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Young children facing greater risk of catching the flu this season, experts warn

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Relatively low circulation of the flu over the past two years puts young children at greater risk than usual of catching it this fall and winter, say experts who also fear fewer pandemic measures and reduced vaccination uptake will further spread.

To a lesser extent, adult resistance to influenza is also lower than it otherwise might be because fewer people received the immune boost of a recent winter infection, says infectious diseases specialist Dr. Susy Hota, stressing the added importance of flu shots this season.

“Our immune responses get boosted to some degree when we see these viruses more frequently,” explains Hota, the medical director of infection prevention and control at the University Health Network.

“We haven’t really had that over the last two years. So people could get more symptomatic and pick up these infections and notice them more the next couple of years.”

Necessary pandemic measures to limit COVID-19 spread led to just 69 confirmed flu cases during the 2020-2021 season and only sporadic cases in 2021-2022, according to a recent update from National Advisory Committee on Immunization, which advises the Public Health Agency of Canada on vaccine use.

The pool of potential flu patients this fall and winter is greater, just as masks and distancing rules have dropped, says immunologist Dawn Bowdish of Hamilton’s McMaster University.

“As a population we are ripe for influenza,” she says. “One of the reasons it seems to be spreading a little bit earlier than it would be in a sort of a pre-COVID year is because there’s just so many susceptible people who can harbour this infection.”

Like Hota, she says the potential rise in circulation in the coming months is “a really big problem” for children under two who are being exposed for the first time and are more susceptible to serious illness.

The same is likely true for kids aged three and four who otherwise might have gotten flu when they were babies or toddlers but were spared because of COVID-19 mitigation strategies, she adds.

“Because we are dealing with a whole bunch of kids who haven’t had a lot of stimulation … we can expect that it could be really problematic in young kids this year,” says Bowdish.

She notes a similar scenario played out last summer when a surge of respiratory syncytial virus, or RSV, sent infants, toddlers and preschoolers to hospital and strained pediatric health-care resources.

While myriad other pressures continue to strain the health-care system – including ongoing COVID-19 infections that many experts fear will also rise – it’s especially important to get the flu shot this year, Bowdish adds.

As far as flu risk to the population as a whole, infectious disease expert Matthew Miller does not expect one missing flu season will make us vastly more susceptible than previous years.

Miller, the director of the Michael G. DeGroote Institute for Infectious Disease Research at McMaster, says many adults can count on some level of immunity generated by a lifetime of exposure to seasonal influenza, including seniors who don’t generally mount as strong of an immune response as younger age groups.

That immunity can last years and even decades if someone encounters a flu strain that is closely related to something they’ve seen before.

“During the swine flu pandemic, seniors were disproportionately protected from dying because that virus looked a lot like the virus that caused the 1918 Spanish flu,” says Miller, also an associate professor of biochemistry and biomedical sciences at McMaster.

“People who were very old and were exposed to the 1918 Spanish flu and viruses that were similar to it that circulated in the year shortly thereafter actually still had protection all the way up in 2009.”

There have been occasions where the same strain will recirculate for several years but if it changes, that pre-existing immunity becomes a lot less effective, says Miller.

Thanks to pandemic measures that also shielded most people from flu infection, Bowdish says the types of influenza now circulating are quite different than before the COVID-19 outbreak.

“Because of all the social distancing (and) the masking, many lineages of the flu virus have actually gone extinct,” she says.

Clues to this season’s dominant strain can be found in what circulated in the Southern Hemisphere, says Miller, noting we can most often expect to see the same version emerge in Canada.

“But it’s not always what happens in practice, because, of course, between the Australian season and our season there are gaps and the dominant virus can change in the interim,” he adds.

Still, Miller says it’s likely that someone who fell ill in 2019 will have some protections this season, believing any changes to this year’s flu will be “modest.”

While countries including Australia, New Zealand and South Africa were hit particularly hard, Bowdish says it’s not clear if that’s because the virus itself developed particularly problematic mutations, because vaccination rates fell short, or because the vaccine didn’t match the strain very well.

Danielle Paes of the Canadian Pharmacists Association points to a worrying survey of 1,500 adults in August that found only 50 per cent of respondents said they would get a shot this year, down six points from a survey in 2021. The margin of error is plus or minus 2.53 percentage points, 19 times out of 20.

Paes says waning interest in the flu shot could also exacerbate the flu’s impact this season.

Hota points to the resumption of many pre-pandemic activities as a main factor driving flu infections this season, noting that mask mandates have dropped, people have resumed travel and are gathering again indoors.

“In previous years, we’ve had public health measures and some kind of restriction in the movement of people or socialization or the ability of people to congregate,” she says.

“It’s definitely different this year.”

This report by The Canadian Press was first published Oct. 12, 2022.

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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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