T HE G LO BE AN D MAI L T U E S D AY , J U N E 9 , 2 0 0 9 A special information supplement SA1 Variable, highly curable and potentially lethal, melanoma strikes people all ages. While incidences of this disease are rising, it doesn’t have to be that way. When it comes to this and other forms of skin cancer, knowledge is key to prevention. Sun awareness W If you catch a hile the incidence healthier when they get out- with advanced disease; I With skin cancer rates diagnosis. “Reseachers in our rates of many kinds doors, but it is essential to take recently had a 55-year-old increasing, the need for der- department are trying to dis- of cancer continue to measures to protect their skin patient who died of metastic matologists is rising. While melanoma early, cover some of the specific decline, the opposite is true for and use sunscreen.” melanoma. It’s a disease that’s this contingent of skin experts, molecular mechanisms that melanoma. Some 5,000 Cana- Sun exposure is the most quite variable – highly curable now just 650 strong, needs to you have a take place when a melanoma dians will be diagnosed with important factor in skin can- but potentially lethal. And it grow, additional hope is found develops on the skin – what this disease in 2009, and 940 cer, and research indicates that can strike all ages; I’ve diag- in research now underway 90 per cent reactions are happening to will die of it. Those deaths are while prolonged sun exposure nosed patients in their 20s and that promises to make diagno- 10-year survival which molecules and what particularly tragic, because over many years has the great- in their 80s.” sis and treatment more effi- part of the DNA is being melanoma is largely preventa- est effect on most sun cancers, Melanoma can grow very cient. rate; if you get a affected.” ble. And if diagnosed early, extreme, intermittent exposure quickly, says Dr. Warshawski, “There’s no question there Using another approach survival rates are greater than is more important in the devel- so sometimes even an early is going to be better patient later, deeper that involves shining a special 90 per cent. opment of melanoma. “Acute diagnosis will not result in care in the future,” says Dr. beam of light onto the skin, “Invasive melanoma is the exposure, particularly that good prognosis. “But if you Langley. “Our group in Hali- melanoma, the using a device such as a spec- most serious of skin cancers,” causing sunburn or blistering catch a melanoma early, you fax is doing work with a high- trometer, the chemical compo- says Dr. Larry Warshawski, a sunburn, is a significant risk have a 90 per cent 10-year sur- resolution, non-invasive instru- 10-year survival nents or structure of a clinical professor in Dermatol- factor for melanoma,” says Dr. vival rate; if you get a later, ment called a confocal scan- rate drops to melanoma can be revealed. ogy and Skin Science at the Warshawski. deeper melanoma, the 10-year ning microscope. We just pub- “We can make good deduc- University of British Colum- “I see new cases of skin survival rate drops to 40 per lished a prospective diagnosis 40 per cent. tions and conclusions about bia, and president of the Cana- cancer on a daily basis; I see cent.” accuracy study, funded by the whether or not that spot is dian Dermatology Association. new cases of melanoma on a Most melanomas are first Canadian Dermatology Foun- worrisome,” says Dr. Lui. “Canadians born more recent- weekly basis,” says Dr. identified by patients, says Dr. dation, that showed the ability The ultimate aim is that ly are more likely to get it: for Richard Langley, professor of Langley. “The most common to diagnose skin cancers early, fewer biopsies would be people born in the 1930s, the Dermatology and director of symptom for a skin cancer is instantaneously, at the bed- required, with the result of less chances are approximately one Research at Dalhousie Univer- change. We use the acronym side.” scarring, and diagnosis would in 1,500, but for people born sity. “What is most surprising ABCDE as a guide ((A)asym- In Vancouver, a team led be faster and more efficient. in the last 10 years, it is around to me is who develops it and metry, change in (B)border, by Dr. Harvey Lui, professor “It would make it possible to one in 75 for males and one in how it impacts their life. (C)colours or larger (D)diame- and department head for Der- deal more effectively with the 95 for females.” “This week, I saw a 24- ter, (E)evolution of size, matology and Skin Science at huge volume of patients that That deadly trend can be year-old woman, the mother colour, shape or symptoms) the University of British require a more careful assess- reversed, he says. “We’re real- of a baby, with melanoma on but any sustained change over Columbia, Vancouver General ment of their skin. We’re mak- ly trying to educate the public her neck. It was a thin time, over weeks or months, Hospital and the B.C. Cancer ing incremental improve- about minimizing sun expo- melanoma and highly cur- should be of concern, particu- Agency, is doing research on ments, some of which have sure as much as possible. We able,” adds Dr. Langley. “But larly in patients over the age another technology that may been introduced into standard understand that people are I’ve also had patients come in of 40.” significantly advance early practice already.” HEALTH RISKS Dermatologists call for restrictions on tanning bed use C ountrywide, it’s on the tanning are very dangerous,” been scientifically associated “We’re working with the “The World Health Orga- your risk of skin cancer. checklist of many Cana- says Dr. Ian Landells, vice with skin cancer, emitting in provincial government here to nization has recommended Until the day when dians preparing to hit president of the Canadian several minutes the amount of try to prevent kids under the this and other countries have younger people are banned warmer climates. Right next Dermatology Association, and radiation that a person would age of majority (19 in New- done it,” says Dr. Rosen, not- from tanning bed use, Dr. to a new bathing suit and bat- a St. John’s, Newfoundland- only get after hours in the sun. foundland) from being able to ing that it is not the whole Rosen says the message is: teries for the camera, many based dermatologist. “They Dr. Landells says a use tanning beds, with or with- population that is using artifi- “Be happy with the colour of Canucks plan on a few visits emit very large amounts of Swedish study showed that out their parents’ permission.” cial tanning, but mostly skin that you have and, just to the local tanning salon to ultraviolet-A light and some people visiting a tanning bed “The Ministry of Health young women. “We need to because the prom is coming ease the glare of our wintery ultraviolet-B light – both of twice a week for a year, or 100 has been considering the reach this group with this up, it doesn’t mean you have white skin. which cause skin cancer.” times, increased their risk of options and is listening intent- message; that tanning now to be tanned.” Ask any dermatologist, As well, Dr. Landells says developing skin cancer by 100 ly to the details surrounding can have dire consequences In the event that a person though, and they’ll say don’t ultraviolet-A light is the major times. the issue,” says Dr. Landells. later.” is not prepared to heed this do it. light source responsible for “It is for this reason that Dr. Cheryl Rosen, national The hope is that this ban advice and embrace a fairer In fact, dermatologists in aging our skin. “It breaks dermatologists, who spend director of the CDA’s Sun would make a difference to complexion, Dr. Rosen says Newfoundland, Quebec and down the collagen and elastic their time treating both aging Awareness Program and head Canada’s skin cancer rate – spray-on tans – as long as a Ontario are urging legislators tissue, which makes our skin of the skin and skin cancer, of dermatology for the Toron- currently the most common person is aware that they to follow a lead set by New sag and wrinkle. It exposes the strongly object to tanning bed to Western Hospital, says the cancer diagnosis in Canada – don’t provide protection from Brunswick years ago and pro- capillaries in the skin and use,” he says. CDA is working to support because studies have shown the sun – are safe. “The main hibit youths from using tan- causes the little brown spots Ideally, he says he’d like to provincial activities to ban that exposure to artificial ingredient there is dihydroxy- ning salons. on people’s faces.” see young people banned artificial tanning in young peo- ultraviolet radiation sources acetone and that is safe to “Artificial light sources for Worse, tanning beds have from using tanning beds. ple. at a younger age increases use.” SA2 SA3 SA4 SA7 Dermatologist are uniquely trained to Q&A with Dr. Larry Warshawski, President of the Canadian Prevention is the key to avoiding Skin cancers are not all Inside address skin issues Dermatology Association skin cancer the same The Canadian Dermatology Association, founded in 1925, represents Canadian dermatologists. The association exists to advance the science and art of medicine and surgery related to the care of the skin, hair and nails; provide continuing professional development for its members; support and advance patient care; provide public education on sun protection and other aspects of skin health; and promote a lifetime of healthier skin, hair and nails. www.dermatology.ca SA2 A special information supplement T H E G LO B E A N D MA I L T U E S D AY , J U N E 9 , 2 0 0 9 Sun awareness SKIN EXPERTS IN DEMAND Trends show rising need for more dermatologists G ot a skin concern? da’s health care system, der- fied and fully trained,” says Dr. While a requisite visit matologists possess unique Larry Warshawski, president of with a GP is prudent, training, expertise and experi- the Canadian Dermatology ultimately what you need is a ence that qualify them to diag- Association. “In terms of diag- dermatologist. The challenge nose and treat the many dis- nosis, dermatologists are best is Canada’s shortage of these eases of our largest organ, our prepared; they can explain specialists can mean a long skin. any skin condition in greater wait for people in need. “In terms of skin disease, detail, and can understand Critical members of Cana- dermatologists are fully quali- treatment options more fully because of their greater experi- ence.” Many treatments of skin Vitamin D – disease are complex, he says, and cannot be performed with just the facts the same accuracy and effec- tiveness in other settings. A recent resurgence in talk about vitamin D has alerted Cana- “With skin cancer surgery, for dians to its importance as well as to the difficulty we have in example, we have techniques getting enough. But certain myths surround vitamin D that for removing skin cancers that are more accurate than those must be dispelled, say Canadian skin experts. available anywhere else. For First, while many Canadians believe that tanning bed use psoriasis, we have new, very will increase their skin’s ability to produce vitamin D, the truth effective biologic agents. But is quite the opposite. you need experience in using Dr. David McLean, professor of Dermatology at UBC and those agents.” head of Cancer Prevention for the BC Cancer Agency, says Dermatologists know Dr. Ian Landells (left) is among just 650 dermatologists in Canada. Demand for these physicians which patients should be who are specially trained to diagnose and treat skin conditions, and also to explain and discuss UVA – the main source of light in tanning beds – is very ineffi- placed on which medications, treatment options with patients, is on the rise. PHOTO: SUPPLIED cient at producing vitamin D, but very efficient at producing he says, and are more vigilant wrinkles. about side-effects. tions are quite rare and can dermatologists. Today, Canada on surgery, so they are “You won’t get much vitamin D, but you’ll make your skin Of some concern to der- mimic other, more common has only about 650 dermatolo- unavailable for general der- much older, much sooner,” he says. matologists, says Dr. War- conditions. Dermatologists can gists, a paltry number for a matology.” Another myth is that if you stay out in the sun longer, shawski, is the proliferation of make those challenging diag- population of almost 34 mil- The only solution, he says, relatively invasive skin treat- noses.” lion people. With the average is to train more dermatologists you’ll produce more vitamin D. ments being provided by non- As they see hundreds of age of Canadian dermatolo- in our medical schools. “The “Actually, if you stay out too long in the sun, the body medical personnel. “If you patients each year with skin gists now at 55, the situation is number of people entering turns off vitamin D production after a certain amount and all look at certain types of laser disease, dermatologists are also worsening. Today, patients can specialties are regulated by the you end up doing is damaging your skin,” says Dr. Cheryl treatment, for example, staff familiar with the latest treat- expect delays of between two government; we’d like to have Rosen, national director of the Canadian Dermatology Associ- often go to a one-day course to ments. “We now have very and six months to see a der- this number increased in the ation’s Sun Awareness Program and head of dermatology at learn how to run the machine. effective, very strong treat- matologist after receiving a future. We cannot ask derma- Dermatologists have been ments for acne. Isotretinoin referral from a general practi- tologists to retire at 75, so we the Toronto Western Hospital. trained to deal with the side- has been used for many years tioner. have to have more young der- Even if Canadians did get sun exposure during the winter effects of these treatments, now and it’s extremely effec- The shifting needs of matologists entering the field.” months, a chilly prospect at best, the light we are receiving whereas the person who just tive, but the treatment regime Canada’s aging population Only about two per cent of isn’t the kind that helps us produce vitamin D. takes a short course doesn’t has been changed over the adds another worrisome dermatological practices are “Because of our latitude, UVB light, which is the one need- understand why they’re hap- years to lower dosages and dimension, says Dr. Yves focused on cosmetic treat- ed for vitamin D production, is almost absent from the sun- pening or could be prevent- longer treatments. Not every Poulin, associate clinical pro- ments, says Dr. Poulin. “We ed.” patient needs that approach, of fessor, Department of Medi- treat all skin problems, such as shine in winter. So we physically cannot make vitamin D,” says Dermatology is a wide course: topical antibiotics, ben- cine, Laval University. “An acne and psoriasis, and all skin Dr. McLean. field, he says. “Every major zoyl peroxide and oral antibi- aging population means we’ll manifestations of internal dis- Both doctors say a much safer, more reliable way to get text book on dermatology is otics may be appropriate.” have more and more skin orders, such as lupus. And vitamin D is to take one 1,000-milligram supplement a day. between two and four volumes Unfortunately, Canada is cancers. It means we’ll have there isn’t a week in which I thick. Many of these condi- challenged by a shortage of more dermatologists focusing don’t see a melanoma.” This supplement was produced by RandallAnthony Communications Inc. (www.randallanthony.com) in conjunction with the advertising department of The Globe and Mail. Richard Deacon, National Business Development Manager, firstname.lastname@example.org. NEW SPF 60 WITH MEXORYL XL ® † Ombrelle. Ombrelle’s patented photostable ﬁltering system containing Mexoryl® technology† provides The safest place effective and sustained UVA-UVB protection during sun exposure. under the sun. Patented photostable UVA-UVB protection with Mexoryl® technology† Waterproof Light fast-absorbing texture Hypoallergenic Fragrance and colorant free and other sunscreen filters. #1 RECOMMENDED SUN PROTECTION BRAND BY † CANADIAN DERMATOLOGISTS* AND PHARMACISTS** * Survey among Canadian dermatologists by IFOP/Canada market research in February 2008, mandated by L’Oreal Canada. ** Pharmacy Post‘s 2008 Survey on OTC Counselling & Recommendations. T HE G LO BE AN D MAI L T U E S D AY , J U N E 9 , 2 0 0 9 A special information supplement SA3 Sun awareness EXPERT INSIGHT Educating public among top priorities for Canadian dermatologists are invested in programs for tance of hydration, moisturiz- Any other recommended together in support groups. Q&A with public education on sun safe- ty. ing the skin, cannot be overemphasized. It’s some- resources for people with skin diseases? Together, they also have more political power, which Dr. Larry Warshawski President, Canadian For example, we have Sun thing people don’t really think The Canadian Skin Patient can be important in persuad- Dermatology Association Awareness events across the about. Often, patients think Alliance is a group formed by ing the government to cover country where the public is they can simply apply a pre- patients, most of whom have certain treatments, such as bio- given free skin assessments by scribed cream, but although skin disease, who have come logics for the treatment of pso- How would you describe a dermatologist in a public that is important, it won’t get together to disseminate infor- riasis. dermatologists’ role in our area. Quite a number of skin better without an effective mation on various diseases, Governments tend to shy health system? cancers have been discovered moisturization regime, espe- including those that are fairly away from these because of Our skin is the largest organ of that way. It’s a public service, cially in the winter months. rare, and to bring patients the costs, but if you have a the body, and dermatologists but our primary aim is educa- group of patients coming are the experts on skin disease. tion: letting people know why together to lobby, they can The diseases and treatments of they should use hats and demonstrate the value: how the skin are complex, and other sun protective clothing, someone with psoriasis who is because dermatologists are We have Sun which hours of the day it is a recluse because of their dis- working solely on these issues, Awareness particularly important to ease can become a productive we have a comprehensive avoid sun exposure, and why member of society. understanding that allows us to events across they should apply high-pro- effectively manage skin disease tection sunscreens and wear Dr. Larry Warshawski, MD, and the complications of treat- the country proper sunglasses. FRCPC, is the president of the ment. Canadian Dermatology Associa- where the public Where can Canadians find tion; a fellow of the Royal College What are the key issues facing is given free skin reliable information on skin of Physicians and Surgeons of your profession? diseases and treatments? Canada; a member of the Canadi- We don’t have enough derma- assessments by We are in the process of revis- With the average age of dermatologists now 55, the Canadian an, American, and International tologists. We’re working on it ing the CDA website, which Dermatology Association is concerned that within 10 years Societies for Dermatologic Surgery; and making some progress; a dermatologist will have a lot of information almost half of Canadian dermatologists will retire. The CDA and a clinical professor and head our residency numbers are for the public going forward. has several initiatives underway to help address this issue, of Dermatologic Surgery for the increasing. But the average age in a public area. For example, if a patient has including increasing education opportunities for general prac- Department of Dermatology and of dermatologists is 55. Within atopic dermatitis, the impor- titioners. PHOTO: ISTOCKPHOTO.COM Skin Science, UBC. 10 years, almost half of Cana- Quite a number dian dermatologists are going of skin cancers to retire. We’re doing our best to have been increase the number of resi- dents, and we’re working hard discovered that ect g. Protbeautioinfulcanthinbe a on continuing medical educa- tion for the present dermatolo- way. It’s a public gists we have. We’re also in the service, but process of increasing education opportunities for general prac- our primary aim titioners. is education. Describe the Canadian Dermatology Association’s approach to public education. Over the last few years, the association has focused on a particular skin disease each year. In 2008, it was atopic dermatitis, or eczema; this How do the CDA’s Sun year, we’re focusing on acne Protection Evaluation and Sun and rosacea; next year, our Awareness programs fit in? focus will be psoriasis. We’re The Sun Protection Evalua- making efforts to educate the tion and Sun Awareness pro- public about these diseases grams are aimed at educating and their impacts. Skin dis- the public on the importance eases such as psoriasis and of sun protection. atopic dermatitis can look We recognize sunscreens frightening, so it’s important that are independently proven that people know what it is to be effective, and the funds and that it isn’t contagious. received for that recognition Canadians well aware of melanoma skin cancer – but half don’t check often enough C anadians are well aware 70 per cent of melanomas are of melanoma, the most first found by the patient them- serious form of skin selves or close family mem- cancer, but one in two people bers,” she adds. don’t check their skin often Melanoma is most com- enough, according to a new mon on the backs of men and survey conducted by Angus the legs of women but can Reid Strategies for the Cana- appear anywhere on the body dian Dermatology Associa- including the arm, scalp or tion. face. While less common in Melanoma, unlike many darker-skinned people, cancers, is clearly visible on melanoma may appear on the the skin. Early detection is soles of the feet, palms of the directly linked to a very high hands or under the nails, survival rate – 90 per cent for among other sites. Canadians. Many Canadians were However, 940 Canadians – aware that having a lot of sun- three people a week – will die burns is a major risk factor for from melanoma this year, and melanoma (80%), the survey 5,000 will be diagnosed with it. showed. However, less than Melanoma is now the 8th most half of those surveyed (42%) common cancer found in knew that having many moles Canadians. It is one of a small or large moles is a strong risk number of cancers that contin- factor too. Even fewer (34%) ues to increase in incidence. recognized that having skin The first ever “Melanoma that freckles or is unable to Awareness and Attitudes Sur- tan, or red or blond hair (30%) vey of Canadians” revealed are also risk factors. that most Canadians know Of course, it is much better what melanoma is and what it to prevent melanoma. When it looks like – a new or existing comes to ways to protect the mole, freckle or spot that is skin from ultraviolet radiation, changing in colour, shape or many would use a sunscreen Life is full of compromises – like balancing protection and moisturizing for your skin. size. (75%), hats and clothing (69%). However, when it comes to However, only 56 per cent Now you don’t have to compromise. New Coppertone® NutraShield™ with Dual Defense™ Formula* actually checking the skin, would seek shade. provides high UVA/UVB protection and moisturizing antioxidants to revitalize your skin’s fully 55 per cent do not check “There is a need to have their skin often enough. That more shade available in parks, appearance and help reduce the look of skin aging. Protection from above. Beauty from within. comprises 24 per cent who playing fields and schools so never check their skin and 31 that this natural protection, as per cent who say they check well as built shade, is more ™ “less often” than every couple available for people. When of months. As a guide, people shade is available, it is another should check their skin for option for sun protection,” signs of skin cancer once a says Dr. Rosen month or every couple of The Canadian Dermatol- #1 Selling Sun Protection brand in Canada† months. ogy Association’s 21st National “The good news is that Sun Awareness Week runs Recognized by the Canadian Dermatology Association • Developed by the Coppertone Solar Research Center people are actually very good from Monday, June 8 to Sun- at detecting melanoma on day, June 14, 2009. The focus their own skin or that of a fam- for this year is melanoma * Available in SPF 30 and 60 and Face SPF 60. ily member,” says Dr. Cheryl awareness. Dermatologists will † Source: Nielsen, Market Track, National, All channels, Rosen, national director of the be holding free, public skin L52 weeks, Latest period: May 9th,2009 coppertone.ca Canadian Dermatology Asso- cancer screenings in various ciation’s Sun Awareness Pro- locations to promote aware- gram. “Research shows up to ness of this disease. Always read and follow the label. SA4 A special information supplement T H E G LO B E A N D MA I L T U E S D AY , J U N E 9 , 2 0 0 9 Sun awareness MELANOMA AND SQUAMOUS CELL AND BASAL CELL CANCER Prevention the key to combating skin cancers T he statistics are shock- factor, which can determine worked indoors has smooth, reapply every two hours or tect the arms. If you go swim- ing. This year, more Skin cancers are who gets skin cancer and who blemish free skin.” even every half hour if you ming, wear a T-shirt to protect than 80,000 Canadians the most common does not, is unprotected expo- Prevention can be simplici- are perspiring heavily. Reap- your back. will be diagnosed with skin sure to the sun’s rays. While ty itself, say the dermatolo- ply immediately after swim- Lastly, say dermatologists, cancers. About 5,000 will find form of cancer in there may be a genetic com- gists. Always apply a sun- ming. avoid outdoor activities when they have melanomas, the ponent to some skin cancers, screen with a sun protection Wear a broad-brimmed the sun is at peak strength, deadliest form of the disease; the world, and the sun’s UVA and UVB rays factor of at least 30 when hat to shade the face and neck and whenever possible, make 940 will die of it. are the main culprit, say der- heading into direct sunlight; and long-sleeved shirts to pro- best use of shade. Skin cancers are the most their incidence is matologists. common form of cancer in the on the rise. “UV rays can damage the world, and their incidence is basic DNA of skin cells,” says on the rise. Canadians born in Canadians born in Dr. Vince Bertucci, president the 1990s have a two to three of the Canadian Society for times higher risk of skin cancer the 1990s have a Dermatologic Surgery. “More- than those born in the 1960s, over, the same rays can inter- says the Canadian Dermatol- two to three times fere with the body’s immune ogy Association. They face a higher risk of skin system, which rids the body of one in six lifetime risk. damaged cells.” Those at greatest risk are cancer than those One nasty sunburn as a redheads and blondes with fair child may be enough to trig- skin. They lack the melanin, a born in the 1960s, ger cellular change, which built-in natural protection results in a skin cancer against sunburn, found in larg- says the Canadian decades later in life, he says. er amounts in southern people Current thinking is that from the Mediterranean, Dermatology between 25 per cent and 30 through Africa to parts of Asia. Association. per cent of basal cell cancers, While 80 per cent of new the most common form, cases involve the least serious result from overexposure form, basal cell cancers – red- before age 18. dish blemishes that refuse to Nor is skin cancer the only heal and often weep or bleed – damage those rays do. They about 13 per cent are squa- can over time fracture the col- mous cell cancers – rough lagen and elastin that give flaky patches. About 7 per cent support to skin, especially in are potentially deadly the face and neck. Skin sags melanomas, which can resem- and wrinkles, tiny blood ves- ble moles. They can metasta- sels, lacking support from that size, spreading unchecked to Look for sunscreens collagen, break and create spi- other body organs. der web patterns. Skin The irony is that most skin bearing the Canadian becomes as attractive as old cancers are easily preventable. Dermatology Associa- leather. It is just a matter of using com- tion logo. These “I have two patients – sis- mon sense, say dermatologists ters about two years apart. including Dr. Mariusz Sapi- products have been One has worked outdoors jaszko, medical director of the reviewed by CDA with no protection, while the Western Canada Dermatology other worked indoors and Institute in Edmonton. member dermatolo- wore sunscreen when she “Just follow common sense gists, your skin experts, went into the sun,” says Dr. rules; when you go out in the under CDA’s Sun Sapijaszko. “The difference in sun, protect exposed skin,” he their skin is considerable. The Beyond applying suscreen, wear a broad-brimmed hat to shade the face and neck and long- says. Protection Evaluation one who worked outdoors has sleeved shirts to protect the arms. If you go swimming, wear a T-shirt to protect your back, say The major contributing Program. leathery skin; the one who dermatologists. PHOTO: ISTOCKPHOTO.COM KIDS AND YOUTH LIFESTYLE SKIN OF COLOUR The sun: friend or foe of For those who work and Even dark skinned acne sufferers? play outdoors people at risk I T t’s long been thought that here is a dichotomy to are at four to five times greater getting out in the sun is a the sun. While its rays risk, and an Argentinean study cure for acne. are essential to life, they says they are at three times Ask any dermatologist, can also destroy it. Those at greater risk than the general though, and they’ll say don’t high risk include men and population. do it. women whose jobs demand But athletes and workers “You’ll often hear children days of outdoor work and need not shun the sun if they say, ‘Oh, my acne always those whose love of sports pro- use common sense, says Dr. improves in the summer. The pels them into the sunshine in Sapijaszko. sun dries it up.’ And parents summer and winter. First, apply sunscreen with encourage their kids to get Ask any dermatologist, a sun protection factor of a out into the sun to improve though, and they’ll say don’t minimum of 30 to all exposed their acne,” says Dr. Ian Lan- do it. skin, being careful to include dells, vice president of the combination of treatments,” “It is one of those great the ears and tops of feet. An Canadian Dermatology Asso- says Dr. Landells. “Benzoyl paradoxes,” says Dr. Mariusz SPF 30 lip balm is also recom- ciation. “In actual fact, the peroxide helps to remove the Sapijaszko, medical director of mended. All sunscreen should sun is only masking the plug, antibiotics help with the the Western Canada Dermatol- be reapplied at least every two People of African, Latino, Asian and Mediterranean heritage acne.” inflammation – reducing bac- ogy Institute in Edmonton, hours – more regularly if you may have more melanin in their skin, but they are still at risk of Acne commonly starts teria – and vitamin A acid “The sun’s bright rays, which perspire heavily. developing skin cancers. PHOTO: ISTOCKPHOTO.COM during puberty, when the normalizes the way the hair lift our moods, warm us and Wearing protective cloth- D cells of the skin that line the follicle sheds skin.” give life to all growing things, ing, including long-sleeved oes dark skin offer deflects those chemicals before hair follicle begin to shed Whatever you do, don’t are also potentially deadly car- shirts and a broad-brimmed enough natural protec- they can reach and damage more rapidly and changing just wait it out. cinogens.” hat, is also important, say der- tion to safeguard skin cells, Dr. Goldstein hormone levels cause the oil “It is very important to “UVA and UVB rays can matologists. Donning a T-shirt against sun-induced skin can- explains. The greater the glands to produce more oil. seek help,” says Dr. Landells. both damage cellular DNA, or other clothing to protect cers? Absolutely not, say der- amount of melanin, the “Acne is caused when “People with acne don’t have plant the seeds of cancer and your back when swimming matologists. greater its ability to protect increased oil within the hair to just suffer and wait to grow interfere with the skin’s natural isn’t just smart, it’s also a prac- Black, Latino, Asian and skin. follicle mixes with the skin out of it. There are many immune systems, preventing it tice that has been made fash- Mediterranean skin may have “But ask any Jamaican and that is shedding inside the fol- treatments that can get it from ridding the body of sun- ionable thanks to new lines of more melanin, the body’s nat- he will tell you those with licle. This results in what is under control and cure it.” damaged cells.” sun protective sportswear. ural protection against the dark skin do indeed get sun- called a comedone – a white- Given the scarring effects Research suggests those Responsible employers sun’s harmful rays, but burn; it is just not as notice- head or blackhead – which of acne, Dr. Landells says it is who spend a great deal of time can also help protect their increasingly people whose able as among those with fair then becomes inflamed as far easier to prevent the scar- outdoors playing sports or staff. Dr. Sapijaszko reports roots lie in sunny, hot-weather complexions,” he says. bacteria multiply within the ring than it is to reverse it. working are at substantially seeing sun-conscious construc- countries do indeed develop People of African descent follicle and our immune sys- higher risk. Dermatologists tion workers in Phoenix sport- skin cancers. seem particularly susceptible tem responds,” explains Dr. report seeing melanomas, the ing specially designed broad- “It is a misconception that to melanomas on the palms, Landells, a St. John’s, New- Acne facts deadliest form of skin cancer, brimmed hard hats, while Dr. those with darker skin are soles of the feet and under the foundland-based adult and bust common in athletes as young as their Bertucci points out Canada immune from the damaging fingernails, Dr. Goldstein pediatric dermatologist. late teens. Post provides its letter carriers effects of the sun’s rays,” says adds. Dark skin is also of lim- He says the ultraviolet myths “A decade ago that was with free sunscreen and Toronto-based dermatologist ited protection against sun radiation of the sun’s rays is rare. Melanomas usually did broad-brimmed hats. Dr. Eric Goldstein. “They damage to the skin’s immune only suppressing our immune FACT: not appear until the late 40s To people who just love to have a lower incidence of skin system, he continues. system’s response to the bac- The sun does not cure on,” says Dr. Vince Bertucci, play outdoors, Dr. Sapijaszko cancers, but they can get sun- Celebrated musician Bob teria, making the acne appear acne. president of the Canadian Soci- says, “Try to schedule sporting burns and all three types of Marley reportedly died of a less red. The blackheads and ety for Dermatologic Surgery. events early or late in the day skin cancers – basal cell, squa- metastasized melanoma, origi- FACT: whiteheads, however, remain. Athletes who practice their when the sun’s rays are less mous cell and melanomas – nally on the sole of his foot. “As soon as they are out Acne is not caused by poor sport outdoors are at greatest intense. And make best use of just like Caucasians.” Children of Asian immi- of the sun, the acne comes hygiene. risk, he continues. An Italian shade when not actively In fact, dermatologists are grants, who in their parents’ back,” says Dr. Landells. FACT: study suggests young athletes engaged in play or work.” reporting a rising incidence native land might be trained He cautions that sun among darker-skinned Cana- from birth to cover up and exposure can actually cause Junk food has never been dians, says Dr. Jensen Yeung, wear broad-brimmed hats in the oil glands of the face to scientifically connected to co-director of the melanoma the sun, tend to adopt a North slowly enlarge, leading to acne. and pigmented lesions clinic American lifestyle and worse problems down the at Toronto’s Women’s College become near sun-worshippers, FACT: road. That – combined with Hospital. “They are not as says Dr. Yeung. the fact that the sun causes Popping a pimple is not common as among Northern “They take a southern skin cancer – is reason good because it ruptures Europeans, but they do seem vacation in winter and disre- enough to protect our skin inwards, takes longer to on the rise among both sexes.” gard all common sense sun from the sun. heal and ending up more What provides some natu- protection rules in an effort to When it comes to treating inflamed. ral protection in those with get a fast tan,” he says. “In acne effectively, there are darker skin is melanin, the summer they do the same.” many over-the-counter or FACT: compound that gives skin its The result can be sun prescription medications that Makeup use with acne is Dermatologists strongly advise people who enjoy the outdoors colour. When the sun’s UVA damage to the skin, especially address the source of the fine, as long as it’s oil-free to protect themselves against UVA and UVB rays, which can and UVB rays strike the skin, sunburns and the increased problem. or water-based. damage cellular DNA, plant the seeds of cancer and interfere they excite a chemical reac- risk of skin cancers as they “It is important to use a with the skin’s immune systems. PHOTO: ISTOCKPHOTO.COM tion. Melanin soaks up and age. CAPITAL•SOLEIL PHOTOSTABLE PROTECTION WITH MEXORYL® XL* Vichy’s Even the most sensitive skin is perfectly protected from UVA and UVB rays. commitment: The quality of sun ﬁlters is more important † than the SPF. EXCLUSIVE ASSOCIATION RECOGNIZED BY MEXORYL® XL + VICHY THERMAL SPA WATER THE CANADIAN DERMATOLOGY Broad-spectrum UVA and UVB ﬁlters. Photostable ﬁltering system. ASSOCIATION Tested on sensitive skin under dermatological control. Sun Protection Demystiﬁed Myth no. 1 All sunscreens are created equal. * With other ﬁlters in products: SPF 60 XL Capital Soleil, Ultra Protection Sun Block Stick SPF 60 XL, SPF 45 XL, SPF 30 XL, SPF 20 XL Lip Protection Stick. † Sun Protection Factor False. As some protections only partially ﬁlter the different UV rays, the choice and combination of ﬁlters are extremely important. The SPF mainly indicates the UVB protection level. Choose an anti-UVA-UVB photostable protection. Myth no. 2 Sun damage is only temporary because the skin naturally repairs itself. False. Even though the skin heals quickly, damage caused by UVA and UVB rays remains and accumulates after each sun exposure. Problems appear gradually as the skin’s sun capital deteriorates. Myth no. 3 The higher the SPF, the less I have to reapply my sunscreen. False. Sun protection can diminish after swimming, towel drying or sweating. It is recommended you reapply your sun protection every 2 hours or wear water- and sweat-resistant photostable protection. SA6 Advertising feature for L’Oréal T H E G LO B E A N D MA I L T U E S D AY , J U N E 9 , 2 0 0 9 Although 68 per cent of the 5,000 Canadian men and women questioned said they used sun protection, only 18 per cent use it every time they go outdoors, and 43 per cent only apply sunscreen when the sun’s rays seem intense. In an era of rising incidence of skin cancer, that’s cause for concern. Study reveals surprising attitudes about sunscreens W hen it comes to usage. We conduct that type some sloppy habits among On the plus side, 46 per While just 47 per cent to children, the dangers of sun protection, of study on a regular basis, Canadians when it comes to cent of users say they re- of Canadians were able to sun exposure are exaggerat- Canadians are and it allows us to commu- applying sunscreen. apply sunscreen every one say what the initials SPF ed, and there’s no need to high-stakes gamblers, nicate efficiently with con- About 46 per cent of to three hours, which Mr. stood for, even fewer – just use sunscreen when it’s according to a recent survey sumers.” those who say they use a Gagne says is a wiser 14 per cent – have heard of cloudy or when skin is conducted by L’Oréal The chief challenge to sunscreen also say they approach to ensure sun the term photo-stability, an tanned.” Canada. Although 68 per sun protection seems to be apply it less than five min- protection. important factor in a sun- It also showed that cent of the 5,000 men and a lack of understanding of utes before going outdoors, The study also revealed screen’s resistance to break- while users in the 45- to 74- women questioned said the basics. a practice that does not that while awareness of ing down in sunlight and year-old bracket try to stay they used sun protection, While the majority of allow enough time for the both UVA and UVB is ability to provide sustained out of the sun, younger only 18 per cent use it Canadians use sunscreens sunscreens to create an high, many Canadians do UVA protection. (See the non-users (14 to 24 years) every time they go out- (68 per cent said they used effective barrier. not understand how sun- “Pay attention to ingredi- are sun-seekers. doors, and 43 per cent only one in the past year) they When it comes to re- screens protect against ents” story on this page.) “They are more likely apply sunscreen when the do so on a hit-and-miss applying sunscreen regular- these unique threats. At its heart, the study to think that getting a sun- sun’s rays seem intense. basis. For example, while 87 ly to ensure continuing pro- For example, “The revealed insight into atti- burn makes you tan faster, The findings indicate per cent said they would tection, 38 per cent say majority thinks SPF pro- tude differences among var- and say that having a tan is that despite a decade of apply sunscreen when they once is enough – no matter tects against both types of ious demographic seg- important to them,” says warnings by dermatologists visit a beach or pool, only how long they are outdoors UV rays, which is wrong,” ments. Mr. Gagne, noting that and the medical communi- 43 per cent say they apply and whether or not they are says Mr. Gagne, noting that “Men are non-believ- both falsehoods are in fact ty, Canadians have yet to it only when the sun’s rays perspiring heavily. Further, SPF – a sunscreen’s Sun ers,” says Mr. Gagne. a fast track to premature get the message: the sun’s are intense. 55 per cent say they never Protection Factor – refers “They are more likely to aging and heightened risk UVA and UVB rays are the “People do not seem to re-apply after sweating. only to UVB protection. think sun is more harmful of skin cancer. chief cause of skin cancers be aware that any time the and can significantly age sun is shining – summer or skin prematurely. winter and even on overcast Sunscreen products not days – unprotected expo- only protect against skin sure can result in skin dam- cancers, but can also miti- age,” says Mr. Gagne. gate damage to the collagen That fact is evident from and elastin that support the the survey results. skin and help maintain the For example, while 88 body’s immune system, per cent of respondents which can be damaged by indicated they use sun- the sun’s rays. screens in summer, only 16 Jean-Francois Gagne, per cent use sunscreen in studies department director winter, even though the sun for L’Oréal Canada, says, reflecting off snow and ice “As a leader on the sun- can still burn and damage screen market, it’s our skin. Sunscreen use also responsibility to monitor drops sharply in fall (23 per Just 47 per cent of Canadians were able to say what the initials SPF closely the attitude of the cent) and spring (37 per stand for. Even fewer – just 14 per cent – have heard of the term population toward sun- cent). photo-stability, an important factor in a sunscreen’s ability to provide screen products and their The study also revealed sustained UVA protection. PHOTO: ISTOCKPHOTO.COM L’Oréal brands help shed light on sun awareness Ombrelle is the #1 rec- of sun damage. habits. In this spirit, in ed to the cause. G lobal giant L’Oréal has ommended sun protec- This public health mis- 2009, Vichy Canada proud- Vichy Canada main- tion brand by Canadian sion led to the worldwide ly partnered with renowned tains a close partnership been focusing dermatologists** and creation of Skin Health children’s association with dermatologists every- its energy and know- pharmacists*** Backed by more than 75 Centres, bringing dermatol- “Opération Enfant Soleil” where, supplying them with how on cosmetics for **Survey among Canadians dermatolo- years of skin expertise, ogists and Vichy experts to to raise awareness about the sun protection samples and nearly a century. Among gist by IFOP/Canada market Vichy Laboratoires is dedi- local communities. The importance of protecting crucial information about its leading brands are research in February 2008, mandated cated to the science of skin objective is to motivate con- children’s skin from the what to look for in a sun several of the world’s by L’Oréal Canada. health, including educating sumers to better protect sun. A percentage of every protection. best sunscreens. Here is *** Pharmacy Post’s 2008 Survey on the public about sun-safe themselves and adapt Capital Soleil Kids product some information about OTC Counselling & Recommendations behaviour and the dangers responsible sun exposure sold in 2009 will be donat- what makes each brand unique and how each works to promote sun Pay attention to ingredients when choosing a sunscreen awareness. Rising awareness among consumers of their need to blended with other ingredients to maintain their According to 2006-07 mar- protect themselves from harmful UVA and UVB radi- effectiveness, says Dr. Lim. ket research by IFOP North ation is encouraging. But just as UVA and UVB rays Dr. Josso adds that whether used on its own or in America, La Roche-Posay is damage our skin in different ways, not all sun- combination with the commonly used UVB filter the number one dermatolo- gist-recommended skincare Launched in 1990, screens are made the same, putting added onus on octinoxate, avobenzone starts to degrade as soon as brand in Canada*. Estab- Ombrelle has dedicated consumers to pay close attention when choosing it is exposed to light. “Depending on the light inten- lished in France in 1975, La itself to offer state-of-the-art sun protection. sity and the amount of product applied on skin, Roche-Posay offers a full sun protection technology, Dr. Henry Lim, of the Department of Dermatol- very little is left after one to two hours.” line of innovative formulas to protect Canadians and ogy at the Henry Ford Hospital in Detroit, says while While the user might not be more exposed to and textures that provide their families while enjoy- comfort and dermatological ing a healthy sun-smart UVB rays are predominantly associated with causing sunburn (caused mainly by UVB rays), “the sun- efficacy to all skin types – lifestyle. sunburns, UVA rays cause photoaging and wrin- screen’s protection against UVA will be greatly even the most sensitive. Education has always kling. “Both types of rays contribute to development reduced,” says Dr. Josso. La Roche-Posay is the been a priority for of skin cancer,” he cautions. Seeking a solution, Dr. Josso’s research team dis- first brand to highlight the Ombrelle. The brand is Dr. Lim says the advent of broad-spectrum sun- covered and patented a way to photo-stabilize importance of a strong actively involved in educat- UVA/UVB protection for screens – products that offer both UVA and UVB pro- avobenzone, by combining it with the UVB filter ing the population about the prevention of photoag- the importance of sun-care tection – represent a major advance in sun protec- octocrylene. ing and of photodermatosis. protection. tion. “We also developed UVA sunscreens made with Partnering with over In 1998, Ombrelle “For a long time, we talked only about SPF – the Mexoryl SX & Mexoryl XL, which are inherently 25,000 dermatologists developed a sun-care edu- sun protection factor against UVB rays. Worldwide, photo-stable,” says Dr. Josso. throughout the world, La cation program called Mis- Roche-Posay has helped more and more broad-spectrum protection is avail- Dr. Lim says in lab settings photo-stable sun- sion UV to heighten educate consumers about awareness among children able. In Canada and other parts of the world, you screens remain photo-stable for about four to five the dangers of sun damage about the damage caused have labelling for the degree of UVA protection of hours. and the rising incidence of by UV rays and to pro- sunscreens.” With the photo-stability issue resolved, Dr. Josso skin cancers. mote good sun protection Another important improvement is the introduc- says his lab is already pursuing new innovations. La Roche-Posay pro- habits. Over the years, tion of sunscreens with enhanced photo-stability, a “Now that we can offer the optimal sun protec- vides informative skin can- Ombrelle has closely cer-prevention educational worked with teachers and product’s ability to maintain its effectiveness – tion, one of our next battles is textures,” he says. “We material to dermatologists nurses to improve and safe- rather than degrade – when exposed to sunlight. are developing molecules that can boost the effica- and offers a Continuing guard the health of chil- Dr. Martin Josso, director of L’Oréal Suncare cy of UV filters, providing maximum efficacy with Medical Education program dren in schools and in day- Research Laboratoire in Paris, says while UV filters the minimum amount of UV filters. This allows us to help doctors diagnose cares across Canada. are stable molecules under most conditions, and do more formulation flexibility, and we can improve the melanoma with greater Mission UV confirms accuracy. The brand’s com- not degrade in the formula even after several years, cosmetic elegance of our formulas.” Ombrelle’s desire to mitment to sun damage increase sun protection “Some UV filters are not stable once applied on the This distinction is important says Dr. Josso, not- prevention is not only a awareness and to concrete- skin and subjected to UV radiation. They start to ing, “A lot of people will not use the correct mission, it has become a ly contribute to the present break up and do not absorb UV light anymore.” amount of sunscreen if they do not appreciate the moral obligation for La and future health and well- UVA filters that are not photostable have to be texture.” Roche-Posay. ness of all Canadians. *Source: IFOP 2006-2007 T HE G LO BE AN D MAI L T U E S D AY , J U N E 9 , 2 0 0 9 A special information supplement SA7 Sun awareness IMPORTANT DIFFERENCES Not all skin cancers are the same W hen Dr. Gordon she was told about the possibil- basal cell carcinoma is about Searles, now a clini- ity of reconstruction.” eight times more common cal associate profes- sor in the Division of Derma- Basal cell cancers typically occur on sun-exposed surfaces, than squamous cell carcinoma and is less dangerous. MELANOMA SKIN CANCER tology and Cutaneous Medi- cine, Department of Medicine says Dr. Richard Langley, a Halifax dermatologist who There is a danger that basal cell carcinoma may be KNOW THE SIGNS, SAVE A LIFE of the University of Alberta, specializes in skin cancer. misdiagnosed in its early was an undergrad, he noticed “Most commonly found on the stages, he says. “It can look Melanoma is a less common but most dangerous form of skin cancer what he thought was a pimple head and neck regions, they like a number of other skin since it can spread in the body. at the base of his nose. “But it can also be found on the back, conditions such as fungal infec- didn’t heal, so I went to see a arms and chest. They usually tions, eczema or psoriasis. In ABCDEs of Melanoma dermatologist who removed present as a raised, skin- addition, we see both types of it.” coloured area that may have cancers, but particularly basal 5 steps to Through a biopsy, the der- fine blood vessels on the sur- cell, in younger populations, SKIN CANCER SELF-EXAM A ASYMMETRY matologist also confirmed the face, but are occasionally dark- even teenagers, and in areas The shape on one lesion was a basal cell carcino- er in colour, particularly in that are atypical, ma. “I’m a blonde, and I spent people with darker skin. The such as the chest or the other side. a lot of time outside in pools key thing is that they don’t abdomen. This sug- Using a mirror in a well-lit room, as a kid, so I’ve had my share heal; they persist.” gests that tanning 1 checkneck,front of your bodychest, the - B BORDER of sunburns,” said Dr. Searles, Squamous cell cancer is beds or just sun face, shoulders, arms, The border or visible looking back. the second most common type exposure is more of abdomen, thighs and lower legs. edge is irregular, ragged While Dr. Searles’ initial of skin cancer, and also usually a factor.” and imprecise. experience with his basal cell occurs in sun-damaged areas, There are treat- carcinoma was a common including balding areas of the ments available, one, what followed was less so. scalp, ears, the lower lip and including creams, Turn sideways, raise your arms C COLOUR “Several years later, I noticed the back of arms, hands and light therapy, sur- There is a colour variation with and look carefully at the right that the skin around my scar shoulders. “Like basal cell can- gery and radiation, 2 and left sides of your body, brown, black, red, grey or white was a little firm.” It was only cer, it can present as a sore, which can provide within the lesion. including the underarm area. after he began dermatology but can also present as a red excellent cure rates training that he sought further patch or a thick, rough and when the cancer is D DIAMETER treatment. A biopsy showed a wart-like plaque.” caught early, says Growth is typical of melanoma. recurrence, this one deep in Actinic keratosis, a very Dr. Sapijaszko. It is usually more than 6 mm the skin. “I was 29 years old, a common condition that pres- Surgery remains the With a hand-held mirror, check your although it can be less. upper back, neck and scalp. Next, physician who had aspirations of doing surgery, and I had to ents as rough red, scaley lesions, usually on the face, most successful treatment for both 3 examine your lower back, buttocks, have my eye removed.” scalp or hands of people over squamous cell and backs of thighs and calves. E EVOLUTION Eventually, Dr. Searles was 50 who have had prolonged basal cell carcino- Look for change in colour, size, treated at COMPRU, a clinic exposure to the sun over many ma, but sometimes shape or symptom such as in Edmonton that specializes years, is considered a precur- surgery in some itching, tenderness or bleeding. in reconstruction and prosthet- sor of squamous cell cancer. areas on the body Photos provided by Dr Joël Claveau Examine your forearms, palms, ic units for people with major “These are treated very easily may not necessarily facial abnormalities. by dermatologists using be warranted. Other 4 PROTECT YOURSELF! The best ways to protect yourself are to: “Since the majority of basal cryotherapy or topical treatments can cre- • Find out your risk factors cell carcinoma occurs on the creams,” says Dr. Langley. “To ate less scarring, • Learn the early signs, the ABCDEs of melanoma head and neck, if they’re not me, they indicate two things: healing time and • Protect yourself from the sun from spring to fall treated effectively, they’re the patient has had significant deformity. and avoid sunbeds capable of great destruction. sun exposure and should do “You own your • Check your skin once a month They have to be monitored. A regular skin self-examinations; skin and it’s good to Finally, check your feet - the • Take action if you see any suspicious spots patient who was referred to and they are precancerous and know it, top to bot- 5 tops, soles, toenails, toes and me recently with a basal cell need to be assessed by a der- tom, with the help spaces in between. carcinoma decided against matologist.” of a mirror or two. treatment, because it would Dr. Mariusz Sapijaszko, Be sensible with sun have required removal of her clinical associate professor at exposure: enjoy the outdoors nose. She only decided to go the University of Alberta Divi- and have fun, but be cautious,” For further information, visit www.dermatology.ca ahead with the surgery when sion of Dermatology, says that says Dr. Sapijaszko. Before showing it to the sun, *Source: AC Nielsen, April 2009, Anthelios XL, SPF 60 100ml only show it to your dermatologist. If detected early, 90% of skin cancers can be cured. Prevention has become a top priority: show your skin to your dermatologist regularly, and protect yourself when exposed to the sun. La Roche-Posay has partnered with over 25,000 dermatologists worldwide and in Canada to support them in the prevention and early diagnosis of skin cancer. A pioneer in sun protection, La Roche-Posay was the first laboratory to introduce Mexoryl®SX and Mexoryl®XL in its sun product ANTHELIOS XL offering a broad spectrum photostable protection against UVA and UVB rays. Our commitment to dermatology and our filtering system have made ANTHELIOS XL THE #1 SUN PROTECTION PRODUCT SOLD IN CANADIAN PHARMACIES*. To learn more, see your dermatologist or go to www.laroche-posay.ca LA ROCHE-POSAY LA ROCHE-POSAY. COMMITTED TO DERMATOLOGY. LABORATOIRE PHARMACEUTIQUE SA8 A special information supplement T H E G LO B E A N D MA I L T U E S D AY , J U N E 9 , 2 0 0 9 Sun awareness SAFETY EQUIPMENT Sunscreens, wear them well and follow the directions D r. Benjamin Barankin, A 110-millilitre from half an hour to four says Dr. Barankin. medical and cosmetic dermatologist at The Dermatology Centre in bottle or tube hours depending on the activity. “Sunscreens offer good A 110-millilitre bottle or tube should be good for maybe four applications. “And sunscreens should be good Canadian Dermatology Association-recognized Sunscreens Toronto, offers a clear mes- protection – as long as used as yet you see people on vacation sage about sun safety: put on directed,” says Dr. David with the same sunscreen they Updated May 2009 sunscreen just as you would for maybe four McLean, head of cancer pre- used for the previous three any other necessary safety vention at the BC Cancer years,” says Dr. Barankin. Aveeno Baby Sunblock Lotion Sunscreen Lotion SPF 45 equipment. applications. “And Agency in Vancouver. “The When it comes to choosing SPF 55 Neutrogena Ultimate Sport Parents would not think of yet you see people problem is that too many peo- a sunscreen, look for products Aveeno Active Naturals Sunblock Sunscreen Spray SPF 45 letting their children – or ple don’t follow the instruc- that carry a seal of recognition Lotion SPF 30 Neutrogena Ultimate Sport themselves for that matter – on vacation with tions on the label.” from the Canadian Dermatol- Aveeno Active Naturals Sunblock Sunscreen Spray SPF 60 ride a bicycle without a safety To be effective, all sun- ogy Association – that ensures Lotion SPF 45 Neutrogena Ultra Sheer Body helmet. Nor would they think the same sun- screens must be liberally you get both UVA and UVB Aveeno Active Naturals Sunblock Mist Sunscreen SPF 30 of going for a ride in the car applied, dermatologists protection – and opt for one Lotion SPF 55 Neutrogena Ultra Sheer Body without first fastening safety screen they used advise. That means one palm- with at least a 30 SPF (sun Aveeno Active Naturals Sunscreen Mist Sunscreen SPF 45 belts, says Dr. Barankin. for the previous full for each arm and one for protection factor). Lotion Face SPF 60 Neutrogena Ultra Sheer Body “Everyone young and old each leg, for example. Then People with fair hair and Aveeno Active Naturals Positively Mist Sunscreen SPF 60 should take the same attitude three years.” remember to reapply regular- light skin would be advised to Sunscreen Lotion Face SPF 60 Neutrogena Ultra Sheer Dry- towards sunscreen,” he says. ly. If you are swimming, the bump the SPF up, says Dr. Touch Sunscreen SPF 70 “It is essential to avoid prema- sunscreen may last just 20 to McLean. “I usually suggest an Banana Boat Baby Tear-Free Neutrogena Ultra Sheer Dry- ture aging of the skin, sun- 30 minutes; reapply when SPF of 60, mainly because Sunblock UVA & UVB SPF 50 Touch Sunscreen SPF 85 burns and skin cancers.” you leave the water. people usually only apply a Banana Boat Kids Tear-Free Neutrogena Ultra Sheer Face Sunscreens protect If you are golfing, reapply quarter as much as they need,” Sunblock UVA & UVB SPF 50 Sunscreen SPF 45 exposed skin against the sun’s during that clubhouse break he says. “At least with a 60 Banana Boat Ultra Defense Neutrogena Ultra Sheer Face potentially damaging UVA after nine holes. If perspiring SPF you get factor of 15 cover- Sunscreen SPF 15 Sunscreen SPF 60 and UVB rays as effectively as freely, then follow the same age.” Banana Boat Ultra Defense Neutrogena Ultra Sheer a raincoat protects against the regimen you would if swim- And what of those with a Sunscreen SPF 30 Sunblock SPF 30 wet, but with a good deal ming. dark tan who feel that is Banana Boat Ultra Defense Neutrogena Ultra Sheer more comfort. While some sunscreens enough to ensure protection? Sunscreen SPF 50 Sunblock SPF 45 Sunscreens create an invis- claim to be waterproof, all Forget it, says Dr. McLean. “A Neutrogena Ultra Sheer ible coating on the skin’s sur- that means is that they will deep tan gives you the equiva- Coppertone General Protection Sunblock SPF 55 face that can last for anywhere not immediately wash off, lent of an SPF of about 4.” Sunscreen Lotion SPF 60 Neutrogena Waterguard Kids Coppertone Kids Sunscreen Sunscreen Clear Spray SPF 60 Lotion SPF 60 Neutrogena Waterguard Kids Criteria for displaying the CDA logo Coppertone NutraShield with Dual Defense SPF 30 Sunscreen Lotion SPF 60 T Coppertone NutraShield with Olay Complete All day Moisture he Canadian Derma- • the product is non-comedo- “The sun may cause sunburn, Dual Defense SPF 60 Cream, UV Defense tology Association genic, non-irritating and hypo-aller- premature aging of the skin and asks that sunscreen genic; and Coppertone NutraShield with Olay Complete All day Moisture manufacturers interested in • the product is minimally or skin cancer. Avoiding the sun, Dual Defense Face SPF 60 Cream, UV Defense, Sensitive displaying the CDA logo non-perfumed. wearing protective clothing and Coppertone Oil Free Sunscreen Skin and recognition statement The CDA reviews all packaging and regular use of sunscreens over Lotion SPF 30 Olay Complete All day Moisture complete an application advertising copies for each sunscreen. Coppertone Spectra3 SPF 30 Cream, UV Defense, the years may reduce the chance form for each of their The CDA will not consider any product Coppertone Spectra3 SPF 50 Combination/Oily of these harmful effects. The sun- Coppertone Spectra3 SPF 50 Olay Complete All day Moisture products. This application that is marketed for tanning, and insists form must be submitted to that manufacturers take a proactive screens in this product meet the Babies Lotion, UV Defense CDA together with independent labora- stance regarding protection against sun criteria established by the Cana- Coppertone Spectra3 SPF 50 Olay Complete All day Moisture tory test results substantiating that the damage to the skin. dian Dermatology Association.” Kids Lotion, UV Defense, Sensitive product has met the approval criteria: If sunscreens meet the criteria listed Coppertone Sport SPF 15 Skin • the product has a UVB sun above, the manufacturer can display the Funds generated by this program Coppertone Sport SPF 30 Olay Complete All day Moisture protection factor (SPF) of at least 30*; Canadian Dermatology Association’s logo sponsor the Canadian Dermatology Asso- Coppertone Sunblock Lotion Lotion, UV Defense, • the product contains a broad and the following statement on that spe- ciation’s Sun Awareness Program and its SPF 15 Combination/Oily spectrum UVA block; cific product, usually on the packaging. Skin Cancer Screening Program. Coppertone Sunblock Lotion Olay Complete Defense Daily UV SPF 30 Moisturizer Coppertone Sunscreen Lotion Olay Complete Defense Daily UV SPF 50 Moisturizer – Sensitive Skin Coppertone Water Babies Sunscreen Lotion SPF 30 Ombrelle Face Cream XL SPF 30 Coppertone Water Babies Ombrelle Face Cream XL SPF 45 Sunscreen Lotion SPF 60 Ombrelle Face Cream XL SPF 60 Ombrelle Face Stick XL SPF 60 Dove Deep Moisture Day Lotion Ombrelle Kids SPF 30 Lotion SPF 15 Ombrelle Kids SPF 30 Very Dove Deep Moisture Day Cream Gentle Lotion SPF15 Ombrelle Kids SPF 45 Lotion Ombrelle Kids Protection Milk XL Exact Cooling and Refreshing SPF 60 Clear Continuous Spray Ombrelle Lotion SPF 15 Sunscreen SPF 45 Ombrelle Lotion SPF 30 Ombrelle Lotion SPF 30 Extreme Hawaiian Tropic 30 SPF Sunblock Ombrelle Lotion SPF 45 Hawaiian Tropic 45 SPF Sunblock Ombrelle Protection Milk XL SPF 60 La Roche-Posay Anthélios Spray Ombrelle Spray Lotion SPF 30 SPF 30 Ombrelle Sport Gel SPF 30 La Roche-Posay Anthélios XL Ombrelle Sport Lotion SPF 30 Cream SPF 45 Ombrelle Sport Lotion SPF 45 La Roche-Posay Anthélios XL Ombrelle Sport Spray SPF 15 Cream SPF 60 Ombrelle Sport Spray SPF 30 La Roche-Posay Antherpos XL Ombrelle Sport Spray Lotion SPF 50 SPF 15 La Roche-Posay Hydraphase UV Ombrelle Transparent Anti- SPF 30 Dryness Lip Balm SPF 30 La Roche-Posay Targeted Protection Stick Anthélios President’s Choice Sunblock XL SPF 60 Lotion SPF 30 President’s Choice Kids Sunblock Life Brand Sunthera3 Baby SPF 60 Lotion SPF 45 Life Brand Sunthera3 Kids SPF 50 Life Brand Sunthera3 SPF 15 RoC Minesol Lipstick SPF 20 Life Brand Sunthera3 SPF 30 RoC Minesol Protect SPF 30 Life Brand Sunthera3 SPF 60 Application Express Life Brand Sunthera3 Sport RoC Minesol Protect SPF 45 SPF 30 Continuous Spray Application Express Life Brand Sunthera3 Kids RoC Minesol Protect Ultra High SPF 50 Continuous Spray Protection Suncare Spray SPF 60 Life Brand Sunthera3 SPF 60 RoC Minesol Protect Very High Continuous Spray Protection Suncare Spray SPF 30 Life Brand Sunthera3 SPF 30 Sun Protection Lotion Face Rosasol Cream with SPF 15 Life Brand Sunthera3 SPF 60 Sun Protection Lotion Face Vichy Capital Soleil Body Sunscreen Spray SPF 15 Neutrogena Fresh Cooling Body Vichy Capital Soleil Body Mist Sunblock SPF 30 Sunscreen Spray SPF 25 Neutrogena Fresh Cooling Body Vichy Capital Soleil Face and Mist Sunblock SPF 45 Body Lotion SPF 50 Neutrogena Fresh Cooling Body Vichy Capital Soleil Sunblock Mist Sunscreen SPF 60 Lotion SPF 35 for Kids Neutrogena Healthy Defense Vichy Capital Soleil Sun Block Daily Moisturizer SPF 30 - Cream SPF 60 Untinted, Light Tint, Medium Vichy Capital Soleil Ultra Tint Protection Sunblock Stick Neutrogena Healthy Defense SPF 60 Daily Moisturizer SPF 45 - Vichy Sun Protection Cream Untinted SPF 30 Neutrogena Pure & Free Baby Vichy Sun Protection Cream XL Sunscreen Lotion SPF 60 SPF 30 Neutrogena Sensitive Skin Vichy Sun Protection Cream XL Sunscreen SPF 30 SPF 45 Neutrogena Sensitive Skin Vichy Thermal Fix UV SPF 20 Sunscreen SPF 60 Vichy Ultra-Fluid Sun Protection Neutrogena Ultimate Sport XL SPF 30 T HE G LO BE AN D MAI L T U E S D AY , J U N E 9 , 2 0 0 9 A special information supplement SA9 Sun awareness The next time you are about to head out into the sun, consider these important tips from the Canadian Dermatology Association. Play it a shade safer when enjoying sports W hile many of us before 11 a.m. or after 4 p.m. if clothing 30 or higher sunscreen 15 to remember sun pro- possible. Since people watch- Wear clothing that covers as 30 minutes before going out. which sport are you? tection when head- ing sports are often out in the much of your skin as possible. Reapply sunscreen to exposed ing to the beach or outdoor sun longer than athletes and Choose materials that are light sites 15 to 30 minutes after GOLFERS: Choose a high SPF product – 30 to 60 – that offers swimming pool, we some- through parts of the day when and cool, such as cotton or sun exposure begins and then greater protection as you will be out for more than four hours times forget when it comes to the sun is strongest, extra pre- lightweight synthetics. Shirts every two hours, especially participating in or attending a caution should be taken. with collars help protect your after vigorous activity or if playing 18 holes. Use a golf umbrella or golf cart for person- sporting event. Sun protec- neck. Wear a wide-brimmed or sweating. Don’t forget to use al shade. If possible, wait for play in shaded, treed areas. tion is easy and should be a SHADE legionnaire-style hat (with a an SPF 30 or higher lip balm. part of your healthy lifestyle. Seek shade from trees, back flap). Baseball caps don’t Choose a waterproof or KAYAKERS, SNORKELLERS, WAKE BOARDERS, SURFERS AND Here are a few tips. awnings or buildings wherever protect the ears or the vulnera- sweatproof sunscreen if you WATER-SKIERS: Don’t forget to apply (and reapply) a high possible. If there is little shade ble neck area. Don’t forget are in the water or will be SPF, water-resistant sunscreen to the tops of feet, forehead, Time of day at a sporting event, bring your sunglasses; 100 per cent UV sweating. Some “sport” sun- nose, cheeks, tips of the ears and back of the neck. These The sun’s rays are most pow- own shade such as an umbrel- protection, wraparounds are screens are now available and areas often get sunburned during water sports. erful and can harm your skin la or portable tent. Ask your best. work well. particularly from 11 a.m. to 4 club committee to consider RUNNERS, CYCLISTS, TENNIS AND SOCCER PLAYERS: p.m.. Try to schedule your building a shade structure or Sunscreen For more information, consult Choose a sunscreen that is sweat or water resistant and won’t sporting activities or training planting shade trees. Apply a broad spectrum, SPF www.dermatology.ca run into your eyes or be easily removed when you sweat. HIKERS: If you are hiking in the mountains, be aware that you TIPS FOR PARENTS are at increased risk of sun damage because with every 300 metre increase in altitude, UV radiation levels increase by 4%. Sun-safe play, everyday T he most harmful effects Check with your pharmacist ple, provide signed permis- Watch out for reflected light of sun exposure occur about a suitable sunscreen for sion for your childcare from sand, snow, concrete during early childhood. your child. Choose one that provider to apply sunscreen and water – up to 85 per cent These tips will remind par- protects against UVA and to your child, leave a bottle of of the sun’s harmful UVB ents of the many ways they UVB, with SPF 30 or higher, sunscreen, labelled with your rays can bounce back at you. can offer sun protection to and look for products carry- child’s name, at the daycare their little ones. ing the Canadian Dermatol- centre). One of the best ways to teach ogy Association’s logo. is by example. Make sure you Keep babies under one year of Children with fair skin, who practise what you preach. age out of direct sunlight, Do not apply sunscreen usually burn and never tan either in a covered stroller, around a child’s eyes as it when out in the sun, or kids Try to avoid the sun during under an umbrella or in the may sting and burn. Instead, with blonde or red hair, the peak hours of 11 a.m. to 4 shade. Shield their skin with protect the eyes with sunglass- freckles, or many moles, are p.m., but if you must send the hats and loose-fitting clothing. es. at greatest risk of sun dam- kids out, make sure they are age. properly protected with sun- Teach your children how to Swimmers should use water- screen, long sleeves, hats and identify shade (made by trees, proof sunscreens, formulated Cloudy days are no excep- sunglasses. buildings, porches) and urge to stay on in water for up to tion. Up to 80 per cent of the People involved in water sports are particularly vulnerable to them to seek it out. (If your 80 minutes. sun’s rays can penetrate light For more information, consult the sun’s rays and are well advised to use sunscreen and protec- shadow is shorter than you clouds, mist and fog. www.dermatology.ca tive clothing. PHOTO: SUPPLIED are, it’s time to get under some Apply sunscreens liberally to shade.) your child’s skin at least 15 to 30 minutes before going out- BE FIT When in the sun, remember to side. protect your child with: • comfortable long shirts and Don’t forget to apply an SPF pants, to cover most of your 15 lip balm to your child’s BE SUN SAFE ! child’s body (closely woven mate- lips. rials are best) • wide-brimmed hats Work together with your • sunglasses (100 per cent UV child’s daycare facility to protection, wraparounds are best) ensure ongoing sun protection • sunscreen (SPF 30 minimum) throughout the day (for exam- Good sun protection habits will Sunscreens 101 keep skin healthy while involved What are sunscreens? to protect you as much as pos- Sunscreens are barriers that are sible. in an active,outdoor lifestyle. applied to the skin. They work by absorbing or reflecting the Are there sunscreens for use sun’s UV rays away from your during sport? • When possible, wear skin. Sunscreens come in a Yes, some sunscreens are wide variety of forms – creams, labelled as sport products and clothing to cover the lotions, sprays, gels and sticks – are suitable because they have and there are many brands to been specially formulated to skin; hats too choose from. Look for the stay on the skin during sports. Canadian Dermatology Associ- ation (CDA) logo on products Are there any sunscreens • Use an SPF 30 broad to ensure the safety and effec- tiveness of the sunscreen. Prod- for sensitive skin? If you have sensitive skin, try a spectrum sunscreen ucts with the logo have been small amount of the product specially tested. on your arm and check for any • Try to schedule reaction up to 48 hours later. How do I choose a People allergic or intolerant to activity before 11am sunscreen? the chemicals in sunscreens Look for a product with a min- should look for products or after 4pm imum SPF of 30 to protect labelled “chemical-free.” These against the sun’s ultraviolet B usually contain ingredients • Seek shade (UVB), or burning, rays. The such as titanium dioxide and product should also contain zinc oxide that reflect rather when possible ingredients that protect against than absorb the sun’s rays and ultraviolet A (UVA) rays, are much less likely to cause a which penetrate more deeply reaction. into the skin and are responsi- For further information, ble for premature aging and When should I put on visit www.dermatology.ca contribute to the development sunscreen? of skin cancer. Sunscreens that You should apply sunscreen are labelled “broad spectrum” generously and evenly about help protect against both. 30 minutes before sun expo- sure to allow the active ingredi- What is an SPF? ents to bond to your skin. A All sunscreens are labelled second application 20 minutes with a sun protection factor later will maximize the protec- (SPF) number. The SPF rates tion from your sunscreen. the filtering power of your sun- Reapply every two hours or screen. An SPF is the ratio after swimming or sweating a between the amount of UV lot. that will cause sunburn in sun- screen protected skin, com- Does a product still work pared to that in unprotected after its expiry date? skin. However, a cautionary Sunscreens contain chemicals note – people often do not use that eventually break down, enough sunscreen or reapply it compromising the effective- often enough – so the real SPF ness of the product, so you afforded is usually much lower, should not use a sunscreen for example only SPF 4. Sun- after its expiry date. Also, sun- screens should not be used to screens are often kept in hot extend the amount of time you temperatures – in the glove would usually spend in the sun. compartment of a car or in a Sunscreens should be used beach bag – conditions that with other forms of sun protec- accelerate the deterioration of tion, such as hats and clothing, the product.
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