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Skin cancer prevention programme among school-age
children
Katalin Fehér1, Beatrix Oroszi1, Judit Paller1,
István Ember2, Maria Cecilia Cercato3
1 County Gyor-Moson-Sopron, Institute of National
Public Health and Medical Officers Service Gyor,
Hungary 2 University of Pécs, Medical Faculty,
Medical Public Health Department Pécs, Hungary 3
Regina Elena Cancer Institute I.F.O. Rome, Italy
CEE Chapter Meeting of ISEE 9-11 June 2005
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Mortality of melanoma malignum in Hungary (SMR,
per 100 000 population)
Incidence and mortality of melanoma malignum in
Europe in 2002 (SIR, SMR per 100 000 population)
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Risk factors of melanoma malignum
phenotypical characteristics
red or fair hair freckles and/or nevi blue,
green, grey eyes fair skin
genetic factors positive familiar
anamnesis xeroderma pigmentosum
environmental factors
natural UV-exposure, sunburns artificial
UV-exposure
disorders of the immune system AIDS,
immunsupressive drugs, transplantation
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Methods of prevention
Primary prevention

• wearing clothes and hats to protect skin,
  wearing sun glasses to protect eyes
• using protective body and face cream
• avoiding excessive use of solarium and sun-lamp
• teaching sun-safe behaviour to children

Secondary prevention

• regular self-examination
• dermatological screening

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The programme
It is focused on the primary prevention of
melanoma malignum, among 6-10 year old children.
1. Questionnaires are distributed to survey the
known phenotypical, environmental and behavioural
risk factors in primary schools.
2000 questionnaires were distributed in 9 primary
schools in Gyor city among 6-10 year old
children. 1330 (66,5) evaluable questionnaires
were collected.
2. Evaluation is processed in Rome. The result
of the processing is a list of the childrens
names specifying school, class and the calculated
sun-burn risk (high, medium, low).
3. We send a specific standard letter containing
advise on the behaviour to minimise the harmful
effects of sun exposure to each child.
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Phenotypical characteristic 1.
(0,2)
(0,5)
(0,5)
(1)
9,5
32
51
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Phenotypical characteristic 2.
Have you freckles?
To which of these pictures are you alike?
73.2 13.9 11.8 0.9
0.2 0.2
Count the number of moles or nevi you have on
your left arm (from elbow to the wrist)
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Sun protection
1. using protective body and face cream 2.
wearing t-shirt 3. wearing hat
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UV-exposure
Where do you spend your holidays?
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Distribution of risk category in Gyor city in 2004
9,5
60,7
28,4
1,4
Note within the high risk group a very high risk
goup is marked by the italian partner
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International results
Tunisia 2001-2002 (3 625)
Bulgary 2000-2001 (2 210)
Italy 1997-2003 (161 504)
Russia 2001-2003 (1 245)
Belgium 1999-2001 (5 430)
Spain 2000-2004 (7 120)
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Conclusions

• An organised primary prevention programme could
  be proceeded based on this survey. Dermatologists
  and primary health nurses should be involved. The
  aim is to teach children sun-safe behaviour.
• The identified high risk group should be screened
  by dermatologist with dermatoscope. The state
  could be recorded digitally.
• By carrying out the survey on the same population
  after 2-3 years we could evaluate the
  effectiveness of our intervention in changing
  their habits.
• We can compair the results of different regions
  and countries.
• We would like to spread the project in other
  cities and regions. In 2004 two regions in
  Hungary has already joined to this programme.

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Thank you for your attention!