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Do Tanning Beds cause Skin Cancer?

Apr 24, 2007 06:34 PDT

 

Study of the UV radiation emitted by tanning beds:

 

A Dermatology Department in the United Kingdom conducted a study

examining DNA damage in human fibroblasts, cells that give rise to

connective tissue, after they were exposed to artificial tanning

lamps.

During this experiment, a comet assay was performed in which cells

UV-detecting cells were embedded into two different types of tanning

beds to detect the amount of radiation emitted. The types of tanning

equipment studied were 12 lamps of Philips TL80 W/10R (the

Performance tanning bed) and five Philips TL80 W/10R lamps. The

cells were placed in the tanning beds at a distance of about 35

centimeters from the lamps.

 

In the Performance tanning bed, the UVA radiation was measured at

85-100W/m2, and the UVB radiation was found to be 16-19W/m2. For the

TL80W/10R bed, the UVA and UVB radiation quantities were discovered

to be 35-40W/m2 and 0.3-0.4W/m2 respectively.

 

The radiation emitted by the sun was also measured using the same

radiometers on a sunny day with the

temperatures at about 25-24o C. The UVA radiation was 10-28W/m2, and

the UVB radiation was measured at 4 – 9.5W/m2.

 

Thus, the amount of UVA radiation, which penetrates deeper into the

skin, was anywhere from about 3-8 times greater in the tanning beds

than in the light from the

sun. This amount depended on the type of tanning bed, but inevitably

caused an increased in potential skin damage (Woollons, Clingen,

Price, Arlett, & Green, 1997).

 

The harmful results caused by UVB radiation from tanning lamps were

determined to include three types of damage to DNA. Cyclobutane

pyrimidine dimers (CPDs) were induced, oxidized and hydrated

pyrimidines were distorted, and breaks were found in the single-

strands. The Performance sunbed was just as effective as sunlight

for inducing CPDs. It was also discovered that the induction of

these kinds of DNA damage occurred just before the development of

skin tumors (Woollons, Clingen, Price, Arlett, & Green, 1997).

 

The scientists who conducted the study agreed that although the

amount of evidence regarding the harmful effects of tanning lamps

has been limited, it has recently been increasing. They concluded

that it is highly likely that the lamps cause DNA damage that is

directly related to the development of skin cancers, cutaneous

effects, and damage to the immune system.

They believe that the public should be warned about the dangers of

using tanning beds.

 

---

-

Dangers of Tanning Beds

By Ken Marlborough

 

 

Dartmouth researchers report that people who used a tanning device

were 2.5-times more likely to develop basal cell carcinoma, and 1.5-

times more susceptible to squamous cell carcinoma. The tanning-bed

users had risks higher than those who had previous sun exposure, but

had not been under artificial lamps.

 

Tanning beds release very high and dangerous levels of ultraviolet

radiation. Tanning beds suppress our immune system, cause cosmetic

and drug-induced photosensitivity, and create a higher risk of

developing skin cancer.Ultraviolet radiation is harmful to the DNA

in your body.

Skin cancer caused largely due to exposure to UV radiation is the

biggest danger of tanning beds.

Scientists agree that UVA rays are linked to malignant melanoma,

damage to the immune system, weakening of the skin's inner tissue,

and other types of skin

cancers (http://carrollton.greene.K12.il.us/websun/PrSnLmp.htm).

 

 

Along with melanoma, the use of tanning devices contribute to the

incidence of non-melanoma skin cancers, according to a recent study

published in the Journal of the National Cancer Institute.

 

The three types of skin cancer related to exposure to ultra violet

rays are melanoma, basal cell carcinoma and squamous cell carcinoma.

..What is skin cancer? - simply put, it is a disease of our body's

cells.

Cells are responsible for helping our body tissue to grow and

regenerate. Exposure to UV light causes cell mutations, the

production of " activated oxygen molecules " which can damage cells

and finally pilot the way to " localized immunosuppression " which

disrupts the body's anti-cancer defenses.

 

The most prevalent type of skin cancer is Basal Cell Carcinoma

(about 75%), which is slow-growing and does not often spread to

other parts of the body. Next is Squamous Cell Carcinoma (about

20%). This type grows more quickly and the possibility of spreading

is more acute.

 

Increased use of tanning beds plays a role in growing rate of skin

cancer.

Just say No!

 

As winter temperatures dip below zero in many locales and travel

opportunities diminish due to a faltering economy and terrorism

fears, tanning salons can seem both affordable and alluring.

And zealous and intrepid salons certainly try to tempt us with

hard-to-resist packages such as unlimited tanning for a low monthly

fee and uber-cool tanning beds with names like " The silver bullet "

that promise to bronze your whole body in 15 minutes.

 

Some tanning-bed advocates have switched gears and now promote the

health benefits of tanning due to increased vitamin D exposure. They

contend that it helps prevent osteoporosis and some forms of cancer.

(Vitamin D is known as the sunshine vitamin because it comes from

the sun.)

 

But save your money and your health, says a new study. Such tanning

beds may give you more than a fast all-over tan, they can also up

your risk of melanoma, the most deadly form of skin cancer.

 

The new study appears in the Jan. 19 issue of the journal Pigment

Cell Research.

 

One of the biggest risk factors for melanoma is chronic exposure to

ultraviolet rays, primarily through tanning under the sun or in a

tanning bed. The tanning properties of sun beds come from their

ultraviolet B (UVB) and ultraviolet A (UVA) radiation, both of which

are found in the sun´s rays.

 

So it makes perfect sense that tanning beds, like the sun, would up

skin cancer risk. Melanoma is the deadliest type

of skin cancer because it spreads easily to other organs and bones

through the blood or the lymph system.

 

Study researcher Professor Antony Young of King's College London

concludes that the continuing and widespread use of sun beds is

likely to result in increased numbers of people with malignant

melanoma.

 

Perhaps dovetailing with the increased use of tanning beds, melanoma

is becoming increasingly and alarmingly more common, moving from the

No. 6 slot in 1997, to a projected No. 1 by the year 2022.

 

Where's the disconnect

 

Despite mounting evidence about the health risks of tanning beds,

another new study shows that more than one-third of teenage girls

have gone tanning at least once, say researchers from Case Western

Reserve University School of Medicine and University Hospitals in

Cleveland.

 

According to the study, 37% of girls have used an indoor tanning

facility at least once and almost 30% of girls have used a tanning

booth three or more times. On an average day in the United States,

more than 1 million people visit tanning salons, according to

information from the Schaumburg, Ill.-based American Academy of

Dermatology (AAD).

 

More than melanoma

 

Along with melanoma, the use of tanning devices also contribute to

the incidence of non-melanoma skin cancers, according to a recent

study published in the Journal of the National Cancer Institute.

 

Dartmouth researchers report that people who used a tanning device

were 2.5-times more likely to develop basal cell carcinoma, and 1.5-

times more susceptible to squamous cell carcinoma. The tanning-bed

users had risks higher than those who had previous sun exposure, but

had not been under artificial lamps.

 

The researchers also found that, among artificial tanners, those who

started at an early age are even more likely to develop skin cancer.

 

It's more than just cancer. The federal Centers for Disease Control

and Prevention in Atlanta reports an estimated 700 emergency

department

visits per year related to tanning salon exposure.

 

The AAD recommends monthly self-exams to look for irregular lesions

that are growing and changing.

 

Know your ABCD's, the group states. Look for moles with:

Asymmetry or moles where one half is different than another.

Border Irregularity meaning that the edge of melanomas are usually

ragged and jagged. Color as melanomas often has a variety of colors

within the same mole. And Diameter as melanomas continue to grow.

And keep a close watch. Researchers from the Memorial Sloan-

Kettering Cancer Center in New York

City found that using detailed photographs of the skin and moles can

help keep a close watch on suspicious moles. (Remember your ABC's, a

change in a mole can be a warnings sign of melanoma.)

Denise Mann

 

http://www.dermadoctor.com

--

Do Tanning Beds Cause Skin Cancer?

Elizabeth Carruth

 

Before one can discuss harmful effects of tanning equipment and

increased sun exposure, one must be familiar with the components of

ultraviolet light and how affects the skin. Sunlight contains two

types of ultraviolet (UV) light: UVA and UVB.

 

UVA rays consist of longer wavelengths that penetrate deep into the

dermal layer of skin.

 

Limited exposure to UVA rays causes skin to tan; however, most

experts agree that exposure to UVA can lead to other long-term skin

damage.

 

UVB rays' wavelengths are much shorter, affecting the outermost

layers of skin.

 

Tanning beds and sun lamps generally emit 93% to 99% UVA radiation

 

This is three times the UVA radiation given off by the sun

(http://www.wraltv.com/features/healthteam/1998/0520-sunscreen/).

http://www.aad.org/public/Publications/pamphlets/DarkerSideTanning.ht

m

--------------------------------

What are the harmful effects of tanning beds?

 

Nearly every single article that was researched concluded that

indoor tanning is directly linked to skin cancer, specifically

malignant melanoma, and other numerous health problems.

 

Although tanning industries claim that UVA radiation is safe,

medical research disproves this theory.

 

Researchers say that because UVA rays penetrate deep into the skin,

they destroy skin fibers and damage elasticity. Long-term effects of

UVA rays include premature aging

(http://pharmacy-

web.com/WHP/InfoService/MedTribune/Abstract/M950728e.html).

 

 

Scientists agree that UVA rays are linked to malignant melanoma,

damage to the immune system, weakening of the skin's inner tissue,

and other types of skin

cancers (http://carrollton.greene.K12.il.us/websun/PrSnLmp.htm).

 

In fact, studies show that large doses of UVA lead to an increased

risk

of developing skin cancer

(http://beacon-www.asa.utk.edu/issuew/v71/n38/tan.38n.html).

 

From his research, Dr. David Sidransky concluded that UVA radiation

causes the same damage as UVB radiation to skin cells which leading

to

cancer. In cases where exposure to light was increased, it was more

likely that the damage would exceed the constructive, cellular-

repair

mechanisms, and a tumor would be more likely to develop

(http://pharmacy-

web.com/WHP/InfoService/MedTribune/Abstract/M950728e.html).

 

 

A study conducted in Sweden helps to prove that tanning beds are a

major

factor in the development of malignant melanoma. Different people,

all

under the age of 30, were included in the study.

 

The data concluded that the people who used tanning beds more than

10

times a year were seven times more likely to develop malignant

melanoma

than those who did not use tanning beds.

 

Researchers estimated that by the year 2000, the risk of developing

skin

cancer for those who did not use tanning beds would be one out of

every

97 persons, and that the chances for those who did use tanning beds

would be one out of every 13 persons

(http://winonanet.com/health/articles/1996/feb/tan.html).

 

The study also concluded that melanoma risks are increased by 300%

for

those using tanning beds occasionally, and that the risks increase

by

800% for those who use tanning beds more than 10 times a year

(http://www.hlthmall.com/tanning.html).

 

Dr. Douglas Reintgen believed that as long as tanning devices were

not

used in excess and the customer avoided burns, then the equipment

could

be considered safe

(http://pharmacy-

web.com/WHP/InfoService/MedTribune/Abstract/M951728e.html).

 

 

Service/MedTribune/Abstract/M951728e.html).

 

However, it has been proven that tanning beds do cause sunburns, and

are, therefore, dangerous

(http://nytsyn.com/live/discuss/cancer/0029.html).

 

Physicians of the Geisinger Health System report that one sunburn

doubles the risk of developing skin cancer

(http://www.geisner.edu/ghs/pubtips/T/TanningWithouttheSun.htm).

 

Tanning is skin damage. Although skin cancer has been associated

with

UVB radiation and sunburns, scientists say that even tanning in

moderation produces the same harmful effects, as would a burn.

Tanning

causes premature aging, causing the skin to appear leathery and

wrinkled, and also damages the immune system

(http://www.fda.gov/cdrh/tanning/html). Other sources reveal that

tanning always damages the skin. Plastic surgeon Dr. Dean Johnson

who

treats skin cancer patients in 25% of his surgeries,

declares, " There is

no safe tan "

(http://www.icflorida.com/healthfitness/prevention/sun.html).

 

A number of various authorities warn the public of the dangers of

tanning devices. Dermatologists believe that tanning beds are a

leading

factor in skin cancer cases

(http://www.ivanhoe.com/docs/backissues/tanningbedcancer.html). The

Food

and Drug Administration (FDA) lists tanning beds as possible health

hazards (http://beacon-eee.asa.utk.edu/issues/v71/n38/tan.38n.html),

and

the FDA and the Centers for Disease Control (CDC) encourage people

to

avoid using tanning and sun lamps (http://www.fda.gov). Even the

American Medical Association (ADA) and the American Academy of

Dermatology (AAD) are fighting to ban the use of tanning equipment

for

non-medical purposes (http://www.fda.gov/cdrh/tanning.html).

 

Both types of UV radiation can cause damage to blood vessels,

photosensitivity (allergic) reactions, or even eye damage

(http://winonanet.com/health/articles/1996/feb/tan.html). According

to

the CDC, tanning beds create problems in the eyes such as

conjunctivitis

and corneal infections. Ultraviolet rays can cause serious damage to

the

cornea and retina (http://www.Isu-eye.Isumc.edu/tanning.html).

 

What are people's motives for tanning?

 

Why do people desire a tan? In general, most people are concerned

about

their appearance. It can be assumed that people desire to be

considered

beautiful by others and to have more pleasant features. The

stereotypical good-looking person is usually a thin female or

muscularly

built male with nice, clean hair and bronze or tan skin. In recent

years

there has been a tremendous amount of pressure placed upon females,

especially teenagers, to become what the media considers to be a

beautiful person. All this explains why more white female teens are

using tanning equipment with disregard to medical warnings.

 

 

 

Why won't people listen?

 

Because of exposure to sun, tanning beds, and sun lamps, the number

of

skin cancer cases has increased dramatically. It has been predicted

that

this year, more than one million new skin cancer cases will be

diagnosed. Also, malignant melanoma can be fatal if it is not

detected

early. This year in the United States, 38,000 cases and 7,300 deaths

are

being anticipated (http://www.fda.gov/cdrh/tanning.html). So, why

are

people not complying with the warnings? Why are people not changing

poor

skin care treatment? Perhaps the public is not fully aware of the

harmful effects of UV radiation. Rex Amonett, M.D., Dermatologist,

stated that most of his skin cancer patients are over 50. He also

reported that lately more teenagers have become victims, and that

this

was probably due to the fact that now more than 2.5 million people

are

using tanning bed equipment daily (mostly teens)

(http://www.ivanhoe.com/docs/backissues/tanningbedcancer.html). So,

what

is a person's motivation for tanning?

 

Which group is right?

 

Although benefits do exist from choosing to us tanning beds over

bathing

outdoors in the sun, tanning bed industries have failed to mention

many

important and harmful risk factors of tanning equipment. The long-

term

effects of UVA radiation far exceed the short-term, ephemeral

benefits,

and trust should be placed into the hands of scientists,

researchers,

and doctors.

 

What scientific research has been discovered on the effects of

artificial tanning equipment?

 

Studies regulated by medical researchers consistently report a

number of

interesting facts about the relationships between artificial tanning

equipment and skin cancers. Studies prove that exposure to UV

radiation

is a risk factor for cutaneous malignant melanoma.1, 2 One study

reviewed that approximately 80% of the radiation emitted by tanning

lamps is in the UV range, proving tanning beds to be carcinogenic,3

and

another study of Caucasian women with melanoma reported that women

who

had a history of sunburns had an increased melanoma risk, even if

they

also tanned.4 The reports also concluded that combined exposure to

sunlight and tanning beds resulted in increased risks for developing

melanoma.

 

 

 

Study of the UV radiation emitted by tanning beds:

 

A Dermatology Department in the United Kingdom conducted a study

examining DNA damage in human fibroblasts, cells that give rise to

connective tissue, after they were exposed to artificial tanning

lamps.

During this experiment, a comet assay was performed in which cells

UV-detecting cells were embedded into two different types of tanning

beds to detect the amount of radiation emitted. The types of tanning

equipment studied were 12 lamps of Philips TL80 W/10R (the

Performance

tanning bed) and five Philips TL80 W/10R lamps. The cells were

placed in

the tanning beds at a distance of about 35 centimeters from the

lamps.

In the Performance tanning bed, the UVA radiation was measured at

85-100W/m2, and the UVB radiation was found to be 16-19W/m2. For the

TL80W/10R bed, the UVA and UVB radiation quantities were discovered

to

be 35-40W/m2 and 0.3-0.4W/m2 respectively. The radiation emitted by

the

sun was also measured using the same radiometers on a sunny day with

the

temperatures at about 25-24o C. The UVA radiation was 10-28W/m2, and

the

UVB radiation was measured at 4 – 9.5W/m2. Thus, the amount of UVA

radiation, which penetrates deeper into the skin, was anywhere from

about 3-8 times greater in the tanning beds than in the light from

the

sun. This amount depended on the type of tanning bed, but inevitably

caused an increased in potential skin damage (Woollons, Clingen,

Price,

Arlett, & Green, 1997).

 

The harmful results caused by UVB radiation from tanning lamps were

determined to include three types of damage to DNA. Cyclobutane

pyrimidine dimers (CPDs) were induced, oxidized and hydrated

pyrimidines

were distorted, and breaks were found in the single-strands. The

Performance sunbed was just as effective as sunlight for inducing

CPDs.

It was also discovered that the induction of these kinds of DNA

damage

occurred just before the development of skin tumors (Woollons,

Clingen,

Price, Arlett, & Green, 1997).

 

The scientists who conducted the study agreed that although the

amount

of evidence regarding the harmful effects of tanning lamps has been

limited, it has recently been increasing. They concluded that it is

highly likely that the lamps cause DNA damage that is directly

related

to the development of skin cancers, cutaneous effects, and damage to

the

immune system. They believe that the public should be warned about

the dangers of using tanning beds.

 

 

Previously, UV radiation has been used to prevent vitamin D

deficiency,

attempting to result in a suntan rather than a burn. A study was

conducted by doctors from a Department of Biochemical Medicine and

Dermatology in which 38 members of a hospital staff were exposed to

radiation for two sessions of 15 minutes everyday for two weeks. The

time of exposure was increased to 25 minutes for each session after

four

days. The amount of radiation in the skin of five more volunteers

was

also determined to provide a control group. Ten members of the

experimental group could not complete the sessions because severe

adverse skin reactions or other health related problems evolved. Of

the

28 subjects who completed the course, 20 developed sunburns in which

11

cases involved itching. When studying the maintaining of vitamin D,

the

experimental group consisted of 39 people, ages 20-46, and a control

group of five volunteers, ages 28-44, was also formed. The results

of

the study revealed that a substantial increase in the serum levels

of

vitamin D occurred in the experimental group, even when only small

amounts of radiation were emitted (Devgun 1981).6

 

 

Another study was completed, examining the effects of UV radiation

from

artificial sources on the cornea and studying the production of

proimflammatory cytokines. Normal human corneas and stroma cells

were

obtained from eye banks, and keratocytes were grown culture dishes.

The

corneas were placed in the dishes. Some were left alone as a

control,

and the remaining ones were exposed to UV radiation for three hours.

The

corneal stroma cells were cultured and analyzed to verify that they

were

not contaminated. The experiment proved that there was a 30-fold

increase in radiation of the stroma cells compared to the cells that

were not exposed to the radiation. This proved that UV-mediated

corneal

inflammation can be found in people who are exposed regularly to UV

radiation (Kennedy, 1997).7

 

 

 

Researches report why people do not adhere to warnings.

 

A study was conducted in the metropolitan area of Stockholm County,

Sweden. Over 1500 students, 14 -19 years of age, from 46 schools,

and in

3500 different classes were surveyed. The questionnaire included 26

questions concerning age, sex, skin type, tanning bed and sunscreen

use,

sunbathing habits, reaction to tanning bed use, and skin disease.

The

study was designed to examine skin types vs. sunbed and use of

protection, sunburns caused by tanning beds, and tanning beds vs.

skin

disease. The results revealed that most of the adolescents surveyed

reported that they had brown hair and type III skin, meaning that

they

possessed brown skin colors. The students could have quite possible

felt

that they were not in a high-risk category for developing skin

cancer,

and, therefore, did not consider tanning beds to be harmful. Forty-

four

of the participants reported that they had received erythema, or

sunburn, from a visit to the tanning bed. Finally, the questionnaire

proved that 23% of the students who use sunbeds reported having skin

diseases such as eczema (an inflammation of the skin and the

outbreak of

lesions), psoriasis (inflammation of skin and white, scaly patches),

or

acne/seborrhea. However, only 16% of the students who did not use

sunbeds reported having the same skin diseases. One myth of society

includes that sunlight and possibly light emitted by tanning beds

helps

to clear acne; however, tanning bed use was reported in 63% of the

students with acne. Ultimately, the surveyors concluded that the

risk

factors for the development of skin cancers are environmental,

behavioral, and genetic (Boldeman, Beitner, Jansson, Nilsson, &

Ullen).8

 

 

A study of New Zealand residents was also performed relating sun

behaviors to the risks of acquiring melanoma. A group of 909 21-year

olds answered questionnaires concerning how often they used

sunscreen,

how often they were sunburned, and what methods would be required to

convince them to protect their skin. The consensus of surveys

concluded

that obtaining a good base tan would decrease their chances of

developing melanoma. The reports revealed that the public is unaware

of

the harmful and potentially deadly effects of UV radiation and skin

damage, particularly when dealing with tanning beds.9

 

Medical researchers agree that artificial tanning equipment emits

predominantly UVA and some UVB radiation, UV rays cause sunburns,

and

sunburns increase the chances that one will develop skin cancers,

including malignant melanoma. Therefore, the conclusion can be made

that

tanning beds can cause skin cancer. Scientists also agree that the

best

method of modification of potentially harmful sun behaviors is to

educate people of the risks of acquiring melanoma and to eradicate

the

perceptions of risks.

 

http://www.vanderbilt.edu/AnS/psychology/health_psychology/Tanning.ht

ml

 

Bibliography

 

 

 

Miller, S.A., Hamilton, S.L., Wester, U.G., & Cyr, W.H. (1998). An

analysis of UVA emissions from

 

sunlamps and the potential importance for melanoma. Photochemistry

and

Photobiology; 68(1): 63-70. (abstract).

 

 

Swerdlow, A.J. & Weinstock, M.A. (1998). Do tanning lamps cause

melanoma?. Journal of the American

Academy of Dermatology; 38(1): 89-98. (abstract).

 

 

 

DeMarini, D.M., Shelton, M.L., & Stankowski, L.F. (1995). Mutation

spectra in Salmonella of sunlight,

 

white fluorescent light, and light from tanning salon beds:

induction of

tandem mutations and role of DNA rapair. Mutation Research. 327(1-

2):

131-149. (abstract).

 

 

Cress, R.D., Holly, E.A., & Ahn, D.K. (1995). Cutaneous melanoma in

women. V. Characteristics of those

who tan and those who burn when exposed to summer sun. Epidemiology;

6(5): 538-543. (abstract).

 

 

Woollons, A., Clingen, P.H., Price, M.L., Arlett, C.F., Green,

M.H.L.

(1997). Induction of mutagenic

DNA damage in human fibroblasts after exposure to artificial tanning

lamps. British Journal of Dermatology 1997; 137: 687-692.

 

 

Devgun, M.S., Johnson, B.E., & Paterson, C.R. (1981). Tanning,

protection against sunburn and vitamin D

formation with a UV-A `sun-bed.' British Journal of Dermatology

1982;

107: 275-284.

 

 

 

Kennedy, M., Kim, K., Harten, B., Brown, J., Planck, S., Meshul,

C.,Edelhauser, H., Rosenbaum, J.T.,

 

Armstrong, C.A., & Ansel, J.C. (1997). Ultraviolet Irradiation

Induces

the Production of Multiple Cytokines by Human Corneal Cells.

Investigative Ophthalmology and Visual Science. Sept, 1997, Vol. 3,

No.

10.

 

 

Bolseman, C., Beitner, H., Jansson, B., Nilsson, B., & Ullen, H.

(1996).

Sunbed use in relation to

phenotype, erythema, sunscreen use and skin diseases. A

questionnaire

survey among Swedish adolescents. British Journal of Dermatology

1996;

135: 712-716.

 

 

Douglass, H.M., McGee, R., & Williams, S. (1997). Sun behavior and

perceptions of risk for melanoma

among 21-year old New Zealanders. Australian and New Zealand Journal

of

Public Health 21(3): 329-334. (abstract).The Case Against Indoor

Tanning

 

 

Indoor tanning is big business, with tanning trade publications

reporting this as a $2 billion-a-year industry in the United States.

According to industry estimates, 28 million Americans are tanning

indoors annually at about 25,000 tanning salons around the country.

In

fact, a recent study of more than 10,000 teens across the US found

that

tanning bed use was increasing, especially among adolescent girls.

 

This does not bode well for the health of the nation. In 1994, a

Swedish study found that women 18-30 years old who visited tanning

parlors 10 times or more a year had seven times greater incidence of

melanoma than women who did not use tanning salons. In another

study,

people exposed to 10 full-body tanning salon sessions had a

significant

increase in skin repair proteins typically associated with sun

damage,

indicating that ultraviolet (UV) radiation from indoor tanning is as

dangerous as UV from the sun. And in 2002, a study from Dartmouth

Medical School found that tanning device users had 2.5 times the

risk of

squamous cell carcinoma and 1.5 times the risk of basal cell

carcinoma .

And yet, even with all this evidence, the tanning salons remain

unrepentant.

 

The tanning industry relies on two misleading arguments: first, that

since melanoma is mainly caused by sunburn, " controlled " tanning

helps

prevent melanoma by building up the protective pigment melanin;

second,

that UV exposure makes the skin produce vitamin D, which helps

prevent

breast, prostate and colon cancer, as well as other diseases.

 

Medical experts refute these arguments. They point out that our diet

(especially vitamin D-rich foods such as dairy products and salmon)

generally provides all the vitamin D we need. Furthermore, tanning

to

increase melanin is counterproductive. Tanning, like burning, causes

genetic damage to skin cells. " You can't protect the skin by

damaging

it, " said James M. Spencer, MD, director of dermatologic surgery at

Mount Sinai Medical Center in New York City. " Tanning not only

increases the risk for melanoma and squamous cell carcinoma, but

accelerates skin aging. "

 

There have been several attempts made to regulate the industry, by

physician groups as well as state and national congresspeople and

the

World Health Organization, with limited success. The FDA is weighing

stricter controls over tanning devices, but has not yet instituted

any

changes. The tanning industry has fought all of these measures.

" Tanning manufacturers and salon owners keep lobbying the FDA and

state

agencies to soften regulations, claiming that tanning is healthful, "

said Dr. Spenser.

 

Unfortunately, even when regulation has occurred, it hasn't solved

the

problems. " Regulation can't make tanning safe, " declared Michael

Franzblau, MD, clinical professor of dermatology, University of

California School of Medicine, San Francisco. " Banning salons is

the

only answer. "

 

He should know, because he was instrumental in the passage of

legislation regulating tanning facilities in California. The law,

passed in 1988, unfortunately had no mechanism for registration of

tanning parlors or collection of fees from owners. " Hence, there is

no

enforcement, " notes Dr. Franzblau.

 

Some states require salons to provide UV-protective eyewear or have

machine operators remain present throughout a client's session.

Others

require a sign on the booth warning people who always sunburn that

tanning puts them at high risk for skin damage. Whatever the

regulations, says Dr. Franzblau, there's no assurance they will be

complied with. " I've taken teams of scientists into salons where not

one requirement was being followed. " Other studies have shown that

tanning salons frequently exceed " safe " UV limits. The average salon

patron in North Carolina was recently found to exceed FDA limits by

95

percent.

 

Is banning salons outright the only answer? Dr. Franzblau believes

that eliminating tanning salons " would be 100 percent more

effective "

than regulating them. And it could save millions of lives.

 

 

The Darker Side of Tanning

Public health experts and medical professionals are continuing to

warn

people about the dangers of ultraviolet (UV) radiation from the sun,

tanning beds, and sun lamps. Two types of ultraviolet radiation are

Ultra­violet A (UVA) and Ultraviolet B (UVB). UVB has long been

associated with sunburn while UVA has been recognized as a deeper

penetrating radiation.

 

 

Although it's been known for some time that too much UV radiation

can be

harmful, new information may now make these warnings even more

important.

 

Some scientists have suggested recently that there may be an

association between UVA radiation and malignant melanoma, the most

serious type of skin cancer.

 

 

What are the dangers of tanning?

 

UV radiation from the sun, tanning beds, or from sun lamps may cause

skin cancer. While skin cancer has been associated with sunburn,

moderate tanning may also produce the same effect.

 

UV radiation can also have a damaging effect on the immune system

and

cause premature aging of the skin, giving it a wrinkled, leathery

appearance.

 

People sometimes associate a suntan with good health and vitality.

In

fact, just a small amount of sunlight is needed for the body to

manufacture vitamin D.

 

It doesn't take much sunlight to make all the vitamin D you can use ­

certainly far less than it takes to get a suntan!

 

 

The number of skin cancer cases has been rising over the years, and

experts say that this is due to increasing exposure to UV radiation

from

the sun, tanning beds, and sun lamps. More than 1 million new skin

cancer cases are likely to be diagnosed in the U.S. this year.

 

 

But aren't the types of skin cancer caused by the sun, tanning beds,

and

sun lamps easily curable?

 

Not necessarily. Malignant melanoma, now with a suspected link to

UVA

exposure, is often fatal, if not detected early. The number of cases

of

melanoma is rising in the U.S., with an estimated 38,300 cases and

7,300

deaths anticipated this year.

 

 

Why doesn't the skin of young people show these harmful effects?

 

Skin aging and cancer are delayed effects that don't usually show up

for

many years after the exposure. Unfortunately, since the damage is

not

immediately visible, young people are often unaware of the dangers

of

tanning. Physicians and scientists are especially concerned that

casesof skin cancer will continue to increase as people who are now intheirteens

and twenties reach middle age.

 

 

But why is it that some people can tan for many years and still not

showdamage?People who choose to tan are greatly increasing their risk

ofdeveloping

skin cancer. This is especially true if tanning occurs over a period

of years, because damage to the skin accumulates.

 

 

 

JoAnn Guest

mrsjo-

www.geocities.com/mrsjoguest

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