Lauran Neergaard, AP
Just as millions head to tanning beds to prepare for spring break, the Food and Drug Administration will be debating how to toughen warnings regarding cancer risks. Yes, sunburns are particularly dangerous, but there's increasing scientific consensus that there's no such thing as a safe tan, either.
This is a message that Katie Donnar, 18, dismissed until a year ago when, preparing for the Miss Indiana pageant, she discovered a growth on her leg &ndash an early-stage melanoma, the most dangerous form of skin cancer.
She can't prove tanning beds are to blame, but started using them as a sixth-grade cheerleader, says she stepped under the bulbs about every other day during parts of high school, and at one point even owned one. No more.
“It seemed somewhat of a myth that I was putting myself at risk,” says Donnar, who found the melanoma before it spread. “The warning label was so small, nothing to make me stop and think," she said of the tanning bed.
The World Health Organization's cancer division last summer listed tanning beds as definitive cancer-causers, right alongside the ultraviolet radiation that both they and the sun emit. They'd long been considered probable carcinogens, but an analysis of numerous studies that concluded the risk of melanoma jumps by 75 percent in people who used tanning beds in their teens and 20s, tipped the scales.
Next comes the FDA, which has long regulated tanning beds as low-risk medical devices. Tanning beds do bear some warnings about the cancer link, but the FDA recently decided those labels aren't visible enough to consumers and don't fully convey the risk, especially to young people.
So in March, the FDA's scientific advisers open a public hearing to explore stricter tanning bed regulation, both stiffer warnings and reclassifying them to allow other steps. “We don't recommend using them at all, but we know people do use them so we want to make them as low-risk as possible,” says FDA UV radiation specialist Sharon Miller.
The Indoor Tanning Association, already fighting pending legislation that would tax tanning salons to help pay for Congress' health care overhaul, argues there's no new science to justify increased FDA regulation. Any risk is to people who overdo it, says ITA President Dan Humiston, arguing that's easier to do in the sun.
The FDA also says some people go too often, using tanning beds three times a week when research shows once a week would provide visually the same tan. The tanning bed debate isn't an excuse to roast in the sun instead. Nor is melanoma the only risk. Also linked to UV exposure are basal and squamous cell carcinomas, which affect more than 1 million Americans a year. They're usually easily removed but the American Cancer Society counts 2,000 annual deaths. Melanoma is more lethal, as nearly 69,000 U.S. cases were diagnosed last year, and about 8,650 people died.
Fair-skinned people who don't tan easily are at highest risk. Melanoma is particularly linked to sunburns at a young age, and while it usually strikes in the 40s and 50s, doctors are seeing ever-younger cases like Donnar.