Tanning Bed - Benefits and Risks - Risks

Risks

Overexposure to ultraviolet radiation is known to cause skin cancer, advance skin aging and wrinkling, mutate DNA, and reduce immune system response. Frequent tanning bed use triples the risk of developing melanoma, the deadliest form of skin cancer. Children and adolescents who use tanning beds are at greater risk because of biological vulnerability to ultraviolet radiation.

The US Public Health Service states that UV radiation, including the use of sun lamps and sun beds are "known to be a human carcinogen." It further states that the risk of developing cancer in the years after exposure is greatest in people under 30 years old. A Report of the International Agency for Research on Cancer (IARC) suggested in 2005 that policymakers should consider enacting measures, such as prohibiting minors and discouraging young adults from using indoor tanning facilities. Since then, many states have mandated parental consent for persons under the age of 18 prior to tanning bed use.

There is scientific evidence that each of the three main types of skin cancer, basal cell carcinoma (BCC), squamous cell carcinoma (SCC) and melanoma, is caused by UV exposure. Women who visited a tanning parlor at least once a month were 55% more likely to later develop melanoma than women who didn't artificially suntan.

Young women who used sun lamps for tanning while in their 20s had the largest increase in subsequent cancer risk – about 150% higher than similar women who did not use tanning beds. Overexposure to ultraviolet radiation induces at least two common genetic mutations. Those include cyclobutane–pyrimidine dimers (CPDs) and 6–4 photoproducts (6–4PPs) and their Dewar valence isomers.

The mutation types generally differ between UVA and UVB light. Mutant cells may die, or become cancerous, depending on which genes were mutated. While DNA repair enzymes can fix some mutations, they are not sufficiently effective, as demonstrated by the relation to cancer, aging and other types of persistent mutation and cell death. For example, squamous cell carcinoma (a type of skin cancer) is caused by a UVB induced mutation in the p53 gene.

UVA light specifically (sometimes called 'bronzing light') is clearly associated with increased skin aging and wrinkle production. UVA penetrates the skin more deeply than UVB, creating free radicals and reactive oxygen species, which in turn damage DNA. Most aging of skin is due to UVA rays destroying collagen and connective tissue beneath the superficial layer of the skin. UVB rays cause skin to burn and directly damages DNA by interfering with its replication cycle. Excessive exposure to UVA radiation has its risks, which may cause premature aging, including wrinkles, sunspots, and loss of skin elasticity.

Using a sunbed without goggles may lead to a condition known as arc eye.

In July 2009, the IARC released a report that placed tanning beds in its highest cancer risk category, "carcinogenic to humans." The agency, which is part of the World Health Organization (WHO), previously classified tanning beds as "probably carcinogenic." The change comes after an analysis of more than 20 epidemiological studies indicating that people who begin using tanning devices before age 30 are 75% more likely to develop melanoma, the most deadly type of skin cancer.

A 2009 Associated Press article stated, "International cancer experts have moved tanning beds and other sources of ultraviolet radiation into the top cancer risk category, deeming them as deadly as arsenic and mustard gas."

The Irish Health Minister in August 2009 said that she is considering outlawing the industry completely given that tanning beds are dangerous and are hugely contributing to people developing skin cancer.

"And, yes, tanning also ages the skin prematurely, causing age spots, saggy skin, and wrinkles years before your time."

Tanning beds can contain many microbes, some of which are pathogens that can cause skin infections or can be ingested and cause gastric distress. The most common pathogens found on tanning beds are: Pseudomonas spp. (aeruginosa and putida), Bacillus spp., Klebsiella pneumoniae, Enterococcus species, Staphylococcus aureus, and Enterobacter cloacae.

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