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Experts Say Live Wisely

Pop-up Tent, Pop-up Sunburn

By: Patricia M. Delgado, DNP, APRN, DCNP

About 8 years ago, I went to the beach around 2:00 PM with a very good friend I had not seen in several years. Needless to say, we had a LOT to catch up on. I wore a comfortable two-piece bathing suit and brought my pop-up tent, because the Florida beach at 2:00 PM in the middle of May is just not a pleasant place to be without some shade. Comfortable under our shady tent and with sunscreen applied upon our arrival, we chatted for hours. The shade however, had been quite deceiving. Back then, I was not a board-certified dermatology nurse practitioner yet, so I was not fully aware of the nuances of sun protection, like the fact that UV rays can reach our skin from all directions.

Another fun fact I was not aware of at the time was that all shade is not created equally. Different types of canopies vary in their protectiveness owing to differences in materials, size, and variations in design. Your standard pop-up beach canopy may state that it is 99% UV protective, but unlike UV-protective clothing, shade like a beach tent or umbrella does not block all of the angles that damaging UV rays can reach the skin.

A common reason many people (including myself 8 years ago) forgo sun-protective clothing is because they forget about the presence of UV rays that reflect off of the sand and water. According to the World Health Organization, dry beach sand reflects about 15% of UV rays, and sea foam reflects about 25%. Still other UV rays are diffused by atmospheric particles. I bet you were not thinking about atmospheric particles when you were packing for your beach day.

People often assume that their skin is fully protected as long as they are either under the shade of an umbrella or slathered with sunscreen. Studies have been done that specifically evaluate the UV protectiveness of a beach umbrella and directly compare it with protection provided by sunscreen with a high sun protection factor (SPF).

In one of these studies, participants were randomly assigned to 2 groups: 1 group of 41 participants was sent to the beach with only a beach umbrella, and the other group of 40 participants using only sunscreen with a SPF of 100. All participants remained at the sunny beach for 3½ hours at midday.

Clinical sunburn evaluation of each individual for all exposed body sites was conducted 22 to 24 hours after sun exposure. The results were impactful. There was a total of 142 sunburn incidences in the umbrella group and 17 in the sunscreen group. These results are a clear indication of the importance of having a multifaceted approach to sun protection and not getting too comfortable just because you have shade at the beach or slathered yourself in high-SPF sunscreen.

I don’t feel too guilty though about having put too much faith in my shady easy-up canopy, sunscreen and still ending up with a sunburn. While 25% of Americans frequently stay in the shade, only 16% regularly wear a hat, and 6% report frequently wearing long sleeves. Although I was not aware of it at the time, the literature has shown that barrier methods like clothing and shade are more effective than sunscreen alone in reducing exposure to solar UV radiation.

This, ladies and gentlemen, is why even if you are under a pop-up tent, beach umbrella or sun shade covered in sunscreen, you should still protect yourself with a clothing barrier. Put on your Coolibar UPF 50+ sun-protective clothing, apply your sunscreen on any exposed areas, and don’t forget to re-apply every 2 hours (or sooner if you are sweating or after you go for a dip).

My story ends with me learning a valuable lesson: Protecting your skin from all angles at the beach is a must, regardless of whether or not you are sitting in the shade. Even if sunscreen annoys you or makes you feel sticky, protect yourself with UPF 50+ clothing. The best barrier to the sun is physical barrier on your skin.

Linos, E., Keiser, E., Fu, T., Colditz, G., Chen, S., & Tang, J. Y. (2011). Hat, shade, long sleeves, or sunscreen? Rethinking US sun protection messages based on their relative effectiveness. Cancer causes & control : CCC, 22(7), 1067–1071. https://doi.org/10.1007/s10552-011-9780-1

Ou-Yang, Jiang, L. I., Meyer, K., Wang, S. Q., Farberg, A. S., & Rigel, D. S. (2017). Sun Protection By Beach Umbrella Vs Sunscreen With A High Sun Protection Factor: A Randomized Clinical Trial. JAMA Dermatology., 153(3), 304–308. Https://Doi.Org/10.1001/Jamadermatol.2016.4922

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Live Wisely

Rowan’s Brave Journey with Gorlin Syndrome

By: Stacy Bissell

When my 8-year-old daughter, Rowan, was little, she would go up to people on the street to tell them all about her life: her latest adventures, her dreams of running a museum, an animal rescue, being a famous singer and on and on. Then and now, she wants to be seen and to be able to tell her story. Gorlin syndrome is part of her story.  

Rowan was diagnosed with Gorlin syndrome, a rare genetic disorder, when she was 5 years old. After a couple of years bouncing around to various doctors for odd things and monitoring bumps on her face and body, a pediatric dermatologist biopsied one of them and determined it was a basal cell carcinoma (BCC), a type of skin cancer associated with Gorlin syndrome. Gorlin syndrome is also known as Nevoid Basal Cell Carcinoma Syndrome (NBCCS) due to the proliferation of BCCs in affected individuals.

Our family was floored, unsure of how to navigate all the doctor’s appointments, protocols, new recommendations, treatment options, and our mental health. Our diagnosing dermatologist suggested we connect with the Gorlin Syndrome Alliance (GSA), a patient advocacy organization focused on building community, seeking better treatments, and improving the quality of life of those affected by Gorlin syndrome. 

Connecting with the GSA has been a beautiful silver lining, as we have met incredible people who have supported Rowan and our family on this journey. Rowan met another girl with Gorlin syndrome, who gave her a stuffed elephant that she treasures; it reminds her that she is not alone. 

In Rowan’s first surgery, she had about two dozen BCCs removed from her face and body. Since then, she has had over 1000 BCCs treated in a variety of ways, from excision and laser removals to photo dynamic therapy and a variety of topical creams. She also sees a genetic counselor as well as numerous other specialists, and has maintained her outgoing demeanor, even crafting elaborate mazes on paper for her doctors. 

Nothing will fully stop the unrelenting growth of her BCCs but reducing UV exposure from sunlight is crucial to minimizing her BCC burden. High SPF sunscreen and sunblock only provide so much protection; but UPF (Ultraviolet Protection Factor) clothing is best. Coolibar offers kids clothing that protects her with the highest rated UPF 50+ that blocks 98% of UVA/UVB rays. Rowan wears sun hats, sunscreen, and UPF clothing every day. Coolibar’s sun hats have at least a 3” wide brim to protect her scalp, ears, neck and face from the sun. 

Gorlin syndrome and UV protection is a big part of her life, but Coolibar helps it be a smaller part, so she can focus on being the amazing, outgoing, inspiring, strong-willed kid that she is. Rowan is heading into her 3rd grade year at French American International School this year, and she has so much of her story ahead of her. I can’t wait to experience her impact on the world — she’s just getting started.

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Inside Coolibar What's Hot

Latest Fashion Trend: The Bucket Hat?

Coolibar Bucket Hat

We first started hearing rumblings about his about a year ago, when some of the hip fashion bloggers started saying the bucket hat was a thing again. We love bucket hats; admittedly, we have an extra-large crush on them because they protect your face. But we last saw our friend the bucket hat as a major fashion player in like 1999. We thought these rumblings would go away.

They didn’t. Instead, they got stronger.

And stronger. Rihanna in a bucket hat? That’s a long way from Gilligan, or even LL Cool J. The latest homage comes from Refinery29, and we’re sure there will be more.

Coolibar has always offered bucket hats, but if there’s going to be a trend we’re more than “Happy” to throw our hat into the ring.

Of course, Coolibar bucket hats have an extra bonus: they’re UPF 50+. How much trendier can you get?

 

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