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1 Indoor Tanning Beds: A Serious Threat to NC Children and Youth ualg N. B'lolfIchan, MfJ PO)' P"esldc-nf, NC o..mkuo~oq1 AUOC'iolkll1 AMhtQnr Proft't$Qf of Pe<liotrh: OermClfClk)gy Un/yen of North Caronna, OKlpeJ Htli David W MD PtofcJOI of SUIQ4t(y Co.Olrccklr. UNC Ianomc Progrom Co OI,c(1Or'.lfNC 8rt.<llt Progrmrl UniveJdty of NoI1h COlolillO. Chopo' HIll I~ll,-----_ , Tanning Beds: Dangerous and Unnecessary I-II There is NO debate in the scientific community: tanning beds are linked to skin cancer. The science is clear: there are NO health benefits from tanning beds that cannot be obtained more safely and WITHOUT the risk of skin cancer. There are safe alternatives to tanning beds that many tanning bed operators are already offering. NorltJ Carolino Dermatology A.uocla~jon 1

2 Protecting Children ~, I ~ The - NC Dermatology Association, NC Pediatric Society, the NC Medical Society, the American Cancer Society, among others, request that the NCCFTF: Continue to support state legislation banning minors under 18 from indoor tanning facilities in North Carolina. Include a ban on tanning facilities for minors in the Task Force's 2012 recommendations to the General Assembly. NorTh Corolll'lO Dermatology A.:nodation The Me anoma pidemic 1-'fL UV radiation in tanning booths can be up to 15 times greater than the sun. Every visit to a tanning bed increases the odds of developing melanoma. One person dies of melanoma in the U.S. every hour. Melanoma incidence is rising at alarming rates. NOrTh CaroHna Oermarology.,,\X/atrOll 2

3 The Me anoma Epidemic Melanoma ranks second among all cancers in years of productive life lost. Melanoma is the most common form of cancer for young adults years old and the second most common form of cancer for adolescents and young adults years old. Melanoma is increasing faster in females years old than males in the same age group. Norf'h Corollne Dermatology AI!odatfon The Science is Clear: Tanning Beds Linked To Skin Cancer Based on a meta-analysis, ever-use of tanning devices was positively associated with melanoma and squamous cell carcinoma. IARC. International Journal of Cancer, 2006 March 1; 120, I Even minimal exposure to UV radiation from tanning beds before the age of 35 can increase the risk of developing melanoma by 75 percent. farc. International Journal of Cancer, 2006 March 1; 120, Ever-indoor lanning was associated with a 69 percent increased risk of early onset basal cell carcinoma (BCC). BCe risk was higher in those who begin tanning al earlier ages (less than 16). Ferruci lm, Cartmel S, Molinaro AM, lehell OJ, Bale AE, Mayne ST. Indoor tanning and risk of early-onset ba~al cell carcinoma. J Amer Acad Dermorol Doi: /j.jaad Published online December 8, North Caroline Dermatology uocjolron 3

4 The Science is Clear: Tanning Beds Linked To Melanoma IL ~ I A person who has used tanning devices for more than 50 hours, 100 sessions, or 10 or more years is 2.5 to 3 times more likely to develop melanoma than a person who has never tanned indoors. l~ voofi' ii, i!i '" w..~ MA. AndIk1Ol'l "t. WOTII'W;;W (J_\. Indoor I!C:llWll"Q ond,. of ~I(:IrOIt(I 0 tmii.(:ionb'ol wtvdl., cr""gn)',... oated~ Ccrqr@tHlltI<wPr_ 2010;10.I,:sp-06. In a controlled study, 76 percent of melanomas in year olds were a"ributable to ever-use (even one session) of an indoor tanning device. CUS! AE, Arm<trong BK, Goumas C, Jenkins MA, Schmid H, Hopper JL, et al. Sunbed use during adolescence and early adulthood is associated with increased risk of early onset melanoma. Int J Cancer Doi, /ijc Published online July 28, No"" Corollna Dermatology "'uoclatlon Teen Use of ndoor Tanning Devices I ~ ~~----~-----I Year Olds Year Olds 16 Year Olds 10 I 17 Year Olds 5 o Percentage of Age Group Using Indoor Tanning Devices 4

5 Vitamin 0 and Tanning Beds: The Pseudocontrovers --;JL- Vitamin D levels can be maintained with Vitamin D supplements, which are widely available, and cost less than $20 per year. Supplements do not cause damage to the skin and are more reliable in their effect of raising Vitamin D level in the blood. There is NO evidence that Vitamin D deficiency plays any role in causing cancer. Nor h Corolino OemlQtology Association Impact on Healthcare Cost :=1"" The estimated total direct cost associated with the treatment of melanoma in 2010 was: $2.36 bil ion "The em' of Concef"... Natfonol Ccmcc:, It'tiltM. 01 me NOlionol InUiMes 0' Hea~ 20II hnptl/..._~( ;o'f'/cboutrld/' rvlog~qph~jccncl!:f~to1'h.tics/oo11ofco'1ccr. NQrt~ Corclinc Dermatology.A..uocrQII~' 5

6 Protecting C ildren & Youth in C l~r ~ ~~ 1 North Carolina laws currently protect children's health by restricting their access to: Tobacco Alcohol Chewing tobacco Some over the counter medications such as pseudoephedrine Protecting children from tanning beds will save lives and millions of dollars in avoidable health care costs North Corollna Dermatology Ai1OCiollon 6