Lori Hoch, RN, BSN Shelby County Public Health Sun Safety Lori Hoch, RN, BSN Shelby County Public Health

Training Sponsors Iowa Consortium for Comprehensive Cancer Control Youth Sun Exposure Implementation Group Healthy Child Care Iowa Campaign

Learning Objectives Identify the risk of sun exposure to children Identify sun safety strategies for children Identify child related activities to help children learn to be sun safe.

Iowa Child Care Regulations Iowa Administrative Code Child Care Centers 441-109.11(3)a.(2) addresses required shaded area for outdoor activities. Child Development Homes 441-110.5(1)h requires shaded area for outdoor activities.

National Health and Safety Standards Standard 2.009 protect children from the sun (page 51) Standard 3.081 permissible administration of medication (sunscreen) (page 137) Standard 5.177 outdoor areas need shade (page 257)

The Sun as Friend Provides Light Warmth Is essential for growth and development of all living things

The Sun as Foe Causes Skin blistering Sunburn Wrinkles and blotches Cataracts Weakens immune system Skin cancer

Skin Cancer Cases Increase Causes of Increase: Increase leisure time outdoors Decrease in clothing coverage during warm weather Decrease in ozone layer causing increase in UV rays coming to earth surface

Skin Cancer Cases Increase In the U.S. over 900,000 to 1,000,000 people are expected to get skin cancer this year.

Skin Cancers Over 200 types of skin cancers May occur anywhere on body Frequently occur on parts of body exposed to sun rays Signs and symptoms vary Report any skin changes to health care provider

UV rays in sunlight cause Ultraviolet Light = UV UV rays in sunlight cause 80-90% of skin cancers

High Risk for UV Exposure 10:00 a.m. to 4:00 p.m. Mid-spring through mid-fall Latitudes close to equator Higher altitudes Thin or no cloud cover Tanning beds, sun lamps Tan Now

Personal Risk Fair skin Freckles Blue, green, or hazel eye color Light-color hair Tendency to burn rather than tan History of severe sunburn Skin moles Family history of skin cancer Medications

Sun Protection for Every Child Every child’s skin needs to be protected from the sun’s rays. Darker skinned children, including African-Americans and Hispanic/Latino children, can be affected.

Protect Every Child’s Skin Darker skinned children may resist the sun’s rays by tanning. Tanning is a sign the skin has been injured.

What About Tanning? Tanning occurs when the UV rays are absorbed by the skin. This absorption causes an increase in activity and number of cells producing skin pigment: melanin. Melanin helps the skin to block the sun’s rays.

Protect Every Child’s Skin Use the sun safety strategies Children should play in the shade Hats with wide brim or flaps should be worn Wear long sleeve shirts and long pants Use sunscreen of SPF 15 or higher Wear sunglasses Reduce the amount of time spent outdoors between 10:00 a.m. and 4:00 p.m.

Sun Safety Strategies Play in the shade Page 5

Sun Safety Strategies Wear a hat

Sun Safety Strategies Wear long sleeves and long pants

Sun Safety Strategies Wear sunglasses

Sun Safety Strategies Use sunscreen Understand SPF

SPF??? What does it Mean? The SPF number tells how many times longer a person may stay outdoors in the sun without beginning to turn red in comparison with the amount of time totally unprotected skin would start to turn red and burn. Page 7

Sun Safety Strategies Drink plenty of water When you are inside AND when you are outside

Sun Safety Strategies Limit time spent outdoors in the sun

Sun Protection Curriculum The Curriculum Iowa Early Childhood Sun Protection Curriculum Edited by Jolene Carver, MSN

Curriculum Purpose Assist you in teaching children to protect themselves from overexposure to sun

Curriculum Activity Sections The Sun is Powerful Sun Protection Practices Sun Protection Sun Safety: Take Home Activities

Activity Layout Learning goals Materials needed Time needed Group size Suggestions Modifying activity Talking with children Lesson Plan

Sun Protection Practices 1. Hot Shots video Songs and actions 2. What Do We Need to Play Outdoors Play safe in the sun 3. Make a Shade Tent Shade can protect us 4. Light and Dark Use a hat

Sun Protection Practices cont. 5. Design a Hat Make a hat 6. Make Sunglasses Protect your eyes 7. Sunscreen Use proper SPF

Skin Protection-Supplement Looking at Our Skin Skin Protective Coverings Where to Find Shade

Take – Home Activities Skin Protective Coverings Let’s Dress Alex Past Sunburns Shade Hunt

Appendix 1 – page 41 Parent Information Protect Your Children from too Much Sun Sunburns and suntans Forms of skin cancer Sun rays – ultraviolet UV Sun Safety Tips

Appendix 1 – page 44 Parent Letter 1 Informs parents about the curriculum, lessons, and activities

Appendix 1 – page 45 Parent Letter 2 Used to inform parent about the next sun safety lesson

Appendix 2 – page 47 Parent permission to apply sunscreen (sample form)

Appendix 2 – page 48 Stickers Buttons

Appendix 3 – page 51 Guidelines for Outdoor Play Sun Protection Tips (policy template)

Appendix 4 – page 54 Hot Shots video lyrics Hot Shots video lyrics with suggested actions

“Hot Shots” Lyrics and Actions

Appendix 5 – page 61 Fun in the Sun Books Literacy connection

www.idph.state.ia.us/hcci/common/pdf/sun_safety_curriculum.pdf