Published on April 3, 2008
“Catch Cancer… Before Its Too Late TM” : “Catch Cancer… Before Its Too Late TM” A New Fishing Technique For an Old and Fearsome Adversary Jose M. Acostamadiedo, MD Instructor of Internal Medicine Wake Forest University School of Medicine Medical Advisor,World Billfish SeriesTM Introduction: Introduction MEDLINE Search From 1966 to 2001 NO data addressing the incidence of melanoma and non-melanoma skin cancer in recreational sport fishing industry Recreational anglers Professional charter captains Professional mates Exposure Pattern to Ultraviolet Radiation: Exposure Pattern to Ultraviolet Radiation Chronic exposure and a high total cumulative dose Captains and mates Periodic bursts of large amounts of sun exposure leading to severe sunburn. Office workers (anglers) Recent trends also show that melanoma is more common amongst the higher socioeconomic strata (anglers) except >70 years of age) Case fatality > amongst the lower socioeconomic groups (captains and mates). Background and Rationale: Background and Rationale To date no study evaluating the incidence of skin cancer in the recreational sport fishing population has been performed. Demographic Profile: Demographic Profile Average age of 44 years, Have been fishing for an average 25 years and Fish at least 84 days per year, their Average annual income is $ 245,000 Average net worth is $ 1,300,000 75% are college educated 83% of them own boats. The Fishing Grounds : The Fishing Grounds Pirates Cove Billfish Tournament Ducks Unlimited The Big Rock The Migration: The Migration Predator and Prey Like in the ocean … everyone benefits from everything. The Release: The Release So What Are We Fishing forMarlin or Melanoma?: So What Are We Fishing for Marlin or Melanoma? Malignant Melanoma : Malignant Melanoma Significant public health problem Incidence is rising faster than that of any other cancer in the US. At current rates, 1 in 74 Americans will develop melanoma during their lifetime. Management of melanoma is a complex issue requiring a multidisciplinary approach. Attacking Melanoma: Attacking Melanoma Many strategies are coming of age but still the most effective method of protection against the development of malignant melanoma is… Minimization of ultraviolet exposure from sunlight. Most Avoidable Risk Factor for Malignant Melanoma: Most Avoidable Risk Factor for Malignant Melanoma Sun exposure Responsible for more than half of all melanomas worldwide Sunburns have been consistently associated with melanoma. Exposure early in life appears to be the most important determinant of later risk.: Sunburns have been consistently associated with melanoma. Exposure early in life appears to be the most important determinant of later risk. The Target Population : The Target Population Over 90% of the participants in these events do not live in these coastal communities, and frequently take this time as part of their yearly vacation. Many travel from different parts of the country to participate in such tournaments but the majority comes mainly from inland in each state. Economic Impact : Economic Impact The income of these local communities is directly related to the attendance to the tournaments. (Captains and Mates) almost invariably live in the coastal communities. When fishing season is over they usually find other activities or travel south following the billfish migration to the southern Caribbean and Mexico. The income mostly depends on the influx of this higher socioeconomic group (Anglers) during the months of April thorough September Screening Schedule: Screening Schedule North Carolina: all free skin cancer screenings are offered from May through July, (AAD website screening schedule) Only one of these in the Cape Fear area is in a true coastal community that will facilitate the access to those who make their livelihood at sea So even during the off-season these captains and mates seldom become accessible targets of land based skin cancer screening programs. So Why Did I Think This Was Going to Be Successful? : So Why Did I Think This Was Going to Be Successful? Smarty Marlin Told Me: Smarty Marlin Told Me This Smarty Marlin: This Smarty Marlin Are Screenings Effective?: Are Screenings Effective? Data from participants in the AAD’s skin cancer programs from 1992 to 1994 revealed: Almost 40% of these individuals reported that without the free AAD program they would not have otherwise had a physician examine their skin. Because of the aforementioned : Because of the aforementioned Demographic Socioeconomic and biological characteristics High Profile Offshore Fishing Tournaments are the perfect setting for this program: They work like a FAD (Fisherman Attraction Device) They Congregate these two Very High-Risk populations Excellent Screening Scenario Subjects can be effectively and cost efficiently targeted. How to Stop Advanced Melanoma: How to Stop Advanced Melanoma Early detection and treatment are critical and result in improved patient survival rates. Only through increased public awareness and education in all areas relating to the: Prevention + Detection + Treatment of malignant melanoma = Decreasing trend in the incidence and mortality from this cancer in the future. The Fishing Last Year Was Better?As the Old Timer Said…just a Fishing Tale???: The Fishing Last Year Was Better?As the Old Timer Said…just a Fishing Tale??? NOT THIS TIME, THE FISHING IS BETTER NOW… I wish it was the same for Billfish! In the 1930’s the lifetime risk of an American developing invasive melanoma was 1 in 1,500. Approximately 8000 persons died from melanoma in the year 2000. How Is the Fishing Going to Be This Year?… Well: : How Is the Fishing Going to Be This Year?… Well: In 2001, an estimated 51,400 new cases of melanoma are expected in the U.S. This year, 7,800 people will die from melanoma; 5,000 men and 2,800 women. Currently that risk is 1 in 74. So Who Are You Going to Call?: So Who Are You Going to Call? Since 1985, the American academy of dermatology has sponsored free annual national melanoma/skin cancer prevention campaigns. In its 17 years, more than 1.2 million people have been screened through the AAD’s program, and approximately 116,000 suspicious lesions, including 15,150 suspected melanomas, have been detected. So Who Are You Going to Call?: So Who Are You Going to Call? If every American were completely examined yearly for malignant melanoma, death from this disease would be a rare event. However the cost benefit and feasibility of mass population screenings for skin cancer are a significant concern. More Cost Effective Strategies and More Realistic Ones Include Screening of Those at Highest Risk. : More Cost Effective Strategies and More Realistic Ones Include Screening of Those at Highest Risk. Catch Cancer… Before Its Too Late TM : Catch Cancer… Before Its Too Late TM Concentrate our screening effort to this high-risk group of people and Decrease the mortality of malignant melanoma through early detection, Catch Cancer… Before Its Too Late TM : Catch Cancer… Before Its Too Late TM Decrease the incidence of melanoma by raising the awareness and education of this high-risk group of individuals. Catch Cancer… Before Its Too Late TM : Catch Cancer… Before Its Too Late TM Result: Better quality of life for the beneficiaries of the program and their relatives By preventing the morbidity and mortality caused by melanoma. The WBS and Catch Cancer: The WBS and Catch Cancer World Billfish series (WBS) (which sanctions the largest Billfish tournament circuit in the world equivalent to PGA, major league baseball. In Australia, They Teach: In Australia, They Teach Slip - on a shirt Slap - on a hat Slop - on some sunscreen Wrap - around sunglasses Slip Slap Slop : Slip Slap Slop We believe that this program might have as much success as the "slip, slap and slop and sun smart program" developed by the Australians, which has diminished the mortality of melanoma over the last 50 years. The By Catch …by No Means a Small Fish: The By Catch …by No Means a Small Fish There will be 600,000 to 800,000 skin cancers this year in the united states One in six people will get skin cancer during their life Many skin cancers present as nonhealing lesions Early diagnosis and treatment results in best chance of cure Actinic (Solar) Keratoses: Actinic (Solar) Keratoses Basal Cell Carcinoma: Basal Cell Carcinoma Basal Cell Carcinoma: Basal Cell Carcinoma The most common type of cancer Caused by lifetime sun exposure Squamous Cell Carcinoma: Squamous Cell Carcinoma Melanoma: Melanoma ABCD’s of Melanoma: ABCD’s of Melanoma Asymmetry Border Irregularity Color variation Diameter Superficial Spreading Melanoma: Superficial Spreading Melanoma Irregular edge, variation in color, variation in topography, and a lesion that is more than 6 mm in diameter Superficial spreading melanomas and some unusual nevi vary in these criteria only in degree Nodular Melanoma: Nodular Melanoma Isolated nodule without typical pigment spread Poor prognosis Lentigo Maligna Melanoma: Lentigo Maligna Melanoma Most occur on the face Usually start as a noninvasive process Any thickening suggests the evolution to invasive melanoma Nail Bed Melanoma: Nail Bed Melanoma Variant of acral-lentiginous melanoma Manifested by streaks of pigmentation on the nail as well as pigmentation emerging from under and around the nail Melanoma Prognosis: 5 Year Survival: Melanoma Prognosis: 5 Year Survival Smarty Recommends Sunscreens, Lets Go to the Website: Smarty Recommends Sunscreens, Lets Go to the Website http://www.catchcancer.org/ Marketing and Promotion: Marketing and Promotion Was It Good?: Was It Good? Events That Hosted the Catch Cancer… Before Its Too Late TM Program in 2001:: Events That Hosted the Catch Cancer… Before Its Too Late TM Program in 2001: The Big Rock Blue Marlin Tournament, June 9-16, Morehead city, NC 13th Annual Ducks Unlimited Band the Billfish Tournament, Aug. 2-4, Morehead city, NC Pirates’ Cove 18th Annual Billfish tournament, Aug. 13-17, Manteo, NC Catch Cancer…before Its Too LateTM 2001 Results: Catch Cancer…before Its Too LateTM 2001 Results Catch Cancer…before Its Too LateTM 2001 Results: Catch Cancer…before Its Too LateTM 2001 Results Slide53: PCBT Aug 15,2001 Slide54: What we love! Future Marketing Plans: Future Marketing Plans Exposure through WBS web site, magazines and media kits www.catchcancer.org · Exposure through periodic press releases Beach 105 FM radio address “The Other Side of Fishing” WBC Grand Championship ESPN-2 and local media film coverage of WBS events. AcknowledgmentsWe All Know Who Goes First…God: Acknowledgments We All Know Who Goes First…God Teresa Acostamadiedo Robert Cooper, MD Julia Cruz, MD Sherry Spainhour Tyler Haney “Web Manager WFUSM” Gerard Aulong “Blue Marlin of Ghana” Phillip Gregory “ACS” Dawn Bergmire-Sweat “ACS” Robin Forti-Anderson Julia Brakhage Heather Maxwell “Pirate’s Cove” Jack Lamb “Ducks Unlimited” Crystal Watters “The Big Rock” Marty Brill “Capt. Marty’s Baits” Bayard Powell, MD Earl Gross, MD “Crystal Coast Dermatology” Thomas King, MD “ECU” Joseph Jorizzo,MD Phillip Williford, MD Scott, David, Bobby and the Crew of the “Hammer Time” ACS Volunteers Mary Mathias Lynn Basset Sarah Hodges Carey Chen “Cayman Arts” Guy Harvey “Guy Harvey Inc.” Professional Offshore Anglers Inc.