When should sunscreen be applied: The balance between health benefit and adverse consequences to humans and the environment.

OBJECTIVE

To propose a strategy for using sunscreens that optimizes the balance between skin health and adverse effects to humans and the environment.

METHODS

A model was developed to explore the relationship between sunscreen usage and personal sun exposure throughout the year in populations resident at different latitudes.

RESULTS

There is little biological justification in terms of skin health for applying sunscreen over the 4-6 winter months at latitudes of 45° N and higher, whereas year-round sunscreen is advised at latitudes of 30° N and lower. Avoiding sunscreen application at times when it is biologically unnecessary results in an annual reduction in sunscreen use of 25%. Furthermore, using products containing UV filters over the winter months at more northerly latitudes could lead to a higher number of people with vitamin D deficiency. The single largest use of sunscreen is on a sun-seeking holiday and encouragement to make more use of clothing and shade would appreciably reduce the sunscreen burden to the environment.

CONCLUSION

We need to use sunscreens wisely so that we gain the health benefit from their use while at the same time limiting possible harm to ourselves and the environment.