1. This grey area will not appear in your presentation. Skin Cancer Prevention: Sun Safety for Outdoor Workers Presentation prepared by: Canadian Cancer Society, Ontario Division, Public Affairs, Prevention June 2012 v4

2. This grey area will not appear in your presentation. How we’re fighting cancer doing everything we can to prevent cancer funding research to outsmart cancer empowering, informing and supporting Canadians living with cancer advocating for public policies to improve the health of Canadians rallying Canadians to get involved in the fight against cancer

3. This grey area will not appear in your presentation. What is Cancer? starts in our cells exists when cells do not behave normally number of diseases rather than one disease risk factors increase your chances of getting cancer

4. This grey area will not appear in your presentation. Skin cancer is the most common cancer in Canada. An estimated 87,100 Canadians will be diagnosed with skin cancer in 2012. o81,300 non-melanoma o5,800 melanoma omelanoma is one of the most common cancers in young adults aged 15-29 in Canada Skin cancer is mostly preventable. Facts About Skin Cancer Statistics *(Canadian Cancer Statistics – 2010)

5. This grey area will not appear in your presentation. Types of skin cancer Non-Melanoma oBasal Cell and Squamous Cell Carcinoma omost common ofrequent recurrences/multiples Melanoma oleast common omore likely to be fatal Facts About Skin Cancer

6. This grey area will not appear in your presentation. About Ultraviolet Radiation (UVR) invisible rays that are part of the energy that comes from the sun and are also emitted from indoor tanning equipment major cause of skin cancer sunburn, suntan, premature aging of skin and cataracts Facts About Skin Cancer

7. This grey area will not appear in your presentation. UV radiation damage to the skin (like a tan or sunburn) is only temporary. By resting your skin between exposures, the damage is erased. (true/false) Facts about Skin Cancer

8. This grey area will not appear in your presentation. UV radiation damage to the skin is only temporary. By resting your skin between exposures, the damage is erased. (true/false) False - Acute effects of a sunburn do go away, and a tan does fade, but UV radiation damage (i.e. to the DNA in skin cells) is cumulative. Facts about Skin Cancer

9. This grey area will not appear in your presentation. Do you need to protect yourself from the sun on a cloudy day? (yes/no) Facts about Skin Cancer

10. This grey area will not appear in your presentation. Do you need to protect yourself from the sun on a cloudy day? (yes/no) Yes - The sun’s rays can penetrate light clouds, fog and mist. Facts about Skin Cancer

11. This grey area will not appear in your presentation. Have you ever been burned? indicator of skin damage risk factor for skin cancer Canadian adults and children - worst burns while taking part in outdoor recreational activities Facts About Skin Cancer

12. This grey area will not appear in your presentation. Canadian outdoor workers : sun exposure Outdoor workers have a much greater sun exposure than average Canadians aged 16 - 64 years of age.* Forty-six percent of male outdoor workers spend four or more hours in the sun during working time.* Second National Sun Survey – 2006 *Source: National Sun Survey Highlights Report, July 10 2008

13. This grey area will not appear in your presentation. Reduce sun exposure between 11 a.m. and 4 p.m. or when the UV Index is 3 or more. The UV Index measures strength of sun’s rays range (0 – 11+) if 3 or more, included in weather forecasts daily UV Index forecast published by Environment Canada SunSense Guidelines

14. This grey area will not appear in your presentation. Seek shade or create your own shade Shade can be found under trees, tents and awnings. In open areas, bring an umbrella to create your own shade. SunSense Guidelines

15. This grey area will not appear in your presentation. Slip on clothing to cover your arms and legs. loose fitting, tightly woven and light weight SunSense Guidelines

16. This grey area will not appear in your presentation. Slap on a wide-brimmed hat. Cover your head, face, ears and neck. Hats without a wide brim (e.g. baseball caps alone) do not give enough protection. SunSense Guidelines

17. This grey area will not appear in your presentation. Slop on a sunscreen with SPF #15 or higher. Choose broad spectrum which protects against UVA & UVB. Apply generously. Cover your nose, ears and tops of your feet. For outdoor workers or if you are outside for most of the day, use SPF 30. SunSense Guidelines

18. This grey area will not appear in your presentation. Wear sunglasses block UV rays; should have both UVA and UVB protection even shading with medium to dark lenses (grey, brown or green tint) children should wear them too SunSense Guidelines

19. This grey area will not appear in your presentation. Early detection of skin cancer SunSense Guidelines Know the skin you are in! Check regularly for changes See your doctor if you notice: obirthmark or mole that changes shape, colour, size, surface osores that do not heal onew growths on skin opatches of skin that bleed

20. This grey area will not appear in your presentation. What we know good for bone health and may reduce the risk of some forms of cancer sources: incidental exposure to sunlight, foods fortified with Vitamin D, supplements You don’t need a tan to get adequate amounts of vitamin D Vitamin D

21. This grey area will not appear in your presentation. Get enough vitamin D from the sun, supplements and your diet. Talk to your doctor about taking 1000 international units (IU) a day during fall and winter months. Talk to your doctor about whether you should take a vitamin D supplement all year round if you: –are over 50 –have dark skin –don’t go outside very much –wear clothing covering most of your skin Canadian Cancer Society Recommendations Vitamin D

22. This grey area will not appear in your presentation. Summary Skin cancer is the most common cancer in Canada. UVR is a major risk factor for skin cancer (sun and indoor tanning equipment). Use of all of the SunSense Guidelines is the most effective way of reducing the risk of skin cancer. It is not necessary to tan to get adequate levels of vitamin D. There are steps outdoor workers can take while at work to protect themselves from sun and reduce the risk of skin cancer.

23. This grey area will not appear in your presentation. THANK YOU! Questions Comments

24. This grey area will not appear in your presentation. For the most up-to-date information: visit www.cancer.ca call the Canadian Cancer Society Cancer Information Service at 1 888 939-3333 Thank you! Presentation prepared by: Canadian Cancer Society, Ontario Division, Public Affairs, Prevention June 2010