Jimmy Buffett died aged 76 on Friday (1 September), in hospice care, after a years-long private struggle with skin cancer. In a statement shared on his website, it was announced that the singer, who was best known for his hit song “Margaritaville”, had been fighting Merkel cell skin cancer for four years. Cancer Research UK has recently warned that skin cancer cases are set to rise by half by 2040, with rocketing diagnoses driven by the “cheap package holiday” boom of the 1960s. Skin cancer is the most common form of cancer in Britain and kills around 2,100 people each year. It is also one of the most common cancers in the world. What is Merkel cell skin cancer? Merkel cell carcinoma (MCC) is a rare type of skin cancer. According to Cancer Research UK, it starts in the Merkel cells, which are usually in the top layer of the skin. These cells are near the nerve endings and they help us respond to touch. The charity states that MCC is a “very rare” form of skin cancer, with 1,500 people diagnosed with the condition in England between 1999 and 2008. What are the causes of Merkel cell carcinoma? With most types of skin cancer, long-term exposure to sunlight can increase a person’s risk of getting MCC. Other factors that could increase a person’s risk include being exposed to ultraviolet light, having a condition that can weaken your immune system or having a virus called Merkel cell polyomavirus (MCPyV). What are the symptoms? MCC usually appears as lumps on the skin. According to Cancer Research UK, the lumps are often a blue/red colour and less than 2cm across but sometimes they can be larger. The skin over them is usually firm and they are not painful. These lumps are often found on the areas of the body that get the most direct sun, such as the head, neck, arms or legs. Unlike most common types of skin cancer, MCC can develop rapidly over weeks or months and can spread to other parts of the body such as the lungs, lymph nodes, liver or bones. The NHS advises that if you are in doubt, contact your GP. How to prevent developing skin cancer Skin cancer is not always preventable, but you can reduce your chance of developing it by avoiding overexposure to UV light. You can protect yourself from sunburn by using high-factor sunscreen, covering up your skin while in the sun, and limiting the amount of time you spend in the sun during the hottest part of the day. Sunbeds and sunlamps should also be avoided. Read More Pregnant Kourtney Kardashian and Travis Barker seen leaving hospital after ‘urgent family matter’ Woman adopts husband’s ex-wife’s baby after growing up in foster care herself ‘People looked at me like I was oppressed in some way’: Young Christians on life in secular Britain How to check if you have skin cancer: Symptoms and signs to look out How many times a week you need to workout to get fit Post Malone shows off 55-pound weight loss in new photos after giving up soda

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An 85-year-old whose life changed when he adopted a vegan diet in his 60s and then started to exercise in his 80s is now challenging himself to complete one million press-ups before his 90th birthday and 100 ultramarathons before his 100th birthday entirely “fuelled by plants”. Paul Youd, who lives with his wife Teresa, 75, in Taunton, Somerset, decided to take up running in his 40s, but gave up after six weeks as his knees were “so sore” due to his arthritis – he said “everything was painful” and he “couldn’t shake hands, change gears, pull up the duvet or hold a kettle”. The grandfather-of-five then bought a bicycle to reduce the strain on his joints, but it was not until he decided to eliminate meat in his 60s to “avoid mad cow disease” and later try a completely vegan diet that he said he noticed incredible health benefits, including reduced inflammation. Paul, a keen animal rights activist who formerly worked in the RAF and Royal Australian Air Force and later became a bread maker, teaching at local schools and launching his own blog called No Bread Is An Island, said he initially eliminated meat and cheese from his diet, before giving up all animal products. He then decided he wanted to learn how to do a press-up aged 80, and has since set himself a target of doing one million before he turns 90, completing more than 650,000 so far. Now, aged 85, he is on a mission to take part in 100 ultramarathons before his 100th birthday and is raising money for the vegan campaigning charity Viva!. “You don’t know what you’re capable of until you actually try it,” Paul said. “Try something and get outside of that comfort zone, otherwise it’s stultifying. “I’m living my best life – who’d have thought it? “I’m now 85 and I’m living my best life, I really am.” Paul worked in communications in the RAF and Royal Australian Air Force and as a radio officer in the Government Communications Headquarters – otherwise known as GCHQ – before taking early retirement in 1993. He then decided to train as a teacher, specifically to fulfil his passion for bread making, which he said is “a tool for family learning”, and ended up teaching until the Covid pandemic. It was at this point, aged 80, that Paul’s fitness journey began. “I looked at home exercises and started doing lots of those, but mainly press-ups, and I’ve been doing press-ups ever since really,” Paul explained. “I’ve got this challenge to do a million press-ups between the ages of 80 and 90.” Prior to the first lockdown, Paul could not perform one press-up – but he now does 1,000 every three days while listening to the news or a podcast, and has done more than 650,000 so far. After previously failing to take up running in his 40s owing to the pain caused by his arthritis – the common condition that causes pain and inflammation in a joint – he decided to try again in his 80s as he said his vegan diet, which he adopted in his 60s, had “changed (his) life”. A vegan diet is based on plants, such as vegetables, grains, nuts and fruits, the NHS says. Vegans do not eat foods that come from animals, including dairy products and eggs, and Paul said his mantra at the time was: “I don’t want another animal to die so that I can live.” Paul realised he was no longer in pain while chasing one of his grandsons around the dining room table, and this prompted him to start running around his garden. Soon enough, Paul improved his stamina and after three months he said he felt “confident to do a 10k every day, for 10 days, to raise money”. “I thought that I was going to get more tired as the week went on, but I didn’t,” Paul explained. “I got stronger and in the end I did 110k rather than the 100k I’d set myself.” The father-of-two said he quickly became “addicted” to running and wanted to “keep up this level of fitness”, so he was advised to look into ultramarathons – endurance running races or treks beyond the standard marathon distance of 26.2 miles (42.2km). Paul then completed his first ultramarathon in July 2021 – the Devon Coast to Coast, which is approximately 100km long – and said he has been “hooked” ever since. He said he loves “the euphoria” and “freedom” he experiences while running. “I just thought, I can do this,” Paul said. “I realise I should have been a runner all along because I just fell into it, I love it. “It’s a feeling of freedom and it’s a feeling of accomplishment – I’ve gone out and done this. “I’ve never ever regretted going out and training … and sometimes you get to that state of mind where you think, gosh, I could run forever, and it’s a good feeling.” Paul has completed nine ultramarathons so far and has a collection of medals on display in his home, but wants to do 91 more before turning 100 – all supported by his family and wife Teresa, who says he is “determined”. Being a vegan and animal rights activist, he said his motivation to keep going is “the desire to see animals not hurt or tortured”. He added: “If I can do anything to mitigate or alleviate that, then I will.” Some of Paul’s ultramarathon races will be virtual, where he will cover the full distance using an app, while the others will be at a specified location. He completed a 250km simulated trip from Russia to Lapland before Christmas last year using the exercise tracking app Strava to measure his distance. To maintain his fitness levels, Paul runs or walks every weekday, covering a distance of 60km per week on average, and uses a kettlebell for strength and conditioning exercises. He said he takes no medication and wants to maintain his health for as long as possible, as he does not want to “bother the NHS or the care system”. He follows a strictly vegan diet and will usually have a fruit smoothie every day – comprising kale, spinach, dates, blueberries and bananas – along with flax seeds, nuts and “lots of leafy green vegetables, beans, lentils and legumes”. He also takes beetroot juice as a performance enhancer. Paul, who still bakes bread in his spare time, said he has realised “ultramarathons are within his comfort zone” – something he never thought he would say – and he would encourage anyone else to take up running or try a vegan diet as the results for him have been “remarkable”. “We can all do much more than we think we can,” Paul said. “If I’d have recognised the fact that we can all do more than we think we can many years ago, if I’d have done that, who knows what would have happened? “But I got there in the end.” Read More Robert De Niro reveals he’s welcomed seventh child at 79-years-old Woman flew 900 miles in wrong direction due to last-minute gate change Four ‘red flag’ bowel cancer symptoms that can show two years before diagnosis Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live

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