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While not all basal and squamous cell skin cancers can be
prevented, there are ways to reduce your risk of getting skin cancer.
Limit ultraviolet (UV) exposure
The most important way to lower the risk of basal and squamous
cell skin cancers is to limit your exposure to ultraviolet (UV)
radiation. Practice sun safety when you are outdoors. "Slip! Slop!
Slap! … and Wrap" is a catch phrase that reminds people of
the 4 key methods they can use to protect themselves from UV radiation.
Slip on a shirt, slop on sunscreen, slap on a hat, and wrap on
sunglasses to protect the eyes and sensitive skin around them from
ultraviolet light.
Protect your skin with clothing
Clothes provide different levels of protection, depending on
many factors. Long-sleeved shirts, long pants, or long skirts are the
most protective. Dark colors generally provide more protection than
light colors. A tightly woven fabric protects better than loosely woven
clothing. Dry fabric is generally more protective than wet fabric.
Be aware that covering up doesn't block out all UV rays. A
typical light T-shirt worn in the summer usually provides less
protection than a sunscreen with a sun protection factor (SPF) of 15 or
higher.
A few companies in the United States now make clothing that is
lightweight, comfortable, and protects against UV exposure even when
wet. Some sun-protective clothes have a label listing the ultraviolet
protection factor (UPF) value -- the level of protection the garment
provides from the sun's UV rays (on a scale from 15 to 50+). The higher
the UPF, the higher the protection from UV rays.
Newer products are also available to increase the UPF value of
clothes you already own. Used like laundry detergents, they add a layer
of UV protection to your clothes without changing the color or texture.
Wear a hat
A hat with at least a 2- to 3-inch brim all around is ideal
because it protects areas often exposed to the sun, such as the neck,
ears, eyes, forehead, nose, and scalp. A shade cap (which looks like a
baseball cap with about 7 inches of fabric draping down the sides and
back) also is good. These are often sold in sports and outdoor supply
stores.
A baseball cap can protect the front and top of the head but
not the neck or the ears, where skin cancers commonly develop. Straw
hats are not recommended unless they are tightly woven.
Use sunscreen
The American Cancer Society recommends using sunscreen as part
of a sun protection program.
Use sunscreens and lip balms with an SPF factor of 15 or more
on areas of skin exposed to the sun, especially when the sunlight is
strong (for example, in hot or high-altitude locations or between the
hours of 10 am and 4 pm). Use sunscreen even on hazy days or days with
light or broken cloud cover because the UV light still comes through.
Always follow directions when applying sunscreen. For it to
work best, sunscreen should be applied about 20 to 30 minutes before
you go outside. A 1-ounce application (a palmful of sunscreen) is
recommended to cover the arms, legs, neck, and face of the average
adult. Protection is greatest when sunscreen is used thickly on all
sun-exposed skin. To ensure continued protection, many sunscreens
should be reapplied at least every 2 hours. Many sunscreens wash off
when you sweat or swim and must be reapplied for maximum effectiveness.
And don't forget your lips; lip balm with sunscreen is also available.
Some people use sunscreens in order to stay out in the sun
longer without getting sunburned. Sunscreen should not be used to gain
extra time in the sun, as you will still end up with damage to your
skin.
Sunscreen may reduce your chance of skin cancer, particularly
actinic keratoses and squamous cell cancer. But there is no guarantee,
and if you stay in the sun a long time, you are at risk of developing
skin cancer even if you have applied sunscreen. It is not clear whether
sunscreen can help prevent basal cell cancers.
If you want a tan, try using a "sunless" tanning lotion. These
can provide the look, without the danger. Sunless tanning lotions
contain a substance called dihydroxyacetone (DHA). DHA works by
interacting with proteins on the surface of the skin to produce color.
You do not have to go out in the sun for these to work. The color tends
to wear off after a few days.
Wear sunglasses
Wrap-around sunglasses with at least 99% UV absorption provide
the best protection for the eyes and the skin area around the eyes.
Look for sunglasses labeled as blocking UVA and UVB light. Labels that
say "UV absorption up to 400 nm" or "Meets ANSI UV Requirements" mean
the glasses block at least 99% of UV rays. It there is no label, don't
assume the sunglasses provide any protection.
Seek shade
Another way to limit exposure to UV light is to avoid being
outdoors in sunlight too long. This is particularly important in the
middle of the day between the hours of 10 am and 4 pm, when UV light is
strongest. If you are unsure about the sun's intensity, take the shadow
test: If your shadow is shorter than you, the sun's rays are the
strongest. Plan activities out of the sun during these times. If you
must be outdoors, protect your skin. Keep in mind that sunlight (and UV
rays) can come through clouds, can reflect off water, sand, concrete,
and snow, and can reach below the water's surface.
The UV Index:
The amount of UV light reaching the ground in any given place depends
on a number of factors, including the time of day, time of year,
elevation, and cloud cover. To help people better understand the
intensity of UV light in their area on a given day, the National
Weather Service and the US Environmental Protection Agency have
developed the UV Index. It gives people an idea of how strong the UV
light is in their area, on a scale from 1 to 11+. A higher number means
a higher chance of sunburn, skin damage and ultimately skin cancers of
all kinds. Your local UV Index should be available daily in your local
newspaper, on TV weather reports, and online (www.epa.gov/sunwise/uvindex.html).
Avoid other sources of UV light
The use of tanning beds and sun lamps is hazardous because the
UV radiation they deliver can be damaging to the skin. There is growing
evidence that they may increase your risk of developing basal cell and
squamous cell skin cancer, as well as melanoma. Researchers are finding
that the rate of skin cancer in young people is increasing. One factor
may be the use of indoor tanning facilities. Most skin doctors highly
recommend not using tanning beds and sun lamps.
Protect children from the sun
Children require special attention, since they tend to spend
more time outdoors and can burn more easily. Parents and other
caregivers should protect children from excess sun exposure by using
the measures described above. Older children need to be cautioned about
sun exposure as they become more independent. It is important,
particularly in parts of the world where it is sunnier, to cover your
children as fully as is reasonable. You should develop the habit of
using sunscreen on exposed skin for yourself and your children whenever
you go outdoors and may be exposed to large amounts of sunlight.
A word about sun exposure and vitamin D
Doctors are learning that vitamin D has many health benefits.
It may even help to lower the risk for some cancers. Vitamin D is made
naturally by your skin when you are in the sun. How much vitamin D is
made depends on many things, including how old you are, how dark your
skin is, and how intensely the sun shines where you live. At this time,
doctors aren't sure what the optimal level of vitamin D is, or how best
to balance the possible benefits of getting vitamin D from sunlight
versus the possible risks of skin cancer. This is an area of very
active research. If you have darker skin or live in an area with little
daily sunlight, many experts at this time recommend taking vitamin D by
mouth, such as in supplements or certain foods. For example, most milk
has vitamin D added.
For more information on how to protect yourself and your
family from UV exposure, see the American Cancer Society Document, Skin Cancer Prevention and Early
Detection.
Avoid harmful chemicals
Exposure to certain chemicals, such as arsenic, can increase a
person's risk of skin cancer. People can be exposed to arsenic from
well water in some areas, pesticides and herbicides, some medicines
(such as arsenic trioxide) and herbal remedies (arsenic has been found
in some traditional herbal remedies imported from China), and in
certain occupations (such as mining and smelting). High exposure to
arsenic should be avoided.
Learn more about skin cancer prevention
Many organizations conduct skin cancer prevention activities
in schools and recreational areas. Others develop brochures and public
service announcements. For more information, refer to the "Additional
resources" section.
Last Revised: 06/10/2008
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