Office of Air and Radiation (6205J)   EPA-430-F-10-034  January 2011
Skin cancer is the most common cancer diagnosed in the

United  States.1"4 This fact sheet presents statistics about skin

cancer for Pennsylvania and the  United States as a whole.

just the facts:  Skin Cancer  in Pennsylvania

• Sunburns. A 2004 survey found that 42.7% of white adults in Pennsylvania had at
   least one sunburn in the pastyear.5 Sunburns are a significant risk factor for the
   development of skin cancer.6'8

• New Cases of Melanoma. An estimated 3,440 state residents were diagnosed with
   melanoma in 2009.2 Melanoma is responsible for about 75% of all skin cancer deaths.2'9
   •  The  rate of new melanoma diagnoses is about 41 % higher among men than
      women in Pennsylvania.10
   •  Montour County has the highest rate of new melanoma diagnoses in the
      state—higher than 96% of counties nationwide.10

• Deaths from Melanoma. About 426 people in Pennsylvania  die of melanoma
   everyyear. From 1975-2007,the melanoma death rate more than doubled among
   residents over the age of 50.11
   •  The  rate of melanoma deaths among men  is more than double the rate among
      women in Pennsylvania.11
   •  Monroe County has the highest melanoma death rate in Pennsylvania—
      59% higher than the national average.11

1~40 All references can be found on the SunWise Web site at:
survivor story: Richard Beston
              I thought nothing of the small bump on my shoulder until my doctor got worried
              during an unrelated visit. He sent me for a biopsy that day. The diagnosis was
              shocking: Stage IVmelanoma. My wife, Ann, was pregnant with our second child,
              and our first was only 11 months. It was devastating.
              I underwent a clinical trial, chemotherapy, immune-boosting shots and three
surgeries—removing parts of one lung and an entire lobe of the other. Five years later, I had a non-
melanoma skin cancer removed in another surgery. My oncologist calls me a miracle; I've been
cancer-free eightyears!

As a child and adult, I got blistering sunburns all too often, once so severe I needed medical care! I
didn't know my fair skin and family history of melanoma put me at risk. I limit sun exposure as best I can
now and keep sunscreen on hand for the times I can't. I spend time with melanoma patients trying to
give them hope. And I'm always reminding people: when in doubt, get it checked out!

Richard Beston, a res/dent of Paoli, PA, works to advance melanoma research.
Annual Rate of New
Melanoma Diagnoses,
All Races, Both Sexes, All Ages
 Melanoma Diagnoses per Year
 per 100,000 People

 Q 8.2-14.1 Qu.2-20.1 fj 20.2-26.1 | 26.2-32.0

 n Data Not Available
Melanoma Death Rates,
All Races, Both Sexes, All Ages
Melanoma Deaths per Year
per 100,000 People

n 1.9-2.4 n 2.5-3.1 0 3.2-3.7

n Data Not Available
    Recycled/Recyclable—Printed with vegetable oil-based inks on processed chlorine-free paper that contains at least 50% post-consumer fiber.

     The  Cost of Skin  Cancer
            In the U.S.,  medical costs to treat
            skin cancer are  estimated at almost
            $2 billion annually.12'13
statistics:  Cause for  Concern

• In 2009, more than 1 million people were diagnosed
   with skin cancer, making it the most common of all
   cancers.1"4 More people were diagnosed with skin
   cancer in 2009 than with breast, prostate, lung, and
   colon cancer combined.2 About 1 in 5 Americans
   will develop skin cancer during their lifetime.14

• One American dies of melanoma almost every hour.2

• Melanoma is the second most common form of
   cancer for adolescents and young adults (15-29
   years old).15

• For people born in 2009,1 in 58 will be diagnosed
   with invasive melanoma16—more than 25 times the
   rate for people born in 1935.17
            National Annual Rate of New Melanoma Diagnoses, 2003-2007"
            All Races, Both Sexes, All Ages, Age-adjusted Rates
             Melanoma Diagnoses per Year per 100,000 People

             Ds.3-15.9 Dl6J>-"-8 D"-9-19.7 • 19.8-22.5 •22.6-30.6
                       D Data Not Available
            * Please note that delays in reporting melanoma cases to cancer registries are more common since they are usually
             diagnosed and treated in non-hospital setting such as physician offices. States are grouped into quintiles based on rates
             of melanoma diagnoses. A quintile is a statistical "block" representing 20% of a total. Because data are available for
             only 47 states and D.C., four quintiles include ten states, and one quintile includes eight. For example, the eight states
             with the highest melanoma rates—22.6 to 30.6 diagnoses per 100,000 residents every year—are in the top quintile.
what works:

An  Ounce of Prevention

• Unprotected exposure to ultraviolet light—a known human
   carcinogen—is the most preventable risk factor for skin cancer.6141822
   Taking simple steps as early in life as possible can reduce one's risk.2"4'23'24

• Early detection of melanoma can save one's life.25 31  Skin examinations
   may be the best way to detect skin cancer early.2'32"36

• The CDC found evidence that education and policy approaches in
   primary schools (for  children) and in recreational or tourism settings
   (for adults) can improve sun safety behaviors.37 38

• Student self-reported data39—collected as part of the U.S. EPA's
   SunWise Program—showed that teachers using the SunWise Tool
   Kit for 1-2 hours yearly can spur increases in students' sun safety
   knowledge and attitudes and small to modest  improvements in
   short-term sun safety behaviors.40

   •  Using the data mentioned above, published modeling results
      show SunWise teaching  between 1999 and 2015 could prevent
      more than 50 premature deaths and 11,000 future cases of skin
      cancer, saving the country more than $30 million in medical costs
      and productivity losses.40

1~40 All references can be found on the SunWise Web site at:
                               skin  cancer  prevention:

                               Action Steps

                               •  Do Not Burn. Overexposure to the sun is the
                                  most preventable risk factor for skin cancer.

                               •  Avoid Sun Tanning and Tanning Beds.
                                  UV light from tanning beds and the sun
                                  causes skin cancer and wrinkling.

                               •  Use Sunscreen. Generously apply a broad
                                  spectrum sunscreen with an SPF of 15 or
                                  higher. Reapply at least every two hours, and
                                  after swimming or sweating.

                               •  Cover Up. Wear protective clothing, such as
                                  a long-sleeved shirt, pants, a wide-brimmed
                                  hat, and sunglasses with 99-100% UVA/UVB
                                  protection, when possible.

                               •  Seek Shade. Seek shade when the sun's
                                  UV rays are most intense between 10 a.m.
                                  and 4 p.m.

                               •  Watch for the UV Index. Pay attention to the
                                  UV Index when planning outdoor  activities to
                                  prevent overexposure to the sun.