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Monthly Archives: June 2015

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Pumping nitrogen into our local waters can contribute to fish kills and have other nasty environmental effects. File photo by Rachel Shapiro

There is no need more basic than clean water. We need it in its simplest form to survive, but we also need it to be clean so that it can sustain the animals and plants we eat and support the environments we live in. So why aren’t we trying harder to avoid pumping it with toxins?

Tens of thousands of dead bunker fish have recently washed up on eastern Long Island, killed by low levels of dissolved oxygen in the water. Algal blooms are a cause of those low oxygen levels, and that’s where we come in — the blooms, in turn, can be caused by excess nitrogen in the water. How does that nitrogen get there? It can come from our septic and sewage treatment systems and from the fertilizers we use on our nicely manicured lawns, to name just a few sources.

We may not be able to avoid using the toilet, but we can easily refrain from dumping fertilizers with harmful chemicals into the ground and our water supply. But many of us are operating on obsolete waste systems and our governments should be making it a top priority — in action, not just rhetoric — to move communities over from septic to sewer.

This is undoubtedly a costly process, but it has benefits beyond the immediate. For example, sewer systems enable and encourage development, which is important for all of the downtown areas we are working to revitalize. Revitalized downtowns could help keep young people on Long Island, reversing the brain drain that is the source of such frequent sound bites for our politicians.

Shoring up our water management plans would create a ripple effect throughout so many other important items on our political and social agendas. Without clean water, none of these ambitious improvements will be achieved. We are calling for a heightened awareness from both our neighbors and our public officials not to let our water initiatives run dry.

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Democratic Committee unanimously nominates Vetter for Town Board seat alongisde receiver of taxes position

Suffolk County Executive stands with Larry Vetter in support of his bid for Town Board. Photo from Ed Maher

The all-Republican Smithtown Town Board has a member of the opposing party stepping up early to challenge for a spot at the table.

The Smithtown Democratic Committee unanimously nominated Smithtown businessman Larry Vetter for Town Board at its nominating convention earlier this month.

Vetter, a 36-year resident of Smithtown and father of four, is the owner of Vetter Environmental Services Inc. (VE Science), which provides residential and commercial environmental solutions.

Following his nomination, Vetter addressed the enthusiastic crowd of Democratic supporters in attendance at the IBEW Local 25 hall in Hauppauge.

“I’m proud to represent the New Democratic Party of Smithtown,” he said. “I look forward to carrying our message of government accountability, financial responsibility and enhanced quality of life to the voters of Smithtown this fall.”

Smithtown Democratic Committee Chairman Ed Maher was equally optimistic at the nominating event.

“When you consider Larry’s lifetime of accomplishments running a successful business preserving our environment, the choice is clear. Larry Vetter is the right man for the job,” he said. “Like most Smithtown residents, Larry Vetter earns his living in the private sector. The members of the Town Board should reflect the demographics of the town. He will provide new leadership with a fresh perspective.”

The Democrats completed their slate by nominating longtime Smithtown resident Margot Rosenthal, a registered nurse midwife and mother of four, to run for receiver of taxes.

“The current receiver of taxes has run unopposed since 2003,” Rosenthal said. “This is not the way democracy is supposed to work in America. The people of Smithtown deserve a choice.”

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A memorial area is decorated outside of the church Monica Peterman once attended. Photo from Holy Church of Christ

It has been one year without Smithtown hospital worker Monica Peterman, but her name was memorialized forever outside the church her family frequents.

Peterman, 45, was killed on June 14, 2014, in a car crash on the same route she often drove between her home in Middle Island and Smithtown’s St. Catherine of Siena Medical Center, where she worked. Her family has spent the better part of the past year in courtrooms, to learn the fate of the man accused of crashing into her — Setauket cardiologist Thomas Stavola — but took a step back this week to remember Peterman as a daughter, mother and wife.

The Peterman family gathered with members of the Holy Church of Christ congregation in Central Islip on Sunday to unveil a memorial garden and seating area outside of the church created in Peterman’s memory.

Despite the uncertainty of the ongoing court cases, the family said it was important to pay tribute to the impact Peterman had on their lives, and vice versa, on the one-year anniversary of her death.

Peterman’s children and husband spoke of the horrific memory of the day they lost their mother and wife while fighting back tears on Sunday afternoon.

“Thank you for playing a part in my wife’s life,” said Russel Peterman, Monica’s husband, in a video of the ceremony on Sunday. “Just thank you, and thank you and thank you.”

A memorial was erected outside the church with donations collected throughout the entire Holy Church of Christ community. Later this summer, a bench, complete with an etching of Monica Peterman’s name, will be added to the area.

A spokeswoman for St. Catherine said in an email that Peterman, who worked at the hospital for more than 10 years, was known as a dedicated and well-respected worker and will be greatly missed.

Stavola, 55, was arrested and charged with driving while intoxicated— a misdemeanor — after the June 14 crash killed the Middle Island native and mother of three, the Suffolk County Police Department said. He pleaded not guilty to the second-degree manslaughter charge, which was upgraded from the original driving while intoxicated charge, as Peterman’s family looked on. He was released on continuation of the $250,000 bond he posted last month, District Attorney Tom Spota said.

Peterman’s family filed a $20 million civil suit against Stavola last summer, with hopes of sending the greater message that driving while intoxicated should warrant strict penalties, according to  Barbara Sims, Peterman’s mother. Family members and friends memorialized the Middle Island mother back in October with a commemorative plaque placed inside the hospital, where she worked for more than a decade.

Stavola’s next court appearance was scheduled for June 26 at 9 a.m. His attorney did not return requests seeking comment.

Spota said the impact of the collision embedded the front license plate of Stavola’s 2013 Audi into Peterman’s 2009 Mercedes side door. His blood, which officers drew 90 minutes after the crash, had a blood alcohol level of .10, Spota said.

Witnesses then helped give officers a description of Stavola, who called for help over the air to nearby patrols. A police sergeant on his way to the crash scene spotted Stavola walking briskly, with his head down, nearly 500 feet away from the crash, the district attorney said. Stavola, a doctor with Stony Brook Community Medical’s North Suffolk Cardiology, was treated at Stony Brook Hospital for minor injuries.

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The Soldiers on the Sound fishing tournament yields hefty results on Sunday. Photo by Joseph Bellantoni

By Rachel Siford

St. James was swimming with activity on Sunday as the Soldiers on the Sound fishing tournament hit the waters.

From 15 boats and 25 soldiers participating in 2009, to 57 boats and 135 soldiers this year, Soldiers on the Sound Ltd. has been thanking active military members every year with consistent growth and success.

Soldiers on the Sound is a military charity and fishing tournament for active service men and women, organized to honor and give back to those who are in the military.

At the event’s beginning, Mark Garry, president and founder of Soldiers on the Sound Ltd, got off his boat after a day of fishing and relaxing at the Smithtown Bay Yacht Club and saw news coverage of the war, seeing soldiers overseas laying in the sand using their helmets as pillows, and thought that he should do something to thank them for protecting his freedom.

He said he decided a fishing tournament was the way to go, because that is how he relaxes. Garry was then a Nassau County Homicide Detective.

“This is a very satisfying event to put on,” Garry said. “You can’t find anyone without a smile on their face.”

The event includes a fishing tournament, food, entertainment and raffles at Smithtown Bay Yacht Club, all paid for completely from donations. This year they raised about $13,000. Soldiers do not have to do anything. Local boat owners donate the boats.

Individuals and companies make the donations. Simrad Marine Electronics and C.E. Smith Company Inc. were major contributors.

“Soldiers bring nothing and walk out of there with new TVs and trips to Florida,” Garry said. “Soldiers leave in disbelief, because it’s hard for them to grasp the fact that there’s no catch.”

Soldiers are mainly local to Long Island and work out of the airbase in the Hamptons, but many come from all over.

Ed Reiter, retired command chief master sgt. of the 106 Rescue Wing, Air National Guard, serves as the liaison.

“What the soldiers do is unbelievably generous,” Reiter said. “A lot of the soldiers are overwhelmed by the generosity and support.”

Jake DeLeo, a 16-year-old first mate, caught the winning fish, weighing more than six pounds, with help from Staff Sgt. Chris Arrigo from the 106th Rescue Wing, and his captain Tony Voelker.

“This event is really cool; it’s great what they do for the soldiers,” Deleo said. “The fish was big and flat, so it wouldn’t go in the net. I had to turn it sideways to finally get it in. Then we saw the rigging was stretched out and they could have lost the fish! The fish was so big they had to put it another cooler.”

It was both Voelker and DeLeo’s first year participating in Soldiers on the Sound.

Skip Hein is the only founding member of Soldiers on the Sound with a military background. He is a retired senior master sergeant who served in the U.S. Air Force and New York Air National Guard.

“Back in Vietnam, the public wasn’t really supportive of the military, so it’s just natural that I’d want to show my thanks to the military now,” Hein said.

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Family, friends will remember Dr. William T. Konczynin as community staple who proudly served residents

William T. Konczynin. Photo from the Konczynin family

William T. Konczynin, a physician who served Long Island residents for 29 years at both St. Charles Hospital in Port Jefferson and other major community facilities, died unexpectedly on June 3. He was 63.

Konczynin is survived by his wife Barbara, his children William Jr. and Allyson, and his daughter-in-law Meghan. He was also an uncle to seven.

“He was totally, totally devoted to the children and to me. He was the best of the best,” said his wife. “He always loved to host parties at our house, and was happiest with company around.”

Born in 1952 in New York City, Konczynin graduated from Chaminade High School on Long Island in 1970 and then obtained a bachelor of science degree in biology from Georgetown University in 1976. Following his undergraduate degree, Konczynin went to medical school in Guadalajara, Mexico. After graduating in 1980, Konczynin returned to the United States and completed his residency in general surgery at The Mount Sinai Hospital in Manhattan.

In 1985, after finishing his residency, he worked at a family practice in Brookhaven Memorial Hospital in Patchogue. Eventually he accepted a position at St. Charles, where he was appointed director of the emergency department and, later, director of the alcohol substance and abuse program there.

“It was a natural progression for him to remain involved with the patients in the hospital after they were brought into the O.R. for overdoses,” Barbara Konczynin explained, of how her husband got involved with the substance abuse program.

At St. Charles, Konczynin was also the director of the department of family medicine and the president of the medical staff.

Outside the hospital, Konczynin was the chief physician at the Three Village school district and a hockey coach for his son, William Jr. He enjoyed boating, golfing, tennis and gardening.

Konczynin’s memorial mass was held at St. James Church, where he had served as an usher along with his two children, and his wake, at O.B. Davis Funeral Home in Port Jefferson Station, was attended by more than 2,000 people, his family said.

James O’Connor, chief administrative officer and vice president of St. Charles Hospital, said in a statement that Konczynin will be remembered as an extremely talented and thoughtful physician, but also as a warm and caring friend, and a wonderful colleague who gave freely of his time, advice and expertise.

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Builds upon revitalization efforts and Connect LI

Suffolk County Executive Steve Bellone, center, along with regional leaders, announced a new regional plan on Tuesday. Photo from the county executive’s office

As the percentage of youth on Long Island declines, regional leaders are determined to entice young people to move in and stay, but their plan comes with a price.

On Tuesday, County Executive Steve Bellone (D) and several regional leaders, including Brookhaven Town Supervisor Ed Romaine (R), announced they are seeking $350 million to fund the Long Island Innovation Zone, I-Zone, plan. I-Zone aims to connect Long Island’s transit-oriented downtown areas, like New Village in Patchogue, the Meadows at Yaphank and the planned Ronkonkoma Hub, to institutions like Stony Brook University, Brookhaven National Laboratory and Cold Spring Harbor Laboratory.

The I-Zone plan emphasizes the use of a bus rapid transit, or BRT, system  that runs north to south and would connect Stony Brook University and Patchogue. There will also be a paralleling hiking and biking trail, and the system will serve as a connection between the Port Jefferson, Ronkonkoma and Montauk Long Island Rail Road lines.

The goal is to make Long Island more appealing to the younger demographic and avoid local economic downturns.

According to the Long Island Index, from 2000 to 2009, the percentage of people aged 25-34 decreased by 15 percent. The majority of these individuals are moving to major cities or places where transportation is readily accessible.

“We must challenge ourselves because if we don’t, we have an Island at risk,” Romaine said. Government officials acknowledged that without younger people living on Long Island the population will be unable to sustain the local economy. Fewer millennials means there are less people who will purchase property and contribute to the success of businesses in the area.

The proposal comes after Governor Andrew Cuomo’s (D) call for regional planning.

The plan also builds upon the Ronkonkoma Hub plan, with the installation of sewers and a new parking area. The I-Zone proposal claims to improve Long Island’s water quality, as funding will help connect sewers through Islip downtown areas to the Southwest Sewer District.

Additionally, the plan calls for the construction of a new airport terminal on the north side of Long Island MacArthur Airport in Islip and for the relocation of the Yaphank train station in closer proximity to Brookhaven National Laboratory.

“We have all that stuff [access to recreational activities, education center and downtown areas] here but we don’t have a connection. We don’t have any linked together,” said Justin Meyers, Suffolk’s assistant deputy county executive for communications.

Bellone and Romaine, as well as Stony Brook University President Samuel Stanley, Islip Town Supervisor Angie Carpenter (R), Suffolk County Legislator Kara Hahn (D-Setauket), Long Island Regional Planning Council Chairman John Cameron, Patchogue Mayor Paul Pontieri, Vice President of Development and Community Relations at CSHL Charles Prizzi, Chief Planning Officer of the Long Island Rail Road Elisa Picca, Director of BNL Doon Gibbs, and founder of Suburban Millennial Institute Jeff Guillot, were involved with the I-Zone proposal.

If funding for the project is received, construction could begin in approximately two years, Meyers said, adding that constructing the BRT and the hiking and biking trial would take as few as five years.

Bellone said that without younger people moving in, the trend could lead to the Island’s economic stagnation.

“We are aging faster than any other region in our country,” he said. “The inevitable result of that will be an ever-growing population that naturally is pulling more social services infrastructure.”

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I’ve got a proposal for you. You write in and share the kinds of acts that reflect positive role models and I’ll share them with our readers.

I don’t know about you, but I’ve got bad news fatigue, reading headlines online and in newspapers about people doing all kinds of terrible things to strangers, neighbors and family members.

Every time an athlete, actor or politician does something embarrassing, awful or illegal, it becomes the talk of the town, triggering endless discussions about negative role models, driven by the pampered lives of those accustomed to living without boundaries.

We have become a culture of rubberneckers, watching the “gotcha” moments when reporters demand accountability from horrible landlords. We also watch shows like “America’s Funniest Home Videos,” where people routinely hurt themselves doing ill-advised activities, like jumping over something sharp on a skateboard.

Yes, of course, some of those “gotcha” moments can benefit us, helping us as we stay vigilant against the same kind of scams or illegal activities we don’t want to trick us. But what about recognizing and emulating those people who affect positive change and tap into a seemingly endless wellspring of energy to improve the community?

How about the person answering the phone who has a kind, supportive word for anyone who calls; the receptionist who remembers every patient who comes into a doctor’s office; or the crossing guard who holds a stop sign in the middle of the busy morning commute, demanding safety for every child and encouraging anxious kids on their way to classes.

As we approach the longest day of the year, I’d like to offer you a chance to celebrate the sunshine in our communities. It’s harder for newspapers to see the sort of random acts of kindness that people share every day. After all, the police have press conferences and updates whenever there’s a crime spree or when someone does something the public needs to know about so we can protect ourselves.

A friend of ours recently started battling serious health issues. His wife has been by his side, while his children continue to go about their daily routines, to the extent possible. They go to school, take tests and walk the dog. Once their friends learned about these challenges, they rallied around the family, signing up through an organization called Lotsa Helping Hands to help provide meals and share in the dog responsibilities. These are the sort of things people routinely do to make life better for each other.

We have role models throughout our community. My son’s teacher, for example, recently noticed that he earned a lower grade on a quiz than she was accustomed to seeing from him. He didn’t fail and it didn’t cause his grade to drop dramatically. Still, she didn’t write off the result as a bad day or chalk it up to adolescent distraction. Instead, she asked to speak with him for a moment after class, where she went over each of the areas where he lost points. I’m sure that happens regularly with teachers throughout the community, who encourage and support their students in a way that might one day ignite a successful career.

To offer a corollary to the Homeland Security slogan, I’d like to suggest that “If you see something great, say something.” People routinely go out of their way to make a world filled with challenges a better place. It’s often the small things that stay with us through the day, like the magic that comes from transforming a child’s anxious frown into a self-assured grin.

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Election turnout reaches highest in years

Port Jefferson Treasurer Don Pearce and Village Clerk Bob Juliano as they tallied the 2015 election results. File photo by Elana Glowatz

The “unity” slate cleaned up in the Port Jefferson Village election Tuesday night, with Mayor Margot Garant and Trustee Larry LaPointe securing additional terms on the board of trustees and newcomer Stan Loucks winning his first.

Garant, who will start her fourth term this summer, beat out challenger Dave Forgione, a 15-year resident and the owner of a billing and accounting business in upper Port, with 1,162 votes to his 753.

“I’m just really elated that the people are entrusting and allowing me to continue to do the work that we do for the village,” Garant said about her win in a phone interview Wednesday. “Super psyched.”

When reached by phone Wednesday, Forgione said he was “humbled” by the support he received from the community.

“I’d like to congratulate Margot on her victory and wish her all the success in her upcoming term,” he said.

Forgione would not say whether he would run for village board again in the future, after experiencing a busy campaign season this time around.

“At this point I’m just trying to get my life back in order,” he said with a laugh.

There were two trustee seats up for election — LaPointe’s and that of Trustee Adrienne Kessel, who did not run for another term. The three candidates ran at-large for those spots.

Loucks, a longtime volunteer at the Port Jefferson Country Club and a retired athletics teacher and administrator in Plainview-Old Bethpage schools, garnered the most support of any candidate vying any seat, with 1,205 votes. LaPointe came in second out of the trustee candidates, with 1,160 votes, and secured a third term on the board. In third place was challenger Matthew Franco, a 10-year village resident and a pediatric occupational therapist for Nassau BOCES, who fell short with 822 votes.

LaPointe emphasized in a phone interview Wednesday morning “just how gratified and grateful I am to my friends and neighbors for coming out to support the unity team.”

Loucks is looking forward to getting to work.

“I’m just flabbergasted at the outpouring of support,” Loucks said Wednesday, speaking in a phone interview of his gratitude to his supporters. “I was blown away by the results last night.”

When reached by phone Wednesday, Franco congratulated LaPointe and Loucks and said he hopes they take it to heart that 40 percent of voters cast ballots for him.

“Don’t dismiss the minority,” he said. “There’s 40 percent of this population of the village that wants change.”

Franco said he would run again for the village board in the future.

“I am preparing for next year,” he said.

Village Justice Peter Graham ran unopposed for re-election and was also returned to his role, receiving 1,031 votes.

Resident turnout for the election was high, especially compared to recent years.

As the Village Center buzzed with activity 10 minutes before the polls closed, Village Clerk Bob Juliano said the building had been busy all day. He noted that in previous years, the crowd usually died down in the last hour of voting, but that did not happen this year.

Counting absentee ballots, almost 2,000 Port Jefferson residents voted in the election — about double the number who turned out to the polls last year. And the voter turnout was dismal in the two years prior to that: In 2013 there were 84 voters total, and in 2012 there were close to 150 who cast ballots.

Port Jefferson Village code enforcement officer Lt. John Borrero said, as the 69 absentee votes were being tallied at the end of the night, “I’ve never seen an election so crowded.”

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Book launch to be held at annual members reception

The front cover of Stephanie Gress’s new book. Image from Vanderbilt Museum

Stephanie Gress knows more about the history of William K. Vanderbilt II than most people. As director of curatorial affairs for the Suffolk County Vanderbilt Museum for eight years¸ she is the steward of Mr. Vanderbilt’s legacy, his estate, mansion and museum collections.

Using that extensive knowledge and a trove of rare photographs from the Vanderbilt archives, Gress created a richly illustrated book, Eagle’s Nest: The William K. Vanderbilt II Estate. Its cover photo, from the Vanderbilt Museum archives, is by the noted New York City photographer Drix Duryea. The picture shows the bell tower and one wing of the mansion in the late 1920s, before the Memorial Wing enclosed the courtyard.

The book was published June 1, by Arcadia Publishing in South Carolina, the leading local-history publisher in the United States. The Vanderbilt will celebrate the book’s official launch at its annual Members Reception on Sunday, June 28.

Gress noted that the release of the book is well-timed, as the development of the Eagle’s Nest estate is in its centennial decade: “This book tells readers about the Vanderbilt family, why Mr. Vanderbilt came here and built the estate, how the place changed over the years based on changes in his life, and how we use it today.”

Vanderbilt, known as Willie K., purchased the first parcel of what would become 43 acres for his Northport Bay waterfront estate in 1910, and hired the eminent New York City architectural firm of Warren & Wetmore to design and build it. The firm had designed Grand Central Terminal in Manhattan for Cornelius Vanderbilt’s New York Central Railroad. Cornelius was William’s great-grandfather.

Eagle’s Nest is the easternmost Gold Coast mansion on Long Island’s affluent North Shore. From 1910 to 1944, the palatial, 24-room, Spanish-Revival mansion was Willie K.’s summer hideaway. There he hosted intimate gatherings of Vanderbilt family members and close friends — including the Duke and Duchess of Windsor, legendary golfer Sam Snead, and the Tiffanys.

“Mr. Vanderbilt embarked on many of his legendary world voyages from Eagle’s Nest,” Gress said, “along with a 50-person crew and a few, fortunate invited passengers.” During his travels, she said, he collected natural-history and marine specimens and ethnographic artifacts from around the globe.

With the help of scientists and experts from the America Museum of Natural History, he created exhibits in the galleries at the estate to showcase his collections.  Mr. Vanderbilt died in 1944. His wife Rosamund continued to live in the mansion until her death in 1947.  Vanderbilt’s will bequeathed his estate and museum to Suffolk County. In 1950, it was opened to the public as the Suffolk County Vanderbilt Museum. The estate is listed on the National Register of Historic Places.

“Much to the credit of Willie K., Eagle’s Nest continues to fulfill his intended mission,” Gress wrote in the conclusion of the book. “Visitors from all over the world come to see one of the few remaining Long Island Gold Coast estates with its original furnishings. His collections remain on display and they continue to fascinate and entertain.”

Eagle’s Nest is available for purchase on the Arcadia Publishing, Amazon and Barnes & Noble websites, in the Vanderbilt Museum Gift Shop and in local bookstores.

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With warmer weather upon us, we now have long, sunny days, better moods and, of course, the beach.

However, longer sun exposure does increase the risk of skin cancer. Melanoma is the most serious skin cancer, but fortunately it is not the most common. Basal cell carcinoma (BCC) and cutaneous squamous cell carcinoma (SCC) are more prevalent, in that order. Here, we will focus on these two types.

The incidences of these skin cancers are very difficult to pin down because they are not reported as readily.

However, most of us either know someone who has had these types of skin cancers or have had them ourselves. There were roughly 3.5 million nonmelanoma skin cancer treatments in the U.S. in 2006, with the number of treatments increasing 77 percent from 1992 to 2006 (1). SCC and BCC outcomes diverge, with the former having a higher risk of metastases compared to the latter, which tends to grow much slower (2).

These skin cancers may present in different ways. BCC may have a bump that is pearly, waxy, light-colored or pink or flesh-colored or brown. It may bleed, ooze and crust, but may not heal, and can be sunken in the middle (3). SCC has the appearance of a growing nodule. It may also be scaly or crusty and may have flat reddish patches. It may be a sore that also may not heal. It is found on sun-exposed areas, more commonly the forehead, hands, lower lip and nose (3). Interestingly, SCC develops over years of gradual UV sun exposure, while BCC develops more like melanoma through intense multiple sporadic burns (4).

The more well-known risks for these types of skin cancer include sun exposure (UV radiation), light skin, age, ethnicity and tanning beds (2). But there are other risk factors, such as manicures.

There are also ways to reduce risk with sunscreen reapplied every two hours, depending on what you are doing, but also NSAIDs (non-steroidal anti-inflammatories) and even vitamin B3.

Let’s look at the research.

BEYOND SKIN CANCER
Though nonmelanoma skin cancers (NMSCs) have far less potential to be deadly, compared to melanoma, there are other risks associated with them. In the CLUE II cohort study of over 19,000 participants, results show something very disturbing: A personal history of NMSC can lead to other types of cancer throughout the body (5). The increased risk of another type of cancer beyond NMSC is 103 percent in those with BCC and 97 percent in those with SCC, both compared to those who did not have a personal history of NMSC.

TANNING BEDS — NO SURPRISE
We know that tanning beds may be a cause for concern. Now the FDA has changed the classification of tanning beds from low to moderate risk and requires a warning that they should not be used by those under age 18 (6). The catch is that this does not have teeth; if tanning salons ignore the new rules, there is no punishment.

However, in a newly published prospective (forward-looking) study, results show that people’s responses to warnings depended on how the warnings were framed (7). Compared to the text-only FDA warning requirement, graphic warnings that emphasized the risks of skin cancer were more likely to help people stop using tanning beds, whereas graphic warnings that demonstrated the positive benefits of not using these devices had no effects. So you may have to scare the daylights out of those in their teens and early twenties.

MANICURE RISK, REALLY?
I am told women love manicures. Manicures cannot possibly be dangerous, right? Not so fast. It is not the actual manicure itself, but rather the drying process that poses a risk. In a recent prospective study, results show that drying lamps used after a manicure may increase the risk of DNA damage to the skin, which could lead to skin cancer, though the risk is small per visit (8). There were a lot of variables. The shortest number of visits to increase the risk of skin cancer was eight, but the intensity of the UVA irradiance varied considerably in 17 different salons. The median number of months it took to have carcinogenic potential with exposure was around 35, or roughly three years. The authors recommend either gloves or suntan lotion when using these devices, although both seem to be somewhat impractical with wet nails. It’s best to let your nails dry naturally.

VITAMIN B3 TO THE RESCUE
Many vitamins tend to disappoint when it comes to prevention. Well, hold on to your hat. This may not be the case for vitamin B3. In the recent Australian ONTRAC study, the results show that vitamin B3 reduced the risk of developing NMSC by 23 percent, compared to those who took a placebo (9). Even better was the fact that SCC was reduced by 30 percent.

The most interesting part about this study is that these results were in high-risk individuals who had a personal history of NMSC. The participants were given B3 (nicotinamide 500 mg) twice daily for one year.

After the patients discontinued taking B3, the benefits dissipated within six months. The study was on the small side, including 386 patients with two or more skin cancer lesions in the last five years, with a mean of eight lesions. The side effects were minimal and did not include the flushing (usually neck and facial redness) or headaches seen with higher levels of niacin, another derivative. The caveat is that this study was done in Australia, which has more intense sunlight. We need to repeat the study in the U.S. Nicotinamide is not expensive, and it has few side effects.

NSAIDs AS BENEFICIAL?
Results have been mixed previously in terms of NSAIDs and skin cancer prevention. However, a recent meta-analysis (nine studies of varying quality, with six studies considered higher quality) showed that especially nonaspirin NSAIDs reduced the risk of SCC by 15 percent compared to those who did not use them (10).

DIET — THE GOOD AND THE BAD
In terms of diet studies, there have been mixed positive and neutral results, especially when it comes to low-fat diets. These are notoriously difficult to run because the low-fat group rarely remains low fat.

However, in a prospective dietary study, results showed that effects on skin cancer varied depending on the foods. For those who were in the highest tertile of meat and fat consumption, compared to those in the lowest tertile, there was a threefold increased risk of a squamous cell cancer in those who had a personal history of SCC (11). But what is even more interesting is that those who were in the highest tertile of vegetable consumption, especially green leafy vegetables, experienced a 54 percent reduction in skin cancer, compared to those in the lowest consumption tertile.

Thus, know that there are modifiable risk factors that reduce the risk of non-melanoma skin cancer and don’t negatively impact your enjoyment of summer. There may be easy solutions to help prevent recurrent skin cancer, as well, that involve both medication and lifestyle modifications.

REFERENCES:
(1) Arch Dermatol. 2010;146(3):283. (2) uptodate.com. (3) nih.gov. (4) Br J Cancer. 2006;94(5):743. (5) J Natl Cancer Inst. 2008;100(17):1215-1222. (6) federalregister.gov. (7) Am J Public Health. Online June 11, 2015. (8) JAMA Dermatol. 2014;150(7):775-776. (9) ASCO 2015 Annual Meeting: Abstract 9000. (10) J Invest Dermatol. 2015;135(4):975-983. (11) Am J Clin Nutr. 2007;85(5):1401.

Dr. Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, go to the website www.medicalcompassmd.com and/or consult your personal physician.

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