{"id":169,"date":"2021-02-09T16:49:53","date_gmt":"2021-02-09T16:49:53","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/?post_type=chapter&#038;p=169"},"modified":"2021-02-09T17:27:55","modified_gmt":"2021-02-09T17:27:55","slug":"public-health-intervention","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/chapter\/public-health-intervention\/","title":{"raw":"Public health intervention : Screening and Vaccination","rendered":"Public health intervention : Screening and Vaccination"},"content":{"raw":"A\u00a0<b>public health intervention<\/b>\u00a0is any effort or policy that attempts to improve\u00a0<a title=\"Mental health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mental_health\">mental<\/a>\u00a0and\u00a0<a title=\"Health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health\">physical health<\/a>\u00a0on a population level. Public health interventions may be run by a variety of organizations, including\u00a0<a title=\"Health department\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_department\">governmental health departments<\/a>\u00a0and\u00a0<a title=\"Non-governmental organization\" href=\"https:\/\/en.wikipedia.org\/wiki\/Non-governmental_organization\">non-governmental organizations<\/a>\u00a0(NGOs). Common types of interventions include\u00a0<a title=\"Screening (medicine)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)\">screening programs<\/a>,<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-1\">[1]<\/a><\/sup>\u00a0<a title=\"Vaccination\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination\">vaccination<\/a>,<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-2\">[2]<\/a><\/sup>\u00a0<a title=\"Dietary supplement\" href=\"https:\/\/en.wikipedia.org\/wiki\/Dietary_supplement\">food and water supplementation<\/a>, and\u00a0<a title=\"Health promotion\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_promotion\">health promotion<\/a>. Common issues that are the subject of public health interventions include\u00a0<a title=\"Obesity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Obesity\">obesity<\/a>,<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-3\">[3]<\/a><\/sup>\u00a0<a title=\"Substance use disorder\" href=\"https:\/\/en.wikipedia.org\/wiki\/Substance_use_disorder\">drug<\/a>,\u00a0<a title=\"Tobacco\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tobacco\">tobacco<\/a>, and\u00a0<a title=\"Alcoholic drink\" href=\"https:\/\/en.wikipedia.org\/wiki\/Alcoholic_drink\">alcohol<\/a>\u00a0use,<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-4\">[4]<\/a><\/sup>\u00a0and the spread of\u00a0<a title=\"Infectious disease (medical specialty)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Infectious_disease_(medical_specialty)\">infectious disease<\/a>, e.g.\u00a0<a title=\"HIV\" href=\"https:\/\/en.wikipedia.org\/wiki\/HIV\">HIV<\/a>.<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-5\">[5]<\/a><\/sup>\r\n\r\nA policy may meet the criteria of a public health intervention if it prevents disease on both the individual and community level and has a positive impact on\u00a0<a title=\"Public health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health\">public health<\/a>.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-6\">[6]<\/a><\/sup>\r\n<h2><span id=\"Types\" class=\"mw-headline\">Types<\/span><\/h2>\r\nHealth interventions may be run by a variety of organizations, including\u00a0<a title=\"Health department\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_department\">health departments<\/a>\u00a0and private organizations. Such interventions can operate at various scales, such as on a global, country, or community level. The whole population can be reached via websites, audio\/video messages and other mass media, or specific groups can be affected by administrative action, such as increasing the provision of healthy food at schools.\r\n<h3><span id=\"Screening\" class=\"mw-headline\">Screening<\/span><\/h3>\r\n<div class=\"hatnote navigation-not-searchable\" role=\"note\"><\/div>\r\nScreening refers to the practice of testing a set of individuals who meet a certain criteria (such as age, sex, or sexual activity) for a disease or disorder. Many forms of screening are public health interventions. For example, mothers are routinely screened for HIV and Hepatitis B during pregnancy. Detection during pregnancy can prevent\u00a0<a title=\"Vertical transmission\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vertical_transmission\">maternal transmission<\/a>\u00a0of the disease during childbirth.<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-7\">[7]<\/a><\/sup>\r\n<h3><span id=\"Vaccination\" class=\"mw-headline\">Vaccination<\/span><\/h3>\r\n<div class=\"hatnote navigation-not-searchable\" role=\"note\"><\/div>\r\nVaccination programs are one of the most effective and common types of public health interventions. Typically programs may be in the form of recommendations or run by\u00a0<a title=\"Health department\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_department\">governmental health departments<\/a>\u00a0or nationalised health care systems. For instance, in the U.S., the\u00a0<a title=\"Centers for Disease Control and Prevention\" href=\"https:\/\/en.wikipedia.org\/wiki\/Centers_for_Disease_Control_and_Prevention\">Center for Disease Contro<\/a>l decides on a vaccination schedule, and most private health insurers cover these vaccinations. In the UK, the\u00a0<a title=\"National Health Service\" href=\"https:\/\/en.wikipedia.org\/wiki\/National_Health_Service\">NHS<\/a>\u00a0both decides and implements vaccination protocols.\u00a0<a title=\"Non-governmental organization\" href=\"https:\/\/en.wikipedia.org\/wiki\/Non-governmental_organization\">NGOs<\/a>\u00a0also may be involved in funding or implementing vaccination programs; for instance\u00a0<a title=\"Bill &amp; Melinda Gates Foundation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Bill_%26_Melinda_Gates_Foundation\">Bill and Melinda Gates Foundation<\/a>\u00a0assists governments in Pakistan, Nigeria and Afghanistan with the administration of\u00a0<a title=\"Polio vaccine\" href=\"https:\/\/en.wikipedia.org\/wiki\/Polio_vaccine\">polio vaccination<\/a>.<sup id=\"cite_ref-8\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-8\">[8]<\/a><\/sup>\r\n<h3><span id=\"Supplementation\" class=\"mw-headline\">Supplementation<\/span><\/h3>\r\nSupplementation of\u00a0<a title=\"Food fortification\" href=\"https:\/\/en.wikipedia.org\/wiki\/Food_fortification\">food<\/a>\u00a0or water of nutrients can reduce\u00a0<a title=\"Vitamin deficiency\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vitamin_deficiency\">vitamin deficiency<\/a>\u00a0and other diseases. Supplementation may be required by law or voluntary. Some examples of interventions include:\r\n<ul>\r\n \t<li><a title=\"Iodised salt\" href=\"https:\/\/en.wikipedia.org\/wiki\/Iodised_salt\">Iodised salt<\/a>\u00a0to prevent\u00a0<a title=\"Goitre\" href=\"https:\/\/en.wikipedia.org\/wiki\/Goitre\">goiter<\/a>.<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-9\">[9]<\/a><\/sup><\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Folic acid\" href=\"https:\/\/en.wikipedia.org\/wiki\/Folic_acid\">Folic acid<\/a>\u00a0in wheat flour to prevent\u00a0<a title=\"Spina bifida\" href=\"https:\/\/en.wikipedia.org\/wiki\/Spina_bifida\">spina bifida<\/a>, a birth defect.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-10\">[10]<\/a><\/sup><\/li>\r\n \t<li><a title=\"Water fluoridation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Water_fluoridation\">Flouridated water<\/a>\u00a0to prevent\u00a0<a title=\"Tooth decay\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tooth_decay\">tooth decay<\/a>.<sup id=\"cite_ref-11\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-11\">[11]<\/a><\/sup><\/li>\r\n \t<li><a title=\"Vitamin D\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vitamin_D\">Vitamin D milk<\/a>\u00a0to prevent\u00a0<a title=\"Rickets\" href=\"https:\/\/en.wikipedia.org\/wiki\/Rickets\">rickets<\/a>.<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-12\">[12]<\/a><\/sup><\/li>\r\n<\/ul>\r\n<h3><span id=\"Behavioural\" class=\"mw-headline\">Behavioral<\/span><\/h3>\r\nInterventions intended to change the behavior of individuals can be especially challenging. One such form is\u00a0<a title=\"Health promotion\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_promotion\">health promotion<\/a>, where\u00a0<a title=\"Health education\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_education\">education<\/a>\u00a0and\u00a0<a title=\"Mass media\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mass_media\">media<\/a>\u00a0may be used to promote healthy behaviors, such as eating healthy foods (to prevent\u00a0<a title=\"Obesity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Obesity\">obesity<\/a>), using\u00a0<a title=\"Condom\" href=\"https:\/\/en.wikipedia.org\/wiki\/Condom\">condoms<\/a>\u00a0(to prevent the transmission of\u00a0<a title=\"Sexually transmitted infection\" href=\"https:\/\/en.wikipedia.org\/wiki\/Sexually_transmitted_infection\">STDs<\/a>), or stopping\u00a0<a title=\"Open defecation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Open_defecation\">open defecation<\/a>\u00a0in\u00a0<a title=\"Developing country\" href=\"https:\/\/en.wikipedia.org\/wiki\/Developing_country\">developing countries<\/a>\u00a0(see for example in India the campaign\u00a0<a title=\"Swachh Bharat Mission\" href=\"https:\/\/en.wikipedia.org\/wiki\/Swachh_Bharat_Mission\">Swachh Bharat Mission<\/a>).\r\n\r\nThe use of laws to criminalize certain behaviors can also be considered a public health intervention, such as\u00a0<a title=\"Vaccination policy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination_policy\">mandatory vaccination<\/a>\u00a0programs<sup id=\"cite_ref-13\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-13\">[13]<\/a><\/sup><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-14\">[14]<\/a><\/sup>\u00a0and\u00a0<a title=\"Criminal transmission of HIV\" href=\"https:\/\/en.wikipedia.org\/wiki\/Criminal_transmission_of_HIV\">criminalization of HIV transmission<\/a>.<sup id=\"cite_ref-:0_15-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-:0-15\">[15]<\/a><\/sup><sup id=\"cite_ref-:1_16-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-:1-16\">[16]<\/a><\/sup><sup id=\"cite_ref-:2_17-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-:2-17\">[17]<\/a><\/sup>\u00a0However, such measures are typically controversial, particularly in the case of HIV criminalization where there is evidence it may be counter productive.<sup id=\"cite_ref-:0_15-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-:0-15\">[15]<\/a><\/sup><sup id=\"cite_ref-:1_16-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-:1-16\">[16]<\/a><\/sup><sup id=\"cite_ref-:2_17-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-:2-17\">[17]<\/a><\/sup>\u00a0Laws which tax certain unhealthy products may also be effective, although also not without controversy, and are sometimes called a \"<a title=\"Sin tax\" href=\"https:\/\/en.wikipedia.org\/wiki\/Sin_tax\">sin tax<\/a>\". Examples include the\u00a0<a class=\"mw-redirect\" title=\"Tobacco tax\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tobacco_tax\">taxation of tobacco products<\/a>\u00a0in the U.S. and New Zealand,<sup id=\"cite_ref-18\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-18\">[18]<\/a><\/sup>\u00a0and\u00a0<a title=\"Sugary drink tax\" href=\"https:\/\/en.wikipedia.org\/wiki\/Sugary_drink_tax\">sugared drinks<\/a>\u00a0in the UK.<sup id=\"cite_ref-19\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-19\">[19]<\/a><\/sup>\r\n<h2><span id=\"Evaluating_efficacy\" class=\"mw-headline\">Evaluating efficacy<\/span><\/h2>\r\nEvaluating and predicting the efficacy of a public health intervention, as well as calculating\u00a0<a title=\"Cost-effectiveness analysis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cost-effectiveness_analysis\">cost effectiveness<\/a>, is essential. An intervention should ideally lower\u00a0<a title=\"Disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Disease\">morbidity<\/a>\u00a0and\u00a0<a title=\"Mortality rate\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mortality_rate\">mortality<\/a>. Several systematic protocols exist to assist developing such interventions, such as\u00a0<a class=\"mw-redirect\" title=\"Intervention Mapping\" href=\"https:\/\/en.wikipedia.org\/wiki\/Intervention_Mapping\">Intervention Mapping<\/a>.<sup id=\"cite_ref-im_book_20-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-im_book-20\">[20]<\/a><\/sup>\r\n<h1 id=\"firstHeading\" class=\"firstHeading\" lang=\"en\">Screening<\/h1>\r\n<b>Screening<\/b>, in medicine, is a strategy used to look for as-yet-unrecognised conditions or risk markers.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#cite_note-1\">[1]<\/a><\/sup><sup id=\"cite_ref-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#cite_note-2\">[2]<\/a><\/sup><sup id=\"cite_ref-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#cite_note-3\">[3]<\/a><\/sup>\u00a0This testing can be applied to individuals or to a whole\u00a0<a title=\"Population\" href=\"https:\/\/en.wikipedia.org\/wiki\/Population\">population<\/a>. The people tested may not exhibit any signs or symptoms of a disease, or they might exhibit only one or two symptoms, which by themselves do not indicate a definitive diagnosis.\r\n\r\nScreening\u00a0<a title=\"Public health intervention\" href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention\">interventions<\/a>\u00a0are designed to identify conditions which could at some future point turn into disease, thus enabling earlier intervention and management in the hope to reduce mortality and suffering from a disease. Although screening may lead to an earlier diagnosis, not all screening tests have been shown to benefit the person being screened;\u00a0<a title=\"Overdiagnosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Overdiagnosis\">overdiagnosis<\/a>,\u00a0<a class=\"mw-redirect\" title=\"Misdiagnosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Misdiagnosis\">misdiagnosis<\/a>, and creating a false sense of security are some potential\u00a0<a class=\"mw-redirect\" title=\"Adverse effect (medicine)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Adverse_effect_(medicine)\">adverse effects<\/a>\u00a0of screening. Additionally, some screening tests can be inappropriately overused.<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#cite_note-4\">[4]<\/a><\/sup><sup id=\"cite_ref-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#cite_note-5\">[5]<\/a><\/sup>\u00a0For these reasons, a test used in a screening program, especially for a disease with low\u00a0<a title=\"Incidence (epidemiology)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Incidence_(epidemiology)\">incidence<\/a>, must have good\u00a0<a class=\"mw-redirect\" title=\"Sensitivity (tests)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Sensitivity_(tests)\">sensitivity<\/a>\u00a0in addition to acceptable\u00a0<a class=\"mw-redirect\" title=\"Specificity (tests)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Specificity_(tests)\">specificity<\/a>.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#cite_note-6\">[6]<\/a><\/sup>\r\n\r\nSeveral types of screening exist:\u00a0<b>universal screening<\/b>\u00a0involves screening of all individuals in a certain category (for example, all children of a certain age).\u00a0<b>Case finding<\/b>\u00a0involves screening a smaller group of people based on the presence of risk factors (for example, because a family member has been diagnosed with a hereditary disease). Screening interventions are not designed to be diagnostic, and often have significant rates of both\u00a0<a class=\"mw-redirect\" title=\"False positive\" href=\"https:\/\/en.wikipedia.org\/wiki\/False_positive\">false positive<\/a>\u00a0and\u00a0<a class=\"mw-redirect\" title=\"False negative\" href=\"https:\/\/en.wikipedia.org\/wiki\/False_negative\">false negative<\/a>\u00a0results.\r\n\r\nFrequently updated recommendations for screening are provided by the independent panel of experts, the\u00a0<a title=\"United States Preventive Services Task Force\" href=\"https:\/\/en.wikipedia.org\/wiki\/United_States_Preventive_Services_Task_Force\">United States Preventive Services Task Force<\/a>.<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#cite_note-7\">[7]<\/a><\/sup>\r\n\r\n&nbsp;\r\n<h3><span id=\"Common_programs\" class=\"mw-headline\">Common programs<\/span><\/h3>\r\nIn many countries there are population-based screening programmes. In some countries, such as the UK, policy is made nationally and programmes are delivered nationwide to uniform quality standards. Common screening programmes include:\r\n<ul>\r\n \t<li><a title=\"Cancer screening\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cancer_screening\">Cancer screening<\/a>\r\n<ul>\r\n \t<li><a class=\"mw-redirect\" title=\"Pap smear\" href=\"https:\/\/en.wikipedia.org\/wiki\/Pap_smear\">Pap smear<\/a>\u00a0or\u00a0<a title=\"Liquid-based cytology\" href=\"https:\/\/en.wikipedia.org\/wiki\/Liquid-based_cytology\">liquid-based cytology<\/a>\u00a0to detect potentially precancerous lesions and prevent\u00a0<a title=\"Cervical cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cervical_cancer\">cervical cancer<\/a><\/li>\r\n \t<li><a title=\"Mammography\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mammography\">Mammography<\/a>\u00a0to detect\u00a0<a title=\"Breast cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Breast_cancer\">breast cancer<\/a><\/li>\r\n \t<li><a title=\"Colonoscopy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Colonoscopy\">Colonoscopy<\/a>\u00a0and\u00a0<a title=\"Fecal occult blood\" href=\"https:\/\/en.wikipedia.org\/wiki\/Fecal_occult_blood\">fecal occult blood<\/a>\u00a0test to detect\u00a0<a title=\"Colorectal cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Colorectal_cancer\">colorectal cancer<\/a><\/li>\r\n \t<li>Dermatological check to detect\u00a0<a title=\"Melanoma\" href=\"https:\/\/en.wikipedia.org\/wiki\/Melanoma\">melanoma<\/a><\/li>\r\n \t<li><a title=\"Prostate-specific antigen\" href=\"https:\/\/en.wikipedia.org\/wiki\/Prostate-specific_antigen\">PSA<\/a>\u00a0to detect prostate cancer<\/li>\r\n<\/ul>\r\n<\/li>\r\n \t<li><a title=\"Mantoux test\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mantoux_test\">PPD test<\/a>\u00a0to screen for exposure to\u00a0<a title=\"Tuberculosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tuberculosis\">tuberculosis<\/a><\/li>\r\n \t<li><a title=\"Beck Depression Inventory\" href=\"https:\/\/en.wikipedia.org\/wiki\/Beck_Depression_Inventory\">Beck Depression Inventory<\/a>\u00a0to screen for\u00a0<a class=\"mw-redirect\" title=\"Clinical depression\" href=\"https:\/\/en.wikipedia.org\/wiki\/Clinical_depression\">depression<\/a><\/li>\r\n \t<li><a title=\"Social Phobia and Anxiety Inventory-Brief form\" href=\"https:\/\/en.wikipedia.org\/wiki\/Social_Phobia_and_Anxiety_Inventory-Brief_form\">SPAI-B<\/a>, the\u00a0<a class=\"mw-redirect\" title=\"Liebowitz Social Anxiety Scale\" href=\"https:\/\/en.wikipedia.org\/wiki\/Liebowitz_Social_Anxiety_Scale\">Liebowitz Social Anxiety Scale<\/a>\u00a0and\u00a0<a title=\"Social Phobia Inventory\" href=\"https:\/\/en.wikipedia.org\/wiki\/Social_Phobia_Inventory\">Social Phobia Inventory<\/a>\u00a0to screen for\u00a0<a title=\"Social anxiety disorder\" href=\"https:\/\/en.wikipedia.org\/wiki\/Social_anxiety_disorder\">social anxiety disorder<\/a><\/li>\r\n \t<li><a title=\"Alpha-fetoprotein\" href=\"https:\/\/en.wikipedia.org\/wiki\/Alpha-fetoprotein\">Alpha-fetoprotein<\/a>,\u00a0<a class=\"mw-redirect\" title=\"Blood tests\" href=\"https:\/\/en.wikipedia.org\/wiki\/Blood_tests\">blood tests<\/a>\u00a0and\u00a0<a class=\"mw-redirect\" title=\"Ultrasound scan\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ultrasound_scan\">ultrasound scans<\/a>\u00a0for pregnant women to detect fetal abnormalities<\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Bitewing\" href=\"https:\/\/en.wikipedia.org\/wiki\/Bitewing\">Bitewing<\/a>\u00a0radiographs to screen for interproximal\u00a0<a class=\"mw-redirect\" title=\"Dental caries\" href=\"https:\/\/en.wikipedia.org\/wiki\/Dental_caries\">dental caries<\/a><\/li>\r\n \t<li><a title=\"Ophthalmoscopy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ophthalmoscopy\">Ophthalmoscopy<\/a>\u00a0or\u00a0<a title=\"Fundus photography\" href=\"https:\/\/en.wikipedia.org\/wiki\/Fundus_photography\">digital photography<\/a>\u00a0and image grading for\u00a0<a title=\"Diabetic retinopathy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Diabetic_retinopathy\">diabetic retinopathy<\/a><\/li>\r\n \t<li><a class=\"mw-redirect\" title=\"Ultrasound scan\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ultrasound_scan\">Ultrasound scan<\/a>\u00a0for\u00a0<a title=\"Abdominal aortic aneurysm\" href=\"https:\/\/en.wikipedia.org\/wiki\/Abdominal_aortic_aneurysm\">abdominal aortic aneurysm<\/a><\/li>\r\n \t<li><a title=\"Screening of potential sperm bank donors\" href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_of_potential_sperm_bank_donors\">Screening of potential sperm bank donors<\/a><\/li>\r\n \t<li>Screening for\u00a0<a title=\"Metabolic syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Metabolic_syndrome\">metabolic syndrome<\/a><\/li>\r\n \t<li>Screening for potential hearing loss in newborns<\/li>\r\n<\/ul>\r\n&nbsp;\r\n<h1 id=\"firstHeading\" class=\"firstHeading\" lang=\"en\">Vaccination<\/h1>\r\n<div id=\"bodyContent\" class=\"mw-body-content\">\r\n\r\n&nbsp;\r\n<div id=\"mw-content-text\" class=\"mw-content-ltr\" dir=\"ltr\" lang=\"en\">\r\n<div class=\"mw-parser-output\">\r\n<table class=\"infobox\">\r\n<tbody>\r\n<tr>\r\n<th colspan=\"2\">Vaccinations<\/th>\r\n<\/tr>\r\n<tr>\r\n<td colspan=\"2\"><a class=\"image\" href=\"https:\/\/en.wikipedia.org\/wiki\/File:Young_girl_about_to_receive_a_vaccine_in_her_upper_arm_(48545990252).jpg\"><img src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/thumb\/3\/30\/Young_girl_about_to_receive_a_vaccine_in_her_upper_arm_%2848545990252%29.jpg\/280px-Young_girl_about_to_receive_a_vaccine_in_her_upper_arm_%2848545990252%29.jpg\" alt=\"Young girl about to receive a vaccine in her upper arm (48545990252).jpg\" width=\"280\" height=\"373\" \/><\/a>\r\n<div>Girl about to be vaccinated in her upper arm<\/div><\/td>\r\n<\/tr>\r\n<tr>\r\n<th scope=\"row\"><\/th>\r\n<td><\/td>\r\n<\/tr>\r\n<tr class=\"noprint\">\r\n<td colspan=\"2\"><\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<b>Vaccination<\/b>\u00a0is the administration of a\u00a0<a title=\"Vaccine\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccine\">vaccine<\/a>\u00a0to help the\u00a0<a title=\"Immune system\" href=\"https:\/\/en.wikipedia.org\/wiki\/Immune_system\">immune system<\/a>\u00a0develop protection from a\u00a0<a title=\"Disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Disease\">disease<\/a>. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins or toxins from the organism. In stimulating the body's\u00a0<a title=\"Adaptive immune system\" href=\"https:\/\/en.wikipedia.org\/wiki\/Adaptive_immune_system\">adaptive immunity<\/a>, they help prevent sickness from an\u00a0<a class=\"mw-redirect\" title=\"Infectious disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Infectious_disease\">infectious disease<\/a>. When a sufficiently large percentage of a population has been vaccinated,\u00a0<a title=\"Herd immunity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Herd_immunity\">herd immunity<\/a>\u00a0results. Herd immunity protects those who may be immunocompromised and cannot get a vaccine because even a weakened version would harm them.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-1\">[1]<\/a><\/sup>\u00a0The effectiveness of vaccination has been widely studied and verified.<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-2\">[2]<\/a><\/sup><sup id=\"cite_ref-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-3\">[3]<\/a><\/sup><sup id=\"cite_ref-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-4\">[4]<\/a><\/sup>\u00a0Vaccination is the most effective method of preventing infectious diseases;<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-5\">[5]<\/a><\/sup><sup id=\"cite_ref-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-6\">[6]<\/a><\/sup><sup id=\"cite_ref-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-7\">[7]<\/a><\/sup><sup id=\"cite_ref-8\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-8\">[8]<\/a><\/sup>\u00a0widespread immunity due to vaccination is largely responsible for the\u00a0<a title=\"Eradication of infectious diseases\" href=\"https:\/\/en.wikipedia.org\/wiki\/Eradication_of_infectious_diseases\">worldwide eradication<\/a>\u00a0of\u00a0<a title=\"Smallpox\" href=\"https:\/\/en.wikipedia.org\/wiki\/Smallpox\">smallpox<\/a>\u00a0and the elimination of diseases such as\u00a0<a title=\"Polio\" href=\"https:\/\/en.wikipedia.org\/wiki\/Polio\">polio<\/a>\u00a0and\u00a0<a title=\"Tetanus\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tetanus\">tetanus<\/a>\u00a0from much of the world. However, some diseases, such as\u00a0<a title=\"2019 Pacific Northwest measles outbreak\" href=\"https:\/\/en.wikipedia.org\/wiki\/2019_Pacific_Northwest_measles_outbreak\">measles outbreaks<\/a>\u00a0in America, have seen rising cases due to relatively low vaccination rates in the 2010s - attributed, in part, to\u00a0<a title=\"Vaccine hesitancy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccine_hesitancy\">vaccine hesitancy<\/a>.<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-9\">[9]<\/a><\/sup>\r\n\r\nThe first disease people tried to prevent by\u00a0<a title=\"Inoculation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Inoculation\">inoculation<\/a>\u00a0was most likely smallpox, with the first recorded use of\u00a0<a title=\"Variolation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Variolation\">variolation<\/a>\u00a0occurring in the 16th century in\u00a0<a title=\"China\" href=\"https:\/\/en.wikipedia.org\/wiki\/China\">China<\/a>.<sup id=\"cite_ref-FOOTNOTEWilliams201060_10-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-FOOTNOTEWilliams201060-10\">[10]<\/a><\/sup>\u00a0It was also the first disease for which a vaccine was produced.<sup id=\"cite_ref-pmid17633292_11-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-pmid17633292-11\">[11]<\/a><\/sup><sup id=\"cite_ref-pmid6319980_12-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-pmid6319980-12\">[12]<\/a><\/sup>\u00a0Although at least six people had used the same principles years earlier, the\u00a0<a title=\"Smallpox vaccine\" href=\"https:\/\/en.wikipedia.org\/wiki\/Smallpox_vaccine\">smallpox vaccine<\/a>\u00a0was invented in 1796 by English physician\u00a0<a title=\"Edward Jenner\" href=\"https:\/\/en.wikipedia.org\/wiki\/Edward_Jenner\">Edward Jenner<\/a>. He was the first to publish evidence that it was effective and to provide advice on its production.<sup id=\"cite_ref-Sudhoffs_13-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-Sudhoffs-13\">[13]<\/a><\/sup>\u00a0<a title=\"Louis Pasteur\" href=\"https:\/\/en.wikipedia.org\/wiki\/Louis_Pasteur\">Louis Pasteur<\/a>\u00a0furthered the concept through his work in microbiology. The immunization was called\u00a0<i>vaccination<\/i>\u00a0because it was derived from a virus affecting\u00a0<a class=\"mw-redirect\" title=\"Cow\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cow\">cows<\/a>\u00a0(<a class=\"mw-redirect\" title=\"Latin language\" href=\"https:\/\/en.wikipedia.org\/wiki\/Latin_language\">Latin<\/a>:\u00a0<i>vacca<\/i>\u00a0'cow').<sup id=\"cite_ref-pmid17633292_11-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-pmid17633292-11\">[11]<\/a><\/sup><sup id=\"cite_ref-Sudhoffs_13-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-Sudhoffs-13\">[13]<\/a><\/sup>\u00a0Smallpox was a contagious and deadly disease, causing the deaths of 20\u201360% of infected adults and over 80% of infected children.<sup id=\"cite_ref-14\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-14\">[14]<\/a><\/sup>\u00a0When smallpox was finally eradicated in 1979, it had already killed an estimated 300\u2013500 million people in the 20th century.<sup id=\"cite_ref-15\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-15\">[15]<\/a><\/sup><sup id=\"cite_ref-16\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-16\">[16]<\/a><\/sup><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-17\">[17]<\/a><\/sup>\r\n\r\n<i>Vaccination<\/i>\u00a0and\u00a0<i>immunization<\/i>\u00a0have a similar meaning in everyday language. This is distinct from inoculation, which uses unweakened live pathogens. Vaccination efforts have been met with\u00a0<a class=\"mw-redirect\" title=\"Vaccine controversy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccine_controversy\">some reluctance<\/a>\u00a0on scientific, ethical, political, medical safety, and religious grounds, although no major religions oppose vaccination, and some consider it an obligation due to the potential to save lives.<sup id=\"cite_ref-nyt19_18-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-nyt19-18\">[18]<\/a><\/sup>\u00a0In the United States, people may receive compensation for alleged injuries under the\u00a0<a title=\"National Vaccine Injury Compensation Program\" href=\"https:\/\/en.wikipedia.org\/wiki\/National_Vaccine_Injury_Compensation_Program\">National Vaccine Injury Compensation Program<\/a>. Early success brought widespread acceptance, and mass vaccination campaigns have greatly reduced the incidence of many diseases in numerous geographic regions.\r\n<h4><span id=\"Vaccination_and_autism\" class=\"mw-headline\">Vaccination and autism<\/span><\/h4>\r\nThe notion of a connection between vaccines and autism originated in a 1998 paper published in\u00a0<i><a title=\"The Lancet\" href=\"https:\/\/en.wikipedia.org\/wiki\/The_Lancet\">The Lancet<\/a><\/i>\u00a0whose lead author was the physician\u00a0<a title=\"Andrew Wakefield\" href=\"https:\/\/en.wikipedia.org\/wiki\/Andrew_Wakefield\">Andrew Wakefield<\/a>. His study concluded that eight of the 12 patients (ages 3\u201310) developed behavioral symptoms consistent with autism following the\u00a0<a title=\"MMR vaccine\" href=\"https:\/\/en.wikipedia.org\/wiki\/MMR_vaccine\">MMR vaccine<\/a>\u00a0(an immunization against\u00a0<a title=\"Measles\" href=\"https:\/\/en.wikipedia.org\/wiki\/Measles\">measles<\/a>,\u00a0<a title=\"Mumps\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mumps\">mumps<\/a>, and\u00a0<a title=\"Rubella\" href=\"https:\/\/en.wikipedia.org\/wiki\/Rubella\">rubella<\/a>).<sup id=\"cite_ref-Wakefield_111-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-Wakefield-111\">[111]<\/a><\/sup>\u00a0The article was widely criticized for lack of scientific rigor and it was proven that Wakefield falsified data in the article.<sup id=\"cite_ref-Wakefield_111-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-Wakefield-111\">[111]<\/a><\/sup>\u00a0In 2004, 10 of the original 12 co-authors (not including Wakefield) published a retraction of the article and stated the following: \"We wish to make it clear that in this paper no causal link was established between MMR vaccine and autism as the data were insufficient.\"<sup id=\"cite_ref-112\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-112\">[112]<\/a><\/sup>\u00a0In 2010,\u00a0<i>The Lancet<\/i>\u00a0officially retracted the article stating that several elements of the article were incorrect, including falsified data and protocols. This\u00a0<i>Lancet<\/i>\u00a0article has sparked a much greater anti-vaccination movement, particularly in the United States. Even though the article was fraudulent and was retracted, 1 in 4 parents still believe vaccines can cause autism.<sup id=\"cite_ref-113\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-113\">[113]<\/a><\/sup>\r\n\r\nTo date, all validated and definitive studies have shown that there is no correlation between\u00a0<a title=\"Vaccines and autism\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccines_and_autism\">vaccines and autism<\/a>.<sup id=\"cite_ref-114\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-114\">[114]<\/a><\/sup>\u00a0One of the studies published in 2015 confirms there is no link between autism and the MMR vaccine. Infants were given a health plan, that included an MMR vaccine, and were continuously studied until they reached 5 years old. There was no link between the vaccine and children who had a normally developed sibling or a sibling that had autism making them a higher risk for developing autism themselves.<sup id=\"cite_ref-115\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-115\">[115]<\/a><\/sup>\r\n\r\nIt can be difficult to correct the memory of humans when wrong information is received prior to correct information. Even though there is much evidence to go against the Wakefield study and most of the co-authors publishing retractions, many continue to believe and base decisions off of it as it still lingers in their memory. Studies and research are being conducted to determine effective ways to correct misinformation in the\u00a0<a class=\"mw-redirect\" title=\"Public memory\" href=\"https:\/\/en.wikipedia.org\/wiki\/Public_memory\">public memory<\/a>.<sup id=\"cite_ref-116\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-116\">[116]<\/a><\/sup>\u00a0Since the Wakefield study was released over 20 years ago, it may prove easier for newer generations to be properly educated on vaccinations. A very small percentage of people have adverse reactions to vaccines, and if there is a reaction it is often mild. These reactions do not include autism.\r\n<h1 id=\"firstHeading\" class=\"firstHeading\" lang=\"en\">Skin cancer<\/h1>\r\n<b>Skin cancers<\/b>\u00a0are\u00a0<a title=\"Cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cancer\">cancers<\/a>\u00a0that arise from the\u00a0<a title=\"Skin\" href=\"https:\/\/en.wikipedia.org\/wiki\/Skin\">skin<\/a>. They are due to the development of abnormal\u00a0<a class=\"mw-redirect\" title=\"Cells (biology)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cells_(biology)\">cells<\/a>\u00a0that have the ability to invade or\u00a0<a title=\"Metastasis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Metastasis\">spread<\/a>\u00a0to other parts of the body.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-10\">[10]<\/a><\/sup>\u00a0There are three main types of skin cancers:\u00a0<a class=\"mw-redirect\" title=\"Basal-cell skin cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Basal-cell_skin_cancer\">basal-cell skin cancer<\/a>\u00a0(BCC),\u00a0<a class=\"mw-redirect\" title=\"Squamous-cell skin cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Squamous-cell_skin_cancer\">squamous-cell skin cancer<\/a>\u00a0(SCC) and\u00a0<a title=\"Melanoma\" href=\"https:\/\/en.wikipedia.org\/wiki\/Melanoma\">melanoma<\/a>.<sup id=\"cite_ref-NCI2013TxPro_1-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-NCI2013TxPro-1\">[1]<\/a><\/sup>\u00a0The first two, along with a number of less common skin cancers, are known as nonmelanoma skin cancer (NMSC).<sup id=\"cite_ref-Cak2012_5-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Cak2012-5\">[5]<\/a><\/sup><sup id=\"cite_ref-ABC2008_11-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-ABC2008-11\">[11]<\/a><\/sup>\u00a0Basal-cell cancer grows slowly and can damage the tissue around it but is unlikely to spread to distant areas or result in death.<sup id=\"cite_ref-Cak2012_5-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Cak2012-5\">[5]<\/a><\/sup>\u00a0It often appears as a painless raised area of skin that may be shiny with\u00a0<a title=\"Telangiectasia\" href=\"https:\/\/en.wikipedia.org\/wiki\/Telangiectasia\">small blood vessels running over it<\/a>\u00a0or may present as a raised area with an\u00a0<a title=\"Ulcer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ulcer\">ulcer<\/a>.<sup id=\"cite_ref-NCI2013TxPro_1-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-NCI2013TxPro-1\">[1]<\/a><\/sup>\u00a0Squamous-cell skin cancer is more likely to spread.<sup id=\"cite_ref-Cak2012_5-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Cak2012-5\">[5]<\/a><\/sup>\u00a0It usually presents as a hard lump with a scaly top but may also form an ulcer.<sup id=\"cite_ref-Lyn2011_2-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Lyn2011-2\">[2]<\/a><\/sup>\u00a0Melanomas are the most aggressive. Signs include a\u00a0<a title=\"Melanocytic nevus\" href=\"https:\/\/en.wikipedia.org\/wiki\/Melanocytic_nevus\">mole<\/a>\u00a0that has changed in size, shape, color, has irregular edges, has more than one color, is itchy or bleeds.<sup id=\"cite_ref-Mel2014_3-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Mel2014-3\">[3]<\/a><\/sup>\r\n\r\nMore than 90% of cases are caused by exposure to\u00a0<a class=\"mw-redirect\" title=\"Ultraviolet radiation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ultraviolet_radiation\">ultraviolet radiation<\/a>\u00a0from the\u00a0<a title=\"Sun\" href=\"https:\/\/en.wikipedia.org\/wiki\/Sun\">Sun<\/a>.<sup id=\"cite_ref-UV2010_4-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-UV2010-4\">[4]<\/a><\/sup>\u00a0This exposure increases the risk of all three main types of skin cancer.<sup id=\"cite_ref-UV2010_4-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-UV2010-4\">[4]<\/a><\/sup>\u00a0Exposure has increased, partly due to a thinner\u00a0<a title=\"Ozone layer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ozone_layer\">ozone layer<\/a>.<sup id=\"cite_ref-Cak2012_5-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Cak2012-5\">[5]<\/a><\/sup><sup id=\"cite_ref-12\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-12\">[12]<\/a><\/sup>\u00a0<a class=\"mw-redirect\" title=\"Tanning beds\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tanning_beds\">Tanning beds<\/a>\u00a0are another common source of ultraviolet radiation.<sup id=\"cite_ref-UV2010_4-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-UV2010-4\">[4]<\/a><\/sup>\u00a0For melanomas and basal-cell cancers, exposure during childhood is particularly harmful.<sup id=\"cite_ref-WCR2014_6-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-WCR2014-6\">[6]<\/a><\/sup>\u00a0For squamous-cell skin cancers, total exposure, irrespective of when it occurs, is more important.<sup id=\"cite_ref-UV2010_4-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-UV2010-4\">[4]<\/a><\/sup>\u00a0Between 20% and 30% of melanomas develop from moles.<sup id=\"cite_ref-WCR2014_6-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-WCR2014-6\">[6]<\/a><\/sup>\u00a0People with lighter skin are at higher risk<sup id=\"cite_ref-NCI2013TxPro_1-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-NCI2013TxPro-1\">[1]<\/a><\/sup><sup id=\"cite_ref-13\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-13\">[13]<\/a><\/sup>\u00a0as are those with poor immune function such as from medications or\u00a0<a title=\"HIV\/AIDS\" href=\"https:\/\/en.wikipedia.org\/wiki\/HIV\/AIDS\">HIV\/AIDS<\/a>.<sup id=\"cite_ref-Cak2012_5-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Cak2012-5\">[5]<\/a><\/sup><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-14\">[14]<\/a><\/sup>\u00a0Diagnosis is by\u00a0<a title=\"Biopsy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Biopsy\">biopsy<\/a>.<sup id=\"cite_ref-Mel2014_3-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Mel2014-3\">[3]<\/a><\/sup>\r\n\r\nDecreasing exposure to ultraviolet radiation and the use of\u00a0<a title=\"Sunscreen\" href=\"https:\/\/en.wikipedia.org\/wiki\/Sunscreen\">sunscreen<\/a>\u00a0appear to be effective methods of preventing melanoma and squamous-cell skin cancer.<sup id=\"cite_ref-WCR2014_6-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-WCR2014-6\">[6]<\/a><\/sup><sup id=\"cite_ref-Jou2012_7-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Jou2012-7\">[7]<\/a><\/sup>\u00a0It is not clear if sunscreen affects the risk of basal-cell cancer.<sup id=\"cite_ref-Jou2012_7-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Jou2012-7\">[7]<\/a><\/sup>\u00a0Nonmelanoma skin cancer is usually curable.<sup id=\"cite_ref-Cak2012_5-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Cak2012-5\">[5]<\/a><\/sup>\u00a0Treatment is generally by surgical removal but may, less commonly, involve\u00a0<a title=\"Radiation therapy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Radiation_therapy\">radiation therapy<\/a>\u00a0or topical medications such as\u00a0<a title=\"Fluorouracil\" href=\"https:\/\/en.wikipedia.org\/wiki\/Fluorouracil\">fluorouracil<\/a>.<sup id=\"cite_ref-NCI2013TxPro_1-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-NCI2013TxPro-1\">[1]<\/a><\/sup>\u00a0Immunotherapy might be the only hope for individuals with multiple malignancies such as Xeroderma Pigmentosum and Gorlin syndrome.<sup id=\"cite_ref-15\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-15\">[15]<\/a><\/sup>\u00a0Treatment of melanoma may involve some combination of surgery,\u00a0<a title=\"Chemotherapy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Chemotherapy\">chemotherapy<\/a>,\u00a0<a title=\"Radiation therapy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Radiation_therapy\">radiation therapy<\/a>\u00a0and\u00a0<a title=\"Targeted therapy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Targeted_therapy\">targeted therapy<\/a>.<sup id=\"cite_ref-Mel2014_3-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Mel2014-3\">[3]<\/a><\/sup>\u00a0In those people whose disease has spread to other areas of the body,\u00a0<a title=\"Palliative care\" href=\"https:\/\/en.wikipedia.org\/wiki\/Palliative_care\">palliative care<\/a>\u00a0may be used to improve quality of life.<sup id=\"cite_ref-Mel2014_3-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Mel2014-3\">[3]<\/a><\/sup>\u00a0Melanoma has one of the higher survival rates among cancers, with over 86% of people in the UK and more than 90% in the United States\u00a0<a title=\"Five-year survival rate\" href=\"https:\/\/en.wikipedia.org\/wiki\/Five-year_survival_rate\">surviving more than 5 years<\/a>.<sup id=\"cite_ref-16\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-16\">[16]<\/a><\/sup><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-17\">[17]<\/a><\/sup>\r\n\r\nSkin cancer is the most common form of cancer, globally accounting for at least 40% of cancer cases.<sup id=\"cite_ref-Cak2012_5-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Cak2012-5\">[5]<\/a><\/sup><sup id=\"cite_ref-18\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-18\">[18]<\/a><\/sup>\u00a0The most common type is nonmelanoma skin cancer, which occurs in at least 2\u20133 million people per year.<sup id=\"cite_ref-WCR2014_6-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-WCR2014-6\">[6]<\/a><\/sup><sup id=\"cite_ref-19\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-19\">[19]<\/a><\/sup>\u00a0This is a rough estimate, however, as good statistics are not kept.<sup id=\"cite_ref-NCI2013TxPro_1-8\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-NCI2013TxPro-1\">[1]<\/a><\/sup>\u00a0Of nonmelanoma skin cancers, about 80% are basal-cell cancers and 20% squamous-cell skin cancers.<sup id=\"cite_ref-ABC2008_11-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-ABC2008-11\">[11]<\/a><\/sup>\u00a0Basal-cell and squamous-cell skin cancers rarely result in death.<sup id=\"cite_ref-WCR2014_6-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-WCR2014-6\">[6]<\/a><\/sup>\u00a0In the United States, they were the cause of less than 0.1% of all cancer deaths.<sup id=\"cite_ref-NCI2013TxPro_1-9\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-NCI2013TxPro-1\">[1]<\/a><\/sup>\u00a0Globally in 2012, melanoma occurred in 232,000 people and resulted in 55,000 deaths.<sup id=\"cite_ref-WCR2014_6-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-WCR2014-6\">[6]<\/a><\/sup>\u00a0White people in\u00a0<a title=\"Australia\" href=\"https:\/\/en.wikipedia.org\/wiki\/Australia\">Australia<\/a>,\u00a0<a title=\"New Zealand\" href=\"https:\/\/en.wikipedia.org\/wiki\/New_Zealand\">New Zealand<\/a>\u00a0and\u00a0<a title=\"South Africa\" href=\"https:\/\/en.wikipedia.org\/wiki\/South_Africa\">South Africa<\/a>\u00a0have the highest rates of melanoma in the world.<sup id=\"cite_ref-WCR2014_6-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-WCR2014-6\">[6]<\/a><\/sup><sup id=\"cite_ref-20\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-20\">[20]<\/a><\/sup>\u00a0The three main types of skin cancer have become more common in the last 20 to 40 years, especially in those areas with mostly White people.<sup id=\"cite_ref-Cak2012_5-8\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Cak2012-5\">[5]<\/a><\/sup><sup id=\"cite_ref-WCR2014_6-8\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-WCR2014-6\">[6]<\/a><\/sup>\r\n\r\n<\/div>\r\n<\/div>\r\n<\/div>","rendered":"<p>A\u00a0<b>public health intervention<\/b>\u00a0is any effort or policy that attempts to improve\u00a0<a title=\"Mental health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mental_health\">mental<\/a>\u00a0and\u00a0<a title=\"Health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health\">physical health<\/a>\u00a0on a population level. Public health interventions may be run by a variety of organizations, including\u00a0<a title=\"Health department\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_department\">governmental health departments<\/a>\u00a0and\u00a0<a title=\"Non-governmental organization\" href=\"https:\/\/en.wikipedia.org\/wiki\/Non-governmental_organization\">non-governmental organizations<\/a>\u00a0(NGOs). Common types of interventions include\u00a0<a title=\"Screening (medicine)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)\">screening programs<\/a>,<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-1\">[1]<\/a><\/sup>\u00a0<a title=\"Vaccination\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination\">vaccination<\/a>,<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-2\">[2]<\/a><\/sup>\u00a0<a title=\"Dietary supplement\" href=\"https:\/\/en.wikipedia.org\/wiki\/Dietary_supplement\">food and water supplementation<\/a>, and\u00a0<a title=\"Health promotion\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_promotion\">health promotion<\/a>. Common issues that are the subject of public health interventions include\u00a0<a title=\"Obesity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Obesity\">obesity<\/a>,<sup id=\"cite_ref-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-3\">[3]<\/a><\/sup>\u00a0<a title=\"Substance use disorder\" href=\"https:\/\/en.wikipedia.org\/wiki\/Substance_use_disorder\">drug<\/a>,\u00a0<a title=\"Tobacco\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tobacco\">tobacco<\/a>, and\u00a0<a title=\"Alcoholic drink\" href=\"https:\/\/en.wikipedia.org\/wiki\/Alcoholic_drink\">alcohol<\/a>\u00a0use,<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-4\">[4]<\/a><\/sup>\u00a0and the spread of\u00a0<a title=\"Infectious disease (medical specialty)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Infectious_disease_(medical_specialty)\">infectious disease<\/a>, e.g.\u00a0<a title=\"HIV\" href=\"https:\/\/en.wikipedia.org\/wiki\/HIV\">HIV<\/a>.<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-5\">[5]<\/a><\/sup><\/p>\n<p>A policy may meet the criteria of a public health intervention if it prevents disease on both the individual and community level and has a positive impact on\u00a0<a title=\"Public health\" href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health\">public health<\/a>.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-6\">[6]<\/a><\/sup><\/p>\n<h2><span id=\"Types\" class=\"mw-headline\">Types<\/span><\/h2>\n<p>Health interventions may be run by a variety of organizations, including\u00a0<a title=\"Health department\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_department\">health departments<\/a>\u00a0and private organizations. Such interventions can operate at various scales, such as on a global, country, or community level. The whole population can be reached via websites, audio\/video messages and other mass media, or specific groups can be affected by administrative action, such as increasing the provision of healthy food at schools.<\/p>\n<h3><span id=\"Screening\" class=\"mw-headline\">Screening<\/span><\/h3>\n<div class=\"hatnote navigation-not-searchable\" role=\"note\"><\/div>\n<p>Screening refers to the practice of testing a set of individuals who meet a certain criteria (such as age, sex, or sexual activity) for a disease or disorder. Many forms of screening are public health interventions. For example, mothers are routinely screened for HIV and Hepatitis B during pregnancy. Detection during pregnancy can prevent\u00a0<a title=\"Vertical transmission\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vertical_transmission\">maternal transmission<\/a>\u00a0of the disease during childbirth.<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-7\">[7]<\/a><\/sup><\/p>\n<h3><span id=\"Vaccination\" class=\"mw-headline\">Vaccination<\/span><\/h3>\n<div class=\"hatnote navigation-not-searchable\" role=\"note\"><\/div>\n<p>Vaccination programs are one of the most effective and common types of public health interventions. Typically programs may be in the form of recommendations or run by\u00a0<a title=\"Health department\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_department\">governmental health departments<\/a>\u00a0or nationalised health care systems. For instance, in the U.S., the\u00a0<a title=\"Centers for Disease Control and Prevention\" href=\"https:\/\/en.wikipedia.org\/wiki\/Centers_for_Disease_Control_and_Prevention\">Center for Disease Contro<\/a>l decides on a vaccination schedule, and most private health insurers cover these vaccinations. In the UK, the\u00a0<a title=\"National Health Service\" href=\"https:\/\/en.wikipedia.org\/wiki\/National_Health_Service\">NHS<\/a>\u00a0both decides and implements vaccination protocols.\u00a0<a title=\"Non-governmental organization\" href=\"https:\/\/en.wikipedia.org\/wiki\/Non-governmental_organization\">NGOs<\/a>\u00a0also may be involved in funding or implementing vaccination programs; for instance\u00a0<a title=\"Bill &amp; Melinda Gates Foundation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Bill_%26_Melinda_Gates_Foundation\">Bill and Melinda Gates Foundation<\/a>\u00a0assists governments in Pakistan, Nigeria and Afghanistan with the administration of\u00a0<a title=\"Polio vaccine\" href=\"https:\/\/en.wikipedia.org\/wiki\/Polio_vaccine\">polio vaccination<\/a>.<sup id=\"cite_ref-8\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-8\">[8]<\/a><\/sup><\/p>\n<h3><span id=\"Supplementation\" class=\"mw-headline\">Supplementation<\/span><\/h3>\n<p>Supplementation of\u00a0<a title=\"Food fortification\" href=\"https:\/\/en.wikipedia.org\/wiki\/Food_fortification\">food<\/a>\u00a0or water of nutrients can reduce\u00a0<a title=\"Vitamin deficiency\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vitamin_deficiency\">vitamin deficiency<\/a>\u00a0and other diseases. Supplementation may be required by law or voluntary. Some examples of interventions include:<\/p>\n<ul>\n<li><a title=\"Iodised salt\" href=\"https:\/\/en.wikipedia.org\/wiki\/Iodised_salt\">Iodised salt<\/a>\u00a0to prevent\u00a0<a title=\"Goitre\" href=\"https:\/\/en.wikipedia.org\/wiki\/Goitre\">goiter<\/a>.<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-9\">[9]<\/a><\/sup><\/li>\n<li><a class=\"mw-redirect\" title=\"Folic acid\" href=\"https:\/\/en.wikipedia.org\/wiki\/Folic_acid\">Folic acid<\/a>\u00a0in wheat flour to prevent\u00a0<a title=\"Spina bifida\" href=\"https:\/\/en.wikipedia.org\/wiki\/Spina_bifida\">spina bifida<\/a>, a birth defect.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-10\">[10]<\/a><\/sup><\/li>\n<li><a title=\"Water fluoridation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Water_fluoridation\">Flouridated water<\/a>\u00a0to prevent\u00a0<a title=\"Tooth decay\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tooth_decay\">tooth decay<\/a>.<sup id=\"cite_ref-11\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-11\">[11]<\/a><\/sup><\/li>\n<li><a title=\"Vitamin D\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vitamin_D\">Vitamin D milk<\/a>\u00a0to prevent\u00a0<a title=\"Rickets\" href=\"https:\/\/en.wikipedia.org\/wiki\/Rickets\">rickets<\/a>.<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-12\">[12]<\/a><\/sup><\/li>\n<\/ul>\n<h3><span id=\"Behavioural\" class=\"mw-headline\">Behavioral<\/span><\/h3>\n<p>Interventions intended to change the behavior of individuals can be especially challenging. One such form is\u00a0<a title=\"Health promotion\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_promotion\">health promotion<\/a>, where\u00a0<a title=\"Health education\" href=\"https:\/\/en.wikipedia.org\/wiki\/Health_education\">education<\/a>\u00a0and\u00a0<a title=\"Mass media\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mass_media\">media<\/a>\u00a0may be used to promote healthy behaviors, such as eating healthy foods (to prevent\u00a0<a title=\"Obesity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Obesity\">obesity<\/a>), using\u00a0<a title=\"Condom\" href=\"https:\/\/en.wikipedia.org\/wiki\/Condom\">condoms<\/a>\u00a0(to prevent the transmission of\u00a0<a title=\"Sexually transmitted infection\" href=\"https:\/\/en.wikipedia.org\/wiki\/Sexually_transmitted_infection\">STDs<\/a>), or stopping\u00a0<a title=\"Open defecation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Open_defecation\">open defecation<\/a>\u00a0in\u00a0<a title=\"Developing country\" href=\"https:\/\/en.wikipedia.org\/wiki\/Developing_country\">developing countries<\/a>\u00a0(see for example in India the campaign\u00a0<a title=\"Swachh Bharat Mission\" href=\"https:\/\/en.wikipedia.org\/wiki\/Swachh_Bharat_Mission\">Swachh Bharat Mission<\/a>).<\/p>\n<p>The use of laws to criminalize certain behaviors can also be considered a public health intervention, such as\u00a0<a title=\"Vaccination policy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination_policy\">mandatory vaccination<\/a>\u00a0programs<sup id=\"cite_ref-13\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-13\">[13]<\/a><\/sup><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-14\">[14]<\/a><\/sup>\u00a0and\u00a0<a title=\"Criminal transmission of HIV\" href=\"https:\/\/en.wikipedia.org\/wiki\/Criminal_transmission_of_HIV\">criminalization of HIV transmission<\/a>.<sup id=\"cite_ref-:0_15-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-:0-15\">[15]<\/a><\/sup><sup id=\"cite_ref-:1_16-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-:1-16\">[16]<\/a><\/sup><sup id=\"cite_ref-:2_17-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-:2-17\">[17]<\/a><\/sup>\u00a0However, such measures are typically controversial, particularly in the case of HIV criminalization where there is evidence it may be counter productive.<sup id=\"cite_ref-:0_15-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-:0-15\">[15]<\/a><\/sup><sup id=\"cite_ref-:1_16-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-:1-16\">[16]<\/a><\/sup><sup id=\"cite_ref-:2_17-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-:2-17\">[17]<\/a><\/sup>\u00a0Laws which tax certain unhealthy products may also be effective, although also not without controversy, and are sometimes called a &#8220;<a title=\"Sin tax\" href=\"https:\/\/en.wikipedia.org\/wiki\/Sin_tax\">sin tax<\/a>&#8220;. Examples include the\u00a0<a class=\"mw-redirect\" title=\"Tobacco tax\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tobacco_tax\">taxation of tobacco products<\/a>\u00a0in the U.S. and New Zealand,<sup id=\"cite_ref-18\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-18\">[18]<\/a><\/sup>\u00a0and\u00a0<a title=\"Sugary drink tax\" href=\"https:\/\/en.wikipedia.org\/wiki\/Sugary_drink_tax\">sugared drinks<\/a>\u00a0in the UK.<sup id=\"cite_ref-19\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-19\">[19]<\/a><\/sup><\/p>\n<h2><span id=\"Evaluating_efficacy\" class=\"mw-headline\">Evaluating efficacy<\/span><\/h2>\n<p>Evaluating and predicting the efficacy of a public health intervention, as well as calculating\u00a0<a title=\"Cost-effectiveness analysis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cost-effectiveness_analysis\">cost effectiveness<\/a>, is essential. An intervention should ideally lower\u00a0<a title=\"Disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Disease\">morbidity<\/a>\u00a0and\u00a0<a title=\"Mortality rate\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mortality_rate\">mortality<\/a>. Several systematic protocols exist to assist developing such interventions, such as\u00a0<a class=\"mw-redirect\" title=\"Intervention Mapping\" href=\"https:\/\/en.wikipedia.org\/wiki\/Intervention_Mapping\">Intervention Mapping<\/a>.<sup id=\"cite_ref-im_book_20-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention#cite_note-im_book-20\">[20]<\/a><\/sup><\/p>\n<h1 id=\"firstHeading\" class=\"firstHeading\" lang=\"en\">Screening<\/h1>\n<p><b>Screening<\/b>, in medicine, is a strategy used to look for as-yet-unrecognised conditions or risk markers.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#cite_note-1\">[1]<\/a><\/sup><sup id=\"cite_ref-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#cite_note-2\">[2]<\/a><\/sup><sup id=\"cite_ref-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#cite_note-3\">[3]<\/a><\/sup>\u00a0This testing can be applied to individuals or to a whole\u00a0<a title=\"Population\" href=\"https:\/\/en.wikipedia.org\/wiki\/Population\">population<\/a>. The people tested may not exhibit any signs or symptoms of a disease, or they might exhibit only one or two symptoms, which by themselves do not indicate a definitive diagnosis.<\/p>\n<p>Screening\u00a0<a title=\"Public health intervention\" href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention\">interventions<\/a>\u00a0are designed to identify conditions which could at some future point turn into disease, thus enabling earlier intervention and management in the hope to reduce mortality and suffering from a disease. Although screening may lead to an earlier diagnosis, not all screening tests have been shown to benefit the person being screened;\u00a0<a title=\"Overdiagnosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Overdiagnosis\">overdiagnosis<\/a>,\u00a0<a class=\"mw-redirect\" title=\"Misdiagnosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Misdiagnosis\">misdiagnosis<\/a>, and creating a false sense of security are some potential\u00a0<a class=\"mw-redirect\" title=\"Adverse effect (medicine)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Adverse_effect_(medicine)\">adverse effects<\/a>\u00a0of screening. Additionally, some screening tests can be inappropriately overused.<sup id=\"cite_ref-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#cite_note-4\">[4]<\/a><\/sup><sup id=\"cite_ref-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#cite_note-5\">[5]<\/a><\/sup>\u00a0For these reasons, a test used in a screening program, especially for a disease with low\u00a0<a title=\"Incidence (epidemiology)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Incidence_(epidemiology)\">incidence<\/a>, must have good\u00a0<a class=\"mw-redirect\" title=\"Sensitivity (tests)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Sensitivity_(tests)\">sensitivity<\/a>\u00a0in addition to acceptable\u00a0<a class=\"mw-redirect\" title=\"Specificity (tests)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Specificity_(tests)\">specificity<\/a>.<sup id=\"cite_ref-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#cite_note-6\">[6]<\/a><\/sup><\/p>\n<p>Several types of screening exist:\u00a0<b>universal screening<\/b>\u00a0involves screening of all individuals in a certain category (for example, all children of a certain age).\u00a0<b>Case finding<\/b>\u00a0involves screening a smaller group of people based on the presence of risk factors (for example, because a family member has been diagnosed with a hereditary disease). Screening interventions are not designed to be diagnostic, and often have significant rates of both\u00a0<a class=\"mw-redirect\" title=\"False positive\" href=\"https:\/\/en.wikipedia.org\/wiki\/False_positive\">false positive<\/a>\u00a0and\u00a0<a class=\"mw-redirect\" title=\"False negative\" href=\"https:\/\/en.wikipedia.org\/wiki\/False_negative\">false negative<\/a>\u00a0results.<\/p>\n<p>Frequently updated recommendations for screening are provided by the independent panel of experts, the\u00a0<a title=\"United States Preventive Services Task Force\" href=\"https:\/\/en.wikipedia.org\/wiki\/United_States_Preventive_Services_Task_Force\">United States Preventive Services Task Force<\/a>.<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#cite_note-7\">[7]<\/a><\/sup><\/p>\n<p>&nbsp;<\/p>\n<h3><span id=\"Common_programs\" class=\"mw-headline\">Common programs<\/span><\/h3>\n<p>In many countries there are population-based screening programmes. In some countries, such as the UK, policy is made nationally and programmes are delivered nationwide to uniform quality standards. Common screening programmes include:<\/p>\n<ul>\n<li><a title=\"Cancer screening\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cancer_screening\">Cancer screening<\/a>\n<ul>\n<li><a class=\"mw-redirect\" title=\"Pap smear\" href=\"https:\/\/en.wikipedia.org\/wiki\/Pap_smear\">Pap smear<\/a>\u00a0or\u00a0<a title=\"Liquid-based cytology\" href=\"https:\/\/en.wikipedia.org\/wiki\/Liquid-based_cytology\">liquid-based cytology<\/a>\u00a0to detect potentially precancerous lesions and prevent\u00a0<a title=\"Cervical cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cervical_cancer\">cervical cancer<\/a><\/li>\n<li><a title=\"Mammography\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mammography\">Mammography<\/a>\u00a0to detect\u00a0<a title=\"Breast cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Breast_cancer\">breast cancer<\/a><\/li>\n<li><a title=\"Colonoscopy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Colonoscopy\">Colonoscopy<\/a>\u00a0and\u00a0<a title=\"Fecal occult blood\" href=\"https:\/\/en.wikipedia.org\/wiki\/Fecal_occult_blood\">fecal occult blood<\/a>\u00a0test to detect\u00a0<a title=\"Colorectal cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Colorectal_cancer\">colorectal cancer<\/a><\/li>\n<li>Dermatological check to detect\u00a0<a title=\"Melanoma\" href=\"https:\/\/en.wikipedia.org\/wiki\/Melanoma\">melanoma<\/a><\/li>\n<li><a title=\"Prostate-specific antigen\" href=\"https:\/\/en.wikipedia.org\/wiki\/Prostate-specific_antigen\">PSA<\/a>\u00a0to detect prostate cancer<\/li>\n<\/ul>\n<\/li>\n<li><a title=\"Mantoux test\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mantoux_test\">PPD test<\/a>\u00a0to screen for exposure to\u00a0<a title=\"Tuberculosis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tuberculosis\">tuberculosis<\/a><\/li>\n<li><a title=\"Beck Depression Inventory\" href=\"https:\/\/en.wikipedia.org\/wiki\/Beck_Depression_Inventory\">Beck Depression Inventory<\/a>\u00a0to screen for\u00a0<a class=\"mw-redirect\" title=\"Clinical depression\" href=\"https:\/\/en.wikipedia.org\/wiki\/Clinical_depression\">depression<\/a><\/li>\n<li><a title=\"Social Phobia and Anxiety Inventory-Brief form\" href=\"https:\/\/en.wikipedia.org\/wiki\/Social_Phobia_and_Anxiety_Inventory-Brief_form\">SPAI-B<\/a>, the\u00a0<a class=\"mw-redirect\" title=\"Liebowitz Social Anxiety Scale\" href=\"https:\/\/en.wikipedia.org\/wiki\/Liebowitz_Social_Anxiety_Scale\">Liebowitz Social Anxiety Scale<\/a>\u00a0and\u00a0<a title=\"Social Phobia Inventory\" href=\"https:\/\/en.wikipedia.org\/wiki\/Social_Phobia_Inventory\">Social Phobia Inventory<\/a>\u00a0to screen for\u00a0<a title=\"Social anxiety disorder\" href=\"https:\/\/en.wikipedia.org\/wiki\/Social_anxiety_disorder\">social anxiety disorder<\/a><\/li>\n<li><a title=\"Alpha-fetoprotein\" href=\"https:\/\/en.wikipedia.org\/wiki\/Alpha-fetoprotein\">Alpha-fetoprotein<\/a>,\u00a0<a class=\"mw-redirect\" title=\"Blood tests\" href=\"https:\/\/en.wikipedia.org\/wiki\/Blood_tests\">blood tests<\/a>\u00a0and\u00a0<a class=\"mw-redirect\" title=\"Ultrasound scan\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ultrasound_scan\">ultrasound scans<\/a>\u00a0for pregnant women to detect fetal abnormalities<\/li>\n<li><a class=\"mw-redirect\" title=\"Bitewing\" href=\"https:\/\/en.wikipedia.org\/wiki\/Bitewing\">Bitewing<\/a>\u00a0radiographs to screen for interproximal\u00a0<a class=\"mw-redirect\" title=\"Dental caries\" href=\"https:\/\/en.wikipedia.org\/wiki\/Dental_caries\">dental caries<\/a><\/li>\n<li><a title=\"Ophthalmoscopy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ophthalmoscopy\">Ophthalmoscopy<\/a>\u00a0or\u00a0<a title=\"Fundus photography\" href=\"https:\/\/en.wikipedia.org\/wiki\/Fundus_photography\">digital photography<\/a>\u00a0and image grading for\u00a0<a title=\"Diabetic retinopathy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Diabetic_retinopathy\">diabetic retinopathy<\/a><\/li>\n<li><a class=\"mw-redirect\" title=\"Ultrasound scan\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ultrasound_scan\">Ultrasound scan<\/a>\u00a0for\u00a0<a title=\"Abdominal aortic aneurysm\" href=\"https:\/\/en.wikipedia.org\/wiki\/Abdominal_aortic_aneurysm\">abdominal aortic aneurysm<\/a><\/li>\n<li><a title=\"Screening of potential sperm bank donors\" href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_of_potential_sperm_bank_donors\">Screening of potential sperm bank donors<\/a><\/li>\n<li>Screening for\u00a0<a title=\"Metabolic syndrome\" href=\"https:\/\/en.wikipedia.org\/wiki\/Metabolic_syndrome\">metabolic syndrome<\/a><\/li>\n<li>Screening for potential hearing loss in newborns<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h1 id=\"firstHeading\" class=\"firstHeading\" lang=\"en\">Vaccination<\/h1>\n<div id=\"bodyContent\" class=\"mw-body-content\">\n<p>&nbsp;<\/p>\n<div id=\"mw-content-text\" class=\"mw-content-ltr\" dir=\"ltr\" lang=\"en\">\n<div class=\"mw-parser-output\">\n<table class=\"infobox\">\n<tbody>\n<tr>\n<th colspan=\"2\">Vaccinations<\/th>\n<\/tr>\n<tr>\n<td colspan=\"2\"><a class=\"image\" href=\"https:\/\/en.wikipedia.org\/wiki\/File:Young_girl_about_to_receive_a_vaccine_in_her_upper_arm_(48545990252).jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/thumb\/3\/30\/Young_girl_about_to_receive_a_vaccine_in_her_upper_arm_%2848545990252%29.jpg\/280px-Young_girl_about_to_receive_a_vaccine_in_her_upper_arm_%2848545990252%29.jpg\" alt=\"Young girl about to receive a vaccine in her upper arm (48545990252).jpg\" width=\"280\" height=\"373\" \/><\/a><\/p>\n<div>Girl about to be vaccinated in her upper arm<\/div>\n<\/td>\n<\/tr>\n<tr>\n<th scope=\"row\"><\/th>\n<td><\/td>\n<\/tr>\n<tr class=\"noprint\">\n<td colspan=\"2\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><b>Vaccination<\/b>\u00a0is the administration of a\u00a0<a title=\"Vaccine\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccine\">vaccine<\/a>\u00a0to help the\u00a0<a title=\"Immune system\" href=\"https:\/\/en.wikipedia.org\/wiki\/Immune_system\">immune system<\/a>\u00a0develop protection from a\u00a0<a title=\"Disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Disease\">disease<\/a>. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins or toxins from the organism. In stimulating the body&#8217;s\u00a0<a title=\"Adaptive immune system\" href=\"https:\/\/en.wikipedia.org\/wiki\/Adaptive_immune_system\">adaptive immunity<\/a>, they help prevent sickness from an\u00a0<a class=\"mw-redirect\" title=\"Infectious disease\" href=\"https:\/\/en.wikipedia.org\/wiki\/Infectious_disease\">infectious disease<\/a>. When a sufficiently large percentage of a population has been vaccinated,\u00a0<a title=\"Herd immunity\" href=\"https:\/\/en.wikipedia.org\/wiki\/Herd_immunity\">herd immunity<\/a>\u00a0results. Herd immunity protects those who may be immunocompromised and cannot get a vaccine because even a weakened version would harm them.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-1\">[1]<\/a><\/sup>\u00a0The effectiveness of vaccination has been widely studied and verified.<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-2\">[2]<\/a><\/sup><sup id=\"cite_ref-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-3\">[3]<\/a><\/sup><sup id=\"cite_ref-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-4\">[4]<\/a><\/sup>\u00a0Vaccination is the most effective method of preventing infectious diseases;<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-5\">[5]<\/a><\/sup><sup id=\"cite_ref-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-6\">[6]<\/a><\/sup><sup id=\"cite_ref-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-7\">[7]<\/a><\/sup><sup id=\"cite_ref-8\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-8\">[8]<\/a><\/sup>\u00a0widespread immunity due to vaccination is largely responsible for the\u00a0<a title=\"Eradication of infectious diseases\" href=\"https:\/\/en.wikipedia.org\/wiki\/Eradication_of_infectious_diseases\">worldwide eradication<\/a>\u00a0of\u00a0<a title=\"Smallpox\" href=\"https:\/\/en.wikipedia.org\/wiki\/Smallpox\">smallpox<\/a>\u00a0and the elimination of diseases such as\u00a0<a title=\"Polio\" href=\"https:\/\/en.wikipedia.org\/wiki\/Polio\">polio<\/a>\u00a0and\u00a0<a title=\"Tetanus\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tetanus\">tetanus<\/a>\u00a0from much of the world. However, some diseases, such as\u00a0<a title=\"2019 Pacific Northwest measles outbreak\" href=\"https:\/\/en.wikipedia.org\/wiki\/2019_Pacific_Northwest_measles_outbreak\">measles outbreaks<\/a>\u00a0in America, have seen rising cases due to relatively low vaccination rates in the 2010s &#8211; attributed, in part, to\u00a0<a title=\"Vaccine hesitancy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccine_hesitancy\">vaccine hesitancy<\/a>.<sup id=\"cite_ref-9\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-9\">[9]<\/a><\/sup><\/p>\n<p>The first disease people tried to prevent by\u00a0<a title=\"Inoculation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Inoculation\">inoculation<\/a>\u00a0was most likely smallpox, with the first recorded use of\u00a0<a title=\"Variolation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Variolation\">variolation<\/a>\u00a0occurring in the 16th century in\u00a0<a title=\"China\" href=\"https:\/\/en.wikipedia.org\/wiki\/China\">China<\/a>.<sup id=\"cite_ref-FOOTNOTEWilliams201060_10-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-FOOTNOTEWilliams201060-10\">[10]<\/a><\/sup>\u00a0It was also the first disease for which a vaccine was produced.<sup id=\"cite_ref-pmid17633292_11-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-pmid17633292-11\">[11]<\/a><\/sup><sup id=\"cite_ref-pmid6319980_12-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-pmid6319980-12\">[12]<\/a><\/sup>\u00a0Although at least six people had used the same principles years earlier, the\u00a0<a title=\"Smallpox vaccine\" href=\"https:\/\/en.wikipedia.org\/wiki\/Smallpox_vaccine\">smallpox vaccine<\/a>\u00a0was invented in 1796 by English physician\u00a0<a title=\"Edward Jenner\" href=\"https:\/\/en.wikipedia.org\/wiki\/Edward_Jenner\">Edward Jenner<\/a>. He was the first to publish evidence that it was effective and to provide advice on its production.<sup id=\"cite_ref-Sudhoffs_13-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-Sudhoffs-13\">[13]<\/a><\/sup>\u00a0<a title=\"Louis Pasteur\" href=\"https:\/\/en.wikipedia.org\/wiki\/Louis_Pasteur\">Louis Pasteur<\/a>\u00a0furthered the concept through his work in microbiology. The immunization was called\u00a0<i>vaccination<\/i>\u00a0because it was derived from a virus affecting\u00a0<a class=\"mw-redirect\" title=\"Cow\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cow\">cows<\/a>\u00a0(<a class=\"mw-redirect\" title=\"Latin language\" href=\"https:\/\/en.wikipedia.org\/wiki\/Latin_language\">Latin<\/a>:\u00a0<i>vacca<\/i>\u00a0&#8216;cow&#8217;).<sup id=\"cite_ref-pmid17633292_11-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-pmid17633292-11\">[11]<\/a><\/sup><sup id=\"cite_ref-Sudhoffs_13-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-Sudhoffs-13\">[13]<\/a><\/sup>\u00a0Smallpox was a contagious and deadly disease, causing the deaths of 20\u201360% of infected adults and over 80% of infected children.<sup id=\"cite_ref-14\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-14\">[14]<\/a><\/sup>\u00a0When smallpox was finally eradicated in 1979, it had already killed an estimated 300\u2013500 million people in the 20th century.<sup id=\"cite_ref-15\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-15\">[15]<\/a><\/sup><sup id=\"cite_ref-16\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-16\">[16]<\/a><\/sup><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-17\">[17]<\/a><\/sup><\/p>\n<p><i>Vaccination<\/i>\u00a0and\u00a0<i>immunization<\/i>\u00a0have a similar meaning in everyday language. This is distinct from inoculation, which uses unweakened live pathogens. Vaccination efforts have been met with\u00a0<a class=\"mw-redirect\" title=\"Vaccine controversy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccine_controversy\">some reluctance<\/a>\u00a0on scientific, ethical, political, medical safety, and religious grounds, although no major religions oppose vaccination, and some consider it an obligation due to the potential to save lives.<sup id=\"cite_ref-nyt19_18-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-nyt19-18\">[18]<\/a><\/sup>\u00a0In the United States, people may receive compensation for alleged injuries under the\u00a0<a title=\"National Vaccine Injury Compensation Program\" href=\"https:\/\/en.wikipedia.org\/wiki\/National_Vaccine_Injury_Compensation_Program\">National Vaccine Injury Compensation Program<\/a>. Early success brought widespread acceptance, and mass vaccination campaigns have greatly reduced the incidence of many diseases in numerous geographic regions.<\/p>\n<h4><span id=\"Vaccination_and_autism\" class=\"mw-headline\">Vaccination and autism<\/span><\/h4>\n<p>The notion of a connection between vaccines and autism originated in a 1998 paper published in\u00a0<i><a title=\"The Lancet\" href=\"https:\/\/en.wikipedia.org\/wiki\/The_Lancet\">The Lancet<\/a><\/i>\u00a0whose lead author was the physician\u00a0<a title=\"Andrew Wakefield\" href=\"https:\/\/en.wikipedia.org\/wiki\/Andrew_Wakefield\">Andrew Wakefield<\/a>. His study concluded that eight of the 12 patients (ages 3\u201310) developed behavioral symptoms consistent with autism following the\u00a0<a title=\"MMR vaccine\" href=\"https:\/\/en.wikipedia.org\/wiki\/MMR_vaccine\">MMR vaccine<\/a>\u00a0(an immunization against\u00a0<a title=\"Measles\" href=\"https:\/\/en.wikipedia.org\/wiki\/Measles\">measles<\/a>,\u00a0<a title=\"Mumps\" href=\"https:\/\/en.wikipedia.org\/wiki\/Mumps\">mumps<\/a>, and\u00a0<a title=\"Rubella\" href=\"https:\/\/en.wikipedia.org\/wiki\/Rubella\">rubella<\/a>).<sup id=\"cite_ref-Wakefield_111-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-Wakefield-111\">[111]<\/a><\/sup>\u00a0The article was widely criticized for lack of scientific rigor and it was proven that Wakefield falsified data in the article.<sup id=\"cite_ref-Wakefield_111-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-Wakefield-111\">[111]<\/a><\/sup>\u00a0In 2004, 10 of the original 12 co-authors (not including Wakefield) published a retraction of the article and stated the following: &#8220;We wish to make it clear that in this paper no causal link was established between MMR vaccine and autism as the data were insufficient.&#8221;<sup id=\"cite_ref-112\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-112\">[112]<\/a><\/sup>\u00a0In 2010,\u00a0<i>The Lancet<\/i>\u00a0officially retracted the article stating that several elements of the article were incorrect, including falsified data and protocols. This\u00a0<i>Lancet<\/i>\u00a0article has sparked a much greater anti-vaccination movement, particularly in the United States. Even though the article was fraudulent and was retracted, 1 in 4 parents still believe vaccines can cause autism.<sup id=\"cite_ref-113\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-113\">[113]<\/a><\/sup><\/p>\n<p>To date, all validated and definitive studies have shown that there is no correlation between\u00a0<a title=\"Vaccines and autism\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccines_and_autism\">vaccines and autism<\/a>.<sup id=\"cite_ref-114\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-114\">[114]<\/a><\/sup>\u00a0One of the studies published in 2015 confirms there is no link between autism and the MMR vaccine. Infants were given a health plan, that included an MMR vaccine, and were continuously studied until they reached 5 years old. There was no link between the vaccine and children who had a normally developed sibling or a sibling that had autism making them a higher risk for developing autism themselves.<sup id=\"cite_ref-115\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-115\">[115]<\/a><\/sup><\/p>\n<p>It can be difficult to correct the memory of humans when wrong information is received prior to correct information. Even though there is much evidence to go against the Wakefield study and most of the co-authors publishing retractions, many continue to believe and base decisions off of it as it still lingers in their memory. Studies and research are being conducted to determine effective ways to correct misinformation in the\u00a0<a class=\"mw-redirect\" title=\"Public memory\" href=\"https:\/\/en.wikipedia.org\/wiki\/Public_memory\">public memory<\/a>.<sup id=\"cite_ref-116\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#cite_note-116\">[116]<\/a><\/sup>\u00a0Since the Wakefield study was released over 20 years ago, it may prove easier for newer generations to be properly educated on vaccinations. A very small percentage of people have adverse reactions to vaccines, and if there is a reaction it is often mild. These reactions do not include autism.<\/p>\n<h1 id=\"firstHeading\" class=\"firstHeading\" lang=\"en\">Skin cancer<\/h1>\n<p><b>Skin cancers<\/b>\u00a0are\u00a0<a title=\"Cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cancer\">cancers<\/a>\u00a0that arise from the\u00a0<a title=\"Skin\" href=\"https:\/\/en.wikipedia.org\/wiki\/Skin\">skin<\/a>. They are due to the development of abnormal\u00a0<a class=\"mw-redirect\" title=\"Cells (biology)\" href=\"https:\/\/en.wikipedia.org\/wiki\/Cells_(biology)\">cells<\/a>\u00a0that have the ability to invade or\u00a0<a title=\"Metastasis\" href=\"https:\/\/en.wikipedia.org\/wiki\/Metastasis\">spread<\/a>\u00a0to other parts of the body.<sup id=\"cite_ref-10\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-10\">[10]<\/a><\/sup>\u00a0There are three main types of skin cancers:\u00a0<a class=\"mw-redirect\" title=\"Basal-cell skin cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Basal-cell_skin_cancer\">basal-cell skin cancer<\/a>\u00a0(BCC),\u00a0<a class=\"mw-redirect\" title=\"Squamous-cell skin cancer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Squamous-cell_skin_cancer\">squamous-cell skin cancer<\/a>\u00a0(SCC) and\u00a0<a title=\"Melanoma\" href=\"https:\/\/en.wikipedia.org\/wiki\/Melanoma\">melanoma<\/a>.<sup id=\"cite_ref-NCI2013TxPro_1-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-NCI2013TxPro-1\">[1]<\/a><\/sup>\u00a0The first two, along with a number of less common skin cancers, are known as nonmelanoma skin cancer (NMSC).<sup id=\"cite_ref-Cak2012_5-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Cak2012-5\">[5]<\/a><\/sup><sup id=\"cite_ref-ABC2008_11-0\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-ABC2008-11\">[11]<\/a><\/sup>\u00a0Basal-cell cancer grows slowly and can damage the tissue around it but is unlikely to spread to distant areas or result in death.<sup id=\"cite_ref-Cak2012_5-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Cak2012-5\">[5]<\/a><\/sup>\u00a0It often appears as a painless raised area of skin that may be shiny with\u00a0<a title=\"Telangiectasia\" href=\"https:\/\/en.wikipedia.org\/wiki\/Telangiectasia\">small blood vessels running over it<\/a>\u00a0or may present as a raised area with an\u00a0<a title=\"Ulcer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ulcer\">ulcer<\/a>.<sup id=\"cite_ref-NCI2013TxPro_1-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-NCI2013TxPro-1\">[1]<\/a><\/sup>\u00a0Squamous-cell skin cancer is more likely to spread.<sup id=\"cite_ref-Cak2012_5-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Cak2012-5\">[5]<\/a><\/sup>\u00a0It usually presents as a hard lump with a scaly top but may also form an ulcer.<sup id=\"cite_ref-Lyn2011_2-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Lyn2011-2\">[2]<\/a><\/sup>\u00a0Melanomas are the most aggressive. Signs include a\u00a0<a title=\"Melanocytic nevus\" href=\"https:\/\/en.wikipedia.org\/wiki\/Melanocytic_nevus\">mole<\/a>\u00a0that has changed in size, shape, color, has irregular edges, has more than one color, is itchy or bleeds.<sup id=\"cite_ref-Mel2014_3-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Mel2014-3\">[3]<\/a><\/sup><\/p>\n<p>More than 90% of cases are caused by exposure to\u00a0<a class=\"mw-redirect\" title=\"Ultraviolet radiation\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ultraviolet_radiation\">ultraviolet radiation<\/a>\u00a0from the\u00a0<a title=\"Sun\" href=\"https:\/\/en.wikipedia.org\/wiki\/Sun\">Sun<\/a>.<sup id=\"cite_ref-UV2010_4-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-UV2010-4\">[4]<\/a><\/sup>\u00a0This exposure increases the risk of all three main types of skin cancer.<sup id=\"cite_ref-UV2010_4-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-UV2010-4\">[4]<\/a><\/sup>\u00a0Exposure has increased, partly due to a thinner\u00a0<a title=\"Ozone layer\" href=\"https:\/\/en.wikipedia.org\/wiki\/Ozone_layer\">ozone layer<\/a>.<sup id=\"cite_ref-Cak2012_5-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Cak2012-5\">[5]<\/a><\/sup><sup id=\"cite_ref-12\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-12\">[12]<\/a><\/sup>\u00a0<a class=\"mw-redirect\" title=\"Tanning beds\" href=\"https:\/\/en.wikipedia.org\/wiki\/Tanning_beds\">Tanning beds<\/a>\u00a0are another common source of ultraviolet radiation.<sup id=\"cite_ref-UV2010_4-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-UV2010-4\">[4]<\/a><\/sup>\u00a0For melanomas and basal-cell cancers, exposure during childhood is particularly harmful.<sup id=\"cite_ref-WCR2014_6-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-WCR2014-6\">[6]<\/a><\/sup>\u00a0For squamous-cell skin cancers, total exposure, irrespective of when it occurs, is more important.<sup id=\"cite_ref-UV2010_4-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-UV2010-4\">[4]<\/a><\/sup>\u00a0Between 20% and 30% of melanomas develop from moles.<sup id=\"cite_ref-WCR2014_6-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-WCR2014-6\">[6]<\/a><\/sup>\u00a0People with lighter skin are at higher risk<sup id=\"cite_ref-NCI2013TxPro_1-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-NCI2013TxPro-1\">[1]<\/a><\/sup><sup id=\"cite_ref-13\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-13\">[13]<\/a><\/sup>\u00a0as are those with poor immune function such as from medications or\u00a0<a title=\"HIV\/AIDS\" href=\"https:\/\/en.wikipedia.org\/wiki\/HIV\/AIDS\">HIV\/AIDS<\/a>.<sup id=\"cite_ref-Cak2012_5-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Cak2012-5\">[5]<\/a><\/sup><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-14\">[14]<\/a><\/sup>\u00a0Diagnosis is by\u00a0<a title=\"Biopsy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Biopsy\">biopsy<\/a>.<sup id=\"cite_ref-Mel2014_3-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Mel2014-3\">[3]<\/a><\/sup><\/p>\n<p>Decreasing exposure to ultraviolet radiation and the use of\u00a0<a title=\"Sunscreen\" href=\"https:\/\/en.wikipedia.org\/wiki\/Sunscreen\">sunscreen<\/a>\u00a0appear to be effective methods of preventing melanoma and squamous-cell skin cancer.<sup id=\"cite_ref-WCR2014_6-3\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-WCR2014-6\">[6]<\/a><\/sup><sup id=\"cite_ref-Jou2012_7-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Jou2012-7\">[7]<\/a><\/sup>\u00a0It is not clear if sunscreen affects the risk of basal-cell cancer.<sup id=\"cite_ref-Jou2012_7-2\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Jou2012-7\">[7]<\/a><\/sup>\u00a0Nonmelanoma skin cancer is usually curable.<sup id=\"cite_ref-Cak2012_5-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Cak2012-5\">[5]<\/a><\/sup>\u00a0Treatment is generally by surgical removal but may, less commonly, involve\u00a0<a title=\"Radiation therapy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Radiation_therapy\">radiation therapy<\/a>\u00a0or topical medications such as\u00a0<a title=\"Fluorouracil\" href=\"https:\/\/en.wikipedia.org\/wiki\/Fluorouracil\">fluorouracil<\/a>.<sup id=\"cite_ref-NCI2013TxPro_1-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-NCI2013TxPro-1\">[1]<\/a><\/sup>\u00a0Immunotherapy might be the only hope for individuals with multiple malignancies such as Xeroderma Pigmentosum and Gorlin syndrome.<sup id=\"cite_ref-15\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-15\">[15]<\/a><\/sup>\u00a0Treatment of melanoma may involve some combination of surgery,\u00a0<a title=\"Chemotherapy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Chemotherapy\">chemotherapy<\/a>,\u00a0<a title=\"Radiation therapy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Radiation_therapy\">radiation therapy<\/a>\u00a0and\u00a0<a title=\"Targeted therapy\" href=\"https:\/\/en.wikipedia.org\/wiki\/Targeted_therapy\">targeted therapy<\/a>.<sup id=\"cite_ref-Mel2014_3-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Mel2014-3\">[3]<\/a><\/sup>\u00a0In those people whose disease has spread to other areas of the body,\u00a0<a title=\"Palliative care\" href=\"https:\/\/en.wikipedia.org\/wiki\/Palliative_care\">palliative care<\/a>\u00a0may be used to improve quality of life.<sup id=\"cite_ref-Mel2014_3-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Mel2014-3\">[3]<\/a><\/sup>\u00a0Melanoma has one of the higher survival rates among cancers, with over 86% of people in the UK and more than 90% in the United States\u00a0<a title=\"Five-year survival rate\" href=\"https:\/\/en.wikipedia.org\/wiki\/Five-year_survival_rate\">surviving more than 5 years<\/a>.<sup id=\"cite_ref-16\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-16\">[16]<\/a><\/sup><sup id=\"cite_ref-17\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-17\">[17]<\/a><\/sup><\/p>\n<p>Skin cancer is the most common form of cancer, globally accounting for at least 40% of cancer cases.<sup id=\"cite_ref-Cak2012_5-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Cak2012-5\">[5]<\/a><\/sup><sup id=\"cite_ref-18\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-18\">[18]<\/a><\/sup>\u00a0The most common type is nonmelanoma skin cancer, which occurs in at least 2\u20133 million people per year.<sup id=\"cite_ref-WCR2014_6-4\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-WCR2014-6\">[6]<\/a><\/sup><sup id=\"cite_ref-19\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-19\">[19]<\/a><\/sup>\u00a0This is a rough estimate, however, as good statistics are not kept.<sup id=\"cite_ref-NCI2013TxPro_1-8\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-NCI2013TxPro-1\">[1]<\/a><\/sup>\u00a0Of nonmelanoma skin cancers, about 80% are basal-cell cancers and 20% squamous-cell skin cancers.<sup id=\"cite_ref-ABC2008_11-1\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-ABC2008-11\">[11]<\/a><\/sup>\u00a0Basal-cell and squamous-cell skin cancers rarely result in death.<sup id=\"cite_ref-WCR2014_6-5\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-WCR2014-6\">[6]<\/a><\/sup>\u00a0In the United States, they were the cause of less than 0.1% of all cancer deaths.<sup id=\"cite_ref-NCI2013TxPro_1-9\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-NCI2013TxPro-1\">[1]<\/a><\/sup>\u00a0Globally in 2012, melanoma occurred in 232,000 people and resulted in 55,000 deaths.<sup id=\"cite_ref-WCR2014_6-6\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-WCR2014-6\">[6]<\/a><\/sup>\u00a0White people in\u00a0<a title=\"Australia\" href=\"https:\/\/en.wikipedia.org\/wiki\/Australia\">Australia<\/a>,\u00a0<a title=\"New Zealand\" href=\"https:\/\/en.wikipedia.org\/wiki\/New_Zealand\">New Zealand<\/a>\u00a0and\u00a0<a title=\"South Africa\" href=\"https:\/\/en.wikipedia.org\/wiki\/South_Africa\">South Africa<\/a>\u00a0have the highest rates of melanoma in the world.<sup id=\"cite_ref-WCR2014_6-7\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-WCR2014-6\">[6]<\/a><\/sup><sup id=\"cite_ref-20\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-20\">[20]<\/a><\/sup>\u00a0The three main types of skin cancer have become more common in the last 20 to 40 years, especially in those areas with mostly White people.<sup id=\"cite_ref-Cak2012_5-8\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-Cak2012-5\">[5]<\/a><\/sup><sup id=\"cite_ref-WCR2014_6-8\" class=\"reference\"><a href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer#cite_note-WCR2014-6\">[6]<\/a><\/sup><\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\t\t\t <section class=\"citations-section\" role=\"contentinfo\">\n\t\t\t <h3>Candela Citations<\/h3>\n\t\t\t\t\t <div>\n\t\t\t\t\t\t <div id=\"citation-list-169\">\n\t\t\t\t\t\t\t <div class=\"licensing\"><div class=\"license-attribution-dropdown-subheading\">Public domain content<\/div><ul class=\"citation-list\"><li><strong>Located at<\/strong>: <a target=\"_blank\" href=\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#Types\">https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#Types<\/a>. <strong>License<\/strong>: <em><a target=\"_blank\" rel=\"license\" href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\">CC BY-SA: Attribution-ShareAlike<\/a><\/em><\/li><li><strong>Located at<\/strong>: <a target=\"_blank\" href=\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention\">https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention<\/a>. <strong>License<\/strong>: <em><a target=\"_blank\" rel=\"license\" href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\">CC BY-SA: Attribution-ShareAlike<\/a><\/em><\/li><li><strong>Located at<\/strong>: <a target=\"_blank\" href=\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#United_States\">https:\/\/en.wikipedia.org\/wiki\/Vaccination#United_States<\/a>. <strong>License<\/strong>: <em><a target=\"_blank\" rel=\"license\" href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\">CC BY-SA: Attribution-ShareAlike<\/a><\/em><\/li><li>Skin Cancer. <strong>Located at<\/strong>: <a target=\"_blank\" href=\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer\">https:\/\/en.wikipedia.org\/wiki\/Skin_cancer<\/a>. <strong>License<\/strong>: <em><a target=\"_blank\" rel=\"license\" href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\">CC BY-SA: Attribution-ShareAlike<\/a><\/em><\/li><\/ul><\/div>\n\t\t\t\t\t\t <\/div>\n\t\t\t\t\t <\/div>\n\t\t\t <\/section>","protected":false},"author":142337,"menu_order":6,"template":"","meta":{"_candela_citation":"[{\"type\":\"pd\",\"description\":\"\",\"author\":\"\",\"organization\":\"\",\"url\":\"https:\/\/en.wikipedia.org\/wiki\/Screening_(medicine)#Types\",\"project\":\"\",\"license\":\"cc-by-sa\",\"license_terms\":\"\"},{\"type\":\"pd\",\"description\":\"\",\"author\":\"\",\"organization\":\"\",\"url\":\"https:\/\/en.wikipedia.org\/wiki\/Public_health_intervention\",\"project\":\"\",\"license\":\"cc-by-sa\",\"license_terms\":\"\"},{\"type\":\"pd\",\"description\":\"\",\"author\":\"\",\"organization\":\"\",\"url\":\"https:\/\/en.wikipedia.org\/wiki\/Vaccination#United_States\",\"project\":\"\",\"license\":\"cc-by-sa\",\"license_terms\":\"\"},{\"type\":\"pd\",\"description\":\"Skin Cancer\",\"author\":\"\",\"organization\":\"\",\"url\":\"https:\/\/en.wikipedia.org\/wiki\/Skin_cancer\",\"project\":\"\",\"license\":\"cc-by-sa\",\"license_terms\":\"\"}]","CANDELA_OUTCOMES_GUID":"","pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-169","chapter","type-chapter","status-publish","hentry"],"part":89,"_links":{"self":[{"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/pressbooks\/v2\/chapters\/169","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/wp\/v2\/users\/142337"}],"version-history":[{"count":5,"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/pressbooks\/v2\/chapters\/169\/revisions"}],"predecessor-version":[{"id":174,"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/pressbooks\/v2\/chapters\/169\/revisions\/174"}],"part":[{"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/pressbooks\/v2\/parts\/89"}],"metadata":[{"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/pressbooks\/v2\/chapters\/169\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/wp\/v2\/media?parent=169"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/pressbooks\/v2\/chapter-type?post=169"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/wp\/v2\/contributor?post=169"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/suny-hvcc-healthpsychology\/wp-json\/wp\/v2\/license?post=169"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}