ObjectiveAlthough black patients are more likely to have advanced melanomas at diagnosis, with a 5-year survival rate among black patients of 70% compared with 92% for white patients, black people are generally not the focus of melanoma public health campaigns. We sought to explore awareness and perspectives of melanoma among black people to inform the development of relevant and valued public health messages to promote early detection of melanoma.DesignInductive thematic analysis of in-depth semistructured interviews.SettingInterviews were conducted with participants via video software or telephone in the USA.ParticipantsParticipants were adults from the USA who self-identified as African American or black. Recruitment flyers were posted around the San Francisco Bay Area and shared on our team Facebook page, with further participants identified through snowball sampling.ResultsWe interviewed 26 participants from 10 different states. Overall, 12 were men and 14 were women, with a mean age of 43 years (range 18–85). We identified five key themes regarding melanoma awareness in black people: (1) lack of understanding of term ‘melanoma’ and features of skin cancer; (2) do not feel at risk of melanoma skin cancer; (3) surprise that melanoma can occur on palms, soles and nails; (4) skin cancer awareness messages do not apply to or include black people; and (5) Importance of relationship with healthcare and habits of utilisation.ConclusionsAnalysis of these in-depth semistructured interviews illuminate the pressing need for health information on melanoma designed specifically for black people. We highlight two key points for focused public health messaging: (1) melanoma skin cancer does occur in black people and (2) high-risk sites for melanoma in black people include the palms, soles and nail beds. Therefore, public health messages for black people and their healthcare providers may involve productively checking these body surface areas.

WE congratulate Mr. Holmes on the early appearance of a second edition of his work He has attained a well-deserved success. The subject, in spite of its ' horrors ' and other repulsive aspects, cannot but have an undying interest-indeed, a strange fascination. But the exhaustive narratives of Mr. Kaye and Colonel Malleson, however valuable, and to the specialist indispensable, are certainly rather formidable to the general reader. Mr. Holmes has confined himself to a single, though a portly and well-packed volume. He has been industrious in accumulating materials of very diverse kinds and value ; he has sifted his evidence with much discrimination, and in an independent and truth-loving spirit; he has told his complicated story clearly, forcibly, and with due regard to the relative importance of its several parts ; and his tone throughout, though earnest and at times enthusiastic, is manly, and happily free from what Carlyle would call ' shrieking.' His battle pieces are sometimes very animated; his local sketches, though composed from books, vivid and picturesque. He has also drawn, with muoh froedom and sharpness, the characters of the chief actors, civil and military, in the great drama,* at least on the English side. Opinions of course will differ, even among the best informed, as to the justice of these very confidently expressed estimates. But Mr. Holmes' judgment appears to us generally sound, and his good faith always beyond question ; though it might have been better to relegate the whole Taylor v. Halliday controversy to the appendix. These personalities seem rather out of place-at least too profuse-in the text of the narrative. Phrases occur which are open to objection; thus, ' dusky warriors were to be seen loafing about' (p. 220). No one knows better than Mr. Holmes that it is possible to be graphic without being slangy. On the other hand, when, perorating at the end of a chapter, he soars into the style soutenu, why disfigure an impressive passage by an inaccurate word ? ' The tramp of his legions, and the thunder of his artillery were sending forth a message of doom to rebels and mutineers' (p. 486). The great Mr. Wordy, it is true, much affected ' the legions of Napoleon ;' but such flowers of rhetoric are best left to him. Again, when our author says that Mr. Forjett ' had been born and bred in India,' he misses a notable circumstance in his antecedents. Mr. Forjett was an Eurasian, and possessed the special aptitudes of both races, as he had previously shown, by tracking with native ingenuity, and repressing with European energy, a system of nocturnal violence prevalent in the then unlighted streets and roads of Bombay. It may be questioned whether Mr. Holmes is not too lenient to the perpetrators of unjust and cruel deeds in the suppression of the Mutiny. We do not mean that he shirks the facts, though he does not mention that Neill is said to have compelled Brahmins to wipe up the at Harvard Library on June 26, 2015 http://ehr.oxfordjournals.org/ Downloaded from

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When, back in 1994, I spoke to the National Commission on Libraries and Information Science (NCLIS) on the state of network development in Tennessee, I began by saying, “In Tennessee, as in many states, network development is multidimensional, multidisciplinary, multifaceted, multilateral, multidirectional—and therefore multi‐confusing.”