Sun protection using sunscreens
There is well established evidence that exposure to ultraviolet radiation (UVR) from the sun can lead to skin cancer. Sunscreens are an effective method of sun protection when used with a combination of other protective measures.
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ARPANSA and other national and international health authorities, including the World Health Organization have assessed that overexposure to ultraviolet radiation (UVR) causes eye damage, sunburn, tanning and other skin damage that can ultimately result in skin cancer.
This damage can be prevented by using good sun protection, including sunscreen that is at least SPF30 or higher, broad-spectrum and water-resistant.
The Australian Standard for sunscreens allows a sun protection factor (SPF) rating of up to 50+, which filters 98% of UV radiation in comparison to SPF30, which filters 96.7%. Both SPF30 and SPF50 sunscreens will provide excellent protection as long as they are applied properly.
There is more to sun protection than just sunscreen. No sunscreen provides complete protection against UVR.
During times where sun protection is advised (when the UV index is 3 and above) use a combination of the five sun protection messages.
Sunscreen also needs to be carefully applied and reapplied:
- Apply sunscreen 20 minutes before you go outside and again every two hours.
- Use a generous amount of sunscreen – the average adult needs 35ml for one full body application, which is the equivalent of more than half a teaspoon to each arm and the face, and just over one teaspoon to each leg, the front of the body and the back.
- Check sunscreen is within its use-by-date and store below 30°C.
A sunscreen’s SPF rating indicates the level of protection provided against UVR. It’s the ratio of the UVR dose someone would receive without sunscreen to that received with a carefully applied sunscreen. Sunscreens sold in Australia must be labelled with an SPF of at least 4 to the highest rating of 50+.
SunSmart recommends choosing a sunscreen labelled SPF30 or higher that is also broad-spectrum (will filter out both types of UV radiation) and water-resistant.
Sunscreen protection of SPF30 for a fair skinned person provides 30 times more protection to the exposed skin; if the skin reddens without protection in 10 minutes, then applying SPF30 sunscreen provides protection for up to 300 minutes if applied correctly.
The purpose of using sunscreens is to reduce UVR exposure, not to extend the time spent outside in the sun. Sunscreen should be reapplied every two hours, whether the label says to or not. This is because sunscreen can be easily wiped off, lost through perspiration and is often applied unevenly in the first place. Always reapply after swimming or water sports.
The following table shows the amount of UVR blocked out for a given SPF rating. Broad spectrum sunscreen with SPF30 blocks 96.7% UVR and a SPF50 blocks 98%.
|SPF||% UVR Blocked|
Sunscreens are available as either a primary or secondary sunscreen.
- Primary sunscreens are a product to be used to protect the skin from UVR.
- Secondary sunscreens have a function other than sun protection whilst still providing some protection of the skin from UVR i.e. moisturisers, make-up, lip balm, anti-ageing or anti-wrinkle creams.
Chemical sunscreens absorb UVR while physical sunscreens reflect and scatter UVR to protect the skin. Sunscreen can be purchased as a cream, lotion, spray or gel. Choose one that best suits your skin type and activity, and that you find easy to apply. If you have sensitive skin or have a reaction to a product, there are fragrance-free or sensitive formula sunscreens available.
There has been concern regarding nanoparticles being absorbed by the skin and harming living tissue. A Therapeutic Goods Administration (TGA) review concluded that ‘the current weight of evidence suggests that nanoparticles do not reach viable skin cells and remain on the surface of the skin and the outer layer of the skin that is composed of non-viable cells’.
In Australia, sunscreens can only be sold if they are listed on the TGA Australian Register of Therapeutic Goods (ARTG) and are compliant with the Australian Standard for sunscreens. Sunscreen active ingredients and maximum concentrations must be approved by the TGA as being both safe and effective.
The Australian Standard for sunscreens limits the maximum protection claimed on the labelling of sunscreen products to SPF50+.
Sunscreen manufacturers are unable to claim the terms ‘sunblock’, ‘waterproof’ and ‘sweat proof’ as these terms are considered to be potentially misleading. The maximum water resistance claimable is four hours for SPF30 and above.
Cancer Council Australia provides further protective advice through national, state and territory Sunsmart programs and activities.
- World Health Organization provides international advice on sun protection
- Cancer Council Australia provides advice on preventing cancer in Australia
- Australian Standards AS/NZS 2604 Sunscreen products – Evaluation and classification
- Therapeutic Goods Administration ‘A review of the scientific literature on the safety of nanoparticulate titanium dioxide or zinc oxide in sunscreens’