“…We suspect that the data trends derived from the latest NHIS may contrast with future surveys. During the COVID-19 pandemic, there was dramatically less public sunscreen distribution [ 78 ], an increase in active in outdoor activities [ 79 – 81 ], and an increase in direct and indirect sunlight exposure for the populace [ 82 ]. Reports that open spaces would decreased viral transmission may have also changed attitudes about obtaining sun exposure [ 83 , 84 ].…”