New York State Department of Health. Tanning Facilities Program Tanning Facilities a public health regulatory program presented by the 9/9/2013

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1 New York State Department of Health Tanning Facilities Program 2013 Tanning Facilities a public health regulatory program presented by the Bureau of Community Environmental Health and Food Protection Empire State Plaza CorningTower, Room 1395 Albany, NY (518)

2 Overview laws & regulations tanning devices ultraviolet radiation effects of ultraviolet radiation public health risks program components 4 Epidemiological Model applied to Skin Cancer ATTITUDE TOWARDS TANNING (environment) TANNER (host) MELANOMA RADIATION FROM TANNING DEVICES (agent) 5 Public Health Law Article 35-A Ultraviolet Radiation Devices license required (3551) suspension or revocation (3552) fees (3553) powers and duties of the commissioner (3554) restrictions on the use of devices (3555) 2

3 Public Health Law Article 35-A Tanning Access by Minors Persons 18 years of age or older must provide photographic identification. Parents or legal guardians must give informed written consent for a person 17 to 18 years of age. Persons under 17 years of age are prohibited from tanning in NYS. 7 NYCRR Title 10, Chapter 2 Subpart 72-1 Tanning Facilities Rules and Regulations Is tanning addiction the cause of sunbed use among young adults? 9 3

4 Who tans? 1 million people tan million people tan Who tans? 2.3 million are teens 11 Who tans? 70% of the people that tan indoors are Caucasian females 16 to 49 years old 12 4

5 Indoor Tanning is a BIG business. 13 Where do people tan? 14 Gyms Fitness Clubs 15 5

6 R I T Rochester Institute of Technology RIT's Union has a game room with billiards and electronic games, performing arts rehearsal space, a hair-styling and tanning salon, meeting rooms, a student lounge, and two separate dining areas. 16 Beauty Salons & Spas 17 Video Stores 18 6

7 Gas Station Convenient Store 19 Multiple Services 20 Tanning Devices aka Ultraviolet Radiation Devices 21 7

8 Types of Tanning Devices 22 Tanning Bed 23 Tanning Booth 24 8

9 Bed or Booth 25 Tanning bed in operation 26 Tanning booth in operation 27 9

10 UV Lamps and Bulbs 28 When to tan? 29 Before a wedding 30 10

11 Before a vacation at the beach 31 In the winter 32 $5 billion a year industry 33 11

12 Why do people tan? a. cosmetic reasons b. relaxation c. biochemical boost d. more energy 34 Cosmetic Reasons 35 A tan looks good! Our culture idealizes tan skin

13 Relaxation 37 A tan feels good! UV rays cause the release of a biochemical similar to endorphins, known as a cutaneous opioid. 38 Energy 39 13

14 The indoor tanning industry claims tanning provides a. a base tan b. vitamin D c. cancer prevention d. all of the above 40 The indoor tanning industry claims... the risks associated with ultraviolet light are overstated and the benefits are ignored. 41 The indoor tanning industry claims... Vitamin D is a well-known side effect of ultraviolet light

15 The indoor tanning industry claims... there is no proof that avoiding ultraviolet radiation will decrease risks of melanoma or any cancer. 43 Do the risks out weigh the benefits?

16 long wavelength 400nm 320nm penetrates deep into the skin responsible for tanning 46 medium wavelength 320nm 280nm causes damage to the skin responsible for burning 47 short wavelength less than 280nm filtered out of tanning lamps 48 16

17 Skin Anatomy & Physiology UVC UVB UVA 49 Effects of Radiation 50 What are the public health associated with indoor tanning? a. skin & eye damage b. skin & eye infections c. photosensitivity reactions d. tanning by minors e. all of the above 51 17

18 Exposure to sunlamps or sunbeds is known to be a human carcinogen. The Report on Carcinogens, Eleventh Edition prepared by the National Institute of Environmental Health Science National Toxicity Program Department of Health and Human Services 52 Skin & Eye Damage photo damage skin cancer eyelid neoplasm cataracts ocular melanoma macular degeneration 53 Skin Cancer > 2 million cases of skin cancer basal and squamous cell carcinoma Most people get skin cancer from too much sun or tanning beds. American Academy of Dermatology

19 Melanoma 76,330 estimated new cases 11,980 estimated deaths 53,360 melanoma in situ diagnosed American Cancer Society 2011 Melanoma is the most common form of cancer for young adults years old and the second most common cancer in adolescents and young adults years old. 55 The risk of cutaneous melanoma is increased by 75% when the use of tanning devices starts before 30 years of age. The Lancet Oncology, c

20 Skin & Eye Infections virus bacteria fungus 58 Immune System Reactions A weakened immune system can increase the risk of infection. 59 Photosensitivity Reactions allergic dermatitis food cosmetics medication 60 20

21 Tanning by Minors The over-exposure in youths are more than twice as likely to lead to skin cancer than over-exposure later in life. The sharp rise in melanoma rates in young women correlates to the use of indoor tanning facilities. 61 World Health Organization Data shows a prominent and consistent increase in risk for melanoma in people who first used indoor tanning facilities in their twenties or teen years. Indoor tanning offers little if any protection against solar damage to the skin, nor does use of UV devices offer protection against vitamin D deficiency. 62 Centers for Disease Control and Prevention UV rays from artificial sources of light, such as tanning beds and sunlamps, are as dangerous as those from the sun and should be avoided

22 Federal Trade Commission educates the consumer about fraudulent, deceptive and unfair business practices protects the consumer by investigating false, deceptive and misleading advertising claims 64 Federal Trade Commission Get a beautiful tan indoors without increasing your risk of skin cancer. Indoor tanning is safer than the sun because the environment is controlled. Indoor tanning is approved by the government. Indoor tanning is a safe way to increase vitamin D levels. 65 Food & Drug Administration It s well established that UV radiation from the sun causes skin cancer. Since lamps used in tanning beds emit UV radiation, the use of indoor tanning devices also increase your risk of skin cancer. There is no such thing as a safe tan

23 Federal Compliance Standards for Sunlamp Products 21 CFR performance requirements of lamps timer systems protective eyewear lamp compatibility instructions to users 67 Public Health Law Article 35-A Rules and Regulations Subpart 72-1 Tanning Facilities Program 68 Tanning Program Components fees permits age restrictions age verification operation & maintenance protective eyewear general operator responsibilities 69 23

24 Tanning Program Components inspections control of access by minors consent and other required forms protective eyewear sanitation of tanning devices timer testing electrical safety 70 Tanning Program Components complaint investigations tanning access by minors unsanitary conditions 71 Tanning Program Components injury and illness investigations burns eye injuries any injury where medical attention was sought 72 24

25 Tanning Facilities Program Tools and Materials ehips database permits & fees inspections & complaints DOH forms permits & fees inspections & complaints acknowledgement & consent warning sign & hazards sheet 73 NYSDOH Indoor Tanning environmental/indoors/tanning/ 74 25

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