1/23/2012
Indoor Tanning Beds:
A Serious Threat to NC
Children and Youth
ualg N. B'lolfIchan, MfJ
PO)' P"esldc-nf, NC o..mKUO~OQ1 AUOC'iolkll1
AMhtQnr Proft't$Qf of Pe<liotrh: OermClfClk)gy Un/yen of North Caronna, OKlpeJ Htli
David W. 011110. MD
PtofcJOI of SUIQ4t(y Co.Olrccklr. UNC Ianomc Progrom Co·OI,c(1Or'.lfNC 8rt.<llt Progrmrl UniveJdty of NoI1h COlolillO. Chopo' HIll
I~ll,-----_----------.,
Tanning Beds: Dangerous and Unnecessary
I-II -·--------1
There is NO debate in the scientific community:
tanning beds are linked to skin cancer.
The science is clear: there are NO health benefits
from tanning beds that cannot be obtained more
safely and WITHOUT the risk of skin cancer.
There are safe alternatives to tanning beds that
many tanning bed operators are already offering.
NorltJ Carolino Dermatology A.uocla~jon
1
1/23/2012
Protecting Children ~,.---------------------------I ~ -
The NC Dermatology Association, NC Pediatric
Society, the NC Medical Society, the American
Cancer Society, among others, request that the
NCCFTF:
Continue to support state legislation banning minors
under 18 from indoor tanning facilities in North
Carolina.
Include a ban on tanning facilities for minors in the Task
Force's 2012 recommendations to the General
Assembly.
NorTh Corolll'lO Dermatology A.:nodation
The Me anoma pidemic 1-'fL--------------------------1
UV radiation in tanning booths can be up to 15
times greater than the sun.
Every visit to a tanning bed increases the odds of
developing melanoma.
One person dies of melanoma in the U.S. every hour.
Melanoma incidence is rising at alarming rates.
NOrTh CaroHna Oermarology .,,\X/atrOll
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1/23/2012
The Me anoma Epidemic
Melanoma ranks second among all cancers in years
of productive life lost.
Melanoma is the most common form of cancer for
young adults 25-29 years old and the second most common form of cancer for adolescents and young
adults 15-29 years old.
Melanoma is increasing faster in females 15-29
years old than males in the same age group.
Norf'h Corollne Dermatology AI!odatfon
The Science is Clear: Tanning Beds Linked To Skin Cancer--------1 Based on a meta-analysis, ever-use of tanning devices was positively associated with melanoma and squamous cell carcinoma.
IARC. International Journal of Cancer, 2006 March 1; 120, I 116-1122.
Even minimal exposure to UV radiation from tanning beds before the age of 35 can increase the risk of developing melanoma by 75 percent.
fARC. International Journal of Cancer, 2006 March 1; 120,1116-1122.
Ever-indoor lanning was associated with a 69 percent increased risk of early onset basal cell carcinoma (BCC). BCe risk was higher in those who begin tanning al earlier ages (less than 16).
Ferruci lM, Cartmel S, Molinaro AM, leHell OJ, Bale AE, Mayne ST.
Indoor tanning and risk of early-onset ba~al cell carcinoma.
J Amer Acad Dermorol Doi: 10.10 16/j.jaad.2011.11.940.
Published online December 8, 2011.
North Caroline Dermatology uocJolron
3
1/23/2012
The Science is Clear: Tanning Beds Linked To Melanoma
IL ~--------I
A person who has used tanning devices for more than 50 hours, 100 sessions, or 10 or more years is 2.5 to 3 times more likely to develop melanoma than a person who has never tanned indoors.
l~ • vOOfI' iI, i!I '" w..~ MA. AndIk1Ol'l "t. WOTII'W;;W (J_\. Indoor I!C:llWll"Q ond ,. of ~I(:IrOIt(I 0 tmiI.(:IOnb'ol wtvdl ., cr""gN)' , ... oated~
Ccrqr@tHlltI<wPr_ 2010;10.I,:sp-06.
In a controlled study, 76 percent of melanomas in 18-29 year olds were a"ributable to ever-use (even one session) of an indoor tanning device.
CUS! AE, Arm<trong BK, Goumas C, Jenkins MA, Schmid H, Hopper JL, et al.
Sunbed use during adolescence and early adulthood is associated with
increased risk of early·onset melanoma.
Int J Cancer Doi, 10.1 002/ijc.25576. Published online July 28, 2010.
No"" Corollna Dermatology "'uoclatlon
Teen Use of ndoor Tanning Devices I·------------~--------~~----~-----I 1
30
25
20
14 Year Olds
15 15 Year Olds
16 Year Olds
10 I 17 Year Olds
5
o Percentage of Age Group Using Indoor Tanning Devices
4
1/23/2012
Vitamin 0 and Tanning Beds: The Pseudocontrovers
--;JL-
Vitamin D levels can be maintained with Vitamin D
supplements, which are widely available, and cost
less than $20 per year.
Supplements do not cause damage to the skin and
are more reliable in their effect of raising Vitamin
D level in the blood.
There is NO evidence that Vitamin D deficiency
plays any role in causing cancer.
Nor h Corolino OemlQtology Association
Impact on Healthcare Cost
:=1""--------------------1
The estimated total direct cost associated with
the treatment of melanoma in 2010 was:
$2.36 bil ion
"The em' of Concef"... Natfonol Ccmcc:, It'tiltM. 01 me NOlionol InUiMes 0' Hea~ 20 II
hnptl/...._~(·;o'f'/cboutrld/'·rvlog~Qph~Jccncl!:f~to1'h.tics/oo11OfCO'1CCr.
NQrt~ Corclinc Dermatology .A..uocrQII~'
5
1/23/2012
Protecting C ildren & Youth in C l~r ~ ~~ 1
North Carolina laws currently protect children's
health by restricting their access to:
Tobacco
Alcohol
Chewing tobacco
Some over the counter medications such as pseudoephedrine
Protecting children from tanning beds will save lives
and millions of dollars in avoidable health care costs
North Corollna Dermatology Ai1OCiollon
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