May 30, 2012 Honorable Dean Skelos President Pro Tempore and Majority Leader New York State

Senate Legislative Office Building, Room 909 Albany, NY 12247 Dear Leader Skelos: We write to call attention to the devastating effects of melanoma and other skin cancers in New York State and to express our support of S.2917, a bill sponsored by Senator Charles Fuschillo that would prohibit the use of indoor tanning facilities by children under 18 years old. This legislation is supported by a number of medical professional organizations, public health organizations, patient advocates and cancer centers across New York State. In July 2009, the International Agency for Research on Cancer (IARC) of the World Health Organization classified tanning beds in the highest cancer risk category- group 1- carcinogenic to humans. This finding was based on a meta-analysis of all research through 2006 which concluded that individuals who used indoor tanning devices before the age of 30 increase their risk for melanoma by 75%. Subsequent studies and numerous medical experts support the IARCs conclusions that indoor tanning causes cancer and is particularly harmful to young people. In the past year at least five new studies have been published, including a report by the Yale School of Public Health which found that young people who tanned using indoor beds had a 69% increased chance of suffering from early-onset (prior to age 40) basal cell carcinoma (BCC), the most common form of skin cancer (Ferrucci, Leah M., et al. J Am Acad Dermatol. December 2012. http://dx.doi.org/10.1016/j.jaad.2011.11.940.). The authors stated that indoor tanning was strikingly common in the study of young skin cancer patients, especially women, which they concluded may be the reason why 70% of early-onset BCCs occur in females. Also, the authors concluded that reducing indoor tanning could translate to a meaningful reduction in the incidence of both melanoma (which accounts for the majority of death from skin cancer) and BCC. Another study published this month in the Journal of Clinical Oncology followed 70,000 women for 20 years and found increased risk for all three types of skin cancer associated with tanning bed use before age 35. Last year, California became the first state in the nation to act upon the compelling scientific evidence and ban the use of tanning beds for all children under 18. Vermont has since passed similar legislation. Many other states are considering similar legislation. We respectfully ask for the Senates consideration of this bill this legislative session. Signed by the following medical professionals:

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American Cancer Society 19 Dove Street, Suite 103, Albany NY 12210 518-449-5438

Long Island
Jeanine A. Filardi, RN BSN Infection Control Coordinator NS-LIJHS Stern Center for Rehabilitation Mary Ellen Grogan, RN Nurse Educator Arlette Nunez-Koch, RN, BSN MDS Coordinator, North Shore LIJ Health System Denise H. Benkel, MD, MPH Concerned Physician Nicholas Callahan, MPH DMD Department of Oral and Maxillofacial Surgery, Kings County Hospital Center/SUNY Downstate Medical Center Rachel Volpe, RN Director, SI Heart Society Salvatore Volpe, MD Concerned Physician Jacqueline Xouris, MS, RN Director of CSP of Eastern Queens; Director of Health Outreach, New York Hospital Queens Anna Schloms, RN, MSN, NL Nurse Leader Jordan S. Zuckerman, MD Director of Dermatology, The Dermatology Center; On Staff at Mt. Sinai Hospital, Long Island Jewish Medical Center, NY Hospital Medical Center of Queens Joann J. Frank,MPA Supervisor of Patient Access Dept, NSLIJ Manhasset

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Peter E. O'Neill, MD Chief of Dermatology, Winthrop University Hospital Charisse A. Dolitsky, MD Island Dermatology PC R. Santillan, BSN,RN,CCRN ICU RN, Memorial Sloan Kettering Cancer Center Ancey Chandy, RN, BSN NSLIJ Stern CECR Suzanne Sirota Rozenberg,DO Fellow of the American Osteopathic College of Dermatology Clinical adjunct professor , Touro College of Osteopathic Medicene Pamela Basuk, MD, FAAD Assistant Professor of Dermatology, North Shore University Hospital System; Treasurer, Long Island Dermatology Society. Robert A. Skrokov, M.D. Dermatology Group, P.C., Bay Shore, N.Y. and Assistant Professor of Dermatology, SUNY Health Sciences Center, Stony Brook Tara Kaufmann, MD Vice Chair, SUNY Stony Brook Department of Dermatology Jaymie R. Meliker, PhD Graduate Program in Public Health Department of Preventive Medicine Stony Brook University Michael Dannenberg, MD Chief of Dermatology Huntington Hospital NS/LIJ Healthcare Network; President of Suffolk Dermatology Society; Past President of Long Island Dermatological Society; Dermatology Associates of Huntington, PC Edmund Lee, MD, PhD Dermatology, North Shore Medical Group of the Mt Sinai Medical Center

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Kathleen M. Costante, RN Transfer Center Nurse, North Shore University Hospital Peter L. Reisfeld, MD Immediate Past President, Long Island Dermatological Society; Director, New York State Society of Dermatology and Dermatologic Surgery; Assistant Professor of Dermatology, New York University Medical Center Daniel Siegel Concerned Physician Sheryl Feingold, M.D. Concerned Physician

New York City

Sharon Stancliff, MD Medical Director, Harm Reduction Coalition New York, NY Darryl Mitteldorf, LCSW Executive Director The National LGBT Cancer Project George Liu, MD, Ph.D., FACP President and CEO, Chinese American IPA Chairman of the Board, Asian American ACO Lisa Eng, DO Chair of Dept of Ob/Gyn at Wyckoff Heights Medical Center; President of Chinese Community Accountable Care Organization, President of Medical Society of County of Kings, President of Medical Society of Bay Ridge, Past President of Associatio Michael J. Albom, MD Clinical Professor of Dermatology, Ronald O. Perelman Dept. of Dermatology, New York University Medical Center Michael Lettera Assistant Vice President, Health and Hospitals Corporation

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Beth McLellan, MD Clinical Instructor of Dermatology, New York University Lauren A. Smith, MD Post-doctoral Melanoma Translational Research Fellow, NYU Langone Medical Center Brent D. Wainwright, MD, FAAD NYU School of Medicine Department of Dermatology Darrell S Rigel, MD Clinical Professor of Dermatology, New York University Elizabeth K. Hale, M.D. Clinical Associate Professor of Dermatology, NYU Langone Medical Center Seth Orlow, MD, PhD Chairman of Dermatology, NYU School of Medicine Chris Guest Adigun, MD Instructor, The Ronald O. Perelman Department of Dermatology, New York University School of Medicine Nicki L. Hamilton, RN, BSN, CCRN, ONC. Clinical ICU RN, Sloan Kettering Cancer Research Hospital Randy M. Seewald, MD Associate Professor of Clinical Medicine Associate Professor of Clinical Psychiatry and Behavioral Sciences Albert Einstein College of Medicine Kathy Plakovic, NP Nurse Practitioner Natalie Remor, RN Research Nurse Carole Cass, MSN, RN, CNOR Administrative Nurse Leader Memorial Sloan Kettering Cancer Center

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Linda Ford, BS,RN,CDN Clinical Nurse III Dialysis Program, Memorial Sloan Kettering Cancer Center Kevin P Browne, RN, MS, CCRN Director, Critical Care and Pediatric Nursing Services, Memorial Sloan Kettering Cancer Center Tara Zablocki, RN, FNP-BC, MPH Graduate of Columbia University School of Nursing Robina Kitzler, RN,MSN,CPAN,CCRN Clinical Nurse Specialist Thoracic Surgery and SACU Memorial Sloan Kettering Cancer Center Karen Rosewater ,MD, MPH AYAM Madeleine Oranges, PA-C Pediatric Physician Associate Joy Friedman, MD Mount Sinai Adolescent Health Center Lina R. Merlino, MD, FAAP Board Certified Pediatrician; Past President, Richmond County Medical Society; Chair, Pediatric Section, Academy of Medicine, Richmond County Ann Merlino, PhD Biology/Genetics Patricia Tooker, RN,MSN,FNP Dean for Integrated Learning Associate Professor,Wagner College Cynara Coomes, MD Chief, Breast Surgery, Staten island University Hospital Susan Paramonte APN,BSN,OCN American Society for Clinical Oncology; American College of Surgeons OG; ACS

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James Shen, MD Pediatrician Janet Shen, MD Pediatrician Michael Savino, MD, FACS Associate Director, Division of Urology, Staten Island University Hospital Hoon Lee, MD Radiation Oncologist Michael Mantello, MD Radiation Oncologist Mark T. Adams, MD Director, Radiation Oncology, Regional Radiology; Assistant Professor of Radiology, New York Medical College Barbara O'Brien, RN Director, Cancer Services Program, SI University Hospital Amanda M. Jacobs, MD Assistant Professor of Pediatrics, Divsion of Adolescent Medicine, Children's Hospital at Montefiore

Hudson Valley
Kathleen A. Callanan RN, MSN AVP Site Administrator, Dobbs Ferry Pavilion of St. John's Riverside Hospital Warren D. Bromberg, MD, FACS Chief, Division of Urology CoDirector, Minimally Invasive and Robotic Surgery Program, Northern Westchester Hospital

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Thomas J. Lester, MD Associate Medical Director, Mount Kisco Medical Group; Chief Hematology and Medical Oncology, Northern Westchester Hospital Center Danielle DeLuca-Pytell, MD, FACS Attending, Department of Plastic Surgery, Northern Westchester Hospital Center Mariea Casas, RN, BSN Steven Payne, CASAC SR.CASAC, St. Johns Riverside Hospital/ New Focus Center Todd S. Weiser, MD Director, Thoracic Surgery, White Plains Hospital Center Edwin Cabassa, DNP, FNP, BC Family Nurse Practitioner Maureen S. Rosati, RN, MSN Pediatrics Instructor, Cochran School of Nursing Betsy McGroarty-Fruscillo R.N.,CCM Certified Case Manager, Oncology St. John's Riverside Hospital Gail Lynch, RN, CCM RN Case Manager at St Johns Riverside Hospital Maryann McDonough, RN Clinical Nurse Manager, St. Johns Riverside Hospital Shari Rosenberg Patient Navigator, St. John's Riverside Hospital Jodi Scher Pirro, DO Family Practice Attending, Good Samaritan Hospital Barbara Ventura, NP Manager, Cardiac Catheterization Laboratory St. John's Riverside Hospital
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Donna Berry,MA,MPA Case Manager, Cancer Support Group Leader, St. Johns Riverside Hospital Karen G. Davenport, Ed.D., R.N. Dean of Academic Program, Cochran School of Nursing Jackie McMahon, RN, CNE Cochran School of Nursing, St Johns Riverside Hospital Iris Perez, CCS Coding Manager, St. John's Riverside Hospital Deborah T. Dunne, RN, MS Director of Nursing, Michael Malotz Skilled Nursing Pavilion, St. Johns Riverside Hospital Elizabeth Tweedy, LPN St. Johns Riverside Hospital

Capital Region
Maureen Killackey, MD Gynecologic Oncologist Kristin Salvi New York State Nurses Association Mary Applegate, MD MPH Director, New York State Preventive Medicine Residency Program, and Associate Dean for Public Health Practice University at Albany School of Public Health Debra Blog, MD Associate Professor, SUNY Schoolof Public Health Cheryl Gelder-Kogan, MHSA CGK Consulting

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Theresa Hinman, MPH New York State Cancer Registry Rebecca C. Butterfield MD Assistant Professor of Pediatrics, Albany Medical Center Katherine Dougherty, MD Assistant Professor of Pediatrics, Albany Medical Center Christopher Ashley, MD, MPH Assistant Professor of Medicine, Albany Medical College Charles Weissman, MD Clinical Oncologist, New York Oncology Hematology Elizabeth Whalen, MD Preventive Medicine Resident; Medical Director, Capital District Physicians Health Plan (CDPHP)

Central New York

James D. Hayes, M.D. Chairman, Cancer Committee, United Health Services Sandra Cassese, RN, MSN, CNS Health Quest Oncology Administrator; American Cancer Society Board of Advisors, Eastern Division, American Cancer Society Cancer Action Network National Board of Directors and National Ambassador Jacqueline Semple RN,BSN Staff Nurse, St Johns Riverside Hospital Vanetta Conn Community Health Educator Richard J. Kilburg, MBA Associate Admin. for the Upstate Cancer Center; Upstate University Health System

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Leslie J. Kohman, MD Medical Director, Upstate Cancer Center SUNY Distinguished Service Professor; Upstate Medical University Lynn Scarfuto, RN, CNOR(e) Patient Care Coordinator, Bassett Cancer Institute Mary L. Mancini, RN, BSN Oncology Nurse Navigator, Our Lady of Lourdes Regional Cancer Center, Binghamton Francine Rainone, DO PhD, MS Medical Director of Palliative Care Service; Lourdes Hospital Claudia Edwards, MS Broome County Health Department, Public Health Director Natasha Souter, BS CLC Health Educator, Seneca Nation Health System

Western New York

Peter Accetta, MD Volunteer Faculty, Department of Dermatology, State University of New York at Buffalo Tyler B. Evans, MD, MPH Preventive Medicine Resident, Roswell Park Cancer Institute Gale R. Burstein, MD, MPH, FAAP, FSAHM Commissioner, Erie County Department of Health; Associate Clinical Professor of Pediatrics, State University of New York at Buffalo; Chair, American Academy of Pediatrics New York State Chapter 1 Adolescent Committee Mary Culp RN,BSN Public Health Nurse, Office of Emergency Preparedness, Erie County Department of Health Carolyn A. Lopez, RN Erie County Health Department
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Stephen Turkovich, MD, FAAP Assistant Professor of Clinical Pediatrics, SUNY Buffalo Anne M. Ramsdell, MD, MS Dermatology Section Chief VA Residency Site Coordinator for Dermatology Veteran's Health Administration, Buffalo VA Medical Center Assunta R. Ventresca Director, Health Related Services, Buffalo Public School District Michael Nazareth, MD/PhD Dermatologist Center for Plastic Surgery and Dermatology, Williamsville David J. Altman, MD, PhD, FAAD Pres./Owner Altman Dermatology, PC Rashmi S Bismark, MD Preventive Medicine Resident, University at Buffalo Susan C. Mancuso ,MSN/FNP University at Buffalo Student Health Services Family Nurse Practitoner Dalinda A. Condino, MD, FAAP Associate Professor of Clinical Pediatics; Chief, Division of Adolescent Medicine, UBMD Laura Heimback-Graham, M.D. Medical Director, Special Needs Clinic; Clinical Assistant Professor, Pediatrics Women and Children's Hospital Buffalo Lucy Holmes, MD Clinical Professor of Pediatrics, State University of New York at Buffalo Marsha Langan, CPNP Children's Hospital of Buffalo Jill Gleason, RN, BSN, MSed Teacher/Registered Nurse, Erie 1 Boces
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Michele Manka-Black, MD Tonawanda Pediatrics Cesar E. Guerrero, MD Resident, Department of Dermatology SUNY Buffalo and Roswell Park Cancer Institute Ruth Rohl, NP Nurse Practitioner, Roswell Park Cancer Institute Paul N. Bogner, MD Dermatopathologist, Roswell Park Cancer Institute Tom Helm, MD Consultant, Roswell Park Cancer Institute Andrew Hyland, PhD Chair, Department of Health Behavior, Roswell Park Cancer Institute Mary Eileen MCPhee MS, RN, BSN Director, Clinical Research Network Clinical Research Services, Roswell Park Cancer Institute Jennifer Powell, MD Resident, Department of Dermatology, University of Buffalo Bethany Lema, MD Resident, Dermatology, SUNY Buffalo Meera S. Beharry, MD, FAAP University of Rochester Medical Center Richard E. Kreipe, MD, FAAP, FSAHM Elizabeth R. McAnarney Distinguished Professor of Pediatrics, University of Rochester Kim Urbach, RN, MS, PNP School-Based Health Center Program Manager University of Rochester

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Elizabeth A. Anderson, PhD Postdoctoral Fellow, Dermatology Department, University of Rochester Medical Center Anna De Benedetto, MD Research Fellow, Department of Dermatology, University of Rochester Medical Center Alice Pentland, MD Professor and Chair Department of Dermatology, University of Rochester Pamela Herendeen, DNP, PNP-BC Senior Nurse Practitioner, Golisano Childrens Hospital; Director, DNP Program, University of Rochester School of Nursing Sherrif Ibrahim, M.D. Assitant Professor Dermatology, University of Rochester Medical Center Seema Khaneja, MD Clinical Instructor, Department of Pediatrics, Golisano Children's Hospital Rochester Barbara Schuman University of Rochester Medical Center Lauren Bruckner, MD/PhD Associate Professor of Pediatrics and Oncology Division of Pediatric Hematology-Oncology, Golisano Children's Hospital at Strong Rochester Elaine S. Gilmore, MD, PhD Assistant Professor of Dermatology, University of Rochester School of Medicine David Korones, MD Professor of Pediatrics, Oncology and Neurology Julie L Ryan, PhD, MPH Assistant Professor, Departments of Dermatology & Radiation Oncology, University of Rochester Medical Center

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Susan M. Yussman, MD, MPH Assistant Professor of Pediatrics and Adolescent Medicine, University of Rochester Medical Center G.Thomas Spigel, MD Dermatologist Affiliations supplied for identification only.

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