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Dr Donohoe's info and

support documents for

Carole Whitelock

 
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The following documents are the reference documents for Carol Whitelock's discussion with Dr Donohoe on Monday, 29 March 2004 . They are provided only as starting points for research for those interested in the issues raised. They specifically DO NOT represent the views of the ABC, nor is the information provided here prescriptive or an alternative to consultation with a qualified health practitioner.

The sensible advice at present to reduce the need for sunscreen use is:

  • to minimise sunlight exposure between 10AM and 3PM;
  • to use clothing and a broad-brimmed hat when out in the hours around midday;
  • to make sure that children do not burn and peel (recurrent burning with peeling more than 8 times in childhood is the only strong direct link between sunlight exposure and melanoma (the worst type of skin cancer);

Reducing melanoma risk (and cancer risk generally, of course) is also achieved by avoidance of work and environmental chemicals known or suspected of causing cancer, and maintaining a healthy diet.  In particular, the available information at present is that the following foods reduce the risk of developing melanoma:

  • cruciferous vegetables such as brocolli & cauliflower, (contain protective sulfa);
  • yellow and orange fruits and vegetables (contain cantioxidant arotenoids);
  • cooked tomato (contain antioxidant lycopenes); and
  • fish or other sources of omega-3 fatty acids (balance omega 6 fats in diet).

If your diet is inadequate or you have particularly sensitive skin, supplementation with vitamin E, vitamin C, other antioxidant supplements, and omega-3 fatty acids may be beneficial in reducing redness and damage from sun exposure.

It is important to keep sunlight in perspective. It provides benefits as well as risks, and it can be argued that the campaign to reduce melanoma deaths has been unsuccessful, and may even have resulted in worse health and more deaths, rather than better health and less deaths over the past 30 years.

If you or your family have very sensitive skin, rapidly reddened by sunlight exposure, you may need to take extra care.

Happy reading. Please feel free to contact me if further information is required.

BMJ - "Dying for sunlight" Good and easily readable 1999 British Medical Journal article on risks balanced with benefits of sunlight
UVA and UVB debate - Illawarra Mercury The recent (March 2004) background of the science suggesting increased risk of UVA compared to UVB
New Scientist - Benefits of sunlight August 2003 Cover article on the popular science  issues of risk and benefit of sunlight, risks and benefits of sunscreens
New Scientist - feminising sunscreens 2001 article about the research of Schlumpf (below) suggesting that the estrogenic (feminising) properties of sunscreen ingredients may be a problem in their own right
Schlumpf - Estrogen-icity of UV screens Abstract of Schlumpf's original paper documenting the hormone-altering potential of sunscreen components
Skin types A summary of the types of skin, imortant in determining likelihood of skin damage from a given sunlight exposure
Gasparro EHP 2000 An excellent in-depth article on all aspects of sunlight, sunscreen and artificial tanning agents, published in Environmental Health perspectives in 2000.  Heavy reading!
AJPH 2002 - sunscreen and melanoma American Journal of Public Health - addresses the controversy about the apparent increase in melanoma among sunscreen users. Finds no evidence of increase or decrease in melanoma risk among users. Heavy reading!
Sunscreen Melanoma Overview A balanced view of the risks and benefits of sunscreens, easy to read and understand