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HEALTH

Sweden becomes first European country to see skin cancer fall in under-50s

Sweden is the first European country to see a fall in skin cancer among younger adults, for the first time in decades.

Sweden becomes first European country to see skin cancer fall in under-50s
File photo of a doctor examining a patient's skin. Photo: Samuel Steén/TT

The risk of skin cancer is decreasing for people under 50, said Hildur Helgadottir, associate professor of oncology at the Karolinska Institute and lead author of a study published in the JAMA Dermatology medical journal.

The decline was most likely due in part to heightened awareness about sun protection and a drop in access to sunbeds, she told AFP.

Helgadottir said there was a “very clear and significant trend break around 2015”.

“For 30-year-olds before 2015, there was an increase of on average five percent per year. But since 2015, it has decreased by on average five percent per year,” she said.

For those aged 50 and older, “it rises by at least five percent per year and the increase rises steeply with age”.

While the researchers did not analyse the causes of the decline in skin cancer cases, several main factors were believed to have played a role.

In addition to increased awareness of the importance of sun protection, another factor was the introduction in Sweden of a 2018 ban on under-18s using sunbeds and a decline in public access to sunbeds that started years earlier.

Mobile phones and computers were also believed to play a role in the decline because children were now spending more time indoors and were therefore not exposed to as much sunlight these days, Helgadottir said.

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But she stressed that this was a recent trend and had “not yet had a significant effect”.

The report did not comment on any potential health risks associated with mobile phones or on any health benefits for children of spending more time outdoors.

Deaths from skin cancer have also declined among under-60s in Sweden but not among older people.

That decrease is attributed both to a drop in actual cases of skin cancer and the introduction of new drugs that have improved chances of survival.

Among the elderly, mortality is not dropping because the incidence of the disease is still so high, Helgadottir said.

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HEALTH

Swedish government proposes scrapping free dental care for young adults

Free dental care for 19-23 year olds will be scrapped and dental care for over-67s will be made cheaper from next year under a new proposal, the government and the Sweden Democrats announced in a press conference on Friday.

Swedish government proposes scrapping free dental care for young adults

Social Affairs and Public Health Minister Jakob Forssmed described the changes as the “largest reform of dental care in over 20 years”.

Under the new rules, the government would introduce a system of high-cost protection for dental care more similar to that seen for other types of healthcare, which would only apply to those aged 67 and above. It would be financed by scrapping free dental care for young adults, which currently covers those aged 19-23.

It is expected to cost the state around 3.4 billion kronor a year from 2026.

“Good dental health and well-functioning support from family is important for health and for the possibility of a social life as part of a community with other people,” added Anna Tenje, Minister for Older Poeple and Social Security. “We’re taking well-considered and targeted measures to improve care of the elderly and their health.”

“Dental care will be more accessible to those with the greatest need.”

There is currently an ongoing inquiry looking into how the dental care reform would work in practice, with a set end date of October 31st this year. However, the government is already setting aside 3.4 billion kronor in the next budget proposal in order to be able to implement the reform by January 1st next year.

EXPLAINED: How much does dental care cost in Sweden?

Linda Lindberg, the Sweden Democrats’ group leader in parliament, said at the press conference that the Sweden Democrats aim to extend the system of high-cost protection in dental care to the rest of the population in the future.

“We’re taking the first step here with the elderly,” she added.

There is currently a system of high cost protection in place for dental care, where patients can reclaim 50 percent of any dental costs over 3,000 kronor per year, rising to 85 percent for any costs above 15,000 kronor. 

For example, let’s say you have a dental bill of 20,000 kronor for treatment within the same 12 month period, and your dentist charges the national reference price.

You pay the first 3,000 kronor yourself. You pay 50 percent of everything between 3,000 and 15,000 kronor (so, 6,000 kronor), then 15 percent of the last 5,000 kronor (so, 750 kronor), as that’s over the 15,000 kronor cap.

This means that, on a 20,000 kronor bill, you end up paying 9,750 kronor (3,000 + 6,000 + 750), meaning Försäkringskassan covered 10,250 kronor of your 20,000 kronor bill.

High cost protection for other healthcare, on the other hand, works slightly differently, with patient fees capped at 1,400 kronor in any 12-month period.

The budget proposal, negotiated by the government and the Sweden Democrats, will be presented in its entirety on September 19th.

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