The gold awareness ribbon is mostly used for childhood cancer, and embryonal rhabdomysarcoma (this is a rare and potentially deadly cancer that affects children). However it is also used for chronic obstructive pulmonary disease (COPD) as well as many other causes. Die struck from jeweler's metal and plated in gold, this Gold Ribbon Lapel Pin has a sandblast texture background that creates a two tone effect. Each pin includes a clutch back and is individually poly bagged.