Wednesday, August 10, 2016

Tanning is Not a Game!

I don’t shock easily.  I may find some things in this world upsetting or confusing or whatever, but rarely does something shock me.

Today, the Facebook Page “Pull the Plug on Tanning Beds” shared a children’s computer game called “Sophia the First Tanning Salon.”  Sophia the First is a popular cartoon princess who appears on the Disney Channel.  If you have any preschool daughters, you have undoubtedly heard of this little princess.   Anyhow, apparently the game allows the user, intended to be a small girl, to learn remedial computer skills by selecting items with the mouse through a tanning process.  “Pull the Plug” was livid and encouraged followers to write to the game company, and to Disney, to complain about this game.

I wrote the following:  "You have GOT to be kidding! The FDA has issued a warning against all minors from using tanning beds as a result of the increased risk of skin cancer and melanoma. And now you're teaching kids that tanning beds are fun? When will you come out with Sophia the First Humidor to teach kids the fun with smoking? How about Sophia the First Binge Drinking? Please take this game down now!"  Others sent similar messages.

But in all honesty, this didn’t shock me.  It surprised me because, while I knew the peer pressure to tan was evident in high schools, middle schools, and perhaps even elementary schools, I never suspected there to be such influence towards preschool girls.  Disappointed?  Yes, but not shocked.
It then occurred to me that Sophia the First might not be the only children’s character to fall to the seductions of tanning.  So I Googled “tanning games.”  I was quite surprised by the number of websites with similar games as Sophia…aimed at preschoolers and girls of all ages.  Again I was surprised and I browsed the many games.  And then…I was shocked:

All images from
Yes, what you see above is the beginning of a girls game called, “Cinderella Pregnant Tanning Solarium.”  I kid you not…this is real!

Per the introduction, “the sun is not strong enough for a tan and Cinderella cannot go to the beach, especially since she is pregnant.  (We’ll assume that she married Prince Charming before she got knocked up.)   She decided to go to the salon and get that perfect summer tan that will perfectly match her beautiful hair. First of all she must prepare for the solarium by choosing a nice bathing suit shave her legs and apply sun lotion for protection.”  (Um…if you’re using a tanning bed you ain’t gonna use sunscreen!)

So, I decided to play the game.  A guiding hand showed the young girl (me in this case) where to move the cursor and click the mouse.  First, one must select a swim suit.  I chose this frilly pink and blue striped bikini:

Next I used bolt cutters to remove any jewelry from Cindy’s body.  This included her necklace, bracelets and ankle bracelet.  Apparently this is to advise that it’s important not to wear metal in the tanning bed.  (I didn’t notice a wedding band either…hmmm)  And yes, I said bolt cutters:

Next I put a comb in her hair to make sure her neck would be nice and exposed to the rays, and then I shaved her legs:

I have no words.

Afterwards I applied “protective lotion.”  If you look carefully you can see the letters UV on the bottle.  They probably printed it so small so as not to lessen the tanning fun with pesky UV statistics.

Finally I gave Cindy her eye protection and it was off to the tanning bed!

Notice that there is a choice of a light, medium or dark tan.  The latter suggests a tanning time of 60 minutes.  Even though tanning salons are sleazy, I’m sure even they agree that poor Cinderella will turn into pumpkin bread after 60 minutes laying in the bed!  But what the heck, I chose dark.  After applying some “After Tan” spray plus a Pumpkin Carriage belly tattoo,  Cinderella was a new tanned (pregnant) princess!

Speaking of princesses, the player can opt for others to partake in this tanning pampering session, including Elsa, Ariel and the aforementioned Sophia.  Neither of the other princesses appears pregnant, but Barbie does indeed show up after having spent a careless night a few months ago with Ken and/or the Toy Story crew.

The point of this message is not to shock you with the story line of the game, but to be shocked that tanning influence exists when our kids are barely out of diapers!  We all know of the “dangers” of what may be online …but this is a different and unexpected kind of danger.  Please speak with your children and teach by example.  Wear your sunscreen, check your skin, and for goodness sake, stay out of the tanning beds!  Tanning is a game you will lose!

Tuesday, August 2, 2016

Are Tanning Beds Still A Thing? Sadly, yes

John Oliver is a British comedian who had appeared many times on “The Daily Show” with Jon Stewart and who now has his own show on HBO called “Last Week Tonight” which airs on Sundays.  He has a segment called, “How is this STILL a thing?” featuring funny bits on stupid or seemingly impractical practices that continue today.  Examples have included “Pennies,” “Daylight Savings Time,” and “Dressing up as other races.”  Last night he posed the question to tanning beds.  Have a look at the video…

I shared this on my Facebook page and it’s already been seen by many.  It’s refreshing to see a comedic take on the stupidity of using tanning beds.  But at the same time, the question remains, “how are tanning beds still a thing?”  The answer may lie within the video above.

There are organizations listed in the video that support the tanning industry including the Indoor Tanning Association and the American Suntanning Association.  These groups might support a stupid, vain and proven dangerous practice, but they are smart and savvy.

A few years ago, the ASA actually supported the North Carolina bill to ban tanning beds for those under 18 years of age.  Yes, they SUPPORTED the ban.  At the time, I was skeptical of their claim, wondering if they might not be realigning their tanning strategy from targeting high school kids to soliciting the college-age crowd.

I was right.  In the past couple of years, tanning salons have cropped up all over college campuses and some tanning beds are appearing in private and university-owned dormitories as part of an amenity package.  Luckily, there are folks trying to discourage colleges and universities from endorsing tanning businesses.  However, despite increased broadcasts of sunscreen importance and UV ray dangers, more and more “educated” college kids are seeking that golden tan.

But it’s not just the college crowd.  Blatant ignorance still exists in blue collar America.  Despite the warnings…despite the deaths…despite ample information, adults are still choosing to visit tanning salons.

A 34 year-old co-worker who recently started where I work announced last week that she was looking forward to hitting the tanning bed.  Having made the statement in front of me and  having not known my stance, other colleagues backed away as if Clint Eastwood was about to have a shootout.  As expected, I pretty much laid into the otherwise nice and sharp lady about her absolute stupidity at visiting a tanning salon.  Her arguments included, “I’ve been going for years and I don’t have cancer,” “But I never burn,” “My skin is too ugly unless it has some color,” and the classic “I need a base tan for when I’m outside this summer.”  Yes, I rebutted each point (“Each time you go you increase your chances and it’s a cumulative effect,” “Tanning is a sign of skin damage, not just burning,” “Your skin color is beautiful but you will get more wrinkles and sun damage if you continue tanning,” and “Bullshit!”)  Still, she hasn’t changed her mind and despite being older than an over confident college kid, she still approaches tanning with an exuberant ignorance.  It’s really frustrating. 

And yes, tanning beds are still a thing.  Just not a good thing.


Saturday, April 30, 2016

Melanoma Does Not Discriminate

In this day and age, the term “discrimination” gets discussed more and more.  It seems like not a day goes by where there isn’t some public policy or some celebrity statement that gets labeled as discriminatory.  It’s true that we all have some bit of prejudice within our personalities.  Whether it be an opinion offensive to many or a private irritation with someone who differs from you in some way, we humans all discriminate on some level.  It’s true. 

There are, however a few things in this world that do not discriminate.  The weather.  Aging.  Hunger.  But of course there is one thing in particular I need everyone to understand that does not discriminate.  Melanoma

My Facebook page is approaching 6,000 likes.  I have been followed by people in all 50 states as well as 69 countries…from Algeria to Zimbabwe.  Each one, I assume have been somehow touched by melanoma.  Believe it or not, I have opened the profiles of every person that has followed the “Black is the New Pink – Fight Melanoma” Facebook page.  Every.  Single.  One.  And while not each one allows access to personal information, most share a photo or two that depict not on what is important to each one’s life, but a bit of their personality.  I can assure you that melanoma does not discriminate.

It is true that melanoma is more prevalent in people with lighter toned skin and blonde or red hair.  But there have been many followers of all skin colors all the way to the darkest of dark.  In fact, since it’s harder to detect melanoma on darker skin, the cancer is usually detected at a much higher and deadly level when ultimately found.  It’s true; people of dark skin should wear sunscreen and see the dermatologist as often as someone with pale white skin like myself.

Religion?  No discrimination there as well.  Christian, Muslim, Buddhists, Hindus, Atheists…you name it and someone from each religion has been touched by the black cancer.  No matter the name of your god or spiritual guide, you flesh is as susceptible as the person’s next to you.  Protect yourself!  Especially you sun worshipers!

Politics?  Whether you “feel the Bern” or “Trust Ted,” your political beliefs have no effect at rejecting melanoma.  Democrats, Republicans, Libertarians, Independents, Socialists, Communists, Anarchists…I’ve had them all stop by my Facebook page.  They’ve all been touched.

Do you preach the moral high ground?  DO you work in the adult film industry?  Are you fighting of an addiction?  Do you work as an executive for a Fortune 500 company?  No matter your social or economic status, you all share in that 1 in 50 chance of getting melanoma, and 1 in 5 chance of being diagnosed with skin cancer.

Do you live along the equator?  South Africa?  Iceland?  Certainly, the more exposure you have to the sun, the greater your risk of melanoma.  However, there are melanoma warriors on every continent at every latitude and longitude on the globe.

No, melanoma does not discriminate.  But it can be resisted.  As stated countless times, protect yourself by wearing sunscreen and protective clothing and gear.  Stay out of the sun at peak times and seek shade.  Wear sunglasses and hats.  And perhaps most importantly, check your skin!  Check it yourself at least once a month and monitor any changes.  Visit your dermatologist at least once a year!  Prevention and detection are the best ways to fight melanoma.  No matter who or what you are.

Friday, December 18, 2015

FDA Proposal and the Need for Continued Education on Melanoma Awareness

Today, December 18, 2015, the Federal Drug Administration announced a proposal of new rules that would ban anyone under 18 from using tanning beds or tanning booths.  In addition, they would require that tanning facilities obtain a client’s signature that he/she acknowledges the risk to one’s health when using such devices.  They also propose that all tanning devices be labeled with a warning that UV radiation can cause skin cancer, skin burns, premature skin aging, and eye damage (both short- and long-term).  This is an effort by the FDA to “improve consumers’ understanding of the risks related to UV radiation exposure.” 1 

The primary resource for the FDA’s decision is a 2012 publication by the British Medical Journal (“Cutaneous Melanoma Attributable to Sunbed Use: Systematic Review and Meta-analysis”) which concludes that “sunbed use is associated with a significant increase in risk of melanoma.  This risk increases with number of sunbed sessions and with initial usage at a young age (<35 years).  The cancerous damage associated with sunbed use is substantial and could be avoided by strict regulations.”2  The study cites well-documented statistics such as tanning beds may emit 10-15 times stronger UV radiation that the sun, UV radiation is classified as a carcinogen, and tanning bed use results in a 75% increase in risk of melanoma (from 40% to 228%) when indoor tanning starts during adolescence or young adulthood.   

The public (including up to 19,000 tanning salons) has 90 days to share comment on the proposal.

This is indeed a great day in the fight against skin cancer and melanoma.  For years, the FDA has been asked to take more action against the use of tanning beds.  Citing the administration’s bans and warnings on tobacco use, the argument was made that more cases of cancer were caused by tanning beds than cases of lung cancer caused by cigarettes.  Today’s action by the FDA is a long time coming.

But this does not close the book on skin cancer prevention.  While there will be harsher warning labels attached to the equipment, the age restrictions apply only to facilities that offer tanning services, such as tanning salons and “health” clubs.  The restrictions do not apply to personal tanning beds.  Additionally, once an individual reaches the age of 18, tanning bed use will be allowed, although the FDA proposal requires disclosure of health risks before allowing an individual to use such a device.  The only real weapon against such use will be in public education.

There are efforts and organizations that are devoted to educating the public on the risks of UV radiation, both from tanning devices and from the sun.  One such organization is the Melanoma Education Initiative.  Founded in 2011, the MEI has been raising awareness about the dangers of melanoma by visiting middle schools with an interactive presentation, visiting high schools and colleges with harder-hitting presentations including first-hand and graphic accounts of melanoma, distributing educational material at community health fairs, and participating in health and wellness events for companies and organizations.

When asked why founder Beth Mancini didn’t just join forces with existing organizations such as the Melanoma Research Foundation, AIM at Melanoma, or others, she responded that “many organizations out there raise money for research which will benefit patients down the road, but we wanted to save lives in a more immediate way by educating people about early detection and prevention. We couldn't find an organization … educating in the way we wanted to, thus, Melanoma Education Initiative was born.”  The MEI was founded and continues advocating near Akron, OH, however Beth. Mancini and her family now reside in North Carolina.  She hopes to expand the MEI efforts within the Tarheel State and beyond.

Much like the aggressive anti-tobacco “truth” campaign to curb youth smoking in the US, the MEI and other organizations hope to equally educate teens and young adults about the dangers of UV radiation.  I encourage you to offer your support to the MEI, or any such educational group in your area as they are in desperate need of volunteers.  While today’s FDA announcement is a red-letter date in skin cancer awareness, the real work of education the public needs to continue.

For more information on the Melanoma Education Initiative, visit their website at  You can also contact Beth Mancini directly at

  1.          DEPARTMENT OF HEALTH AND HUMAN SERVICES; Food and Drug Administration; 21 CFR Parts 1002 and 1040 [Docket No. FDA-1998-N-0880 (formerly 1998N-1170)] RIN 0910-AG30 Sunlamp Products; Proposed Amendment to Performance Standard.
  2.           Boniol, M., P. Autier, P. Boyle, and S. Gandini, “Cutaneous Melanoma Attributable to Sunbed Use: Systematic Review and Meta-analysis,” British Medical Journal, 345:e8503, December 2012.

Thursday, August 20, 2015

Jimmy Carter's Cancer and a Guilty Thought

I had a thought this morning for which I’ve felt a bit guilty all day. 

As I was getting ready for work, I saw the story on television where former President Jimmy Carter was going to share more details about his cancer later in the day.  I couldn’t recall such an event before regarding cancer.  Usually, one announced their cancer diagnosis right away…there was no waiting for an announcement of the specific details later.  “Steven Jobs announces that he has pancreatic cancer.”  “Shannon Doherty reveals breast cancer diagnosis.” “Jimmy Carter has….cancer to be revealed next week.”

I wondered what type of cancer he might have, and it occurred to me that whichever cancer he has will get a real boost in awareness and publicity.  I stopped short of it, but I came damned close to wishing that President Carter would announce that he has melanoma.

All of you should know that I would never ever wish cancer, especially melanoma on any person…not even my worst enemy.  Still, there’s always been this near desperation to have a celebrity representative for “our” cancer.  Bob Marley has been our go-to guy…the perfect example of how melanoma can attack the young and those with darker skin.  However, we still lacked a mainstream face, and don’t think that we didn’t search for one.  Remember how we all shared that Hugh Jackman had skin cancer?  Sure, it was basal cell carcinoma (BCC), but it was skin cancer and a celebrity was talking about it.  We were so “happy.”  And yet, none of us are really ever happy for anyone diagnosed with cancer, even BCC.

As it turns out, Jimmy Carter did indeed announce that he has melanoma that has metastasized to his brain and liver.  I feel awful for him and his family.  While there have been many who have survived a Stage IV melanoma diagnosis, the survival rate is still only 15%.  Many have beaten the odds.  More have not.  This includes my brother Jeff.

It was 5 years ago…almost to the day….that my brother announced that he had Stage IV melanoma that had metastasized to his brain and lungs.  I recall talking to him and he stated how he actually felt quite healthy.  He had plans to go to work for a few months and take some time off whenever the treatments made him feel sick.  He simply couldn’t believe he had cancer, especially cancer in his brain.  Less than a month later, I visited him and he could no longer go to work.  He needed a cane to walk.  His memory and brain functions were diminishing.  He, frankly, looked like he had cancer.  Two months after that, he was gone.

While the prognosis remains dim, President Carter has a much better shot at survival than did my brother.   He is being treated with an immunotherapy drug called Keytruda.   This and several other drugs simply didn’t exist five years ago.  Amazing research has occurred.  However, what remains relatively low on the radar is awareness about melanoma.

The public continues to see melanoma as just another skin cancer.  Just like Hugh Jackman’s BCC, many people think that melanoma can be cut out and all that remains is a large bandage on the nose.  This is simply not the case with melanoma.  As with Mr. Carter, melanoma can form inconspicuously on the skin and spread to other parts of the body if it remains undetected.  It can spread to the liver, the lungs, the brain…anywhere!  It can start anywhere on the skin, including places that never see the sun.  (Yes, even “those” places).  It can start in your eyes or in your mouth.  It is simply one of the nastiest and sneakiest cancers there is.  But make no mistake, no matter where it might occur, it’s still melanoma.

One of my good friends and fellow melanoma awareness advocates (Respect the Rays) posted the following on Facebook today:

I really hope the media starts calling Jimmy Carter’s cancer diagnosis what is it…melanoma.  It’s not liver cancer…or brain cancer.  It’s melanoma that has spread (metastasized) to his liver and brain.”

It’s a common misconception that melanoma in the brain is brain cancer, or that melanoma in the lungs is lung cancer.  It’s not.  It’s melanoma.  Even my brother had a tough time grasping that.  

When I last saw Jeff, we were playing cards.  When he lost the game, he joking said to me, “yeah…big deal that you beat a guy with brain cancer!”  He always looked at the lighter side of life.  Another time, we were discussing various cancer awareness colors.  “Black is for melanoma, white is for lung cancer, and gray is for brain cancer!  Could I have three more boring colors?”  Again, I loved Jeff's humor, but the fact is, he had only one cancer, and that was melanoma. 

The same is true of President Carter.  He has melanoma.  As a result, the world might learn a little about the disease.  And despite my early morning thought, I really wish he didn’t have it. 

I wish there was no melanoma at all.

Saturday, June 6, 2015

Sun Protection and Kids in School

Spring is coming to an end soon and most schools are about to close for the summer.  This also marks the time of year when schools hold their annual field day, a celebration of fun and physical fitness.  Unfortunately, it seems that every year presents at least one story where a child is severely sun burned during the outdoor activity because of the school’s policy of no sunscreen application.

Most schools, it seems, encourages the parents to apply sunscreen on the child before they arrive.  They do not allow the child to administer their own sunscreen (at least at the elementary school level) because it’s considered the same as a controlled medication.  In short, the school district does not want to accept responsibility should a child share the lotion (sunscreen or otherwise) in case the second child could be allergic.  In some cases, such as when kids have a food allergy, the medicine (epipen in this case) is kept in the school nurse’s station and can only be administered by a trained individual.  The same apparently holds true for other medications, including lotions.  Including sunscreen.

Another reason for children getting sun burns during field day is that kids are often not allowed to wear hats.  Teaching children good manners of not wearing one’s hat indoors is a good lesson.  However, many no-hat policies were established not to teach manners, but to prevent clothing related to gang association. 

The Center for Disease Control has developed “Guidelines for School Programs to Prevent Skin Cancer.”  Within it, they recommend encouraging or requiring students to wear protective clothing, hats, and sunglasses.  They also suggest establishing a routine for sunscreen use before going outside.  Other organizations have recently encouraged smarter sun safety decisions within the schools.

I voiced my agreement to the CDC’s report last year to my wife.  While she supports sun safety as well, she, a daycare teacher, brought up a good point.  “Who’s going to apply sunscreen to the little kids?”

Teachers in daycare and elementary schools take care of many kids.  In some cases, there are teacher’s assistants.  However, many state and county governments are cutting back, so there are fewer assistants.  At my wife’s daycare, one teacher could have up to 13 children.  In elementary school, the number is double that.  Very young kids simply cannot apply sunscreen by themselves.  It would take an extended period of time for any one teacher to apply the sunscreen to 13 to 25 kids and expect to have any time left for the playground.  It’s certainly a problem which has no real easy solution.

Last year, I sent out a survey of questions to teachers.  I had hoped to analyze and present a detailed breakdown of the data, but my schedule never allowed me time.  Still, I have the data and felt I might as well present the raw data for discussion.  Here are the questions and the results.

1.      Are you a teacher?
98% responded that they were.

2.       If you are a teacher, what grade do you teach?
a)      Pre-school                  8%
b)      K thru 2nd                  34%
c)       3rd thru 5th                25%
d)      Middle School           16%
e)      High School               17%

3.       How many children are in your class?
a)      Less than 5                  1%
b)      5 to 15                         7%
c)       16 to 25                       53%
d)      More than 25               39%

4.       Do you have a teaching assistant or another adult with you in class?
a)      Yes                                 36%
b)      No                                  64%

5.       Do you feel children in your grade/age are capable of applying sunscreen by their selves?
a)      Yes                                 53%
b)      Yes, but assisted            33%
c)       No                                  14%

6.       Which statement best fits your opinion towards sunscreen application for your class?
a)      All children MUST wear sunscreen during outdoor recess
b)      Only those children whose parents request it must wear sunscreen during outdoor recess
c)       Applying sunscreen to every child takes too much time
d)      Other (most which state they simply are not allowed to apply by school rule)

7.       Do you teach sun safety in your class?
a)      Yes, it’s part of our curriculum                        3%
b)      Yes, although it’s not required teaching         63%
c)       No, it’s not allowed under our curriculum     10%
d)      No, this should not be taught in class              7%
e)      Other                                                                17% (Most stated they simply never thought of it)

8.       Many schools ask that parents order class t-shirts to wear during field trips and “Spirit Days.”  Do you feel that parents are willing to pay for class hats to wear during outdoor recess?
a)      Yes                                 52%
b)      No                                  40%
c)       Another idea             8%  (most comments suggest kids be allowed to bring their own within dress code)        

I’m not a statistician, so I can’t really provide any scientific conclusions.  It appears that there are no easy answers.  Yes, we want our children safe in the sun…but no, with regards to younger kids, the teachers simply do not have the time or assistance.  In many cases, allergies and touching (either transfer of germs or considered “inappropriate”) are a concern as well.  Perhaps there needs to be a middle ground.

In my opinion, I’d like to see sun safety added to the school’s curriculum at every age group.  There are many suggested age-specific education guidelines available…certainly the school boards can select one to cover various grades.  I’d also like to see hats be allowed for outdoor use only.  These can be school hats or a child’s personal hat.  Sunglasses should be encouraged as well.

As for sunscreen, I really don’t know.  I guess a couple more questions could have been added to the survey.

1.       What do you feel is the proper age for a child to be trusted to apply their own sunscreen? 
2.       For younger children, and considering the limitations imposed on the teachers, how do you propose sunscreen be applied to younger kids?

  Let me know your thoughts.  It’s a debate worth having.

Postscript:  My apologies for the poor formatting.  Sometimes, numbering and bullets simply don't transfer well between MS Word and this blogging software.  I'll try to make it more legible in the near future.  -Al

Monday, June 1, 2015

A Month of Facts

May has come and gone this year.  Melanoma Awareness Month 2015 is over.  But I’d like to think that the results of actions taken this month will extend well into the following months.

I decided to take my action by sharing a skin cancer or melanoma facts throughout the month.  Each day, I posted a specific fact about the cancer.  The only exception was on Melanoma Monday where I posted a plea to simply be aware of melanoma.  Some people doubted particular facts, but I assure you that each was quoted from a legitimate source.  In most cases, the true raw source was available from the source I cited.  For instance, I read the fact that UV radiation is a proven carcinogen, which was cited from the Skin Cancer Foundation website.  The true source listed within the site was the National Toxicology Program. Report on Carcinogens, Twelfth Edition. U.S. Department of Health and Human Services, Public Health Service, National Toxicology Program. 2011: 429-430.  It was a little hard for me to fit all that in the space provided in each fact snippet, so I simply referenced the Skin Cancer Foundation as my source.  If you doubted any of my sources, please dig a little more to find the raw source.

The most doubted, yet most shared fact was that more people develop skin cancer because of tanning than develop lung cancer because of smoking.  In case you wish to research this a bit more, the raw source was from the following: Wehner M, Chren M-M, Nameth D, et al. International prevalence of indoor tanning: a systematic review and meta-analysis. JAMA Dermatol 2014; 150(4):390-400. Doi: 10.1001/jamadermatol.2013.6896.

Anyhow, I was asked a few times to share all of the month’s fact at one time, so you’ll find the entire list and the general sources lists below.  But before I share the list, let me make a few statements. 

First of all, many of the statistics I've shared relate to cancer and death.  You can change these statistics!  You can help prevent melanoma primarily by protecting yourself from the UV rays and seeing your dermatologist regularly. If we prevent the disease, the depressing and alarming statistics would no longer exist.

Secondly, for those of you who have melanoma, the statistics I've shared apply to people in the past…they do not apply to you personally.  Statistics do not define your fight…your hope…your triumph.  You do! 

Lastly, let me share a few more statistics.  I posted 31 different facts.  These facts were read by over 325,000 people on Facebook alone.  The facts were shared on Facebook a total of over 4,800 times.  I shared the facts on Twitter and Instagram as well, so the exposure extended even further.  This has been a true example of spreading melanoma awareness.  It indeed spreads and it works.  Grassroots campaigns such as Black is the New Pink and countless others work.  Please, please, please continue to spread awareness to your friends, families and total strangers.  It makes a difference! 

Thank you to each any every person who read, liked, or shared these facts during Melanoma Awareness Month!  Also, thank you to staff member Donald at the Waterside Resort in Hilton Head Island who helped me work out some technical glitches with my tablet so that I could continue posting these facts even while I was on a family vacation!

Here are all the facts:

One out of every five Americans will get skin cancer in their lifetime.
Each year there are more new cases of skin cancer than the combined incidence of cancers of the breast, prostate, lung and colon.
The annual cost of treating skin cancers in the U.S. is estimated at $8.1 billion

The literal definition of "melanoma" is "black tumor."  Today is Melanoma Monday.  Please wear black today to help up raise awareness and to honor those touched by melanoma…past, present, and future.
About 90 percent of nonmelanoma skin cancers are associated with exposure to ultraviolet (UV) radiation from the sun.
Melanoma/skin cancer is the most underfunded of all cancers by federal and private agencies
Melanoma accounts for 5% of all skin cancers and 71% of all skin cancer deaths.
The incidence of melanoma has increased 15 times in the last 40 years. This is a more rapid increase than for any other cancer!
Cleveland Clinic
Melanoma is the most common cancer in women ages 25 to 29
Cleveland Clinic
Melanoma is the second most common cancer in women ages 30 to 34, as well as in men ages 30 to 49.
Thirty percent of all melanoma in men arises on the back
Melanoma is the fastest growing cancer in the U.S. and worldwide.
Melanoma often starts out as a mole and can be removed if caught early.
From 1970 to 2009, the incidence of melanoma increased by 800 percent among young women and 400 percent among young men.
In 2015, it is estimated that there will be 73,870 new cases of melanoma in the United States
One in 50 Americans will develop melanoma in their lifetime.
On average, one American dies from melanoma every hour.
Cancer Research UK
The average age for melanoma diagnosis is 50, compared to other cancers, which is closer to 65-70 years old.
In 2015, it is estimated that 9,940 deaths will be attributed to melanoma — 6,640 men and 3,300 women.
People under age 45 account for 25% of all melanoma cases.
10% of all people with melanoma have a family history of melanoma.
Of the seven most common cancers in the US, melanoma is the only one whose incidence is increasing.
On average, a person’s risk for melanoma doubles if he or she has had more than five sunburns.
Regular daily use of an SPF 15 or higher sunscreen reduces the risk of developing melanoma by 50 percent.
Ultraviolet radiation (UVR) is a proven human carcinogen.
More people develop skin cancer because of tanning than develop lung cancer because of smoking.
Contrary to popular belief, 80 percent of a person’s lifetime sun exposure is not acquired before age 18; only about 23 percent of lifetime exposure occurs by age 18
2011 study on solar altitude
UV eye exposure is greatest during early morning and late afternoon when the sun is lower.  Wear your sunglasses!
Cloud cover reduces UV levels, but not completely. Depending on the thickness of the cloud cover, it is possible to burn on a cloudy day, even if it does not feel warm.
Surfaces like snow, sand, pavement, and water reflect much of the UV radiation that reaches them. Because of this reflection, UV intensity can be deceptively high even in shaded areas.
My Brother Jeff
Melanoma may start on your skin, but it can spread to your lungs, brain, and other organs.  It can kill you.