47320 Federal Register / Vol. 78, No. 150 / Monday, August 5, 2013 / Notices 

Georgia 30341 or email to 

ARTaylor@cdc.gov. 

The Director, Management Analysis 

and Services Office, has been delegated 

the authority to sign Federal Register 

notices pertaining to announcements of 

meetings and other committee 

management activities, for both the 

Centers for Disease Control and 

Prevention and the Agency for Toxic 

Substances and Disease Registry. 

Elaine L. Baker, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. 2013–18788 Filed 8–2–13; 8:45 am] 

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DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

[Docket No. CDC–2013–0014] 

Preventing Skin Cancer Through 

Reduction of UV Exposure 

AGENCY: Centers for Disease Control and 

Prevention (CDC), Department of Health 

and Human Services (HHS). 

ACTION: Notice with comment period. 

SUMMARY: The Centers for Disease 

Control and Prevention (CDC) in the 

Department of Health and Human 

Services (HHS) announces the opening 

of a docket to obtain information from 

the public on preventing skin cancer 

through the reduction of UV exposure. 

The information obtained will be used 

for an anticipated Office of the Surgeon 

General response to the public health 

problem of skin cancer. 

DATES: Written comments must be 

received on or before September 4, 

2013. 

ADDRESSES: You may submit comments, 

identified by docket number CDC– 

2013–0014 by any of the following 

methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments. 

• Mail: Meg Watson, MPH, 

Epidemiologist, Epidemiology and 

Applied Research Branch, Division of 

Cancer Prevention and Control, Centers 

for Disease Control and Prevention, 

4770 Buford Highway NE., MS F–76, 

Atlanta, GA 30341–3717. 

Instructions: All submissions received 

must include the agency name and 

docket number or RIN. All relevant 

comments received will be posted 

without change to http:// 

regulations.gov, including any personal 

information provided. For access to the 

docket to read background documents 

or comments received, go to http:// 

www.regulations.gov. 

FOR FURTHER INFORMATION CONTACT: Meg 

Watson, Epidemiologist, Epidemiology 

and Applied Research Branch, Division 

of Cancer Prevention and Control, 

Centers for Disease Control and 

Prevention, 4770 Buford Highway NE., 

MS F–76, Atlanta, GA 30341–3717, by 

telephone at (770) 488–4226 or by email 

at FRNskincancer@cdc.gov. 

SUPPLEMENTARY INFORMATION: Scope of 

the problem: Skin cancer rates, 

including rates of melanoma, are 

increasing in the United States and 

worldwide. An estimated 3.7 million 

cases of basal and squamous cell 

carcinomas and about 60,000 cases of 

melanoma are diagnosed in the U.S. 

annually, with approximately 8,500 

deaths from melanoma. Melanoma, 

which causes more deaths than other 

types of skin cancer, is one of the most 

commonly diagnosed cancers among 

U.S. adolescents and young adults. Skin 

cancer also poses a significant economic 

burden in the U.S. The treatment of 

melanoma and non-melanoma skin 

cancer costs an estimated $1.7 billion 

each year, while costs due to low 

productivity are estimated to be $3.8 

billion. 

A majority of skin cancers are caused 

by exposure to ultraviolet (UV) radiation 

from the sun or from indoor tanning 

devices, and are therefore preventable. 

Evidence clearly links exposure to UV 

radiation and a history of sunburn 

(indicating both intensity of UV 

exposure and skin sensitivity to 

radiation) to an increased risk of skin 

cancer. More than one-third of U.S. 

adults aged 18 and older report 

experiencing one or more sunburns in 

the past 12 months, and sunburn is even 

more common among younger adults. 

Indoor tanning is also common among 

adults, with the highest use among nonHispanic white women aged 18–21 

years (31.8%) and aged 22–25 years 

(29.6%). Among white adults who 

reported indoor tanning, 57.7% of 

women and 40.0% of men reported 

indoor tanning ≥10 times in the past 12 

months. Among U.S. high school 

students, 13.3% have indoor tanned in 

the past 12 months, with much higher 

rates among girls and non-Hispanic 

whites. Furthermore, only 10.8% of U.S. 

high school students report wearing 

sunscreen with SPF of 15 or higher most 

of the time or always when outside for 

more than one hour on a sunny day. 

Approach: HHS/CDC provides 

leadership for nationwide efforts to 

reduce illness and death caused by skin 

cancer, which is the most common form 

of cancer in the U.S. HHS/CDC also 

conducts surveillance of melanoma and 

skin cancer risk-related behaviors, 

conducts applied research and 

evaluation, and translates and 

disseminates evidence-based 

information on how to reduce the 

burden of skin cancer in the population. 

Consistent with these activities, HHS/ 

CDC is assisting the Office of the 

Surgeon General in the Department of 

Health and Human Services with an 

anticipated response to the public 

health issue of skin cancer, including 

deadly melanoma. The intent of this 

activity is to identify opportunities and 

actions that can be taken by all levels of 

government, civic organizations, health 

care providers, educational institutions, 

worksites, industry, service providers, 

individuals and others to reduce 

exposure to UV radiation throughout the 

nation by raising awareness of proper 

sun protection practices, providing or 

allowing for use of shade structures, 

clothing, and sunscreens where 

appropriate, and changing social norms 

regarding tanning and having tanned 

skin. Expectations are that a review of 

the information collected will lead to 

the issuance of the Office of Surgeon 

General publication. 

We invite comments and information 

on environmental or systems strategies; 

interventions that reduce exposure to 

UV radiation; and national-, state-, 

tribal-, territorial-, community-, 

organizational-, and individual-level 

actions. 

Areas of focus: Use of sun protection 

is low, while excessive sun exposure, 

indoor tanning, and sunburn are 

common. HHS/CDC and the Office of 

the Surgeon General are interested in 

receiving information on the following 

topics: 

(1) Barriers to reducing UV exposure 

from the sun and from indoor tanning 

devices, and; 

(2) Evidence-based strategies to 

reduce UV exposure in the population 

by increasing the use of sun protection 

and reducing tanning behaviors. 

Dated: July 29, 2013. 

J. Ronald Campbell, 

Director, Division of Executive Secretariat, 

Centers for Disease Control and Prevention. 

[FR Doc. 2013–18766 Filed 8–2–13; 8:45 am] 

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