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Melanoma Education Foundation THE SKINCHECK TM CURRICULUM TEACHING HIGH SCHOOL AND MIDDLE SCHOOL STUDENTS ABOUT SKIN CANCER Health Educator Training for.

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Presentation on theme: "Melanoma Education Foundation THE SKINCHECK TM CURRICULUM TEACHING HIGH SCHOOL AND MIDDLE SCHOOL STUDENTS ABOUT SKIN CANCER Health Educator Training for."— Presentation transcript:

1 Melanoma Education Foundation THE SKINCHECK TM CURRICULUM TEACHING HIGH SCHOOL AND MIDDLE SCHOOL STUDENTS ABOUT SKIN CANCER Health Educator Training for a One Class Session on Skin Cancer / Melanoma © 2002 - 2004 Melanoma Education Foundation

2 Melanoma Education Foundation OVERVIEW  MELANOMA EDUCATION FOUNDATION  TYPES OF SKIN CANCER  MELANOMA INCIDENCE WARNING SIGNS STATISTICS SELF-DETECTION RISK FACTORS  ULTRAVIOLET EXPOSURE SUN & TANNING LAMP DANGERS SUN PROTECTION SUNLESS TANNING  WHY STUDENTS DON’T KNOW ABOUT MELANOMA  VIEW “SUNSPOTS” VIDEO  SUGGESTED TEACHING STRATEGY & EMPHASIS

3 Melanoma Education Foundation MELANOMA EDUCATION FOUNDATION  PEABODY-BASED PREVENTIVE HEALTH ORGANIZATION  BEGAN SERVICES 3/99; INCORPORATED IN MA 8/00, NON-PROFIT 501(c) (3)  FUNDED BY GRANTS, SPECIAL EVENTS, INDIVIDUAL CONTRIBUTIONS  7 BOARD MEMBERS, 5 PROFESSIONAL ADVISORY BOARD MEMBERS, SEVERAL VOLUNTEERS  MOST BOARD MEMBERS AND VOLUNTEERS PERSONALLY AFFECTED BY MELANOMA

4 Melanoma Education Foundation LIVES CLAIMED BY MELANOMA Susan Tobia LeBlanc Age 30 (2000) Daniel Fine Age 26 (1998) Dennis Danowski Age 35 (1989) Joel Schoen Age 54 (1997) Karl Kiklis Age 30 (2002) Jennifer Tietgen Age 27 (2002) Gordon Thornton Age 50 (1999)

5 Melanoma Education Foundation MEF SERVICES  HIGH SCHOOL / MIDDLE SCHOOL SERVICES - ON-SITE HEALTH EDUCATOR TRAINING - CLASSROOM LESSON PLANS - STUDENT LITERATURE & VIDEOTAPES  ON-SITE SEMINARS FOR COMMUNITY ORGANIZATIONS  PARTICIPATE IN AREA HEALTH & WELLNESS EVENTS www.skincheck.org  COMPREHENSIVE EDUCATIONAL WEB SITE www.skincheck.org

6 Melanoma Education Foundation SCHOOLS CURRENTLY USING SKINCHECK TM CLASS Academy of Notre Dame High School (Tyngsboro) Acton-Boxborough Regional High School Amesbury High School Andover High School Arlington High Schoo Ashland High Schooll Ayer High School Bartlett High School (Webster) Bedford High School Belmont High School Beverly High School Billerica Middle Schools (2) Bishop Fenwick High School (Peabody) Bourne High School Braintree Middle Schools (2) Brockton High School Brookline High School Burlington High School Cambridge Rindge & Latin High School Chatham High School Chelsea High School Cohasset High School Concord Carlisle High School Danvers High School Dracut Senior High School Durfee High School (Fall River) Enfield High School (CT) Everett High School Framingham High School Galvin Middle School (Wakefield) Gardner High School Georgetown High School Gloucester High School Granby Senior High School Greater Lawrence Reg Voc Tech H.S. Greater Lowell Technical High School Groton-Dunstable Regional High School Hamilton-Wenham High School Harwich High School Hopedale Jr/Sr High School Hopkinton High School Hudson High School Ipswich High School Lexington High School Lincoln-Sudbury High School Littleton High School Lowell High School Lynnfield High School Lynn Middle Schools (4) Lynnfield Middle School Malden High School Manchester High School Marblehead High School Masconomet Regional High School Mashpee High School Maynard High School Medford High School Medford Vocational Technical High School Melrose Middle School Melrose High School Methuen High School Minuteman Technical High School Monson High School Nashoba Valley Technical High School Natick High School Nauset Regional High School Needham High School Newton Middle Schools (4) Norfolk County Agricultural High School North Andover High School North Reading High School North Shore Technical High School Northeast Metro Regional Voc Tech High School Norwell High School Peabody Veterans Memorial High School Pentucket Regional High School Plymouth North High School Plymouth South High School Quaboag Regional High School Reading High School Revere Middle Schools (2) Rockport Middle School St. John’s Preparatory High School (Danvers) Sacred Heart High School (Kingston) Salem High School Saugus High School Scarborough High School (ME) Scarborough Middle School (ME) Sharon High School Shawsheen Valley Technical High School Shrewsbury High School Shrewsbury Middle School Somerville High School Southbridge High School Swampscott High School Tewksbury High School Triton Regional High School Tyngsborough Junior/Senior High School Wakefield High School Waltham High School Wareham High School Wareham Middle School Watertown High School Wellesley High School Westborough High School Weston High School Westport High School Weymouth High School Whitman-Hanson Regional High School Whittier Regional Vocational Technical High School Wilmington High School Winchester High School Winthrop High School Woburn High School

7 Melanoma Education Foundation COMPARISON OF COMMON SKIN CANCERS

8 Melanoma Education Foundation BASAL CELL CARCINOMA  RAISED TRANSLUCENT PINK WAXY NODULE  OCCURS IN SUN-EXPOSED SKIN  SLOW GROWING  MAY CAUSE LOCAL DISFIGURE- MENT IF NOT TREATED  SELDOM FATAL NCI Photo

9 Melanoma Education Foundation SQUAMOUS CELL CARCINOMA  FLAT RED SPOT THAT BECOMES ROUGH, DRY, SCALY  OCCURS ON HEAVILY SUN- EXPOSED SKIN  MAY GROW AND SPREAD INTERNALLY IF UNTREATED  MAY BE FATAL BUT USUALLY NOT NCI Photo

10 Melanoma Education Foundation U.S. MELANOMA STATISTICS  55,100 NEW CASES PREDICTED IN 2004  MORE PREVALENT THAN NEW HIV / AIDS INFECTIONS  NEW MELANOMA DEATH EVERY HOUR  INCIDENCE: - 25% OF NEW CASES OCCUR UNDER AGE 40 - MOST PREVALENT CANCER IN 25 - 29 AGE GROUP - LEADING CANCER KILLER IN WOMEN AGE 30 - 35 - INCREASING AT EPIDEMIC RATE

11 Melanoma Education Foundation MORE BAD NEWS ABOUT MELANOMA  VULNERABILITY INCREASES THROUGHOUT LIFE  STRIKES REGARDLESS OF HEALTH, PHYSICAL CONDITION, OR COMPLEXION  NO FAMILY HISTORY IN 90% OF NEW CASES  OFTEN FATAL IF NOT DETECTED EARLY  USUALLY NO SYMPTOMS (EXCEPT VISUAL) UNTIL TOO LATE  INCURABLE WHEN IT SPREADS TO INTERNAL ORGANS  RISK FROM SUN EXPOSURE IS CUMULATIVE & IRREVERSIBLE

12 Melanoma Education Foundation IS THERE ANY GOOD NEWS ABOUT MELANOMA?  EASIEST OF ALL CANCERS TO SELF-DETECT EARLY  NEARLY GUARANTEED CURABLE WHEN FOUND EARLY  REMOVAL IS PAINLESS, QUICK, DONE IN DOCTOR’S OFFICE WITH LOCAL ANESTHETIC  NO CHEMOTHERAPY OR RADIATION REQUIRED WHEN REMOVED AT EARLY STAGE

13 Melanoma Education Foundation MELANOMA RISK FACTORS  INHERITED - MORE THAN 50 NORMAL MOLES - ANY ATYPICAL MOLES - FAIR SKIN, LIGHT COMPLEXION, BLOND OR RED HAIR, BLUE OR GREEN EYES, FRECKLES - FAMILY OR PERSONAL HISTORY OF ANY SKIN CANCER  BEHAVIORAL - ANY BLISTERING SUNBURNS UNDER AGE 20 - SPORADIC EXPOSURE OF NORMALLY COVERED SKIN - REGULAR USE OF TANNING BEDS, FREQUENT SUNNING  AVERAGE LIFETIME RISKS *MAY BE MUCH HIGHER IF YOU HAVE ANY RISK FACTORS  AVERAGE LIFETIME RISKS* WHITE POPULATION: 1 IN 65 ASIANS AND HISPANICS: 1 IN 250 AFRICAN AMERICANS:1 IN 1000 * MAY BE MUCH HIGHER IF YOU HAVE ANY RISK FACTORS

14 Melanoma Education Foundation NORMAL AND ATYPICAL MOLES NORMAL AND ATYPICAL MOLES (NCI Photos) NORMAL MOLES: sharp borders, uniform color, less than 1/4” wide ATYPICAL MOLES HAVE ONE OR MORE: fuzzy borders, nonuniform shades, “fried egg” surface, more than 1/4” wide

15 Melanoma Education Foundation WARNING SIGNS OF MELANOMA  CHANGE SIZE, COLOR, SHAPE, SURFACE, OR THICKNESS  CHANGE IN A MOLE, FRECKLE, BIRTHMARK, BLEMISH OR OTHER PIGMENTED LESION SIZE, COLOR, SHAPE, SURFACE, OR THICKNESS SUDDENLY  IN ADULTS: A NEW MOLE THAT APPEARS SUDDENLY  COLOR EXTENDING INTO SURROUNDING SKIN  DON’T WAIT FOR: ITCHING, BLEEDING, ULCERATION

16 Melanoma Education Foundation PHOTOS OF SOME MELANOMAS ABCDE MELANOMAS OFTEN HAVE TWO OR MORE “ABCDE” PROPERTIES: A A - ASYMMETRY: ONE HALF UNLIKE OTHER HALF B B - BORDER: UNEVEN, NOTCHED, AND/OR FUZZY C D C - COLOR: MULTIPLE COLORS AND/OR SHADES D - DIAMETER: GREATER THAN 1/4” E E - ELEVATION: INCREASES DURING INVASIVE PHASE

17 Melanoma Education Foundation WHY IS THICKNESS SO IMPORTANT? DERMIS EPIDERMIS SUBCUTANEOUS LAYERS RADIAL GROWTH PHASE VERTICAL GROWTH PHASE CURABLEOFTEN FATAL NON-INVASIVEINVASIVE HIGH CURABILITY WHEN THICKNESS IS 1 mm OR LESS

18 Melanoma Education Foundation NODULAR MELANOMAS  MOST DANGEROUS TYPE  ACCOUNTS FOR ~ 20% OF MELANOMAS  BEGINS VERTICAL INVASIVE PHASE IMMEDIATELY  NO ABCD CHANGES, ONLY E  MUST ACT QUICKLY IF YOU SEE POSSIBLE SIGNS

19 Melanoma Education Foundation WHERE ON THE SKIN DOES MELANOMA OCCUR?  ANYWHERE, INCLUDING UNEXPOSED AREAS  MOST COMMON LOCATIONS IN WHITE MALES: BACK AND TRUNK IN WHITE FEMALES: LEGS AND TRUNK IN AFRICAN AMERICANS: SOLES, PALMS TOES, FINGERS, & UNDER NAILS

20 Melanoma Education Foundation HOW TO CHECK YOUR SKIN Use wall mirror, hand mirror w/long handle, flashlight, & hairbrush or dryer. Be thorough: check head to toes, front, back & sides. Have family member check back and scalp if necessary. Check once every month.

21 Melanoma Education Foundation ULTRAVIOLET EXPOSURE & MELANOMA UVB UVA  UV RADIATION FROM SUN EXPOSURE INCREASES RISK OF MELANOMA: UVB - CAUSES SUNBURNS UVA - DOESN’T BURN BUT PENETRATES SKIN DEEPER  SPF RATING OF SUNSCREENS BASED ON UVB ONLY 10-13 TIMES GREATER  UVA INTENSITY FROM TANNING BEDS 10-13 TIMES GREATER THAN FROM SUN EXPOSURE INCREASES RISK OF MELANOMA 7.7 TIMES  REGULAR TANNING BED USE (10 TIMES OR MORE/YEAR) UNDER AGE 30 INCREASES RISK OF MELANOMA 7.7 TIMES NOT  HAZE, CLOUDS, COLD WEATHER, AND WATER DO NOT PREVENT UV DAMAGE  LIGHT SURFACES CAUSE EXPOSURE BY REFLECTION

22 Melanoma Education Foundation SUN PROTECTION  COMBINATION PROTECTION IS MOST EFFECTIVE: heavily and reapply often  COMBINATION PROTECTION IS MOST EFFECTIVE: - Minimize exposure from10 am to 4 pm - Stay in shade whenever possible - Wear protective clothing, including hat w/wide brim - Apply sunscreen of SPF ≥ 30 heavily and reapply often (choose product with UVA and UVB protection)  WEAR UV-PROTECTIVE GLASSES  WEAR UV-PROTECTIVE GLASSES - 100% protection only if labeled: UV 400, 100% UV Protection, or Meets ANSI UV Requirements  PROTECT AGAINST REFLECTED UV  PROTECT AGAINST REFLECTED UV - Beach umbrellas provide only ~ 50% protection

23 Melanoma Education Foundation SUNLESS BRONZING  THE ONLY SAFE WAY TO TAN  DYE THE OUTER (DEAD) LAYER OF SKIN  SPRAY BOOTHS EASIEST WAY - MIST-ON TAN & MYSTIC TAN BOTH GOOD  “DO IT YOURSELF” BRONZER REQUIREMENTS - MATCH PRODUCT TO SKIN TYPE - PROPER APPLICATION  WWW.SUNLESS.COM HAS DETAILED INFO.  THE ONLY SAFE WAY TO TAN  DYE THE OUTER (DEAD) LAYER OF SKIN  SPRAY BOOTHS EASIEST WAY - MIST-ON TAN & MYSTIC TAN BOTH GOOD  “DO IT YOURSELF” BRONZER REQUIREMENTS - MATCH PRODUCT TO SKIN TYPE - PROPER APPLICATION  WWW.SUNLESS.COM HAS DETAILED INFO. Before sunless tanning After sunless tanning

24 Melanoma Education Foundation CDC MELANOMA KNOWLEDGE SURVEY (1996) 74 % HAD LITTLE OR NO KNOWLEDGE OF MELANOMA  AGE 18 - 24: 74 % HAD LITTLE OR NO KNOWLEDGE OF MELANOMA 45% HAD LITTLE OR NO KNOWLEDGE OF MELANOMA  GENERAL POPULATION: 45% HAD LITTLE OR NO KNOWLEDGE OF MELANOMA FATAL KNOWLEDGE GAP AMONG ADOLESCENTS AND YOUNG ADULTS AT TIME OF INCREASING VULNERABILITY  CONSEQUENCE: FATAL KNOWLEDGE GAP AMONG ADOLESCENTS AND YOUNG ADULTS AT TIME OF INCREASING VULNERABILITY

25 Melanoma Education Foundation STUDENT PERCEPTIONS & BEHAVIORS  MOST BELIEVE THAT: - SKIN CANCER IS NO BIG DEAL - HAPPENS MOSTLY TO OLDER PEOPLE - TANNING BEDS ARE SAFE WAY TO TAN  2002 SKIN CANCER FOUNDATION SURVEY (50 STATES) - 2/3 OF YOUTHS AGED 12-18 USE NO SUNSCREEN - 80% OF YOUTHS SUNBURN DURING SUMMER GIRLS AND TANNING BEDS AGEPERCENTAGE USING TANNING BEDS 14 7% 15 16% 17 35%

26 Melanoma Education Foundation PUBLIC HEALTH EDUCATION “SYSTEM” HEALTHKNOWLEDGE PARENTS SCHOOLS & COLLEGES PRIMARY CARE PHYSICIANS MEDIA GOVERNMENT AGENCIES NON-PROFIT HEALTH ORGANIZATIONS

27 Melanoma Education Foundation WHY ARE YOUNG PEOPLE UNINFORMED ABOUT MELANOMA ?  NOT TAUGHT EFFECTIVELY, OR AT ALL, IN MOST HIGH SCHOOLS  LACK OF PARENTAL KNOWLEDGE  MOST PRIMARY CARE PHYSICIANS DON’T CONDUCT COMPLETE SKIN EXAMS OR EDUCATE PATIENTS  LIMITED MEDIA ATTENTION  NO ACTIVE OUTREACH BY GOVERNMENT AGENCIES & LARGE NON-PROFITS

28 Melanoma Education Foundation WHY SUN PROTECTION IS THE WRONG PRIMARY EMPHASIS FOR HIGH SCHOOL STUDENTS  DOESN’T ADDRESS RISK FROM 80% LIFETIME EXPOSURE THEY ALREADY HAVE BY AGE 18  WON’T PREVENT MELANOMA UNRELATED TO SUN EXPOSURE (~30%)  REQUIRES MAJOR, UNACCEPTABLE LIFE-STYLE CHANGE FOR MANY  SUGGESTED EDUCATION EMPHASIS VS. AGE: SUN PROTECTION MELANOMA AWARENESS AGE0 - 1011-1415 - ADULT

29 Melanoma Education Foundation COMPONENTS OF ONE SESSION SKIN CANCER CURRICULUM FOR STUDENTS  SUNSPOTS VIDEO SEE SPOT  “SEE SPOT” BOOKMARK TO COMPLEMENT VIDEO  DETAILED CLASSROOM LESSON PLAN  SUGGESTED QUESTIONS & ANSWERS FOR HOMEWORK OR QUIZ  “A TAN TO DIE FOR” (PHOTOCOPY FOR STUDENTS)

30 Melanoma Education Foundation SUGGESTED CLASSROOM OUTLINE FOR MELANOMA / SKIN CANCER SESSION  START BY ASKING HOW MANY HAVE HAD SUNBURNS, USE TANNING BEDS, AND HAVE HAD SKIN CANCER IN FAMILY  SHOW SUNSPOTS VIDEO (16”)  FOLLOW-UP: DID VIDEO CHANGE ATTITUDES ABOUT SUN EXPOSURE AND SKIN CANCER?  DISTRIBUTE “SEE SPOT” BOOKMARK AND “A TAN TO DIE FOR”  DISCUSS VULNERABILITY, RISK FACTORS, WARNING SIGNS, MONTHLY SELF-EXAM (USE BOOKMARK), AND TANNING BEDS PERSONAL  HOMEWORK OPTIONS: VISIT SKINCHECK.ORG AND - LIST ALL MELANOMA WARNING SIGNS - LIST YOUR PERSONAL RISK FACTORS - MARK LOCATIONS OF ANY ATYPICAL MOLES ON BODY OUTLINE SHEET (CD) - TEACH YOUR FAMILY MEMBERS ABOUT MELANOMA

31 Melanoma Education Foundation SKINCHECK TM CURRICULUM PARTICIPATING SCHOOL PROVISIONS & REQUIREMENTS - “SEE SPOT” BOOKMARKS FOR ALL PARTICIPATING STUDENTS - ON-SITE TEACHER TRAINING FOR NEW STAFF MEMBERS  ON-GOING NO-COST PROGRAM, CONTINUES EVERY YEAR - “SEE SPOT” BOOKMARKS FOR ALL PARTICIPATING STUDENTS - ON-SITE TEACHER TRAINING FOR NEW STAFF MEMBERS - USE “SUNSPOTS” VIDEO & “SEE SPOT” BOOKMARKS IN MANDATORY COURSE(S) - ALL EDUCATORS PRESENTING SUBJECT ATTEND TRAINING  REQUIREMENTS - USE “SUNSPOTS” VIDEO & “SEE SPOT” BOOKMARKS IN MANDATORY COURSE(S) - ALL EDUCATORS PRESENTING SUBJECT ATTEND TRAINING

32 Melanoma Education Foundation QUIZ QUESTIONS & ANSWERS 80%  By the time the average person is 18 he or she has received approximately what percentage of their lifetime sun exposure? 100% 80% 50% 25% similar in all states  When adjusted for age and population, U.S. melanoma incidence is highest in sunbelt states highest in northern states highest in coastal statessimilar in all states 5  Three or more blistering sunburns under age 20 increase an individuals lifetime chance of developing melanoma by a factor of 1.5 2 3 45 8  Use of tanning beds 10 times or more per year under age 30 increases an individuals lifetime risk of melanoma by a factor of: 246810 thickness  The primary characteristic of a melanoma that determines whether it is likely to be curable or fatal is diametercolor thickness shape

33 Melanoma Education Foundation CELEBRITIES WITH MELANOMA  ALIVE TROY AIKMAN SAM DONALDSON CONNIE MACK JOHN MCCAIN GLENN PARKER VAN STEPHENSON  DIED OF MELANOMA EVA CASSIDY (AGE 33) BOB MARLEY (AGE 36) MAUREEN REAGAN (AGE 60) BURGESS MEREDITH (AGE 89)

34 Melanoma Education Foundation M.E.F. WEB SITE (WWW.SKINCHECK.ORG)  COMPREHENSIVE EDUCATIONAL SITE INFORMATION, PHOTOS, ILLUSTRATIONS  PRIMARY FOCUS: EARLY DETECTION  DOWNLOADABLE DOCUMENTS - “JEOPARDY” BASED HS/MS LESSON PLAN - 1 PAGE MELANOMA SUMMARY - SELF EXAM INSTRUCTIONS - TANNING BEDS: “A TAN TO DIE FOR” - “WHAT TO DO IF” INSTRUCTIONS  REFERENCES & LINKS FOR ADDT’L RESOURCES


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