As outdoor activities ramp up, May is a good time to think about observing good skin-care practices.
More skin cancers are diagnosed than all other cancers combined and one in five Americans will have some type of skin cancer by age 70.
Nebraska is among the states with the second-highest melanoma diagnoses per 100,000 residents, according to the Centers for Disease Control and Prevention. And Dr. Adam Sutton, director of Moh's and Dermatologic Surgery at the University of Nebraska Medical Center, says many Nebraskans have at least one of the risk factors for skin cancer.
"We've got a number of people who are fair skinned, who are Caucasian, who spend a significant amount of time outside, have a history of sunburns and/or work outside," Sutton outlined. "Which are all significant risk factors for melanoma."
He pointed out that melanomas, like all skin cancers, are highly curable when caught early. So, it is important to be checked -- ideally by a board-certified dermatologist -- if you have anything "new, changing or growing" on your skin.
The more common types of skin cancer, basal cell and squamous cell, tend to grow on sun-exposed parts of the body, but melanomas can develop anywhere. Sutton noted they make up only about 1% of all skin cancers but account for the most skin-cancer deaths, about 10,000 per year. Although melanomas can develop independently of moles, Sutton emphasized having a large number of moles is also an indication of increased risk.
"An individual that has 50 or more moles on their body has about a fourfold increased risk for the development of melanoma," Sutton explained. "That's pretty significant. Even if we have really normal-looking moles, if we have a lot of them, we're at greater risk for the development of melanoma."
Although white Americans are much more likely to be diagnosed with melanoma, non-Hispanic Black Americans have a higher incidence of later-stage diagnoses. Overall, melanoma diagnoses are expected to grow by 50% by 2040.
As far as prevention, Sutton stressed there is no such thing as a "safe tan." He recommended using broad-spectrum sunblock with a sun protection factor, or SPF, of 30 or higher for all outdoor activities, rain or shine. He added tanning beds have been "definitively determined to be carcinogenic."
"We still see a number of young people who are actively using tanning beds or have used tanning beds," Sutton observed. "That risk for the development of skin cancer really comes after the use of tanning beds one time."
Although skin cancer risk increases with age, Sutton acknowledged every week he treats patients who are in their 20s.
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A new study from Michigan State University researchers revealed lasting PFAS effects in a Michigan community's drinking water near an old paper mill landfill.
PFAS are "forever chemicals" which enter the body and do not break down easily, often found in products like nonstick pans and waterproof gear.
The study focused on a southwest Michigan city where PFAS contamination in drinking water was first identified in 2018. It is the first study to examine PFAS in both tap water and blood in a community exposed to the chemicals.
Courtney Carignan, assistant professor of food science and human nutrition at Michigan State University and the study's lead author, shared key findings from the study.
"The levels that we see in blood, being elevated and for some people were above what the national academies have recommended in terms of where you would start to need additional medical screening for certain PFAS related health effects," Carignan explained. "It's good that this community got that intervention."
The study found PFAS compounds lingered in the body, even three years after switching to clean water. The findings give a starting point for understanding PFAS risks and how well intervention strategies work.
Study participants who drank contaminated water were divided into two groups: those with high exposure from city water and those with lower exposure from private wells. Blood PFAS levels rose with each year of exposure for both groups. Women in the low-exposure group had lower levels than men, likely due to biological factors. Carignan noted a separate study identified key sources of PFAS contamination.
"We found that closer proximity to airports, military fire training cites, wastewater treatment plants, were more likely to have PFAS contamination in those public water systems," Carignan pointed out.
Research shows PFAS compounds are found in the blood of most Americans. Those with the highest levels were people exposed at work or via contaminated drinking water.
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At least two people have tested positive for measles in Illinois and public health officials are working to combat misinformation surrounding vaccines in an effort to curb the spread.
Health officials said the measles virus is highly infectious and especially concerning for babies and young children, as well as people who are pregnant or have compromised immune systems. It can cause pneumonia, brain damage and even be fatal in some cases.
Dr. Kiran Joshi, interim chief operating officer at the Cook County Department of Public Health, said it is also preventable through vaccination, with two doses of measles-mumps-rubella vaccine providing nearly 100% lifelong protection.
"Ninety-seven percent of people who got measles this year happened to be unvaccinated," Joshi pointed out. "Vaccination is incredibly protective."
Joshi added over the past 50 years, the measles vaccine has saved more than 150 million lives across the world. He noted the department has launched a campaign to counter some of the misinformation that is circulating.
Public health officials are focusing campaign efforts on unvaccinated people. Joshi explained it includes having multiple conversations with hesitant patients and providing evidence-backed information. He stressed misinformation about preventive measures like taking vitamin A is concerning and not scientifically proven.
"There are a lot of myths out there, such as 'vaccines can cause autism,'" Joshi pointed out. "I want to state categorically that is incorrect, that there's no credible evidence to support that, yet these myths continue to perpetuate."
Joshi added the myths have potentially contributed to more than 900 measles cases reported across the country.
"When you look at the research, when you look at the evidence, all of that has been subjected to pretty rigorous standards," Joshi outlined. "We also go to the nature of science, that you have to be able to repeat studies. You have to look at the research as a whole, instead of sort of cherry-picking."
He advised anyone with questions to speak with their primary care provider about their vaccine records and ensure they are getting any health information from reputable sources.
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May is American Stroke Month and the American Heart Association wants Missourians to know the signs and take action.
Stroke is the sixth leading cause of death in the state, and across the U.S., nearly 800,000 people suffer from one each year. In 2021, heart disease and stroke took more lives in the U.S. than all types of cancer and chronic lung diseases combined.
Lana Wilhelm, a registered nurse and caregiver advocate, was named the 2025 Caregiver Hero by the American Stroke Association after helping her husband recover from a stroke. She shared tips on how people can manage their risk.
"If you're diabetic, making sure that you are well-managed and you're following your physician's orders," Wilhelm outlined. "High blood pressure: Are you taking your medicine? Are you watching your diet? Are you making sure that you're checking your blood pressure on a regular basis? Exercise, good nutrition."
The Heart Association said to remember the "FAST" acronym when looking for warning signs: face drooping, arm weakness, speech trouble, and "time to call 911." According to the American Stroke Association, about one in four people who survive a stroke end up having another one.
Wilhelm stressed entire families are affected when a loved one suffers a stroke. She urged caregivers of stroke survivors to seek out support groups and other resources to help them navigate those challenges.
"Sometimes as a caregiver, you just want to throw in the towel," Wilhelm acknowledged. "You're exhausted, you're tired, you're worried, and it's just nice to be able to talk to other men and women that get it, and can kind of help you through that whole process."
Data from the American Stroke Association show more than 53 million Americans serve as caregivers, including those caring for stroke survivors.
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