Why U.S. Sunscreens Don't Measure Up

The United Nations https://www.iarc.who.int/cancer-type/skin-cancer/ estimates that there were over 1.5 million new cases of skin cancer in 2022. That number might have you reaching for the nearest tube of sunscreen. And it might also have you wondering what truth there is to the hype around Korean and European sunscreens. Click around online and you’ll see lots of claims about the superiority of their protection against UV radiation compared to products made in the United States. But are sunscreens sold in the U. S. really so subpar? With the help of chemist and science communicator Michelle Wong https://labmuffin.com/links/, we wade into the research of UVA and UVB rays, the complexities of regulating cosmetics and drugs, and how to maximize your protection against the sun no matter which sunscreens you have access to. Interested in more science behind skincare products? Email us your question at [email protected] mailto:[email protected]. Listen to every episode of Short Wave sponsor-free and support our work at NPR by signing up for Short Wave+ at plus.npr.org/shortwave http://plus.npr.org/shortwave. See pcm.adswizz.com https://pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy https://www.npr.org/about-npr/179878450/privacy-policy

Speaker names marked ? are inferred from speaking time and the show’s known hosts — they are not voice-verified.

• 0:00Speaker 00

  This message comes from NPR sponsor, Viori, featuring the Sunday Performance Jogger. Receive 20% off your first purchase at viori.com/npr on any US orders over $75 and free returns. Exclusions apply. Visit the website for full terms and conditions.

• 0:19Regina Barber?

  You're listening to Short Wave from NPR.

• 0:24Regina Barber?

  Hey, Short Waver. Yes, you. Did you get enough sleep last night? Have you had enough water this morning? And very importantly, did you put on your sunscreen? This is the checklist that runs through my mind every morning.

• 0:36Speaker 02

  Every day, I put on sunscreen on my face if I'm planning to leave the house at all.

• 0:41Regina Barber?

  Michelle Wong has a PhD in chemistry. And for her, sunscreen is nonnegotiable. She has a YouTube channel, Lab Muffin Beauty Science, where she explains the science behind beauty products, which in her book includes sunscreens.

• 0:55Speaker 02

  SPF stands for Sun Protection Factor. Down the reasons why you may or may not need a sunscreen indoors from a scientific perspective. Sunburn starts when the DNA inside your skin cells absorb UV radiation.

• 1:07Regina Barber?

  And what I've learned from Michelle is that UV radiation comes in two flavors, UVA and UVB, both of which you need to protect your skin from.

• 1:16Speaker 02

  UVB is shorter wavelength, higher energy. UVA is longer wavelength, lower energy. It goes a little bit deeper into skin. UVB is more superficial and it's more linked to burning. But both of them are linked to increased skin cancer and increased premature skin aging.

• 1:34Regina Barber?

  But the science didn't always indicate that UVA was bad for us. But in the last decade or so, that's changed. And in a lot of the world, sunscreen formulas have been updated to reflect that. Places like the EU now make broad spectrum sunscreens that protect against UVB and UVA. But in the US, UVA protection is limited.

• 1:54Speaker 02

  The US has a more limited set of UV filters available. It has been over 20 years since there was a new sunscreen ingredient approved in the US.

• 2:05Regina Barber?

  Today on the show, the US sunscreen hangup. Why sunscreens in the US may not be offering as much sun protection as one sold in other countries, even if they're labeled broad spectrum. I'm Regina Barber, and you're listening to Short Wave, the science podcast from NPR.

• 2:31Speaker 00

  Stay tuned for the following announcements and messages from our sponsors.

• 2:35Speaker 03

  This message comes from ProLon with their five day fasting mimicking diet, a clinically developed nutrition program with the goal of promoting fat loss while protecting lean body mass. Learn more at prolonlife.com/NPR.

• 2:48Speaker 00

  This message comes from BetterHelp. Your brain has limited storage, so why is it still holding on to that embarrassing moment from years ago? BetterHelp is an online therapy platform that gives you space to talk about what's taking up too much of yours. BetterHelp is now in-network with more than 125 health plans with many copays as low as $15 for eligible members. And if you don't have eligible insurance, you can still get 20% off your first month. Visit betterhelp.com/NPR. Cost and coverage may vary. Discount cannot be combined with insurance. This message comes from Capella University. You know that feeling when there's a spark building inside you that you were meant for more? That's your own drive pushing you towards what's next.

• 3:33Speaker 00

  Capella University gets that. With their FlexPath learning format, you can set the pace and earn your degree without putting life on pause. You've built experience and know what you're capable of. Now, this is your time to turn that momentum into more. The only real question is, what can't you do? Learn more at capella.edu.

• 3:56Regina Barber?

  Okay, Michelle, so one big reason sunscreens differ so much in the US compared to other countries has to do with like how we categorize the sunscreen. So what is that difference?

• 4:05Speaker 02

  Yeah, so in most places, it's categorized as a cosmetic or a special cosmetic. But in the US and Australia, it's a drug, which means that the way it's produced is going to be held to a higher standard. It's going to be more consistent. There's more rules on how it can be produced, what ingredients can go into it. The ingredients need to be tested for things like safety, and you are getting a guaranteed efficacy.

• 4:30Regina Barber?

  So this means that like it's going to take longer to change in the US because it's going to go through those drug approvals and everything?

• 4:37Speaker 02

  Yeah, exactly. So in the US, with any new drug ingredient, there's a huge process that needs to be going through. It's got to go through a whole bunch of safety approvals. And in the US, there's also a requirement for animal testing for these approvals.

• 4:51Regina Barber?

  Okay.

• 4:51Speaker 02

  And that's generally the biggest sticking point. Um. But that process can change. So in Australia, sunscreen is also a drug and we get the newer sunscreen ingredients pretty quickly after the rest of the world, even though it is still technically a drug. And that's because drug approval processes aren't the same everywhere.

• 5:09Regina Barber?

  So like, like you said, okay, it's, it's been decades since the US sunscreen has been updated. Um. They tend to focus on protecting against UVB rays, but like since then, there has been research that maybe, maybe we should also be protected from UVA rays. So why is that important?

• 5:26Speaker 02

  Yeah. So even though UVA is lower energy and it does seem to cause less damage in pretty much every respect, it does still cause damage. So there's research showing that it definitely contributes to melanoma. There's a lot of research, especially on sun tanning beds, which only put out UVA. Um. The reason they

• 5:44Regina Barber?

  Oh, wow.

• 5:45Speaker 02

  Or most of them put out only UVA. Um. Some of them put out a combination of UVA and B. And that's because in the past, it was thought that UVA was less damaging and maybe not damaging at all. Um. And so people could get tanner without getting burnt and that associated skin damage. But later on, it was found that tanning beds definitely contribute to melanoma. Um.

• 6:08Regina Barber?

  Yeah.

• 6:08Speaker 02

  There's a statistic which is tanning beds are more strongly connected to skin cancer than smoking is to lung cancer.

• 6:15Regina Barber?

  What? Oh, my gosh. Wow. Okay. So let's talk about, um, what broad spectrum protection actually means then. So like in the US, I use Olay like every, every day. It says UVA and UVB, um, protection. But what does that actually mean? Like you said, the regulation for calling something broad spectrum is very different in the US versus other countries.

• 6:40Speaker 02

  Yeah. So there's two criteria for calling a sunscreen broad spectrum. Um. One of them is One tenth of the UV absorbed needs to be longer wavelength than three hundred and seventy nanometers. So that means the sunscreen needs to have a decent amount of protection at the really long UVA wavelengths that are so long, they are almost violet. Basically, this is just to make sure the sunscreen does give decent protection against a broad range of wavelengths and not just the shorter ones, which was what was traditionally protected against with a sunscreen, the ones that are more linked to sunburn. Now, the second criteria is that the UVA protection needs to be at least one third of the SPF.

• 7:23Regina Barber?

  Really?

• 7:24Speaker 02

  Yeah, so in the US, they only need that three hundred and seventy nanometer criteria. That's called the critical wavelength. But in Australia, the EU, the rest of the world, you need that plus you need that one third SPF rating.

• 7:37Regina Barber?

  I remember reading after like SPF thirty, you don't really need it. What do you have to say about like the different levels? Do they actually protect way more or is it negligible?

• 7:52Speaker 02

  So in theory, if you do the calculation, an SPF thirty, if you apply it properly at two milligrams per square centimeter on your skin, that's going to only let through one thirtieth of the UV coming in. So if you have an SPF sixty, then that's going to only let in one sixtieth. Now, if you do a bit of maths, one sixtieth is half the amount of one thirtieth. So basically SPF thirty will let in twice as much UV as SPF sixty. Now, if you convert that to a percentage, that's going to be really tiny, like one thirtieth is three percent. So it's like a tiny amount coming in, but that only works if you're applying it perfectly with a massive amount, which most people don't.

• 8:32Regina Barber?

  Got it.

• 8:32Speaker 02

  So the higher the SPF, the better it is if you don't apply enough. If you apply perfectly, then pretty much SPF thirty and above, it's going to be pretty equal.

• 8:43Regina Barber?

  You're good to go. Okay. Let's, let's dive into the chemistry. Let's dive into your expertise. What kind of ingredients are like we talking about in non-US countries that are allowed in sunscreen versus like what we have here?

• 8:57Speaker 02

  In the US, there's only about.

• 9:01Speaker 02

  I think eight commonly used UV filters. Um. So the two, there's two that are classified as, I guess, physical or mineral. There's zinc oxide and titanium dioxide. They're allowed pretty much everywhere around the world. Um. The other type are called chemical, I guess, in quotation marks because everything is a chemical. And these ones are carbon based. They tend to be molecules that have lots and lots of benzene rings. Um. So they can absorb UV. The structures look very similar to what we see in like dyes. So dyes that dye clothes. Um. Except dyes will be absorbing visible light. These ones are tailored to absorb UV.

• 9:42Speaker 02

  Um. And there are tons of these, but there's only a handful allowed in the US, which are a bit older. And they tend to absorb more of those shorter wavelengths against burning. The newer ones tend to absorb more of the longer wavelengths going into UVA, getting closer to visible. Um. And yeah, those are the ones that aren't allowed in the US.

• 10:01Regina Barber?

  Yes. So the FDA hasn't approved these new ingredients. Uh, and when people hear that, maybe they think they aren't safe. Um. Can you talk about how researchers think about safe versus not safe with these new filters?

• 10:14Speaker 02

  Yeah. So these new ingredients are purposely designed so that they are meant to be inherently safer. And what that means is they have a larger structure. They have particular chemical properties that make them less likely to go through skin and cause any sort of, I guess, systemic whole body effect. The other way of testing safety is trying to see how much goes into the body, where it um, ends up interacting with the body, what sorts of effects it might have. And there's a lot of ways of doing this. The traditional way was by doing annual testing. So you put a whole bunch of sunscreen on rats or on mice. But there are newer methods where instead of just, you know, putting as much as you can on an animal until something happens. You can test on things like cells, receptors.

• 10:58Speaker 02

  There are things like, um, what are called organs on chips. And from that you can work out what's safe, kind of replacing these animal studies, which, um, I mean, scientists are always trying to replace them because they're expensive and they're not as ethical as some other alternatives. But at the moment, the FDA still requires the animal studies, which has been the big hurdle with getting these approved because in places like Europe, annual testing is banned for cosmetics. And because sunscreen happens to be a cosmetic in Europe. That's been the big stumbling block.

• 11:32Regina Barber?

  Do you have any idea when or hope when it might have an update to the list of our of new ingredients for sunscreens in the US?

• 11:41Speaker 02

  I try to have hope, but at the same time, I have been hoping for this for the last fifteen years or so. Um, and there's always been predictions about when it's going to happen. Like, it's going to be next year, it's going to be next year. So, um, in theory, it might be next year. But in reality, I guess we'll see.

• 12:01Regina Barber?

  Are there any ingredients that are bad or dangerous to look out for in any sunscreens in the world?

• 12:06Speaker 02

  Not really. Um, I guess the biggest risk is always with uncontrolled impurities. But in any well-regulated marketplace, sunscreen should be one of the safest things that you can put on your skin. Um, I guess the other big thing is really looking at the instructions and making sure you follow the instructions. I think most people generally do less than the instructions. Most people put on less sunscreen than they should. Um, but as long as you're not putting on a ridiculous amount of sunscreen or eating it or inhaling a lot, then it's generally, yeah, one of the best tested skin can ingredients you'll ever put on your skin.

• 12:40Regina Barber?

  Recently on social media, I've seen younger people have a lot of fear about sunscreen and like, um, question its effectiveness. How do you, as somebody who is on YouTube, who is a science communicator, how do you respond to that?

• 12:57Speaker 02

  I'd say if you look at all the people freaking out about sunscreen safety, a lot of the time when they're talking to you, they're referring to animal studies. But then if you look at the things that are positive about sunscreen, it's always in people. Like, there's been a clinical trial that's found that sunscreen has halved the risk of several types of skin cancers. It completely halted skin aging for the period of the trial. Um, and then you see case studies like, you know, ninety-two-year-old woman has been wearing sunscreen for sixty years and her face looks really good, but her neck, where she didn't apply sunscreen, is a lot more aged. So I think that really demonstrates that a lot of the risks of sunscreen, the safety issues, those are mostly theoretical and the advantages are actually

• 13:41Speaker 02

  things that you see in humans. There's never really been someone who's Had a massive health effect because of sunscreen, apart from things like allergic reactions.

• 13:50Regina Barber?

  While we in the US are waiting for maybe sunscreen to be updated, how can people protect themselves?

• 13:57Speaker 02

  I mean, the older sunscreen is still work very well. The main thing is not applying enough. The proper amount is you should be putting one teaspoon on each limb, one teaspoon for the front of your body, one teaspoon for the back of your body, and one teaspoon for your head plus neck plus ears. For your face alone, it should be a quarter teaspoon. You also want to reapply. Generally, the recommendation is every two hours. And also after you go in the water or if you towel off after swimming. That's another big, big issue. Also, don't let it heat up massively. If it does, then you should probably buy a new sunscreen or if you leave it in a hot car. Yeah, that's one of the biggest things. And the other thing, in terms of protecting your skin from the sun,

• 14:39Speaker 02

  sunscreen is one of the most fiddly, error-prone options. Like, we just don't apply enough, we have to reapply. You don't have to worry about that if you're putting on, let's say, a UV protective shirt or a hat.

• 14:54Speaker 02

  I think at the end of the day, the best sunscreen you can wear is the one that you enjoy, one that you can apply a lot of regularly.

• 15:03Regina Barber?

  Michelle, thank you so much for talking to us today.

• 15:05Speaker 02

  Thank you for having me.

• 15:07Regina Barber?

  This episode was produced by Burley McCoy, edited by showrunner Rebecca Ramirez, and fact-checked by Tyler Jones. Jay Siz was the audio engineer. Beth Donovan is our senior director and Colin Campbell is our senior vice president of podcasting strategy. I'm Regina Barber. Thank you for listening to Short Wave from NPR.

• 15:36Speaker 03

  Stay tuned for the following announcements and messages from our sponsors.