True fishermen stories
Skin health of fishermen
support contributors DERMATOLOGISTS Fred Bernardes Filho FMRP-USP
Marco Andrey C. Frade
http://www.fiperj.rj.gov.br/
www.protetoresdapele.org.br
FMRP-USP
Loan Towersey
Ministério da Saúde
Omar Lupi
UNIRIO, PGRJ e CILAD
www.santacasadermatoazulay.com.br
EDITORIAL COORDINATION Texto & Cia Comunicação www.textocomunicacao.com.br EDITORS Blanche Amancio MTb 20907 Daniela Antunes MTb 25679 ELECTRONIC EDITING Bruna Zanuto MTb 73044 ILLUSTRATIONS José Carlos Fecuri Imagens da página 12: Freepik e Fiverr TRANSLATION Fabio Pelegrinelli *The name Esdras is a tribute to one of the fishermen of Baía de Guanabara, who contributed greatly to the research which originated this publication.
www.fmrp.usp.br
sbdfl.com.br
sbdrj.org.br
www.sbd.org.br
anm.org.br
www.cilad.org
True fishermen stories From here, looking at the water, I'd say that the life of a fisherman is the best thing to do. But my friend Tonão has a sun wound that won't heal anymore. How come, Dr. Fleb?
That's true, dad, go check these spots on your arm, and that tiny one on your face. It's dangerous not to take care. You just have to go to the public health center!
My friend Boss, be careful!! There are spots and wounds to which we do not give enough importance, but they could be serious!
This tiny spot on your face could be serious. You have this nickname, Boss, so you need to take care of yourself and warn your friends!
That’s right, Esdras!
ê ê ê ê
03
See, dad? Tomorrow we'll swap the sea for the health center!
Hmm... Esdras, considering that, I'll go to the health center tomorrow!
I remember Bay Mane's wound. It was simple, didn't hurt but caused a lot of trouble. Look who's talking, Smart Tião, who only keeps quiet. It looks like you have telepathy with the fish.
How about Catfish Dorico? This one had no luck. He got bitten and it became a huge wound, Dr. Fleb. Deep wounds can reach organs, joints, cartilage, tendons, ligaments, bones, blood vessels and other organs. If they are contaminated, they get chronic. Dr. Fleb, I'm going fishing.
Oh, Dr. Fleb, there's no wound or disease in this life to which Catfish Dorico's wife has no remedy. Zé Boiano, it's not recommended to do that!
Her pharmacy has pieces of fish, alcohol, salt, urine, alcoholic beverages, kerosene, tourniquet, tobacco, weed, coffee powder, gasoline, propolis, grease, saião plant, honey… If nothing works, there's praying. Everything would be safer at the health center, right, Dr. Fleb? Homemade medicine could make things worse, Esdras.
04
It's been 5 years that she cares for a wound on the face of my friend... Carlito Prudente has already faced a stingray and a swordfish. He's smart and has never been bitten or stung.
I read it in the paper that there are a lot of accidents with catfish and jellyfish on the coast of SĂŁo Paulo.
There are other fish too: stonefish, moray eel and other either venomous or not, but that can hurt you!
At the Sidewalk of Copacabana A quick wash after the accident makes everything new, right, Dr. Fleb? Are you a fisherman too? Not like you, Smart TiĂŁo. Just for leisure, every now and then. But, back to the topic: it depends on the quick wash, okay? If you're bitten, wash it with clean water and immerse the wound in hot water for 40 minutes. Be careful with stings and bones. And go to the health center.
Smart boy, Esdras!
05
Look, Dr. Fleb, you know about fishing and I know about first aid. You can't remove the sting. You can apply sea water, ice packs for 20 minutes or vinegar.
I'm almost a specialist! Did you know, doctor, that there are no poisonous crab in Brazil, but accidents with them can be very serious? Such a nasty animal!
Brazil has a very large coast. There must be a lot of accidents throughout the coast with fishermen and bathers! What I see the most is accidents with catfish... that sting hurts a lot…
06
You would make a great doctor, Smart Tião! Vinegar and sea water are good for accidents with jellyfish, Portuguese man o' war and medusozoa. Do not use fresh water!
Zé Boiano's neighbor told the doctor that her friend told her to use urine or alcohol on the wound and it would be the same. That's creepy, dad! Homemade recipes can cause infections and make the problem worse. The right thing to do is go see the doctor at the health center.
Urchin Mané stayed many days at home because of a sea urchin. I'd never seen so many stings. And his wife is a nurse. She got them all out with tweezers. Such a brave woman! His wife washed it with water and soap and, after, she took her husband to take a tetanus vaccine and serum at the health center. He's healed!
ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê in Carlito Prudente someêbuckets ê êhas ê ê ê ê ê ê ê ê ê discard hooks, sinkers, his boat nails, ê to ê ê ê ê ê ê ê finds around. ê ê He êeverything he ê wire and ê ê ê ê ê ê êê cleans ê ê more than he fishes! ê ê ê ê ê ê ê ê ê ê ê ê ê ê êê ê ê ê êê ê ê ê ê ê ê have a bad timeêwith ê Weêalso êwooden êê ê ê ê ê ê ê ê êê ê ê êê ê ê ê ê skewers even needlesêon ê theê sand. ê ê ê and ê ê ê ê ê ê ê I know that canêcauseêmany diseases. ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê ê
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07
The worst is accidents with hooks, fishing line, sinkers… a sensible fisherman takes care of his things and doesn't litter.
The most common accidents
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Pollution, fish attack and lack of sun protection are risks for fishermen and tourists. Drink plenty of water. It's important to keep hydrated.
I learned it already: A 154-pound person must drink almost 0.8 gallons of water a day.
Dr. Fleb, Esdras told me that there are sunscreen pills. This boy makes up such things!
But that's true, Boss. This already exists. Pretty soon, you'll be able to use it.
GLASS
08
PLASTIC
METAL
PAPER
There are also sun proof clothes to protect fishermen, bathers and athletes…
Smart Tião, be careful with spots, specks that change size, color or shape.
Skin cancer can start with a spot or a simple wound. Those who work under the sun need to pay attention to the back, behind the ears, head, feet, arms…
Proteção solar
And wounds that don't heal. Wounds caused by the sun can evolve to skin cancer.
Carlito Prudente, be careful with accidents caused by objects left on the beach, glass, rests of offerings…
The sea is also a school! What a health class! I think even the fish learned today. Let's invite our friends to visit the health center regularly? That's it, Carlito Prudente! There are people who take care of themselves and who are always warning their friends. That's also a fisherman's work.
09
Dad, the sun is going down. I can already smell the food from home.
I'm so hungry, Esdras! But with this orangey sunset, mixed with the red and blue of the oncoming night, the food can wait.
careful with the sun
Strong sun over the skin and high temperatures are factors which harm the skin of fishermen. The skin is sensitive and may develop serious diseases, even for fishermen who spent their entire lives working under the sun without protection. Sunstroke, Dehydration and skin cancer are a risk for people who do not take the necessary precautions. Get information from a doctor about the most appropriate sunscreen for your type of skin.
RECEITA ou outra coisa HOW TO APPLY SUNSCREEN Apply it at least 15 minutes prior to sun exposure
Double-layer application rule After usual application, immediately reapply the product Teaspoon rule Use a teaspoon as measurement
Quantity equivalent to 1 shallow teaspoon
Face, head and neck 1 teaspoon Arm and forearm 1 teaspoon Chest and back 2 teaspoons for each side
Thigh and leg 2 teaspoons for each side
APPLY MOISTURIZING CREAM ON YOUR SKIN We need around 30-40 mL/Kg/day of water – a 70 Kg person (154 lbs.) must drink from 2.1 to 2.8 L (0.55 to 0.74 Gal) of water. Protect yourself with hats, caps, sunglasses and avoid damp T-shirts under the sun – the water increases the transference of radiation through the fabric. There is already oral photoprotection – caplets that protect against the harming effects of the sun.
There already are clothes which offer photoprotection.
Let's spread the booklet and the comic book to our friends, folks!