awareness - PDF by liwenting

VIEWS: 156 PAGES: 10

									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.


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.”


Dermatologists call for restrictions on tanning bed use
       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.
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


Trends show rising need for more dermatologists
        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-
                                                                                                                              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. ( in conjunction with the advertising department of The Globe and Mail. Richard Deacon, National Business Development Manager,

                                                                                                                                                                                                                        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†


         Light fast-absorbing texture


         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 U E S D AY , J U N E 9 , 2 0 0 9                                                         A special information supplement                                                                                     SA3

                                                                                                                                                                            Sun awareness


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-
                                                                                                               ing the skin, cannot be
                                                                                                               overemphasized. It’s some-
                                                                                                                                                   resources for people with skin
                                                                                                                                                                                         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
                                     is education.
Describe the Canadian
Dermatology Association’s
approach to public
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

       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                                                
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


Prevention the key to combating skin cancers
        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-

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-
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,
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.

                 Even the most sensitive skin
                 is perfectly protected from
                 UVA and UVB rays.

The quality of
sun filters is
more important
than the SPF.

                       EXCLUSIVE ASSOCIATION                                             RECOGNIZED BY
                       MEXORYL® XL + VICHY THERMAL SPA WATER                              THE CANADIAN
                       Broad-spectrum UVA and UVB filters. Photostable filtering system.   ASSOCIATION
                       Tested on sensitive skin under dermatological control.

                 Sun Protection
                 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
                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.

               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
                                              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 U E S D AY , J U N E 9 , 2 0 0 9                                                         A special information supplement                                                                                             SA7

                                                                                                                                                                                 Sun awareness


Not all skin cancers are the same
           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
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

     To learn more, see your dermatologist or go to                                                                                            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


Sunscreens, wear them well and follow the directions
         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
                                                                        “Sunscreens offer good
                                                                                                          A 110-millilitre bottle or
                                                                                                      tube should be good for
                                                                                                      maybe four applications. “And
                                   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
                                   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

                                                                                                                                         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 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
          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
                                                                                                                                                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
       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.                   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
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.

To top