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Greetings!
We are pleased to bring you the ninth edition of Fast Facts. This is a brief report on local data that we believe you will find useful in both understanding and improving the health of our community. Our goal is to keep it brief and instructive and to provide opportunities for all persons to positively impact the issue.
May is Skin Cancer Awareness Month so that is our topic. Please feel free to forward to colleagues, board members and others in the community. |
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Overview
Skin cancer is the abnormal growth of skin cells. While it occurs most often on skin exposed to the sun, it can also occur on areas of your skin not ordinarily exposed to sunlight. There are three major types of skin cancer - basal cell carcinoma, squamous cell carcinoma and melanoma. Basal cell and squamous cell cancers are most often found in areas exposed to the sun, such as the head, neck, and arms, but they also can occur elsewhere. They are very common but are also usually very treatable. Melanoma is much less common than basal cell and squamous cell skin cancers, but it is far more dangerous. Like basal cell and squamous cell cancers, melanoma is almost always curable in its early stages. But it is much more likely than basal or squamous cell cancer to spread to other parts of the body if not caught early.
Tanning outside and in tanning booths are both causally related to skin cancer. Ultraviolet radiation (UVR) is a proven human carcinogen. Just one indoor tanning session increases users' chances of developing melanoma by 20 percent, and each additional session during the same year boosts the risk almost another two percent. Among people ages 18 to 29 that have ever used a tanning bed and were diagnosed with melanoma, 76 percent of those melanoma cases were attributable to tanning bed use. People who first use a tanning bed before age 35 increase their risk for melanoma by 75 percent.
On an average day in the United States, more than 1 million people tan in tanning salons and in 2010, the indoor tanning industry's revenue is estimated to be $2.6 billion.[i]
Epidemiology
More than 3.5 million skin cancers in over two million people are diagnosed annually. Each year there are more new cases of skin cancer than the combined incidence of cancers of the breast, prostate, lung and colon.
An estimated 76,690 new cases of invasive melanoma will be diagnosed in the U.S. in 2013. Of the seven most common cancers in the U.S., melanoma is the only one whose incidence is increasing. Between 2000 and 2009, incidence climbed 1.9 percent annually. Of note, from 1970 to 2009, the incidence of melanoma increased by 800 percent among young women and 400 percent among young men.
In Indiana, the melanoma incidence rate in 2009 was 7.0 to 17.7 (with highest rate nationally 23.1 to 32.6). The mortality rate for skin cancers in Indiana in 2009 was 3.3 to 3.9 - the highest rate category in the nation. |
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Impact
A 2011 study by the U.S. Centers for Disease Control and Prevention revealed that melanoma deaths cost the U.S. $3.5 billion dollars each year for lost productivity. Male deaths accounted for $2.4 billion of lost productivity (a mean of $441,903 per man), and deaths among women accounted for $1.2 billion (a mean of $401,046 per woman).[i]
In addition, the investigation discovered that individuals who died of the disease between the years 2000 and 2006 died two decades prematurely in comparison to 17 years from other cancers.
According to the National Cancer Institute, the estimated total direct cost associated with the treatment of melanoma in 2010 was $2.36 billion in the United States.[ii]
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What You Can Do
As a health care provider:
- Educate parents and patients about preventive measures including: Stay in the shade, especially between the hours 10 a.m. to 4 p.m. when the sun is at its strongest; apply a large amount of sunscreen to all exposed areas, including feet and ears with a waterproof sunscreen that blocks both UVA and UVA light; use sunscreen even in the winter; and apply sunscreen 30 minutes prior to going outside.
- Educate parents about the risks of tanning booths.
As a parent:
- Remember that just a few serious sunburns can increase your child's risk of skin cancer later in life. Kids don't have to be at the pool, beach, or on vacation to get too much sun.
- Use sunscreen with at least SPF 15 and UVA and UVB protection every time your child goes outside. Keep newborns out of the sun. Sunscreens should be used on babies over the age of six months.
- Have your child wear a hat and sunglasses for optimal protection.
- No tanning booths.
- Examine your skin head-to-toe every month.
- See your physician every year for a professional skin exam.
As a funder or public official:
- According to the World Health Organization, policymakers should consider enacting measures, such as prohibiting minors and discouraging young adults from using indoor tanning facilities, to protect the general population from possible additional risk for melanoma.[i]
- Encourage legislation that mandates that the FDA require that indoor tanning beds must carry prominent warning labels indicating that children younger than 18 should not use them and that people who do use them need regular cancer screening.
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Resources
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Three Rivers Dermatology / Dr. Jeffrey Sassmannshausen 5650 Coventry Lane, Fort Wayne, IN 46804; (260) 436-9696. -
Dermatology & Laser Surgery Associates / Drs. Keith Danckaert & Alan Gilbert 10620 Corporate Dr., Fort Wayne, IN 46845; (260) 423-2567. -
Fort Wayne Dermatology Consultants / Drs. Kristin Haushalter, Diane Hentz, Jennifer Hobbs, James Kyler, Thomas McGovern, & Edward Sarkisian 5750 Falls Dr., Fort Wayne, IN 46804; (260) 436-8000. -
Cancer Services of Northeast Indiana: Offers a leukemia, lymphoma, and melanoma support group on the 2nd Wednesday of every Month from 10 a.m.-11:30 a.m. 6316 Mutual Drive, Fort Wayne, IN 46825; (260) 484-9560; www.cancer-services.org.
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Fast Facts is a collaboration of the Fort Wayne-Allen County Department of Health and United Way of Allen County 2-1-1
Questions?
Contact Deborah McMahan, MD or John Silcox
c/o Fort Wayne-Allen County Department of Health
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