. Doing so prevents an individual’s illness from sparking more.

Dr. Laura Sauvé, a pediatric infectious disease specialist at the University of British Columbia, said public health, school authorities and infectious disease specialists are collaborating closely across the country.

“Public health authorities are trying their best to balance multiple competing priorities keeping in mind the whole child,” Sauvé said.

WATCH l Physical distancing in schools:

Dr. Christopher Labos says there is little value in testing every child for the coronavirus before school starts and he speaks to concerns about keeping kids apart in the classroom. 5:43

Priority 2: Check frequently for symptoms

Recognizing a sickness and acting on it is a major layer of defence to keep COVID-19 out of schools.

Sauvé’s son is heading into Grade 4. When he attended day camp in B.C. this summer, she said there were either sign-in sheets or a daily email requiring parents to declare the child is not sick.

“It’s not so much the signing. It’s the fact that every day we’re checking in with ourselves and saying, ‘Am I sick today? Do I have any symptoms?'” she said. “And if there’s any way I could have symptoms, I need to stay away and reassess. If I get worse, get a test.”

Distancing students inside is the most important consideration in reopening schools, according to Dr. Lisa Barrett, an infectious diseases physician at Dalhousie University in Halifax. (Sean Young/CBC)

To emphasize the stay-home message, schools and workplaces plan to send notices home, and provincial health officers will give regular reminders, she said.

Priority 3: Stay apart

Public health experts have repeatedly stressed that physical distancing is key to preventing the spread of COVID-19, but how that will play out in schools with small classrooms and large numbers remains to be seen.

Andisha A., a Grade 11 student in Calgary, sent the this question to Ask CBC: “How can I be safe when my classroom is full, with not a lot of social distancing going around? The school board is also not forcing students to wear a mask?”

The federal government’s COVID-19 guidance for schools resource emphasizes separating people from each other through physical distancing and barriers as more protective than what individuals can do, such as covering coughs, hand washing or wearing non-medical masks.

To that end, local medical officers of health in Toronto, Hamilton and Ottawa have called for smaller class sizes.

“Ottawa Public Health supports having the number of students within a classroom to be as small as possible, in order to facilitate appropriate physical distancing, and to maintain distancing and limit the mixing of cohorts in common areas such as hallways and washrooms,” Dr. Brent Moloughney, the city’s associate medical officer of health said in a statement on Tuesday.  

Fen Bohen, 9, of Gibsonia, Pa., participates in an obstacle course with fellow campers on June 11 at Camp Guyasuta in Sharpsburg. Schools across Canad are rolling out protocols to keep children safe during the COVID-19 pandemic. (Michael M. Santiago/Pittsburgh Post-Gazette/The Associated Press)

Provincial recommendations to school boards are also subject to change.

Masks are another issue school boards are tackling differently. In Alberta, students from Grades 4 through 12 will be required to wear masks in all public spaces like hallways and can choose to wear them while seated in the class. Masks will be optional for younger students. Quebec’s plans are similar. Ontario requires masks in Grades 4 to 12.

Priority 4: Ventilation  

Lorna C. asked, “What is the plan to ensure safe air flow and humane working temperatures in elementary schools without air conditioning?”

At her clinic, Sauvé said fans are generally avoided to prevent the spread of fungal spores but they are turned on since it can get as hot as 35 C inside.

For schools, Sauvé said opening windows is encouraged.

Provincial occupational health and safety committees have more specific recommendations on ventilation in school. 

Priority 5: Personal protective equipment

Dr. Catherine Clase, a nephrologist at St. Joseph’s Healthcare in Hamilton, Ont., applauds Andisha for being proactive about staying safe at school 

Clase suggests fabric masks for students, which she first proposed for her kidney patients. Some school boards across Canada are making masks mandatory for secondary school students. 

“If [masks] are normalized in school and we have conversations and kids are not shamed for doing it wrong I think that’s going to be really important,” Sauvé said. “Everything we do has to be done with the thought of kindness and support.” 

Clase hopes people will create shareable videos to encourage proper use.

Making masks attractive to children would help and some trial and error could be in order, she said.

Sauvé suspects that with encouragement and redirection, most children will be able to get used to wearing masks, which are not the “be all and end all” of protection.

Monica N. asked about how often to change a mask during a six-hour day with Grade 3 students. 

If families have the resources, then both Clase and Sauvé suggest providing two facial coverings each day to change at lunch or if one becomes soiled.

“We need to be planning for at least one clean mask for every person going outside the house every morning,” Clase said.

Hand sanitizer and spaced-out desks, labelled for a specific cohort of student, are some of the changes being made in secondary schools. (Stacey Janzer/CBC)

Sophie D. said “physical distancing is not possible with infants, toddlers, or preschoolers, especially during nap time when up to 24 children sleep on cots close together. Will masks really protect educators in this environment?”

Likely, yes. “You will get protection from wearing a mask,” Clase said.

Sauvé said sleeping children are also not coughing and running around.

“Evidence suggests that toddlers would transmit less than a 20-year-old having a nap.”

Schools aren’t the most dangerous place

Doctors and scientists also know more about the virus than when schools abruptly closed back in March, when the pandemic was taking hold in Canada.

The bulk of evidence globally shows some kids will get very sick with COVID-19, but overall they get much milder disease symptoms than adults, Sauvé said.

“Of kids who get it, about 80 per cent get it from somebody in their household … even in settings where kids are getting back to school and back to daycare,” she said.

It also appears that young children transmit the virus less than older kids. There’s no clear age cutoff, according to Sauvé.


Keep your questions coming by emailing us at COVID@cbc.ca.

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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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