Sun Damage – Short-Term and Long-Term Effects By Dr Kathleen Thompson

Last time we discussed sunburn and sunscreens. But what if, despite all efforts, you get sunburned?

First reduce inflammation. Take anti-inflammatories (eg ibuprofen) and apply bland moisturisers. Cool the affected skin with wet cloths, and keep hydrated.  (Pure) aloe vera may help.

Vitamin E may reduce on-going skin-cell damage, which can continue even after sun-exposure. Burnt skin should be protected from further sun. If the burn is severe and covers a large area, or you feel unwell, you may need medical advice.

After several days, your skin will appear recovered, albeit somewhat browner. But this isn’t the end of the story. You will have some permanent damage, which will make your skin look older, and put you at more risk of skin cancer.

Sun UV is responsible for 80% of skin-aging – reduced elasticity (causing sagginess), skin texture changes, wrinkles, hyper-pigmentation and yellowish discolouration. A recent study has shown that regular sunscreens significantly reduce these effects.

More worrying, it is estimated that, in the UK, sun is responsible for 70-90% of the main skin cancers – malignant melanoma (MM), squamous cell carcinoma (SCC) and basal cell carcinoma (BCC).

Intermittent severe (blistering) sunburn, particularly when young, is probably the major cause of MM. In fact, five severe sunburns between ages 15 to 20 years increase risk by 80%. Conversely, SCC and BCC are related to chronic long-term sun. Fair-skinned people are at greater risk as they have less protective melanin. Some people are also genetically susceptible.

Our immune system always attempts to remove damaged skin-cells, in order to prevent cancer, so any immunodeficiency increases risk. To help your immune system, eat plenty of fresh fruit and vegetables.

MM arises from melanocytes (melanin-producing cells). MM may look like a new mole, or a change in a pre-existing mole – such as increased size, irregular edge, colour changes, asymmetrical shape, itching, pain, bleeding or crustiness. Melanoma is aggressive, but can be cured if caught early, so do see your doctor if you notice any skin changes. It can develop from melanocytes anywhere – any skin and, rarely, even the eye.

MM is the most dangerous skin cancer, but BCC is the commonest (75%) and SCC is next commonest. Unlike MM, which can appear on skin anywhere, BCC and SCC generally develop on sun-exposed skin. Either may resemble a sore, which won’t heal, a reddish patch, sometimes with crusting or bleeding. BCC sometimes forms a shiny bump of various colours, or an irregular scar. SCC can look like a wart, or a raised growth with a central dip.

Most BCC and SCC can be removed successfully, but if ignored, they can invade deeply, causing serious disfigurement and sometimes can spread elsewhere in the body, particularly SCC.

The best solution is to avoid sunburn and prolonged sun exposure. However once the damage is done, do maintain a healthy immune system and watch your skin carefully for any changes, or odd lumps or bumps which won’t going away – early treatment can cure.

Further Information:

http://www.skincancer.org/prevention/sunburn/facts-about-sunburn-and-skin-cancer

http://www.cancerresearchuk.org/about-cancer/causes-of-cancer/sun-uv-and-cancer/sun-facts-and-evidence

Note: These articles express personal views. No warranty is made as to the accuracy or completeness of information given and you should always consult a doctor if you need medical advice

 

 

Debrett’s Reveal The Questions They’re Most Frequently Asked

debrett's guide to good mannersDebrett’s have revealed the questions they are most frequently asked by the public.  The list, which covers everything from social kissing to mobile phone use, provides a revealing insight into the social anxiety people experience in behaviour for everyday situations. We may no longer live in the structured world of ‘Downtown Abbey’, but it’s clear that many of us still yearn for guidance on good manners.

 

Debrett’s was founded in London in 1769, and now has an international presence.  In the last 12 months they received more than 10,000 enquiries from across the globe.  The enquiries on social behaviour inform part of the recently released Debrett’s Handbook, a 480-page compendium on good manners.

 

Below Debrett’s reveal the questions they have been most frequently asked in the last 12 months, and provide their responses.

 

1 – MOBILE PHONE USE

Debrett’s receive more enquiries about mobile use than any other device. According to Debrett’s, it is always rude to pay more attention to a phone than a person in the flesh, and they should always be put away when transacting other business – for example, when you’re paying for something in a shop.  They should be switched off in theatres, cinemas (including during the trailers!), art galleries, or any space where silence is desired.

 

2 – SMOKING E-CIGARETTES AT WORK

As electronic cigarettes become more popular, so to do the number of enquiries that Debrett’s receive on the device.  The most pressing question is whether they are acceptable in the workplace. According to Debrett’s they should never be used in a work environment. Vaping shows that you’re not focused on your work and may also be a distraction to your colleagues.

 

3 – SOCIAL GREETING: KISSING

Many people are clearly unclear on the subject of social kissing.  According to Debrett’s, kissing is not appropriate in many professional situations. On the whole it should only be used among friends, but not on first meeting. An air kiss, without contact, may seem rude or impersonal, so very slight contact is best but no sound effects are needed.

 

4 – EATING AND APPLYING MAKE-UP ON PUBLIC TRANSPORT

Following the recent controversy surrounding public-shaming websites, Debrett’s has been inundated with enquiries as to whether it’s acceptable to eat or apply make-up on public transport.  According to Debrett’s you should avoid both.  It’s inconsiderate to eat smelly food in a confined environment, and applying make-up on public transport can jeopardise that all-important first impression and make you appear disorganised.

 

5 – RECLINING YOUR SEAT ON AEROPLANES

This is a common bugbear.  According to Debrett’s, it’s selfish to recline your seat back during short daytime flights. When travelling by plane always stay within your own designated space and don’t hog the armrest. Also avoid kicking the back of the seat in front of you or using it as an aid to standing-up.

 

6 – GIVING UP YOUR SEAT ON PUBLIC TRANSPORT

In a recent university experiment only 20% of London tube passengers offered to give up their seat to a visibly pregnant woman.  According to Debrett’s, passengers should always offer to give up their seat to any individual that is pregnant, elderly, or clearly in need. It is important to remember, however, that it is just as rude to aggressively decline the offer of a seat as it is to not offer a seat.

 

7 – BLIND COPYING (bcc)

Debrett’s receive a high level of enquiries on best business practice.  The most commonly asked question is whether it is ever right to blind copy (bcc) someone into an email. According to Debrett’s, blind copying should be used discerningly as it is deceptive to the primary recipient. Instead, the email should be forwarded on to the third party, with a short note explaining any confidentiality, after its distribution.

If blind copying is essential – i.e. for a confidential document where all recipients must remain anonymous – then the sender should address the email to themselves, and everyone else as ‘bcc’ recipients.

 

8  – EATING BEFORE EVERYONE IS SERVED

The final question is one that we’ve all asked ourselves: is it rude to start eating at the table before everyone else has been served?  According to Debrett’s the simple answer is yes, unless the host or hostess gives their permission for diners to start

 

Out now, Debrett’s Handbook is the most comprehensive book Debrett’s has ever published aside from its famed registers, People of Today and Peerage & Baronetage, and combines Debrett’s Correct Form with a guide to modern manners for the first time. Priced at £35, and available from the Debrett’s online shop Debrett’s Handbook will make for a great Christmas present – and it’s sure to settle a number of age-old family debates on manners and appropriate behaviour! The Debrett’s Handbook is out now.  For more information visit www.debretts.com