Human health-related effects

The impact of ultraviolet radiation on human health has implications for the risks and benefits of sun exposure and is also implicated in issues such as fluorescent lamps and health. Getting too much sun exposure can be harmful, but in moderation, sun exposure is beneficial.

Beneficial effectsedit

UV light (specifically, UVB) causes the body to produce vitamin D, which is essential for life. Humans need some UV radiation to maintain adequate vitamin D levels. According to the World Health Organization

There is no doubt that a little sunlight is good for you! But 5 to 15 minutes of casual sun exposure of hands, face and arms two to three times a week during the summer months is sufficient to keep your vitamin D levels high.

Vitamin D can also be obtained from food and supplementation. Excess sun exposure produces harmful effects, however.

Vitamin D promotes the creation of serotonin. The production of serotonin is in direct proportion to the degree of bright sunlight the body receives. Serotonin is thought to provide sensations of happiness, well-being and serenity to human beings.

Skin conditionsedit

UV rays also treat certain skin conditions. Modern phototherapy has been used to successfully treat psoriasis, eczema, jaundice, vitiligo, atopic dermatitis, and localized scleroderma. In addition, UV light, in particular UVB radiation, has been shown to induce cell cycle arrest in keratinocytes, the most common type of skin cell. As such, sunlight therapy can be a candidate for treatment of conditions such as psoriasis and exfoliative cheilitis, conditions in which skin cells divide more rapidly than usual or necessary.

Harmful effectsedit

In humans, excessive exposure to UV radiation can result in acute and chronic harmful effects on the eye's dioptric system and retina. The risk is elevated at high altitudes and people living in high latitude areas where snow covers the ground right into early summer and sun positions even at zenith are low, are particularly at risk. Skin, the circadian system, and the immune system can also be affected.

The differential effects of various wavelengths of light on the human cornea and skin are sometimes called the "erythemal action spectrum". The action spectrum shows that UVA does not cause immediate reaction, but rather UV begins to cause photokeratitis and skin redness (with lighter skinned individuals being more sensitive) at wavelengths starting near the beginning of the UVB band at 315 nm, and rapidly increasing to 300 nm. The skin and eyes are most sensitive to damage by UV at 265–275 nm, which is in the lower UVC band. At still shorter wavelengths of UV, damage continues to happen, but the overt effects are not as great with so little penetrating the atmosphere. The WHO-standard ultraviolet index is a widely publicized measurement of total strength of UV wavelengths that cause sunburn on human skin, by weighting UV exposure for action spectrum effects at a given time and location. This standard shows that most sunburn happens due to UV at wavelengths near the boundary of the UVA and UVB bands.

Skin damageedit

Overexposure to UVB radiation not only can cause sunburn but also some forms of skin cancer. However, the degree of redness and eye irritation (which are largely not caused by UVA) do not predict the long-term effects of UV, although they do mirror the direct damage of DNA by ultraviolet.

All bands of UV radiation damage collagen fibers and accelerate aging of the skin. Both UVA and UVB destroy vitamin A in skin, which may cause further damage.

UVB radiation can cause direct DNA damage. This cancer connection is one reason for concern about ozone depletion and the ozone hole.

The most deadly form of skin cancer, malignant melanoma, is mostly caused by DNA damage independent from UVA radiation. This can be seen from the absence of a direct UV signature mutation in 92% of all melanoma. Occasional overexposure and sunburn are probably greater risk factors for melanoma than long-term moderate exposure. UVC is the highest-energy, most-dangerous type of ultraviolet radiation, and causes adverse effects that can variously be mutagenic or carcinogenic.

In the past, UVA was considered not harmful or less harmful than UVB, but today it is known to contribute to skin cancer via indirect DNA damage (free radicals such as reactive oxygen species).citation needed UVA can generate highly reactive chemical intermediates, such as hydroxyl and oxygen radicals, which in turn can damage DNA. The DNA damage caused indirectly to skin by UVA consists mostly of single-strand breaks in DNA, while the damage caused by UVB includes direct formation of thymine dimers or cytosine dimers and double-strand DNA breakage. UVA is immunosuppressive for the entire body (accounting for a large part of the immunosuppressive effects of sunlight exposure), and is mutagenic for basal cell keratinocytes in skin.

UVB photons can cause direct DNA damage. UVB radiation excites DNA molecules in skin cells, causing aberrant covalent bonds to form between adjacent pyrimidine bases, producing a dimer. Most UV-induced pyrimidine dimers in DNA are removed by the process known as nucleotide excision repair that employs about 30 different proteins. Those pyrimidine dimers that escape this repair process can induce a form of programmed cell death (apoptosis) or can cause DNA replication errors leading to mutation.

As a defense against UV radiation, the amount of the brown pigment melanin in the skin increases when exposed to moderate (depending on skin type) levels of radiation; this is commonly known as a sun tan. The purpose of melanin is to absorb UV radiation and dissipate the energy as harmless heat, protecting the skin against both direct and indirect DNA damage from the UV. UVA gives a quick tan that lasts for days by oxidizing melanin that was already present and triggers the release of the melanin from melanocytes. UVB yields a tan that takes roughly 2 days to develop because it stimulates the body to produce more melanin.

Sunscreen safety debateedit

Medical organizations recommend that patients protect themselves from UV radiation by using sunscreen. Five sunscreen ingredients have been shown to protect mice against skin tumors. However, some sunscreen chemicals produce potentially harmful substances if they are illuminated while in contact with living cells. The amount of sunscreen that penetrates into the lower layers of the skin may be large enough to cause damage.

Sunscreen reduces the direct DNA damage that causes sunburn, by blocking UVB, and the usual SPF rating indicates how effectively this radiation is blocked. SPF is, therefore, also called UVB-PF, for "UVB protection factor". This rating, however, offers no data about important protection against UVA, which does not primarily cause sunburn but is still harmful, since it causes indirect DNA damage and is also considered carcinogenic. Several studies suggest that the absence of UVA filters may be the cause of the higher incidence of melanoma found in sunscreen users compared to non-users. Some sunscreen lotions contain titanium dioxide, zinc oxide, and avobenzone, which help protect against UVA rays.

The photochemical properties of melanin make it an excellent photoprotectant. However, sunscreen chemicals cannot dissipate the energy of the excited state as efficiently as melanin and therefore, if sunscreen ingredients penetrate into the lower layers of the skin, the amount of reactive oxygen species may be increased. The amount of sunscreen that penetrates through the stratum corneum may or may not be large enough to cause damage.

In an experiment by Hanson et al. that was published in 2006, the amount of harmful reactive oxygen species (ROS) was measured in untreated and in sunscreen treated skin. In the first 20 minutes, the film of sunscreen had a protective effect and the number of ROS species was smaller. After 60 minutes, however, the amount of absorbed sunscreen was so high that the amount of ROS was higher in the sunscreen-treated skin than in the untreated skin. The study indicates that sunscreen must be reapplied within 2 hours in order to prevent UV light from penetrating to sunscreen-infused live skin cells.

Aggravation of certain skin conditionsedit

Ultraviolet radiation can aggravate several skin conditions and diseases, including systemic lupus erythematosus, Sjögren's syndrome, Sinear Usher syndrome, rosacea, dermatomyositis, Darier's disease, and Kindler–Weary syndrome.

Eye damageedit

The eye is most sensitive to damage by UV in the lower UVC band at 265–275 nm. Radiation of this wavelength is almost absent from sunlight but is found in welder's arc lights and other artificial sources. Exposure to these can cause "welder's flash" or "arc eye" (photokeratitis) and can lead to cataracts, pterygium and pinguecula formation. To a lesser extent, UVB in sunlight from 310 to 280 nm also causes photokeratitis ("snow blindness"), and the cornea, the lens, and the retina can be damaged.

Protective eyewear is beneficial to those exposed to ultraviolet radiation. Since light can reach the eyes from the sides, full-coverage eye protection is usually warranted if there is an increased risk of exposure, as in high-altitude mountaineering. Mountaineers are exposed to higher-than-ordinary levels of UV radiation, both because there is less atmospheric filtering and because of reflection from snow and ice. Ordinary, untreated eyeglasses give some protection. Most plastic lenses give more protection than glass lenses, because, as noted above, glass is transparent to UVA and the common acrylic plastic used for lenses is less so. Some plastic lens materials, such as polycarbonate, inherently block most UV.