Use a Sunscreen
When it comes to sun (ultraviolet radiation, or “UVR”) exposure, there is no such thing as a “safe tan.” Sunburn, skin aging (including age spots and leathery skin), wrinkles, and skin cancers are excellent reasons to seek protection from harmful rays and to minimize ultraviolet exposure when recreating in the outdoors. As an avid skier, fisherman, and hiker, I can attest to how difficult it is to avoid the sun, and how important it is to protect my skin. I have suffered numerous sunburns, I’m getting older, my forehead has not been smoothed by Botox, and I have had a few pre-cancerous lesions frozen with liquid nitrogen by my dermatologist or carved out of my body by a plastic surgeon. Had I used sunscreens properly, particularly in my youth, I could have avoided most of these interventions.
Suncreens come in liquid sprays, lotions, and creams. They either absorb UVR, act as barriers to it, or reflect light. People have different skin types, depending on their tendency to burn or tan, but they all need protection. The “sun protection factor,” or SPF, of a particular sunscreen, indicates the degree of protection. For example, a sunscreen with SPF 15 confers protection such that it would require 15 times the UVR exposure to produce a sunburn in a person with protected skin as opposed to unprotected (by the sunscreen) skin. This assumes a liberal and complete application, which rarely occurs. Therefore, to be safe, use a sunscreen of at least SPF 30, and reapply it at intervals of no more than every 3 to 4 hours. If you are sweating or swimming, you need to reapply more often.
Tags: sunscreen, sunburn, SPF, outdoor medicine, wilderness medicine, healthline
photo by Paul Auerbach





2 Comments:
At Wed Jul 18, 07:17:00 PM 2007,
Anonymous said…
I was wondering what you can suggest about sunscreen and insect repellant. I've heard that using two separate products at the same time decreases the effectiveness of both. I also know there are combination products, but I don't know if these work well or if it's even a good idea to use them (because of the potential for over-application of DEET). Thanks very much.
At Thu Jul 19, 10:51:00 PM 2007,
Paul Auerbach, M.D. said…
According to the 2008 "yellow book" from the CDC, officially titled "CDC Health Information for International Travel 2008": "Repellents applied according to label instructions may be used with sunscreen with no reduction in repellent activity. Products that combine sunscreen and repellent are not recommended, as sunscreen may need to be re-applied with greater frequency and in greater amounts than are needed to provide protection from biting insects." The presumption is that this prohibition is intended to keep users from over-applying insect repellent. I think that these are reasonable recommendations. If you are going to need to frequently re-apply sunscreen, then it is best to use two separate products, one a sunscreen and the other an insect repellent.
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