Office of Air and Radiation (6205J)  EPA-430-M3-027   November 2013
Skin cancer is the most common cancer diagnosed  in the

United  States.1"5 This fact sheet presents statistics about skin

cancer for West Virginia  and  the United States.


just the facts:  Skin Cancer  in  West Virginia

• Sunburns. A survey conducted in 2004 found that nearly 40% of White adults in
   West Virginia had experienced at least one sunburn in the pastyear.6 Sunburns are a
   significant risk factor for the development of skin cancer.4'7'9

• New Cases of Melanoma. An estimated 540 residents of West Virginia will  be
   diagnosed with melanoma in 2013.3 Melanoma is responsible for about 75% of all
   deaths from skin cancer.3'10

   •  The  rate of new melanoma diagnoses in West Virginia is rising faster than that
      of all other types of cancer except liver and bile duct—with an increase of
      nearly 5% each year from 2005 to 2009.11

• Deaths from Melanoma. About 70 people in West Virginia die of melanoma
   every year.12

   9  The  death rate from melanoma in West Virginia is the third highest
      nationwide—22% higher than the national average.12'13

   •  Melanoma has the fastest rising death rate among West Virginians aged 65 and
      older—with an increase of nearly 3% each year from 2005 to 2009.12

1~41 All references can be found on the SunWise Web site at: www.epa.gov/sunwise/statefacts.html
survivor story: Hannah  Trickett


              When I was diagnosed with Stage I melanoma in June 2006,1 thought, "I'm
              only 20—this can't be happening to me!" My mom had noticed a mole on my
              upper backthat had a slightly darker spot in its middle. I had been going to
              the dermatologist regularly, so I didn't delay in making an appointment to have
              the mole checked out. When the office called with the results, I immediately
              underwent surgery to remove the tiny mole (which left a 6 inch scar) and then
had 3 lymph nodes taken out from under each arm. I have been cancer-free for 7 years now.

It is important for me to share my story—especially with otheryoung women—and I've spoken
at various health fairs, expos, and area high schools. As a teen and young  adult, I would
occasionally use tanning beds and I will forever regret it now that I am more educated on the
risk of indoor tanning. Always remember to wear sunscreen and stay out of the tanning bed;
tans fade but scars don't!

Hannah Trickett, a resident of Morgantown, WV, was 20 when diagnosed with melanoma.
Annual Rate of New
Melanoma Diagnoses,
2005-2009"
All Races, Both Sexes, All Ages
 Melanoma Diagnoses perYear
 per 100,000 People

 Q 8.2-12.8 Q12.9-17.B Q17.7-22.3 | 22.4-27.0

 n Data NotAvailable
Melanoma Death Rates,
2005-200912
All Races, Both Sexes, All Ages
 Melanoma Deaths perYear
 per 100,000 People
                                                                                       G 2.2-2.4 n 2.5-2.7 Q 2.8-3.0 Q 3.1-3.3
    Recycled/Recyclable—Printed with vegetable oil-based inks on processed chlorine-free paper that contains at least 50% post-consumer fiber.

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     The  Cost of Skin  Cancer
                                        __
            In the United States, medical costs to treat

            melanoma skin cancer in 2010 were estimated

            at almost $2.4 billion. These costs are projected

            to reach at least $3.2 billion by 2020.14
statistics:  Cause for Concern

• More than 3.5 million cases of skin cancer are
   diagnosed each year,2 making it the most common
   of all cancers in the United States.135 More people
   will be diagnosed with skin cancer in 2013 than the
   number diagnosed with breast, prostate, lung, and
   colon cancers combined.3 More than 1 in 5 Americans
   will develop skin cancer during their lifetime.15

• One American dies of melanoma every hour.3

• Melanoma is the most commonly diagnosed cancer
   and the second leading cause of cancer death for
   young adults 25-29 years old.16

• For people born in 2009,1 in 50 will be diagnosed
   with melanoma16—nearly 30 times the rate for
   people born in the 1930s.17
            National Annual Rate of New Melanoma Diagnoses, 2005-2009"
            All Races, Both Sexes, All Ages, Age-adjusted Rates
               -SAK
             Melanoma Diagnoses per Year per 100,000 People

             Q 8.5-16.2 Q 16.3-18.7 Q 18.8-20.7 • 20.8-22.5 • 22.6-29.8
            * 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 50 states and D.C., four quintiles include ten states, and one quintile includes eleven. For example, the eleven states
             with the highest melanoma rates—22.6 to 29.8 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.71823
   Taking simple steps as early in life as possible can reduce one's risk.3'5'24'25

• Early detection of melanoma can save one's life.26 32 Skin examinations
   may be the best way to detect skin cancer early.3'33~37

• 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.3839

• Student self-reported data40—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.41

   •  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.41

1~41 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 30 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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