Tag: sunscreen

Skin Cancer Awareness Month: NHS Lothian patients share experiences

Two patients have spoken out on Skin Cancer Awareness Month about the difference NHS Lothian’s treatment has made to their lives. 

Alan Vannan, 62 from Peebles, was diagnosed with squamous cell carcinoma (SCC), the second most common skin cancer, and has been administered with immunotherapy for two years.

Prior to this, patients like Alan with advanced SCC who’ve exhausted other treatment, such as surgery and radiotherapy, wouldn’t have had other options.

Alan said: “It started with a lump on my neck and cheek, so I went to the GP. 

“When I saw the doctor at St John’s, he took one look and diagnosed it as skin cancer and said they’d need to operate on it quickly. A Macmillian nurse, who’s been brilliant, called me on the way home.

“Processing what people are telling you after a cancer diagnosis can be the most difficult part. 

“Next was the surgery followed by radiotherapy, which wasn’t easy. Beforehand, I always thought of skin cancer as something minor and easily treated.”

Unfortunately, after his treatment, Alan received the news that the cancer hadn’t gone away.

Alan continued: “That was a difficult time. They couldn’t operate further. It came as a bit of a shock. Mentally, it was hard to process. They told me I had months left and that’s when I went to Dr Mackenzie. 

“I was given immunotherapy and it’s the best thing that’s happened to me. I’ve gone from being told I had months to it being two years later. 

“As soon as I started taking the drug the wound healed up. For me, it’s been absolutely fantastic. Every time I’ve got a scan I expected it to get worse, but it never has.

“I can’t praise the staff highly enough. The nurses, surgeons, radiologists and oncologists at the Western General and St John’s, and the Macmillian nurses, have all been amazing.”

Dr Joanna Mackenzie, Consultant Clinical Oncologist at Edinburgh Cancer Centre (above), said: “We’re always looking for ways to improve how we support our patients, and this has been a huge step forward in our management of difficult skin cancers. 

“To see it make such a difference to people like Alan who, just a few years ago, we wouldn’t have had the tools to help is really fulfilling for us as a team. 

“We’re also looking to conduct research to see if immunotherapy can be used at an earlier stage to help a wider number of patients with SCC.”

NHS Lothian last year also invested in a new superficial x-ray machine which treats basal cell carcinoma (BCC), the most common type of skin cancer. 

The machine is used for patients where surgery is not the preferred option, which can be due to other health conditions or the location of the cancer. 

BCC is rarely life-threatening but is typically seen on the face and attacks surrounding healthy tissue, sometimes leading to deformity. 

Lynda Gordon, 74, from Joppa, said: “About two years ago, I woke up with a hole at the end of my nose, so I contacted the GP.

“I was referred to the hospital at Lauriston and had an appointment to meet with a plastic surgeon, an oncologist and a dermatologist at the Joint Cutaneous Oncology Clinic. 

“It was diagnosed as a BCC and I chose to receive radiotherapy.

“An operation would have required taking skin from elsewhere and because I’ve had that before, with an SCC in 2017, I couldn’t go through that again.

“I went for the procedure at the cancer centre in February with this new machine. 

“I went every weekday for one week. Staff are lovely and make sure to explain everything. It only takes about two minutes each time. 

“The healing process was a bit unpleasant but three to four weeks later it settled, and my nose is looking absolutely fine. I’m really pleased with the results. 

“The care provided by staff is just brilliant.”

This Skin Cancer Awareness Month, NHS Lothian is also urging everyone to take simple precautions when enjoying the sun.

Dr Mackenzie continued: “It’s easy for us to think that, because we see many months of cold weather, the summer months can’t cause too much damage. 

“But whether at home or abroad, we all need to make the effort to protect our skin. 

“Simple ways to do so are avoiding the sun at peak times and wearing high-factor sunscreen as well as hats, sunglasses and clothing which covers sensitive areas more prone to sun damage.

“Please contact your GP if you’re concerned about any unusual changes to your skin.”

Popular sunscreens failing to live up to sun protection, says Which?

Popular sunscreens – including a leading children’s sun lotion – are failing to meet their SPF and UVA claims in Which? tests.

As people head out to enjoy the great outdoors this summer, it is important for everyone, especially children whose skin is more sensitive than adult skin, to protect their skin from harmful UVA and UVB rays that could lead to skin damage and cause skin cancer. But worryingly, Which? tests of high street sunscreens found some big brand products that did not live up to their claims.

The consumer champion tested 15 branded and own-label sunscreens, including 11 SPF30 adult products and four SPF50 kids sun creams, assessing their SPF and UVA performance, as well as how easy they were to apply.

While most passed Which?’s tests, two products – Garnier’s Ambre Solaire Clear Protect Spray SPF30 (£7) and Nivea’s Kids Protect & Care SPF50+ Spray (£6) – both failed at least one key protection test and have been labelled Which? “Don’t Buy” products.

Both brands have refuted Which? findings.

Sun Protection Factor (SPF), which shows how much a product protects against UVB rays, is one of the most important considerations when buying sunscreen, especially for young children who tend to have more sensitive skin compared to adults.

Shockingly, Nivea’s Kids Protect & Care SPF50+ failed Which?’s SPF test, falling far short of the SPF50 claim on the bottle. A further test on a second sample found the measured SPF was even lower.

In addition to SPF, consumers should also pay attention to the protection sunscreens provide against UVA rays, which can lead to premature ageing along with skin cancer. This is usually indicated with a UVA seal – a circle with ‘UVA’ inside it – which shows that it meets the EU recommendations for UVA sun protection, or the Boots UVA star rating system used to indicate a higher level of UVA protection.

Although it passed the SPF test, Garnier’s Ambre Solaire Clear Protect Spray SPF30 failed Which?’s UVA tests twice. While the results were close to the minimum required for it to pass, it did not quite make the grade.

Thirteen other own-label and branded sunscreen products passed all Which? tests, including Asda’s Protect Cooling Clear Sun Mist SPF 30 (£3.50) and Boots Soltan Kids Protect & Moisturise Suncare Lotion SPF50+(£4) which were among the cheapest of all the products.

Harry Rose, Which? Magazine Editor, said: “Whether you’re finally off on holiday or staying at home this summer, it’s important to stock up on sunscreen to keep your skin protected from harmful rays. But our research shows consumers cannot always trust that these essential products will provide the level of protection they expect for themselves and their children.

“It is concerning that two sunscreens from respected brands have failed Which?’s tests. We would advise consumers not to buy these products as there are alternatives available that are both cheaper and performed better when we tested them.”

A L’Oreal (makers of Garnier Ambre Solaire) spokesperson said it disputes Which?’s findings. It has run independent tests of the UVA properties of the product which show that it passes the tests, complies with all applicable standards and provides proper sun protection for consumers.

It added: “Garnier Ambre Solaire has been the expert at suncare innovation for over 85 years and is the only suncare brand with research recognised by the British Skin Foundation. We take product efficacy very seriously.

“Our UVA claims are supported by robust photoprotection testing carried out independently under ISO standard ISO 24443:2012 and meet the requirements of the European Recommendation for sun protection products.

“Given this, we are very surprised by the Which? results and have requested a meeting with the Which? researchers so our scientists can take them through our test results which confirm the efficacy of this product.”

A Beiersdorf (makers of Nivea) spokesperson said: “The safety of our products is of utmost importance. Nivea Sun prides itself on its decades of experience in sun care and is dedicated to developing products that reliably and effectively protect against sun damage.

“When this product was independently tested in 2019 it achieved an SPF of 62. When we re-checked this batch, the result was a UVA protection factor of 25.8. Based on this data and our comprehensive quality requirements, we disagree with the reported Which? findings.”

Five things you need to know about staying safe in the sun

  • The World Health Organization recommends using 35ml of sunscreen to cover the whole body; this is about seven teaspoons’ worth. It’s best to apply to all exposed areas 15 minutes before going outside, and reapply every two hours, especially after swimming or other outdoor physical activity.
  • UVA and UVB are both types of ultraviolet (UV) radiation from the sun and have been linked to skin cancer. UVB is the main cause of sunburn, while UVA can cause premature skin ageing. UVB rays are blocked by glass, but UVA can penetrate that and clouds.
  • The sun protection factor (SPF) shows how much protection sunscreen provides against UVB radiation. It indicates how much longer skin covered with the sunscreen takes to redden compared with unprotected skin.
  • When buying sunscreen, NHS recommends choosing a product with at least 4-star UVA protection indicated on the label.
  • For children, buying an SPF 50+ sun cream is important, but buying a decent sunscreen is only one part of keeping them safe in the sun. Getting kids to wear a wide-brimmed hat – to protect their neck and ears – and covering up with a T-shirt or an SPF sun suit while outdoors helps. Wearing sunglasses and avoiding the hottest part of the day are both advisable things to do. Babies should always be kept out of the sun.

It is recommended you wear sunscreen when the UV index hits three, the below map shows how often this happened around the country in 2020.