32 2019 Skin Cancer Prevention Progress Report Comprehensive Cancer Control Programs Comprehensive cancer control (CCC) is a strategic approach to preventing or minimizing the impact of cancer among communities. It involves state and local health departments; state, local, and community organizations; researchers; health care providers; decision makers; cancer survivors and their families; and many others, all coming together to find and agree upon ways to address cancer concerns among their communities. CDC funds CCC programs in all 50 states, the District of Columbia, U.S. Associated Pacific Islands and Puerto Rico, and tribes or tribal organizations.Table 8 shows the number and percentage of CCC programs reporting implementation of evidence-based interventions to address skin cancer prevention during 2018-2019. Table 8 National Comprehensive Cancer Control Program Recipients Reporting Interventions to Address Skin Cancer Prevention, 2018–2019 (N=70) Evidence-based Intervention Number of Programs, % Organizational policies to promote sun protection behaviors 11 (15.7) Environmental approaches in recreational and tourism settings to promote UV protection 8 (11.4) Educational interventions targeting children 7 (10.0) Multi-component community-wide interventions 6 (8.6) Addition of UV-protective features to the outdoor environment 3 (4.3) Appearance-focused interventions to reduce UV exposure 3 (4.3) Increased availability of UV-protective items 3 (4.3) Clinical counseling of fair-skinned patients aged 10 to 24 years to reduce UV exposure 1 (1.4) Organizational policies to reduce harms from indoor tanning 1 (1.4) Conclusion Although we have seen measurable progress sinceThe Call to Action was released, much more work still needs to be done. Recent successes include a reduction in the prevalence of indoor tanning among adults and high school students, including demographic subgroups with the highest use of indoor tanning, and the implementation of policies to reduce harms from indoor tanning and increase access to sunscreen in schools. However, we have yet to achieve progress on increasing the use of sun protection or reducing sunburn, and over half of high school students and one-third of adults get sunburned each year. The percentage of schools providing education on sun safety or skin cancer prevention has decreased in recent years. In addition, melanoma incidence rates have continued to increase steadily among older non-Hispanic white adults.The overall burden of skin cancer in the United States remains a public health problem that warrants continued prevention efforts across community sectors. Working together, we can translate what we know into action and protect more Americans from the harms of UV radiation.
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