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2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg...

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2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden http://hir.nu
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Page 1: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

The melanoma epidemic

Örjan Hallberg

Hallberg Independent ResearchPolkavägen 14B

142 65 TrångsundSweden

http://hir.nu

Page 2: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

The purpose

To present facts and models that may shed light on the etiology of melanoma.

Page 3: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Problem solving

What is the problem?When did it start?Where? (world, country, body)

How large is the problem?Can it be modeled?Can we do something about it?

Page 4: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

The number of deaths due to melanoma and lung cancer started to increase 1955

0

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1900 1920 1940 1960 1980 2000 2020

Me

lan

om

a d

ea

ths

pe

r y

ea

r

0

500

1000

1500

2000

2500

3000

3500

4000

Lu

ng

de

ath

s p

er

ye

ar

Melanoma Mel pre-55 Lung

Page 5: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

The accumulated melanoma risk over time is the same in the four countries analysed.

0

0,1

0,2

0,3

0,4

0,5

0,6

0,7

0,8

0,9

1

0 10 20 30 40

Time (years)

Ac

c.

inc

ide

nc

e (

%)

USA Norway Sweden Denmark

Page 6: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Deaths, new cases, FM roll-out and Charter travels over time in Sweden

0

0,2

0,4

0,6

0,8

1

1,2

1,4

1900 1920 1940 1960 1980 2000 2020

Nu

mb

ers

re

late

d t

o r

ea

din

gs

in 1

98

8

Deaths Inc Acc FM Charter

Page 7: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Counties with yet no FM radio continued with a stable and low melanoma mortality

0,0

1,0

2,0

3,0

4,0

5,0

-50 -40 -30 -20 -10 0 10 20 30 40 50

Year rel FM start

Mo

rta

lity

[1

/10

0 0

00

]

Pre FM Post FM

Page 8: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Location of nevi and melanoma on the body

0 50 100 150

Feet

Lower legs

Thighs

Abdomen+buttocks

Chest+back

Arms

Head

Dots/unit area

Page 9: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Melanoma incidence for women in Norway. Head and rest of body.

0

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4

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16

18

1900 1920 1940 1960 1980 2000 2020

Inci

den

ce A

SI

(1/1

00,0

00) Women RoB Women Head

Page 10: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Some cancers correlate with melanoma in Swedish counties while leukemia does not

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2

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0 0,5 1 1,5 2 2,5

Melanoma incidence 1/10 000

Inci

den

ce 1

/10

000

Prostate Bladder Lung Breast Leukaemia Colon

Page 11: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

Melanoma, diabetes and FM

2008-06-14Copyright Hallberg Independent

Research

Page 12: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Melanoma incidence appears to follow the FM-transmitter densities in the country

Page 13: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Reported melanoma rates and FM transmitter power density in Norway

Page 14: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Areas covered by 3 or more main FM transmitters are colored read to compare with the melanoma map

Page 15: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

The melanoma incidence in the 289 communes in Sweden relates to the number of covering main FM-transmitters

R2 = 0.417p<0,000001

0

5

10

15

20

25

30

35

40

0 2 4 6

Transmitter density

Me

l in

c m

(1

/10

0 0

00

)

Page 16: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Melanoma during the first and the second half of the 20th century

0

10

20

30

40

50

0 20 40 60 80 100

Age (years)

Inci

den

ce (

1/10

0,00

0)

Born 1960 Born 1955 Born 1950

Born 1945 Born 1940 Denmark 1943-1947

Norw ay 1953-1955 Sw eden 1958 USA 1945

Page 17: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Model 1 - repair of annual damages

The natural repair rate is fast enough to guarantee a low melanoma rate and the survival of the population

But a reduced repair rate will allow damages to get old enough to cause an increasing melanoma risk.

Page 18: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

The reduced repair rate (R3) model was tested for 3 countries

Natural repair rate up to 1960, reduced rate thereafter

Data from Sweden, Norway and the USA were analyzed

Page 19: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Best fit to reported age-standardized rates using the R3 model for Sweden

Page 20: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Reported and calculated age-specific melanoma incidence in Sweden

0

25

50

75

100

125

150

175

200

1920 1940 1960 1980 2000 2020 2040

Calendar year

Inci

den

ce (

1/10

0,00

0)

27 37 47 57 67 77 82 87

Page 21: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

The incidence for those born 1900-1920 in Sweden. Reported and calculated data

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40

60

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100

120

1880 1900 1920 1940 1960 1980 2000 2020 2040

Inc

ide

nc

e (

1/1

00

00

0)

1900 1905 1910 1915 1920

0

20

40

60

80

100

120

1880 1900 1920 1940 1960 1980 2000 2020 2040

Inci

den

ce (

1/10

0 00

0)

1900 1905 1910 1915 1920

Page 22: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Old people show increasing incidence, young people don’t!

0

20

40

60

80

100

120

140

1920 1940 1960 1980 2000 2020 2040

Inci

den

ce (

1/10

0,00

0)

27 37 77 82 87

Page 23: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

This means ...

Young age groups have stabilized since long time back

Older age groups still have about 10-20 years to go before they stabilize

The reduced repair rate model fits reported data very well

Page 24: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Can increased sun-tanning habits explain the data?

Page 25: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

The model is used again:

Natural repair rate (as reported before 1958)

Assume increasing sun-tanning habits from 1930 to 1980, stable thereafter.

Increase sun-tanning to best fit age-standardized rates.

Page 26: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Age-standardized rates using the sun damage model for Sweden. Best fit at 10 times increase of sun-damages.

Page 27: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Calculated age-specific melanoma incidence does not fit reported data.

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25

50

75

100

125

150

175

200

1920 1940 1960 1980 2000 2020 2040

Calendar year

Inci

den

ce (

1/10

0,00

0)

27 37 47 57 67 77 82 87

Page 28: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Melanoma and breast cancer are more common on the left side of the body - Why?

0

500

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1965 1970 1975 1980 1985 1990 1995 2000 2005 2010

New

cas

es p

er y

ear

Women Right Women Left

Page 29: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Resonance effects from FM

The body is in resonance (half wave resonance) at frequencies around 100 MHz. Half wave resonance gives a current maximum in the middle of the structure.

An incident wave and the reflected wave will cancel close to the metal springs in the mattress, max field ¼ wavelength above.

Page 30: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

So...

If you sleep to the right - you may get more cancer to the left…

And most people sleep for longer times on the right side to avoid the heart beats

Page 31: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

What about other cancers?

Sun-shine hypothesis: Sunshine -> high melanoma, D-vitamins,

and thus low rates of other cancersR3 hypothesis:

A reduced repair rate -> high melanoma and high rates of other cancers as well

Let’s take a look at breast cancer e.g.

Page 32: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Countries with high melanoma rates also have high breast cancer rates

R2 = 0,0085

R2 = 0,5146

0

20

40

60

80

100

120

0,1 1 10 100

Melanoma incidence (1/100,000)

Bre

ast

can

cer

inc

(1/1

00,0

00) 100 MHz

Page 33: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

And cancer rates in general are related to high melanoma rates

R2 = 0,3008

R2 = 0,0258

0

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300

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450

0,1 1 10 100

Melanoma incidence (1/100,000)

Can

cer

inci

den

ce (

1/10

0,00

0)

100 MHz

Page 34: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Current explanations on cell level

An increased production of NO-radicals due to continuous EMF exposure will reduce the efficiency of the immune and cell repair system (U Warnke, 2005)

Depletion of cellular antioxidants is a prominent feature during melanoma pathogenesis (F Meyskens, 2004)

Page 35: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Conclusions

The etiology of melanoma can better be explained by the reduced repair rate model than by the increased sun-tanning model.

Body-resonant radiation (FM) is associated with melanoma

Other cancers to analyze are breast cancer and lung cancer

Page 36: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Thanks for your attention

http://hir.nu

Page 37: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

The group mean incidence is strongly related to the transmitter density

R2 = 0.9755p<0.000001

0

5

10

15

20

25

0 1 2 3 4 5

Transmitters

Inc

ide

nc

e (

1/1

00

,00

0)

Page 38: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

A reduced repair rate that fits data

0%

20%

40%

60%

80%

100%

0 20 40 60 80

Years after cell damage

Rem

ain

ing

fra

ctio

n o

f d

amag

ed c

ells

ali

ve

Natural state Disturbed state

Page 39: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Only two parameters were adjusted to fit reported data; dispersions of melanoma risk and the repair rate

Sweden Norway USAMelanoma 0.46 / 100 0.48 / 100 0.50 / 100Disturbed repair 0.36 / 5 0.37 / 5 0.52 / 5Natural repair 0.20 / 5 0.20 / 5 0.20 / 5Onset year 1960 1960 1965

Page 40: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Reported and calculated age-specific melanoma incidence in Norway

0

25

50

75

100

125

150

175

200

1920 1940 1960 1980 2000 2020 2040

Calendar year

Inci

den

ce (

1/10

0,00

0)

27 37 47 57 67 77 82 87

Page 41: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

Reported and modeled age-specific melanoma incidence in the USA

0

25

50

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100

125

150

175

200

1920 1940 1960 1980 2000 2020 2040

Calendar year

Inci

den

ce (

1/10

0,00

0)

27 37 47 57 67 77 82 87

Page 42: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

… and for the USA

Page 43: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

What about those who lived in both halves of the 20th century?

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1880 1900 1920 1940 1960 1980 2000 2020

Inc

ide

ns

(1

/10

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00

)

1900 1905 1910 1915 1920

Page 44: 2008-06-14 Copyright Hallberg Independent Research The melanoma epidemic Örjan Hallberg Hallberg Independent Research Polkavägen 14B 142 65 Trångsund Sweden.

2008-06-14Copyright Hallberg Independent

Research

The melanoma incidence in Finland in 1960, 1970, 1980, 1990 and 2000.


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