Is sunscreen harmful?

Recently the Environmental Working Group (EWG) released a report on sunscreen recommending only 39 of 500 sunscreens investigated. The report has been picked up by media outlets and now sunscreen is being touted as cancer-causing and hormone-disrupting. The report is not fraudulent, but it is somewhat specious, inflammatory, and alarmist. I’ve researched some of the claims and there is no reason to run screaming from sunscreen, as we’ll see.

One of EWG’s concerns is that many sunscreens lack UVA protection. This was absolutely true at one time, but is quickly changing. Many sunscreens are now “broad spectrum” or “double barrier,” protecting against UVA and UVB radiation.

Ultraviolet radiation comes in UVB and UVA forms. UVB radiation is that type that gives you sunburns; UVA radiation is the type that penetrates deeper into the skin and causes breakdown and more permanent damage. Both UVA and UVB rays are known to cause cancer, so it is best to purchase sunscreens (and sunglasses) that protect against both forms of radiation.

Another issue raised by the EWG report is that SPF numbers on sunscreens are climbing higher and higher, but there is little proof that such products are necessarily better. Again, this is true.

The Sun Protection Factor (SPF) on sunscreen labels refers to how well the product protects against sunburn (UVB). For example, without any sunscreen at all it may take you 10 minutes to burn in the sun, but using SPF 15 sunscreen would extend that time from 10 minutes to 150 minutes.

There are a few important things to keep in mind. First, because SPF measures the amount of time it takes to burn, it is only a measure of UVB protection – not UVA protection. Second, as noted in this document from the U.S. Environmental Protection Agency, above SPF 15 there are not great differences in protection. SPF 15 protects against about 93% of UVB radiation and SPF 30 protects against 97%. It’s very gradual from there on up.

Therefore, more important than the SPF number are the amount of sunscreen applied and the frequency of application. SPF numbers are typically based on a recommended application of 30mL (about 2 tablespoons) for the entire body. Most people apply less than this. Also, sunscreen should be re-applied every two hours and always after swimming. If the correct amount of sunscreen and frequency of application are observed, it makes little difference whether you use SPF 30 or SPF 60.

Although the case is not 100% closed on the link between sun exposure and cancer, there is plenty of scientific evidence of a link between sun exposure and basal cell carcinoma/squamous cell carcinoma (the common but rarely fatal, non-melanoma cancers that cause ‘scabs’ that can be removed). Melanoma is much more rare, but frequently fatal. The direct link between sun exposure and melanoma is not as clear as it is with carcinoma, but this doesn’t mean that intentionally baking in the sun or in a tanning bed is a good idea.

The EWG report claims that there is “no consensus on whether sunscreens prevent skin cancer.” This is somewhat true. The research is not 100% clear on a link between sunscreen and protection against skin cancer, but it is fairly favourable so far; generally scientists agree that sunscreen can protect against cancer if, as stated earlier, it is applied in the amounts and with the frequency recommended. A quick slather in the morning may actually do more harm than good, providing people with a false sense of protection against the sun, causing them to have more exposure to dangerous UV radiation. (High SPF numbers may also provide this false sense of protection.)

Although I have been using the term “sunscreen” throughout this article, there actually is a difference between sunblock and sunscreen.

Sunblock, such as titanium dioxide and zinc oxide, is more effective than sunscreen and is opaque (like the white stuff lifeguards often wear on their noses). Particulate matter in sunblock reflects and scatters the UV rays, physically blocking the sun. Sunblocks protect against UVA and UVB radiation, are safe, and are photostable (photostability refers to whether/how quickly the ingredients are broken down when irradiated). Vanity is essentially what prevents people from using such sunblocks – because it is opaque people don’t want to spend a day at the beach with a white coating all over their body. Although there are titanium and zinc products available now that are nearly transparent.

Sunscreen filters and absorbs UV radiation, converting it to heat. Although more and more sunscreens are being made with UVA and UVB protection (“broad spectrum” or “double barrier”), the ingredients in sunscreen are broken down more quickly when irradiated (they are less photostable). Not to belabour the point, but because most people will choose sunscreen over sunblock for aesthetic reasons, it is vital to apply it in the quantity and with the frequency recommended.

The EWG report claims that there is “some evidence” linking sunscreen usage with an increased risk of melanoma. This “some” is spotty at best and can more reasonably be explained by the false protection issue discussed above. People who use sunscreen likely spend more time in the sun because they feel protected, but most people are using sunscreen incorrectly (not enough, not often enough) and so do suffer greater effects of sun exposure. This is not a direct link to sunscreen, but to incorrect usage of sunscreen.

Another concern highlighted in the EWG report is that sunscreen will reduce vitamin D absorption. Vitamin D from the sun is very important, so if this is a concern for you (even though there is a lack of evidence for it), there are vitamin D supplements, but please – if you think you need to supplement your vitamin D intake, go to your doctor and get tested first, then get her recommendation for a product and a dosage. Don’t just buy some vitamin D pills from your local drug store and start popping them like candy, as most people do with vitamin supplements. You can overdose on vitamins; they’re not innocuous.

The EWG report cites the ingredient retinyl palmitate (a form of vitamin A) as a primary concern because “available data from an FDA study indicate that…when applied to the skin in the presence of sunlight, [it] may speed the development of skin tumors and lesions.” The problem is that the FDA study of retinyl palmitate in mice is both inconclusive and incomplete (it will be completed and peer-reviewed in the next year or so). Reason suggests that in light of the lack of evidence, it would be more dangerous to avoid the use of sunscreen than to use sunscreen containing retinyl palmitate.

Retinyl palmitate is a very common “anti-aging” ingredient and is found in most skin care and beauty products. It is not, however, a necessary ingredient for sunscreen’s effectiveness. If it is a concern for you, then choose a sunscreen that does not contain retinyl palmitate. Problem solved.

The EWG report also cites the ingredient oxybenzone as a potential hormone disruptor. (More information on hormone disruptors exists than I can synthesize here, so I would suggest doing your own research if you are interested. Check out science and medical sites/books rather than “health” sites/books). Oxybenzone is an ingredient in some sunscreens and, again, most skin care and beauty products. It is also ubiquitous in our environment. Studies are inconclusive as to the health effects associated with oxybenzone, stating such effects as unknown and requiring more research. As with retinyl palmitate, good sense says that you should not avoid sunscreen due to the presence of oxybenzone because evidence for negative health effects is so lacking, but you can certainly choose a product that does not contain it. Again, problem solved.

The Environmental Working Group tends to be overly cautious and even at times alarmist; they discount far too many ingredients as harmful, hazardous, or risky based on false or inconclusive data. Running around like a Chicken Little knock-off suggesting that sunscreen will give you cancer is not productive. As I said, the EWG sunscreen report is not fraudulent, but it (and the media reports on it) does instill a little too much fear in the general public.

As any brochure on sun exposure will tell you, avoiding the sun and wearing protective clothing is the best way to protect against harmful UVA and UBV radiation. Your next best bet is sunblock (titanium dioxide and zinc oxide). If the aesthetic of that doesn’t appeal to you, then a broad spectrum/double-barrier (UVA/UVB) sunscreen will offer adequate protection if you wear enough of it and re-apply it often.

Check out the EWG report for some good sunscreen/sunblock recommendations, but if you’re going to read the whole report, take it with a grain of salt keeping in mind the things discussed here. And, as always, do your own (good) research.

Pride continues!

On Thursday Argentina voted in favour of legalizing same-sex marriage nation wide, becoming the first Latin American country to do so.

Extremely contentious rival demonstrations were held outside of Congress in Buenos Aires, with pro-equal marriage demonstrators facing off against anti-equal marriage demonstrators, their respective ‘vigils’ lasting all night. The Roman Catholic Church, those bastions of what is good and right (ahem), waged an ardent and expensive campaign against passage of the law.

But after a 16-hour Senate debate, the vote was held after 4am and gays and lesbians won the same legal marriage rights and protections afforded to heterosexuals. (The law was already passed in the lower house, so once the Senate approved it and published it, the law became official.)

Buenos Aires has long been considered one of the most queer-friendly cities in South America and this new law will no doubt bring many gay and lesbian couples from throughout the region to Buenos Aires to marry. Uruguay and some states in Brazil and Mexico have legalized same-sex unions; in Mexico City gay marriage is legal; and in Colombia queer couples have inheritance and health insurance rights; but Argentina’s new nation-wide equal marriage law grants same-sex couples more rights than civil unions, such as adoption and inheritance rights.

Argentina’s President Cristina Fernandez has been a strong supporter of equal marriage; speaking about the Catholic Church’s campaign of hatred and discrimination, Fernandez said, “It’s very worrisome to hear words like ‘God’s war’ or ‘the devil’s project,’ things that recall the times of the Inquisition.”

Sen. Norma Morandini, a member of Fernandez’s party, compared the discrimination queers face to the oppression under Argentina’s past dictators: “What defines us is our humanity, and what runs against humanity is intolerance.”

Congratulations, Argentina!

Happy Pride 2010!

I’ve posted about Iceland’s Prime Minister Johanna Sigurdardottir before – she was the world’s first openly gay head of state.  And now she is the world’s first openly gay world leader married to her same-sex spouse.

Johanna Sigurdardottir

Iceland’s Parliament unanimously passed equal marriage legislation on June 12th. Sigurdardottir, 67, had previously had a civil union with her spouse, but as soon as equal marriage became legal she addressed a crowd of people celebrating the new law by saying, “I have today taken advantage of this new legislation.”

I still love you, Iceland. Despite some of your other woes, you are progressive when it comes to equal rights and all countries should aspire to that.

Happy Pride everyone!