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Sun Exposure The learning goal: Describe the effects from the most prominent object in our solar system – the Sun Ultraviolet Radiation Primary Source = natural: the Sun!!! Secondary Source = artificial: tanning beds Types of Ultraviolet Radiation (UVR) UVA rays Weakest rays Impairs skin’s immune defense Causes melanoma, wrinkling, premature aging Prevalent in tanning salons (which emit 5X more UVA than natural sunlight!) Types of Ultraviolet Radiation (UVR) UVB Rays Stronger than UVA rays Affects skin’s outer layers – Causes sunburn, skin aging, basal and squamous cell cancers More intense during summer, closer to equator, and at higher altitudes Prolonged exposure can also alter the immune system! Types of Ultraviolet Radiation (UVR) UVC Rays Strongest, most dangerous rays Receive little attention from scientists and doctors Are usually filtered by the ozone layer and don’t reach Earth. Youth are at risk because…. They have high levels of sun exposure, They have low levels of sun protection, They have many outdoor jobs – Lifeguards, tree planters, student painters, camp counselors, etc. They work many spring/summer jobs when they are out of school and the sun is strongest! How Skin Cancer is Caused UVR lowers the body’s immune system & makes it hard to destroy defective cells Skin is tanned and/or burned via exposure Damage is done to cells and DNA Some cells die; some repair themselves by getting rid of the damaged DNA – Cells that cannot repair themselves, become defective – Defective cells that are not destroyed slowly grow and produce a tumor. Three kinds of Skin Cancer Exist! Melanoma Basal Cell cancer Squamous cell cancer Actinic/solar keratoses (“premalignant”) Did you know…. 1 in 5 Americans will develop skin cancer? a person’s risk of developing skin cancer doubles if they have > 5 sunburns? Women with basal cell cancer TRIPLED from 1976 – 2003? Women with squamous cell cancer QUADRUPLED from 1976-2003? Melanoma Least common; most serious Starts as flat brown spot (~ freckle) Asymmetrical shape Common on upper back in men; calf & back in women Basal Cell Cancer On sun-exposed areas Starts as blister-like bump Can grow and eventually becomes crusted Usually spot is clear/flesh colored; can be pigmented Squamous Cell Carcinoma Develops on background of severe sun damage Has scaling with pink or brown coloring On sun-exposed areas Scaling can be picked off but reforms Actinic/Solar Keratoses Are “pre-malignant” Some will develop into squamous cell carcinoma – The scaly lesions will become harder, elevated, and more crusted Negative Aspects Wrinkles Brown sunspots on your skin Aging Possible death Need for surgery or chemotherapy to remove cancer Why is it important to be informed? Melanoma, the most dangerous skin cancer, is almost always curable when it is detected early. It can be prevented by being sun wise Early detection is key! The sun is fun, but can become dangerous Children need help protecting themselves Barriers of Communication “It won’t happen to me” attitude Tans are seen as attractive Can be a result of childhood burns People are in the sun often enjoying sports, beaches, parks, etc. Being protective is a nuisance to some Not being informed of the proper prevention techniques PROTECT YOURSELF! Reduce sun exposure between 10am – 4pm Seek (or create your own) shade Wear clothing that covers your body Use sunglasses and wide brimmed hats Apply sunscreen with SPF15 or higher Use these precautions on cloudy or overcast days as well. Did you know??? Year-round sun protection is important The sun's harmful ultraviolet (UV) radiation can penetrate many types of clothes? It can also go through automobile and residential windows? It can damage your eyes, contributing to cataracts, macular degeneration, and eyelid cancers? When you're on snow or ice, your face and eyes are at almost twice the risk of UV damage because of reflected glare? The American Cancer Society estimates 8,790 deaths from skin cancer in 2011 Risk factors that increase the chances of skin cancer… Unprotected exposure to UV radiation Fair complexion Family history Multiple or atypical moles Severe sunburns as a child What are the signs of skin cancer? Any change on the skin, especially in the size or color of a mole or other darkly pigmented growth or spot, or a new growth Scaly-ness, oozing, bleeding, or change in the appearance of a bump or nodule The spread of pigmentation beyond its border such as dark coloring that spreads past the edge of a mole or mark A change in sensation, itchiness, tenderness, or pain Sun Exposure Quiz 1. Wear protective clothing that serves as a barrier between the skin and the sun. 2. Use a sunscreen with sun protection factor of 15 or more if outdoor s during the midday. 3. Melanoma incidence has been steadily rising, affecting people of all ages. 4. Farm workers are continually at risk of developing skin cancer of the head, face, ears, or neck. 5. Skin cancer cannot be associated with a single event, such as a painful sunburn, but rather with the progressive changes in the skin's makeup over years of sun exposure. T F T F T F T F T F Answer Key 1. T 2. T 3. T 4. T 5. T