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contingencies 4 days ago

Everyone in Australia gets skin cancer. It's just normal. My grandma had something like 5 or 10 of them removed. In general, kids these days spend less time outside and do understand the value of hats and sunscreen or long sleeves, so it's getting better. The face can be hard, particularly without a hat.

I always laugh when people wear those stupid baseball caps instead of proper hats with brims. They think it's 'cool'. Mate, the main person laughing at your 'cool' is future you - dying from skin cancer on your face.

"Mad dogs and Englishmen go out in the midday sun." - https://www.phrases.org.uk/meanings/mad-dogs-and-englishmen....

XorNot 4 days ago | parent | next [-]

Kalahari hats are my go-to when outside these days.

https://www.sunsafeaustralia.com.au/headwear/p/uveto-austral...

subpixel 4 days ago | parent | next [-]

I wear a baseball cap and a hooded sun shirt. Plus mineral sunscreen all over my face and neck.

https://hendersonvilleoutfitters.com/products/upf-shirts

contingencies 4 days ago | parent [-]

Technically both of these approaches are not as good as a wide brimmed hat in terms of face protection. However, for some sports it's superior (anything with wind or clearance issues). I'm on a Stetson at the moment after a US trip but usually go for whatever broad brim is available. Buying new ones gets old so going for a 'crushable' model is the go - I like the felt Stetsons. The other benefit from a broad brim is it functions as an auto-umbrella in light weather which is damn cool. Also, hat-on-face is similar to those plane-sleep-eyewear bands.

whatevaa 4 days ago | parent | prev [-]

Yeah, I wouldn't classify it as a hat anymore. Looks more like a hoodie.

Fire-Dragon-DoL 4 days ago | parent | prev | next [-]

Stupid question since I don't live in Australia. Is the skin cancer a consequence of the sunburn or do they get it without sunburn?

swores 4 days ago | parent | next [-]

I can't speak for Australia, but in general you definitely don't need to burn for increased cancer risk - a clear example of that is the fact that artificial UV tanning beds lead to significantly increased rates of cancer despite the fact that they're used in such a way that you tan without going far enough to burn.

Although we often think of burning as bad and tanning as good, tanning is nonetheless still actually a symptom of your skin being damaged by the sun - it's just a symptom that looks better than burned skin, to the point that many people think it looks nice enough to be worth the cancer risk (and/or don't understand the risk when they decide to tan).

jijijijij a day ago | parent | prev | next [-]

You absolutely don't need sunburns to get skin cancer from sun exposure. In fact, any skin tanning happens as a reaction to oxidative stress and DNA damage/repair! Of course, the amount of tanning is dependent on genetics, some people hardly tan at all. But if your skin gets darker due to sun exposure, it is evidence of radiation induced DNA damage. Sunburns may contribute a bit more, but it's the overall lifetime exposure to UV radiation, which is the main risk factor (accumulated DNA damage).

However, melanoma, the most dangerous form of skin cancer, also sometimes develops in areas hardly ever exposed to UV light. Like inside eyes, or in the groin. Melanocytes originate from the neural crest and are spread all over the body. Due to their ontogenetic origin (loose tissue association), melanoma is always bad news, while other forms of skin cancer hardly ever metastasize.

https://en.wikipedia.org/wiki/Sun_tanning

https://en.wikipedia.org/wiki/Melanocyte

https://en.wikipedia.org/wiki/Neural_crest

Fire-Dragon-DoL a day ago | parent [-]

I see, so the goal is to not get tanning at all, essentially

jijijijij a day ago | parent [-]

You shouldn't seek any tanning, yes. Sun light exposure is also beneficial, as you may know. Mood, circadian rhythm, vitamin D, ... . Also, intense exposure on skin, which hasn't ramped up defenses is worse than on "trained" skin.

Fire-Dragon-DoL a day ago | parent [-]

Mostly concerned for my kids (although we are not in Australia, we are in Canada, west coast), we don't get sunburn and we avoid sun from 11 until 3 PM (if we do, we put sunscreen on), but usually we don't put sunscreen on after 3 PM, so I was re-evaluating my practice, since my daughter does get tanned over summer by simply playing at the playground at 10 AM in the summer

jijijijij 11 hours ago | parent [-]

The amount of tanning isn't really an indicator, because it depends on the genetics how much melanin is in the skin to begin with and how much is produced as reaction to damage. I think the most important thing to keep in mind is not trying to get tanned intentionally, like the generations before us. IIRC, in about 70% of melanoma cancers you have a good chance of catching it early and be done with it. Once it metastasizes melanoma got a very bad prognosis. So, as adult, it's also important to frequently screen for it. Other skin cancers are usually not existentially threatening, but can fuck you up aesthetically, e.g. removal sacrificing chunks of your nose.

Personally, I use the UV index charts and avoid extremes, midday sun completely. I put on 50 SPF to my face and neck every time I leave the house. It's just routine. In winter I may skip it, because good sun screen is fucking expensive. Not so much about skin cancer, but rather skin aging. The face is always exposed. I am trying to get a little intentional sun exposure in spring after dark winter, slowly preparing my skin for summer and improving mood. However, I tan easily. If I had the skin type I, I would avoid the sun much more.

Did you notice how many people these days look younger? Even in their 30s? I think that's no smoking, intentional nutrition, exercise and sun screen (from childhood on).

LilBytes 3 days ago | parent | prev [-]

You don't need to get sun burns to get skin cancer, but there is of course a strong correlation.

Australia does have the highest records of skin cancer diagnosis per capita though, and it has for some time. [1] The reason for it is for a few reasons.

A prevalance of outdoors focused lifestyles, exasperated by a higher amount of UV penetration to the ground due to proximity to the equator, and a much smaller/thinner O-zone layer than anywhere else in the world. This applies to both Australia and New Zealand btw.

Both due to the location, and man made causes (e.g., CFC's) [2]. Though fortunately, the O-zone layer is getting much better and quite quickly. The article I linked states the ozone layer will be at pre-1980 levels by 2050. Taking this at face value without much scrutiny though.

Australian's statistically have fairer skin. I'm half Cypriot by mother's, Norweigan. I did not get my fathers complexion ;-).

Throw in the sheer number of people who travel here from places where the ozone is much stronger/better, means people enjoying our lifestyle without the same level of protection warranted. I thiink this risk is overstated though, I made the mistake of not using enough sunscrean or clothing once, and got the most hellish skin burn. You only ever make that mistake once.

[1] https://biologyinsights.com/which-country-has-the-highest-ra... [2] https://cyclimate.com/article/does-australia-have-an-ozone-l...

ascorbic 4 days ago | parent | prev [-]

Why is it particularly bad in Australia? Is it simply that it's the whitest country at that kind of latitude?

fithisux 4 days ago | parent | next [-]

Summer in Australia gets more power from sun than summer in e.g. France, because of the elliptic trajectory of earth. ~ 7% more.

lozenge 4 days ago | parent | prev [-]

They get the worst of the "hole" in the ozone layer.