Hundreds of Sunscreens Don’t Work or Have Unsafe Ingredients, Annual Review Finds
Summer is fast approaching, which means it's time to stock up on sunscreen to ward off the harmful effects of sun exposure. Not all sunscreens are created equally, however.
The nonprofit Environmental Working Group released its 13th annual Guide to Sunscreens this month, which rated the safety and effectiveness of more than 1,300 sun protection products on the market. It found that two-thirds of those products either contained chemicals the Food and Drug Administration says could be potentially harmful or provide inferior protection from the sun.
EWG experts found that only 40 percent of the products it examined — including sunscreens, moisturizers and lip balms — have active ingredients that meet draft safety regulations developed by the FDA in February.
According to the FDA, just two of the 16 common active ingredients in most sunscreens, zinc and titanium oxides, have been tested enough to show they are safe and effective. Another two ingredients, PABA and trolamine salicylate, were found to be unsafe according to the proposed standards, while the remaining 12 did not have enough data for the FDA to indicate whether or not they worked and could be considered safe.
"The good news is that the FDA has reaffirmed what EWG has advocated for 13 years: Based on the best current science, the safest and most effective sunscreen active ingredients are zinc oxide and titanium dioxide," said Nneka Leiba, director of EWG's Healthy Living Science program, in a press release. "It's long past time that the chemicals used in sunscreens were tested to show that they will not harm our health."
Many of the chemical ingredients were not tested enough because they had been grandfathered in when the FDA set more rigorous testing regulations in the 1970s, Time reported, as the belief then was that creams, lotions and sprays did not penetrate deep enough beyond the surface of the skin. A recent FDA study, however, confirmed that common sunscreen ingredients avobenzone, oxybenzone, octocrylene and ecamsule all end up in the bloodstream at levels beyond the threshold for further testing.
Oxybenzone is an allergen and potential endocrine disruptor that can have adverse effects on human growth, development and reproduction, USA Today reported, and could be damaging coral reefs. Oxybenzone was found in more than 60 percent of the sunscreens reviewed by the EWG.
Time also reported that sunscreen manufacturers have put stronger chemicals in their products in response to skin cancer concerns or increased listed sun protection factor (SPF) values, while health experts have suggested more frequent use of these sunscreens, potentially increasing the likelihood the chemicals are absorbed.
Legislation has since been enacted to improve the FDA review process, and the EWG supports an FDA proposal to limit SPF ratings, as research has not shown that higher SPF ratings provide additional protection from all ultraviolet rays. If anything, the EWG says, SPF values greater than 50+ provide a false sense of security leading to increased exposure.
The EWG's 2019 sunscreen guide did provide some good news: more than 260 sunscreens meet its safety guidelines and would also meet the FDA's proposed standards. The full list of those products is on the EWG website.
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By Kristen Fischer
It's going to be back-to-school time soon, but will children go into the classrooms?
The American Academy of Pediatrics (AAP) thinks so, but only as long as safety measures are in place.
Keeping Schools Safe<p>What will safer schools look like?</p><p>In a <a href="https://jamanetwork.com/journals/jama/fullarticle/2766822" target="_blank">JAMA article</a> published last month, <a href="https://www.jhsph.edu/faculty/directory/profile/1781/joshua-m-sharfstein" target="_blank">Dr. Joshua Sharfstein</a>, a pediatrician and professor at the Johns Hopkins Bloomberg School of Public Health, outlined suggestions — many of which are similar to AAP's.</p><p>Remote learning protocols must stay in place, especially as some schools stagger home and in-building learning. If another shutdown needs to occur, children will rely on distance learning completely, so it must be easy to switch to, he said.</p><p>He suggested giving parents a daily checklist to document their child's health. Kids should be screened quickly on arrival and be given hygiene supplies. Maintenance staff should use appropriate PPE and have regular cleaning schedules. A notification system should be in place if a case is identified, Sharfstein recommended.</p><p><a href="https://www.albany.edu/rockefeller/faculty/erika-martin" target="_blank">Erika Martin</a>, PhD, an associate professor of public administration and policy at University at Albany, said nutrition assistance and health services should be included. She called for tutoring programs with virtual options as well as technology access.</p>
Supporting Staff<p>Teachers and staff will be affected by safeguarding measures, noted <a href="https://directory.sph.umn.edu/bio/sph-a-z/rachel-widome" target="_blank">Rachel Widome</a>, PhD, an associate professor of epidemiology and community health at University of Minnesota.</p><p>"In order for all of the in-school precautions to work well, we'll be asking a lot of teachers and staff," Widome told Healthline. In addition to their usual workload, they'll now be asked to monitor mask-wearing, ensure children are keeping distance, and be aware of any symptoms.</p><p>Along with Sharfstein, Widome called for an increase in financial support. More employees will likely be required so teachers and staff members can keep up with the added demands.</p>
Should Kids Go Back?<p>While these guidelines may help get some schools to reopen, many people don't think children should go back to school over fears they could contract the disease and spread it to other vulnerable family members like grandparents, infant siblings, or their parents.</p><p>In a <a href="https://pediatrics.aappublications.org/content/early/2020/07/08/peds.2020-004879" target="_blank">Pediatrics</a> commentary, <a href="https://www.md.com/doctor/william-raszka-md" target="_blank">Dr. William V. Raszka, Jr.</a>, an infectious disease specialist at The University of Vermont Medical Center, argued that schools should open because school-aged children are far less important drivers of COVID-19 than adults.</p><p>But he says the risk and benefit is not equal among all students ages 5 to 18.</p><p>"Elementary schools are arguably higher priority for face-to-face schooling, since younger children are at lower risk for infection and transmission, and since parental supervision of younger children's distance learning may be particularly challenging," added Sorensen, who penned a <a href="https://jamanetwork.com/channels/health-forum/fullarticle/2767411" target="_blank">June article in JAMA</a> with reopening tips. "That means middle and high schools are more likely to emphasize distance learning."</p><p>Specific student populations, such as special education students and students with disabilities, would also benefit greatly from more time spent in face-to-face environments, Sorensen said.</p>
What Parents Can Do<p>Parents should ask for and receive frequent updates from schools about plans for the fall. They should also be informed about plans if and when COVID infections are identified, Sharfstein said.</p><p>"I'd like to see parents investing now, during the summer, in doing things that can slow and stop the spread of the virus in their communities," Widome said.</p><p>"Now is a good time for kids to practice wearing masks and get used to them as they may be wearing them for longer stretches if school starts up in person," Widome suggested.</p><p>She recommends parents try different mask designs and materials to see what children are more comfortable wearing.</p><p>"If you are using cloth face coverings, it's good to have extras on hand," Widome added.</p><p>Parents should model healthy behavior at home and while out in public — another thing that could affect how well children adapt to reopening practices, Sorensen said.</p><p>"Children may want to know more about face coverings," added <a href="https://www.linkedin.com/in/leescott/" target="_blank">Lee Scott</a>, chairwoman of the Educational Advisory Board at <a href="https://www.goddardschool.com/" target="_blank">The Goddard School</a>. "Dramatic play, such as creating or wearing a face covering, may help some children adjust to this concept." Schools can also show children photos of what faculty members look like in their masks so the students are familiar with that appearance.</p><p>Johns Hopkins University recently released its eSchool+ Initiative, a slew of resources surrounding education during the pandemic. These include a <a href="https://equityschoolplus.jhu.edu/reopening-checklist/" target="_blank">checklist for administrators</a>, report on <a href="https://equityschoolplus.jhu.edu/ethics-of-reopening/" target="_blank">ethical considerations</a>, and a tracker of <a href="https://equityschoolplus.jhu.edu/reopening-policy-tracker/" target="_blank">state and local reopening plans</a>.</p>
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<div id="fea63" class="rm-shortcode" data-rm-shortcode-id="9a6f211c2bc5aedd34837944cb8eeedf"><blockquote class="twitter-tweet twitter-custom-tweet" data-twitter-tweet-id="1281000111481294849" data-partner="rebelmouse"><div style="margin:1em 0">Water in Illinois is overwhelmingly public. Why is Tammy Duckworth sponsoring a bill that aims to change that? https://t.co/1V36Kkd99s</div> — The American Prospect (@The American Prospect)<a href="https://twitter.com/TheProspect/statuses/1281000111481294849">1594249201.0</a></blockquote></div>
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