Seasonal Minimum and Maximum Solar Ultraviolet Exposure Measurements of Classroom Teachers Residing in Tropical North Queensland,Australia

The risk of keratinocyte skin cancer, malignant melanoma and ultraviolet radiation (UVR)‐induced eye disease is disproportionately higher in Australia and New Zealand compared to equivalent northern hemisphere latitudes. While many teachers are aware of the importance of reinforcing sun safety messages to students, many may not be aware of the considerable personal exposure risk while performing outdoor duties in locations experiencing high to extreme ambient UVR year‐round. Personal erythemally effective exposure of classroom teachers in tropical Townsville (19.3°S) was measured to establish seasonal extremes in exposure behavior. Mean daily personal exposure was higher in winter (91.2 J m^‐2, 0.91 Standard Erythema Dose [SED]) than summer (63.3 J m^?2, 0.63 SED). The range of exposures represents personal exposures that approximate current national guidelines for Australian workers at the study latitude of approximately 1.2 SED (30 J m^?2 effective to the International Commission on Non‐Ionizing Radiation Protection). Similar proportions of teachers spent more than 1 h outdoors per day in winter (28.6%) and summer (23.6%) as part of their teaching duties with seasonal differences having little effect on the time of exposure. Personal exposures for teachers peaked during both seasons near school meal break times at 11:00 am and 1:00 pm, respectively.     

Minimum Exposure Limits and Measured Relationships Between the Vitamin D,Erythema and International Commission on Non‐Ionizing Radiation Protection Solar Ultraviolet

The International Commission on Non‐Ionizing Radiation Protection (ICNIRP) has established guidelines for exposure to ultraviolet radiation in outdoor occupational settings. Spectrally weighted ICNIRP ultraviolet exposures received by the skin or eye in an 8 h period are limited to 30 J m^?2. In this study, the time required to reach the ICNIRP exposure limit was measured daily in 10 min intervals upon a horizontal plane at a subtropical Australian latitude over a full year and compared with the effective Vitamin D dose received to one‐quarter of the available skin surface area for all six Fitzpatrick skin types. The comparison of measured solar ultraviolet exposures for the full range of sky conditions in the 2009 measurement period, including a major September continental dust event, show a clear relationship between the weighted ICNIRP and the effective vitamin D dose. Our results show that the horizontal plane ICNIRP ultraviolet exposure may be used under these conditions to provide minimum guidelines for the healthy moderation of vitamin D, scalable to each of the six Fitzpatrick skin types.     

Quantification of Ocular Biologically Effective UV Exposure for Different Rotation Angle Ranges Based on Data from a Manikin

Human outdoor activities are randomly orientated at different angles to the sun. To quantify the ocular UV and biologically effective UV (UVBE; i.e. the ocular UV irradiance exposure for photokeratitis (UVpker), photoconjunctivitis (UVpcon), and cataract (UVcat)) exposure for different rotation angle ranges, a rotating manikin was used to monitor the ocular UV exposure at different rotation angles in clear skies during July 2010 in Sanya, China. As a result, the ocular UV and UVBE irradiance was directly influenced by the rotation angle variations, primarily for the 120° rotation angle ranges facing the morning and afternoon sun when the solar elevation was lower than 60°; during these times, the UV and UVBE spectral irradiance decreased as the rotation angle increased. When compared to the 360° rotation angle ranges (which were considered to be the average exposure situation), the cumulative ocular UVBE for 60°, 120° and 180° rotation angle ranges were maximally 91% (UVcat), 94% (UVpker) and 121% (UVpcon); 71% (UVcat), 74% (UVpker) and 95% (UVpcon); 42%(UVcat), 45%(UVpker) and 55% (UVpcon) higher respectively. Meanwhile, the cumulative ocular UVBE for the 180° rotation angle ranges facing away from the sun were 46% (UVpker), 59% (UVpcon) and 45% (UVcat) lower.     

Effects of Ultraviolet Radiation (UVA + UVB) on Germination of Carpospores of the Red Macroalga Pyropia acanthophora var. brasiliensis (Rhodophyta,Bangiales): Morphological Changes

Carpospores of Pyropia acanthophora var. brasiliensis are dispersion and reproduction units responsible for giving rise to the diploid filamentous structure of this alga's life cycle. The present study assesses the anthropogenic impact of ultraviolet radiation (UVR) on morphology and ultrastructure, spore viability, autofluorescence of chloroplasts and the amount of intensity of ROS during the germination of carpospores. Carpospores were cultivated at 24 ± 1°C, 40 ± 10 μmol photons m^?2 s^?1 with photoperiod of 12 h and exposed to UVAR + UVBR for 3 h a day for 2 days with a daily dose of 5.05 J cm^?2 for UVAR and 0.095 J cm^?2 for UVBR. Samples were cultured for another five days exposed only to PAR in order to confirm their viability after the initial 2‐day exposure. Carpospores showed significant sensitivity to UVR exposure after only 48 h, including changes in developmental rate, overall morphology, cell organization and chloroplast autofluorescence. UVR exposure inhibited germ tube formation in carpospores, which were mostly nonviable and/or altered, showing retracted cytoplasm and disorganized cytoplasmic content. Even in the absence of UVR exposure, carpospores remained collapsed, indicating irreversible damage. It can be concluded that UVR is a limiting factor for the development of P. acanthophora.     

Risk of Ocular Exposure to Biologically Effective UV Radiation in Different Geographical Directions

To quantify ocular exposure to solar ultraviolet radiation (UVR) and to assess the risk of eye damage in different geographical directions due to UVR exposure, we used a spectrometer and a manikin to measure horizontal ambient and ocular exposure UVR in different geographical directions at four different locations at the Northern Hemisphere. Describing the relationship of exposure to risk of eye damage requires the availability of UV hazard weighting function. So, we used the UV hazard weighting function (ICNIRP) proposed by International Commission on Non‐Ionizing Radiation Protection to determine the biologically effective UV irradiance (UVBE_eye) and then cumulative effective radiant exposure (H_eye) to shown the risk of eye. We found that in different geographical directions, distributions of ocular exposure to UVR were markedly different from those of horizontal ambient UVR. When the midday maximum SEA > 50°, eye received more UVR from the east and west directions during the morning and evening hours, respectively. However, when the midday maximum SEA < 50°, eye received more UVR from the south direction at noon. The results of this research indicate that the higher risk of eye caused by UVR varies according to the midday maximum SEA corresponding to different geographical direction.     

Interlaboratory Evaluation of Ultraviolet Radiation Emissions from Compact Fluorescent Lamps

There have been many recent reports regarding the potential risks of UV emissions from compact fluorescent lamps (CFLs). In some of these reports, the robustness of the measurements was difficult to discern. We conducted round‐robin measurements, involving three lamp manufacturers and two government research laboratories to gather reliable data on the UV emissions from commercially available CFLs. The initial sample of lamps consisted of 71 spiral‐shaped CFLs purchased from local retailers. From the initial sample, 14 “high UV emitting” CFLs were chosen for further evaluation. We compared the UV emissions at a distance of 20 cm with the UV exposure limits (ELs) published by the International Commission on Non‐ionizing Radiation Protection (ICNIRP). We found that the allowable exposure time for measured lamps ranged from 21 to 415 h. This indicates that the emissions would not exceed the short‐term ELs that have been established by the ICNIRP for healthy individuals. We also evaluated the potential long‐term risk and found it to be insignificant. There was a large variation in the UV emissions found, even for lamps from a single package, indicating that it is impossible to predict the UV output of a CFL based on its physical appearance and model designation.     

Sun protecting and sun exposing behaviors: testing their relationship simultaneously with indicators of ultraviolet exposure among adolescents

The aim of this study was to build on existing understanding of adolescent sun-related behavior by combining sun protecting and sun exposing behaviors and testing their relationship simultaneously with indicators of ultraviolet (UV) exposure. Data were collected for 692 adolescents aged between 12 and 18 years. General linear modeling was undertaken to test the relationship of sun-related behaviors with indicators of UV exposure. Overall, the combined sun protection and sun exposing behaviors accounted for 13.8% of the variance in the number of sunburns, 28.1% of the variance in current tan and 57.5% of the variance in desired tan, respectively. Results indicated that having a strong desire for a tan was significantly associated with spending time tanning, delaying the use of sun protection, wearing brief clothing and using no sun protection; whereas the number of sunburns was significantly associated with sunscreen use, avoiding peak hours and delaying sun protection. Current tan was significantly associated with wearing sunglasses, shade use and time spent tanning. In examining sun-related behaviors among adolescents, consideration needs to be given to both sun exposing and sun protecting behaviors. This research has important implications for conceptualizing outcomes in programs designed to reduce UV exposure.     

Plant Canopy Shape and the Influences on UV Exposures to the Canopy

The solar spectra at selected sites over hemispherical, conical and pinnacle plant canopy models has been evaluated with a dosimetric technique. The irradiance at the sites varies by up to a factor of 0.31 compared to the irradiance on a horizontal plane. The biologically effective (UVBE) exposures evaluated with the dosimetric technique at sites over the plant canopy are up to 19% of that on a horizontal plane. Compared to a spectroradiometer, the technique provides a more practicable method of measuring the UVBE exposures at multiple sites over a plant canopy. Usage of a dosimeter at one site to provide the exposures at that site for different sun angles introduces an error of more than 50%. Knowledge of the spectra allowed the UV and UVBE exposures to be calculated at each site along with the exposures to the entire canopies. These were dependent on the sun angle and the canopy shape. For plant damage, the UVBE was a maximum of about 1.4 mJ cm ² min^?1. Compared to the hemispherical canopy, the UVBE exposure for generalized plant damage was 45% less for the pinnacle canopy and 23% less for the conical canopy. The canopy exposures could not be determined from measurements of the ambient exposure.     

The Endogenous Tryptophan‐derived Photoproduct 6‐formylindolo[3,2‐b]carbazole (FICZ) is a Nanomolar Photosensitizer that Can be Harnessed for the Photodynamic Elimination of Skin Cancer Cells in Vitro and in Vivo

UV‐chromophores contained in human skin may act as endogenous sensitizers of photooxidative stress and can be employed therapeutically for the photodynamic elimination of malignant cells. Here, we report that 6‐formylindolo[3,2‐b]carbazole (FICZ), a tryptophan‐derived photoproduct and endogenous aryl hydrocarbon receptor agonist, displays activity as a nanomolar sensitizer of photooxidative stress, causing the photodynamic elimination of human melanoma and nonmelanoma skin cancer cells in vitro and in vivo. FICZ is an efficient UVA/Visible photosensitizer having absorbance maximum at 390 nm (ε = 9180 L mol^?1 cm^?1), and fluorescence and singlet oxygen quantum yields of 0.15 and 0.5, respectively, in methanol. In a panel of cultured human squamous cell carcinoma and melanoma skin cancer cells (SCC‐25, HaCaT‐ras II‐4, A375, G361, LOX), photodynamic induction of cell death was elicited by the combined action of solar simulated UVA (6.6 J cm^?2) and FICZ (≥10 nm ), preceded by the induction of oxidative stress as substantiated by MitoSOX Red fluorescence microscopy, comet detection of Fpg‐sensitive oxidative genomic lesions and upregulated stress response gene expression (HMOX1, HSPA1A, HSPA6). In SKH1 “high‐risk” mouse skin, an experimental FICZ/UVA photodynamic treatment regimen blocked the progression of UV‐induced tumorigenesis suggesting feasibility of harnessing FICZ for the photooxidative elimination of malignant cells in vivo.     

Suberythemal Sun Exposures at Swedish Schools Depend on Sky Views of the Outdoor Environments – Possible Implications for Pupils’ Health

More scheduled outdoor stay is increasingly advocated for school children. This study measured 2^nd, 5^th and 8^th graders’ erythemal UV‐exposure in September, March and May at four Swedish schools. We related those exposures, as fractions of total available ambient radiation, to the schools outdoor environments differing in amount of shade, vegetation, and peripheral city‐scape quantified as percentage of free sky view calculated from fish‐eye photographs. Exposures correlated with the sky views (with exceptions in May) and were suberythemal. The exposures were also below the threshold limit of the International Commission on Non‐Ionizing Radiation Protection (ICNIRP) for hazard evaluation of UVR but were potentially enough for adequate vitamin D formation according to a cited model calculation – as illustrated in the results and discussed. The school environments, typical in southern and middle Sweden, offer enough shade to protect children from overexposure during seasons with potentially harmful solar UV radiation. Pupils’ outdoor stay may be extended during September and March. In May extended outdoor stay of the youngest pupils requires a more UVR‐protective environment.     

Sun exposure and Protection Behavior of Danish Farm Children: Parental Influence on Their Children

Healthy sun habits acquired in childhood could reduce skin cancer incidence. We examined the sun exposure and protection behavior of an expected high‐exposure group of children, and the association to their parents. Open, prospective cohort study. One hundred and thirty nine participants (40 families) kept daily sun behavior diaries (sun exposure, sunscreen use, sunburns) over a 4‐month summer period (15 985 diary days). The Pigment Protection Factor (PPF), an objective measure of sun exposure, was measured at two body sites, before and after summer. All participants presented data from the same 115 days. Risk behavior (sun exposure of upper body) took place on 9.5 days (boys) and 15.6 days (girls). Sunburn and sunscreen use were infrequent. Boys’ sun exposure resulted in an increased photo protection over the study period of 1.7 SED (upper arm) and 0.8 SED (shoulder) to elicit erythema. Corresponding values for girls were as follows: 0.9 SED (upper arm) and 0.5 SED (shoulder). Boys’ sunscreen use correlated to their mothers’ (r = 0.523, P = 0.02). Girls’ number of risk days (r = 0.552, P = 0.005) and sun exposure (upper arm: r = 0.621, P < 0.001) correlated to their mothers’. The children's sun exposure was substantial. Only mothers influenced children's sun behavior and exposure. This may be of relevance in future sun protection campaigns.     

Different Photosynthetic Responses of Pyropia yezoensis to Ultraviolet Radiation Under Changing Temperature and Photosynthetic Active Radiation Regimes

Macroalgae play a crucial role in coastal marine ecosystems, but they are also subject to multiple challenges due to tidal and seasonal alterations. In this work, we investigated the photosynthetic response of Pyropia yezoensis to ultraviolet radiation (PAR: 400–700 nm; PAB: 280–700 nm) under changing temperatures (5, 10 and 15°C) and light intensities (200, 500 and 800 μmol photons m^?2 s^?1). Under low light intensity (200 μmol photons m^?2 s^?1), P. yezoensis showed the lowest sensitivity to ultraviolet radiation, regardless of temperature. However, higher temperatures inhibited the repair rates (r) and damage rates (k) of photosystem II (PSII) in P. yezoensis. However, under higher light intensities (500 and 800 μmol photons m^?2 s^?1), P. yezoensis showed higher sensitivity to UV radiation. Both r and the ratio of repair rate to damage rate (r:k) were significantly inhibited in P. yezoensis by PAB, regardless of temperature. In addition, higher temperatures significantly decreased the relative UV‐inhibition rates, while an increased carbon fixation rate was found. Our study suggested that higher light intensities enhanced the sensitivity to UV radiation, while higher temperatures could relieve the stress caused by high light intensity and UV radiation.     

Long-wavelength Ultraviolet A1 and Visible Light Photoprotection: A Multimodality Assessment of Dose and Response

Human skin is exposed to visible light (VL; 400–700 nm) and long-wavelength ultraviolet A1 (UVA1) radiation (370–400 nm) after the application of organic broad-spectrum sunscreens. The biologic effects of these wavelengths have been demonstrated; however, a dose–response has not been investigated. Ten subjects with Fitzpatrick skin phototype IV-VI were enrolled. Subjects were irradiated with 2 light sources (80–480 J cm⁻²): one comprising VL with less than 0.5% UVA1 (VL+UVA1) and the other pure VL. Skin responses were evaluated for 2 weeks using clinical and spectroscopic assessments. 4-mm punch biopsies were obtained from nonirradiated skin and sites irradiated with 480 J cm⁻² of VL+UVA1 and pure VL 24 h after irradiation. Clinical and spectroscopic assessments demonstrated a robust response at VL+UVA1 sites compared with pure VL. Histology findings demonstrated a statistically significant increase in the marker of inflammation (P < 0.05) and proliferation (P < 0.05) at the irradiated sites compared with nonirradiated control. Threshold doses of VL+UVA1 resulting in biologic responses were calculated. Results indicate that approximately 2 h of sun exposure, which equates to VL+UVA1 dose (~400 J cm⁻²), is capable of inducing inflammation, immediate erythema and delayed tanning. These findings reinforce the need of photoprotection beyond the UV range.     

Latitudinal Gradient of UV Attenuation Along the Highly Transparent Red Sea Basin

The tropical and subtropical oceans experience intense incident ultraviolet radiation (280–400 nm) while their water columns are thought to be highly transparent. This combination represents a high potential for harmful effects on organisms, yet only few reports on the UV penetration properties of oligotrophic tropical waters exist. Here, we present the pattern of UV attenuation over a wide latitudinal range of the oligotrophic Red Sea. We recorded spectroradiometer profiles of PAR and UV, together with chlorophyll‐a (Chl‐a) and light absorption by chromophoric dissolved organic matter (CDOM) to determine the contribution of phytoplankton and CDOM toward UV attenuation. Transparency to UV exhibited a distinct latitudinal gradient, with the lowest and highest diffuse attenuation coefficients at 313 nm (K_d (313)) of 0.130 m^?1 and 0.357 m^?1 observed at the northern coast off Duba, and in the south close to the Farasan islands, respectively. Phytoplankton and CDOM both modulated UV attenuation, but CDOM was found to be the key driver despite the lack of riverine inputs. We confirm that ultraviolet radiation can reach deeper into the Red Sea than previously described, which means its potential to act as a stressor and selective driver for Red Sea organisms may have been underestimated to date.     

The Different Resistance of Two Astragalus Plants to UV‐B Stress is Tightly Associated with the Organ‐specific Isoflavone Metabolism

In this work, the changes in isoflavone levels and the expression of genes involved in their biosynthesis were studied in two Astragalus by UPLC ‐MS and real‐time PCR after 10 days of UV ‐B treatment (λ _max = 313 nm, 804 J m⁻²). Isoflavones were significantly induced by UV ‐B irradiation. The influence might be activated by the regulation of these target genes. Our results indicate that (1) the resistance of Astragalus membranaceus might not be as good as Astragalus mongholicus in the enhanced UV ‐B radiation environment; (2) the enhanced accumulation of calycosin and calycosin‐7‐glucoside with UV ‐B treatment in roots of A. mongholicus might be derived from formononetin which is synthesized in the leaves; (3) the glycosylation process could be stimulated and activated by the enhanced UV ‐B radiation in both A. mongholicus and A. membranaceus . In other words, glycosylation of isoflavones might play a crucial role for two Astragalus plants in response to UV ‐B stress. Overall, this study offered a feasible elicitation strategy to understand the accumulation pattern of isoflavone in A. mongholicus and A. membranaceus , and also provided a reference for the changes in isoflavone levels of Astragalus in UV ‐B enhanced environment in the future.     

Organic–inorganic hybrid of anchored dicationic ionic liquid on Al‐MCM‐41‐phosphovanadomolybdate toward selective oxidation of benzene to phenol

A phosphovanadomolybdate hybridized with an anchored dicationic ionic liquid on Al‐MCM‐41 was prepared through the anion exchange and characterized by ¹H and ¹³C NMR, FTIR, UV–Vis, XRD, XPS, TGA, TEM, FESEM, ICP‐OES and BET techniques. The obtained data demonstrated that the composite is a porous material with the high surface area and also having a large pore volume which are 405 m² g^?1 and 0.616 cm³ g^?1 respectively. The prepared composite has shown an acceptable catalytic activity for converting benzene selectively to phenol with hydrogen peroxide as eco‐friendly oxidant. Under the optimized reaction conditions, the hybrid catalyst resulted in phenol yield of 14.8% with 100% selectivity and a TOF value of 20.0 h^?1. The catalyst also revealed a desired recovery and reusability. The efficient performance of the composite is related to the textural and polyoxometalate properties.     

Impact of Long‐Wavelength Ultraviolet A1 and Visible Light on Light‐Skinned Individuals

Solar radiation is known to be a major contributor to the development of skin cancer. Most sunscreen formulations, including those with broad spectrum, offer minimal protection in long‐wavelength ultraviolet A1 (UVA1; 370–400 nm) and visible light (VL; 400–700 nm) domain. There is limited information regarding the impact of this broad waveband (VL + UVA1, 370–700 nm) on those with light skin. In this study, ten healthy adult subjects with Fitzpatrick skin phototypes I–III were enrolled. On day 0, subjects' lower back was exposed to a VL + UVA1 dose of 480 J cm^?2. A statistically significant increase in erythema immediately after irradiation compared with subjects' baseline nonirradiated skin was observed. Clinically perceptible erythema with VL + UVA1 is a novel finding since the erythemogenic spectrum of sunlight has primarily been attributed to ultraviolet B and short‐wavelength ultraviolet A (320–340 nm). The results emphasize the need for protection against this part of the solar spectra and warrant further investigation.     

Combination of Natural Extracts and Photobiomodulation in Keratinocytes Subjected to UVA Radiation

Natural extracts (NE) with antioxidant properties can minimize the effects of photoaging. Photobiomodulation (PBM) has proven to be a useful tool for the modulation of cell metabolism. Here, we investigate the associations of antioxidants with PBM with the aim of promoting skin rejuvenation. We began with standardization of the experimental protocol. Extracts of chamomile, rosemary, blueberry, green tea, figs, pomegranate and nutwood were tested. A custom irradiation system (366 ± 10 nm) was used to simulate sun exposure. A light emitting diode system (640 ± 12.5 nm) was used for PBM. Viability assessments were performed by the (3‐(4,5‐Dimethyl‐2‐thiazolyl)‐2,5‐diphenyl‐2H‐tetrazolium bromide) MTT assay method. Based on the results, radiant exposure to UVA was defined as 9 and 1 J cm^?2 for PBM. Extract concentrations were established on the basis of dark toxicities, which ranged from 0.01% to 0.3%. The data show that PBM is a promising therapy to restore keratinocytes after UVA damage; however, the detailed mechanism and effects require further exploration. Moreover, although the combination of PBM with NE may be a useful strategy, the choice of a NE is challenging, since the working concentration and other properties, such as photosensitivity, may bring about unwanted results.     

Effects of 660‐nm and 780‐nm Laser Therapy on ST88‐14 Schwann Cells

The aim of the present study was to evaluate the comparative effects of red (660‐nm) and near‐infrared (780‐nm) low‐level laser therapy (LLLT) on viability, mitochondrial activity, morphology and gene expression of growth factors on Schwann cells (SC). ST88‐14 cells were grown in RPMI 1640 with 10 mM of HEPES, 2 mM of glutamine, 10% fetal bovine serum and 1% antibiotic‐antimycotic solution at 37°C in humidified atmosphere of 5% CO₂. Cells were detached with trypsin and centrifugated at 231 g for 5 min at 10°C, and the pellet (8 × 10⁴ cells/tube) was irradiated at the bottom of 50 ml polypropylene tube with a Twin‐Laser system (660 and 780 nm, 40 mW, 1 mW cm^?2, 3.2 and 6.4 J, 80 and 160 J cm^?2 with 80 and 160 s). After 1, 3 and 7 days, the analysis was performed. After irradiation, the SC increase mitochondrial activity, gene expression of the neural growth factors NGF and BDNF, and cell migration and increase the G2/M cells. SC showed neuronal morphology, normal F‐actin cytoskeleton organization and positive labeling for S100. PBM increased metabolic activity, mitosis and gene expression when irradiated with red and infrared LLLT. An increase in cell migration was obtained when irradiated with infrared LLLT.     

Effect of A Sun Protection Intervention on the Immune Response to Measles Booster Vaccination in Infants in Rural South Africa

The incidence of many serious childhood infections can be reduced by vaccination. High sun exposure at the time of vaccination has been associated with a reduced antigen‐specific immune response. We hypothesized that providing sun protection advice and equipment to mothers of children who were waiting to be vaccinated would result in a more robust immunization response. We conducted a pilot study in 2015/2016 (data analyzed in 2017–2018) among 98 Black African children (~18 months of age) receiving the booster measles vaccination at two clinics in South Africa. Clinics were randomized to receive (or not) sun protection advice and equipment. We recorded demographic information on children and mothers and data on the child's usual sun exposure. At approximately 4 weeks’ postmeasles vaccination, we measured measles immunoglobulin G levels in children. All children with blood results (n = 87, 89%) across both groups had antibody titers higher than 200 mIU mL^?1 which was considered the protective antibody concentration. There was no statistically significant difference in titers between groups: geometric difference in mean titers 1.13 mIU mL^?1 (95% CI 0.85, 1.51; P = 0.39) and 1.38 mIU mL^?1 (95% CI 0.90, 2.11, P = 0.14) for unadjusted and adjusted analyses, respectively. This study demonstrated that a sun protection intervention study could be performed in a developing‐world pediatric vaccination setting. Although the sun protection intervention around the time of vaccination was not associated with a higher antibody level, given the potential importance of such an effect, a larger study should be considered.