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The BAD guide to coping during a British heatwave

Comment from Matthew Gass of the British Association of Dermatologists:

“What with the UK’s notoriously hit and miss summers, it’s not surprising that people get excited at the prospect of a heatwave. However, nobody wants to go into work or school the next day sunburnt from head to toe. Quite aside from the potential embarrassment it can be very damaging to your skin. We aren’t advocating that people stay out of the sun altogether, but that they take extra care during the hottest parts of the day. People with pale skin are particularly at risk of sun damage, while naturally darker skin types, such as Asian or African-Caribbean skin types, are at less risk of sunburn in the UK, though it is still possible.”

Top tips:

1. Wear protective clothing: Protective clothing means anything that will help block the sun’s rays. We recommend a t-shirt, hat, and sunglasses. A hat is particularly important if you are bald, or have thinning hair as the scalp can be particularly susceptible to sun damage

2. Seek shade: Studies have shown that even with sunscreen you can get burnt. During the hottest part of the day, between 11am and 3pm it’s best to get plenty of shade.

3. Slather on the sunscreen: You want a sunscreen with a minimum of SPF 30 and good UVA protection – look for at least 4 UVA stars or the UVA circle. Remember to reapply regularly, roughly every two hours, even if you are using an extended wear sunscreen – it’s easy to miss spots or rub sunscreen off.

4. Vitamin D: The British Association of Dermatologists doesn’t recommend sunbathing to top up your vitamin D levels, particularly during heatwaves and particularly for Caucasian skin types. There are other ways to get vitamin D, such as in fortified foods and supplementation. Small amounts of sunlight will help boost vitamin D but at the level where skin starts to redden, vitamin D has long reached its optimum level and instead, skin is receiving damage that can lead to cancer.

5. Carry water with you: Dehydration can be a serious problem, so make sure you drink plenty of fluids (not alcohol or caffeine), particularly on hot days. For information on the symptoms of dehydration visit: http://www.nhs.uk/Conditions/dehydration/Pages/Introduction.aspx
 

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MSPs attend event to raise awareness of Scottish dermatology services

More than 40 Members of the Scottish Parliament and parliamentary staff met yesterday at Holyrood with the British Association of Dermatologists, Skin Conditions Campaign Scotland (SCCS), and leading dermatology support groups, to raise awareness around skin disease and to discuss the current state of Scottish dermatology services.

1.2 million people, a quarter of the population, visit their GP with a skin issue every year in Scotland – these visits account for around one in five of all GP consultations. This results in more than 100,000 patients a year visiting Scottish dermatology departments. Many of these departments are not fully staffed, with around 22 per cent of dermatologist posts in the country unfilled.

Scotland also has an increasing skin cancer problem, with more people developing skin cancer than all other cancers combined, and numbers are on the rise.

Across Scotland, around 50,000 people are referred to hospitals annually for possible skin cancers. The number of people in the UK developing melanoma (the deadliest form of skin cancer) each year has risen from around 1,800 in the mid-1970s to over 15,000 today.

MSPs attending the event were offered a free education session on checking their skin for signs of skin cancer, and were able to speak directly to patients, clinicians and charities about the issues they face and how politicians can help.

Maree Todd MSP, Highlands and Islands, said: "The event provided lots of really good information about skin cancer and other skin lesions. Skin conditions are visible so can be quite disfiguring. As well as suffering the disease, folk suffer stigma and discrimination."

Dr Colin Morton, British Association of Dermatologists representative for Scotland and consultant dermatologist at the Stirling Royal Infirmary said: “I want to thank the MSPs and everyone else who attended the event. It’s important that patients, health care professionals and policy makers come together to discuss these issues with one another. If we work together we can address the problems that Scottish dermatology faces, from the rising tide of skin cancers to insufficient numbers of dermatologists to treat them.”

Graham Simpson, MSP for Central Scotland, said: "I've learnt that there is a shortage of dermatologists that's causing worrying waiting times."

Over 40 MSPs and parliamentary staff attended the event*, which was sponsored by Clare Haughey MSP.


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Notes to editors:

MSPs attending the event included:
Graham Simpson MSP, Central Scotland: "I've learnt that there is a shortage of dermatologists that's causing worrying waiting times."
Kenneth Gibson MSP, Cunninghame North: “Quality of life for patients is crucial for many patients with dermatological conditions.”
Annabelle Ewing MSP, Mid Scotland and Fife
Tom Arthur MSP, Renfrewshire South
Anas Sanwar MSP, Glasgow
Clare Adamson MSP, Central Scotland
Maree Todd MSP, Highlands and Islands
Rhoda Grant MSP, Highland and Islands

For more information please contact the media team: comms@bad.org.uk, 0207 391 6084. Website: www.bad.org.uk.

About us:
The British Association of Dermatologists is the central association of practising UK dermatologists. Our aim is to continually improve the treatment and understanding of skin disease. For further information about the charity, visit www.bad.org.uk

Skin Conditions Campaign Scotland represents the needs of patients and grass roots charities working to support people with skin conditions. We work to raise awareness of skin conditions, to increase access to appropriate services for patients and to provide training for health professionals in Scotland. For further information about the charity, visit www.skinconditionscampaignscotland.org
 

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Home and Away – Brits getting sunburnt in the UK and abroad

More than one in three (35%) Brits have been sunburnt in the last year while in the UK, and of those 28 per cent were sunburnt three or more times, according to a survey carried out by the British Association of Dermatologists to mark their Sun Awareness Week (8th-14th May).

Brits are even more likely to be sunburnt abroad, with almost half of people who have been abroad in the last twelve months getting sunburnt whilst away (46 per cent).

This high rate of sunburn is despite the fact that 88 per cent of Brits believe that sun awareness messaging is relevant to their skin type.

When those who have suffered sunburn were asked about factors that might have contributed to previous cases of sunburn, the most common issues cited all could have been avoided by following basic sun protection advice. Top of the list was not realising how strong the sun was (61 per cent), failing to reapply sunscreen after long periods (43 per cent), and not reapplying sunscreen after sweating or swimming (30 per cent).

However, there were also cultural reasons why Brits have been sunburnt, reflecting how we like to spend our time in the sun. Top of these was the desire for a tan (19 per cent), eight per cent felt that their alcohol consumption had contributed to their sunburn, and 13 per cent simply fell asleep in the sun.

Although men and women had similar rates of sunburn while in the UK, 37 per cent and 34 per cent respectively, there was a lot of variation across age groups, with younger people generally being less cautious in the sun. The age group that admitted to being sunburnt in the UK the most were 25-34 year olds (51 per cent), followed by 35-44 year olds and 18-24 year olds (both 46 per cent), 45-55 year olds (35 per cent), and people aged 55 years or more (22 per cent).

All of this is of concern given that the risk of developing melanoma – the deadliest form of skin cancer - more than doubles in people with a history of sunburn compared with people who have never been sunburnt. The British Association of Dermatologists’ Sun Awareness Week™ campaign aims to tackle common misconceptions that can lead to sunburn, as shown by this latest research, such as an underestimation of the UK’s UV levels on hot, sunny days, or the belief that a single application of sunscreen provides lengthy sunburn protection.

Skin cancer is the most common cancer in the UK and rates have been climbing since the 1960s. Every year over 250,000 new cases of non-melanoma skin cancer (NMSC) – the most common type – are diagnosed in the UK. In addition to NMSC, there are over 15,400 new cases of melanoma every year, resulting in around 2,459 UK deaths annually.

Dr Nick Levell, President of the British Association of Dermatologists, said: “British people are increasingly well informed about sun protection and seem to understand the risks of sunburn, largely thanks to campaigns like Sun Awareness Week, however it’s proving to be a long and slow road to actually changing how we, as a culture, look after ourselves in the sun. Too many people are ready to laugh off sunburn as the inevitable price of enjoying the summer, but it shouldn’t be. It’s possible to enjoy the sun, and summer, without suffering sun damage; it just takes a bit of care.

“Particularly shocking is the small, but not insignificant, proportion of the population who seem to be “super burners”. It’s far from ideal for anyone to get sunburnt, but there are people out there who are reporting being burnt seven, eight, nine, ten, or even eleven times a year, both in the UK and abroad*. These people are really putting their lives at risk and need to think about how they can change their behaviour to prevent sunburn.”

This year, Sun Awareness Week takes place from May 8th to 14th and kicks off the association’s broader Sun Awareness campaign, which runs throughout the summer, taking sun safety messages to the UK public and addressing myths and misconceptions.

As part of the Sun Awareness campaign, the British Association of Dermatologists has teamed up with Macmillan Cancer Support to deliver a nationwide sun awareness roadshow. Macmillan’s information and support buses will be visiting events across the country, alongside Consultant Dermatologists and Skin Cancer Nurse Specialists from the British Association of Dermatologists to deliver vital skin cancer prevention and early detection advice.

Sun protection tips:

1. Spend time in the shade during the sunniest part of the day when the sun is at its strongest, which is usually between 11am and 3pm in the summer months.
2. Avoid direct sun exposure for babies and very young children.
3. When it is not possible to limit your time in the sun, keeping yourself well covered, with a hat, T-shirt, and sunglasses, can give you additional protection.
4. Apply sunscreen liberally to exposed areas of skin. Re-apply every two hours and straight after swimming, sweating or towelling to maintain protection.

Checking for skin cancer:

There are two main types of skin cancer: non-melanoma, the most common, and melanoma, which is less common but more dangerous. The following ABCDE rules describe a few changes that might indicate a 'melanoma', which is the deadliest form of skin cancer. As skin cancers vary, you should tell your doctor about any changes to your skin, even if they are not like those mentioned here. If your GP is concerned about your skin, make sure that you are referred to a dermatologist, the most expert person to diagnose a skin cancer. Your GP can refer you via the NHS.

Asymmetry - the two halves of the area may differ in shape or colour
Border - the edges of the area may be irregular or blurred, and sometimes show notches
Colour - this may be uneven. Different shades of black, brown and pink may be seen
Diameter - most melanomas are at least 6mm in diameter. Report any change in size, shape or diameter to your doctor
Evolution – if you see progressive changes in size, shape or colour over weeks or a few months, you must seek Expert help.

If in doubt, check it out! If your GP is concerned about your skin, make sure you see a dermatologist, the most expert person to diagnose a skin cancer. Your GP can refer you via the NHS.

Non-melanoma skin cancer

Non-melanoma skin cancers can occur on any part of the body, but are most common on areas of skin that are most often exposed to the sun such as your head and neck (including lips and ears) and the backs of your hands. They can also appear where the skin has been damaged by X-rays, and on old scars, ulcers, burns and persistent wounds.

Non-melanoma skin cancers vary greatly in what they look like. They tend to appear gradually on the skin, and slowly get bigger over time. They will not go away on their own without treatment. Some possible signs include:

- A scab or sore that won’t heal. It may also bleed occasionally
- A scaly or crusty patch of skin that looks red or inflamed
- A flesh coloured, pearly lump that won’t go away and appears to be growing in size
- A lump on the skin which is getting bigger and that may be scabby
- A growth with a pearly rim surrounding a central crater, a bit like an upturned volcano

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Notes to editors:

*2.6 per cent of people admitted to getting burnt more than seven times in the UK in the last 12 months, and 2.2 per cent of people admitted to getting burnt more than seven times abroad in the last 12 months.

Sun Awareness Week takes place from May 8th to 14th 2017 and is owned by and trademarked to the British Association of Dermatologists.

All figures, unless otherwise stated, are from YouGov Plc. Total initial sample size was 2145 adults. Fieldwork was undertaken between 12th - 13th April 2017. The survey was carried out online. The figures have been weighted and are representative of all GB adults (aged 18+) and have been filtered to all who selected an answer from the Fitzpatrick Skin Type Scale (making a total sample size of 2,110).

The hashtag for Sun Awareness Week 2017 is #SunAwarenessWeek.

Experts from the British Association of Dermatologists are available to interview, interviews will need to take place Monday-Friday.

For more information please contact the media team: comms@bad.org.uk, 0207 391 6084. Website: http://www.bad.org.uk/for-the-public

About us:
The British Association of Dermatologists is the central association of practising UK dermatologists. Our aim is to continually improve the treatment and understanding of skin disease. For further information about the charity, visit www.bad.org.uk

About Macmillan Cancer Support:
Macmillan’s mobile information and support team travel around the UK visiting local communities, providing cancer information and support. In 2016, they reached 115,800 people affected by cancer.
 

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