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Young professionals cut ahead of older Italians for vaccine – Delta-Optimist

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ROME — Octogenarians in Tuscany watched in disbelief and indignation as lawyers, magistrates, professors and other younger professionals got vaccinated against COVID-19 before them, despite government pledges of prioritizing Italy’s oldest citizens. Even some of their adult children jumped ahead of them.

By one estimate, the failure to give shots to the over-80s and those in fragile health has cost thousands of lives in a country with Europe’s oldest population and its second-highest loss of life in the pandemic.

As the elderly were elbowed aside, a dozen prominent senior citizens in Tuscany published a letter calling out the authorities, including the region’s governor, for what they said was a violation of their health care rights enshrined in the Italian Constitution.

“We asked ourselves, ‘What’s the reason for this disparity?’” said signatory Enzo Cheli, a retired constitutional court judge who is a month shy of 87. By late March, he still hadn’t been vaccinated, three months into Italy’s inoculation campaign.

“The appeal was born of this idea that errors were being made, abuses,’’ Cheli said in a telephone interview from his country home near Siena. He noted that investigations are underway in Tuscany and other regions where professionals received priority status.

Those over 80 in Tuscany have the lowest vaccination rate nationally.

Another signatory was 85-year-old editorial cartoonist Emilio Giannelli, who hasn’t been vaccinated, while his son, a lawyer, has.

A Giannelli cartoon appeared on the front page of Corriere della Sera depicting a young man in a business jacket kicking an old man leaning on a cane out of a vaccine line.

In a country where many citizens have learned not to count on often weak national governments, outsize influence is wielded by lobbying groups, sometimes derided as “castes.”

Premier Mario Draghi has decried such “contractual clout,” saying last month that the “basic line is the need to vaccinate the most fragile people and the over-80s.” His government insists that vaccinations proceed in descending order by age, with the only exceptions being school and university employees, security forces, prison personnel and inmates, and those in communal residences such as convents.

According to a calculation by the ISPI think-tank , opening vaccination rolls to younger Italians cost 6,500 lives from mid-January through March, a period in which nearly 28,000 died.

ISPI researcher Matteo Villa said any decision to vaccinate non-health care professionals who face infection risks should have been limited to those 50 and older.

“If we give 100 vaccines to people over 90, we save 13 lives,” Villa said in a phone interview, citing mortality rates. “But it takes 100,000 vaccines to 20- to 29-year-olds to save just one life.”

The current average age of pandemic dead in Italy is 81.

Throughout the pandemic, the oldest Italians have made up the majority of deaths, and not just in Tuscany. Just before Draghi sounded the alarm about lobbying groups, journalists in the small region of Molise had been poised to get early vaccinations. In Lombardy, veterinarians were given priority. In Campania, the region including Naples, drug company salespeople got priority status.

Regional leaders blame vaccine delivery delays, alleging the previous government’s vaccine rollout opened the door to lobbying groups.

Some regions like Lazio, which includes Rome, resisted their pressure. By the end of March, nearly 64% of those 80 and older in Lazio had received at least one COVID-19 shot, compared with 40% in Tuscany.

Speaking about society’s most fragile, Lazio Gov. Nicola Zingaretti told the Corriere della Sera newspaper: “It’s true everyone risks getting COVID, but the difference is that they are among those who, if they catch it, risk dying more than others.”

Of Italy’s 4.4 million residents 80 or older, fewer than 29% had been vaccinated, and another 27% had gotten only the first dose by the end of March, said the GIMBE foundation, which monitors health care in Italy.

That compares with 95% of that age group in Malta who have received at least one dose, and 85% in Finland, according to the European Center for Disease Prevention and Control, Italy.

In Britain, where the vaccine rollout began roughly a month before the EU’s, most of the over-50s have received at least one dose.

GIMBE official Renata Gili linked much of Italy’s uneven performance to varying organizational capabilities as well as “an excess of autonomy in regions in the choice of priority categories to vaccinate.”

Some lobbying groups aren’t backing down. The National Magistrates Association, which represents most of Italy’s more than 9,600 magistrates, threatened to further slow down the snail-paced judicial system if they aren’t given priority. On Thursday, the tourism lobby demanded priority vaccines for its workers, describing them as essential to the country’s recovery.

On Friday, a top Health Ministry official, Giovanni Rezza, sought to cut off any more jockeying for priority.

“There was a struggle between categories” to get vaccine priority, Rezza told a news conference when asked if supermarket clerks could get special status. “We said, ‘Let’s finish the teachers, the security forces, but let’s not have any more categories.’ We simply will use criteria of age.”

The army general who was tapped last month by Draghi to shake up Italy’s COVID-19 vaccination campaign acknowledges its widespread problems.

“Is everything going well? No,’’ Gen. Francesco Figliuolo told reporters Wednesday in Milan.

Just how many people in Italy received priority vaccines isn’t known. Tuscany’s health commission office said that before Draghi pulled the plug on special interest groups, 10,319 lawyers, magistrates, courthouse clerks and personnel had received a dose in the region.

Allowing lawyers and others to have quick access to vaccines is “an issue, and everyone is pissed off about it,’’ said Nathan Levi, an antiques dealer in Florence who turns 83 next month and is still waiting. “That’s what Italy is all about. The people who put the pressure” get ahead.

Of the 10.6 million doses so far administered in Italy, around 1.6 million went to people categorized as ’’other,” prompting some politicians to demand to know who they are. When questioned, Figliuolo’s office admitted it has no idea and said it was pressing the regions for specific details.

Italians in their 70s, who are largely out of the workforce, are still waiting for their shots. By March 31, only 8% had received a first dose and fewer than 2% had received both.

Then there are people in fragile health, who have a priority category on the government’s rollout chart.

“The situation for the ‘fragile’ is one of huge uncertainty,’’ said Francesca Lorenzi, a 48-year-old lawyer in Milan with breast cancer. She noted that if cancer patients have finished therapy more than six months ago, they are no longer considered “fragile.”

“Meanwhile, they gave doses of Pfizer to 60-year-olds in great health because they have university contracts. I don’t understand why a university professor or a lawyer should get vaccinated before the others,” she said.

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Colleen Barry reported from Milan. Pan Pylas in London contributed to this report.

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Follow AP’s pandemic coverage at:

https://apnews.com/hub/coronavirus-pandemic

https://apnews.com/hub/coronavirus-vaccine

https://apnews.com/hub/understanding-the-outbreak

Frances D’Emilio And Colleen Barry, The Associated Press







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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.

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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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