Recommendations of the European Society of Skin Prevention (EUROSKIN) Source: Greinert et al. Eur J Cancer Prevention (2001) EUROCHIP-2 – Prevention domain Group of specialist Basel, 10 th -11 th November 2005

Age-Standardized incidence rate for melanoma. Males * European Standard Population * Source: EUCAN database: 1998 estimates, version 5.0; OECD Health Data 2004.

Age-Standardized incidence rate for melanoma. Females * European Standard Population * Source: EUCAN database: 1998 estimates, version 5.0; OECD Health Data 2004.

Age-Standardized mortality rate for melanoma. Males * European Standard Population * Source: EPICANCER

Age-Standardized mortality rate for melanoma. Females * European Standard Population * 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 communicate riskexplore ways to communicate risk about environmental change and behaviour exposure from artificial sourcesrecognize and include exposure from artificial sources uniformity of messagesprovide uniformity of messages with regard to risk educationsupport education and awareness of exposure educational materialencourage development of educational material coordinationencourage coordination of protection programmes cooperation of the travel industryseek the cooperation of the travel industry, other commercial outlets and the news media convinceconvince decision-makers that campaigns of primary prevention will be effective, will save lives and will be economically sound childrenfocus 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 statementGeneral statement: the use of tanning devices for cosmetic purposes is not recommended should not use tanningPeople 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 Source: IARC Handbooks of Cancer Prevention n°5 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

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 DISCUSSIONS