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Office of Air and Radiation (6205J)                     EPA-430-F-09-066          May 2010



                             facts about: Skin                                          Cancer                                            !"#$%&'()"*&#"+,-.'/%"'
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                                                                                                                                             OREGON
                             Skin cancer is the most common cancer diagnosed in the
                             United States.1- 4 This fact sheet presents statistics about skin                                                                      Annual Rate of New
                                                                                                                                                                    Melanoma Diagnoses,
                             cancer for Oregon and the United States as a whole.                                                                                    2002–20069
                                                                                                                                                                    All Races, Both Sexes, All Ages


                             just the facts: Skin Cancer in Oregon
                             ! Sunburns on the Rise. A 2004 survey found that 43.6% of white adults in Oregon
                               had at least one sunburn in the past year.5 Sunburns are a significant risk factor for
                               the development of skin cancer.6-8

                             ! New Cases of Melanoma. The rate of new melanoma diagnoses—responsible
                               for 75% of all skin cancer deaths—was 36% higher in Oregon than the national
                               average from 2002-2006 and was the 4th highest in the U.S.9,10 An estimated 1,220
                               state residents were diagnosed with melanoma in 2009.2

                                  !    Douglas County has the highest rate of new melanoma diagnoses in the state
                                       and ranks among the highest 2% of counties nationwide.9

                             ! Deaths from Melanoma. About 120 people in Oregon die of melanoma every year.11                                                         Melanoma Diagnoses per Year
                                                                                                                                                                      per 100,000 People
                               Oregon had the 8th highest melanoma death rate nationally from 2002-2006—                                                                    9.5–16.7     16.8–24.1   24.2–31.5   31.6–38.8
                               17% higher than the U.S. average.12                                                                                                          Data Not Available


                                  !    Josephine County has the 5th highest melanoma death rate among counties
                                       nationwide, 107% higher than the national average.1                                                                          Melanoma Death Rates,
                                                                                                                                                                    2002–200611
                             1–41 All references can be found on the SunWise Web site at: www.epa.gov/sunwise/statefacts.html                                       All Races, Both Sexes, All Ages



                             survivor story: Pamela Clark
Photograph by Justin Myers




                                                       In spring 2006, I noticed a suspicious mole on my thigh and pointed it out to my
                                                       dermatologist. He told me the mole was normal, but after a week of staring at it, I still                                OR
                                                       wasn’t sure. I went back to my dermatologist and insisted the mole be removed. The
                                                       mole turned out to be melanoma, which disappointed but didn’t surprise me since I’d
                                                       been diagnosed with cancer (Hodgkin’s lymphoma) before. After the initial surgery, I
                                                       had a follow-up surgery and have been cancer-free for three years.

                             As a serious surfer, I spend a lot of time in the sun, so it’s especially important for me to cover up and
                             apply sunscreen often. Since my melanoma diagnosis, I am much more careful about protecting my
                             skin. I also encourage people to visit the dermatologist annually, but showing my gnarly scar seems
                             to leave the biggest impression on women my age.

                             After undergoing treatments for Hodgkin’s lymphoma, I learned that it’s possible my melanoma was
                             caused or enhanced by previous chemo and full-body radiation therapy. If you’ve received past                                            Melanoma Deaths per Year
                             cancer treatments, talk to your doctor about regular skin checks and the risks of sun exposure. It’s                                     per 100,000 People
                             also important to be your own advocate—if something doesn’t look right to you, get it checked out!                                             2.5–2.7      2.8– 3.0     3.1– 3.3    3.4– 3.5


                             Pamela Clark, a resident of Portland, OR, was 35 years old when she was diagnosed with melanoma.



                                      Recycled/Recyclable—Printed with vegetable oil-based inks on paper that contains at least 50% post-consumer fiber.
facts about: Skin                                          Cancer
                                                                                                   In the U.S., medical costs to treat
         The Cost of Skin Cancer                                                                   skin cancer are estimated at almost
                                                                                                   $2 billion annually.13-14


statistics: Cause for Concern                                                                      National Annual Rate of New Melanoma Diagnoses, 2002–200618
                                                                                                   All Races, Both Sexes, All Ages, Age-adjusted Rates

! 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                                                                                                     ID
  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.15

! 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                                                      Melanoma Diagnoses per Year per 100,000 People                                  f



  years old).16                                                                                          10.3 –15.8
                                                                                                      Bottom quintile*
                                                                                                                         15.9–17.5       17.6–19.4     19.5–22.0      22.1–30.1
                                                                                                                                                                   Top quintile*
                                                                                                                                     Data Not Available

! For people born in 2006, 1 in 53 will be diagnosed
                                                                                                   * Please note that delays in reporting melanoma cases to cancer registries are more common since they are usually
  with melanoma12— nearly 30 times the rate for                                                      diagnosed and treated in non-hospital settings such as physician offices. States are grouped into quintiles based
  people born in 1930.17                                                                             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:                                                                                                                                          skin cancer prevention:
An Ounce of Prevention                                                                                                                               Action Steps
! Unprotected exposure to ultraviolet light—a known human                                                                                            ! Do Not Burn. Overexposure to the sun is the
  carcinogen—is the most preventable risk factor for skin cancer.6,15,19-23                                                                            most preventable risk factor for skin cancer.
  Taking simple steps as early in life as possible can reduce one’s risk.2-4,24,25
                                                                                                                                                     ! Avoid Sun Tanning and Tanning Beds.
                                                                                                                                                       UV light from tanning beds and the sun
! Early detection of melanoma can save one’s life. Skin examinations                 26-32
                                                                                                                                                       causes skin cancer and wrinkling.
  may be the best way to detect skin cancer early.2, 33-37
                                                                                                                                                     ! Use Sunscreen. Generously apply a broad
! The CDC found evidence that education and policy approaches in                                                                                       spectrum sunscreen with an SPF of 15 or
  primary schools (for children) and in recreational or tourism settings                                                                               higher. Reapply at least every two hours, and
  (for adults) can improve sun safety behaviors.38-39                                                                                                  after swimming or sweating.

! Student self-reported data40—collected as part of the U.S. EPA’s                                                                                   ! Cover Up. Wear protective clothing, such as
                                                                                                                                                       a long-sleeved shirt, pants, a wide-brimmed
  SunWise Program—showed that teachers using the SunWise Tool                                                                                          hat, and sunglasses with 99-100% UVA/UVB
  Kit for 1-2 hours yearly can spur increases in students’ sun safety                                                                                  protection, when possible.
  knowledge and attitudes and small to modest improvements in
  short-term sun safety behaviors.41                                                                                                                 ! Seek Shade. Seek shade when the sun's
                                                                                                                                                       UV rays are most intense between 10 a.m.
     !    Using the data mentioned above, published modeling results                                                                                   and 4 p.m.
          show SunWise teaching between 1999 and 2015 could prevent
          more than 50 premature deaths and 11,000 future cases of skin                                                                              ! Watch for the UV Index. Pay attention to the
          cancer, saving the country more than $30 million in medical costs                                                                            UV Index when planning outdoor activities to
                                                                                                                                                       prevent overexposure to the sun.
          and productivity losses.41
1–41 All references can be found on the SunWise Web site at: www.epa.gov/sunwise/statefacts.html



         www.cdc.gov/cancer/skin                                               www.epa.gov/sunwise

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Oregon Skin Cancer Facts

  • 1. Office of Air and Radiation (6205J) EPA-430-F-09-066 May 2010 facts about: Skin Cancer !"#$%&'()"*&#"+,-.'/%"' 0)&1#"'0%&*"%2 !"##$%"&$'()*+'"+!"),-.&+!$)/.& OREGON Skin cancer is the most common cancer diagnosed in the United States.1- 4 This fact sheet presents statistics about skin Annual Rate of New Melanoma Diagnoses, cancer for Oregon and the United States as a whole. 2002–20069 All Races, Both Sexes, All Ages just the facts: Skin Cancer in Oregon ! Sunburns on the Rise. A 2004 survey found that 43.6% of white adults in Oregon had at least one sunburn in the past year.5 Sunburns are a significant risk factor for the development of skin cancer.6-8 ! New Cases of Melanoma. The rate of new melanoma diagnoses—responsible for 75% of all skin cancer deaths—was 36% higher in Oregon than the national average from 2002-2006 and was the 4th highest in the U.S.9,10 An estimated 1,220 state residents were diagnosed with melanoma in 2009.2 ! Douglas County has the highest rate of new melanoma diagnoses in the state and ranks among the highest 2% of counties nationwide.9 ! Deaths from Melanoma. About 120 people in Oregon die of melanoma every year.11 Melanoma Diagnoses per Year per 100,000 People Oregon had the 8th highest melanoma death rate nationally from 2002-2006— 9.5–16.7 16.8–24.1 24.2–31.5 31.6–38.8 17% higher than the U.S. average.12 Data Not Available ! Josephine County has the 5th highest melanoma death rate among counties nationwide, 107% higher than the national average.1 Melanoma Death Rates, 2002–200611 1–41 All references can be found on the SunWise Web site at: www.epa.gov/sunwise/statefacts.html All Races, Both Sexes, All Ages survivor story: Pamela Clark Photograph by Justin Myers In spring 2006, I noticed a suspicious mole on my thigh and pointed it out to my dermatologist. He told me the mole was normal, but after a week of staring at it, I still OR wasn’t sure. I went back to my dermatologist and insisted the mole be removed. The mole turned out to be melanoma, which disappointed but didn’t surprise me since I’d been diagnosed with cancer (Hodgkin’s lymphoma) before. After the initial surgery, I had a follow-up surgery and have been cancer-free for three years. As a serious surfer, I spend a lot of time in the sun, so it’s especially important for me to cover up and apply sunscreen often. Since my melanoma diagnosis, I am much more careful about protecting my skin. I also encourage people to visit the dermatologist annually, but showing my gnarly scar seems to leave the biggest impression on women my age. After undergoing treatments for Hodgkin’s lymphoma, I learned that it’s possible my melanoma was caused or enhanced by previous chemo and full-body radiation therapy. If you’ve received past Melanoma Deaths per Year cancer treatments, talk to your doctor about regular skin checks and the risks of sun exposure. It’s per 100,000 People also important to be your own advocate—if something doesn’t look right to you, get it checked out! 2.5–2.7 2.8– 3.0 3.1– 3.3 3.4– 3.5 Pamela Clark, a resident of Portland, OR, was 35 years old when she was diagnosed with melanoma. Recycled/Recyclable—Printed with vegetable oil-based inks on paper that contains at least 50% post-consumer fiber.
  • 2. facts about: Skin Cancer In the U.S., medical costs to treat The Cost of Skin Cancer skin cancer are estimated at almost $2 billion annually.13-14 statistics: Cause for Concern National Annual Rate of New Melanoma Diagnoses, 2002–200618 All Races, Both Sexes, All Ages, Age-adjusted Rates ! 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 ID 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.15 ! 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 Melanoma Diagnoses per Year per 100,000 People f years old).16 10.3 –15.8 Bottom quintile* 15.9–17.5 17.6–19.4 19.5–22.0 22.1–30.1 Top quintile* Data Not Available ! For people born in 2006, 1 in 53 will be diagnosed * Please note that delays in reporting melanoma cases to cancer registries are more common since they are usually with melanoma12— nearly 30 times the rate for diagnosed and treated in non-hospital settings such as physician offices. States are grouped into quintiles based people born in 1930.17 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: skin cancer prevention: An Ounce of Prevention Action Steps ! Unprotected exposure to ultraviolet light—a known human ! Do Not Burn. Overexposure to the sun is the carcinogen—is the most preventable risk factor for skin cancer.6,15,19-23 most preventable risk factor for skin cancer. Taking simple steps as early in life as possible can reduce one’s risk.2-4,24,25 ! Avoid Sun Tanning and Tanning Beds. UV light from tanning beds and the sun ! Early detection of melanoma can save one’s life. Skin examinations 26-32 causes skin cancer and wrinkling. may be the best way to detect skin cancer early.2, 33-37 ! Use Sunscreen. Generously apply a broad ! The CDC found evidence that education and policy approaches in spectrum sunscreen with an SPF of 15 or primary schools (for children) and in recreational or tourism settings higher. Reapply at least every two hours, and (for adults) can improve sun safety behaviors.38-39 after swimming or sweating. ! Student self-reported data40—collected as part of the U.S. EPA’s ! Cover Up. Wear protective clothing, such as a long-sleeved shirt, pants, a wide-brimmed SunWise Program—showed that teachers using the SunWise Tool hat, and sunglasses with 99-100% UVA/UVB Kit for 1-2 hours yearly can spur increases in students’ sun safety protection, when possible. knowledge and attitudes and small to modest improvements in short-term sun safety behaviors.41 ! Seek Shade. Seek shade when the sun's UV rays are most intense between 10 a.m. ! Using the data mentioned above, published modeling results and 4 p.m. show SunWise teaching between 1999 and 2015 could prevent more than 50 premature deaths and 11,000 future cases of skin ! Watch for the UV Index. Pay attention to the cancer, saving the country more than $30 million in medical costs UV Index when planning outdoor activities to prevent overexposure to the sun. and productivity losses.41 1–41 All references can be found on the SunWise Web site at: www.epa.gov/sunwise/statefacts.html www.cdc.gov/cancer/skin www.epa.gov/sunwise