A. Australia
The Australian program on skin cancer prevention is a useful model for skin cancer prevention programs for Texas and other Sunbelt states. Two out of three Australians can expect to develop skin cancer in their life times. As a result of these statistics, an aggressive skin cancer prevention campaign has been underway in Australia since 1980. In 1986, the Anti-Cancer Council of the state of Victoria (ACCV) began organizing a highly structured information and prevention campaign known as "SunSmart."

The ACCV is a volunteer organization, supported by private donations and state monies through the Victorian Health Promotion Foundation (Health Vic), which draws its revenues from tobacco product taxes.

The ACCV "SunSmart" campaign coordinates behavioral research, epidemiological research, education strategies, and evaluation measures, and an aggressive media campaign. Over the years it has been successful in influencing policy and keeping skin cancer awareness in the forefront of schools, workplaces and recreational organizations. There has been a 50% reduction in sunburn rate, and a decrease in non-melanoma skin cancer in people under 50. [ 32 ]

The ACCV operates in the state of Victoria, but shares information and approaches with the other states in Australia, many of which have their own active skin cancer prevention programs. [ 33 ]


B. Centers for Disease Control (CDC)
Demonstration projects and initiatives (none in Texas)
(Many of these campaigns are reviewed in Health Education & Behavior, June 1999) Target: parents and caregivers of children under the age of 13 in school and community settings.

a.	Sunwise Stampede San Diego State University Site: San Diego Zoo visitors aged 12 and younger
b.	Pool Cool University of Hawaii and Boston University School of Medicine Site: public swimming facilities in Hawaii
c.	National Action Plan for Skin Cancer Prevention in Health, Physical Education, Recreation, and Youth Sports Coalition plan to provide skin cancer prevention education to professionals and volunteers who work in youth sports. Action plan developed for skin cancer action kit to help member organizations assess their prevention programs.
d.	Maryland Coalition for Skin Cancer Prevention Coordinated by the Medical and Chirurgical Faculty of Maryland "SunGuard Man" Middle school campaign, outreach to sporting activities. Member of coalition is Ulman Cancer Fund for Young Adults, which has a melanoma awareness campaign for youth sports.
e.	Arizona Health Department's Project SPF (Sun Safety, Protection, and Fun) Focus was increasing skin cancer awareness of caregivers of children aged 3-5 years. Resulted in incorporating the Sun Safety Training Curriculum into the regulations for all licensed early childhood centers statewide, and in the childhood education course at the state's largest community college system.
f.	California Health Department's Early Childhood Sun Protection Curriculum Stay Sun-Safe, like Alex" Pre-school-aged children. Message targeted to children themselves. Assessment of shaded areas of public parks, pools, and schools.
g.	Georgia Health Department's "Got Youth Covered" Intervention with youth soccer leagues. Developed coaches' training manual.
h.	Hawaii's SunSmart program Hawaii Health Department and University of Hawaii Prelude to Cool Pool program. Target: multi-ethnic population.
i.	Falmouth Ban-the-Burn Safe Skin Project Massachusetts Health Department and Boston University School of Medicine Information kits disseminated to parents of infants and third graders. Community-wide intervention.