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Want to reduce your chances of cervical cancer? Here’s what you need to know – Global News

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Karla Van Kessel had always gone for regular Pap tests and felt that she was well-informed about her reproductive health.

That’s why it came as a shock for the London, Ont., woman, who’s in her early 40s, when she was diagnosed with Stage 4 cervical cancer in 2018. 

“I thought it was impossible for me to be diagnosed with this type of disease, because I was so compliant with Pap smears,” she said. “I did everything right and still ended up in a really terrible situation.”


READ MORE:
26-year-old Ontario woman encouraging cervical cancer screening

In Canada, 1,350 women were diagnosed with cervical cancer in 2019 and an estimated 410 will die from it, according to the Canadian Cancer Society. 

Cervical cancer is the most preventable cancer in Canada, according to Shawn Chirrey, a senior analyst at the organization. 

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Their data shows that routine screenings can catch precancerous lesions and treat them before they turn into cervical cancer. 

Incidents of cervical cancer decreased by 3.3 per cent per year from 2010 to 2015, which the organization attributes to increased cancer screenings and the HPV vaccine, which lowers the risk of cervical cancer, as the virus can cause it. 

But there are gaps in accessing these tests and understanding how frequently to get them, along with issues like practitioner error, which is what impacted Van Kessel’s diagnosis, she told Global News. She also spoke to the CBC last year about why doctors missed cancer signs in her Pap tests. 

A Pap test she had was abnormal and she should have been referred to a doctor, but she wasn’t, which delayed her diagnosis by six to eight months, she said.

“It was quite a lot because it had spread quite a bit in that time,” she said, adding she was able to review her own records to see that it been noted that she needed a biopsy immediately, but she was never sent for one. 


READ MORE:
HPV vaccine could soon achieve ‘substantial reductions’ in cervical cancer cases, study says

In the months prior to her diagnosis, she had what are known symptoms of cervical cancer like abnormal bleeding between periods and pain during intercourse. Signs also include pelvic pain, painful urination and bleeding after menopause. But Van Kessel was unaware those symptoms were associated with cancer, and she thought her Pap tests were fine.

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She advises those with female reproductive organs to keep up to date with their Pap tests, ensure they have gotten the HPV vaccination, and access their test results.

“Women have always had a challenge being heard in health care and have even more challenges advocating for themselves, because women tend to be quite compliant and don’t want to raise a fuss,” she said. “I would tell women to take charge of their health.”


Karla Van Kessel pictured with her family. Photo by Lindsay Davis.


Lindsay Davis

Work closely with your family doctor and get your hands on your results, she explained. 

Van Kessel is now undergoing experimental treatment in the U.S. and is hopeful it will allow her to beat the disease and continue life with her husband and two young sons. 






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Black woman at higher risk of dying from cervical cancer


Black woman at higher risk of dying from cervical cancer

More than 70 per cent of cervical cancer cases for women aged 18-39 in Canada were caught at Stage 1 due to detection from cancer screening programs and tests like Pap smears, according to the Canadian Cancer Society. 

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But in addition to access to information about screenings and tests, access to doctors and cost can also be factors. In Ontario, HPV tests cost around $100 and groups like Cancer Care Ontario are working to have the test covered by OHIP.

For those who didn’t receive the HPV vaccine in school, it can cost between $300 and $500 depending on if you have private health care coverage. 

Access to cancer screenings for marginalized people, including Indigenous people, is also an issue. Cancer Care Ontario is working to address issues like lack of access to care, culturally competent health care providers and providers in general.

Black women may be under-screened for cervical and breast cancer and there is a lack of health research on this issue, according to a literature review from the University of Toronto. This could lead to worse outcomes from these diseases, according to a previous report by Global News.

Another barrier to receiving care around cervical cancer prevention is the stigma associated with this form of cancer, as it’s related to women’s sexual health, said Denise Corbin, an early detection co-ordinator at the Saskatchewan Cancer Agency.

Corbin’s role involves engaging with the public in Saskatchewan to better inform them about cervical cancer screenings and early detection.

“It’s a topic that is touchy to talk about because what causes cervical cancer in nearly all cases is the HPV virus,” she said. “So seeing as HPV is a sexually transmitted infection, there’s not a lot of people that want to talk about it.” 

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Most people who are sexually active will have an HPV infection at some point in their life. In most cases, it will go away, but sometimes it will not, which can lead to cancer, according to the Canadian Cancer Society.






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HPV test should replace Pap tests for cervical cancer screening: study


HPV test should replace Pap tests for cervical cancer screening: study

Two strains of HPV, HPV16 and HPV18, can cause cells to change or become abnormal, which causes 70 per cent of all cervical cancers, according to the organization. But men are also encouraged to receive the vaccine as HPV also causes anal, penile, mouth and throat cancers.

There is shame associated with women talking about being sexually active and their bodies, and many aren’t comfortable doing so with a male doctor, said Corbin.


READ MORE:
HPV immunization program in B.C. cuts rates of pre-cancer in women, study says

“You’ve got stigmas of, ‘I’m not supposed to talk about it’ or ‘I’m afraid to talk about it,’” said Corbin. “And a lot of people think, ‘Oh, I had a Pap test, I’m good.’”

Getting the HPV vaccine along with cancer screenings is important to do along with a Pap test and monitoring your body for unusual symptoms, she said.

Recommendations for when to get a Pap test, which screens for cervical cancer, are to start at age 21 and get one every three years after that. However, in 2013, the Canadian Medical Association Journal published new guidelines that recommend tests start at age 25.

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The main goal of the Saskatchewan Cancer Agency’s outreach program is to help women be comfortable with their own bodies and talk about their health, so they feel more inclined to get tested, said Corbin.

“We just sit down and talk about some of the fears … what they’re feeling anxious about,” she said, adding that the Pap test is invasive and uncomfortable, which can also be a deterrent.

Free HPV vaccination in schools has made a big difference in tackling cervical cancer rates, said Dr. Sarah Ferguson, a gynecologic-oncologist at the Princess Margaret Cancer Centre in Toronto. 

But accessibility continues to be an issue in health care, as costs continue to be barriers to care, said Ferguson. 

“We need to make sure that women are being screened and to maximize our HPV vaccinations,” she said, adding she is pleased to see rates of cervical cancer decrease in the country.

“We can’t be complacent, but it is a success story,” she said. “It’s important to… advocate for ourselves to make sure our screenings are done every three years to prevent cancer.”

 

Olivia.Bowden@globalnews.ca

© 2020 Global News, a division of Corus Entertainment Inc.

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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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