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
		1.	American Cancer Society (1999, 2000) Cancer Facts and Figures. www.cancer.org
		2.	Rigel, D. S. (1996) Journal of the American Academy of Dermatology (35) 1012.
		3.	International Cancer News (1988).
		4.	American Academy of Dermatology (1999). www.aad.org
		5.	National Cancer Institute (1996). www.ncinih.gov
		6.	Ries, L. A. G. et al. (2000) Cancer (88) 2398-2424.
		7.	Miller, D. L. & Weinstock, M. A. (1994) Journal of the American Academy of Dermatology (30) 774-778.
		8.	Strom, S. S. & Yamaura, Y. (1997) Clinics in Plastic Surgery. (24) 627-36.
		9.	American College of Surgeons (1999). www.facs.org
		10.	Albert, V. A., Koh, H. K., Geller, A. C., Miller, D. R., Prout, M. N. & Lew, R. A. (1990) Journal of the American Academy of Dermatology (23) 308-310.
		11.	Tsao, H., Rogers, G. S. & Sober, A. J. (1998) Journal of the American Academy of Dermatology (38) 669-680.
		12.	American Cancer Society www.cancer.org
		13.	Gilchrest, B. A., Eller, M. S., Geller, A. C. & Yaar, M. (1999) New England Journal of Medicine (340) 1341-8.
		14.	Cambridge University, Centre for Atmospheric Studies (1998). www.atm.ch.ac.uk
		15.	National Institute of Environmental Sciences (2000) Report on Carcinogens, 9th Edition.
		16.	Wester, U., Boldemann, C., Jansson, B. & Ullen, H. (1999) Health Physics (77) 436-40.
		17.	Westerdahl, J. (2000) British Journal of Cancer (82) 1593-1599.
		18.	Committee on Environmental Health (1999) Pediatrics 104, 328-333.
		19.	50 States. (2000) www.50States.com
		20.	Texas Community Futures Forum (1999) Texas A&M University, College Station, TX. www.futuresforum.tamu.edu
		21.	Cancer Registry Division (1996) Cancer in Texas: 1995 The Texas Department of Health, Austin, Texas.
		22.	Texas Cancer Council (1998).
		23.	Boutwell, B. H. (1995) Cancer (75) 657-60.
		24.	Texas Cancer Data Center (1996) Impact of Cancer on Texas 58-67.
		25.	U.S. Census Bureau (1998) Health Insurance Coverage:1998.
		26.	Texas Department of Insurance (1998). The Impact of Mandated Health Benefits Report to the Texas Legislature, December, 1998.
		27.	Landers, S. J. (2/27/00) American Medical News. www.ama.assn.org
		28.	Fader, D. (1998) Journal of the American Academy of Dermatology (38) 742-751.
		29.	The Skin Cancer Foundation (1992) A Blueprint for Community Action (Clarkwood Corporation, New York).
		30.	Anti-Cancer Council of Victoria (1999). www.accv.org.au
		31.	Kirsner, R. S. (1999) Journal of the American Academy of Dermatology (41) 564-566.
		32.	Sinclair, C., Borland, R., Davidson, M. & Noy, S. (1994) Cancer Forum (18) 183-187.
		33.	Bourne, D. (1999), personal communication.