MetroFocus

CANCER CLUSTERS

Transcript

> GOOD EVENING AND WELCOME TO
"METROFOCUS."
I'M JACKFORD -- JACK FORD.
ONE OF THE MOST FRIGHTENING
WORDS IN THE DICTIONARY OR YOUR
DOCTOR'S OFFICE IS CANCER.
CANCER CLUSTER IN STATEN ISLAND
AND LONG ISLAND WHERE A NUMBER
HAVE OCCURRED YEAR AFTER YEAR.
GOVERNOR COME AND THE STATE
DEPARTMENT OF HEALTH ARE
STUDYING WHAT ARE EMERGING AS
CANCER CLUSTERS IN CERTAIN PARTS
OF THE STATE.
HALF A MILLION DOLLARS HAVE BEEN
ALLOCATED.
STATISTICS SHOW 110,000 NEW
YORKERS ARE DIAGNOSED EVERY YEAR
WITH CANSER WITH SOME 35,000 OF
THOSE SUCCUMBING TO THIS DEADLY
DISEASE.
PUT THOSE NUMBERS IN PERSPECTIVE
AND TO GET AN IMPORTANCE OF THIS
STUDY IS DR. DEBBIE, A PHYSICIAN
AND ASSOCIATE PROFESSOR OF
MEDICINE.
HI, HOW ARE YOU?
>> FINE.
>> LET ME START OFF WITH CANCER
CLUSTERS.
WE HEAR THAT TERM FREQUENTLY.
MEDICALLY, WHAT ARE WE TALKING
ABOUT WHEN WE SAY CANCER
CLUSTERS?
>> YOU'RE TALKING ABOUT WHETHER
YOU SEE MORE CANCER THAN YOU
WOULD EXPECT FOR THAT LOCATION.
FOR EXAMPLE, IF YOU'RE LOOKING
AT A SPECIFIC AREA YOU HAVE
OLDER PATIENTS, PEOPLE MAYBE WHO
SMOKE MORE YOU WOULD EXPECT TO
SEE A HIGHER NUMBER OF PEOPLE
WITH CANCER.
IF YOU DON'T SEE THOSE RISK
FACTORS YOU THINK THERE MAY BE
SOMETHING ELSE CONTRIBUTING TO
THE RISK IN CANCER AND FINDING
OUT WHAT THAT MIGHT BE.
>> LET ME TALK ABOUT THE AREAS I
MENTIONED IN MY INTRODUCTION,
STATEN ISLAND, THERE APPEAR TO
BE AT LEAST SUSPICIONS OF AN
EMERGENCE OF CANCER CLUSTERS.
GENERALLY SPEAK, WHAT TYPES OF
CANCERS ARE WE TALKING ABOUT IN
THESE AREAS?
>> THEY'RE TALKING ABOUT
LEUKEMIA, BLADDER CANCER,
THYROID CANCER AND ALSO LUNG
CANCER.
LUNG CANCER IS TRICKY BECAUSE
IT'S ONE OF THE MORE COMMON
CANCERS WE SEE IN THE
POPULATION.
THYROID CANCER IS RELATIVELY
RARE AND SO IS BLADDER CANCER
AND THYROID CAN DEPEND ON THESE
FACTORS AND IS IT OCCURRING IN
PEOPLE WHO MIGHT HAVE OTHER RISK
FACTORS OR OCCURRING IN LET'S
SAY KIDS, WHERE YOU WOULDN'T
EXPECT TO SEE IT AS MUCH.
>> OBVIOUSLY, ONE OF THE THINGS
THE INITIATIVE WANTS TO DO AND I
WILL FOCUS ON THAT WITH YOU IS
WHY.
AS OF NOW, DO WE HAVE ANY GOOD
SOLID STATISTICALLY BASED
ANSWERS TO THE QUESTIONS FOR
THOSE TYPES OF CANCERS?
>> NOT YET.
SOMETIMES, IF YOU LOOK AT RISK
FACTORS, FOR EXAMPLE, SMOKING
AND AGE, IF WE LOOK AT THOSE
POPULATIONS AND SEE FOR EXAMPLE,
ARE THERE A STATISTICALLY
SIGNIFICANT NUMBER OF SMOKERS
THERE COMPARED TO OTHER AREAS.
ARE PEOPLE MUCH OLDER?
DO YOU HAVE A CANCER HOSPITAL
YOU MIGHT GET MORE PEOPLE
DIAGNOSED WITH CANCER, THOSE
THINGS MIGHT EXPLAIN THOSE
FACTORS, BUT THERE HAS TO BE
MORE INVESTIGATION DONE FIRST TO
LOOK INTO THAT.
YOU ALSO HAVE TO LOOK AT
ETHNICITY AS ANOTHER FACTOR,
SOME THINGS MORE COMMON IN
CERTAIN POPULATIONS.
YOU WANT TO EXCLUDE EVERYTHING
WE ALREADY KNOW IS A RISK FACTOR
AND WHAT'S LEFT.
IT CAN BE TRICKY AS WELL.
>> DO WE KNOW ANYTHING ABOUT THE
IDEA OF SOCIOECONOMIC STATUS AND
HOW THAT MIGHT TIE INTO THE
PRESENCE OF CERTAIN TYPES OF
CANCERS?
>> IT IS A FACTOR IN MANY
DIFFERENT WAYS.
FOR EXAMPLE, PEOPLE WHO ARE IN A
HIGHER SOCIOECONOMIC STATUS MAY
HAVE MORE ACCESS TO SCREENING SO
THEY CAN GET DIAGNOSED QUICKER
WITH CANCER AND THEN GET
TREATED.
PEOPLE OF LOWER SOCIOECONOMIC
STATUS, USUALLY THE KECANCER HA
PROGRESSED, IN TERMS OF
DIAGNOSING IT THE ECONOMIC
STATUS CAN BE A FACTOR.
PEOPLE IN A LOWER ECONOMIC
STATUS, IT MAY BE LIKELY TO HAVE
OTHER HEALTH HABITS THAT
CONTRIBUTE TO THE DEVELOPMENT OF
CANCER.
THE DIET MAY BE MORE POOR.
OBESITY MAY FACTOR IN TERMS OF
CANCER DEVELOPMENT OR CERTAIN
TYPES OF CANCER DEVELOPMENT.
PEOPLE OF LOWER SOCIOECONOMIC
STATUS MAY BE MORE LIKELY TO
SMOKE.
ALL THESE DIFFERENT FACTORS CAN
PLAY A ROLE.
>> LET ME ASK YOU TO FOCUS ON
THE INITIATIVE ANNOUNCED HERE.
HOW WILL THIS ALL PLAY OUT.
THE FIRST QUESTION IS HOW WILL
THIS ALL PLAY OUT AND THE SECOND
IS WHAT THEY MIGHT HOPE TO FIND
FROM THIS.
LET'S FOCUS FIRST ON THE
PROCESS.
HOW DO YOU SEE THIS TAKING
PLACE?
>> I THINK THE FIRST THING THEY
WILL DO IS TRY TO FIND OUT WHO
ARE THE PEOPLE BEING DIAGNOSED
WITH CANCER AND WHAT DO THEY
HAVE IN COMMON?
INITIALLY, THEY WILL PROBABLY
LOOK TO SEE WHAT ARE THE AGES
FOR THESE FOLKS AND RISK FACTORS
FOR THE CANCER THEY DEVELOP.
IF IT LOOKS LIKE THE INCIDENCE
IS HIGHER THEY WILL SEE WHAT IS
IN COMMON.
IF EVERYBODY HAS A SIMILAR JOB
THERE MIGHT BE SOME TYPE OF
WORKPLACE EXPOSURE.
IF PEOPLE TENDED TO CLUSTER IN
OTHER COMMUNITIES FROM ONE AREA
TO ANOTHER AND SEEM TO HAVE
SOMETHING IN COMMON THAT WAY,
THAT CAN ALSO POINT YOU IN A
CERTAIN DIRECTION.
ONE OF THE CLASSIC CASES IS
MALI
MALIGNANT MISIO EPITHIELOMA,
THEY LOOKED AT ASBESTOS AND WHAT
COULD BE CONTRIBUTING AND THAT'S
HOW AS SPEC STREETS TO WAS A
CONTRIBUTING FACTOR.
ASBESTOS WAS A CONTRIBUTING
FACTOR.
>> WE LIKE TO THINK WE CAN FIND
ANSWERS CAST.
CLEARLY, THAT'S NOT SO.
WE'RE LOOKING FOR THAN WE USED
TO AND STILL LIVING AND
LEARNING.
IN THE PAST, THESE WE EXPECTED
TO BE CANCER CLUSTERS EVENTUALLY
MEDICAL SCIENCE WALKED AWAY AND
SAID, WE JUST DON'T KNOW?
>> YES, THAT HAS HAPPENED.
SOMETIMES, MORE OFTEN THAN NOT,
THERE ACTUALLY ISN'T A SPECIFIC
FACTOR THAT CAUSED THE CANCER
CLUSTER.
IT COULD BE FROM CHANCE.
IT'S WORTH INVESTIGATION IF THE
PEOPLE IN THE COMMUNITY ARE
CONCERNED ABOUT IT.
SOMETIMES YOU WILL SEE SOMETHING
FOR EXAMPLE, AN AREA WITH HIGHER
RADIATION, PEOPLE ARE MORE
LIKELY TO DEVELOP CERTAIN CANCER
SO LEUKEMIA IS ONE IN THAT CASE.
IT'S IMPORTANT TO MAKE SURE
THERE IS NOTHING THAT COULD BE
CONTRIBUTING TO PEOPLE
DEVELOPING CANCER WE COULD
CONTROL OR TREAT.
UNFORTUNATELY, WITH A LOT OF
THESE SITUATIONS, IT IS SO
COMPLICATED TO TRY TO FIGURE OUT
WHAT COULD HAVE CONTRIBUTED TO
THE CANCER YOU MIGHT NOT HAVE AN
ANSWER IN THE END.
>> LAST QUESTION FOR YOU.
WE DESCRIBED THE INITIATIVE
HEARINGS THAT WILL TAKE PLACE
AND WHAT INVESTIGATORS WILL BE
LOOKING FOR.
GENERALLY SPEAKING, WHAT WILL
YOU ANTICIPATE THE NEXT STEP
WOULD BE ONCE THEY HAVE
ACCUMULATED THE DATA?
>> ONCE THEY ACCUMULATE THE
DATA, THEY ARE GOING TO LOOK FOR
PATTERNS TO SEE IF SOMETHING
COULD BE A FACTOR HERE.
AFTER THAT, IT MAY TELL PEOPLE
THEY HAVEN'T FOUND A PATTERN,
HAVEN'T FOUND A SPECIFIC RISK
FACTOR.
IT DOESN'T MEAN PEOPLE SHOULD
COMPLETELY DISREGARD THE
INFORMATION.
OBVIOUSLY, KEEP UP WITH A
REGULAR SCREENING IF YOU LIVE IN
THESE AREAS, BE COGNIZANT OF
CERTAIN RISK FACTORS FOR CANCER.
IF MORE SEEM TO DEVELOP, BRING
THAT ONCE AGAIN TO YOUR
OFFICIALS SO THAT CAN BE LOOKED
AT IN MORE DETAIL.
>> DOCTOR, I WANT TO THANK YOU
FOR JOINING US, GIVING US A
SENSE OF ALL THIS.
I CAN TELL BY YOUR CONVERSATION
YOU MUST BE A MARVELOUS TEACH
INFORMATION YOUR MED STUDENTS
THERE.
YOU MADE IT CLEAR TO ALL OF US
WHAT WE'RE LOOKING TO.
HOPEFULLY WE WILL GET YOU BACK
AS IT CONTINUES.
THANK YOU FOR TAKING THE TIME TO
TALK WITH US.
YOU BE WELL.
>> THANK YOU.


URL: https://www.thirteen.org/metrofocus/2018/11/cancer-cluster-study-begins/