Sexually transmitted infections:
The U.S. Preventive Services Task Force (USPSTF) recommends screening sexually active adolescents for sexually transmitted infections (16).
Fruits, vegetables, water, and milk consumption
Fruit and vegetable consumption as well as encouraging water and milk intake throughout the day improves the free water reserve and hydration status of children (17). Enhance the fruit and vegetable intake of children with subtle and creative methods. Hydrate often with milk or water with meals and water between meals.
Sun exposure
Prevent sun damage of the skin and eyes with sunblock (at least spf 30) and UV eye protection. According to the U.S. Preventive Services Task Force (USPSTF), all young adults age 24 years and younger are specifically recommended to receive counseling on minimizing their exposure to ultraviolet radiation to reduce risk of skin cancer. USPSTF reviewed epidemiology of skin cancer due to UV exposure. They found that children, adolescents, and young adults are at a moderate risk for skin cancer, while adults older than this have a smaller increase in risk. The USPSTF states that sunlight exposure is linked to all 3 types of skin cancer. Melanoma is the rarest but has the highest mortality. Squamous cell is more common but is accountable for a small number of cancer deaths. Basal cell does not usually metastasize and doesn’t result in cancer deaths. Per the USPSTF, counseling should be based on prevention or minimizing sun exposure with clothing, broad spectrum sunblock with minimum of 30 spf, avoiding midday sun 10 am to 3 pm, and avoidance of indoor tanning beds. (18)