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Dermatology Practice Today

Spring Breakers Beware

Published March 11, 2013 3:36 PM by Raymond Shulstad
As the universities and secondary schools are preparing for spring break, it is important that we are educated and educate our young patients on the dangers of ultraviolet exposure. I am going to focus this blog more specifically towards the use of tanning beds.

As a dermatology specialist and a parent, I find it unconscionable that children under the age of 18 can still access and utilize tanning beds. It is even more disturbing that parents consent for their minor children to lay in these cancer boxes and put their lives at risk. I am very passionate about this issue and hopefully when I lay out the disturbing facts about tanning beds, you as providers will be as well. If you use tanning beds, stop! If you allow your children to use them, shame on you and...stop!!!

Why did I choose this month for this topic? Now is a big time for tanning companies. As our children, including college aged students, prepare to go to the warmer climates for spring break, many of them go to tanning beds to get that "base tan." They don't want go to the beaches all pale and "chalky" looking. They also use the excuse that they don't want to get a burn when they go lay out in the sun.

I am going to give you the short version of what I tell my patients and their parents when they come in tanned, let alone when they admit to tanning bed use. There is no such thing as a healthy tan. The skin does not produce melanin as an indictor of how healthy it is. It produces melanin to protect itself from the assault of ultraviolet radiation. In essence, a tan is just a sign that someone has received excess radiation.

The notion that tanning beds are safer than natural light because they don't use UVB light is ridiculous. The UVA that is utilized by tanning beds is less likely to burn you because it penetrates through the top layers of the skin. It is more likely to cause melanoma though, because it stimulates the melanocytes to produce more melanin. 

So, UVA radiation will not burn you, it will kill you. In support of this fact, the International Agency for Research on Cancer, a research arm of the World Health Organization, developed a comprehensive list of carcinogens. On this list, tanning beds are in its most dangerous category, "carcinogenic to humans." Furthermore they found that risk of developing melanoma is 75% higher for individuals who use tanning beds before the age of 30 compared to those who never used a tanning bed.

The tanning industry should be put in the same category as tobacco. No minors should be allowed to use them. It should be taxed at the same rates as tobacco products to aid in education and prevention of melanoma. Parents who allow their children to tan in these devices should be charged with endangering the welfare of a minor in the same way someone who buys alcohol or tobacco for a child is charged.

I will close with what I tell my college age daughter before she goes out. Don't do anything stupid that's gonna get yourself killed. Have fun at spring break. Wear your sun-block. Reapply every two hours. Try to avoid the sun from 11am-2pm. STAY OUT OF TANNING BEDS!

1 comments

To clarify your use of the IARC research, that study showed a 6% increase from tanning salon use, a 40% increase from unmonitored home use of tanning beds, and a 96% increase from use of medical phototherapy in dermatologists' offices. How can you say that tanning is the same as tobacco, when your profession continues to use UV equipment that creates 16 times the increase in melanoma risk as tanning salon use (your own statistic) to treat non-life-threatening skin conditions?

Bill March 12, 2013 11:38 AM

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