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Vaccination acceleration glitches loom for B.C. – BC News – Castanet.net

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Canada’s vaccine-distribution system has suffered from shortages and delays from manufacturers as governments around the world compete for valuable vaccine doses.

That competition is likely to continue despite B.C. health officials and politicians saying March 1 that they are aiming to vaccinate all eligible British Columbians by the end of July.

The province’s ambitious goal comes even as Premier John Horgan said on March 1 that he anticipates 400,000 more British Columbians being vaccinated in March and April – about one tenth of the eligible British Columbians who still need to be vaccinated, and a goal that would see a vaccination rate of about 6,557 people per day. That rate is far below what would be required to vaccinate all British Columbians by the end of July.

BIV asked provincial health officer Bonnie Henry in February if she expected more glitches this spring, or whether she expected logistics issues will be largely resolved.

“We are hoping for the latter and planning for the former,” she said.

Henry explained that part of the reason for interruptions in vaccine deliveries is that drug companies have had to ramp up from nothing much faster than was expected.

“I think it surprised everybody, including the manufacturers, that these vaccines were approved so soon,” Henry said.

“These are growing pains that we would expect. I am hopeful by April that things will be much smoother – at least we’ll understand where any more issues are.”

Mahesh Nagarajan, a professor at the University of British Columbia’s Sauder School of Business whose focus area is supply chains, said effectively vaccinating a population involves a two-step process: sourcing the vaccine and distributing it.

He commended Canada for quickly acquiring options to buy hundreds of millions of doses of vaccines from a range of manufacturers. Nagarajan said that had a drug developer other than the Pfizer-BioNTech partnership been first to get its drug approved for use in Canada, Canada likely would have had a faster vaccine rollout.

What the Canadian government should have done, he said, was revise its strategy over time.

“You cannot say in June of 2020: ‘We have option agreements for 400 million vaccine doses,’ and then you do nothing after that,” Nagarajan said.

Had the Canadian government swapped its options to buy vaccine doses for concrete commitments to buy those vaccines, backed with top-dollar prices, Nagarajan believes Canada could have been a global vaccination leader.

Nagarajan added that the federal government, knowing that Canada has little drug-manufacturing capacity, should have done more to ensure sufficient vaccine supply.

Some critics have suggested that were Canada equipped with a robust drug-manufacturing sector, similar to the U.K.’s, its manufacturing companies could have reached agreements with the Pfizer-BioNTech partnership, Moderna, which was the second-fastest drug manufacturer to have a vaccine approved in Canada, or AstraZeneca, which had its vaccine approved for use in Canada last week.

Horgan, on March 1 sounded as though he would prefer Canada had a larger drug-manufacturing sector.

“We are dependent on offshore supplies of vaccines to meet our targets,” he said. “The federal government has been working overtime to ensure we get access to those vaccines, but there is no domestic supplier that we can put pressure on. This is a global pandemic. This is a scarce commodity that is in high demand in every corner of the planet.”

Nagarajan, however, said Canadian drug manufacturers would have had to pay the drug developers significant sums for the right to produce the vaccines, and that any such partnership would only be feasible for the drug developers if the prospective manufacturers could produce huge volumes of the vaccines – not merely enough for 38 million Canadians.

Another challenge is that Pfizer-BioNTech’s and Moderna’s mRNA vaccines are more complicated to manufacture than AstraZeneca’s, which is based on double-stranded DNA. As such, established drug manufacturers may have had difficulty producing the vaccine.

“That said, having a large manufacturing capacity can definitely help a country,” Nagarajan said.

He pointed to India, which has a large drug-manufacturing sector and has been able to produce so much vaccine that it said in mid-February it planned to send Canada an unspecified number of doses of the AstraZeneca vaccine within a month.

Distribution key to a successful ramp-up in vaccinations

Leaving the sourcing of vaccines aside, the distribution system is the other major component of getting vaccine doses into arms.

B.C.’s vaccine supply relies on the federal government, and it could be disrupted by unpredictable external factors, such as weather.

Mid-February supply delays resulted in part from freakish weather that closed the UPS cargo terminal in Louisville, Kentucky, thereby temporarily halting distribution.

Health Minister Adrian Dix said March 1 that while the province’s vaccine roll-out has been behind schedule, the roll-out will catch up, and the AstraZeneca approval is likely to “significantly move up first doses.” The province has also started to push off providing second doses to as long as 16 weeks after recipients’ first doses.

Nagarajan estimated that vaccinating about four million British Columbians in the seven months between March and September would require health officials to vaccinate about 19,000 people each day – several times more than the 6,557-people per day that Horgan expects in March and April.

The vast majority of those people are likely to get vaccines that require two separate doses, which all three approved vaccines now require.

He said a month’s delay in that process caused by any kind of vaccine shortage would mean that “the 19,000 people vaccinated per day will need to become 23,000 people per day, which is going to put an extra burden on the distribution system.”

The province is now in what it calls Phase 2 of its vaccination program. British Columbians eligible to receive their first vaccine dose in March and early April include:

• seniors and high-risk people residing in independent living and seniors’ supportive housing (including staff);
• home-care support clients and staff;
• Indigenous (First Nations, Métis, Inuit) peoples born in or before 1956 (65 years old and older); and
• seniors born in or before 1941 (80 years old and older).

Horgan said earlier this year that at peak immunization capacity, in late spring and summer, he expected the province to rely on 715 full-time immunizers provincewide to administer about 100,000 doses per day.

He said those immunizers would administer doses to 140 patients a day in convention halls, community centres and other sites.

The province plans to use mobile, or pop-up sites, and have health officials visit the private homes of residents who are unable to visit clinics.

Vancouver Coastal Health chair Penny Ballem, who is leading the province’s vaccine rollout, said March 1 that the AstraZeneca vaccine approval “will likely result” in the province by mid- to late-July being able to give a first dose of an approved vaccine “to everybody in our population.”

Horgan then followed up by saying that he expected that the “vast majority” of British Columbians would be able to be immunized by July.

Nagarajan, however, believes that glitches could still occur.

“We don’t know where the bottlenecks will be until we actually run through the system,” he said.

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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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