SickKids guidance for return to school only a starting point, critics say - CBC.ca | Canada News Media
Connect with us

Health

SickKids guidance for return to school only a starting point, critics say – CBC.ca

Published

 on


A document from a Toronto hospital that provides guidance for reopening Ontario schools in September garnered criticism from some epidemiologists, while other experts say it offers a useful starting point in the conversation.

Dr. Zoe Hyde of the University of Western Australia in Perth posted a thread on Twitter Thursday outlining “serious concerns” about the document that was released by SickKids a day earlier.

Dr. Nisha Thampi, a pediatric infectious disease specialist with the Children’s Hospital of Eastern Ontario in Ottawa, was among the Canadian experts to also post her thoughts on the social media platform.

Thampi called the SickKids document a “launching pad” and said “broad consultation” should be the next step toward figuring out a safe return plan. She reiterated that in a phone interview.

“I can appreciate that with the profile that SickKids has, that there may have been a higher expectation for more definitive guidance,” Thampi said from Ottawa. “But really, for me the focus of this guidance was that children need to go back to school in September because it’s the right thing to do.”

“[The document] actually serves as a launching pad for more conversations with broader stakeholders,” she added. “I think what’s remarkable is that Twitter has afforded us an opportunity to see how engaged Ontarians are in this discussion in coming to a solution that makes families feel safe, teachers feel safe, and most importantly of all, normalizes the experience for children who have already been bearing the brunt of so much of this pandemic shutdown.”

Among the key issues epidimiologists are debating are whether children are less likely to be infected by the novel coronavirus and suffer compications from COVID-19, and if there is enough evidence to suggest they’re less likely to act as vectors of the disease than previously believed.

The SickKids document said “evidence is mounting” that children are less susceptible to COVID-19 and could be less likely to spread it.

School bus disinfection is one aspect to address before students return to class. (Jonathan Dupaul/Radio-Canada)

Hyde took issue with that statement on Twitter and questioned the references cited in the document, including “a peculiar review” by a Swedish epidemiologist Jonas Ludvigsson that she said incorrectly reported no COVID outbreaks in Swedish schools.

Questions on transmission in children

Thampi said Ontario has “limited knowledge” of COVID-19 transmission in children because of early school closures and lockdowns. She added that Ontario kids were not being tested for COVID for months “unless they were admitted” to a hospital.

Dr. Ronald Cohn, the President and CEO of SickKids, acknowledged the criticism in a phone interview Thursday.

In response to the claim the Swedish study is misleading, Cohn said that while the study is not entirely clear in its scientific validity, there are much more recent data that suggest children may not be spreading COVID-19 to the degree one would have initially thought.

“This is really synthesized data from different parts of the world. We’re not making this up,” he said. “We have to still take it with a grain of salt but there is a lot of evidence that has been brought forward.

“I’m not saying — it’s not in the document nor anywhere else — we are not saying that they are not transmitting the disease. It just appears to be at a lower frequency than one would expect.”

The SickKids team said Wednesday that 5,000 symptomatic children were tested with a COVID nasal swab at their hospital since March, with only 30 testing positive. They also tested 1,500 asymptomatic children and found zero positive results.

Hyde also criticized a statement in the SickKids document that said there is a “lack of evidence” to show that wearing a face mask can halt the spread of the virus among children. She said no one has studied this, “as far as I know.”

While face masks have become more commonplace among the general public in recent weeks, the recommendations from the SickKids team does not require children use them in classrooms.

Face shields for teachers?

Dr. Michelle Science of SickKids said Wednesday that incorrect use of masks can lead to an increased risk of infection and they wouldn’t recommend them, especially for younger children. If students wanted to wear face masks, Science said “we certainly wouldn’t discourage that,” however.

Thampi suggested a closer look into face shields instead of masks — at least for teachers.

Dr. Nisha Thampi calls the Sick Kids document a launching pad toward figuring out a safe return to school plan (Hallie Cotnam/CBC)

“What I like about face shields are that they’re reusable, they’re cleanable, it covers more of your face. … and also, especially for a child, it’s helpful in terms of being able to read people’s facial expressions,” she said.

“It’s important for them to be able to have that nonverbal communication and also for the teacher to have his or her eyes protected as well.”

Ontario’s Education Minister Stephen Lecce responded to the criticism Thursday, saying that the province is consulting “widely” with medical experts and scientific leaders across the country — including those at SickKids — in order to compile its own guidelines for a safe reopening of schools.

Lecce added that he has confidence in SickKids as a “leading institute when it comes to the safety of children and health promotion for our youth.”

Hyde and Thampi both believe children should be returning to school, but proper safety should be considered before that can happen.

Cohn said the SickKids document was meant to provide a framework for that.

WATCH | How to scrub your hands like a surgeon

Can washing your hands really slow the spread of COVID-19? That depends on how you clean them. 4:16

“We won’t be able to eliminate the risk but we can mitigate the risk,” he said. “We can balance the mitigation of risk against children being isolated at home and not being with their friends at school.

“I think we have to find a balance … under the assumption that our public health criteria would allow children to go to school and with this advice we think it can be done safely.”

Thampi said that what might be “missing” from the SickKids document is a detailed outline of how safety precautions would play out. But she said those decisions can’t be made by epidemiologists or clinicians alone.

Sick Kids Hospital says that of 5,000 symptomatic children who were tested with a COVID-19 nasal swab at their hospital since March, only 30 came back positive. (Doug Ives/Canadian Press)

“If the expectation was for a comprehensive document, then yes, it’s missing something about bus services or education resources for families. But we’re looking at a document brought together by clinical experts in infectious diseases,” she said.

“So I think it’s very helpful for them to have set out a framework for infection prevention and control by clinical experts in child development and complex care.”

Let’s block ads! (Why?)



Source link

Continue Reading

Health

What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

Published

 on

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.

Continue Reading

Health

Here is how to prepare your online accounts for when you die

Published

 on

 

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.

Source link

Continue Reading

Health

Pediatric group says doctors should regularly screen kids for reading difficulties

Published

 on

 

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.

Source link

Continue Reading

Trending

Exit mobile version