EUROCHIP-2 – Prevention domain Group of specialist Basel, 10

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November 2005 Recommendations of the European Society of Skin Prevention (EUROSKIN)

Source:

Greinert et al. Eur J Cancer Prevention (2001)

Age-Standardized incidence rate for melanoma. Males

Sweden Denmark Finland Austria The Netherlands Ireland United Kingdom European Union France Germany Italy Luxembourg Belgium Spain Portugal Greece 0 2 4 6 8 10 12 14 16 18 * European Standard Population *100.000

Source: EUCAN database: 1998 estimates, version 5.0; OECD Health Data 2004.

Age-Standardized incidence rate for melanoma. Females

Ireland Sweden Denmark The Netherlands Austria Luxembourg France United Kingdom European Union Finland Germany Belgium Spain Italy Portugal Greece 0 2 4 6 8 10 12 14 16 18 * European Standard Population *100.000

Source: EUCAN database: 1998 estimates, version 5.0; OECD Health Data 2004.

Age-Standardized mortality rate for melanoma. Males

* European Standard Population *100.000

Source: EPICANCER

Age-Standardized mortality rate for melanoma. Females

* European Standard Population *100.000

Source: EPICANCER

RECOMMENDATIONS ON

• Experimental biological research • Epidemiology • Primary prevention • UVR monitoring and exposure assessment • Evaluation of primary prevention • Secondary prevention • Public relations • Media coverage • Collaboration • Marketing • UVR tanning devices

Source: Greinert et al. Eur J Cancer Prevention (2001)

PRIMARY PREVENTION

• • explore ways to

communicate risk

about environmental change and behaviour • recognize and include

exposure from artificial sources

• provide

uniformity of messages

with regard to risk • support

education

and awareness of exposure • encourage development of

educational material

• encourage

coordination

of protection programmes • seek the

cooperation of the travel industry

, other commercial outlets and the news media

convince

decision-makers that campaigns of primary prevention will be effective, will save lives and will be economically sound • focus attention on protection of

children Source: Greinert et al. Eur J Cancer Prevention (2001)

SECONDARY PREVENTION

• It is necessary investigation on • burden of the various skin cancers • cost-effective methods • definition of different outcome measures • balance between favourable and unfavourable effects • accuracy of total skin inspection as a screening tool by various examiners • standardization of histopathological terminology and definitions of skin cancer lesions • organizational models compatible with the various health care systems in the European countries

Source: Greinert et al. Eur J Cancer Prevention (2001)

UVR TANNING DEVICES

•

General statement

: the use of tanning devices for cosmetic purposes is not recommended • People

should not use tanning

devices if they: • have type I skin • are less than 18 years of age • have large numbers of naevi moles • tend to freckle • have a history of frequent childhood sunburn • have premalignant or malignant skin lesions • have sun damaged skin • are wearing cosmetics these may enhance their sensitivity to UV exposure • are taking medications that will make them UV-sensitive

Source: Greinert et al. Eur J Cancer Prevention (2001)

IARC RECOMMENDATIONS ON SUNSCREENS

• Protection of the skin: • wearing tightly protective clothing (arms, trunk and legs) • wearing a hat (head) • avoiding outdoor activities during periods of peak insolation • use of sunscreens • Sunscreens should not be the first choice for skin cancer prevention • Daily use of a sunscreen with a high SPF (15 or over) on usually exposed skin in areas of high insolation • Adequate solar protection is more important during childhood than at any other time in life • Sunscreens should be subject to the same regulatory safety requirements as medicines

Source: IARC Handbooks of Cancer Prevention n °5

DISCUSSIONS

1) Compare advertising/regulations UVR tanning devices in EU countries 2) Monitor the use of EUROSKIN recommendations 3) Awareness of pediatricians all over the EU 4) Counseling with parents 5) To use the UV Index: to expand the use (educational tool) 6) Advertising in swimming pool 7) Montreal protocol aims to the reduction of the ozone gap 8) Non melanoma skin cancers: we do not know a lot 9) UICC Prevention book