Office of Air and Radiation (6205J)  EPA-430-F-10-017   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 Colorado and the  United States as a whole.

just the facts:  Skin Cancer  in  Colorado

• Sunburns. A 2004 survey found that 45.1 % of white adults in Colorado 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. Melanoma—responsible for 75% of all skin cancer
   deaths—is the 5th most commonly diagnosed cancer in Colorado.9 The annual rate
   of new  melanoma diagnoses in Colorado was 15% higher than the national average
   from 2002-2006 and was the 13th highest in the U.S.10'11

   •  An estimated 1,260 state residents were diagnosed with melanoma in  2009.2

   •  Pitkin County has the highest rate of new melanoma diagnoses in the state and
      ranks among the highest 1 % of counties nationwide.10

• Deaths from Melanoma. About 117 people in Colorado die of melanoma every
   year.12 The annual death rate has risen about 1 % per year among residents over
   the age of 50 from 1975 to 2006.12
1 42 All references can be found on the SunWise Web site at:
survivor story: Ken White

              In 2003, my wife noticed a change in the outline and color of a mole on my back,
              but unfortunately I waited six months to see a doctor. After the biopsies, the
              conclusion was Stage II melanoma. When I sought a second opinion, they found
              that the cancer had spread to my lymph nodes: my melanoma was at Stage III.

              I was out of work for six months while I went through several rounds of
chemotherapy. When the cancer recurred two years later, I underwent radiation therapy that
damaged my right lung. I came down with pneumonia and was weak for a longtime, but I've been
cancer-free ever since.

My diagnosis changed my life. I've worked to raise awareness about skin cancer; last year, my
daughter and I traveled the world so that she could become the youngest person to ski on all seven
continents, raising funds along the way for melanoma research. I've also completely changed my
sun protective behavior. Now I always wear sunscreen, UV-protective clothing, and wide-brimmed
hats to protect my skin.

Ken White and his daughter Victoria run the Web site
Annual Rate of New
Melanoma Diagnoses,
All Races, Both Sexes, All Ages
 Melanoma Diagnoses per Year
 per 100,000 People
   12.1-19.4 Q 19.5-26.8 fj 26.9-34.2 | 34.3-41.5

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

 Ql.7-2.1 Q2.2-2.6 f2.7-3A | 3.2-3.5
     Recycled/Recyclable—Printed with vegetable oil-based inks on 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.14'15
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.17

• 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).18

• For people born in 2006,1 in 53 will be diagnosed
   with melanoma13—nearly 30 times the rate for
   people born in 1930.'
            National Annual Rate of New Melanoma Diagnoses, 2002-200616
            All Races, Both Sexes, All Ages, Age-adjusted Rates
             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.6172024
   Taking simple steps as early in life as possible can reduce one's risk.2"4'25'26

• 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:
                               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.