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Facts About Sunscreen Practice Safe Sun Daily The Personal Care Products Council joins with the American Academy of Dermatology, the Skin Cancer Foundation, Centers for Disease Control, FDA and other health professionals in urging consumers to minimize their sun exposure as part of an overall safe sun strategy. This includes taking a variety of sun protection steps: limiting time in the sun, especially from 10:00 a.m. -2:00 p.m., wearing protective clothing, and using sunscreen daily. Regulation of sunscreen Products Sunscreen products are thoroughly studied and tested by qualified scientists and regulatory authorities throughout the world. In the U.S., sunscreens are regulated as over-the-counter (OTC) drugs by the U.S. Food & Drug Administration (FDA) and are subject to rigorous scientific assessment, including safety and efficacy substantiation according to FDA standards which are among the most rigorous in the world. The EWG 2012 Sunscreen Report is Filled With Unsubstantiated Assertions, Contradictions, and Distorted Facts. Some Examples Include: Skin Cancer EWG’s assertions are contrary to the body of scientific and medical data that recognizes the use of sunscreen as part of an overall program of sun safety to help protect against skin cancer and other forms of damage caused by the sun. Melanoma remains one of the most deadly cancers in the U.S., and sunscreen has been scientifically proven to reduce a person’s risk. EWG’s campaign of misinformation risks severely negative public health consequences if it deters consumers from using appropriately rated sunscreens. The dangers of the sun are clear and widely recognized by sunscreen experts and dermatologists. A National Institutes of Health “Report on Carcinogens” identifies solar UV radiation as a “known human carcinogen.” Further, a single bad burn as a child is known to increase the skin’s susceptibility to damage and skin cancer throughout life. In light of this scientifically sound and somber evidence of the dangers of the sun, it is alarming that EWG’s “annual report” could cause some consumers to avoid using sunscreens on themselves and their children. EWG’s report cites increasing skin cancer rates and questions sunscreen efficacy in fighting this dangerous disease. EWG fails to consider that higher skin cancer rates are the result of excessive unprotected sun exposure from several previous decades, as well as the large increase in unprotected use of tanning beds, particularly by young people. In addition, our ability to better track, monitor, and report occurrence of the disease has significantly increased over the years. It is important to understand that approximately 90 percent of non-melanoma skin cancers are associated with exposure to ultraviolet (UV) rays from the sun.i Each year there are more new cases of skin cancer than the combined incidences of cancers of the breast, prostate, lung and colon.ii Further, up to 90 percent of the visible changes commonly attributed to aging are caused by the sun.iii Vitamin A in sunscreen Unfortunately, EWG has inappropriately alarmed consumers by telling them that products containing retinyl palmitate, including sunscreens, may not be safe. Their position is simply not supported by available scientific data. Retinyl palmitate, commonly known as Vitamin A, has been used safely for many years in various cosmetic and OTC drug preparations, including sunscreen products. Vitamin A, an important vitamin in humans, is made up of a family of compounds called retinoids. Retinoid esters, including retinyl palmitate, account for more than 70 percent of Vitamin A. Retinyl palmitate is approved by FDA as a food additive. Retinyl palmitate has been reviewed by the Cosmetic Ingredient Review (CIR) twice and found to be safe for use in cosmetics. CIR is an independent panel of renowned scientific and medical experts that assesses the safety of cosmetic ingredients used in the U.S. Despite the EWG allegations, there is no compelling evidence that retinyl palmitate in sunscreen products presents any human health risk to consumers. In 2000, the National Toxicology Program (NTP) published a notice stating that it would study the potential of retinyl palmitate to enhance UV radiation-induced photocarcinogenicity. The NTP report for the study was issued in 2011. Serious methodological flaws were associated with the studies in that the controls were improperly formulated and obscured the ability to detect any affect arising from retinyl palmitate. In fact, the flaws are so significant that the results of the study cannot be used for a science-based assessment of risk. In spite of these flaws, the NTP Peer Review Panel nevertheless concluded there was an effect above the control- (cream without retinyl palmitate) used in the test. It should be noted that there is a large body of evidence that in humans, retinoids have anti-cancer effects, in contrast to the effects sometimes seen in mouse models. Safety of Oxybenzone The EWG also questions the safety of an FDA-approved active ingredient in some sunscreens called oxybenzone. When used as a sunscreen ingredient, oxybenzone, also known as Benzophenone-3, protects the skin from harmful UV rays. EWG alleges a connection between UV filters found in sunscreens, like oxybenzone and hormone or endocrine disruption, but to date, available scientific data does not support a link between UV filter exposure and endocrinedisruptive effects in humans. FDA and regulatory authorities in Canada and the European Union have approved the use of oxybenzone as a safe and effective OTC sunscreen ingredient. Sunscreen and Free Radicals It is well known that UV light can produce free radicals in the surface of the skin and that this leads to the damage associated with excessive exposure to sunlight, most often observed as redness or sunburn.iv The skin produces natural barriers such as melanin that absorb the UV light to protect against damage. The interaction of solar UV with these natural barriers can produce free radicals. The application of a sunscreen supplements the natural UV absorbers and protects against free radical formation and the associated damage that can occur. Every sunscreen is tested in an SPF test to establish the level of protection provided by the product. These tests confirm that even with doses of UV light, which do produce free radicals and redness, the presence of sunscreens blocks such reactions. By virtue of their ability to absorb UV radiation before it can interact with skin, sunscreen provides significant protection against UV-induced free radical formation within skin compared with unprotected skin. Studies have documented the protective effects of individual sunscreen actives as well as commercial sunscreen products for their ability to protect against UV-induced free radical formation within skin.v Vitamin D EWG outlines the benefits of vitamin D, but then creates confusion and needless concern by mischaracterizing the role of sunscreens in cases of alleged Vitamin D deficiency. AAD notes that getting Vitamin D primarily from sun exposure is not advisable.vi While UV radiation is one source of Vitamin D, it is not the best source because the benefits of obtaining Vitamin D through UV exposure cannot be separated from an increased risk of skin cancer. Instead, the AAD recommends that ‘…an adequate amount of vitamin D be obtained from a healthy diet that includes foods naturally rich in Vitamin D (e.g., dairy products and fish), foods/beverages fortified with Vitamin D (e.g., fortified milk and fortified cereals), and/or Vitamin D supplements.’vii Nanotechnology EWG questions the safety of the inclusion of nanoparticles in sunscreen products, despite the fact that the general scientific consensus is that nano-sized titanium dioxide and zinc oxide in personal care products pose no risk to human health. The active ingredients in sunscreen, some of which utilize sun-protecting nanoparticles, go through an extensive FDA review process to demonstrate they are safe and effective. All sunscreen active ingredients, including those which utilize sun-protecting nanoparticles, go through an extensive FDA review process to demonstrate their safety and efficacy. Stability The 2012 EWG report claims that many sunscreen ingredients break down significantly when exposed to sunlight and quickly stop working. This is simply not true. FDA requires that sunscreens meet strict stability testing requirements to ensure they are effective following purchase by consumers. Sunscreen formulators take into account the physical and chemical properties of the active ingredients to ensure they perform effectively and meet all established FDA requirements, including chemical stability. EWG Product Rating System Ignoring the scientific and regulatory safety assessment process for sunscreen products and ingredients, EWG invents its own product rating system that is not based on any credible scientific methodology. In fact, EWG’s methodology for UV absorbance has been proven to be unreliable by sunscreen experts, both in the U.S. and abroad. i Pleasance ED, Cheetham RK, Stephens PJ, et al. A comprehensive catalogue of somatic mutations from a human cancer genome. Nature; 2009; 463:191-196. ii Stern, RS. Prevalence of a history of skin cancer in 2007: results of an incidence-based model. Arch Dermatol 2010; 146(3):279-282. iii U.S. Environmental Protection Agency. Health effects of overexposure to the sun. July 1, 2010. iv T Herrling, K Jung, E Chatelain and M Langenauer, Radical Skin/Sun Protection Factor RSF Protection against UV-induced Free Radicals, SOFW-Journal 132, 24-28 (2006). v T Herrling, K Jung, E Chatelain and M Langenauer, Radical Skin/Sun Protection Factor RSF Protection against UV-induced Free Radicals, SOFW-Journal 132, 24-28 (2006); K Jung, M Seifert, T Herrling and J Fuchs, UV-generated free radicals in skin: their prevention by sunscreens and their induction by self-tanning agents, Spectrochim. Acta Part A 69, 1423-1428 (2008); KM Hanson and RM Clegg, Bioconvertible vitamin antioxidants improve sunscreen photo protection against UV induced ROS, J. Cosm. Sci. 54, 589-598 (2003). vi http://www.aad.org/skin-care-and-safety/skin-cancer-prevention/be-sun-smart vii http://www.aad.org/stories-and-news/news-releases/dermatologists-can-help-separate-fact-fromfiction-for-sun-exposure-sunscreen-and-vitamin-d