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Most of us have that same image of health in our minds - a
vibrant, fit-appearing, active male or female, cavorting on the
beach, sporting a glowing tan.
But the truth is there is no such thing as a “healthy” suntan.
That change in your natural skin color is, in fact, a response to
injury by the sun's ultraviolet rays - in other words, that glowing
tan actually reflects a degree of skin damage.
Ultraviolet rays are an invisible form of radiation. There are
three types of ultraviolet rays - ultraviolet A (UVA), ultraviolet B
(UVB), and ultraviolet C (UVC); all three types are damaging to the
skin. However, UVC is absorbed by the ozone layer and does not reach
the earth's surface. UVB is also absorbed by the ozone, although
some rays do reach the earth's surface; they penetrate less deeply
into the skin. Of most concern is UVA, because it penetrates past
the top layer of the skin and causes damage to the deep tissues. Excessive exposure to UV rays is the most important environmental
factor in developing skin cancer; it can also be associated with
premature skin aging, undesirable changes in skin texture,
cataracts, and age-related macular degeneration.
Skin can be classified as being one of 6 types, depending on an
individual's susceptibility to burning:
|
Skin type |
History of Tanning and
Sunburning |
|
I |
Always burns; never tans |
|
II |
Burns easily; tans minimally |
|
III |
Burns moderately; tans
gradually to light brown |
|
IV |
Burns minimally; always tans
well to moderately brown |
|
V |
Rarely burns; tans profusely
to dark |
|
VI |
Never burns; deeply pigmented |
Everyone - regardless of race or ethnicity - is at risk for skin
damage as a result of excessive sun exposure. However, those with
skin types I and II are at the highest risk. Certain diseases (such
as lupus) and medications (such as antibiotics and antihistamines)
can make a person more sensitive to sun exposure.
You can do several things to protect yourself from skin cancer. First, avoid outdoor activities between the hours between 10am and
4pm, when the sun's rays are strongest. Keep your eye on the UV
Index, a daily forecast of UV intensity issued by The National
Weather Service that predicts exposure levels on a 0 to 10+ scale. The level of danger calculated is for a person with Type II skin.
The choice of sunscreen is also important: In order for a
sunscreen to be truly effective it must protect skin from both UVB
rays, which cause sunburn, and UVA rays, which cause long-term
damage.
Sunscreen comes in a variety of forms - lotions, gels, sprays,
oils. Regardless of type, be sure to select one that blocks both UVA
and UVB rays, has a high SPF (at least 15), and is photostable when
exposed to UV light. Avobenzone - a chemical that absorbs both UVA
and UVB - has been available for several years and, when combined
with titanium dioxide, is considered to be a very effective
broad-spectrum sunscreen. Ecamsule, approved by the FDA in July
2006, is a sunscreen additive that has been available in Canada and
Europe since 1993. It is the only chemical known to block all UVA
rays; it also provides some UVB protection as well. Ecamsule alone
can protect the skin from sunburn, but must be combined with other
sunscreen agents in order to get an official SPF rating.
But choosing the right sunscreen isn't enough - you must still
follow the manufacturer's directions regarding reapplication, or you
may not be getting the protection that you think you're getting. In
addition, apply sunscreen using sufficient amounts - at least a
tablespoon or more. Make sure you cover all of your skin - including
lips, ears, feet, hands, bald spots, and the back of your neck.
Finally, keep in mind that using sunscreen doesn't mean it's safe
to spend more time in the sun, especially when the UV Index is
forecasted to be high. In fact, there is no evidence that sunscreens
protect you from malignant melanoma - the most dangerous form of
skin cancer. To give yourself the best protection, seek shade and
wear protective clothing - a wide-brimmed hat, long-sleeved shirt,
long pants, and wraparound sunglasses that provide 100% UV ray
protection.
Dr. Patricia David is the president/CEO of CorpHealth, a
Westerville-based medical facility dedicated to improving the health
of Ohioans by providing wellness and preventive medicine services to
the Greater Columbus, Ohio area.
CorpHealth* - wellness programs to enhance
your healthy lifestyle!
* CorpHealth offers
immigration physicals,
pre-placement
physicals, DOT
physicals,
public safety physicals, and
wellness exams, as well as an excellent
executive health program,
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health screenings, and
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services.
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