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In the Spotlight

Using The UV Index To Be Safe In The Sun

By Valerie Banarie, RN, BSN, CLC
PersonalMD.com


Everyone seems to enjoy the glow of a deep suntan, but until relatively recently, the price paid for that golden color was unknown. According to the U.S. Environmental Protection Agency, the statistics for those who spend much of their lives under the sun is alarming:

  • Malignant melanoma (the most dangerous form of skin cancer), has risen in occurrence 1,800 percent since 1930.
  • One of every five Americans will develop skin cancer.
  • Every hour, one American dies of skin cancer.
  • By the age of 18, people have accumulated 80 percent of their lifetime exposure to the sun.

Other health concerns caused by too much sun include:

  • Sunburn
  • Premature aging of the skin including wrinkling, changes in skin texture, and discoloration.
  • Sensitivity to the sun leading to blisters, hives or reddened, blotchy areas indicative of an allergic response.
  • Suppression of the immune system leading to increased risk of developing cancers and infections.
  • Diseases such as chicken pox, herpes simplex, and lupus can be worsened by exposure.

Five years ago, the National Weather Service and the U.S. Environmental Agency introduced the UV Index to daily weather forecasts to advise the public of their level of exposure to ultraviolet (UV) radiation the following day. The Index lists the predicted level on a scale of 0 to 10+, with suggested precautions for each level.

General Safety Tips
  • 30 to 60% of the sun's rays can penetrate overcast skies, so precautions are necessary even on cloudy days.

  • Snow, water, and sand will reflect the UV rays, increasing exposure. Adjust precautions accordingly.

  • UV exposure is affected by altitude. The UV Index accounts for altitude and cloud cover.

  • Be certain that sunscreen is rated SPF 15 or greater, and re-apply every 2 hours on days with a high UV Index. It is also necessary to re-apply after swimming or perspiring. Sunscreen should be applied about 20 minutes before exposure to the sun.

  • Sunglasses should block 99-100% of all UV rays. As there are no uniform rules for labeling sunglasses, be certain that the protection they offer is adequate. Labels that read "block harmful UV" may not give enough protection.

  • Children are especially at risk for skin damage due to sun exposure, as their skin is sensitive and the effects of sun damage are cumulative over the course of a lifetime. Bad burns in childhood contribute to a greater chance of skin cancer in later years.

USING THE INDEX

The Index is not meant for people with very sun-sensitive skin, or those who have medical conditions or are taking medications that increase their sensitivity to the sun.
For the average person, the Index should be used as follows:

0 to 2; Minimal risk

  • Most people can remain in the sun for 1 hour during the hours when the sun is strongest, without burning.
  • These peak hours are 10:00 a.m. to 4:00 p.m.
  • Infants and others with very sensitive skin should always be protected from extended sun exposure.

3 to 4; Low risk

  • A low risk of danger from unprotected sun exposure.
  • People with fair skin may receive sunburn in less than 20 minutes if unprotected.
  • A wide-brimmed hat should be worn to protect the eyes.
  • A sunscreen with a SPF of 15 or greater should be used on exposed surfaces such as face, ears, feet, and the back of the neck.
  • Long sleeved shirts and long pants should be worn outdoors.

5 to 6; Moderate risk

  • People with fair skin may burn in less than 15 minutes if unprotected.
  • Sunscreen and hat use as mentioned above.
  • Wear sunglasses to protect your eyelids as well as your eyes.
  • Use a lip balm or lip cream containing a sunscreen.

7 to 9; High risk

  • Fair skinned people may burn in as little as 10 minutes if unprotected.
  • Sunscreen, hat and sunglasses use as mentioned above.
  • If outside, wear clothing made from tightly woven fabric, as UV rays will pass through holes and loosely woven fabrics.

10+; Very high risk

  • Fair skinned people may burn in as little as 5 minutes if unprotected.
  • Apply sunscreen every 2 hours. Sunscreen, hat and sunglasses use as mentioned above.
  • Stay inside if possible during the hours of 10:00 a.m. to 4:00 p.m.

Using the UV Index and following the suggested precautions can mean fun in the sun without concern about painful, as well as dangerous skin damage.

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