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High Achiever: Christina To teaches children at St. Vincent School about the dangers of too much sun as part of Health for Life, a program she created especially for Latino students.
Photo credit: Phil Channing
College News

Sun Out? Then Slip, Slap, Slop and Wrap!

Student creates skin-cancer education program for Latino children


By Kirsten Holguin

USC student volunteers Heather Massie and Chris Ellstrom stood in front of Mr. Fernandez’s third grade class at St. Vincent School and asked the students to list five things they did over spring break.

Some of the students went to the park, some barbecued with their families and everybody went to the fair.

Then Massie and Ellstrom asked students to list five ways they protected themselves from the sun.

The students shouted out answers: One girl wore a hat, one boy kept his shirt on even though it was really hot, another girl put on sunscreen. Still, a few admitted they went out without a hat, a shirt, sunglasses or sunscreen.

For several weeks, the third graders had been learning about how the sun’s rays can damage the skin through Health for Life, a new community outreach effort of the Melanoma Education Program for Latino Children.

Health for Life’s message is urgent and critical: The number of Hispanics in California diagnosed with melanoma is on the rise, researchers from the Keck School of Medicine of USC reported earlier this year. Myles Cockburn, the study’s lead author and assistant professor of preventive medicine at the Keck School, recommended getting the word out about the importance of skin cancer check-ups and routine screenings, as well as sun avoidance, to the Hispanic communities.

That inspired USC College student Christina To to create Health for Life, which she designed to teach children at local elementary schools about prevention and early detection of melanoma, a potentially deadly form of skin cancer.

“I had been volunteering at this elementary school through JEP [the College’s Joint Educational Project] for about two years and I have also been doing research on the initial stages of skin cancer,” said To, a chemistry major and sociology minor. “I thought it would be a great opportunity to tie my research together with my volunteer work, and I really wanted to do what the article recommended, which was to educate the population.”

She took her idea to the assistant principal at St. Vincent School, Cathy Logan, who gave her the green light to start the program at the school.

To recruit volunteers, To sent out an e-mail to the pre-med listserv at USC explaining the program. She trained student volunteers and coordinated schedules for the volunteers and classroom teachers. 

Based on resources from the U.S. Centers for Disease Control and Prevention, she created a curriculum focused on prevention and detection.

Although melanoma is fairly rare among Hispanics, the Keck study showed its incidence is growing at an alarming rate. Yet preventing melanoma, children learn, can be as easy as “slip, slap, slop and wrap” — slip on a shirt, slap on a hat, slop on sunscreen and wrap on sunglasses.

Melanoma has a high survival rate when caught early. To detect skin cancer, students learned to check their skin and moles, looking at asymmetry, border, color and diameter — the A, B, C, D’s of skin cancer detection.

To said that while students are not always following the guidelines taught in class, they are becoming aware of how and why it is important to protect their skin from the sun.

“I hope these students go home and talk to their parents and brothers and sisters. This program will impact their lives and the people around them in the future,” she said.

In her four years at USC College, To has earned a number of accolades, among them the $10,000 Renaissance Scholars Prize, the Emma Josephine Bradley Bovard Award and the Order of Laurel & Palm, the highest honor bestowed on graduating seniors.

She maintained a 4.0 GPA in the Baccalaureate/M.D. program. She also received a USC Women in Science and Engineering research grant for her project on how the sun’s ultraviolet rays damage DNA. Damaged DNA can ultimately lead to cancer, and, when it occurs in skin cells, to melanoma and other skin cancers.

To, who begins medical school at UCLA this fall, will continue to work with JEP and the College to expand Health for Life to all schools served by JEP, and address more health issues.