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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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