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Action Plan logo
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
  Contents title
Preface
Executive Summary
Background Paper
I. Incidence, mortality, and impact on society
  A. Incidence and mortality nationwide
B. Incidence in Texas
C. Impact on society
II. Skin cancer
  A. Basal cell carcinoma
B. Squamous cell carcinoma
C. Malignant melanoma
III. Contributing and causative factors
  A. Ultraviolet radiation
B. Risk factors
C. Contributing factors in Texas
IV. Prevention
V. Cancer prevention and information services that impact the skin cancer problem
A. Programs in Texas that include skin cancer initiatives
B. National programs that include skin cancer initiatives
VI. Barriers to early detection and treatment of skin cancer in Texas
  A. Geographic barriers
B. Fiscal barriers
VII. Policy initiatives that would affect skin cancer awareness and prevention
  A. Workplace exposure
B. Schools and recreational exposure
C. Need for skin cancer awareness in educational curricula
VIII. Professional practice regarding skin cancer prevention, detection, and treatment
  A. Knowledge and practice patterns of health care practitioners
B. Current training and continuing education curricula for health care practitioners
C. Opportunities for skin cancer awareness and detection education
IX. Prevention and information models
  A. Australia
B. Centers for Disease Control
Action Plan
  Goal I Initiate data collection and analysis
  Objective A. Identify scope of the problem.
Objective B. Develop screening guidelines that are appropriate for Texas.
Objective C. Document the effectiveness of skin cancer detection and prevention programs in Texas.
Goal II Develop prevention information and services to increase public awareness
  Objective A. Approach and enlist potential coalition partners whose collaborations will contribute to reducing the incidence of skin cancer in Texas.
Objective B. Develop and disseminate a consistent skin cancer awareness message, tailored to Texas, that incorporates an accurate statement of the scope of the problem and prescribes behavior changes that can reduce risk immediately and alter the disease burden over time.
Objective C. Provide information to policy makers at the local and state level.
Objective D. Provide skin cancer information to educators at every level, including the Texas State Board of Education, school superintendents, school principals, classroom teachers, athletic directors, and coaches.
Objective E. Provide skin cancer information to directors of organized outdoor youth activities such as summer camps and outdoor recreation programs.
Objective F. Recommend inclusion of skin cancer prevention awareness in training offered to day-care workers.
Objective G. Encourage the Texas State Board of Education to include skin cancer prevention and awareness as a part of the mandated curriculum in the K-12 Texas Essential Knowledge and Skills (T.E.K.S.).
Objective H. Educate policy makers concerning the hazards of non-medical use of ultraviolet radiation (UV Radiation).
Goal III Enhance professional education and practice
  Objective A. Enhance health care practitioners' knowledge, skills, and practice regarding skin cancer.
Objective B. Increase skin cancer awareness in public service occupations licensed or certified by the State Health Department.
Goal IV Improve access to prevention, detection, and treatment
  Objective A. Facilitate access to information on risk factors, prevention, screening, detection, and treatment of skin cancer for all residents of Texas.
Objective B. Address costs barriers regarding screening and prevention services.
Objective C. Facilitate access of patients to dermatologists for screening or investigation of suspicious lesions.
Bibliography
Appendix
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