Office of Air and Radiation (6205J)   EPA-430-M4-009   April 2014

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Skin cancer is the most common cancer diagnosed in the

United States.1"5 This fact sheet presents statistics about skin
cancer for Alabama and the United States.

just the facts: Skin Cancer in Alabama

• Sunburns. A survey conducted in 2004 found that nearly 40% of White adults in
   Alabama had experienced  at least one sunburn in the past year.6 Sunburns are a
   significant risk factor for the development of skin cancer.4'7'10

• New Cases of Melanoma. An estimated 1,300 residents of Alabama will be
   diagnosed with melanoma in 2013.3 Melanoma is responsible for about 75% of all
   deaths from skin cancer.3'11

   •  From 2005 to 2009, the rate of new melanoma diagnoses among White residents of
      Alabama was higherthan the national average rate for this group.12

• Deaths from Melanoma. About 156 people in Alabama die of melanoma everyyear.13

   •  From 2005 to 2009, Alabama was tied with Hawaii for the highest death rate from
      melanoma nationwide among Whites, who are at the highest risk for melanoma.13

   •  The death rate from melanoma in Alabama was more than 30% higher than the
      national average in 2009.13
1 41 All references can be found on the SunWise Web site at: www.epa.gov/sunwise/statefacts.html
survivor story: Stephanie  Brumfield

             In April 2010,1 noticed a small, scabbed mole on my forearm that would not heal.
            When I took my son to a dermatologist appointment, I asked about it. The doctor said
            the mole looked suspicious and immediately took a biopsy. The mole turned out to be
             malignant melanoma. I was shocked and terrified, and I called my husband and wept.
             I had surgeryto removethe mole with wide margins, aswell as a sentinel lymph node.
            Thankfully, the node biopsy was negative, and three years later, I am now cancer-free.

I used to be a frequent, year-round tanning bed user, and I even owned my own tanning bed. As
a teenager, I often got sunburned from tanning outdoors without sunscreen. I disliked my fair
complexion and became addicted to tanning because I always wanted to "have some color." After my
diagnosis, however, I stopped tanning and got rid of my tanning bed. Now I always use sunscreen and
a hat or umbrella while in the sun. I urge people to practice sun-safety, including never using tanning
beds and wearing sunscreen outdoors. I also encourage everyone to see a dermatologist regularly
and have suspicious moles checked immediately—early detection of skin  cancer is key for successful
treatment. I am grateful that my melanoma was treated before  it had the chance to spread.

Stephanie Brumfield was diagnosed with melanoma while living in Alabaster, Alabama.
                                                                                       Annual Rate of New
                                                                                       Melanoma Diagnoses,
                                                                                       2005-200912
                                                                                       All Races, Both Sexes, All Ages
                                                                                        Melanoma Diagnoses per Year
                                                                                        per 100,000 People

                                                                                        Q] 12.6-17.4 Q17.5-22.3 Q22.4-27.2 | 27.3-32.1
                                                                                        n Data Not Available
                                                                                       Melanoma Death Rates,
                                                                                       2005-200913
                                                                                       All Races, Both Sexes, All Ages
                                                                                        Melanoma Deaths per Year
                                                                                        per 100,000 People
                                                                                        n 2.2-2.4 n 2.5-2.7 Q 2.8-3.0 • 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 Without a reduction in skin
   cancer incidence rates, about 1 in 5 non-Hispanic
   Whites will get skin cancer in 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, 2005-200912
            All Races, Both Sexes, All Ages, Age-adjusted Rates
               -SAK
             Melanoma Diagnoses perYear per 100,000 People

             D8.5-16.2 D16.3-18.7 Dl8.8-20.7 •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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