UVR is strongest between
10:00AM and 2:00PM. Clouds filter some but not
most of the UVR so it's still possible to get
burned on a cloudy day. Some ground surfaces
such as sand and snow reflect most of the UVR.
For instance snow can reflect as much as 80% on
the incident UVR Water actually reflects very
little UVR. For every 1000 feet increase in
altitude the UVR increases by
4%.
Sunburn
Sunburn
is caused by overexposure to UVR, mostly UVB. In
fact, sunburn is almost exclusively a UVB
phenomenon.This is important because it means
that the SPF system measures UVB protection and
not UVA (see SPF below). During a sunburn the
skin turns red, swells and, in severe cases,
blisters. On a cellular level there is an
increase in inflammatory cells as well as many
chemicals associated with inflammation. A
sunburn continues to develop for 12 to 24 hours
after the exposure. One blistering sunburn will
double a person's chance of developing skin
cancer. Remember however, that avoiding sunburn
is not the same as avoiding sun damage. Sunburn
is just the immediate sign of UVR overexposure.
People who have never been sunburned can still
develop the delayed problems such as skin cancer
and the sun related skin changes such as deep
lines, sagging skin . . .
Skin type
The
Skin Type system is a method commonly used to
assess one's sunburn risk. There are 6 (1 - 6)
skin types (see below). The lower numbers
represent those people more likely to burn and
the higher numers are reserved for those people
with a greater degree of natural protection. As
we all know, fair skinned, light eyed people
with freckles are the most sun sensitive while
dark skinned dark eyed are the least sun
sensitive. Everyone else is somewhere
in-between. Again, it is important to remember
that, while avoiding a burn is important, it
does not mean that you have escaped more serious
damage that can lead to damaged skin and even
cancer. Type 1 - Always burns, never tans
Type 2 - Usually burns, tans with difficulty
Type 3 - Sometimes burns, sometimes tans
Type 4 - Burn minimally, always tans
Type 5 - Rarely burns, tans profusely
Type 6 - Never burns, deeply tans
SPF
SPF stands
for Sunscreen Protection Factor. It is measured
by determining how long a given person takes to
"burn" with and without the sunscreen product
on. If it takes 10 times longer with the
sunscreen product then that product has a SPF of
10. If it only takes twice as long then that
product has an SPF of 2. In reality, the testing
labs don't really burn the test subjects they
just give them enough UVR to cause the skin to
turn barely red. This minimum dose is called the
MED (minimal erythermal
dose).
Sunscreens
Sunscreen are chemicals that, when
applied topically, keep UVR from reaching your
skin. They work either by absorbing the UVR or
by reflecting it. Either way, if used properly,
they can keep a lot of UVR from reaching you.
There are two types of sunscreens: organic and
inorganic (also called physical). Organic
sunscreens have been the mainstay of
commercially available products for years. The
term "organic" simply means that these
sunscreens are composed of, among other things,
carbon and hydrogen. It does not mean that they
are naturally occurring and, in fact they are
not. Organic sunscreens are relatively complex
molecules that are to some degree absorbed into
the skin.
The most famous sunscreen is PABA (para
amino benzoic acid). PABA became so well known
because a significant number of people turned
out to be allergic to it. Most products are now
"PABA Free" but many people still have problems
with one or another of the organic sunscreens.
For example, Benzophenone (Oxybenzone) is an
organic sunscreen that is commonly used. It is
probably the one most associated with adverse
reactions. Physical sunscreens are actually
microscopic solid pieces of sunscreen. Zinc
oxide and Titanium dioxide are the two that are
commonly used. Most people associate zinc oxide
with the white thick paste lifeguards used to
use. It was know to be the best sun block
available but it was cosmetically unacceptable
and therefore used only by lifeguards or skin
cancer patients.
Fortunately, things
have changed and you can now get physical
sunscreens that are transparent. Zinc oxide, for
example, is now manufactured so that the
particles are so small that you can not see
them. These space age physical sunscreens are
referred to as microfine powders and Z-COTE
(microfine zinc oxide) is an example. The
sunscreen manufacturers now use Z-COTE and other
microfine powders as ingredients in their
sunscreens. Zinc oxide is the primary active
ingredient in many baby care products and thus
has a very long history of safe use and is not
associated with any allergic reactions. Because
of this, physical sunscreens, like zinc oxide,
are ideal for beach products and for products
such as moisturizers and make up that are used
every day and need to be as gentle as possible.
Most of the organic sunscreens block only UVB.
Titanium dioxide blocks some UVA and Zinc oxide
blocks more UVR than any other single
ingredient. When buying a sunscreen you should
get at least an SPF 15 and preferably one that
contains zinc oxide. At a minimum, make sure it
says "Broad Spectrum".
You should apply the
sunscreen about 20 minutes before going out.
This gives the sunscreen time to "set up" on
your skin so that it can do its job. An SPF 2
blocks about 50% of the UVR. An SPF 10 gets
about 85%. An SPF 15 stops about 95% and an SPF
30 stops about 97%. That is why most health
professionals agree that an SPF 15 is enough.
This all assumes that the sunscreen is applied
correctly. When the SPF test is done the testing
lab uses an amount of sunscreen representative
of 1 ounce per each full body (adult)
application. This means that the average 4 ounce
tube would last an adult 4 applications at the
beach. If you stayed on the beach 4 hours and
applied the sunscreen every 2 hours then a tube
would last only 2 days (4 applications).
Virtually nobody uses this much sunscreen which
means more often than not, the sunscreens are
being under-applied and people are not receiving
the protection they think they are. Some people
try to get around this by using a higher SPF but
less of it. For instance, it's appealing to
think that if you use a little bit of SPF 30 its
really like using an SPF 15. Unfortunately, it
doesn't work that way. There is no good way to
predict the SPF of an improperly applied
sunscreen so - bottom line - use at least an SPF
15 and use it correctly!