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QUANTIFYING THE EFFECTS OF SIMPLE

MEASURES TO REDUCE THE OCCUPATIONAL

SOLAR ULTRAVIOLET EXPOSURE OF OUTDOOR WORKERS

A.V. Parisi1 and M.G. Kimlin

Alfio Parisi, PhD and Michael Kimlin, BAppSc are physicists in the Centre for

Astronomy and Atmospheric Research at the University of Southern Queensland.

1

Address for correspondence: Centre for Astronomy and Atmospheric Research,

University of Southern Queensland, Toowoomba, 4350, Australia. Ph: 07 46 312226.

(2)

Abstract

Taking sun sheltered meal and tea breaks around solar noon can reduce occupational

exposure to solar erythemal ultraviolet (UV) radiation by outdoor workers. The

research presented in this paper has quantified the reductions in solar UV exposure

to be expected in summer and winter for different scenarios of break times for this

high UV exposure occupational group of the population.

Keywords: UV, personal protection, occupational UV exposure, solar UV, outdoor

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INTRODUCTION

Ultraviolet (UV) radiation above the earth’s atmosphere consists of electromagnetic

wavelengths shorter than 400 nm. The UV waveband is sub-divided into the UVC

(less than 280 nm), UVB (280 to 320 nm) and UVA (320 to 400 nm) wavebands. At

the earth’s surface, due to attenuation by the earth’s atmosphere resulting from

absorption and scattering by molecules and aerosols, no UVC is present and only part

of the UVB. Cloud cover and the solar elevation angle or the angle of the sun above

the horizon also influence the terrestrial UV significantly. Additionally, the UV

climatology in the Southern Hemisphere is different to that in the Northern

Hemisphere with a series of spectroradiometer measurements finding the biologically

effective UV to be approximately 40% higher in the mid southern latitudes compared

to the corresponding northern latitudes.1

Approximately 800 Australians die annually from melanoma and 200 annually from

NMSC (non-melanoma skin cancer).2 Two out of three Australians can expect to

suffer a form of skin cancer by the age of 75.3 The high ambient UV levels,4,5 a

predominantly fair skinned population combined with an emphasis on an outdoor

lifestyle contribute to Queensland having the highest incidence rates of NMSC and

cutaneous malignant melanoma in the world.2 The cost of skin cancer to the

Australian community has been estimated at $400 million per year.6 Additionally,

there is the incalculable cost of the associated human suffering and disfigurement.

Excessive and repeated exposures to solar UV radiation have been linked to the

induction of skin cancers, skin damage, premature skin ageing and wrinkling and sun

(4)

of NMSC has been found with the rates in latitudes less than 29 oS over 4 times the

rates in latitudes greater than 37 oS.8

Even if simple measures with minimal effect on lifestyle are adopted they will result

in reduced lifetime UV exposure with resultant reduction in the risk of skin cancer.9

Previous research has measured high occupational UV exposures to outdoor workers

in Toowoomba and Brisbane in Southeast Queensland5 and Sunshine Coast,

Queensland.10 A number of authors11,12 have considered the effects of protective

devices such as hats, sunglasses and sunscreens for the reduction of the UV exposure.

A set of guidelines have been published for the protection of workers from solar UV

radiation.3 Nevertheless, avoidance of the sun should form a primary UV protection

strategy.13 This paper quantifies, by the collection of the scientific data, the effects of

simple measures of sun avoidance to reduce the occupational solar UV exposure to

outdoor workers.

MATERIALS AND METHODS

Erythemal UV Irradiances

The effectiveness of UV radiation to produce skin damage and sun related eye

disorders is highly dependent upon the radiation wavelength. For skin damage it is

expressed by the erythema action spectrum14 that takes into account the relative

effectiveness of the particular UV wavelengths for producing skin damage. Of the

terrestrial UV wavelengths, the most damaging for producing erythema are the UVB

wavelengths with a decrease in the ability to induce erythema by a factor of

(5)

A temperature stabilised UV Biometer (model 501, Solar Light Co., Philadelphia,

USA) with a spectral response that approximates the erythemal action spectrum is

permanently mounted on a building roof at the University of Southern Queensland

(USQ), Toowoomba (27.5 oS). The erythemal irradiances measured with a Biometer

are generally accepted as a measure of carcinogenic effective irradiance.15 The

Biometer was employed for the continuous monitoring of the erythemal UV

irradiances on a horizontal plane. The 15 minute irradiances were recorded by a

datalogger in units of MED. An MED is defined as the minimum erythemal dose and

is the amount of biologically effective UV required to produce barely perceptible

erythema after an interval of 8 to 24 hours following UV exposure.9 In this research,

the erythemal irradiances for ten week days in summer between 11 and 24 February

1998 and ten week days in winter between 1 and 14 July 1998 were employed.

Human UV Exposure Ratios

The fraction of the ambient erythemal UV radiation incident on a specific anatomical

site is expressed by the exposure ratio (ER).9 This can be measured employing

polysulphone dosimeters of approximate size 2.5 cm x 2.5 cm. The polysulphone film

employed in the dosimeters is approximately 40 μm thick, approximates the

erythemal action spectrum and is fabricated on a specifically designed and

constructed casting table at the USQ. The exposure ratios have been measured in

winter employing a manikin rotating at approximately 1 revolution/minute to

approximate the random movements of a human in a predominantly upright stance in

full sunshine.16 Polysulphone dosimeters were deployed on the head, shoulders, nose,

and chest for measurement of the exposure ratio in winter to these sites. Previous

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exposure to specific sites of the human body17 as human volunteers wearing

dosimeters may not always be feasible or practical. The polysulphone was calibrated

at the USQ against a spectroradiometer with calibration traceable to the UV standard

lamp at the National Measurement Laboratory at CSIRO, Lindfield, Australia.

Occupational UV Exposures

The occupational solar UV exposures between 7:00 and 17:00 Eastern Standard Time

(EST) of outdoor workers were considered for the different scenarios of (1) no meal

break or a meal break that is taken outside in full sun and meal breaks between (2)

12:00 and 13:00 EST, (3) 11:30 and 12:30 EST, (4) 11:00 and 12:00 EST, (5) 12:30

and 13:30 EST, (6) 12:00 and 12:30 EST and (7) 11:00 and 13:00 EST. For scenarios

(2) to (7), it is assumed that the meal break was spent indoors or well sheltered from

the sun. For the remainder of the time the outdoor workers are assumed to be outdoors

and unprotected. Consequently, the results provide the worst case scenario.

Nevertheless, the results provide the relative effectiveness of varying the meal break

times alone. Additionally, the erythemal exposures during various morning and

afternoon tea break times is also considered.

Non Melanoma Skin Cancer

The annual contribution to the risk of developing non-melanoma skin cancer has been

expressed as being proportional to the annual UV exposure raised to a power and the

age raised to a power.9 From this, the ratio of the contributions to risk of developing

basal cell carcinomas (BCC) and squamous cell carcinomas (SCC) is given by:12

(7)

where UV2 is the personal erythemal annual UV exposure after protective strategies

have been used, UV1, is the personal annual erythemal UV exposure without any

protective strategies and β is the biological amplification factor for SCC and BCC

respectively.9

RESULTS AND DISCUSSION

Erythemal UV Irradiances

The erythemal UV irradiances between 07:00 and 17:00 EST for the two weeks in

summer and the two weeks in winter are provided in Figure 1(a) for summer and

Figure 1(b) for winter, 1998. The data points are the individual irradiances for each 15

minute period and the solid line is the average over the ten week days. The scattering

of the data points shows the effects of atmospheric conditions, such as clouds, which

have a large temporal and spatial variation on the UV irradiances. The maximum

irradiances show a peak at approximately solar noon with irradiances of 1.7 MED and

0.5 MED for a 15 minute period in February and July, 1998 respectively. For the one

hour period over noon from 11:30 to 12:30 EST, the average of the irradiances on a

horizontal plane total to 5.0 and 1.4 MED respectively for summer and winter. For

this one hour period alone, these irradiances are in excess of the occupational limits

for human UV exposure set by the National Health and Medical Research Council of

Australia.18

Reduction of Solar UV Erythemal Exposures

The solar erythemal UV exposures to a horizontal unprotected anatomical site for the

different scenarios of meal break times are in Table 1 for summer and winter, 1998.

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indoors or adequately protected from the sun sometime between 11:30 and 13:30 EST

provides a daily reduction in erythemal UV exposure of approximately 17% and 20%

in summer and winter respectively. The actual time of the one hour meal break within

this period provides only a marginal difference in the reduction of erythemal UV

exposure. Alternatively, a 30 minute meal break at 12:00 to 12:30 EST provides a

daily reduction in erythemal UV exposure of approximately half these percentages,

whereas, a two hour meal break between 11:00 and 13:00 EST provides a reduction in

the daily erythemal UV exposure of approximately 33% and 40% for summer and

winter respectively. A two hour meal break is most likely unacceptable to employers,

however, a similar reduction in daily erythemal UV exposure would be obtained by

procedural measures to reorganise outdoor work to undertake alternative tasks

between these times.

Table 2 shows the daily erythemal UV exposures that would be received to a

horizontal plane for various morning and afternoon tea break times. If these breaks

were indoors or well sheltered from the sun, the daily erythemal UV exposures would

be reduced by these amounts. The maximum reduction is provided by breaks between

10:00 to 10:15 EST and 14:00 to 14:15 EST. Combining these with the reductions

from Table 1 for a meal break between 11:30 and 12:30 EST that is sun sheltered

provides daily reductions of 24% and 27% for summer and winter respectively

compared to no breaks or breaks outside in sunshine.

The solar UV exposure ratios measured in winter were 1, 0.57, 0.80 and 0.23 for the

vertex of the head, nose, shoulder and chest respectively. The UV exposures to the

(9)

exposures to a horizontal plane such as the vertex of the head. However, the

percentage reductions in Table 1 for the different meal break times will still apply.

Employing Equation (1) shows that if the reductions in daily UV exposures are found

to apply for the remainder of the year, the reductions in the contribution to the risk of

NMSC are even higher due to the biological amplification factors. The UV exposures

presented in this paper will vary significantly for other groups of outdoor workers

who are not engaging in activities with a predominantly upright and unprotected

position. They will also vary for different locations in Australia, however, the relative

daily reductions may still apply. The results show that with only minimal changes, the

erythemal UV exposure and the contribution to skin cancer risks can be significantly

reduced.

CONCLUSION

Reduction of the occupational solar erythemal UV exposures of outdoor workers by

employing shelter from the sun during breaks is consistent with the recommendations

that the primary UV protection strategy to be employed is the avoidance or

minimisation of the exposure to the sun.13 The effect of any protective devices, such

as hats, sunscreens and shade has been neglected in this research. Consequently, the

results are the worst case scenario. Nevertheless, they provide the relative reductions

in the daily erythemal UV exposures for the different meal break times. The times that

provide reductions in the daily UV exposures for outdoor workers may have been

expected as reduction of the time in the sun around noon reduces the UV exposures.

However, the research in this paper has quantified the percentage reductions to be

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Acknowledgments: The authors would like to thank Lennox Meldrum (USQ,

Centre for Astronomy and Atmospheric Research) for the initial setup of the

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REFERENCES

1. Seckmeyer, G., Mayer, B., Bernhard, G., McKenzie, R.L., Johnston, P.V.,

Kotkamp, M., Booth, C.R., Lucas, T., Mestechkina, T., Roy, C.R., Gies, H.P. and

Tomlinson, D. Geographical differences in the UV measured by intercompared

spectroradiometers. Geophysical Research Letters 1995, 22: 1889-1892.

2. NHMRC (National Health and Medical Research Council). Primary Prevention of

skin cancer in Australia. Report of the Sun Protection Programs Working Party,

Publication No. 2120, 1996, Canberra: Australian Government Publishing

Service.

3. NOHSC (National Occupational Health and Safety Commission). Guidance note

for the protection of workers from the ultraviolet radiation in sunlight, 1991,

Canberra: Australian Government Publishing Service.

4. Sabburg, J., Parisi, A. and Wong, J. Ozone, cloud, solar and UV-B levels at a low

pollution, Southern Hemisphere, sub-tropical site for winter/spring 1995.

Australasian Physical and Engineering Sciences in Medicine 1998, 20: 198-202.

5. Kimlin, M.G., Parisi, A.V. and Wong, J.C.F. Quantification of the personal solar

UV exposure of outdoor workers, indoor workers and adolescents at two locations

in southeast Queensland. Photodermatology, Photoimmunology and

Photomedicine 1998, 14: 7-11.

6. Girgis, A., Sanson-Fisher, R.W. and Watson, A. A workplace intervention for

increasing outdoor workers’ use of solar protection. American Journal of Public

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7. Longstreth, J.D., de Gruijl, F.R., Kripke, M.L., Takizawa, Y. and van der Leun,

J.C. Effects of increased solar ultraviolet radiation on human health. Ambio 1995,

24: 153-165.

8. Bernhard, G., Mayer, B. and Seckmeyer, G. Measurements of spectral solar UV

irradiance in tropical Australia. Journal of Geophysical Research 1997, 102:

8719-8730.

9. Diffey, B.L. Stratospheric ozone depletion and the risk of non-melanoma skin

cancer in a British population. Physics in Medicine and Biology 1992, 37:

2267-2279.

10.Gies, P., Roy, C., Toomey, S., MacLennan, R. and Watson, M. Solar UVR

exposures of three groups of outdoor workers on the Sunshine Coast, Queensland.

Photochemistry and Photobiology 1995, 62: 1015-1021.

11.Roy, C.R., Gies, H.P. and Elliot, G. Solar ultraviolet radiation: personal exposure

and protection. Journal of Occupational Health and Safety – Australia New

Zealand 1988, 4: 133-139.

12.Wong, C.F., Airey, D.K. and Fleming, R. Annual reduction of solar UV exposure

to the facial area of outdoor workers in Southeast Queensland by wearing a hat.

Photodermatology, Photoimmunology and Photomedicine 1996, 12: 131-135.

13.Roy, C.R. and Gies, H.P. Protective measures against solar UV exposures.

Radiation Protection Dosimetry 1997, 72: 231-240.

14.CIE (International Commission on Illumination). A reference action spectrum for

ultraviolet induced erythema in human skin. CIE Journal 1987, 6: 17-22.

15.Blumthaler, M., Salzgeber, M. and Ambach, W. Ozone and ultraviolet-B

irradiances: experimental determination of the radiation amplification factor.

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16.Kimlin, M.G., Parisi, A.V. and Wong, J.C.F. The whole human body distribution

of solar erythemal ultraviolet radiation. Proceedings of the First Internet

Conference on Photochemistry and Photobiology, Nov 17 -Dec 19 1997, Internet

Photochemistry and Photobiology.

17.Wong, C.F., Fleming, R.A., Carter, S.J., Ring, I.T. and Vishvakarman, D.

Measurement of human exposure to ultraviolet-B solar radiation using a CR-39

dosimeter. Health Physics 1992, 63: 457-461.

18.NHMRC (National Health and Medical Research Council). Occupational

standard for exposure to ultraviolet radiation. Radiation Health Series No.29.

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[image:14.595.87.506.139.451.2]

Table 1 - Erythemal UV exposure and reduction in erythemal UV exposure for

various meal break times in summer and winter.

Meal Break Time

(EST)

Daily erythemal UV

(MED)

Reduction in erythemal UV

(%)

Summer Winter Summer Winter

No meal break or

meal break outdoors

28.8 6.9 0 0

12:00 to 13:00 23.9 5.5 16.8 20.4

11:30 to 12:30 23.8 5.5 17.4 20.5

11:00 to 12:00 24.0 5.6 16.5 19.1

12:30 to 13:30 24.3 5.6 15.6 19.0

12:00 to 12:30 26.3 6.2 8.7 10.5

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[image:15.595.85.518.134.356.2]

Table 2 - Erythemal UV exposures during different morning and afternoon tea break

times.

Morning and afternoon Erythemal UV Exposure (MED)

teas times (EST) Summer Winter

9:00 to 9:15 0.59 0.13

9:30 to 9:45 0.77 0.18

10:00 to 10:15 0.96 0.24

14:00 to 14:15 0.90 0.21

14:30 to 14:45 0.81 0.14

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Figure Captions

Figure 1 - The erythemal UV irradiances in (a) two weeks in summer and (b) two

weeks in winter with the solid line representing the average for each

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(a) 0.0 0.5 1.0 1.5 2.0 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM

Time of Day

Erythemal Irrad (MED/15 min)

(b) 0.0 0.5 1.0 1.5 2.0 7:00 AM 8:00 AM 9:00 AM 10:00 AM 11:00 AM 12:00 PM 1:00 PM 2:00 PM 3:00 PM 4:00 PM 5:00 PM

Time of Day

Erythemal Irrad (MED/15 min)

Figure

Table 1  - Erythemal UV exposure and reduction in erythemal UV exposure for
Table 2  - Erythemal UV exposures during different morning and afternoon tea break

References

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