UV-B effects on human skin include sunburn (erythema), photoaging of the skin,
and skin cancer. Symptoms of sunburn include reddening of the skin and, in severe
cases, blisters. Susceptibility to sunburn depends on skin type. People with the most
sensitive skin obtain a moderate to severe sunburn in less than an hour (Longstreth et
al., 1998). People who are most resistant to sunburn usually have dark-pigmented skin
and become more deeply pigmented with additional exposure to UV-B.
Photoaging is the accelerated aging of the skin due to long-term exposure to sunlight,
particularly UV-B radiation. Symptoms include loss of skin elasticity, wrinkles, altered
pigmentation, and a decrease in collagen, a fibrous protein in connective tissue.
Skin cancer is the most common cancer among light-pigmented (skinned)
humans. Three types of skin cancers occur most frequently: basal cell carcinoma
(BCC), squamous cell carcinoma (SCC), and cutaneous melanoma (CM). Of all
skin cancers, about 79, 19, and 2 percent are BCC, SCC, and CM, respectively. BCC
is a tumor that develops in basal cells, which reside deep in the skin. As the tumor
evolves, it protrudes through the skin, growing to a large mass that scabs over. BCC
rarely spreads and can be removed by surgery or radiation treatment,
so it is rarely
fatal. SCC is a tumor that develops in squamous cells, which reside on the outside of
the skin. SCC tumors appear as red marks. SCC can spread, but it is readily removed
by surgery or radiation treatment and is rarely fatal. CM is a dark-pigmented and
often malignant tumor arising from a melanocyte, which is a cell that produces the
pigment melanin in the skin. CM tumors spread quickly and gro
w into dark, protrud-
ing masses that can appear anywhere on the skin. CM is fatal about one-third of the
time. In some locations, such as Northern Europe, CM is at least as common as is
SCC, the less common carcinoma. Susceptibility to skin cancer depends on a combi-
nation of skin pigmentation and exposure. For people with sensitive skin, it is not
necessary to be exposed to UV-B over a lifetime for a person to develop skin cancer.
Skin cancer rates usually increase from high latitudes (toward the poles) to lower lati-
tudes (toward the equator).
11.9.1.2. Effects on Eyes
With respect to the eye, the cornea, which covers the iris and the lens, is the tissue
most susceptible to UV-B damage. Little UV-B radiation penetrates past the lens to the
vitreous humor or the retina, the tissues behind the lens. The most common eye prob-
lem associated with UV-B exposure is photokeratitis or “snowblindness,” an
inflammation or reddening of the eyeball. Other symptoms include a feeling of severe
pain, tearing, avoidance of light, and twitching (Longstreth et al., 1998). These symp-
toms are prevalent not only among skiers, but also among people who spend time at
the beach or other outdoor locations with highly reflective surfaces. From a public cost
perspective, the most expensive eye-related disease associated with UV-B radiation is
cataract, a degenerative loss in the transparency of the lens that frequently results in
blindness unless the damaged lens is removed. Worldwide, cataract is the leading cause
of blindness. More severe, but less widespread, eye-related diseases are squamous cell
carcinoma, which affects the cornea, and ocular melanoma, which affects the iris and
related tissues.
11.9.1.3. Effects on the Immune System
Human skin contains numerous cells to fight infection that are produced by the
immune system. Enhanced UV-B radiation has been linked to suppression of these cells,
reducing resistance to certain tumors and infections. Suppressed immune responses to
302 ATMOSPHERIC POLLUTION: HISTORY, SCIENCE, AND REGULATION