Erythemal Ultraviolet Exposure in Two Groups of Outdoor Workers in Valencia, Spain

UVexposure is considered to be one of the most important risk factors in skin cancers, mainly in outdoor occupational activities. Outdoor workers receive regular and significant solar UV erythemal radiation (UVER). To quantify the UVER exposure of certain groups of workers, dosimeters are used to measure the biologically effective UV radiation received in the course of their daily work. Two groups of outdoor workers, composed of gardeners and lifeguards, were measured for UVER exposure using sensitive spore-film filter-type personal dosimeters (Viospor). The study took place in Valencia, Spain, in June and July 2008, and involved one group of four gardeners and another of five beach lifeguards for a period of 4 and 6 days, respectively. The gardeners' mean UV exposure was 4.13 ± 0.60 SED day⁻¹, where 1 SED is defined as effective 100 J m⁻² when weighted with the CIE erythemal response function, whereas the lifeguards received 11.43 ± 2.15 SED day⁻¹. The mean exposure ratio (ER) relative to ambient of gardeners was 0.09 ± 0.01 and for lifeguards was 0.27 ± 0.05. ER is defined as the ratio between the personal dose on a selected anatomical site and the corresponding ambient dose on a horizontal plane during the same exposure period. The lifeguards received the highest UVER exposure, although both groups had measured UVER exposure in excess of occupational guidelines, indicating that protective measures are necessary.     

Determining an Effective UV Radiation Exposure Time for Vitamin D Synthesis in the Skin Without Risk to Health: Simplified Estimations from UV Observations

UV radiation contains erythemally weighted UV, as well as UV that synthesizes vitamin D₃. Here, we attempted to determine the relationship between these factors by numerical simulation of atmospheric parameters, such as total ozone, using a simplified “SMART2” model for radiative transfer. Both forms of UV were almost linearly correlated with each other for a comparably large UV radiation exposure, larger than UV Index ~1.6. If erythemally weighted UV, which carries a risk of sunburn, is known, the amount of UV exposure needed for vitamin D synthesis in the epidermis can be estimated using this relationship. The production of 10 μg (400 IU) of vitamin D per day takes approximately 1/3 of the time needed to reach the minimal erythemal dose (MED) for an effective skin area of 600 cm² for skin phototype III. For an area of 1200 cm², 1/6 of that exposure time suffices. From a UV Index that is commonly used, the risks and benefits can be evaluated using this linear relationship, which will enable people to effectively manage their UV exposure and consider the risks and benefits to optimize health outcomes.     

Global forecast model to predict the daily dose of the solar erythemally effective UV radiation

A worldwide forecast of the erythemally effective ultraviolet (UV) radiation is presented. The forecast was established to inform the public about the expected amount of erythemally effective UV radiation for the next day. Besides the irradiance, the daily dose is forecasted to enable people to choose the appropriate sun protection tools. Following the UV Index as the measure of global erythemally effective irradiance, the daily dose is expressed in units of UV Index hours. In this study, we have validated the model and the forecast against measurements from broadband UV radiometers of the Robertson-Berger type. The measurements were made at four continents ranging from the northern polar circle (67.4 degrees N) to the Antarctic coast (61.1 degrees S). As additional quality criteria the frequency of underestimation was taken into account because the forecast is a tool of radiation protection and made to avoid overexposure. A value closer than one minimal erythemal dose for the most sensitive skin type 1 to the observed value was counted as hit and greater deviations as underestimation or overestimation. The Austrian forecast model underestimates the daily dose in 3.7% of all cases, whereas 1.7% results from the model and 2.0% from the assumed total ozone content. The hit rate could be found in the order of 40%.     

UV radiation: balancing risks and benefits

We use action spectra published by the International Commission on Illumination to examine diurnal, seasonal and latitudinal variations in erythemally weighted (sunburning) UV-a health risk, and vitamin D-weighted UV-a health benefit. Vitamin D-weighted UV is more strongly dependent on ozone and solar zenith angle. Consequently, its diurnal, seasonal and geographic variability is more pronounced than for erythemally weighted UV. We then investigate relationships between the two quantities. An algorithm is developed and used to relate vitamin D production to the widely used UV index, to help the public to optimize their exposure to UV radiation. In the summer at noon, there should at mid-latitudes be sufficient UV to photosynthesize optimal vitamin D in approximately 1 min for full body exposure, whereas skin damage occurs after approximately 15 min. Further, while it should be possible to photosynthesize vitamin D in the winter at mid-latitudes, the amount of skin that must be exposed is larger than from the hands and face alone. This raises the question of whether the action spectrum for vitamin D production is correct, since studies have reported that production of vitamin D is not possible in the winter at mid-latitudes.     

Urocanic Acid Concentration and Photoisomerization in Caucasian Skin Phototypes

Abstract— To investigate the relationship between erythemal sensitivity of the skin to U V radiation and epidermal urocanic acid (UCA) concentration, 45 healthy volunteers of anamnestic skin phototypes (ASP) I-IV were studied. In 16 of the subjects, we analyzed UCA photoisomerization after graded UVB exposures. The median and mean total UCA concentration in unirradiated skin was 22.4 and 35.3 nmol/cm², and no statistically significant difference in total UCA concentrations was detectable either between ASP I through II and III through IV or between the phototested skin type (PSP) groups 1 through 2 and 3 through 4. The relative amount of the cis -isomer varied between 3 and 35%, with median and mean values of 7 and 12%, respectively. No statistically significant difference in absolute or relative cis -UCA concentrations was detectable between ASP I through II and III through IV, but a significantly lower absolute ( P < 0.009) and relative ( P < 0.002) cis -UCA concentration in unirradiated skin was recorded in PSP groups 1 through 2, compared to types 3 through 4. In all tested subjects, an erythemally weighted dose of 1 mj/cm²sufficed to cause trans - to cis -UCA isomerization. When comparing photosensitive (skin phototype I) and phototolerant (phototypes III and IV) individuals, who were irradiated with a reference 5 mJ/cm²UV dose or with fractions of 0.1-1.0 of their individual minimal erythema dose values, no skin phototype-dependent difference in ability to photoisomerize was discernible.     

A selective Pt-CdS photodiode to monitor erythemal flux

The design and potential benefit of a solar ultraviolet (UV) radiometer reporting a maximum instantaneous flux of erythemally weighted heterogeneous energy is considered. The proposed device is electronically peak detecting; the user would ideally 'point and paint' the sun to find a localized maximum. A projected exposure time can be calculated from an instantaneous reading of erythemally weighted flux for a given minimal erythemal dose (MED) specified by the user. This calculation, though not necessarily providing a true exposure time, may be useful and informative in that it serves as a more 'recognizable' measure of erythemal flux and introduces a custom scale for each individual via their MED. Erythemal flux is calculated as the weighted integral sum [symbol: see text]j(lambda,t) epsilon(lambda) d lambda, where j (lambda, t) is the instantaneous angular integrated spectral irradiance accepted by human skin. This instrument proposal uses a single interference filter over a Pt-CdS photodiode; the interference filter is offered as a nominal design transmittance. The simulated response of the selective photodiode has a near-linear relation to the effective irradiance. Test inputs for evaluation purposes and to elucidate a transducer response are constructed from a spline interpolation of the World Radiation Center (WRC) spectrum and classic transmittance models. Our desired erythemal flux is offered in interconvertible UV Indexes (UVIs) as a function of zenith angle and atmosphere, characterized by elevation, ozone path, and turbidity.     

Lower body anatomical distribution of solar ultraviolet radiation on the human form in standing and sitting postures

Humans undertake their daily activities in a number of different postures. This paper aims to compare the anatomical distribution of the solar erythemal UV to human legs for standing and sitting postures. The exposure ratios to the legs (ratio of the UV exposure to a particular anatomical site compared to the ambient) have been measured with UV dosimeters for standing and sitting postures of a manikin. The exposure ratios for the legs ranged from 0 to 0.75 for the different anatomical sites for the sitting posture in summer (December through February) compared to 0.14 to 0.39 for the standing posture. In winter (June through August) the exposure ratios ranged from 0.01 to 0.91 for sitting to 0.17 to 0.81 for standing. For the anterior thigh and shin, the erythemal UV exposures increased by a factor of approximately 3 for sitting compared to standing postures. The exposure ratios to specific anatomical sites have been multiplied by the ambient erythemal UV exposures for each day to calculate the annual exposures. The annual erythemal exposures to the anterior thigh and ankle were predicted to be higher than 800 MED for humans sitting outdoors each day between noon and 13:00 h Australian Eastern Standard Time (EST). For humans standing outdoors during this time, the annual erythemal UV exposure averaged over each leg site was 436 MED, whereas, the averaged annual erythemal UV exposure was 512 MED for the sitting posture. Similarly, the annual erythemal UV exposure averaged over each of the sites was 173 MED for humans standing outdoors between 09:00 h EST and noon each Saturday morning and 205 MED for humans sitting outdoors during this time. These results show that there is increased risk of non-melanoma skin cancer and malignant melanoma to the lower body if no UV preventative strategies are employed while in a sitting posture compared to a standing posture.     

Exposure of Arctic Field Scientists to Ultraviolet Radiation Evaluated Using Personal Dosimeters

During July 2000 we used an electronic personal dosimeter (X-2000) and a biological dosimeter (Deutsches Zentrum für Luft- und Raumfahrt: Biofilm) to characterize the UV radiation exposure of arctic field scientists involved in biological and geological fieldwork. These personnel were working at the Haughton impact structure on Devon Island (75 degrees N) in the Canadian High Arctic under a 24 h photoperiod. During a typical day of field activities under a clear sky, the total daily erythemally weighted exposure, as measured by electronic dosimetry, was up to 5.8 standard erythemal dose (SED). Overcast skies (typically 7-8 okta of stratus) reduced exposures by a mean of 54%. We estimate that during a month of field activity in July a typical field scientist at this latitude could potentially receive approximately 80 SED to the face. Because of body movements the upper body was exposed to a UV regimen that often changed on second-to-second time-scales as assessed by electronic dosimetry. Over a typical 10 min period on vehicle traverse, we found that erythemal exposure could vary to up to 87% of the mean exposure. Time-integrated exposures showed that the type of outdoor field activities in the treeless expanse of the polar desert had little effect on the exposure received. Although absolute exposure changed in accordance with the time of day, the exposure ratio (dose received over horizontal dose) did not vary much over the day. Under clear skies the mean exposure ratio was 0.35 +/- 0.12 for individual activities at different times of the day assessed using electronic dosimetry. Biological dosimetry showed that the occupation was important in determining daily exposures. In our study, scientists in the field received an approximately two-fold higher dose than individuals, such as medics and computer scientists, who spent the majority of their time in tents.     

Routine measurement of erythemally effective UV irradiance on inclined surfaces

Measurements of erythemally weighted UV radiation are usually related to a horizontal surface. The radiation is weighted with the sensitivity of the human skin, but the surface of the human body has only few horizontal surfaces. Therefore the UV radiation on inclined surfaces has to be quantified to investigate UV effects on humans. To fulfill this task three fully automatic measuring systems were built to measure the erythemally weighted UV radiation in 27 directions within 2 min. This system measures routinely during the whole day and has now been in operation for nearly three years (in total 2000 measurement days) under any kind of meteorological conditions. The measurements provide the informations needed for further investigations concerning the UV effects on humans. The calibration of the erythemally weighting radiometers was performed in a way to provide reliable UV index measurements for all directions. The results of four exemplary measurement days in summer and winter for clear sky and overcast conditions are presented.     

Sensitivity of UV erythemally effective irradiance and daily dose to spatial variability in total ozone

Abstract The total ozone column (TOC) is the most significant quantity for estimating the erythemally effective UV radiation under clear sky conditions. Uncertainties in TOC measurements and a limited spatial and temporal resolution therefore influence the quality of calculated erythemally effective radiation. The UV Index, the internationally accepted measure of the erythemally effective radiation, is used in public and the media to inform about current levels of UV radiation and builds the base for sun protection. Thus, the accuracy of the promoted values is essential. While in a preceding study we estimated the influence of measurement uncertainties, in this study we analyze the influence of spatial gaps and variability of TOC to the erythemally effective irradiance at noon and to the daily dose. The results allow defining the necessary spatial resolution of TOC values when a certain accuracy for the UV Index or for the purpose of sun protection is required. In case of the erythemally effective irradiance this study reveals that spatial gaps in TOC or the assumption of spatial invariability causes similar uncertainties independent of the geographic location. At higher latitudes the higher spatial variability of TOC counteracts the lower level of irradiance. For the daily dose gaps in TOC have an even higher impact at higher latitudes.     

UV doses of young adults

Since 1986, people have been informed that they get about 80% of their lifetime ultraviolet (UV) dose by the age of 18. This belief originated from the mathematical conclusion that diligent use of sunscreens (sun protection factor 15 or higher) during the first 18 years of life would reduce the lifetime incidence of nonmelanoma skin cancers by 78%. These data were misconstrued to mean that individuals also got about 80% of their lifetime dose of UV by the age of 18 (linear relationship). However, these calculations were based on the incidence of nonmelanoma skin cancers being related to the square of the UV dose. Careful analysis of UV exposure data shows that Americans actually get less than 25% of their lifetime UV dose by the age of 18. This finding also appears to be true worldwide because Australia, UK and The Netherlands report a similar UV exposure pattern. UV-initiated damage early in life can be promoted by subsequent exposures to progress into tumors later in life. For example, the nonmelanoma skin cancer, squamous cell carcinoma, is dependent on the cumulative UV dose. Thus, a better educational approach for reducing skin cancers would be to instruct fair-skinned individuals to protect themselves throughout their lives from being exposed to too much UV radiation.     

Facial solar UV exposure of Austrian farmers during occupation

Optoelectronic personal UV-meters were used to monitor the occupational facial solar erythemally effective exposure of 12 Austrian full-time farmers with high temporal resolution. To ensure high quality measurements several quality assurance procedures were applied, like calibration with respect to solar elevation and total ozone column. From April to October the test persons carried the UV-meters on the forehead during working hours. A digital diary (activity, location, weather, photoprotective measures) was completed on an hourly basis. Our field test produced 1427 complete daily records (measurement and diary). The total exposures showed high variability (77 –757 standard erythema dose [SED]) which correlates with the number of working days and even stronger with the little numbers of days with high exposure (>10 SED). Risk factors for high exposures were: mixed-culture farms with aggravated working conditions, low degree of automation of working processes, inadequate operating logistics (summarized as manual work outdoor), driving machines without cabins, and female gender. UV exposure of female farmers was approximately twice as high as that of men: Women received 15% of ambient radiation while men got 8%. Avoiding daily exposure >10 SED could reduce exposure down to 40% and the risk in developing skin cancer by a factor of 40.     

Sensitivity of erythemally effective UV irradiance and daily exposure to temporal variability in total ozone

The provision of information to the public about current levels of the erythemally effective UV radiation is an important issue in health care. The quality of promoted values is therefore of special importance. The atmospheric parameter which affects the erythemally effective UV radiation under clear sky most is the total ozone content of the atmosphere. In this paper we examined the sensitivity of the erythemally effective irradiance and daily radiant exposure to the temporal variability of total ozone on time scales from 1 to 15 days. The results show that the sensitivity is highest for the first 24 h. Larger time scales do not exhibit a similar influence. Total ozone measurements of the previous day may already cause uncertainties higher than 0.5 UV index (UVI) independent of the geolocation. For comparison, a temporal persistence of 15 days may cause uncertainties of 1.2 UVI at 50°N, 1 UVI at 30°S and less than 1 UVI at the equator. The results of this study allow finding the necessary temporal resolution of total ozone values when a certain accuracy for the UVI or for the purpose of sun protection is required. The results are compared with those of two preceding studies where we quantified the influence of measurement uncertainties and spatial total ozone variability to the erythemally effective irradiance at noon and to the daily dose. We conclude that temporal variability of total ozone is the most critical issue, but also measurement uncertainties do have a noticeable influence on the erythemally effective radiation.     

Mean exposure fractions of human body solar UV exposure patterns for application in different ambient climates

In this research, the erythemally effective UV measured using miniaturized polysulphone dosimeters to over 1250 individual body sites and collected over a 4-year period is presented relative to the total exposed skin surface area (SSA) of a life-size manikin model. A new term is also introduced, the mean exposure fraction (MEF). The MEF is used to weight modeled or measured horizontal plane UV exposures to the total unprotected SSA of an individual and is defined as the ratio of exposure per unit area received by the unprotected skin surfaces of the body relative to the exposure received on a horizontal plane. The MEF has been calculated for a range of solar zenith angles (SZA) to provide a sunburning energy data set weighted to the actual SSA of a typically clothed individual. For this research, the MEF was determined as 0.15, 0.26 and 0.41 in the SZA ranges 0°-30°, 30°-50° and 50°-80° providing information that can be used in a variety of different ambient, latitudinal and seasonal climates where total human body UV exposure information is not available.     

The influence of dose rate on ultraviolet tumorigenesis

To gain an insight into the relationship between the time in which a daily UV dose is delivered and its carcinogenic effectiveness, the following experiment was performed. Three groups of 24 albino hairless mice (Skh-hr1) were exposed to the same daily dose of UVB radiation (600 J m-2; Philips TL12). The exposure times for the three groups were 1.25, 4 and 12 h per day. A fourth unirradiated group served as a control. All animals exposed to UVB developed multiple skin tumours, whereas the control animals did not develop any observable tumours. Tumour development in the groups exposed for 4 and 12 h was virtually identical. Tumour development was significantly faster in the groups exposed for 4 and 12 h per day than in the group exposed for 1.25 h: the median tumour induction time was reduced by 12%. In terms of the effective dose, this is equivalent to a 25% increase in effectiveness for the 4 and 12 h groups relative to the 1.25 h group. In conclusion, the present experiment shows that prolongation of the exposure duration increases the carcinogenic efficacy of UVB radiation.     

The Injury and Cumulative Effects on Human Skin by UV Exposure from Artificial Fluorescence Emission

The injury and cumulative effects of UV emission from fluorescence lamp were studied. UV intensity from fluorescence lamp was measured, and human skin samples (hips, 10 volunteers) were exposed to low‐dose UV irradiation (three times per week for 13 consecutive weeks). Three groups were examined: control group without UV radiation; low‐dose group with a cumulative dose of 50 J cm^?2 which was equivalent to irradiation of the face during indoor work for 1.5 years; and high‐dose group with 1000 J cm^?2 cumulative dose equivalent to irradiation of the face during outdoor activities for 1 year. Specific indicators were measured before and after UVA irradiation. The findings showed that extending the low‐dose UVA exposure decreased the skin moisture content and increased the transepidermal water loss as well as induced skin color changes (decreased L* value, increased M index). Furthermore, irradiated skin showed an increased thickness of cuticle and epidermis, skin edema, light color and unclear staining collagen fibers in the dermis, and elastic fiber fragmentation. In addition, MMP‐1, p53 and SIRT1 expression was also increased. Long‐term exposure of low‐dose UVA radiation enhanced skin photoaging. The safety of the fluorescent lamp needs our attention.     

Sun Exposure at School

There is strong evidence that sun exposure during childhood and adolescence plays an important role in the etiology of skin cancer, in particular cutaneous melanoma. Between the age of 6 and 18, most children and adolescents will spend around 200 days per year at school and may receive a substantial fraction of their daily total solar ultraviolet radiation (UVR) exposure while at school. This study estimated the average daily erythemally effective dose of 70 grade 8 students from a high school in Townsville during 5 school days in July 1998. Through UV measurements of shade locations at the school and a combination of frequency counts and a questionnaire of grade 8 students, it was possible to determine the fraction of solar UVR reaching under the shade structures during lunch breaks and routine outdoor activities. Also, a routinely operating UV-Biometer provided the annual variation of the daily dose that was used to calculate exposure levels for the 70 students. Our results suggest that up to 47% of the daily total dose fell within the time periods where students were outdoors during school hours. For students not seeking shade structures during the breaks (which usually was the case when involved in sport activities such as basketball or soccer), the average daily dose could have been as high as 14 SED (standard erythemal dose). Using results from the questionnaire of 70 grade 8 students, their average annual dose while at school was 414 SED or 2 SED per school day. However, the distribution of average daily erythemal effective dose per grade 8 student over the whole year showed that on 31% of all school days in 1998, this dose was exceeded. Because most previous attempts to change arguably poor sun-protective behavior of young Australian children and adolescents at school showed little success, one way of decreasing the amount of harmful UVR reaching unprotected skin is the more careful design of shade structures at schools.     

Estimation of the annual solar UVR exposure dose of infants and small children in tropical Queensland, Australia

The solar ultraviolet radiation (UVR) exposure of infants and small children was measured for 1 week using UVR-sensitive polysulfone film attached to the shoulder and chest of the subjects. For the infant study, shoulder and chest badges received similar exposures, while the 2 1/2-year-olds received higher exposures on the shoulder than on the chest. Also, the 2 1/2-year-olds generally received higher exposures than the infants. The median total daily exposures for both groups were 39 and 92 J/m2. The maximum total daily exposures measured were 640 J/m2 (chest) and 240 J/m2 (shoulder) for the infants and 2060 J/m2 (shoulder) and 840 J/m2 (chest) for the 2 1/2 year-olds. Using this exposure data, monthly and annual exposure doses were calculated for both groups and compared to similar data from the UK. The annual exposure dose for infants is 8.4 kJ/m2 or 84 standard erythemal dose (SED) for both shoulder and chest. The annual exposure dose for 2 1/2 year-old children is 39.4 kJ/m2 or 394 SED for the shoulder and 28.8 kJ/m2 or 288 SED for the chest. Apart from the generally higher annual exposure doses experienced by the infants and 2 1/2 year-old children in Townsville, the main difference to the UK is the almost nonexistent drop in monthly exposure doses between summer and winter in Townsville compared to the UK. In the UK, the winter-month exposure dose is only 0.5% of the summer-month dose. However, in Townsville it is around 40%.     

Seasonal Variation in Urocanic Acid Isomers in Human Skin

Abstract— Urocanic acid (UCA) is a major chromophore for UV in the skin and has been suggested to act as an initiator of UV-induced immunosuppression. It converts from the naturally occurring trans-isomer to the cis-isomer on UV exposure. Isomerization is dose dependent until the photostationary state is reached, and the seasonal variation in irradiance from the sun may lead to changes in the percentage of UCA present as cis -UCA throughout the year. Thirty young healthy subjects, skin types I-IV, were followed from early summer till spring. At each of six visits (June, July, August, October, December, March), pigmentation and the concentration of UCA isomers were measured at six body sites: forehead, upper chest, upper back, outer upper arm, inner upper arm and buttock. In exposed as well as unexposed regions a variation in pigmentation was found, peak values being recorded in August. Total UCA concentration was lower in July and August than in the rest of the year, irrespective of body site. In July, the percentage of cis -UCA was close to the maximal obtainable (50-60%) at all sites except the buttock. In the three winter months the percentage of cis-UCA was below 7% in all regions except for the forehead, where the mean cis -UCA was 18% in October and March. No consistent relationship was found between UCA isomers and pigmentation or skin type.