SCREEN 15 + SunSense. 4 to 6. Grades. The SunSense Program is created and distributed by:

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SCREEN 15 + SunSense Grades 4 to 6 The SunSense Program is created and distributed by: The material in this publication may be copied or reproduced without permission; however, the following citation must be used: Canadian Cancer Society (2015). SunSense program grades 4 to 6. 2015

SunSense Program Lesson Objectives The Canadian Cancer Society s SunSense program is designed to educate people of all ages about the dangers of the ultraviolet radiation (UV rays) and to encourage people to follow the Canadian Cancer Society s recommended SunSense guidelines. In order to keep participants thinking about sun safety past a single lesson, the SunSense UV bead bracelet activity is a part of the lesson plan. As a daily reminder of the presence of UV rays and the importance of using their SunSense, participants will be asked to wear their bracelets throughout the summer to keep reminding them to be safe while they are in the sun. It is recommended to keep the lesson plan to 20 minutes in order to keep the participants attention and focus. Activities are included in case you finish early. At the end of the lesson plan, students will learn: The importance of the sun. The damaging effects of the sun. What ultraviolet rays are and the UV index. The SunSense Guidelines. SCREEN 15 + Helpful Presentation Tips The lesson plans provided here are a suggested format to use. Please don t feel limited by these guidelines or that you need to include all the information in your lesson. Adapt the questions or wording to suit your teaching style and your audience in order to get the most out of the lesson and to form a better connection with students. Introduce yourself and explain to students that the lesson will take about 20 minutes and that they will get to take part in making a sun safety craft as well as doing other fun activities during the lesson. This lesson plan includes several questions in order to avoid lecturing students about what is right or wrong and to involve the kids as much as possible. This way, the information is coming from them and not solely from you. When asking questions, try to avoid yes or no answers and encourage the children to give more detailed explanations. If you don t get the answers that you are looking for, try rephrasing the question. Remember to use discretion based upon the age and maturity of the group. The information that is provided should be appropriate for most age groups If you require further information or have any questions please contact the Canadian Cancer Society toll-free at: 1-888-939-3333 or visit www.cancer.ca

. Grades 4 to 6 Lesson Plan The Importance of the Sun Q. What activities do you like to do in the summer? A. Swimming, camping, biking, going to the park. Lots of those activities are done outside in the sun. Q. What are some good things that the sun does? A. Provides light, warmth, energy, helps our plants grow and gives us Vitamin D. Q. What can happen if we get too much sun? A. You can get sunburn, heat stroke or a tan. Even a tan is considered skin damage and accumulating skin damage over time, especially as a child increases your chances of developing skin cancer, which is not a good thing. Q. There are three main types of skin cancer. Does anyone know what they are? A. Basal cell carcinoma, squamous cell carcinoma and melanoma. Q. Which cancer do you think is the most harmful? A. Basal cell and squamous cell skin cancer are the most common types of skin cancer but melanoma is the deadliest form of skin cancer Q. Do you know what part of the sun gives us skin damage? A. Ultraviolet (UV) Rays. Q. How do you know when the UV rays are strong? A. We cannot see or feel the UV rays. The UV Index is a scale from 0-11+ that tells us how strong the sun s rays are outside and what the UV Index is and what precautions we should take to protect ourselves in the sun. Q. Raise your hand if you checked to see what the temperature is today. A. Many hands will go up. Q. Keep your hand up if you check to see what the UV index is today. A. Few hands will remain up.

It is as important to know what the UV index is because just like you need to know what to wear for the temperature; you need to know what to wear for the UV rays. Explaining the UV Index (Teaching Aids: UV Index Poster, and current UV index for the day.) The UV Index is a scale from 0-11+ that tells us how strong the UV Index is and what precautions we should take to protect ourselves in the sun. If the UV Index reaches 3 or higher it s included in the weather forecast. In order to know what the UV Index is for the day, we should listen to the weather forecast on the radio, check the internet, or watch the weather channel. Once you know what the UV index is, you can look at this poster to remind yourself of how much protection you should take. Together with the kids, decide on the best spot for the poster to be displayed. Choose a spot where the kids and staff will be reminded of the UV index often. Hanging it on the door to the playground is one suggestion. Q. If the UV index is 3 or higher, what precautions should you take to protect yourself? A. See SunSense Guidelines. SunSense Guidelines The kids will say one of the options listed below, discuss the information then ask for another way to protect themselves. If they forget to mention one, tell them at the end. After all the guidelines have been discussed move onto the bracelet section. If you choose not to make the bracelets, move onto the conclusion. 1. SLIP on Protective Clothing (Teaching Aid: Different types of clothing.) Have volunteers put on the different type of clothing and make a mini fashion show to explain the proper type of clothing. Q. What is the best type of clothing to wear? Clothing with long sleeves and long pants. Can be loose fitting but with; Fabric that is tightly woven. Clothing with an Ultraviolet Protection Factor (UPF). Q. What is better at protecting you from UV rays; wet or dry clothing? A. Although it is a good idea to wear a shirt when you are swimming, when your clothing is dry it will protect you more than when your clothing is wet.

2. SLAP on A Wide-Brimmed Hat (Teaching Aid: Different types of hats, the child that says hat comes up and one other volunteer. One child wears a baseball cap and the other a bucket or sun hat.) Q. Why is the bucket/sun hat better than the baseball cap? A. The brim goes all the way around out head to protect your ears, back of your neck and also your eyes. These areas need extra protection. Q. Can hats have an added UPF like our clothing can have? A. Yes, you can also find hats with added UPF. Take a look the next time you are shopping. 3. SLOP on Sunscreen (Teaching Aid: Sunscreen bottle with an SPF 15+) Q. How long before going outdoors should you put your sunscreen on? A. You should put sunscreen on at least 20 minutes before going outside. Q. How often should you re-apply sunscreen? A. Read the label and follow the instructions for reapplying sunscreen, especially after swimming, exercising or sweating, it is usually at least every two hours or after you swim or sweat. Q. If you also need to wear insect repellant, which do you put on first? A. Put your sunscreen on first. This allows it to absorb into your skin properly. Try to avoid products that have both sunscreen and insect repellent as they don t work well together in the same product. Be sure to read and follow the instructions for use on both containers to make sure that each product is applied properly. Q. What is the minimum Sun Protection Factor (SPF) you should use? A. SPF 15 of higher for everyday use, SPF 30 if you are spending the day outside. Q. Did you know that sunscreen expires? How can you tell? A. Look for the expiration date on the bottle, tube, etc. (Pass out your bottle of sunscreen to a student and ask them to find the expiry date.) Q. What do you do if you have expired sunscreen? A. Throw out the old bottle and buy a new one, because it will not protect you as well once it has passed its expiration date. Q. Should you wear sunscreen in the winter? A. Yes. Remember it is not the heat that gives us sunburn but the UV rays which are invisible. The UV rays reflect off the snow. Most of your body is already covered but don t forget to put sunscreen on your face.

4. SMACK on Lip Balm with an SPF (Teaching Aid: Lip balm with an SPF of 15+) Your lips are skin and need protection too. You can buy a balm stick that has an SPF just like your sunscreen has. Be sure to reapply it just like you would your sunscreen. 5. SEEK Shade or Create Your Own (Teaching Aid: An umbrella) Q. Can you get a sunburn when it s cloudy? A.. Yes, the sun s rays can get through clouds, mist, and fog Q. Where can you find shade? A. Tree, play structure, tent, awning, umbrella, etc. Q. What can you bring with you to create shade? A. Umbrella, tent, etc Q. What time of day are the UV rays the strongest? A. Between 11am and 4pm. Remember: When your shadow is short, stay out of the sun. When your shadow is tall, go out and have fun! 6. SLIDE on Sunglasses (Teaching Aid: Different types of sunglasses, the child that says sunglasses comes to the front with another volunteer, one wears sunglasses with light lenses and skinny side and the other wears sunglasses with dark lenses and thick sides. ) Q. What kinds of sunglasses are best to wear? Contains both UVA (aging rays) & UVB (burning rays) protection Sunglasses with medium to dark lenses. Lenses that have even shading; with a grey, brown or green tint. Frames with thick sides. Q. Why is having wrap-around sunglasses or thick sides better than thin sides? A. It protects your eyes from all angles.

7. STAY Away from Tanning Beds Q. Is it safe to get a tan from a tanning bed? A. There s no safe way to get a tan. An indoor tanning device, such as a tanning bed or lamp, causes cancer. These devices give off ultraviolet radiation (UVR), which is a known carcinogen. In other words, tanning beds are no longer something that we think probably causes cancer we know they cause cancer. UVR causes skin damage, including sunburns, premature skin aging, wrinkles, skin cancer and cataracts. Tanned skin is damaged skin. When the tan fades, the damage is still there. Some tanning beds can expose you to 5 times more radiation than the sun. An expert review in the British Medical Journal showed that people who first started using indoor tanning equipment before the age of 35 have a 59% increased risk of melanoma. Q. Some people think they have to tan to get vitamin D. Why do we need vitamin D? A. Tanning beds are not a safe way to get your vitamin D. Vitamin D is needed for healthy bones and muscles, especially in students and the elderly. There is growing evidence that vitamin D may reduce the risk of some types of cancer, particularly colorectal and breast cancers. For the majority of people, incidental exposure to the sun, combined with supplements and dietary intake of vitamin D, provides adequate vitamin D. Q. How else can you get your vitamin D? A. You can get vitamin D from a few minutes of exposure to sunlight, in your diet (especially if you eat foods fortified with vitamin D), or by taking vitamin supplements. Be sure to talk to your doctor before you start taking supplements. 8. SEE Your Skin Regularly (Teaching Aid: Skin Cancer Self-Examination Door Hanger and ABCDE Bookmark) Q. How often should you examine your skin? A. At least once a month. Q. What are the main changes you should look for? A. Changes generally fall under the ABCDE classifications: Asymmetry - one half of the mole is unlike the other half. Border - irregular or questionable border. Color - darkening or loss of colour, black or black-blue are the most common colours but it could also be shades of red, blue and white. Diameter - larger than 6mm as a rule. (diameter of a pencil eraser) Evolution - a new or old mole changes in any way. Other indicators are if it is hard, lumpy, oozing, bleeding or itchy

Q. What do you do if you find something? A. Tell your guardian and they can make an appointment with your doctor. Your doctor will decide if you need to see a dermatologist. UV Bead Bracelet As we said earlier it is hard to know when the UV rays are strong. We have these bracelets (hold your ready-made bracelet up for the group to see) to help remind us when the UV rays are strong and we need to protect ourselves. After I explain about the bracelets and how to make them you ll each have a chance to create your own bracelets which you can wear throughout the summer to remind you to protect yourself from the sun. The UV beads: Are special beads that turn from white to purple in UV light only. Other light or inside light from a light bulb doesn t change them. Heat doesn t change them. Only when they re in the presence of UV light will they turn purple. When there isn t any UV light around (inside) they are white. The card on the back has many different colours but your beads will only turn purple. When the beads are light purple then you need to start taking protection and then the beads are dark purple it means that the sun is very strong, and you should be taking lots of protection. Remember that these bracelets are for when you are already outside, to help remind you to continue protecting yourself from the UV rays. You still need to check the UV index every day before you go outside, so that you are protected from the UV rays before you leave the house. Note: The beads react to UV light because they have been treated with a special chemical that is sensitive to this kind of light. When you get your plate, pretend that it is glued to the ground. On the back of the package there is a sticky flap to open it. When you open your package make sure to dump all your beads on the plate so that they do not roll away. Keep one end of the string always touching the plate so that the beads do not fall off. Note: Be prepared for a few flying beads. When all your beads are on your string, please raise your hand and I will come and tie it for you like a balloon.

Place the bead section of the bracelet under the child s wrist, holding one end of the string on each side. Take both ends of the string and put them together. Hold both ends with your right hand and wrap them around your left finger. As you remove your left finger, pull the ends through the opening. Pull the knot to the right spot so the bracelet does not fall off the child s wrist. Activities Testing your UV Bead Bracelets Once the kids have finished making their bracelets the group can begin to experiment. There are experiments for both inside and outside. Each experiment can be done while the kids wear their bracelets. If you are unable to try the experiments with the students for some reason (e.g. it s raining) you can still explain to them how they work. On these days, check the list of indoor activities for the bracelets and other fun games. Have them guess what will happen and encourage them to test their bracelets when the weather is better and they are outside at home, in the park, etc. Outdoor Activities Test #1 Does clothing really protect us from UV light? Materials Required This test can be done with several different types of materials in order to see which clothing offers the most or the least protection. To make this test more interesting the leader can bring a variety of clothing items from home. Have the kids guess which clothing will offer the best and the worst protection. Different Types of Clothing: Thick vs. Thin Light vs. Dark Tightly woven vs. Loosely woven Straw hats vs. Canvas hats Bathing suit material Wet white cotton t-shirt vs. a dry white cotton t-shirt Are some types of materials better at blocking out UV light than others? While outdoors, have the kids hide the bracelets under different articles of clothing for 20 seconds at a time. After the 20 seconds, bring the bracelets out from hiding. Has the UV light been able to get through?

Test #2 Shade Have the kids gather in a shady spot and watch what happens to the colour of the beads. (The beads will turn pale in colour.) What does this mean? (The UV light isn t as strong in the shade.) Test #3 Can UV light travel through water? Materials Required 4L ice-cream pails (Number of pails depends on amount of students.) Water Towel Fill the pails with water. While wearing their bracelets, have the kids gather around the pails and place their bracelets underwater. What happens to the colour? What does this tell them about UV light? (Note: Be sure that the kids don t crowd so much that the light can t reach into the pail.) UV light travels through water. Remember you are not protected from the sun when you are swimming in the pool or in the lake, and UV rays will reflect off of the water. Indoor Activities If you are outdoors with the kids you will want to head indoors where the kids can see the beads turn white. Ask them why this happens (no UV rays present). Test #4 Flashlight Materials Required Flashlight (Optional: using indoor light will produce the same results.) While inside ask the children if shining a flashlight on the beads will get them to change colour. Why doesn t this work? (The beads will only react to UV light. Indoor lights or light from a flashlight does not contain UV light.) Test #5 Can UV light go through windows? While indoors, have the kids hold their bracelets up to the light of a window. What happens to the colour of the beads? (The UV beads are pale in colour demonstrating that some degree of UV light can travel through windows.) When traveling on a long distance car trip, should you remember to protect yourself? What about truck drivers? Does anyone have tinted windows in their car? What about tinted sunglasses?

Additional Activities SunSense Tongue Twister Together as a group repeat SLIP, SLAP, SLOP, SMACK, SEEK, SLIDE, SEE. Start slow and with every repetition go faster and faster. See how fast you can go. Sun Safety Word Search (Download from www.cancer.ca/mbsunsense) Sun Safety Crossword (Download from www.cancer.ca/mbsunsense) SunSense Fortune Teller (Download from http://www.cancer.ca/~/media/cancer.ca/cw/publications/ Fortune%20teller/Fortune-Teller-2003-EN.pdf) Weather Watch Record the UV Index readings for a week by watching the TV weather report, checking the Internet, newspaper or radio. Record the date, weather, and UV Index. What did you find out? Design a Flyer/Poster about the Danger of UV Rays Use what you have learned about UV rays to develop a UV ray information poster to inform young people about the dangers of UV rays. Your target audience will be students your age and your design should encourage them to actually pick it up and read it! How would you convince someone that exposure to something that you can t see or feel can be harmful to your skin and possibly lead to skin cancer? Design Your Own Sunscreen Design your bottle and then create an advertisement to share with the class. (Download from http://www.sunsmart.com.au/downloads/communities/secondary-school/resources/ design-your-own-sunscreen.pdf) Become Sun Scientists for a week From the World Health Organization (WHO) 2003 Try some of these experiments. Make predictions about what the students think will happen. Do it and see if they were right? Place some newspaper in direct sunlight and another piece in a dark cupboard. Place a piece of fruit in direct sunlight and another piece in the shade, both outdoors. A banana works well. Place a coil of clay or play dough in direct sunlight and another piece in the shade. Place some interesting shapes on a piece of coloured paper in direct sunlight and place a similar grouping in a dark cupboard.

Talk about the changes the sun has caused in each experiment you tried. Record your findings. Discuss how the sun s power cannot be seen but the changes it causes can. Talk about the power of the sun to change our skin by burning it. Going On A Holiday From the World Health Organization (WHO) Have each student choose their preferred holiday location. Ask them to find the UV Index readings for these countries on the Internet. In what ways might students need to change their behaviour compared to their home environment? What other factors might they need to consider in choosing sun protection methods, other than the UV Index, e.g. temperature, time of day, and surrounding surfaces such as water or snow? Ask students to develop a travel brochure for their chosen city or country, and include sun protection tips. Students should ensure that they consider factors like time of year in developing their advice. Make an Online Sun Safety Survey Using Survey Monkey (www.surveymonkey.net) create your own on-line survey to find out how many young people in your class or school are sun safe. Ask the following questions or create/add your own. When you are outside do you: 1. Wear protective clothing? 2. Wear a wide brimmed hat? 3. Apply sunscreen regularly 4. Apply lip balm with an SPF? 5. Seek or create shade? 6. Reduce sun exposure between 11am-4pm? 7. Wear sunglasses? 8. Never seek a tan? 9. NOT follow any sun safety guidelines? Graph your results. From your results, what conclusions can you draw about young people and sun safety behaviours? Make a Poster or Banner! Create a large poster or banner with sun safety slogans to hang in your classroom. You can also ask every grade to make one part of the banner, then piece together and hang somewhere in the school that everyone can see.

SunSafe Nova Scotia Activity Package (Download from www.cancercare.ns.ca/site-cc/media/cancercare/ Activity_Package_for_Elementary_Grades.pdf) Australia s SunSmart Poster (Download from http://www.sunsmartposter.com.au/ ) Health Canada UV Index Sun Awareness Program (Download from http://www.healthycanadians.gc.ca/ healthy-living-vie-saine/environment-environnement/sun-soleil/index-eng.php) Conclusion This is an important part of the presentation since we want to encourage the children to wear the beads beyond this one day. Please be sure to emphasize this in your wrap up. If you wear your UV bead bracelet every day, it will serve as a reminder for you so you don t forget how to protect yourself. You also have a pamphlet from the Canadian Cancer Society that has all the tips we ve talked about today. (Open the pamphlet and show them where to find the SunSense guidelines and UV index). Remember, UV light is not related to temperature so you can still get sunburn on a cool, cloudy day and in winter too. Don t forget to: SLIP on protective clothing; SLAP on a hat; SLOP on the sunscreen; SMACK on SFP lip balm; SEEK shade; SLIDE sunglasses; STAY away from tanning beds and SEE your skin. Remember, sun damage adds up over a lifetime. You need to protect yourself now when you are young in order to stay healthy when you are older.