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Mind and Body

Sunscreen is crucial for public health — it must be safe for the environment, too

The question of whether UV filters pose harm to the environment while helping to reduce skin damage and prevent skin cancer is a conundrum.

Jeff Greenberg/Universal Images Group via Getty Images

Studies have shown that the same active ingredients in sunscreens that protect people from cancer-causing ultraviolet rays can be toxic to a range of species in oceans, rivers, and lakes. With both of these risks in mind, a new report from the National Academies of Sciences, Engineering, and Medicine finds an urgent need for more information about whether these chemicals threaten aquatic life on a broad scale.

The report calls on the U.S. Environmental Protection Agency to conduct a detailed review called an environmental risk assessment of the likelihood that exposure to one or more of these chemicals, called UV filters, may harm organisms in saltwater and freshwater ecosystems. The study recommends focusing on two types of settings — coral reefs in shallow waters near shore and slow-moving freshwater bodies like ponds and marshes — that are heavily used for recreation and/or exposed to wastewater or urban runoff.

The study recognizes that sunscreen with a Sun Protection Factor (SPF) of 30 or higher is an effective defense against sunburn and skin cancer, and that making it harder to buy broad-spectrum sunscreen that people will actually use could harm public health. Accordingly, it calls for research examining how changes in sunscreen usage could affect human health. Two members of the study committee explained how their group balanced these concerns.

Many species are exposed to many stresses

Robert Richmond, Research Professor, and Director, Kewalo Marine Laboratory, the University of Hawaii at Manoa

Studies to date have provided compelling laboratory evidence that some UV filters can have toxic effects on aquatic species, including corals, anemones, and zebrafish, that are exposed to the chemicals. These findings have raised concerns about sunscreens’ larger-scale impacts on biological communities and ecosystems.

But outcomes in the environment will differ depending on what compounds, ecosystems, and local environmental conditions are involved. That’s especially true for coral reefs. The committee highlighted reefs because they are ecologically, economically, and culturally valuable and attract large numbers of tourists who use sunscreens.

Coral reefs are declining worldwide due to multiple human-induced disturbances. Some of these disturbances are global, such as ocean warming and acidification are driven by climate change. Other stressors, such as coastal water quality, are more local.

Studying the effects of chemicals on corals and coral reefs is challenging because they are both complex systems. Reef-building corals are a combination of an animal, single-celled algae, and rich populations of bacteria living and working together. Coral reefs are made up of thousands of interacting organisms.

Importantly, many stress responses in corals occur without causing outright death but impair their health, growth, resilience, and even ability to reproduce. Scientists need to know more about these responses to guide effective management responses and interventions.

Healthy coral reefs like this one in American Samoa support such diverse communities of fish and other organisms that they often are called the rainforests of the sea.Kevin Lino, NOAA/Flickr

After in-depth reviews of the existing data, our study committee recommended that the U.S. Environmental Protection Agency should undertake an ecological risk assessment of the 17 UV filters used in sunscreens sold in the U.S. Such a study would include a comparison of toxicity findings to relevant concentrations and exposure conditions.

For example, what happens to organisms exposed to these chemicals occasionally versus those exposed regularly, in calm bays or along open, wave-swept coasts? How do UV filters differ in whether they break down in the water or accumulate in sediments or the tissues of living organisms?

In our view, an ecological risk assessment would provide EPA and others the basis for sound and effective policy development. The sooner this happens, and the results are applied to the regulatory process, the better for everyone who is affected, including future generations.

The challenge of understanding the long-term effects on humans and the environment

Karen Glanz, George A. Weiss University Professor and Director, UPenn Prevention Research Center, University of Pennsylvania

The question of whether UV filters pose harm to the environment while helping to reduce skin damage and prevent skin cancer is a conundrum. It seemingly pits human and environmental health against each other head-to-head and asks policymakers, medical experts, and the public to choose between them.

Humans need sunlight to live, but overexposure to the sun’s damaging rays – ultraviolet radiation – causes sunburn and wrinkles and is a risk factor for the development of skin cancers, including the most deadly type, melanoma. Routine use of broad-spectrum sunscreen with SPF 30+ when outdoors has been found to prevent skin damage and skin cancer. But sunscreens are most effective as part of a set of behaviors that also includes wearing hats and cover-up clothing and seeking shade.

Most people in the U.S. don’t practice these behaviors frequently or thoroughly enough. So it’s important to weigh very carefully the potential effects of restricting the choice of available sunscreens.

Some jurisdictions already restrict the sale of certain sunscreens because concerned advocates believe doing so will be good for the environment. In the U.S., they include Hawaii, the U.S Virgin Islands, and the city of Key West, Florida. Our report doesn’t draw a definitive conclusion about whether these measures are scientifically justified or effective. Rather, it emphasizes analyzing whether and how they may affect human health as well as the environment.

The study draws attention to the challenge of understanding risks from UV filters to aquatic environments under various conditions and in the context of overarching environmental stressors such as rising sea temperatures. It’s important to understand that for both environmental and human health issues, laboratory studies don’t always match what happens in the environment.

Studies of model systems such as bacteria and yeast, and organisms such as fish embryos and insect larvae, can yield findings that do not hold up in studies of humans. For both the environment and humans, it may not be possible or ethical to conduct true experiments that test the long-term effects of chemicals in UV filters.

Members of our committee wrestled to interpret the available evidence and also with the gaps in that evidence. Ultimately we concluded that the science is not settled but that there is much to build on to advance understanding of this issue. Our conclusions are not a win/lose outcome for either the environment or humans. Rather, they point to a need to think both broadly and strategically for the benefit of people and the planet.

This article was originally published on The Conversation by Robert Richmond at the University of Hawaii and Karen Glanz at the University of Pennsylvania. Read the original article here.

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