In 2009, the OMS International Agency for Research on Cancer classified in Group 1 of agents that are certainly carcinogenic to humans, exposure to natural and artificial ultraviolet radiation in all its components UV-A (400 nm – 315 nm), UV-B (315 nm - 280 nm) and UV-C (280 nm – 100 nm) [1].
Ultraviolet (UV) radiation is a part of the electromagnetic spectrum with wavelengths ranging between 100 and 400 nanometers (nm). UV radiation is divided into three main categories, each with specific characteristics and distinct impacts on human health and the environment depending on the exposure dose [2]:
UV-A (315-400 nm): This is the longest wavelength ultraviolet radiation and accounts for the majority of UV radiation reaching the Earth's surface. UV-A penetrates deeply into the skin and is responsible for the skin aging process, wrinkles and can contribute to the risk of skin cancer. It is also the radiation used in tanning beds.
UV-B (280-315 nm): UV-B radiation has a shorter wavelength than UV-A and is more energetic. Some of this radiation is absorbed by ozone in the atmosphere, but a significant fraction still reaches the Earth's surface. UV-B is mainly responsible for sunburn and plays a crucial role in the synthesis of vitamin D in the skin. However, overexposure can cause damage to the DNA of skin cells, increasing the risk of melanoma and other types of skin cancer.
UV-C (100-280 nm): This radiation has the shortest wavelength and is the most energetic and potentially dangerous. Fortunately, they are completely absorbed by ozone and oxygen in the Earth's atmosphere, so they do not reach the Earth's surface. UV-C is used in industrial and medical applications to sterilize and disinfect, thanks to its ability to destroy microorganisms.
UV ray penetration ability [2]
The penetration capacity of UV rays and, consequently, their danger to humans, increases with the decrease in wavelength and increase in frequency. This means that UV-C rays, although they do not reach the earth's surface, would be the most harmful, followed by UV-B and finally UV-A, which are less energetic.
Most of the UV rays that reach the earth's surface belong to the UV-A category, with a small part of UV-B, while UV-C is completely absorbed by the ozone layer in the atmosphere. UV radiation levels vary based on several environmental factors:
Altitude: As the altitude increases, the intensity of UV rays increases. It is estimated that for every 1000 meters of elevation, UV levels increase by 10-12%.
Position of the Sun:UV levels are higher when the Sun is higher in the sky, especially around midday and in the summer months, when the angle of the sun's rays is more direct.
Latitude and Cloudiness:UV levels tend to be highest near the equator and decrease as you move towards the poles. Clouds can filter some UV radiation, but they do not always offer complete protection.
Ozone layer: The ozone layer in the atmosphere acts as a shield, absorbing much of the UV rays, especially UV-C and some of the UV-B. Depletion of the ozone layer, due to factors such as chlorofluorocarbon (CFC) pollution, can increase exposure to UV-B.
Reflectivity of the Earth's Surface: Some surfaces reflect more UV radiation than others. For example, snow can reflect about 80% of UV radiation, increasing exposure, while dry sand reflects about 15% and sea foam about 25%.
These factors contribute to varying intensity of UV exposure in different conditions and environments, thus influencing the associated risks.
UV damage [3]
The OMS has identified nine diseases closely linked to exposure to ultraviolet radiation:
Cutaneous melanoma, malignant tumor of melanocytes, skin cells that produce skin pigment (melanin)
Squamous carcinoma of the skin, a malignant tumor which, compared to melanoma, has a slower evolution and is associated with lower morbidity and mortality
Basal cell carcinoma (basal cell carcinoma), a skin cancer that develops mainly at an advanced age and spreads slowly and locally
Squamous carcinoma of the cornea or conjunctiva, a rare ocular tumor
Keratosis, chronic skin diseases which on rare occasions can generate pre-cancerous lesions
Burns
Cortical cataract, degeneration of the crystalline lens, which becomes increasingly opaque to the point of compromising vision and which, in certain cases, can even lead to blindness
Pterygium, thickening of the conjunctiva leading to clouding of the cornea or limited eye movement
Reactivation of cold sores, due to immunosuppression induced by excess UV.
Prevention [3]
Limit exposure to sunlight as much as possible during the hottest hours, between 10am and 2pm.
Stay in the shade during the hottest hours, remembering that trees, umbrellas and canopies do not completely protect from sunlight.
Wear protective clothing: a wide-brimmed hat adequately protects your eyes, ears, face and back of your neck; high protection sunglasses greatly reduce eye risks; tight-fitting, opaque clothing offers additional protection from sunlight.
Use protective sunscreens (at least +15), reapplying them every two hours or after working, swimming or doing physical activity outdoors. Remember that sunscreens are not used to stay in the sun more, but to protect yourself when exposure is unavoidable.
Avoid the use of tanning lamps or beds, especially before the age of 18.
Take into account the UV index, an international scale that correlates the level of UV radiation with the degree of risk: when the index is higher than 3, preventive measures must be implemented.
Protect children especially, they are more at risk than adults
Positive effects of UV
However, exposure to UV rays does not only have negative effects. This radiation in fact plays an important role in the organic synthesis of Vitamin D, a substance involved in the development of the skeleton and capable of protecting bones from diseases such as rickets, osteomalacia and osteoporosis. In general, minimal exposure to UV rays is enough to obtain these protective effects.
Bibliography
[1] Organizzazione Mondiale della Sanità - OMS (2007), ICF-CY. International classification of functioning, disability and health: Children and youth version, World Health Organization, Geneva (trad. it. ICF-CY. Classificazione Internazionale del Funzionamento, della Disabilità e della Salute – Versione per bambini e adolescenti, Erickson, Trento, 2007). https://cordis.europa.eu/article/id/26092-who-highlights-dangers-of-sunlight/it
[2] Agenzia Zadig, Fondazione AIRC per la Ricerca sul Cancro, pubblicato il 20 maggio 2021, https://www.certifico.com/sicurezza-lavoro/documenti-sicurezza/67-documenti-riservati-sicurezza/4668-classificazione-sostanze-cancerogene-e-mutagene - https://www.airc.it/cancro/prevenzione-tumore/il-sole/raggi-del-sole
[3] Dogliotti E, Achene L, Beccaloni E, Carere M, Comba P, Crebelli R, Lacchetti I, Pasetto R, Soggiu ME, Testai E. Linee guida per la valutazione di impatto sanitario (DL. vo 104/2017). Roma: Istituto Superiore di Sanità; 2019 https://www.epicentro.iss.it/uv/#:~:text=I%20danni%20da%20UV,producono%20il%20pigmento%20cutaneo%20(melanina)