| UV AND YOU: SUNSHINE AND SAFE SKIN by Buck Tilton
Sunshine strikes the Earth in rays of varying wavelengths. Long rays (infrared) are unseen but felt as heat. Intermediate length rays are visible as light. Shorter rays (ultraviolet) are also invisible and are further divided into three groups: 1) ultraviolet A (UVA), beneficial in low doses but may increase the chance of cancer in high doses DNA
in living skin and eye cells. DNA controls your cells' ability to heal and
reproduce. Earth's ozone layer allows life to flourish by passing the
longer, beneficial wavelengths and effectively blocking almost all UVC,
some UVB, and a little UVA.
According to NASA's ever-spinning satellites, the ozone layer's wavering
protection lays four to eight percent thinner over the entire earth than
it did ten years ago. A depletion of that magnitude could raise the chance
of skin cancer in North America as much as 15 percent. Some experts
disagree. NASA says Yes, Rush Limbaugh says No, but the point ends up
being moot. Skin cancer can be thought of as an outdoor syndrome,the
result of periods of intense overexposure to ultraviolet light even if the
ozone was not depleted. An estimated 32,000 U.S. citizens malignant melanoma, the vilest form of
skin cancer, and between 7000 and 9000 will die when the cancer
metastasizes (spreads) to other vital organs. That's a 300% rise in the
last decade. Melanoma occurs in the melanocytes, the cells of the skin
that determine skin color, and it occurs most often in people who are
fair-skinned and freckled, people who sunburn easily. The average age at
which melanoma strikes has been dropping dramatically. Ten years ago it
was considered unusual to find skin cancer in anyone under 40. This year
fully one-fourth of all melanomas will involve people in their 20s and
30s. Tragically, children are the most susceptible, but the problem may
not show up for years. If caught early, malignant melanoma is virtually
100 percent curable. Physicians recommend a monthly skin check for the
symptomatic ABCDs of skin cancer. A for Asymmetry: One half of a mole or skin spot doesn't match the other half. Malignant melanoma is one of three common forms of skin cancer, but not
the most common. That distinction belongs to basal cell carcinoma, with
about one half million cases reported annually. Basal cells make up the
base of the epidermis, the outermost covering of the body. UV radiation
can cause these cells to reproduce too fast, producing a tumorous growth.
Basal cell carcinoma usually start as a slow-growing, small, shiny (or
pearly) bump that becomes an open sore taking longer than three weeks to
heal. They often bleed, crust over, and open to bleed again. The cancer
may be an itchy or tender reddish patch that comes and goes. Sometimes
it's a pale splotch, like a scar, and sometimes a circular growth with a
raised border and depressed center. Squamous cell carcinoma, the second
most common skin cancer, accounts for about 100,000 cases each year. Like
the other forms, it appears most often on the face, ears, hands and
forearms. In the past 50 years, shoulders, back and chests on men, and the
lower legs of women, have become increasingly popular sites for skin
cancer due to deliberate exposure of those body parts to UV radiation.
Squamous cells make up most of the epidermis. When they become cancerous,
they may look like basal cell cancer, but the problem can also appear as a
wart that bleeds and crusts over, bleeds and crusts over. Cancerous
squamous cells grow faster and metastasize more frequently than basal cell
carcinoma. Sun can damage skin in ways other than cancer. The earliest sign of skin
damage is sunburn. Sunburns that continue to worsen several days after
exposure may be a sun allergy. Sun allergies sometimes show up as severe
sunburns, and, less often, as a poison-ivy-like rash. Overexposure to
sunlight causes premature aging of the skin. But all of these problems can
be thought of as preparation for later episodes of skin cancer. According
to the Skin Cancer Foundation: The sun is the cause of at least 90
percent of skin cancers.
The danger of ultraviolet radiation is increased by reflection. Depending
on the angle of reflection, water can reflect up to 100 percent of UV
light. Angle of reflection is determined by the height of the sun above
the horizon. Early in the morning and late in the evening, with the sun
low in the sky, water may bounce only 10 percent of the UV rays back at
you. At noon, with the sun directly overhead, water absorbs most
ultraviolet light, and reflectivity drops to about five percent. But
mid-morning and mid-afternoon, with the sun at a 35-45 degree angle, water
can reflect all the UV rays striking its surface. Sun-related skin problems, happily, are among the most preventable of
outdoor problems. Take cover . . . the first line of defense is worn.
Tight-weave clothing blocks a large amount of UV radiation, especially if
it stays reasonably dry. A full-brimmed hat will shade face and neck, and
a floppy brim breaks up UV better than a rigid brim. Sunscreens
dramatically reduce the chance of skin problems. Although most experts
agree screens with an SPF of 15 sufficiently protect most skin, recent
studies show that higher SPF numbers offer additional protection,
especially in the first few hours of exposure. Be sure your sunscreen
guards against UVB and UVA radiation. Sunscreens are maximally effective
if smeared on when skin is warm, and allowed to soak in for about a
half-hour before extreme exposure. If you're someone with a very
susceptible skin-type, consider completely blocking UV radiation with an
opaque substance such as zinc oxide.
Ultraviolet A bombards the earth at an almost constant rate throughout the
day, but approximately 80 percent of UVB strikes between 10AM and 3PM. Try
to minimize your exposure during those hours. Some medications, combined with sunshine, decrease the time it takes for
UV light to damage skin: tetracyclines, antihistamines, sulfa drugs,
diuretics, some oral contraceptives. Consult your physician or pharmacist.
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