Steven Robinson. Steven Robinson Memorial Endowment at

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1 fchwmt.org

2 Steven Robinson Steven Robinson Memorial Endowment at

3 Fair hair and skin Steven s story Grew up around water and loved being outdoors Experienced several sunburns as a child and young adult Sunscreen wasn t as promoted then Suffered a late diagnosis of melanoma Passed away in 2000 at the age of 35 Family established the Steven Robinson Memorial Endowment to promote skin cancer and melanoma awareness and prevention

4 Have you had a bad sunburn?

5 Effects of the sun HELPFUL Helps plants grow Keeps us warm Makes vitamin D Kills germs Makes us feel good Gives us light HARMFUL Can cause drought Ultraviolet Rays Makes our skin age and wrinkle Causes sunburns Causes eye damage Causes skin cancer Environmental Protection Agency

6 Ultraviolet (UV) Rays - 3 types UVA: Present all year around, and all day. Pass through windows. Penetrate deeper into the skin than UVB rays. UVB: More intense in the summer, at higher elevations, and closer to the equator. UVC: The strongest and most dangerous UV rays. Filtered out by ozone layer.

7 UV Rays your exposure varies Time of day Season of the year Location Altitude Weather Reflection Ozone layer Good sense and protection are key!

8 Our Skin - what s the big deal? Largest organ of our body Covers internal organs, protects them from injury Prevents loss of too much water and other fluids Helps body get rid of excess water and salts Barrier for microbes like bacteria Communicates with brain, gateway for sensing temperature, touch, and pain

9 Our Skin the inside scoop Epidermis Squamous cells Basal cells Melanocytes Dermis Blood vessels Lymph vessels Glands Nerves Hair Follicles

10 Our Skin let s protect it! American Cancer Society, Inc.

11 SLIP! on a long-sleeved shirt

12 SLOP! on sunscreen Use SPF 30 or higher, reapply often

13 SLAP! on a hat Brim/covers to shade face, ears and neck

14 WRAP! your eyes with sunglasses Look for broad spectrum protection

15 How the Sun Sees You View this video on YouTube at

16 Plan your day with the UV Index Visit and pack appropriate protective gear

17 UV INDEX LEVEL Action to Take: LOW 0-2 MODERATE 3-5 HIGH 6-7 VERY HIGH 8-10 EXTREME 11 & more Average Minutes to Skin Damage: Check out the UV Index at

18 How about indoor tanning? Source of intense UVA and UVB radiation World Health Organization declared indoor tanning devices to be cancer-causing agents of the same category as tobacco. Using indoor tanning before age 35 can increase your risk of melanoma, one of the deadliest of skin cancers, by 59%. Your risk increases with each use. Use can result in permanent skin damage. American Academy of Dermatology

19 Why take care of our skin? Skin Cancer

20 What happens when our skin gets sick? Skin cancer Disease of the DNA within skin cells Most common type of cancer in the United States Over last 30 years, more people have had skin cancer than all other cancers combined One in five Americans will develop skin cancer in their lifetime One in four is younger than 40 years old Each year, more than 5.4 million cases of common skin cancers are treated in the United States Do you know someone with skin cancer?

21 Taking a closer look at skin cancer Three common skin cancers Squamous cell carcinoma Basal cell carcinoma Melanoma cancer.org

22 Squamous cell carcinoma

23 Basal cell carcinoma

24 Melanoma

25 Melanoma One of the most serious and deadly forms of skin cancer, if not diagnosed and treated in time Originates in the pigmentproducing melanocytes

26 Be smart about melanoma One blistering sunburn when young can double a person's chances of developing melanoma; more sunburns, more risk Every six minutes, one new case of melanoma could be diagnosed in the US this year The number of new melanoma cases has more than doubled in the last 30 years; Montana s rate is growing nearly seven times faster than US overall Melanoma is the most common cancer for women age 25-29, and the second most common for age 15-29

27 Melanoma can be deadly One American dies of melanoma every hour

28 Be watchful for melanoma May appear as a new mole, or in an existing mole or freckle that changes in color, size or shape Usually has an irregular outline and is more than one color Grows over weeks to months and may appear anywhere on the body, even in places not exposed to ultraviolet rays Can spread to other parts of the body, if not diagnosed and treated in time

29 The ABCDEs of Melanoma

30 Is it Asymmetric? A = Asymmetry

31 B = Border Is the Border irregular or poorly defined?

32 C = Color Is it more than one Color?

33 D = Diameter Is the Diameter larger than the size of a pencil eraser?

34 E = Evolving Is it Evolving, changing in size, shape or color?

35 Who is at risk? Exposed to excessive amounts of unprotected natural sunlight and/or indoor tanning Family or personal history of melanoma Multiple or unusual-looking moles Fair skin, blue, green or hazel eyes, red or blond hair, and/or excessive freckling

36 Who is at risk? Traumatized skin sites such as major scars or burn areas Weakened immune system, especially after an organ transplant Extended exposure to toxic substances such as coal tar, arsenic compounds, creosote, pitch or paraffin oil

37 Be a sun-smart example! Pack your sun-smart kit Keep an eye on your skin and the skin of others Lead by example with your family and friends

38 What is one thing you learned about Being Sun Smart? What one new step will you take to Be Sun Smart?

39 Resource Available to You

40 Other Sun-Smart Resources Skin Cancer Foundation: skincancer.org American Cancer Society: cancer.org Sun Safety Program of the US Environmental Protection Agency: Sun AWARE program of the Children s Melanoma Prevention Foundation: melanomaprevention.org National Cancer Institute: cancer.gov American Academy of Dermatology: aad.org EWG Sunscreen Guide: ewg.org/sunscreen fchwmt.org

41 Thank you for Being Sun Smart! fchwmt.org/be-sun-smart-skin-cancer-awareness