Shocking safety standards in sunbed parlours, research reveals, 06.07.09
Media reports lead to better skin cancer detection, 03.07.09
Urgent need for routine skin cancer checks, research reveals, 02.07.09
High Levels of Skin Cancer Revealed in the South West, 01.07.09
Men, young and unmarried ignore skin cancer warnings, 24.06.09
Sun Awareness Week 2009 - survey launch, 11.05.09
Sunbed position statement (provided on request, April 08)
Sun Awareness survey results, 04.04.08
Sun Awareness 2008 launched, 10.03.08 

Back to main Sun Awareness page

 

---

Shocking safety standards in sunbed parlours, research reveals
For immediate release, Monday July 6th 2009

---

A high number of tanning parlours have shockingly poor standards of practice and a severe lack of staff training, including the provision of sunbeds designed for medical use only, a report due to be released at the British Association of Dermatologists’ annual conference this week will reveal.

332 tanning salons in Northern Ireland took part in a survey over an eight week period in July and August 2007, and the results have raised serious concerns about safety within the sunbed industry.

Types of sunbed and safety

Staggeringly, over a quarter of premises used ‘type 4’ sunbeds which are designed for medical use and not for cosmetic tanning, according to European and international standards*. It is possible that many others are using sunbeds that emit high levels of UV, as almost two thirds (62%) of salons did not know what level of ultraviolet (UV) radiation their sunbeds produced.

39 percent of the premises reported that devices were not regularly tested. The date of the last inspection of fixed electrical installations was unknown in over a third (34%) of premises, while 18 percent of premises did not even know the manufacturer of the sunbeds in their salons. In 71 percent of the tanning salons the operating manual for the sunbeds was unavailable.

This raises serious concerns that improperly maintained or faulty machines could produce high levels of ultraviolet (UV) radiation, cause burning to the skin and potentially lead to skin cancer.

High risk users

Worryingly, the study found little evidence of children being prohibited from using sunbeds. Only half (51%) vetted clients with regard to age. Where premises allowed minors to use sunbeds, almost three quarters (71%) did not require parents or guardians to sign a consent form. Furthermore, over 15 percent of staff received no age awareness training.
In one fifth (20%) of the salons skin type was not even discussed with customers. In the salons where skin type was discussed, it was left to the client to determine their own skin type in 13 percent of cases.

In a recent study, only 40 percent of the indigenous population of Northern Ireland felt they were skin type I and II (naturally fair skinned) with over 30 percent typing themselves as type V or VI (dark Asian or black skinned)1 whereas in fact Northern Ireland has a predominantly fair-skinned population.

Dr Art O’Hagan, Consultant Dermatologist explained: “Previous studies have shown poor comprehension of personal skin types, and relying on clients to have knowledge of their own skin type is an unsafe mode of skin type vetting. Furthermore, asking about skin types was a somewhat purposeless exercise, since only 44 percent of customers with skin type 1 (people with very pale skin who are at greater risk of burning and skin cancer) were subsequently advised against using the sunbeds. More shockingly, only 31 percent of cases advised patients not to use a sunbed if they had a history of skin cancer.”

Hygiene, facilities and staff training

In a quarter (24%) of salons, the staff were offered no training at all on the risks of UV exposure.
39 percent of salons had coin operated devices, allowing the use of devices without staff supervision.

Basic hygiene standards in many of the salons that took part in the survey were particularly low. Only three quarters (75%) of salons reported that staff cleaned the sunbeds after usage, with others expecting clients to clean the sunbeds themselves, while almost a quarter (22%) failed to sanitise their eye protection wear after usage.

Worryingly, there was a charge for eye protection in 38 percent of cases. Furthermore, over 30 percent of the goggles were not CE marked therefore did not conform to a mandatory marking in the European Economic area and did not offer sufficient protection.

Interestingly over three quarters (79%) of premises were not members of the Sunbed Association, which shows that any code of conduct applied by the association does not apply to the majority of salons.

Local councils in Northern Ireland have prohibited the use of sunbeds in local council premises however the survey’s results have shown that private parlours continue to run with worryingly poor standards of operation.

The tanning industry in Northern Ireland continues to grow despite most of the population having a predominant skin type that increases their risks of skin cancer. In particular, the use of sunbeds seems to be prevalent in younger girls.3

Rebecca Freeman at the British Association of Dermatologists said: “This survey has shown that there is a serious lack of regulation within the sunbed industry, and self regulation is clearly not working. Children are able to access sunbeds in a shockingly high number of salons, which is a real worry. One in five salons do not consider the client’s skin type, yet people with skin type 1, which is pale and burns easily, are particularly at risk of serious and permanent skin damage from sunbed use. Likewise, less than a third of salons advise people against using a sunbed if they have a history of skin cancer. This survey implies salons are not protecting their clients sufficiently. There is a great need for improved public education and strong regulation of sunbed salons to ensure that those who do choose to use sunbeds are fully aware of the risks.”

Possible effects of sunbed use include premature skin ageing, increased skin fragility, cataracts and skin
Cancer.4, 5

Summary of results

Sunbed and Safety
• 27% of premises used ‘type 4’ sunbeds.
• 62% of salons did not know what level of ultraviolet (UV) radiation their sunbeds produced.
• 39% of the premises reported that devices were not regularly tested.
• 34% of premises did not know the date of their last fixed electrical installations inspection.
• 18% of premises did not know the manufacturer of the sunbeds in their salons.
• In 71% of the tanning salons the operating manual for the sunbeds was unavailable.

Age
• 85% of salons claimed to use questionnaires to tailor their advice to customers.
• All salons who participated were asked about age, however only 51% vetted clients with regard to age
• 71% of the premises that allowed minors to use their sunbeds did not require parents or guardians to sign a consent form.
• Over 15% of staff were offered no age awareness training.

Skin Type
• 20% of the salons skin type was not discussed with customers.
• In the salons where skin type was discussed, it was left to the client to determine their own skin type in 13% of cases.
• Only 44% of customers with skin type 1 (people with very pale skin who are at greater risk of burning and skin cancer) were advised against using the sunbeds.
• Only 31% of cases advised patients not to use a sunbed if they had a history of skin cancer.

Staff Training
• 24% of salons, the staff were offered no training at all on the risks of UV exposure.
• 79% of premises were not members of the Sunbed Association.
• 16% of parlours advertised the health benefits of artificial UV sources.
• 39% had coin operated devices allowing the use of devices without supervision of staff.
• 9% of clients were advised not to use sunbeds within 48 hours of last usage.

Hygiene
• Only 75% of salons reported that staff cleaned the sunbeds after usage.
• Only 78% sanitised their eye protection wear after usage.
• There was a charge for eye protection in 38% of cases.
• Over 30% of the goggles were not CE marked therefore did not conform to a mandatory marking in the European Economic area.

Facts about skin cancer

• There are three main types of skin cancer: malignant melanoma – the deadliest but least common, squamous cell carcinoma (SCC) and basal cell carcinoma (BCC).
• BCC and SCC are collectively known as ‘non-melanoma skin cancer’. BCC is the most common skin cancer.
• In the UK, more than 100,000 new cases of skin cancer are diagnosed annually, making it the most common cancer. Of these, more than 10,000 are melanoma.
• There are over 2,300 deaths from skin cancer annually in the UK.
• The annual incidence of melanoma worldwide is increasing faster than that of any other cancer.
• In just 30 years, cases of melanoma across Great Britain have quadrupled in men and tripled in women.
• Melanoma is more common in women than men, but there is a faster rate of increase in men and more men die from the disease, possibly due to late detection.

• In as many as 4 out of 5 cases, skin cancer is preventable, so follow the British Association of Dermatologists’ sun safety tips:
You don't have to avoid the sun all year, and some sunshine can be good for you as it helps the body to produce vitamin D, but taking a few steps when out and about in the summer sun or when on a sunshine holiday will help to protect you from sunburn and the risk of skin cancer, particularly if you are pale skinned.
• Protect the skin with clothing, including a hat, T shirt and UV protective sunglasses
• Spend time in the shade between 11am and 3pm when it’s sunny
• Use a sunscreen of at least SPF 30 (SPF 50 for children or people with pale skin) which also has high UVA protection
• Keep babies and young children out of direct sunlight
• The British Association of Dermatologists recommends that you tell your doctor about any changes to a mole – if your GP is concerned about your skin, make sure you see a Consultant Dermatologist (on the GMC register of specialists), the most expert person to diagnose a skin cancer. Your GP can refer you via the NHS.
Sunscreens should not be used as an alternative to clothing and shade, rather they offer additional protection. No sunscreen will provide 100% protection.

-Ends-
Notes to editors:

If using this study, please ensure you mention that the study was released at the British Association of Dermatologists’ Annual Conference.
The conference will be held at the Scottish Exhibition & Conference Centre, Glasgow from July 7th to 10th 2009, and is attended by UK and worldwide dermatologists and dermatology nurses.

For more information please contact: Nina Goad, British Association of Dermatologists, Communications Manager, Phone: 0207 391 6355 or 07863 240206 (during conference week only), Email: nina@bad.org.uk, Website: www.bad.org.uk

“Public at risk – a survey of sunbed parlour operating practices in Northern Ireland”. AH O’Hagan1, C Devereux1, A Devlin2, G O’Callaghan2, B Furey2, G McElwee2,4, G McEvoy2, J Caughey2, L McPeak2, L Fitzsimmons2, L Smart2, N McMahon2, P Loan2, S Martin2, S Gordon2,4, T Crossan2, A Gavin3.
1Craigavon Area Hospital, 2Sun Bed Working Group (NIMSIG), 3Northern Ireland Cancer Registry, 4Ulster Cancer Foundation.

Other references:
* The French regulations for ultraviolet radiation sunbeds; J. P. Cesarini, Radiation Protection Dosimetry
Vol 91, Nos 1-3, pp 205-207, 2000.
1 Gavin A. Personal Communication, Sept 2008
2 Northern Ireland Statistics and Research Agency. NI Census 2001, Key Statistics. www.nisra.gov.uk/census/census2001output/keystatistics/keystatrepl.html
3 Ting W, Schultz K, Cac NN, Peterson M, Walling HW. Tanning bed exposure increases the risk of malignant melanoma. Int J Dermatol. 2007; 46:1253-57
4 Sunbeds; Hawk JLM, Radiat Prot Dosimetry, 2000; 91:143–5.
5 Epidemiology of chronic disease risks in relation to ultraviolet radiation exposure; Swerdlow AJ, Radiat Prot Dosimetry 2000; 91:19–23

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.

top of page
 

 

 

---

Media reports lead to better skin cancer detection
For immediate release, Friday 3rd July 2009

---

Media coverage of skin cancer advice and sun awareness campaigns may have generated a 47 percent increase in diagnoses of melanoma in just one year, according to research due to be released at the British Association of Dermatologists’ Annual Conference next week.

A team of dermatologists in Portsmouth examined data about referrals to their hospital dermatology department for suspected skin cancers, and correlated this with the numbers of tumours that were subsequently confirmed as skin cancers. They then investigated press reports from the same time periods and surveyed local GPs to try to explain their observations.

Skin cancer increase

The researchers found that since 2000, summer referrals between April and September are on average 41 percent higher than during the preceding winter months (October to March).

The largest increase was in summer 2008, when referrals were 64 percent higher than the preceding winter and 41 percent higher than summer 2007.

Local cancer network data from 2007 and 2008 showed a similar rise across the region, excluding the possibility that this particular dermatology department was seeing a disproportionate number of referrals compared to other clinics. 

However, it was not just referrals that increased but also actual diagnoses of skin cancers. Pathology data comparing the year October to September 2006/7 to 2007/08 confirms an increase of 47 percent for melanomas (the least common but most dangerous type of skin cancer)  and 15 percent for squamous cell carcinomas (the second most dangerous type of skin cancer) diagnosed by the dermatology department.

Media reports

The team then searched selected national and local media for coverage relating to skin cancer during the same time frame. In summer 2008, 10 articles were identified locally, featuring six personal accounts from case studies. In contrast, the team could find no local reports about skin cancer in 2007.                                                                      

The team also identified an increase in national media reports on skin cancer in 2008 compared to 2007.

A survey of local GPs revealed that 93 percent felt they were seeing more patients concerned about skin cancer than five years ago, with just over half (53 percent) noticing a specific increase in 2008.

A third of the GPs said that patients concerns were specifically prompted by media coverage in 2008 and a third felt that the 2008 media coverage had increased referrals from within their practice.

Nina Goad of the British Association of Dermatologists said: “In recent years a number of charities have been working hard to raise awareness of skin cancer. The national Sun Awareness campaign in particular focuses on early detection of skin cancer, teaching people how to check their skin and what signs to look out for. In 2008, the campaign received its highest level of media coverage to date, and it is so encouraging to think this might be making a difference and contributing to a 48 percent increase in melanoma diagnoses.

“We know that charities working to promote sun safety messages have helped to teach people about skin cancer prevention, such as wearing sunscreen, so it’s great to know that our media work around checking the skin are also proving successful in picking up skin cancers that might otherwise have gone undiagnosed.

“The fact that it is not just referrals that have increased, but also actual diagnosed cases of skin cancers, shows that media work is not just driving people to see their doctors unnecessarily – it is helping to detect skin cancers that if left undiagnosed could in fact kill people. Early diagnosis is crucial with melanoma, and this proves how helpful the media have been to our campaign.”

Dr Ann Lonsdale-Eccles, dermatologist at Portsmouth Hospitals Trust and one of the study’s authors, said: “Our results confirm an increase in urgent skin cancer referrals over the last eight years.  We found marked seasonal variation which has been attributed in part to targeted public awareness campaigns in spring. We observed a particularly large increase in referrals and confirmed cancers in 2008, which we feel may be related to increased media reports at that time.”

-Ends-
Notes to editors:

If using this study, please ensure you mention that the study was released at the British Association of Dermatologists’ Annual Conference.
The conference will be held at the Scottish Exhibition & Conference Centre, Glasgow from July 7th to 10th 2009, and is attended by UK and worldwide dermatologists and dermatology nurses.

For more information please contact:  Nina Goad, British Association of Dermatologists, Communications Manager, Phone: 0207 391 6355 / 07863 240206 (during conference week only), Email: nina@bad.org.uk, Website: www.bad.org.uk

Two-week wait skin cancer referrals – referral patterns, cancer incidence and the media
Ann Lonsdale-Eccles1, Jan Croker1, Chris Slade2, Steve Traer1, Jonathan Hayes1, Rachel Humphries1, Gemma Rainger1, Dierdre McCormick1, Stephen Keohane1
1Portsmouth Hospitals Trust, Portsmouth, United Kingdom, 2Hampshire Primary Care Trust, Eastleigh, United Kingdom

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.

top of page
 

---

Urgent need for routine skin cancer checks, research reveals
For immediate release, Thursday July 2nd, 2009
 

---

One in 14 transplant patients attending a routine skin cancer screening clinic were found to have skin cancer, according to research due to be released at the British Association of Dermatologists’ Annual Conference next week, highlighting the urgent need for routine skin cancer checks to be part of transplant clinics across the UK.

Patients were offered an annual skin surveillance appointment, arranged to coincide with a transplant follow-up appointment where possible, at a one stop transplant-dermatology surveillance clinic in Manchester, which was set up in 2006.

Over a one year period, 404 patients were reviewed in this transplant-skin cancer surveillance clinic. Seven percent were found to have non-melanoma skin cancer (basal cell carcinoma or squamous cell carcinoma). A further five percent of patients were found to have pre-cancerous skin lesions.

Three–quarters (76%) of those with skin cancer were diagnosed with basal cell carcinoma, with the rest (24%) diagnosed with squamous cell carcinoma.

Kidney transplant recipients are much more likely to develop skin cancer than people who have not received a transplant. 30 percent of UK renal (kidney) transplant recipients (RTRs) will go on to develop non-melanoma skin cancer, the most common type, within 10 years. This is because immunosuppressive drugs that prevent the body rejecting the transplanted organ, also increase the risk of skin cancer.

A recent study* found that only 66 percent of centres managing kidney transplant patients provide annual skin cancer surveillance. In contrast, 97 percent of centres in Australia offer skin cancer screening. Furthermore, of UK centres offering surveillance, only 59 percent provide full skin examination. However, 20 percent of non-melanoma skin cancers in UK kidney transplant patients arise on body sites covered by clothes.

Nina Goad of the British Association of Dermatologists said: “This was a routine screening service – so a lot of the patients would not have been aware that they had a suspicious lesion on their skin. The high number of skin cancers picked up through this service shows how vital routine screening is for such high risk people, because these cancers could easily have gone undetected otherwise.

“There appears to be something of a ‘postcode lottery’ regarding whether or not transplant patients receive screening for skin cancer. The clinic in Manchester seems to provide an ideal one stop service for patients, aiming to combine routine skin cancer screening alongside their transplant follow up appointments.  It would be good to see this model developed elsewhere.”

Dr John Lear Consultant Dermatologist at Manchester Royal Infirmary and one of the study’s authors, said: “In September 2006 we established a one stop transplant-dermatology surveillance clinic as a joint collaboration between the regional transplant unit and dermatology services. In a weekly nurse led clinic, the Transplant Advanced Nurse Practitioner (ANP) was supported by a consultant dermatologist, whose clinic would run simultaneously in an adjacent clinic room in dermatology outpatients. To avoid extra hospital visits, patients' annual skin surveillance appointments were arranged to coincide with a transplant follow-up appointment whenever possible.

“The joint transplant dermatology surveillance clinic has been effective in reducing delays in detection and treatment of transplant associated malignancies and premalignant skin lesions. The one-stop clinic offers a quality service as waiting times have been eliminated and the pathways for review and treatment have reduced.”

-Ends-
Notes to editors:

If using this study, please ensure you mention that the study was released at the British Association of Dermatologists’ Annual Conference.
The conference will be held at the Scottish Exhibition & Conference Centre, Glasgow from July 7th to 10th 2009, and is attended by UK and worldwide dermatologists and dermatology nurses.

For more information please contact:  Nina Goad, British Association of Dermatologists, Communications Manager, Phone: 0207 391 6355 / 07904 665201 (during conference week only), Email: nina@bad.org.uk, Website: www.bad.org.uk

Conference 2009 study: “The role of a transplant-dermatology surveillance clinic in the management of renal transplant recipients”
Venura Samarasinghe1, Vishal Madan1, Jibu Varghese1, Sheila Russell2, John T Lear1
1The Dermatology Centre, Salford Royal Hospital Foundation Trust and Central Manchester Dermatology Centre, Manchester Royal Infirmary, Manchester, United Kingdom, 2Renal Transplant Unit, Manchester Royal Infirmary, Manchester, United Kingdom

* British Journal of Dermatology, estimated publication date October 2008, “Skin cancer surveillance in renal transplant recipients: re-evaluation of UK practice and comparison with Australian experience.” S.Garg, R.P. Carroll*, R.G.Walker*, H.M. Ramsay and P.N. Harden¹; Dept of Dermatology, Royal Hallamshire Hospital, Sheffield, UK; *Department of Nephrology, Royal Melbourne Hospital, Australia; ¹Oxford Kidney Unit, Churchill Hospital, Oxford, UK; DOI: 10.1111/j.1365-2133.2008.08837.x
Articles in the BJD can be viewed online: http://www.blackwell-synergy.com/loi/BJD

Skin cancer is a major cause of morbidity and mortality in transplantation medicine. Skin cancer risk increases with time post transplant, age of patient and sun exposure. In 2006, within the National Institute of Clinical Excellence (NICE) document 'Improving outcomes for people with skin tumours including melanoma', recommendations were made for improving patient care pathways between the general practitioner, transplant unit and dermatologists for transplant recipients. This included the establishment of a transplant skin clinic at each transplant centre, early referral of precancerous lesions to a dermatologist, six monthly follow-up for high risk patients, primary prevention education and use of systemic retinoids in recurrent skin cancer.

 top of page

---

High Levels of Skin Cancer Revealed in the South West
For immediate release, 01 July 2009

---

A Sun Awareness Campaign mole check has highlighted the worryingly high levels of skin cancer amongst beachgoers in the South West, a report due to be released at the British Association of Dermatologists’  annual conference next week will reveal.

Members of the public enjoying the sun at Sandbanks beach, Dorset, were offered free screening for skin cancer and advice on protecting their skin in the sun by a team of dermatologists from Poole and Bournemouth, in conjunction with the British Association of Dermatologists. The pick-up rate for dermatological conditions at the screening was much higher than expected.

Screening Results
Alarmingly, just under one fifth (18.6%) of those screened had a significant dermatological condition either requiring treatment from their GP or a referral to a dermatologist. This included skin cancer, abnormal moles or pre-cancerous sun damage.

Of particular concern, six percent of those screened were suspected of having either a malignant melanoma or a basal cell carcinoma – types of skin cancer - and were advised to seek medical attention.

Survey
Those screened on the beach were also asked to fill in a survey that examined their attitudes and behaviour towards the sun.

Just under a third (28%) of those who took part in the survey admitted to using sunbeds. Worryingly only 39 percent used a sunscreen of SPF 20 or more. The British Association of Dermatologists recommends using a high protection sunscreen of at least SPF 30.

Rebecca Freeman, who runs the British Association of Dermatologists’ Sun Awareness campaign, said: “The screening on Sandbanks beach has exemplified extremely worrying levels of skin cancer in the South West of England.

“Had this event not been held, these cancers could have gone undetected, as most people had not seen their doctor about their skin before.

“In areas such as Dorset where the beach is one of the main attractions, it is vital that those spending long periods of time in the sun protect their skin sufficiently. If spending all day on the beach, holiday makers should seek shade during the hottest period of the day between 11am and 3pm and make sure that they cover up as much as possible with loose clothing. Using a sunscreen of SPF 30 or above is very important but people must remember that it is not the only way to protect the skin.

“People spending long periods of time in the sea, such as surfers, should also ensure that they are wearing protective clothing and water resistant sunscreen with a high SPF. UV rays reflect off the water onto your skin therefore it is particularly important to protect areas such as the face and hands which may be exposed not only to the sun for long periods of time, but also to the UV rays reflecting off the water.

“The alarmingly high number of skin cancer cases that were picked up at this screening reflects the wider picture in the UK. Over 100,000 people a year in the UK are developing skin cancer. Our understanding about the risks of skin cancer is in fact improving, however our behaviour isn’t. Many people think they are protecting their skin by applying sunscreen, but then choose a product with a low protection, use it as an excuse to stay out in the sun, or don’t reapply it often enough.”

Caroline Morgan, Consultant Dermatologist and Lead for skin cancer at Poole hospital, said: “We hope that we have helped to raise awareness about skin cancer through this event. If you are concerned about a mole or changes to your skin it is very important to go and see your GP so that they can refer you on to a dermatologist if necessary. Melanoma death rates in the UK are now higher than those in Australia, and early detection is crucial to successful treatment of skin cancer, which is why this event was so important.”

Skin cancer rates in Dorset, Devon and Cornwall are the highest in the UK and a very high 65 per cent of all new GP referrals to the dermatology department at Poole Hospital are for skin cancer.

The results from this screening seem to reflect the high numbers of patients with skin cancer that Poole and the surrounding areas are now seeing in their hospitals.

Summary of results
• 18.6% of those screened had a significant dermatological condition
• 6% of those screened had either a malignant melanoma or a basal cell carcinoma (types of skin cancer) detected
• 28% of those who filled in the survey admitted to using sunbeds.
• Only 39% used a sunscreen of SPF 20 or more.
• 65% of all new GP referrals to the Dermatology Unit of Poole Hospital are for suspected skin cancer

-Ends-
Notes to editors:

If using this study, please ensure you mention that the study was released at the British Association of Dermatologists’ Annual Conference.
The conference will be held at the Scottish Exhibition & Conference Centre, Glasgow from July 7th to 10th 2009, and is attended by UK and worldwide dermatologists and dermatology nurses.

For more information please contact:  Nina Goad, British Association of Dermatologists, Communications Manager, Phone: 0207 391 6355 or 07863 240206 (during conference week only), Email: nina@bad.org.uk, Website: www.bad.org.uk

“The Incidence of Skin Cancer Detected at a Sun Awareness Beach Campaign” Caroline Morgan, Sarita Jain, Abhiney Jain and Catherine Stephens. Poole Hospital NHS Foundation Trust, Poole, United Kingdom
Based on results found at a Poole Hospital NHS Foundation Trust Mole check event held in conjunction with British Association of Dermatologists, July 2008.

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.

top of page

---

---

Men are twice as likely as women to not protect their skin in the sun, despite more men dying from melanoma than women, according to research due to be released at the British Association of Dermatologists annual conference in Glasgow next month.

The shocking survey of 1213 adults formed part of the Northern Ireland Omnibus Survey published in September 2008, a regular survey of the lifestyle and views of the people of Northern Ireland*.

It also found that people in their teens and early twenties are less likely than any other age group to use sun protection, despite increasing numbers of melanoma being diagnosed in this age group.

One in ten people surveyed (10%) take no protective measures at all against sun exposure (compared to 8% in 2000).

Men (14% vs. 7% women), unmarried people (13% vs. 8%), those with no children (11% vs. 9%) and those in their teens and early twenties (12%) are among the worst offenders.

Most people surveyed (70%) use sunscreen as their primary method of sun protection, despite warnings from dermatologists that shade and clothing should be the first line of defence against sun damage, with sunscreen offering additional protection.

Of respondents who use sunscreen, almost one in three (30%) use a low protection sunscreen of below SPF 15. This is an improvement from 57% in the same survey carried out in 2000 but is still concerning as the British Association of Dermatologists recommends that people use a high protection sunscreen of at least SPF 30.

Only a quarter of respondents (24%) protect their skin by seeking shade during the middle of the day, with a similar number (23%) covering up in the sun. Worryingly both methods are less popular in 2008 than they were in 2000.

Those most likely to protect their skin with clothing and shade fell into the 45 to 64 year and over-65 age groups. Women are more likely to use shade than men (29% vs. 18%), as are married people compared to unmarried people (26% vs. 19%), and those with children compared to those with no children (25% vs. 23%).

Sunscreen use is greatest among those aged 25 to 44 (77%), women (76% vs. 63%), married people (75% vs. 67%) and people with children (76% vs. 65%). Interestingly, although men are less likely to use sunscreen than women, those that do are more likely to use a SPF of 15 or over (73% vs. 68%).

Dr Rhonda Boyle, Dermatologist at Royal Victoria Hospital, Belfast, and one of the study’s authors, said: “Unfortunately the results of this survey demonstrate that, despite public health campaigns, the use of sun protection and attitudes to sun safety in Northern Ireland remain concerning.”

Nina Goad of the British Association of Dermatologists said: “Sunscreen seems to be the preferred way of protecting the skin, but it seems that many people may be forgetting to cover up and seek shade in the sun.

“It is worrying that people in their teens and early twenties are the least likely of any age group to protect their skin in the sun. This may be due to the prevailing fashion for tanned skin, but I would have hoped that young people would be more likely to use self tan products to get a bronzed look, rather than risking skin cancer. It may be that as people get older and start to see the visible sun damage on their skin, including wrinkles, they then take steps to protect themselves.

“It is really interesting that unmarried people and those without children take the least care in the sun – it would be worth examining what the obstacles are for these people, and perhaps we need to look at tailoring our prevention campaigns for specific audiences in the future.”

The incidence of malignant melanoma in Northern Ireland (NI) has increased more than three fold since the 1970's with an almost parallel rise in melanoma-related deaths.

Summary of results

Age

• Those aged below 25 are more likely than other age groups to use no sun protection at all (12% of this age group)
• Sunscreen use is highest in the 25 to 44 year age group (77%)
• Use of clothing and shade to protect skin is highest in those aged 45 and over.

Sex

• Women are more likely than men to use sunscreen (76% vs. 63%) and to protect the skin with shade (29% vs. 18%).
• Men are twice as likely as women to use no sun protection at all (14% vs. 7%)
• Although fewer men than women use sunscreen, those that do are more likely to use a SPF of 15 or over (73% vs. 68%).                                                                                                                           

Marital status and children

• Married people are more likely than unmarried people to heed sun safety advice, as are people with children compared to those with no children:
• Those who are unmarried are more likely than married people to use no sun protection (clothing, shade or People with no children are more likely to not use any sun protection (clothing, shade or sunscreen) than those with children (11% vs. 9%)
• Married people are more likely to use sunscreen than unmarried people (75% vs. 67%), as are subjects with children compared to those with no children (76% vs. 65%).

Choice of sun protection

• 70% use sunscreen as their primary method of sun protection.
• Of those who use sunscreen only 70% use a SPF of 15 or over.
• Only a quarter of respondents (24%) protect their skin by seeking shade during the middle of the day, with a similar number (23%) covering up in the sun.
• Notably one in ten people (10%) take no protective measures at all against sun exposure

Facts about skin cancer

• There are three main types of skin cancer: malignant melanoma – the deadliest but least common, squamous cell carcinoma (SCC) and basal cell carcinoma (BCC).

• BCC and SCC are collectively known as ‘non-melanoma skin cancer’. BCC is the most common skin cancer.

• In the UK, more than 100,000 new cases of skin cancer are diagnosed annually, making it the most common cancer. Of these, more than 10,000 are melanoma.

• There are over 2,300 deaths from skin cancer annually in the UK.

• The annual incidence of melanoma worldwide is increasing faster than that of any other cancer. 

• In just 30 years, cases of melanoma across Great Britain have quadrupled in men and tripled in women.

• Melanoma is more common in women than men, but there is a faster rate of increase in men and more men die from the disease, possibly due to late detection.

In as many as 4 out of 5 cases, skin cancer is preventable, so follow the British Association of Dermatologists’ sun safety tips:

You don't have to avoid the sun all year, and some sunshine can be good for you as it helps the body to produce vitamin D, but taking a few steps when out and about in the summer sun or when on a sunshine holiday will help to protect you from sunburn and the risk of skin cancer, particularly if you are pale skinned.

• Protect the skin with clothing, including a hat, T shirt and UV protective sunglasses

• Spend time in the shade between 11am and 3pm when it’s sunny                                                                          

• Use a sunscreen of at least SPF 30 (SPF 50 for children or people with pale skin) which also has high UVA protection

• Keep babies and young children out of direct sunlight

• The British Association of Dermatologists recommends that you tell your doctor about any changes to a mole – if your GP is concerned about your skin, make sure you see a Consultant Dermatologist (on the GMC register of specialists), the most expert person to diagnose a skin cancer. Your GP can refer you via the NHS.

• Sunscreens should not be used as an alternative to clothing and shade, rather they offer additional protection. No sunscreen will provide 100% protection.

-Ends-
Notes to editors:

If using this study, please ensure you mention that the study was released at the British Association of Dermatologists’ Annual Conference.
The conference will be held at the Scottish Exhibition & Conference Centre, Glasgow from July 7th to 10th 2009, and is attended by UK and worldwide dermatologists and dermatology nurses.

For more information please contact:  Nina Goad, British Association of Dermatologists, Communications Manager, Phone: 0207 391 6355, Email: nina@bad.org.uk

*The NI Omnibus Survey is carried out by the Northern Ireland Central Survey Unit and from 2000 has included ‘care in the sun’ questions, as proposed by the Northern Ireland Melanoma Strategy Implementation Group (NIMSIG).

Sun protection practices in Northern Ireland: results from the NI Omnibus Survey September 2008
R Boyle1, AH O'Hagan2, S Gordon3, G McIlwee3, P Loan4, A Gavin5, C Mason6
1Department of Dermatology, Royal Victoria Hospital, Belfast, Northern Ireland, United Kingdom, 2Department of Dermatology, Craigavon Area Hospital, Craigavon, Northern Ireland, United Kingdom, 3Ulster Cancer Foundation, Northern Ireland, United Kingdom, 4Department of Medical Physics, Northern Ireland, United Kingdom, 5Northern Ireland Cancer Registry, Northern Ireland, United Kingdom, 6Public Health Department, Western Health and Social Services Board, Northern Ireland, United Kingdom

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.

---

• Only 45% of people with skin types 1 or 2 always use a sunscreen in the sun
• 75% sunbathe and 50% of those with skin types 1 or 2 sunbathe
• 39% of skin types 1 or 2 have used sunbeds
• 30% of those with naturally dark skin who never sunburn always use sunscreen in the sun
• 85% of participants had a mole that was of particular concern, 67% of them had never seen a doctor about the mole before
• 63% never check their skin for changes
• 25% of those who never or rarely use sunscreen regularly sunbathe
• 15% of those who use sunscreen only use a low protection product. Only 27% use high protection.

British Association of Dermatologists position on sunbeds
 

---

 

• The British Association of Dermatologists would like the government to ban sunbed use for under-18s. We are also calling for a total ban on coin-operated, unmanned sunbeds. 

• Many people do not understand the risks that these machines pose, especially when they can be found at sports centres and places that suggest they are ‘healthy’, which sends conflicting messages. We would therefore like to see the removal of sunbeds from all health facilities such as gyms and sports centres.
   
• Many salons do not provide adequate information on the health risks, but instead advertise somewhat spurious health ‘benefits’. We would therefore like to see better point of sale information supplied, outlining the health risks so people can make a more informed decision regarding sunbed use.
   
• The British Association of Dermatologists believes that Scotland’s move to limit sunbed use, as well as informing people as to the risks, is a huge step in the right direction.
   
• The perceived health gains from tanning, such as vitamin D production, can easily be achieved by other means, including diet and supplements.

Further stats / info:

A study published recently in the British Journal of Dermatology uncovered worrying new findings about sunbeds, including a rise in ‘high power’ sunbeds and a lack of knowledge by users of the cancer risks involved.

Scientists at the Ninewells Hospital & Medical School in Dundee compared current sunbed usage to a 1998 survey of sunbeds in the Dundee, Perth and Kinross areas, and also surveyed the habits and opinions of sunbed users.

 Their study revealed a 30 percent increase in the number of privately operated sunbeds since 1998, despite increased warnings over the cancer dangers involved in sunbed use.

 The team also measured the levels of cancer-causing UV radiation created by each sunbed, and found that a shocking 83 percent produced UVB radiation levels that exceed the European standard. UVB is generally considered to be particularly dangerous and is closely linked to induction of skin cancer.

Equally worrying is the emergence of stronger, high power sunbeds. Dr Harry Moseley, Consultant Clinical Scientist and one of the study’s authors, said: “In an earlier study we found that sunbeds carried a cancer risk similar to that of UK summer sun. However, since our initial study, there have been technological developments leading to new, high power ‘fast tan’ units. These have become increasingly popular, along with the emergence of unmanned sun parlours.

“People sometimes use sunbeds in the mistaken belief that they are a safe alternative to conventional tanning, but this is simply not the case – the average sunbed now carries the same cancer risk as the midday southern European sun.”

The researchers then conducted a survey of sunbed users, discovering that a staggering 15 percent do not believe that sunbeds carry a health risk. Of those who did feel sunbeds carry risks, only 56 percent mentioned cancer.                                                                                      

Other findings of concern are as follows:

•           Half of respondents started using sunbeds early in life, between the ages of 16 and 24

•           Almost a quarter have been using sunbeds for more than 10 years

•           Over a third have had between 29 and 40 sunbed sessions in the past year, and over a quarter more than 50 sessions

•           A quarter never use goggles to protect their eyes

•           Only seven percent had actually been advised to wear goggles

Dr Moseley said: “In comparing these results with those obtained in the earlier study, a number of key differences should be highlighted. We have found a 30 percent increase in the number of privately operated sunbeds. This is particularly disturbing because in the earlier study, in which we looked at environmental health factors, we found that many privately operated sunbeds had major faults; for example, 89 percent did not attempt to impose a limit on the number of sessions, 81 percent provided inadequate information, 59 percent maintained no customer records and 33 percent failed to display guidance. Therefore, it is a cause for concern that the number of sunbeds provided by the private sector is increasing.

“Another factor that has emerged is that the mean cancer risk for all machines is now comparable to that from Mediterranean sun, whereas in the previous study this only applied to stand-up booths. This increase in carcinogenic potential is directly related to the widespread use of high power sunlamps, both in stand-up booths and lie-down sunbeds.

“Also, for the first time, we identified premises with unmanned sunbeds. These have no supervision and anyone, including children, may use the facilities. There is no limit imposed on the dose per session nor the number of sessions.

“The majority of sunbeds do not comply with the British and European standard for cosmetic tanning units. 83 per cent of sunbeds produced UVB irradiances that exceeded the limit specified in the standard. Product standards are intended to protect the public but, clearly, sunbed manufacturers are ignoring the standard and there is no effective control on the suppliers or operators.

Notes to editors:

1.         If using this study, please ensure you mention that the study is being released in the British Journal of Dermatology, the publication of the British Association of Dermatologists (August 2007 edition)

2.         The study is titled ‘Qualitative risk assessment of sunbeds: impact of new high power lamps’. Authors: Harry Moseley, James Ferguson, Hannah Oliver – The Photobiology Unit, University of Dundee, Ninewells Hospital & Medical School, Dundee DD1 9SY, UK

3.         BJD is published by Blackwells.

For more information please contact:

Nina Goad, BAD Communications Manager, Phone: 0207 391 6355 / 07904 665201, Email: nina@bad.org.uk

top of page

---

 Brits unaware of skin cancer risk, new survey reveals
For immediate release 04.04.08  

---

HALF of Britons would not recognise the signs of a possible skin cancer, and a quarter never checks their skin for the disease, a shocking snapshot survey by the British Association of Dermatologists has revealed.

The survey, to launch this year’s Sun Awareness campaign, revealed that a quarter of respondents never examine their body for changes to their moles.

Even more startling, one in six people are not aware that a mole can be checked for free by a GP, instead believing this service has to be paid for.

85 percent of respondents still don’t realise that skin cancers make up a third of all UK cancers, with the majority thinking that less than one in 10 cancers affect the skin.

And despite skin cancer rates increasing faster than any other cancer, with figures doubling every 10 to 20 years, a staggering one in eight people do not know that skin cancer is on the rise at all.

However, it is not just sun exposure that causes cancer, and an alarming one in six believe that sunbeds could be a useful way of producing Vitamin D for the body.

The British Association of Dermatologists states that perceived health gains from sunbed use, such as vitamin D production, can easily be achieved by other means including diet and supplements. It is therefore not felt that sunbeds carry useful health benefits, but instead increase a person’s risk of skin cancer.

President of the British Association of Dermatologists Dr Colin Holden said: “While it is disheartening that there is little understanding about quite how common skin cancer is, what I find of particular concern is that so many people are unaware of certain signs of skin cancer, and furthermore do not know that they can have a suspicious mole checked free of charge. This could pose a huge obstacle to the early detection of skin cancer in these individuals.”

Sun damage and cosmetic appearance
The survey showed that we are not just ignorant of the health risks of UV exposure – many people are also unaware that sun protection can keep the skin looking younger.                                  

When asked about how to best prevent premature skin ageing, a quarter favoured applying a daily moisturiser, eating a healthy diet, drinking plenty of water or using facial massage and facial exercises over sun protection.

And interestingly, it seems we are a nation still willing to risk our health for our appearance, with over half (56 percent) of respondents finding people with a tan more attractive, and 91 percent thinking that fashion influences people’s sunbathing habits.

Maria Tabou, Sun Awareness campaign officer at the British Association of Dermatologists said: “The vast majority of premature ageing is caused by excess sun exposure. Smoking also ages the skin, but the methods of prevention chosen by a quarter of people – such as using a moisturiser, drinking eight glasses of water a day, facial massage or facial exercises  – will have nowhere near the anti-ageing impact of sun protection.

“Many people don’t realise the extent to which UV irradiation can damage the skin. UV has strong links to skin cancer and also affects the elastin in the skin and leads to wrinkles and sun-induced skin ageing, for example leathery skin and uneven pigmentation.”

With skin cancer rates rising faster than any other cancers, the British Association of Dermatologists’ Sun Awareness campaign aims to educate the public and health professionals on ‘early detection’ of skin cancer, and where members of the public can seek help should they be concerned about their skin.

As part of this, the British Association of Dermatologists have created the ABCD-Easy guide to mole checks, to detect the signs of melanoma – the deadliest type of skin cancer. Look out for:

Asymmetry - the two halves of the area may differ in shape

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

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

Maria Tabou explained: “While many women are aware of the need to carry out self breast examinations, so few people check their skin for cancer. As skin cancer makes up a third of all cancer, we really need to address this.”

• Survey summary:
  • 44 percent are unable to recognise key signs of skin cancer, such as a mole growing or having an irregular border or colour.
  • 17 percent are unaware that you can get a mole checked for free
  • Only 34 percent check their moles at least once a month
  • A quarter never check their moles
  • 85 percent of respondents don’t realise that a third of UK cancers are skin cancer, with the majority thinking the figure is less than 1 in 10
  • 13 percent do not know that skin cancer is on the rise
  • 17 percent think that sunbeds might be a useful way of producing Vitamin D for the body
  • 24 percent chose moisturising, a healthy diet, 8 glasses of water a day, not drinking alcohol, or facial massage / facial exercises, over protecting skin from the sun as the most effective way to prevent premature skin ageing.
  • 56 percent of respondents find people with a tan more attractive
  • 91 percent think that fashion influences people’s sunbathing habits

- Ends-
Note to editors:
Sun Awareness Week takes place from 5 – 11 May. We have case studies available to the media to complement feature articles. Spokespeople are available to comment on skin cancer. The Sun Awareness campaign runs throughout the summer.

For more information please contact:
Nina Goad, Communications Manager, Phone: 0207 391 6355, Email: nina@bad.org.uk

top of page

---

If in doubt, check it out! Sun Awareness 2008 launched
For immediate release, 10.03.08

---

New statistics show that skin cancer is now the fastest growing cancer in the UK, and as early detection is crucial in its treatment, the British Association of Dermatologists (BAD) is launching a campaign to raise awareness of the importance of mole checking through its ABCD-Easy guide to mole checks.

Malignant melanoma kills around two thousand people a year, and the Association is keen to promote the use of its easy to use mole check guidelines. TV favourite Anne Robinson is supporting the campaign and turning her no-nonsense approach to the nation’s skin. She said: “I doubt I would be here today if a dermatologist hadn’t spotted that the mole in the middle of my back looked dangerous. It wasn’t visible to me. It took two operations to clear my melanoma; the result of years of sunbathing when I was young without bothering too much about protection -or realizing the risk to someone as fair skinned as I am. I’m lucky to be alive.”

Anne’s case highlights the importance of checking you skin for signs of cancer, and the Association’s ABCD-Easy guide to mole checks focuses on the changes that may indicate a “melanoma” - the deadliest form of skin cancer:

Remember - if in doubt, check it out! If your GP is concerned about your skin, make sure you see a Consultant 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

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

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

Nina Goad of the British Association of Dermatologists said: “Early detection of skin cancer can make all the difference to successful treatment and by promoting how easy skin checking can be, literally as easy as ABC, we want to encourage more people to make it part of their health routine.”

Dermatologists are the experts in diagnosing and treating skin cancer, and BAD recommends reporting any unusual changes in your skin (not only those in its ABCDE guide) to your doctor so that a referral can be made. 

The vast majority of skin cancers are caused by excess exposure to the sun. In fact, more than four out of five cases of skin cancer are thought to be preventable. Simply being more aware of the general health of your skin and checking moles regularly – at least four times a year – could make all the difference.

-ends-

Note to editors:
The British Association of Dermatologists runs the annual Sun Awareness Week, this year May 5-11, and the Sun Awareness campaign throughout the summer. Case studies are available for the media to complement feature articles and spokespeople on skin cancer are also available on request.

Latest statistics on skin cancer and perceptions of the disease as result of a new survey are also available.

For more information, on mole checks or skin cancer and sun awareness, please contact:
Nina Goad at the British Association of Dermatologists: nina@bad.org.uk, 0207 391 6355
 

top of page

 

---

 

 

---