Debated in Parliament on 11 Feb 2019.
Ms Joan Pereira asked the Minister for Health in light of more skin cancer patients under the age of 50 (a) what is being done to protect soldiers and students exposed to long hours under the sun; and (b) whether there are studies done to monitor these groups of persons as they advance to their 30s and 40s and who may fall victim to skin cancer because of their exposure to ultraviolet light.
Skin cancer was the 9th most common cancer among Singaporeans from 2013-2017. Ten percent of cases were below 50 years old, although the incidence of new cases in this group increased from 1.2 to 2.7 per 100,000 persons from 1983-1987 to 2013-2017 respectively.
Studies have linked cumulative exposure to ultraviolet (UV) light with an increased risk of skin cancer. However, exposure to sunlight has health benefits as it is important for vitamin D formation and, hence, for healthy bone formation. Sufficient time outdoors can also help prevent or delay myopia in children.
Singapore Armed Forces soldiers are provided with Personal Protective Equipment, such as head gear and long-sleeved combat uniform, that protects them from sun exposure. Physical training conducted in sports attire and swimming kit are typically conducted in the early mornings or late afternoons when sunlight is less intense.
Likewise, in Ministry of Education schools, outdoor activities are generally conducted in the early mornings and late afternoons to minimise students' exposure to UV light. Frequent rest and water breaks under shade are incorporated into activities carried out during other parts of the day. Students are also taught to use sunscreen, broad-brimmed hats and caps, long-sleeved shirts and sunglasses to protect themselves against excessive UV exposure.
There are no known local studies regarding skin cancer among young persons as the incidence of skin cancer remains low in this group. Nevertheless, it is prudent that Singaporeans take measures to protect themselves from prolonged exposure to UV light and see a doctor early if they develop symptoms.