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Summer in Australia: Title and subTitle BreakSkin Cancer and the Great SPF Debate

Robin Marks, MBBS, MPH, FRACP, FACP
[+] Author Affiliations

Department of Medicine University of Melbourne St Vincent's Hospital CNR Princes and Regent streets Fitzroy, Victoria 3065, Australia


Arch Dermatol. 1995;131(4):462-464. doi:10.1001/archderm.1995.01690160090015
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AUSTRALIA HAS the unenviable record of having the highest rates of skin cancer in the world.1,2 To balance that, education programs designed to reduce the incidence of these tumors have been running for many years and are the envy of many other countries.

There are data showing that in Australia the desire for a tan is decreasing, sun protection behaviors are increasing, and the population has adopted with extraordinary enthusiasm the Slip! (on a shirt) Slop! (on a sunscreen) Slap! (on a hat) program that was initiated over 15 years ago.3,4

Along with this change has gone considerable discussion, and at times lively debate, about the role of sunscreens in these programs and the value of sun protection factor (SPF) numbers as a way of promoting them. Once again the Sunscreen Committee of Standards Australia will be meeting to consider whether there should be a cap on the

REFERENCES

Jelfs PL, Giles GG, Shugg D, et al.  Cutaneous malignant melanoma in Australia, 1989 . Med J Aust. 1994;;161:182-187.
Marks R, Staples M, Giles GG.  Trends in non-melanocytic skin cancer treated in Australia: the second national survey . Int J Cancer. 1993;;53:585-590.
Chapman S, Marks R, King M.  Trends in tans and skin protection in Australian fashion magazines, 1982 through 1991 . Am J Public Health . 1992;;82:1677-1680.
Hill D, White V, Marks R, Borland R.  Changes in sun-related attitudes and behaviours, and reduced sunburn prevalence in a population at high risk of melanoma . Eur J Cancer Prev. 1993;;2:447-456.
 Australian/New Zealand Standard 2604 . Sunscreen Products: Evaluation and Classification. Sydney, Australia: Standards Association Australia; 1993;.
231 CFR §352. 700, 740.
Diffey BL, Farr PM.  Sunscreen protection againstUVB,UVA and blue light: an in vivo and in vitro comparison . Br J Dermatol. 1991;;124:258-263.
Pathak MA, Fitzpatrick TB, Greiter FJ, Kraus EW.  Principles of photoprotection in sunburn and suntanning, and topical and systemic photoprotection in health and diseases . J Dermatol Surg Oncol. 1985;;11:575-579.
Withers RH.  Biologic basis of radiation therapy . In: Perez CA, Brady LW, eds. Principles and Practice of Radiation Oncology . Philadelphia, Pa: JB Lippincott; 1992;:64-96.
Blum HF, Kirby-Smith JS, Grady HG.  Quantitative induction of tumours in mice with ultraviolet radiation . J Natl Cancer Inst. 1941;;3:259-268.
Kligman LH, Akin FJ, Kligman AM.  Sunscreens prevent ultraviolet photocarcinogenesis . J Am Acad Dermatol. 1980;;3:30-35.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Jelfs PL, Giles GG, Shugg D, et al.  Cutaneous malignant melanoma in Australia, 1989 . Med J Aust. 1994;;161:182-187.
Marks R, Staples M, Giles GG.  Trends in non-melanocytic skin cancer treated in Australia: the second national survey . Int J Cancer. 1993;;53:585-590.
Chapman S, Marks R, King M.  Trends in tans and skin protection in Australian fashion magazines, 1982 through 1991 . Am J Public Health . 1992;;82:1677-1680.
Hill D, White V, Marks R, Borland R.  Changes in sun-related attitudes and behaviours, and reduced sunburn prevalence in a population at high risk of melanoma . Eur J Cancer Prev. 1993;;2:447-456.
 Australian/New Zealand Standard 2604 . Sunscreen Products: Evaluation and Classification. Sydney, Australia: Standards Association Australia; 1993;.
231 CFR §352. 700, 740.
Diffey BL, Farr PM.  Sunscreen protection againstUVB,UVA and blue light: an in vivo and in vitro comparison . Br J Dermatol. 1991;;124:258-263.
Pathak MA, Fitzpatrick TB, Greiter FJ, Kraus EW.  Principles of photoprotection in sunburn and suntanning, and topical and systemic photoprotection in health and diseases . J Dermatol Surg Oncol. 1985;;11:575-579.
Withers RH.  Biologic basis of radiation therapy . In: Perez CA, Brady LW, eds. Principles and Practice of Radiation Oncology . Philadelphia, Pa: JB Lippincott; 1992;:64-96.
Blum HF, Kirby-Smith JS, Grady HG.  Quantitative induction of tumours in mice with ultraviolet radiation . J Natl Cancer Inst. 1941;;3:259-268.
Kligman LH, Akin FJ, Kligman AM.  Sunscreens prevent ultraviolet photocarcinogenesis . J Am Acad Dermatol. 1980;;3:30-35.

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