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The new year's resolution revolution – Toronto Sun

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We all make ‘em and break ‘em – 92% of all new year’s resolutions fail.

Actually expect massive dissolution of resolutions this coming week – the second Friday of January is Quitters Day. Motivation is already fading fast. Promises of moving more, eating less or beefing up our bank accounts are fizzling.

“Every new year people make resolutions that are highly restrictive, unrealistic and unsustainable, setting themselves up for failure before they even start,” says registered dietitian Jillian Kubala, of jilliankubalanutrition.com.

Head off that fateful day and be part of the 8% that make their resolution a dream come true. Keep it simple and realistic, says Kubala. Pledging to lose mega pounds with a super-restrictive 1,000 calorie per day diet or committing to a 5 a.m. spin class daily may have you resolving to an epic fail from day one.

“Research shows time and again that restrictive diets don’t work and that most people who drop pounds using restrictive dieting methods regain up to 95% of the weight lost within five years. Additionally, studies have shown that at least one third of dieters end up regaining more weight than they originally lost,” says Kubala, who uses the Instagram handle @jillian_kubala_rd to share wellness tips.

There’s still time to tweak that resolution into something realistic and sustainable. We’re a mere five days into 2020, lots of time to fine-tune and re-aim your resolve so you get where you want to go.

Kubala offers up these resolutions that you can actually keep:

· Eat less added sugar. Foods and beverages high in added sugar include soda, candy, sugary cereals, sweetened yogurts, energy drinks, sweetened coffee drinks, and baked goods.

· Eat more vegetables. If you currently only eat veggies once or twice a week, make a resolution to eat one serving every day with dinner, then work up from there.

· Cut out or reduce highly processed foods. For optimal health, whole, nutrient-dense foods should be making up the majority of your diet. Cut back on fast food and highly processed packaged foods. Start with focusing on one meal, then work up from there.

· Move more in any way that works for you. Your new activity routine needs to fit in with your schedule to increase the chances of success such as walking for 30 minutes three days a week before work or on weekends. Enlist a friend or coworker to to hold you more accountable. Expending more energy in general is the most important thing, no matter the intensity.

· Less screen time. Most people spend way too much time on their phones or staring at TV or computer screens, which can increase chances of weight gain and depressive symptoms. Try uninstalling social media from your phone and trying out a new hobby.

· Stop the dieting cycle. Cyclical or yo-yo dieting has been linked with a host of negative health outcomes. Choose to create a nourishing eating pattern that makes you feel good about yourself and doesn’t involve unnecessary restrictions. A registered dietitian can help you start and/or maintain a healthy eating plan.

Sleep on it!

You feel your willpower waning? Then sleep on it, says Dr. Michael Breus, a New York sleep specialist and clinical psychologist. Bad ZZZZs will keep you from reaching simple goals, let alone a year-long resolution. “The sleep deprived will simply continue to not achieve their true potential, or even get close to it.”

All new year’s resolutions are affected by sleep – “resolutions are actually rest-o-lutions!” says Breus.

We are sleep deprived big-time. “It’s epidemic proportions. Over 50% of women appear to complain about their sleep – not getting good sleep more than three nights per week,” says Breus. “We now have both an overweight and an obese society, and with it comes sleep apnea, which effects about 20% of the total population but more like 80% of the overweight/obese population.”

That’s not all: Bad sleep hygiene includes excessive screen time for both adults and kids, and copious amounts of caffeine. “It’s literally everywhere, or hidden in energy drinks. Not only does this prevent many people from going to sleep, but for those that can still fall asleep, the quality of that sleep is terrible,” says Breus.

Not too late to make sleep your rest-o-lution:

· Pick bedtime and wake-up time and stick to it.

· Stop caffeine early. Caffeine has a half life of six to eight hours, so stopping at 2 p.m. means at least half is out of your system before bedtime, which will help you fall asleep easier and maintain sleep quality.

· Stop alcohol three hours before lights out. It takes the average human one hour to digest one adult beverage.

· Get a good exercise session in during the day.

· Have a peaceful ritual every night like reading a book, walking your pet, or having a nice shower or bath.

The dirt on gyms

You’re hitting the gym to lose weight and get healthy?

Beware the germs, viruses, and fungus! The gym is one dirty place, according to Bryan Combs, a nurse practitioner at the University of Alabama at Birmingham.

Get a grip and keep your immune system healthy. Handlebars on ellipticals, treadmills, stationary bicycles and weight machines are covered in bacteria. Clean them yourself with wipes or a disinfectant spray before and after each use, recommends Combs.

Don’t assume the gym towels are clean. “A lot of gyms use the same container to carry dirty towels to the washing area and then use the same one to bring clean towels back, so they can become contaminated again,” says Combs.

Reusable water bottles and gym bags are germ carriers. Wash your bottle after every use and use a disinfectant spray regularly on your gym bag.

Head off fungal infections like athlete’s foot by always wearing shoes in all areas of the gym, but especially in change rooms and in the shower. If you sit down, make sure a clean towel is placed on top of the bench or seat.

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Canada to donate up to 200,000 vaccine doses to combat mpox outbreaks in Africa

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The Canadian government says it will donate up to 200,000 vaccine doses to fight the mpox outbreak in Congo and other African countries.

It says the donated doses of Imvamune will come from Canada’s existing supply and will not affect the country’s preparedness for mpox cases in this country.

Minister of Health Mark Holland says the donation “will help to protect those in the most affected regions of Africa and will help prevent further spread of the virus.”

Dr. Madhukar Pai, Canada research chair in epidemiology and global health, says although the donation is welcome, it is a very small portion of the estimated 10 million vaccine doses needed to control the outbreak.

Vaccine donations from wealthier countries have only recently started arriving in Africa, almost a month after the World Health Organization declared the mpox outbreak a public health emergency of international concern.

A few days after the declaration in August, Global Affairs Canada announced a contribution of $1 million for mpox surveillance, diagnostic tools, research and community awareness in Africa.

On Thursday, the Africa Centres for Disease Control and Prevention said mpox is still on the rise and that testing rates are “insufficient” across the continent.

Jason Kindrachuk, Canada research chair in emerging viruses at the University of Manitoba, said donating vaccines, in addition to supporting surveillance and diagnostic tests, is “massively important.”

But Kindrachuk, who has worked on the ground in Congo during the epidemic, also said that the international response to the mpox outbreak is “better late than never (but) better never late.”

“It would have been fantastic for us globally to not be in this position by having provided doses a much, much longer time prior than when we are,” he said, noting that the outbreak of clade I mpox in Congo started in early 2023.

Clade II mpox, endemic in regions of West Africa, came to the world’s attention even earlier — in 2022 — as that strain of virus spread to other countries, including Canada.

Two doses are recommended for mpox vaccination, so the donation may only benefit 100,000 people, Pai said.

Pai questioned whether Canada is contributing enough, as the federal government hasn’t said what percentage of its mpox vaccine stockpile it is donating.

“Small donations are simply not going to help end this crisis. We need to show greater solidarity and support,” he said in an email.

“That is the biggest lesson from the COVID-19 pandemic — our collective safety is tied with that of other nations.”

This report by The Canadian Press was first published Sept. 13, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.

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How many Nova Scotians are on the doctor wait-list? Number hit 160,000 in June

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HALIFAX – The Nova Scotia government says it could be months before it reveals how many people are on the wait-list for a family doctor.

The head of the province’s health authority told reporters Wednesday that the government won’t release updated data until the 160,000 people who were on the wait-list in June are contacted to verify whether they still need primary care.

Karen Oldfield said Nova Scotia Health is working on validating the primary care wait-list data before posting new numbers, and that work may take a matter of months. The most recent public wait-list figures are from June 1, when 160,234 people, or about 16 per cent of the population, were on it.

“It’s going to take time to make 160,000 calls,” Oldfield said. “We are not talking weeks, we are talking months.”

The interim CEO and president of Nova Scotia Health said people on the list are being asked where they live, whether they still need a family doctor, and to give an update on their health.

A spokesperson with the province’s Health Department says the government and its health authority are “working hard” to turn the wait-list registry into a useful tool, adding that the data will be shared once it is validated.

Nova Scotia’s NDP are calling on Premier Tim Houston to immediately release statistics on how many people are looking for a family doctor. On Tuesday, the NDP introduced a bill that would require the health minister to make the number public every month.

“It is unacceptable for the list to be more than three months out of date,” NDP Leader Claudia Chender said Tuesday.

Chender said releasing this data regularly is vital so Nova Scotians can track the government’s progress on its main 2021 campaign promise: fixing health care.

The number of people in need of a family doctor has more than doubled between the 2021 summer election campaign and June 2024. Since September 2021 about 300 doctors have been added to the provincial health system, the Health Department said.

“We’ll know if Tim Houston is keeping his 2021 election promise to fix health care when Nova Scotians are attached to primary care,” Chender said.

This report by The Canadian Press was first published Sept. 11, 2024.

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Newfoundland and Labrador monitoring rise in whooping cough cases: medical officer

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ST. JOHN’S, N.L. – Newfoundland and Labrador‘s chief medical officer is monitoring the rise of whooping cough infections across the province as cases of the highly contagious disease continue to grow across Canada.

Dr. Janice Fitzgerald says that so far this year, the province has recorded 230 confirmed cases of the vaccine-preventable respiratory tract infection, also known as pertussis.

Late last month, Quebec reported more than 11,000 cases during the same time period, while Ontario counted 470 cases, well above the five-year average of 98. In Quebec, the majority of patients are between the ages of 10 and 14.

Meanwhile, New Brunswick has declared a whooping cough outbreak across the province. A total of 141 cases were reported by last month, exceeding the five-year average of 34.

The disease can lead to severe complications among vulnerable populations including infants, who are at the highest risk of suffering from complications like pneumonia and seizures. Symptoms may start with a runny nose, mild fever and cough, then progress to severe coughing accompanied by a distinctive “whooping” sound during inhalation.

“The public, especially pregnant people and those in close contact with infants, are encouraged to be aware of symptoms related to pertussis and to ensure vaccinations are up to date,” Newfoundland and Labrador’s Health Department said in a statement.

Whooping cough can be treated with antibiotics, but vaccination is the most effective way to control the spread of the disease. As a result, the province has expanded immunization efforts this school year. While booster doses are already offered in Grade 9, the vaccine is now being offered to Grade 8 students as well.

Public health officials say whooping cough is a cyclical disease that increases every two to five or six years.

Meanwhile, New Brunswick’s acting chief medical officer of health expects the current case count to get worse before tapering off.

A rise in whooping cough cases has also been reported in the United States and elsewhere. The Pan American Health Organization issued an alert in July encouraging countries to ramp up their surveillance and vaccination coverage.

This report by The Canadian Press was first published Sept. 10, 2024.

The Canadian Press. All rights reserved.

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