Office of Air and Radiation (6205J)   EPA-430-F-10-015  May 2010
Skin cancer is the most common cancer diagnosed in the

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

cancer for New Jersey and the  United States as a whole.


just the facts:  Skin  Cancer in  New Jersey

• Sunburns on the Rise. A 2004 survey found that 40.2% of white adults in New
   Jersey had at least one sunburn in the past year—an increase from 32.8% in 1999.5
   Sunburns are a significant risk factor for the development of skin cancer.6'8

• New Cases of Melanoma on the Rise. The rate of new melanoma diagnoses—
   responsible for 75% of skin cancer deaths—has increased by about 5%  per year
   among New Jersey residents from the early 1990s to 2006.9

   •  An estimated 2,530 state residents were diagnosed with melanoma  in 2009.2

   •  Cape May County has the highest rate of new melanoma diagnoses in the state
      and ranks among the highest 2% of counties nationwide.10'11

• Deaths from Melanoma. Nearly 245 people in New Jersey die of melanoma
   every year.12 Warren County has the highest melanoma death rate in the state,
   63% higher than the national average from 2002-2006.12
                                                                                     Annual Rate of New
                                                                                     Melanoma Diagnoses,
                                                                                     2002-200610
                                                                                     All Races, Both Sexes, All Ages
                                                                                      Melanoma Diagnoses per Year
                                                                                      per 100,000 People

                                                                                      Q 8.1-16.1 Q 16.2-24.2 Q 24.3-32.3 | 32.4-40.3

                                                                                      I  | Data Not Available
42 All references can be found on the SunWise Web site at: www.epa.gov/sunwise/statefacts.html
survivor  story: Vinny Smith
              Asa Jersey Shore native, I've spent a lot of time on the beach and the ball fields. I'm
              naturally fair skinned, but growing up I always had a deep tan from all those hours in
              the sun. I never thought about sun protection when I was a kid or even a young adult.
It seemed ironic to be diagnosed with melanoma since I was teaching about skin cancer prevention for the
American Cancer Society. I wasn't surprised I got it, but was concerned because I knew it was serious.

Since learning about the risks of skin cancer, I've been careful to protect my skin from the sun,
including wearing sunscreen and protective clothing. Remember to keep your skin protected and if
you think you might be at risk, ask your doctor for a full body screening!

Vinny Smith, a resident of Middletown, NJ, is committed to teaching about skin cancer prevention and has joined
several organizations to spread the message throughout the state.
                                                                                      Melanoma Death Rates,
                                                                                      2002-200612
                                                                                      All Races, Both Sexes, All Ages
                                                                                      Melanoma Deaths per Year
                                                                                      per 100,000 People

                                                                                      Q 1.7-2.3 Q2.4-3.0

                                                                                      Q| Data Not Available
 ©  Recycled/Recyclable—Printed with vegetable oil-based inks on paper that contains at least 50% post-consumer fiber.

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     The  Cost of Skin  Cancer
            In the U.S.,  medical costs to treat
            skin cancer are estimated at almost
            $2 billion annually.13'14
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.15

• 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).16

• For people born in 2006,1 in 53 will be diagnosed
   with melanoma17—nearly 30 times the rate for
   people born in 1930.18
            National Annual Rate of New Melanoma Diagnoses, 2002-2006"
            All Races, Both Sexes, All Ages, Age-adjusted Rates
               VAK\
               ' *^1  /&~**&±
             Melanoma Diagnoses per Year per 100,000 People

             Q 10.3-15.8 Q15.9-17.5 • 17.6-19.4 • 19.5-22.0 • 22.1-30.1
                        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 settings 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 45 states, each quintile includes nine states. For example, the nine states with the highest
             melanoma rates—22.1 to 30.1 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.6152024
   Taking simple steps as early in life as possible can reduce one's risk.2A25'26

• Early detection of melanoma can save one's life.27 33 Skin examinations
   may be the best way to detect skin cancer early.2'34~38

• 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.39 40

• Student self-reported data41—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.42

   •  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.42

1~42 All references can be found on the SunWise Web site at: www.epa.gov/sunwise/statefacts.html
                               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.
     www.cdc.gov/cancer/skin
www.epa.gov/sunwise

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