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The FDA has regulated tanning beds and sun lamps for over 30 years, but for the first time ever the agency says those devices should not be used by people under age 18. The agency wants that warning on pamphlets, catalogues and websites that promote indoor tanning. And regulators are also proposing that manufacturers meet certain safety and design requirements, including timers and limits on radiation emitted.
The government action is aimed at curbing cases of melanoma, the deadliest form of skin cancer, which have been on the rise for about 30 years. An estimated 2.3 million U.S. teenagers tan indoors each year, and melanoma is the second most common form of cancer among young adults, according to the American Academy of Dermatology.
Recent studies have shown that the risk of melanoma is 75 percent higher in people who have been exposed to ultraviolet radiation from indoor tanning. While most cases are diagnosed in people in their 40s and 50s, the disease is linked to sun exposure at a young age.
Physician groups have been urging the U.S. government to take action on tanning beds for years, citing increases in the number of cases of skin cancer among people in their teens and 20s.
"As a dermatologist I see the consequences of indoor tanning. I have to diagnose too many young people with melanoma and see the grief that it causes to these families," said Dr. Mary Maloney of the American Academy of Dermatology, on a call with FDA officials. Maloney said the FDA action is an important first step, but that her group would continue to push for a ban on the sale and use of tanning beds for people under age 18.
Earlier this year, a study of Missouri tanning salons found that 65 percent of 250 businesses surveyed would accept children ages 10 to 12, often without parental permission. The study was conducted by dermatologists at the Washington University School of Medicine in St. Louis.
Currently the machines are classified as low-risk devices, in the same group as bandages and tongue depressors. The proposal would increase their classification to moderate-risk, or class II, devices. That would allow the FDA to review their safety and design before manufacturers begin selling them.
"They don't have to provide any data in advance before they go on the market, so we have no way of providing assurance that the tanning beds are performing up to specifications," said Dr. Jeffrey Shuren, FDA's director for medical devices.
Safety standards are important because recent studies show that many devices can cause sunburn even when used as directed. A 2009 study found that 58 percent of adolescents who tan indoors had sunburn exposure.
"If you get an indoor tan you shouldn't be burning," Shuren said.
The Indoor Tanning Association said it supported any changes that improve its customers' safety. But, in a statement, the group added that "we are concerned that these changes will burden our members with addition unnecessary governmental costs in an already difficult economic climate."
The FDA proposal would not place warnings on the devices themselves, but on related promotional material and websites. Some consumer advocates said those warnings might never actually reach users.
"The FDA is requiring that the labels and pamphlets include risk information about skin cancer, but consumers would not be required to see those labels or pamphlets - they are apparently only for the company buying the tanning bed," said Diana Zuckerman, of the National Research Center for Women and Families.
The agency said it will take comments on its proposal for 90 days before formulating a final regulation. Agency officials didn't give a timeframe for completion, but said it would be a priority.
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He pitched eight innings and Allen Craig drove in four runs to lead the St. Louis Cardinals to a 10-1 win over Milwaukee and the franchise's first four-game sweep of the Brewers.
"Early in the season, late in the season, it doesn't matter when you get a series win like this one," Cardinals catcher Yadier Molina said. "Everything went good this weekend. We pitched good and really hit the ball well."
Matt Holliday also homered for the Cardinals, who have won six straight, their most since taking eight in a row from July 11-21, 2010. It was the first time the Cardinals have four in a row from the Brewers, who moved to the NL and have been in the Cardinals' division since the 1998 season.
Garcia (4-1), who won his third straight game, gave up one run on eight hits. He had three strikeouts and only one walk.
"I felt really good out there," he said. "I was able to keep the ball down and keep our team in the game."
Marco Estrada (2-2) lasted 3 1-3 innings for the Brewers, who have lost five in a row. He gave up eight runs on six hits and had a career high six walks.
The Cardinals scored six runs in the second inning to take control of the game on three hits as St. Louis sent 10 men to the plate. Estrada was wild and loaded the bases with two walks and single.
Shane Robinson and Holliday forced in runs with walks before Craig lined a double to the left field corner to drive in three runs. Yadier Molina's RBI single scored Craig.
Garcia lobbied Cardinals manager Mike Matheny to be allowed to pitch the ninth, but Carlos Martinez finished off the eight-hitter for Milwaukee.
"He pitched a great game," Cardinals manager Mike Matheny said. ""Everything really came together for us this weekend. We had great pitching, good hitting and strong defense."
Marco Estrada (2-2) lasted 3 1-3 innings for the Brewers, who have lost five in a row. He gave up eight runs on six hits and had a career high six walks in what he said may have been the worst outing of his big league career.
"I had no idea where the ball was going," he said. "I made a lot of pitches in the second inning. I couldn't find it after that. It was one of those outings where I had no clue what I was doing out there."
NOTES: Gomez's fifth inning double extended his hitting streak to 12 games, which tied a career high.Cardinals manager Mike Matheny gave both OF Carlos Beltran and 2B Matt Carpenter the day off..Both teams wore uniforms from the 1913 season for Sunday's game.RHP Wily Peralta (2-2) will start for the Brewers Tuesday against Texas Rangers' RHP Justin Grimm. RHP Lance Lynn (5-0) will starts for the Cardinals Tuesday against the Chicago Cubs's RHP Travis Wood (2-2).
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Even when the crease-crashing Blues knocked his mask off his head, the Kings' gritty goalie kept his focus on a win that got Los Angeles back into a tense first-round series dominated by defense.
Quick made 30 saves in his fifth career playoff shutout, leading the Kings to a 1-0 victory Saturday night and trimming the Blues' series lead to 2-1.
Slava Voynov scored in the second period for the defending NHL champions, who got a brilliant performance from their Conn Smythe Trophy-winning goalie.
After making self-described mistakes that led to both of the Blues' winning goals in St. Louis, Quick won his duel with Brian Elliott, who stopped 20 shots.
"It's what you expect when these two teams play each other," Quick said. "They were just throwing pucks from everywhere, but we handled it well and cleaned up most of the rebounds."
Los Angeles will attempt to even the series in Game 4 on Monday night.
After struggling on the power play and getting bad luck on a handful of chances, St. Louis even resorted to more unconventional means to mess with Quick.
David Perron appeared to dive into Quick in the crease in the third period, with Quick's mask coming off his head in an exchange that ended with the Blues getting a power play, thanks to Drew Doughty's overreaction.
None of it could throw Quick off the formidable game that carried the Kings to the Cup last season.
"Quickie had to be really good for us tonight, but the way he played is no surprise to anybody," Kings captain Dustin Brown said.
The Blues' power play hasn't scored in 12 straight opportunities since early in the series opener, and they wasted plenty of good chances against Quick in Game 3. Elliott has allowed just three goals in the series, but Quick kept the Kings unbeaten at home since March 23.
"You're not going to get very many games like this where you get this many quality chances on the road," St. Louis coach Ken Hitchcock said. "We were unlucky, more than anything."
Staples Center was packed with black-clad, towel-waving fans who fondly remember the Kings' nearly surreal run through last spring's playoffs.
Eighth-seeded Los Angeles went 16-4 in the postseason, beating the Western Conference's top three seeds and taking a 3-0 lead in every series - an NHL first - on the way to its first Stanley Cup title.
The Kings never faced an elimination game or even a tight spot last spring, but the fourth-seeded Blues immediately put them in a jam in this series with consecutive victories at home.
Quick sought the blame for both losses after allowing the overtime winner in the opener and a last-minute goal in Game 2, but his teammates realized they deserved the blame for their meager offensive effort against Elliott, who got outplayed by Quick in last year's playoff series.
"It's the time to stay even-keeled, because these games are all going to be close," Elliott said. "Every play gets amped up, and you've got to take care of details."
The scoreless, tight-checking first period of Game 3 reflected the nervousness in the arena. After Los Angeles killed off a penalty early in the second, Voynov capitalized on a lengthy scramble in front of Elliott's net, putting a shot through traffic into the far corner for the Russian defenseman's first playoff goal since last season's second-round series opener against St. Louis.
The Blues largely dominated puck possession and good scoring chances for long stretches of the final two periods. Alexander Steen, who scored both of the Blues' goals in Game 1, inexplicably couldn't put it into a fairly open net on a power play late in the period, shanking his shot.
During Perron's shenanigans in the third, Doughty followed Perron into the net and slugged the Blues forward several times, drawing a double minor for roughing and putting St. Louis on a fruitless power play. Perron and Quick have jawed throughout the series, and Perron claimed the Blues were "starting to get to" Los Angeles' star goalie after Game 2.
Elliott kept the Blues in it with less than 7 minutes left, stopping Dwight King on a clean breakaway. Justin Williams then saved the Kings with about 5 minutes left, diving to knock away a loose puck on the edge of the crease.
"When it gets late in the game like that, you're trying everything you can to stop the puck," Williams said. "The story for us was Jonathan Quick, though. That's the difference for us."
St. Louis was swept out of the second round in four games last spring by Los Angeles, which outscored the Blues 15-6 while ending their breakthrough season under Jack Adams Trophy-winning coach Ken Hitchcock.
The Blues turned in another strong regular season this winter, even surging past Los Angeles and San Jose into the fourth playoff seed in the final days.
The Kings went 19-4-1 at home this season, posting the best points percentage at home in franchise history. They finished the regular season with seven straight wins at Staples Center.
NOTES: The Kings scratched C Jordan Nolan and dressed D Alec Martinez, who hadn't played since April 2. Martinez, who picked up an assist on Voynov's goal, was a key member of last season's defensive group, but fell out of favor in March after his return from an upper-body injury. Los Angeles dressed seven defensemen. ... St. Louis used the same lineup from its first two victories. ... The Kings have rallied from a 0-2 series deficit just once in franchise history, beating Detroit in 2001.
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