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Sunscreen Strategy

July 5, 2006 The Dangers of Sunlight Sunlight comes to the earth in the form of ultraviolet (UV) rays. There are two important types of UV rays. UVA rays (wavelengths of 320-400 nm) are not absorbed by the ozone layer surrounding the earth. They can penetrate deeply into the skin and cause damage that leads to premature wrinkling, leathering and age spots. UVB rays (wavelengths of 320 to 290 nm) are partially absorbed by the ozone layer. However the rays that make it to the surface are very damaging to the skin, causing sunburn and increasing the risk of skin cancers. The three most common types of skin cancer, basal cell carcinoma, squamous cell carcinoma and melanoma, are all associated with chronic exposure to sunlight. Sun Protection Health experts say the best way to protect the skin from sun exposure is to stay out of the sun. However, thats often impractical, and sometimes, not possible. So the next best advice is to take steps to protect the skin from the sun. Tightly woven clothing can block some of the suns rays from the skin. A wide-brimmed hat can protect the head and sunglasses protect the eyes. Uncovered areas of the body should be protected with a sunscreen. Sunscreens contain chemical ingredients that absorb UVB and, sometimes, UVA radiation. Some sunscreens also contain physical agents (like zinc oxide and titanium dioxide) that reflect, scatter, or absorb UV rays. Tips for Sunscreen Use Not all sunscreens are created equal. Sunscreens are rated by a system called, Sun Protection Factor, or SPF. The Skin Cancer Foundation recommends consumers choose a sunscreen with an SPF of at least 15. However, SPF is a measure of protection against UVB only. An SPF of 15 blocks 93 percent of the suns UVB rays. There is no comparable standard for UVA. For better protection, look for broad-spectrum sunscreens that also provide some (but not complete) protection against UVA. Agents that block UVA rays (look for them on the ingredient label) include oxybenzone and avobenzone (parsol 1789, or helioplex). Dermatologist, Leslie Baumann, M.D., says sunscreens can provide more than just sun protection. They should also promote healthy skin. For example, sunscreens with retinol may help reduce the risk of wrinkles. Its important to know your skin type. People who are prone to freckles or sun-related pigment problems should use a sunscreen containing soy or niacin. Those with oily skin may prefer a sunscreen in the form of powder. Gels or sprays are also better options for oily skin, while creams may be preferable to those with dry skin. Sunscreens with moisturizer are also a good option for dry skin. Cost is not necessarily a factor when choosing a sunscreen. Some of the cheaper brands work just as well as the more expensive ones. Sunscreens can also be layered for more protection (for example, using a lotion or cream first followed by a powder-based sunscreen). The most important thing to remember is to reapply sunscreen often. Health experts say sunscreen should be applied 20 to 30 minutes before going outside. Use about one ounce and reapply every two hours. Baumann says parsol, the UVA protectant, breaks down rapidly and should be reapplied every 30 minutes. Baumann also recommends people get in the habit of applying sunscreen every day. Even if you dont go outside, sunlight can still damage the skin because the UV rays pass through windows. AUDIENCE INQUIRY For information about sunlight, UV radiation, sunburn or sun protection: The American Academy of Dermatology, http://www.aad.org American Cancer Society, http://www.cancer.org Environmental Protection Agency, http://www.epa.gov The National Cancer Institute, http://www.cancer.gov The Skin Cancer Foundation, http://www.skincancer.org BIBLIOGRAPHY "About Basal Cell Carcinoma," New York: The Skin Cancer Foundation, downloaded from website (http://www.skincancer.org), May 26, 2006. "About Melanoma," New York: The Skin Cancer Foundation, downloaded from website (http://www.skincancer.org), May 26, 2006. "About Squamous Cell Carcinoma," New York: The Skin Cancer Foundation, downloaded from website (http://www.skincancer.org), May 26, 2006. "Action Steps for Sun Protection," Washington, DC: Environmental Protection Agency, downloaded from website (http://www.epa.gov), May 26, 2006. Cardinez, C., et al., "Sun Protective Behaviors and Sunburn Experiences in Parents of Youth Ages 11 to 18," Preventive Medicine, July 2005, Vol. 41, No. 1, pp. 108-117. Dupuy, Alain, M.D., et al., "Randomized Controlled Trial of Testing the Impact of High-Protection Sunscreens on Sun-Exposure Behavior," Archives of Dermatology, August 2005, Vol. 141, No. 8, pp. 950-956. Lee, Tim, Ph.D., et al., "Site-Specific Protective Effect of Broad-Spectrum Sunscreen on Nevus Development Among White Schoolchildren in a Randomized Trial," Journal of the American Academy of Dermatology, May 2005, Vol. 52, No. 5, pp. 786-792. "Melanoma Skin Cancer," Atlanta: American Cancer Society, downloaded from website (http://www.cancer.org), May 26, 2006. Pichon, Latrice, et al., "Ethoracial Differences Among Outdoor Workers in Key Sun-Safety Behaviors," American Journal of Preventive Medicine, May 2005, Vol. 28, No. 4, pp. 374-378. "Protect Yourself From the Sun," Schaumburg: The American Academy of Dermatology, downloaded from website (http://www.aad.org), May 26, 2006. "SPF and UV Explained," New York: The Skin Cancer Foundation, downloaded from website (http://www.skincancer.org), May 26, 2006. "Sun: The Burning Facts," Washington, DC: Environmental Protection Agency, downloaded from website (http://www.epa.gov), May 26, 2006. "The Sun and Your Skin," Schaumburg: The American Academy of Dermatology, downloaded from website (http://www.aad.org), May 26, 2006. "The Sun, UV, and You," Washington, DC: Environmental Protection Agency, 1999. "Sunscreens/Sunblocks," Schaumburg: The American Academy of Dermatology, downloaded from website (http://www.aad.org), May 26, 2006. Thieden, Elisabeth, et al., "Sunburn Related to UV Radiation Exposure, Age, Sex, Occupation, and Sun Bed Use Based on Time-Stamped Personal Dosimetry and Sun Behavior Diaries," Archives of Dermatology, April 2005, Vol. 141, No. 4, pp. 482-488. Thieden, Elisabeth, et al., "Sunscreen Use Related to UV Exposure, Age, Sex, and Occupation Based on Personal Dosimeter Readings and Sun-Exposure Behavior Diaries," Archives of Dermatology, August 2005, Vol. 141, No. 8, pp. 967-973. "The War Against Skin Cancer," Archives of Dermatology, April 2005, Vol. 141, No. 4, pp. 499-501. "What You Need to Know About™ Skin Cancer," Bethesda: The National Cancer Institute, downloaded from website (http://www.cancer.gov), May 26, 2006. Whiteman, David, Ph.D., et al., "Melanocyte Nevi in Very Young Children," Journal of the American Academy of Dermatology, January 2005, Vol. 52, No. 1, pp. 40-47.

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