Preface Contents Executive Summary Background Paper   I. Incidence, mortality, and impact on society II. Skin cancer III. Contributing and causative factors IV. Prevention V. Cancer prevention and information services that impact the skin cancer problem VI. Barriers to early detection and treatment of skin cancer in Texas VII. Policy initiatives that would affect skin cancer awareness and prevention VIII. Professional practice regarding skin cancer prevention, detection, and treatment IX. Prevention and information models Action Plan   Goal I Initiate data collection and analysis Goal II Develop prevention information and services to increase public awareness Goal III Enhance professional education and practice Goal IV Improve access to prevention, detection, and treatment Bibliography Appendix   i. Melanoma of the Skin Incidence and Mortality Rates, 1988-1992   ii. Five-Year Relative Survival Rates, by Site 1986-1992   iii. Average Years of Live Lost per Person Dying of Cancer, 1993   iv. Demographic Characteristics of Patients Diagnosed with Malignant Melanoma of the Skin   v. Counties Reporting Health Care Availability as an Issue   vi. Federally Designated Medically Underserved Areas   vii. Additional Texas Cancer Council Initiatives
		Appendix vii
		Additional Texas Cancer Council Initiatives
		These initiatives have short-term funding, and impact their immediate geographic areas. Skin cancer is one component of their activities.
			i) Cancer Education and Prevention Plan Located in Paris, Texas, the stated mission of the plan is to raise awareness of the importance of prevention and early detection of cancer through expanded education, and to provide opportunities for people to identify personal cancer risks. They have a program targeting adolescents and young adults, and make use of the CDC's "choose your cover" materials.
			ii) South Plains Cancer Education and Prevention Project Part of the Community Health Center of Lubbock, the stated mission is to: establish a well-coordinated, comprehensive program with the aim of decreasing barriers to cancer education and screening resources; increase community awareness about cancer; provide cancer screening and treatment regardless of financial status; to achieve this mission, the project fosters collaboration among private, public, and volunteer agencies to provide education, screening, and lab resources in the South Plains area of Texas. Current coalition partners include the ACS, the Joe Arrington Cancer Center, the Covenant Medical System, and the YWCA.
			iii) Grayson County Cancer Prevention Program Located in Denison, Texas. The stated mission is to develop a cancer prevention and outreach education program that will reach low-income, minority, and other under-served residents. The program provides educational and screening programs in churches, community clinics, barbershops, grocery stores, libraries, and community centers. Included in the skin cancer educational materials are a display board about skin cancer and a Spanish-language brochure about skin cancer.
			iv) Community-Based Cancer Prevention and Control Located in Nacogdoches, Texas. The Piney Woods Area Health Education Center and the Department of Preventive Medicine and Community Health at The University of Texas Medical Branch are partners in developing a work-site-based cancer prevention and early detection model program aimed at reducing the risk of cancer to rural residents. Skin cancer is one of the five cancers targeted. They have developed a two-session sun awareness program as part of their "Community-Based Cancer Prevention and Control Program." The program focuses on skin cancer incidence, risk factors, signs and symptoms, early detection, and prevention. The curriculum for the program is based on information from the ACS, The University of Texas M.D. Anderson Cancer Center, the EPA, and the AAD.