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What is skin cancer? 
• Skin cancer is the result of 
skin cell damage 
• It begins in the lower part 
of the epidermis (the top 
layer of the skin)
Warning Signs for skin cancer - ABCDE 
• A-symmetry – a mole or mark with one half 
unlike the other (not symmetrical). 
Common moles are round and symmetrical 
• Border irregularities – scalloped/poorly 
defined edges. Common moles are smooth 
and have even borders 
• Colour changes – tan, black, brown, red, 
white, blue. Common moles are usually a 
single shade of brown or black 
• Diameter – larger than 6mm 
• Evolve – grows bigger and becomes more 
prominent
Types of skin cancer 
Basal Cell Carcinoma (BCC): 
1 in 30* for males & 1 in 62* for females 
• This is the most common form of 
skin cancer 
• BCC starts in the top layers of skin 
which is regularly exposed to 
sunlight, i.e. top of the head or scalp 
Malignant Melanoma (MM): 
1 in 227* for males & 1 in 342* for females 
• MM currently accounts for 
approximately 1% of all cancer deaths 
• SA has one of the highest incidences 
of MM in the world 
• MM may occur amongst all ethnic 
and racial groups 
Squamous Cell Carcinoma (SCC): 
1 in 63* for males & 1 in 152* for females 
• This is the second most common skin cancer 
• If detected early, SCC is curable in 95% of cases 
• It occurs primarily in fair-skinned, middle aged and 
elderly people who have had long-term sun 
exposure 
SA Statistics as per * National Cancer Registry (NCR) 2007
Risk Factors
Risk Factors
Risk Factors
How to reduce the risk of skin cancer 
• Avoid direct sunlight between 10am and 3pm. Stay in the shade 
or under an umbrella as much as possible 
• Babies and toddlers should be kept out of the sun altogether 
• Wear protective clothing: thickly-woven fabric hats with wide 
brims, UV protective clothes/swimsuits 
• Wear sunglasses with a UV protection 
rating of UV400 
• Apply sunscreen regularly 
(SPF 20-50) according to 
skin type 
• Avoid sunbeds and 
sunlamps
CANSA’s view on sun beds… 
• Sunbeds emit UVA and UVB – both cause 
damage in the DNA of skin cells 
• Sunbeds deliver concentrated UVA 
radiation to unprotected skin and should 
be avoided 
• It ages skin more rapidly while increasing 
your risk for skin cancer 
• CANSA has requested the Minister of 
Health to ban the use of sunbeds by 
youth under the age of 18
How to reduce the risk of skin cancer 
Spot the spot: 
• Check your skin carefully every month 
• Follow the ABCDE rules 
• Ask a family member or friend to 
examine your back and the top of your 
head 
• If you notice any warning signs – see a 
doctor or dermatologist immediately
How to reduce the risk 
of skin cancer 
Screening: 
• Cutting edge screening 
technology for skin cancer 
(FotoFinder) 
• Screening tests are available at 
most CANSA Care Centres and 
Mobile Health Clinics 
countrywide
What is SPF? 
• The Sun Protection Factor 
(SPF) listed on a container of 
sunscreen is a measure of how 
well it protects your skin 
against UV rays 
• It indicates how long you could 
spend in the sun before 
burning when protected by 
sunscreen, compared to when 
you have no sunscreen on
How does SPF work? 
• If it takes 3-4 minutes for your 
unprotected skin to start turning 
red, using a SPF 30 sunscreen 
theoretically prevents reddening 
30 times longer (1½ to 2 hours on 
average)
Which sunscreen and SPF should be used? 
• Use sunscreen with SPF 20-50 
• Preferably 30-50 for fair to 
very fair skin 
• Apply generously every 2-3 
hours 
• Use sunscreen that bears the 
CANSA Seal of Recognition 
• Sunscreens usually have an 
expiry date of 2 years, 
however do not use after 1 
year once opened
What is the CANSA Seal Of Recognition (CSOR)? 
• The CSOR appears on approved sunscreen products 
• It is a guarantee that the manufacturers of these UV protective 
products comply with the strict criteria developed by CANSA
CANSA’s UV-Smart 
Armbands 
• Monitor the UV radiation you and 
your family are exposed to all 
year round with a CANSA UV-Smart 
Armband 
• It turns darker in colour as UV-radiation 
intensifies 
• Each shade of colour gives 
protection recommendations you 
can follow in order to prevent 
sunburn
CANSA’s UV-Smart Armbands 
• The UV-Smart Armbands 
sell for R30 each and are 
available in blue, pink and 
purple in adult and children 
sizes 
• Buy your UV-Smart 
Armband directly 
from CANSA Care Centres 
nation wide or call toll-free 
0800 22 66 22
Which UV apparel (clothing) and hats 
should be used? 
• The Ultraviolet Protection Factor (UPF) is 
a scale developed to rate protection 
provided by fabrics against Solar 
Ultraviolet Radiation (UVR) 
• UPF is directly comparable to SPF for 
sunscreens – a garment rated UPF 30 will 
protect the skin 30 times longer – if it 
takes 3-4 minutes for your unprotected 
skin to start turning red, using a UPF 30 
garment theoretically prevents reddening 
30 times longer (1½ to 2 hours on average) 
• Unless otherwise stated, UPF rating applies 
to fabric when it is dry and new
Which UV apparel (clothing) and hats 
should be used? 
• Wear thickly-woven fabric hats with 
broad brims 
• Avoid caps and hats that leave the 
neck and ears exposed 
• Look out for the CSOR 
Click to watch the CANSA 
SunSmart advert
Thank You!
Disclaimer: 
Whilst the Cancer Association of South Africa (CANSA) has taken every precaution in 
compiling this presentation, neither it, nor any contributor(s) to this presentation can be 
held responsible for any action (or the lack thereof) taken by any person or organisation 
wherever they shall be based, as a result, direct or otherwise, of information contained in, 
or accessed through, this presentation.

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CANSA: Be Smart in the Sun this Summer 2014/2015

  • 1.
  • 2. What is skin cancer? • Skin cancer is the result of skin cell damage • It begins in the lower part of the epidermis (the top layer of the skin)
  • 3.
  • 4. Warning Signs for skin cancer - ABCDE • A-symmetry – a mole or mark with one half unlike the other (not symmetrical). Common moles are round and symmetrical • Border irregularities – scalloped/poorly defined edges. Common moles are smooth and have even borders • Colour changes – tan, black, brown, red, white, blue. Common moles are usually a single shade of brown or black • Diameter – larger than 6mm • Evolve – grows bigger and becomes more prominent
  • 5. Types of skin cancer Basal Cell Carcinoma (BCC): 1 in 30* for males & 1 in 62* for females • This is the most common form of skin cancer • BCC starts in the top layers of skin which is regularly exposed to sunlight, i.e. top of the head or scalp Malignant Melanoma (MM): 1 in 227* for males & 1 in 342* for females • MM currently accounts for approximately 1% of all cancer deaths • SA has one of the highest incidences of MM in the world • MM may occur amongst all ethnic and racial groups Squamous Cell Carcinoma (SCC): 1 in 63* for males & 1 in 152* for females • This is the second most common skin cancer • If detected early, SCC is curable in 95% of cases • It occurs primarily in fair-skinned, middle aged and elderly people who have had long-term sun exposure SA Statistics as per * National Cancer Registry (NCR) 2007
  • 9. How to reduce the risk of skin cancer • Avoid direct sunlight between 10am and 3pm. Stay in the shade or under an umbrella as much as possible • Babies and toddlers should be kept out of the sun altogether • Wear protective clothing: thickly-woven fabric hats with wide brims, UV protective clothes/swimsuits • Wear sunglasses with a UV protection rating of UV400 • Apply sunscreen regularly (SPF 20-50) according to skin type • Avoid sunbeds and sunlamps
  • 10. CANSA’s view on sun beds… • Sunbeds emit UVA and UVB – both cause damage in the DNA of skin cells • Sunbeds deliver concentrated UVA radiation to unprotected skin and should be avoided • It ages skin more rapidly while increasing your risk for skin cancer • CANSA has requested the Minister of Health to ban the use of sunbeds by youth under the age of 18
  • 11. How to reduce the risk of skin cancer Spot the spot: • Check your skin carefully every month • Follow the ABCDE rules • Ask a family member or friend to examine your back and the top of your head • If you notice any warning signs – see a doctor or dermatologist immediately
  • 12. How to reduce the risk of skin cancer Screening: • Cutting edge screening technology for skin cancer (FotoFinder) • Screening tests are available at most CANSA Care Centres and Mobile Health Clinics countrywide
  • 13. What is SPF? • The Sun Protection Factor (SPF) listed on a container of sunscreen is a measure of how well it protects your skin against UV rays • It indicates how long you could spend in the sun before burning when protected by sunscreen, compared to when you have no sunscreen on
  • 14. How does SPF work? • If it takes 3-4 minutes for your unprotected skin to start turning red, using a SPF 30 sunscreen theoretically prevents reddening 30 times longer (1½ to 2 hours on average)
  • 15. Which sunscreen and SPF should be used? • Use sunscreen with SPF 20-50 • Preferably 30-50 for fair to very fair skin • Apply generously every 2-3 hours • Use sunscreen that bears the CANSA Seal of Recognition • Sunscreens usually have an expiry date of 2 years, however do not use after 1 year once opened
  • 16. What is the CANSA Seal Of Recognition (CSOR)? • The CSOR appears on approved sunscreen products • It is a guarantee that the manufacturers of these UV protective products comply with the strict criteria developed by CANSA
  • 17. CANSA’s UV-Smart Armbands • Monitor the UV radiation you and your family are exposed to all year round with a CANSA UV-Smart Armband • It turns darker in colour as UV-radiation intensifies • Each shade of colour gives protection recommendations you can follow in order to prevent sunburn
  • 18. CANSA’s UV-Smart Armbands • The UV-Smart Armbands sell for R30 each and are available in blue, pink and purple in adult and children sizes • Buy your UV-Smart Armband directly from CANSA Care Centres nation wide or call toll-free 0800 22 66 22
  • 19. Which UV apparel (clothing) and hats should be used? • The Ultraviolet Protection Factor (UPF) is a scale developed to rate protection provided by fabrics against Solar Ultraviolet Radiation (UVR) • UPF is directly comparable to SPF for sunscreens – a garment rated UPF 30 will protect the skin 30 times longer – if it takes 3-4 minutes for your unprotected skin to start turning red, using a UPF 30 garment theoretically prevents reddening 30 times longer (1½ to 2 hours on average) • Unless otherwise stated, UPF rating applies to fabric when it is dry and new
  • 20. Which UV apparel (clothing) and hats should be used? • Wear thickly-woven fabric hats with broad brims • Avoid caps and hats that leave the neck and ears exposed • Look out for the CSOR Click to watch the CANSA SunSmart advert
  • 22. Disclaimer: Whilst the Cancer Association of South Africa (CANSA) has taken every precaution in compiling this presentation, neither it, nor any contributor(s) to this presentation can be held responsible for any action (or the lack thereof) taken by any person or organisation wherever they shall be based, as a result, direct or otherwise, of information contained in, or accessed through, this presentation.