As outdoor activities ramp up, May is a good time to think about observing good skin-care practices.

More skin cancers are diagnosed than all other cancers combined and one in five Americans will have some type of skin cancer by age 70.

Nebraska is among the states with the second-highest melanoma diagnoses per 100,000 residents, according to the Centers for Disease Control and Prevention. And Dr. Adam Sutton, director of Moh's and Dermatologic Surgery at the University of Nebraska Medical Center, says many Nebraskans have at least one of the risk factors for skin cancer.

"We've got a number of people who are fair skinned, who are Caucasian, who spend a significant amount of time outside, have a history of sunburns and/or work outside," Sutton outlined. "Which are all significant risk factors for melanoma."

He pointed out that melanomas, like all skin cancers, are highly curable when caught early. So, it is important to be checked -- ideally by a board-certified dermatologist -- if you have anything "new, changing or growing" on your skin.

The more common types of skin cancer, basal cell and squamous cell, tend to grow on sun-exposed parts of the body, but melanomas can develop anywhere. Sutton noted they make up only about 1% of all skin cancers but account for the most skin-cancer deaths, about 10,000 per year. Although melanomas can develop independently of moles, Sutton emphasized having a large number of moles is also an indication of increased risk.

"An individual that has 50 or more moles on their body has about a fourfold increased risk for the development of melanoma," Sutton explained. "That's pretty significant. Even if we have really normal-looking moles, if we have a lot of them, we're at greater risk for the development of melanoma."

Although white Americans are much more likely to be diagnosed with melanoma, non-Hispanic Black Americans have a higher incidence of later-stage diagnoses. Overall, melanoma diagnoses are expected to grow by 50% by 2040.

As far as prevention, Sutton stressed there is no such thing as a "safe tan." He recommended using broad-spectrum sunblock with a sun protection factor, or SPF, of 30 or higher for all outdoor activities, rain or shine. He added tanning beds have been "definitively determined to be carcinogenic."

"We still see a number of young people who are actively using tanning beds or have used tanning beds," Sutton observed. "That risk for the development of skin cancer really comes after the use of tanning beds one time."

Although skin cancer risk increases with age, Sutton acknowledged every week he treats patients who are in their 20s.


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The Food and Drug Administration has advised makers of the COVID-19 vaccine to formulate the next dosage to fight the JN.1 strain of the virus.

JN.1 was first discovered in the U.S. in September, and researchers said it is similar to previous strains but spreads easier and faster. According to the Centers for Disease Control and Prevention, JN.1 accounted for 3.5% of COVID cases in November and the number jumped to 85% of cases in January.

Ben Neuman, professor of biology at Texas A&M University, said getting vaccinated is still the best way to avoid getting sick.

"It would be important, I would say, to get the updated vaccine as soon as it is available," Neuman advised. "It may not prevent infection completely, but it is, very much, the best hedge against dying of COVID."

He said, on average, about 500 people a week are still dying from the virus.

Other COVID strains, known as KP.2 and KP.3, are also circulating, part of what are called the "FLiRT" variants. The FDA considered having makers formulate the new vaccine to target KP.2 and KP.3 but chose to concentrate on JN.1 because it is spreading more quickly. Symptoms of the FLiRT mutations include fever, sore throat and a runny nose. Researchers said the strains are highly immune resistant, making breakthrough cases possible.

Neuman pointed out some doctors believe a two-dose vaccine would provide more protection for the public because COVID is constantly changing.

"We have an immune system which is learning to recognize the virus and kills off all of the viruses it can recognize," Neuman explained. "This pushes the virus to change possibly a little faster than it would otherwise, if we had no immune system. So as long as there is COVID, there will be new variants."

If you have outdated COVID tests in your medicine cabinet, Neuman added they could still be used to detect portions of the strains which have not changed over the time, but he strongly suggested using updated tests because the virus continues to mutate.


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A North Carolina woman is highlighting how important knowing your family history can be in matters of the heart.

According to the American Heart Association, the risk of heart disease itself, as well as some of the risk factors, are strongly linked to family history.

Latoya Tyree-Brown, a North Carolina heart disease survivor, said her heart-health challenges began at age 32. She noticed unusual symptoms but doctors initially dismissed them as a side effect of her third pregnancy.

"During the pregnancy, I was having a lot of difficulties with breathing and gaining a lot of weight," Tyree-Brown recounted. "But I was being told by my doctor that it was due to being pregnant."

She recalled being told she had a heart murmur when attempting to play sports in school, a complication which escalated to congestive heart failure during labor. Today, her message to others is to communicate with your family about health issues, get regular medical checkups and seek support when you need it, for both physical and mental health.

After giving birth, Tyree-Brown also suffered a stroke, which left her in the hospital for a week. She pointed out the recovery process was arduous, involving speech therapy and taking a significant emotional toll.

"I was just sad, a lot of questions like, 'Why is this happening to me? What's going on?' Because I felt that I was physically fit and healthy," Tyree-Brown emphasized. "I was just wondering, like, 'How is all this stuff happening to me?'"

She learned her family history was a key factor. Her father had a heart transplant, though details were sparse due to his passing when she was young. Ultimately, she was diagnosed with hypertrophic cardiomyopathy, atrial fibrillation and congestive heart failure.

It prompted Tyree-Brown to undergo genetic testing for her children. Her middle daughter, now 19, tested positive for the same heart conditions and has received cardiology care since her early teens. Both mother and daughter now have defibrillators to manage their condition.

Tyree-Brown added her focus now is on the importance of self-advocacy and knowing how family history can affect you.

"You know your body the best, so even if other people are telling you that nothing's wrong or it might not be this or that, you should try to also get a second opinion," Tyree-Brown urged. "And just don't take 'no' for an answer."

American Heart Association data show heart disease is the leading cause of death in the U.S.

Maine lawmakers have approved a full expansion of the state's Medicare Savings Plans, ensuring continued eligibility for some 45,000 low-income seniors.

The plans are included in the state's supplemental budget, which Gov. Janet Mills is expected to sign despite her efforts to rein in spending.

Kate Ende, policy director with Consumers for Affordable Healthcare, said beneficiaries can save a minimum of $2,000 a year.

"That can make a huge difference, never mind if somebody's getting help with their deductibles, and copays, and coinsurance as well," said Ende. "So, it can be really life-changing for people."

Ende said Maine's Medicare Savings Plans are considered one of the most expansive in the country - and that eligible residents aged sixty-five and older can already reap the benefits, and retain more of their Social Security earnings by avoiding out-of-pocket healthcare costs.

Maine has one of the oldest populations in the nation, and older adults now represent the fastest growing homeless population.

It's estimated some 45,000 seniors in Maine experience food insecurity and struggle to meet other basic needs.

Ende said reducing healthcare costs for seniors not only improves their overall well-being, but can create positive outcomes for both families and the state's economy.

"You know when somebody can afford their prescription drugs to stay healthy," said Ende, "they might be able to stay in the workforce or help care for a grandchild. So, it's going to have, I think, a much broader impact."

Ende said legislative changes now ensure older individuals earning up to 250% of the federal poverty level, or roughly $34,000 a year, are eligible for the Medicare Savings Plans.

There is new information on eligibility requirements on the Consumers for Affordable Healthcare's hotline at 1-800-965-7476.