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Myths and facts of artificial sun tanning copy

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    Myths and facts of artificial sun tanning copy Myths and facts of artificial sun tanning copy Presentation Transcript

    • Myths and Facts ofArtificial Sun TanningRogerio Izar Neves, M.D., Ph.D., F.A.C.S.Professor of Surgery, Dermatology, Pharmacology and MedicineDeputy Director, Penn State Hershey Melanoma CenterClinical Science Leader, Melanoma Therapeutics ProgramDirector, Cutaneous Oncology ProgramPenn State Cancer Institute
    • Skin Cancer Facts
    • One in five Americans willdevelop skin cancer duringhis or her lifetime.National Cancer Institute, 2012 SEER Database
    • One in 59 men and womenin US will be diagnosed withmelanoma during theirlifetime!National Cancer Institute, 2012 SEER Database
    • One person dies almostevery hour of melanoma.National Cancer Institute, 2012 SEER Database
    • Melanoma is the most commonform of cancer for young adults,25-29 years old, and the secondmost common form of cancerfor adolescents and youngadults, 15-29 years old.National Cancer Institute, 2012 SEER Database
    • Motivations For Indoor Tanning• Aesthetic preference for a tanned appearance• Relaxation and mood enhancement• Dependence or addiction to tanning
    • What is a tan?Why some individualsbecome addicted to tanning?
    • Tanning Salons Facts• Multi-billion dollar industry• 1 million times a day someone in US use artificial UVradiation for skin tanning• According to the indoor tanning industry, 30 millionAmericans (10% of the US population) use tanning beds/year• Use rate among teenage girls by age:• 7% at age 14, 15% at age 15 and 35% at age 17• Median number of times of use: 20Fisher & James, N Engl J Med 2010
    • Tanning Salons Facts• Women 19-28 are the most frequent user• Risk of melanoma increase to 75% for those who usedtanning beds before the age of 35• 225% increased risk of Squamous Cell Carcinoma associatedwith “ever use” of Indoor Tanning.• Carcinogenic to humans, same category as plutonium, arsenic,mustard gas and cigarettes in terms of cancer-causing potential.Source: International Agency for Research on Cancer Working Group (WHO)
    • Does indoor tanning facilities allowfrequent tanning?“I have fair skin…I’m 15 & havenever used a tanning bed…Howmany times can I tan the 1stweek?”Pichon LC et al. Youth Access to Artificial UV Radiation ExposurePractices of 3647 US IndoorTanning Facilities. Arch Dermatol. 2009;145(9):997
    • Does indoor tanning facilities allowfrequent tanning?“I have fair skin…I’m 15 & havenever used a tanning bed…Howmany times can I tan the 1stweek?”71% of the salons said every day!Pichon LC et al. Youth Access to Artificial UV Radiation ExposurePractices of 3647 US IndoorTanning Facilities. Arch Dermatol. 2009;145(9):997
    • Living Near a Tanning Salon and Use…• 76% lived within 2 milesof a tanning salon• For teens having notanning salons within 2miles of their home, 7%used indoor tanning inthe past 12 months.Pichon LC et al. Youth Access to Artificial UV Radiation ExposurePractices of 3647 US IndoorTanning Facilities. Arch Dermatol. 2009;145(9):997
    • Source: CITY100 -Controlling Indoor Tanning inYouth
    • Average Number of Businesses per City012.52537.550192942Starbucks McDonald TanningHoerster, K. et al. Density of Indoor Tanning Facilities in 116 Large U.S. Cities. Am J Prev Med 2009;36(3):243–246
    • Number of Indoor Tanning Salons inPhiladelphia022.54567.59042835223Average # of Tanning Salons per City# of Tanning Salons in PhiladelphiaMcDonaldStarbucksHoerster, K. et al. Density of Indoor Tanning Facilities in 116 Large U.S. Cities. Am J Prev Med 2009;36(3):243–246
    • Number of Indoor Tanning Salons inPittsburgh025507510042933425Hoerster, K. et al. Density of Indoor Tanning Facilities in 116 Large U.S. Cities. Am J Prev Med 2009;36(3):243–246Average # of Tanning Salons per City# of Tanning Salons in PittsburghMcDonaldStarbucks
    • Myths of the “Healthy Tan”(or Tanning Industry Arguments)• Melanoma is not really UV related• Vitamin D is important in preventing cancerdevelopment• Tanning promotes vitamin D production• Any increase in “non-lethal” skin cancers is offsetby a larger decrease in lethal visceral cancers• Tanning beds are not dangerous sources of UVradiation
    • Melanoma Is Really UV Related?Pleasance et al. Nature 2010The catalogue of somatic mutations in COLO-829
    • Melanoma Is Really Caused byUV Exposure!UV signature mutationsin a melanoma genomePleasance et al. Nature 2010
    • Melanoma Is Really Caused byUV Exposure!UV signature mutationsin a melanoma genomePleasance et al. Nature 2010
    • Sun Exposure andVitamin DGilcrest BA. Journal of Steroid Biochemistry & Molecular Biology 103 (2007) 655–663
    • Does more sun exposuremeans moreVitamin Dphotosynthesis?
    • No!Just more sunburn andDNA damage!
    • “Truth-In-Advertising”• “You can achieve a deep year-round tanwith safe ultraviolet light.”• “No harsh glare, so no goggles or eyeprotection is necessary.”
    • The Myth of the “Healthy Tan”
    • Summary of the Report• 90% of the salons stated that indoor tanning did not posea health risk.• Nearly 80% of the salons asserted that indoor tanningwould be beneficial to the health of a fair-skinned teenagegirl.• Nearly 75% of the tanning salons fail to follow FDArecommendations on tanning frequency.• Salons used many approaches to downplay the health risksof indoor tanning.• Tanning salons target teenage girls in their advertisements.
    • www.pennstatehershey.org/melanoma
    • What are the current regulations?• Australia: New South Wales-total ban law justpassed in Feb 2012• France, Germany, Austria, U.K.: Bannedtanning bed use for minors <18 years old• Brazil: Total ban on the use and sale of tanning beds• United States: 32 states have imposed some formof restriction on tanning facilities access to minors
    • Brazil Leads the World• Resolution #56 (November 9, 2009) prohibitswithin the whole Brazilian territory, the import,receipt as a donation, rental, commercializationand the use of artificial tanning devices forcosmetic purposes.
    • Reasons to Regulate the Tanning Industry• UV radiation levels far exceed what is found in natural sunlight• Tanning beds have very little supervision and guidelines• Side effects are not monitored or regulated• Certain practices are especially dangerous:• Failure to wear goggles leading to eye injury• Long exposures leading to burning• Not following manufacturer-recommended exposure timesbased on skin type• Using certain medications or cosmetics while tanning
    • Artificial TanningDamageNo tan is worth dying for!
    • ThankYou!