Nevus Count, Pigmentary Characteristics, and Melanoma-specific Mortality among Norwegian Women with Melanoma >1.0 mm Thick.

Little is known about if and how nevi and pigmentation are associated with melanoma-specific mortality. However, increased melanoma awareness in people with lighter pigmentation and many nevi may result in earlier diagnosis of thinner less-lethal tumors. The aim of this study was to investigate associations between nevus count (asymmetrical > 5 mm and small symmetrical), pigmentary characteristics (hair colour, eye colour, skin colour, freckling, pigmentary score), and melanoma-specific mortality in subjects with melanomas > 1 mm. Data from the Norwegian Women and Cancer cohort, established in 1991, with complete follow-up of melanoma patients until 2018 through the Cancer Registry of Norway, were used to estimate hazard ratios with 95% confidence intervals for the associations between nevus count, pigmentary characteristics, and melanoma-specific mortality, stratified by tumor thickness using Cox regression. Estimated hazard ratios consistently indicated a higher risk of melanoma death for those with darker vs lighter pigmentary characteristics in patients with tumors > 1.0-2.0 mm and > 2.0 mm thick (e.g. pigmentary score hazard ratio 1.25, 95% confidence interval (0.74-2.13)). Among women with melanomas > 1.0 mm thick, lighter pigmentation and asymmetrical nevi may be associated with lower melanoma-specific mortality, suggesting that factors that increase the risk of melanoma may also be associated with decreased risk of death from melanoma.

Mortality patterns during the freshwater production phase of salmonids in Norway.

Mortality in Norwegian salmonid aquaculture has a major influence on fish welfare and represents economic losses for producers. We reviewed the estimated monthly mortality for freshwater farms with Atlantic salmon and rainbow trout between 2011 and 2019. We built a regression model for mortality which included the variables year, weight group, season, region and farm. Additionally, we distributed questionnaires to farmers to gather information regarding potential causes of mortalities. The analysis of data for Atlantic salmon showed that median monthly mortality increased from 0.15% in 2011 (interquartile range [IQR]: 0.06-0.39) to 0.25% (IQR: 0.1-0.67) in 2019. Mortality was highest in the North (0.27%, IQR: 0.11-0.72) and lowest in the Southwest region (0.16%, IQR: 0.07-0.4). The season with highest mortality was summer (0.24%, IQR: 0.1-0.64), while winter had the lowest (0.12%, IQR: 0.05-0.35). The smallest fish (3-12 g) showed highest mortality (0.31%, IQR: 0.14-0.69) compared to heavier fish. Results from the questionnaire showed that infectious or non-infectious diseases were the most commonly reported causes of mortality. The mortality patterns described in this study identifies several important risk factors. Highlighting causal links is an important step to reducing mortality and improving welfare in the freshwater production phase of salmonids in Norway.