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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. SKIN CANCER IN MARYLAND EXISTING RESOURCES.

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skin cancer facts
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
skin cancer in maryland existing resources
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
public education advocate for sun safe behaviors
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
public education advocate for sun safe behaviors1
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
public education targeting youth children
PUBLIC EDUCATION:TARGETING 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
public education targeting youth children1
PUBLIC EDUCATION:TARGETING 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
public education general population
PUBLIC EDUCATION:GENERAL POPULATION
  • Recreation and sport leaders
  • Outdoor workers
  • Professional medical community
  • Non-traditional avenues for educational purposes

-Massage therapists

    • Hairdressers, barbers
    • Manicurists
public education high risk populations
PUBLIC EDUCATION:HIGH RISK POPULATIONS
  • Higher risk for incidence:
    • Fair skinned
    • Blue or green eyes
    • Natural blond or red hair
    • Large number of nevi (moles)
    • Family history
public education high risk populations1
PUBLIC EDUCATION:HIGH 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
health care providers
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
health care providers1
HEALTH CARE PROVIDERS
  • Dermatologists:
    • Use telemedicine to supplement low availability of dermatologists within rural areas
    • Encourage dermatologists to participate in annual public screenings
policy
POLICY
  • Schools:
    • Model legislation based on California’s SB310 which provides for pupils to wear articles of sun protective clothing not limited to hats (outdoors)
    • Model legislation based on California’s

SB 1632 which provides for pupils to use sunscreen during the school day

    • Encourage funding for provision of shade structures
policy1
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 > - 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
summary
SUMMARY
  • Use of existing resources in Maryland to promote sun safety
  • Targeting youth, high risk populations and providers
  • Initiate policy changes
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