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It is the most common form of cancer in Britain and kills around 2,100 people in the UK each year, but still a “shocking” number of people remain unaware of the dangers of skin cancer, its links to sunburn, and how to spot the signs of this deadly disease. An overwhelming 77 per cent of people would not recognise signs of a melanoma – a malignant skin cancer tumour – despite the majority of Britons worrying about skin cancer, a new study by the British Association of Dermatologists (BAD) has found. There are two types of skin cancer; melanoma, the deadliest form of which around 13,000 new cases are diagnosed each year in the UK, and non-melanoma, of which there are more than 100,000 new cases diagnosed every year. The risk of melanoma is doubled if a person has had five or more sunburns at any age, the Skin Care Foundation states, but adds that experiencing just one blistering sunburn in childhood or adolescence more than doubles a person’s chances of developing a melanoma later in life. Non-melanoma comes in two most common forms: basal cell carcinoma, which accounts for about 75 per cent of skin cancers, and squamous cell carcinoma, which accounts for about 20 per cent. It is mainly caused by overexposure to UV light. But despite the serious risks of cancer posed from sunburn, nearly three quarters of people surveyed by BAD admitted to having been burned in the past year alone, while 40 per cent of people were found to never check themselves for signs of cancer. Here is how to check for possible signs of melanoma and non-melanoma skin cancer: Melanoma: The NHS states the first signs of a melanoma is often a new mole, or the change in appearance of an existing mole. Moles are usually round or oval, with a smooth edge, which is not bigger than 6mm in diameter. Any change in size, shape, or colour, any bleeding, crustiness or itchiness, or how painful a mole is should be shown to a doctor. The NHS has an ABCDE checklist to help people tell the difference between a normal mole and a melanoma: Asymmetrical – melanomas have two very different halves and are an irregular shape. Border – melanomas have a notched or ragged border. Colours – melanomas will be a mix of two or more colours. Diameter – melanomas are larger than 6mm (1/4 inch) in diameter. Enlargement or elevation – a mole that changes size over time is more likely to be a melanoma. Non-melanoma: Non-melanoma usually appears as a lump or discoloured patch of skin that does not heal. If a person experiences on of these patches that do not heal after four weeks, they should see their GP. Signs of Basal cell carcinoma can look like a small red or pink lump, though it can also appear as a pearly-white or waxy-looking lump, or it can also appear as a red or scaly patch of skin. The lump, whether pink or white, will grow slowly and can become crusty or bleed, or become a painless ulcer. Signs of Squamous cell carcinoma are the appearance of a firm pink lump. This lump could have a flat, scaly or crusted surface, often bleeds easily and feels tender to touch and can also become a painless ulcer. Read More UK skin cancer statistics 'shocking' Skin cancer referrals up 41 per cent in 5 years Wolverine star Hugh Jackman treated for skin cancer Cheap holidays blamed for huge rise in skin cancers

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Dr Alex George has revealed that more than 150 days without alcohol has been “a challenge” but has made a “huge difference” to his life. The former Love Island star, TV doctor and now the UK government’s youth mental health ambassador shared that drinking at weekends would sometimes affect him for up to four days afterwards. The 32-year-old quit his A&E doctor job 18 months ago to focus on bringing the public accessible health advice, often on TV – including Channel 4’s Naked Education – and five months ago, he cut out booze too. “It’s made a really huge difference,” George says. “I get to bed at 9pm every night, I wake up at 6am, I listen to music, I play music, I go to the gym, I spend quality time with a small number of people – I’ve developed really, really strong boundaries about how I spend my time and who I spend it with.” It’s an “investment” in himself, he says, but it isn’t always easy. “When you’ve got a bank holiday weekend and a lot people are sat in a beer garden – that is a challenge. Because even if you’re not addicted to alcohol, and you’re just a part of the British culture, you’ll feel challenges of not drinking in those times. “But it’s looking at what will future Alex be grateful for – you know, that delayed gratification.” It’s a topic he explores in his latest book, The Mind Manual, on the mental fitness foundations to give us all a boost – just in time for Mental Health Awareness Week (May 15-21) – including how to hold better boundaries and why mistakes are part of life. “I didn’t like how alcohol made me feel,” George, who also hosts the walking and wellness podcast Stompcast, says. “I was drinking pretty standard-ish for a young person in their 30s, but after four, five or six beers on a Saturday night, I’d feel bad – that would affect me a small percentage [of the time] all the way up to Tuesday or Wednesday.” “It affected my desire for the gym, it affected the way I ate, it affected the relationship I had with myself – so I had a really honest conversation with myself.” His book is about asking people to challenge things: “Question why are you doing this behaviour?” During some self-reflection when he was still working in A&E, George says he realised he wasn’t practising what he preached. “I thought, ‘I’m here talking about finding balance and looking after your own mental health, and I’m actually damaging my own mental health by doing too much.” Self-worth is often so tied up with the roles we have in our careers, so it was a difficult decision to leave, he says. “Since the age of 12 or 13, I’d wanted to be a doctor. You sacrifice a lot, university is tough, I worked in King’s College Hospital then Lewisham Hospital [London]. It was my passion, I covered a lot of the pandemic – on social media, it was my identity. “But I think sometimes, it’s really, really important to remember that just because your identity is a part of your life, it doesn’t have to be your identity your whole life. Walking away or changing direction [doesn’t mean] that time of your life is now devalued. “Even though I am not ‘Alex the A&E doctor’ anymore, it is all ingrained in who I am.” He’s had a significant impact as a public health doctor though, securing £79million of funding towards mental health support teams in schools in 2021. He’s thankful for the platform Love Island fame afforded. “Of course, if it wasn’t for that show, I wouldn’t have got that [money] for the kids.” He also started the #postyourpill campaign on social media – trying to banish the stigma around taking medication for mental health issues, like the anti-depressants he was prescribed last year. He’s also tirelessly campaigned for suicide prevention awareness and better early intervention for people with mental health issues, after his 19-year-old brother Llyr died by suicide in 2020. Heartbreakingly, George had been due to go home to Carmarthen, Wales, to see his family for the first time since the pandemic. “The week before my brother passed away, my best friend’s dad was terminally unwell and I stayed in London. In that time that I stayed, my brother passed away, so I could have seen him. “You question whether that’s a mistake or not. It’s very complex, because you don’t see the bigger picture always. [If] you know that a decision would have a certain outcome and it was a negative outcome, you wouldn’t make that decision a lot of the time. “I think that’s probably one of the biggest ones that I’ll have to live with.” Now though, George says he’s received “thousands – if not tens of thousands – of messages” and comments in person from strangers struggling in a similar way to Llyr, but saying they’ve now got help. “How many lives have been saved off the back of Llyr’s death? There’s an element of, ‘What can we control?’ I can’t turn back time, all I can do is try and support other people with their mental health.” The book discusses the ‘mental health toolkit’ George developed while he was grieving and growing – “Not just as a tribute to Llyr but as a tribute to the mental anguish I have faced in life, both before and since his death”. It includes written exercises to help readers audit their feelings as well as ‘universal truths’ to cling to in dark times, like “sleep is a saviour” and “connection is your superpower”. He adds: “Grief is with us for life. It’s never OK that person has died.” But we can find ways to “organise” that grief in our minds. Plus, difficult times are key for personal growth. “Sometimes, you have to walk through hell,” he says, “It sounds really dark, but in some ways, through difficult experiences, you learn a lot by yourself. You will know your resilience and your ability to cope with things. You also learn what helps you cope.” For George, that means walking (“a lifeline for me”), a few close friends and hiit classes at the gym. “In the last few years, there have been some significant highs and lows, but I do think what I’m grateful for is that in adversity, you learn a huge amount. I endured.” The Mind Manual by Dr Alex George is published by Aster, £20. Available now in paperback, and also as an ebook and audiobook. The Samaritans helpline is available 24/7 on 116 123. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Everything you need to know about Sophie, the new Duchess of Edinburgh Beyonce kicks of Renaissance tour in string of glamorous outfits Pensioner, 85, shares the simple switch that’s helped him to do 650,000 press-ups

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