SKIN CANCER FACTS

1
SKIN CANCER FACTS

• Most common, most rapidly increasing, most
  preventable cancer
• Over 1 million cases in the U.S. estimated for
  2002
• 800 melanoma cases are estimated to be diagnosed
  in Maryland in 2002

2
SKIN CANCER IN MARYLANDEXISTING RESOURCES

• Coalition for Skin Cancer Prevention in Maryland,
  including SunGuard Your Skin curriculum
• American Cancer Society
• Environmental Protection Agency, SunWise School
  Program

3
PUBLIC EDUCATION ADVOCATE FOR SUN SAFE BEHAVIORS

• Avoid sun 10am-4pm
• Wear protective clothing (long sleeves, long
  pants, wide brimmed hat)
• UVA/UVB protective sunglasses
• Avoid tanning beds

4
PUBLIC EDUCATION ADVOCATE FOR SUN SAFE BEHAVIORS

• SPF 15 or higher sunscreen
• 20 minutes before exposure
• 1 oz per application for adults
• Reapply every 2 hours or after swimming/sweating

5
PUBLIC EDUCATIONTARGETING YOUTH/CHILDREN

• Target school systems
• Promote Maryland State School Health Services
  Guidelines regarding sun safe policy development
  (e.g sunscreen in schools)
• Include skin cancer prevention as a component of
  health education curriculum
• Target teenagers

6
PUBLIC EDUCATIONTARGETING YOUTH/CHILDREN

• Target preschools, child care providers and
  facilities
• Encourage use of sun protective clothing,
  sunscreen, and use of shade structures
• Target Youth organizations
• Girl Scouts, Boy Scouts
• 4H

7
PUBLIC EDUCATIONGENERAL POPULATION

• Recreation and sport leaders
• Outdoor workers
• Professional medical community
• Non-traditional avenues for educational purposes
• -Massage therapists
• Hairdressers, barbers
• Manicurists

8
PUBLIC EDUCATIONHIGH RISK POPULATIONS

• Higher risk for incidence
• Fair skinned
• Blue or green eyes
• Natural blond or red hair
• Large number of nevi (moles)
• Family history

9
PUBLIC EDUCATIONHIGH RISK POPULATIONS

• Higher risk for mortality
• Those diagnosed with later stage melanoma,
  metastatic melanoma
• African-Americans while incidence is low, need
  to emphasize self-exam of palms, nails, soles of
  feet

10
HEALTH CARE PROVIDERS

• Primary care providers
• Skin exam as component of annual physical
• Refer as needed to specialist/ dermatologist
• Patient Education
• Sun safety
• Skin self exam
• Skin cancer

11
HEALTH CARE PROVIDERS

• Dermatologists
• Use telemedicine to supplement low availability
  of dermatologists within rural areas
• Encourage dermatologists to participate in annual
  public screenings

12
POLICY

• Schools
• Model legislation based on Californias SB310
  which provides for pupils to wear articles of sun
  protective clothing not limited to hats
  (outdoors)
• Model legislation based on Californias
• SB 1632 which provides for pupils to use
  sunscreen during the school day
• Encourage funding for provision of shade
  structures

13
POLICY

• Tanning salons
• Model legislation based on Texas HB663 which
  requires the posting of warning signs and
  regulates the use of tanning salons by those
  under the age of 18
• Age 13 gt - not allowed to use, unless prescribed
  by physician
• Age 13-15 must be accompanied by
  parent/guardian
• Age 16-17 written consent by parent/guardian

14
SUMMARY

• Use of existing resources in Maryland to promote
  sun safety
• Targeting youth, high risk populations and
  providers
• Initiate policy changes