Transcript Document

Know Your Responsibilities:
Information for Tanning Salon
Operators
What You Need to Know to Support Ontario’s Skin
Cancer Prevention Act
Thank You
This information material was created for tanning
salon operators in consultation with the following
organizations:
• Canadian Dermatology Association
• Central West Tobacco Control Area Network
• Healthy Environments and Consumer Safety Branch
Environmental and Radiation Health Sciences Directorate
E-mail: [email protected]
• Niagara Region Public Health Youth Advisory Committee
This material is adapted with permission from
Niagara Region Public Health and
Hamilton Public Health Services
Overview
This information material has been created for tanning salon
staff to explain the Skin Cancer Prevention Act, Radiation
Emitting Devices (RED) Act, and the health impacts of tanning
bed use. This information material is designed to help you
understand:
• Your responsibilities under the RED Act
• Your responsibilities under the Ontario Skin Cancer
Prevention Act
• Health inspections
• Causes and types of skin cancer
• UV exposure reactions
• Assessing skin type
Tanning Beds and Skin Cancer
• Youth under 18 years of age
should not use tanning beds
• Overexposure to ultraviolet
rays (UVR) can cause skin
cancer
• Skin cancer are growths on the
skin that can spread to other
parts of the body. It can be
caused by spending a lot of
time in the sun or from using
tanning beds. Most skin cancer
is preventable.
Tanning Beds and Skin Cancer
• The Skin Cancer Prevention
Act and the RED Act are in
place to prevent skin cancer
and protect people’s exposure
to unsafe radiation
Radiation Emitting Devices Act
RED Act
In Canada, the Radiation Emitting Devices (RED) Act
protects against unsafe radiation emitting devices.
The Act governs:
•
•
•
•
Sale (including re-sale)
Lease
Importation of radiation emitting devices
Regulations associated with the Act
Radiation Emitting Devices Act
RED Act
Information and Standards
Must be on every piece of tanning equipment in both English
and French
• Instructions for use (including directions for determining
exposure positions, maximum exposure time, and
manufacturer recommendations on minimum time between
exposures)
• Instructions on replacement and repair
• UV radiation warning labels
Radiation Emitting Devices Act
RED Act
Construction Standards
Every tanning bed must include the following safety features
• Shut-off control
• Timer
• Plexiglass barrier between the lamps and user to prevent
contact
Radiation Emitting Devices Act
RED Act
All Pieces of Tanning
Equipment Must:
• Meet RED Act standards
• Use lamps that meet standards
• Have an accurate timer (that
allows for preset times and does
not exceed maximum exposure
recommendation times)
• Be used with acceptable eyewear
Radiation Emitting Devices Act
RED Act
Labelling Standards
This label must be on each piece of tanning equipment
at the time of sale, lease or import. It must be provided
in French and English.
http://www.hc-sc.gc.ca/ahc-asc/media/nr-cp/_2013/2013-27bk-eng.php
Radiation Emitting Devices Act
RED Act
The following information must always be affixed to
the outside surface of the tanning bed, where it
can be easily viewed and read by a user before
tanning:
• Manufacturer’s name and address
• Model, serial number, and month/year of manufacture
• Detailed directions for determining the exposure
positions and a warning that the use of any other
position may result in overexposure
Radiation Emitting Devices Act
RED Act
• Recommended exposure time in minutes
• Minimum interval between exposure
• Maximum number of minutes of exposure per year
(as recommended by the manufacturer)
• Model for each type of lamp used in equipment
• Ultraviolet radiation warning labels
Skin Cancer Prevention Act
As of May 1, 2014, the Skin Cancer Prevention Act
bans the sale, advertising, marketing and/or provision
of tanning bed services to youth under 18 of years in
Ontario.
Skin Cancer Prevention Act
What are Your Responsibilities?
• Register your salon with your local public health unit
• Check identification (ID) of customers every time they use a
tanning bed
• Refuse tanning bed services to youth under 18 years of age
• Make sure all tanning bed users have adequate eye
protection
• Cooperate with Public Health Inspectors
• Do not direct marketing or advertising to youth under 18
years of age
Marketing and Advertising
Under the Act, you CANNOT market or advertise
tanning bed services to youth under 18 years of age
• Examples of unacceptable marketing or advertising include:
targeting materials to youth under 18 years of age, marketing
in or at locations frequented by youth (including schools), or
using images targeted at youth under 18 years of age
Enforcement and Fines
Inspection:
• Public Health Unit will inspect your premises to ensure
compliance
• Looking for signage, cleanliness and proper procedures
Fines:
• Up to $25,000 for a corporation and/or $5,000 for an
individual
• Individual staff members can be fined even if the
corporation is not fined
Signage
The Skin Cancer Prevention Act
and RED Act regulations outline
what signs you need to post, what
labels are required on tanning
equipment, and where they need
to go. If these become damaged
or missing, please contact your
public health unit for assistance
getting replacements.
http://www.health.gov.on.ca/en/public/programs/tanning/docs/uvr_sign_pos.pdf
Signage
Point of Sale Warning Sign:
• Main warning sign
• Lists dangers associated with
tanning bed use, requirement to
wear protective eyewear and notes
restriction of youth under 18 years
of age using tanning beds
• Must be clearly displayed within 1
metre of each cash register
http://www.health.gov.on.ca/en/public/programs/tanning/docs/uvr_sign_pos.pdf
Signage
Health Warning Sign
• Must be displayed in rooms where
tanning beds are located
• Warns potential users of the dangers
associated with tanning bed use
• Also advises of the requirement to
use protective eyewear
http://www.health.gov.on.ca/en/public/programs/tanning/docs/uvr_sign_health.pdf
Signage
Age Restriction and Identification Decal
• Must pose decal on all entrance doors to tanning facility
• Sticker indicates anyone under 18 years of age is banned
from using tanning beds AND anyone under 25 years of
age must show identification
http://www.health.gov.on.ca/en/public/programs/tanning/docs/uvr_sign_door.pdf
Signage
Employee Reminder Decal
• Decal must be stuck to countertop at cash register or
service desk
• Decal must face employee
• Reminds employees that anyone under 18 years of age is
restricted from using a tanning bed AND anyone under 25
years of age must show identification
http://www.health.gov.on.ca/en/public/programs/tanning/docs/uvr_sign_employee.pdf
Acceptable ID
Ask for ID from anyone who looks 25 years of age or
younger.
You must ID every time
Acceptable ID must be:
• Government-issued
• Have a photo
• Include date of birth
Ontario photo health cards are acceptable, but you
may NOT request one
Ontario Driver’s Licence
Ontario Driver’s License is an acceptable form of identification
Should match
year of birth
Should
match day
of birth
Should match
person in front
of you
Year, month, and day
of birth
Should
match
month of
birth for a
male person
(month + 50
for female)
Identifies when
cardholder will turn 19
Ontario Photo Health Card
Ontario Health Cards with a photo may be accepted, but you
may NOT ask for one
Year, month, and day
of birth
Tells you (M)ale or
(F)emale
Keep it Clean
What is the health concern?
• Tanning beds may become tainted with blood or body fluids
such as Hepatitis B, Hepatitis C or HIV
• Tanning beds must be cleaned and disinfected after each use
• You do not have to see blood or body fluids for an infection to
occur
Protect yourself!
• Wash your hands thoroughly
• Use gloves or other proper personal protection when required
• Follow manufacturers instructions when cleaning and
disinfecting tanning beds or booths
Protect Your Clients’ Health
• Clients’ skin should be free of cuts,
wounds, irritations and rashes
• Protective eyewear is required.
Single use eyewear is recommended
• If using reusable protective eye wear,
ensure it is properly cleaned and then
disinfected after each client
• Cleaning and disinfecting chemicals
should be properly labeled
Protect Your Clients’ Health
• Garbage receptacles should be
provided in each tanning room
• Used towels, robes and linens must
be laundered after each client
• Washrooms must be maintained in
clean condition and supplied with
liquid soap and single use towels
Health Inspections
1. Side of Bed: all required labels should be on beds
and throughout tanning salon
2. Tanning Beds: Must be cleaned/disinfected after
each client to prevent infections such as HIV and
hepatitis
3. Pillow Area: All pillows/towels should be made of
easily washable surface and cleaned or laundered
after each use
4. Floor: Should be made of easily washable
surface, cleaned daily, and be in good repair
5. Chairs: Any surface that bare skin may have
touched should be cleaned and disinfected
6. Garbage: Should be provided in each tanning
room
7. Squirt Bottle: Cleaning/disinfecting chemicals
provided for client use should be properly labeled
with the name of product & directions for use
8. Towel Dispensers: Single-use towels
recommended for cleaning and disinfecting
purposes
Ultraviolet Rays (UVR) and
Skin Cancer
• Over exposure to Ultraviolet
Rays (UVR) can cause skin
cancer
• Most skin cancer is
preventable
UVR and Skin
UVB Rays:
• Penetrate outer skin layer
• Main cause of sunburn
• Any tan or change in skin colour is
sign of skin damage (“there is no such
thing as a healthy tan”)
UVA Rays:
• Go deeper into skin
• Can cause permanent damage to
skin’s collagen and elastin
• This type of damage causes aging
skin (including wrinkles, saggy skin
and sun spots)
• May cause skin cancer (three most
common types are: melanoma, basal
cell skin cancer and squamous cell
skin cancer
http://www.fda.gov/RadiationEmittingProducts/RadiationEmittingProductsandProcedures/Tanning/uc
m116425.htm
Melanoma
• Rates of melanoma are increasing in Ontario
• Can be cured if found early
• Can spread to other parts of the body and cause
death
• Fourth most common form of cancer in
Canadians 15 to 49 years of age
Melanoma
Canadian Dermatology Association (2014).
Modified with permission
Basal Cell
Skin Cancer
http://www.dermatology.ca/media/skin-cancer-photos/
Basal cell skin cancer is the most common form of skin
cancer in Canada. It is also the least dangerous, but
must be treated or it will continue to grow.
Early warning signs:
•
•
•
•
Reddish bump with a pearly border
Bleeds, crusts over and then comes back
Does not heal within four weeks
Often on the upper body or legs, feet, arms, and hands
Basal Cell
Skin Cancer
Fair-skinned people with blond hair
or red hair and skin that usually
sunburns are most at risk from this
form of skin cancer.
Basal cell skin cancer is most common in:
• Men over 50 years of age
• People who have already had one basal cell skin cancer
• Organ transplant patients whose immune systems are weak
Squamous Cell
Skin Cancer
Squamous cell skin cancer is the second
most common form of skin cancer in Canada.
It can grow quickly over a period of a few
weeks, and can spread to other areas of the
body. It often appears on the head, neck,
arms, and the back of the hands and legs.
Early warning signs:
• Thick, red, scaly bumps or growths
• Open sore or crusted skin
• Grows quickly
Photoaging
Photoaging happens when the
skin begins to show early signs
of aging due to UV exposure.
Photoaging signs include:
• Wrinkles
• Frown lines
• Spider veins
• Freckles, age spots or
uneven skin colour
• Stretched lips
• Skin that looks like leather
• Skin that sags
Skin Reactions
Skin reactions include
‘phototoxicity’ and ‘photoallergy.’
These can be caused by a preexisting allergy to UV rays reacting
with:
•
•
•
•
Medications
Foods
Skin care products
Lotions
Photosensitivity
UV rays can trigger a photosensitivity reaction such
as an itchy rash or hives.
Photosensitivity
Hives:
• Are large, itchy welts or red bumps
• Can start after only a few minutes of
being exposed to UV rays
• Can last for minutes or hours
• Sometimes, people who have a severe
reaction may:
– Get headaches
– Have trouble breathing
– Feel dizzy and weak or be sick to their
stomach
Phototoxic Reactions
A phototoxic reaction can appear a few hours after
UV exposure.
Phototoxic reactions can:
• Cause pain, redness and swelling
• Are similar to a sunburn
• Only happen when the person has taken certain drugs
People with these reactions may also have a brown
or blue-gray mark in areas of the skin that have been
exposed to UV rays.
Photoallergic Reactions
This is an allergic reaction that causes the skin to
become red when exposed to UV rays.
This type of reaction happens due
to a pre-existing allergy, or when a
person has or has used:
•
Skin care products
•
Antibiotics
•
New tattoos
•
Certain foods, including artificial
sweeteners
Erythema (sunburn)
Erythema is a medical term to
describe redness and swelling
of the skin.
Sunburns are caused by UV
rays (mostly UVB rays) and
symptoms may develop hours
after exposure.
Preventing UV Reactions
At the start of each new tanning session, it’s a
good idea to remind clients:
• About the risk of a reaction to UV rays
• To check the drug labels or speak to a pharmacist
when using a new product
If a client complains of rashes or itching
during or after a tanning session, tell them
to see a doctor.
Skin Types
Genetics and reaction to sun exposure
determine skin type.
Determining a client’s skin type will help you
understand their risk for skin damage.
TYPE 1: Very pale skin, blond or red hair, blue or green
eyes. Burns and never tans. May have many freckles or
moles.
TYPE 2: Fair skin, blond or red hair, light coloured eyes.
Usually burns, seldom tans.
2
1
TYPE 3: Medium-skinned Caucasians who sometimes
burns, sometimes tans.
6
TYPE 4: Darker-skinned Caucasians or Mediterraneans.
Tans easily, rarely burns.
5
4
3
TYPE 5: Middle eastern skin tone. Tans easily, seldom
burns.
TYPE 6: Dark brown/black skin. Doesn’t burn, but can
still suffer from skin and eye damage from exposure to
the sun.
Determine Your Skin Type
Part I: Genetics
Your eye colour is:
0. Light blue, light gray or light green
1. Blue, gray or green
2. Hazel or light brown
3. Dark brown
4. Brownish black
Your natural hair colour is:
0. Red or light blonde
1. Blonde
2. Dark blonde or light brown
3. Dark brown
4. Black
Your natural skin colour (before sun exposure)
is:
0. Ivory white
1. Fair or pale
2. Fair to beige, with golden undertone
3. Olive or light brown
4. Dark brown or black
How many freckles do you have on unexposed
areas of your skin?
0. Many
1. Several
2. A few
3. Very few
4. None
Total score for genetic disposition: _______
Part II: Reaction to Extended Sun Exposure
How does your skin respond to the sun?
0. Always burns, blisters and peels
1. Often burns, blisters and peels
2. Burns moderately
3. Burns rarely, if at all
4. Never burns
Does your skin tan?
0. Never -- I always burn
1. Seldom
2. Sometimes
3. Often
4. Always
How deeply do you tan?
0. Not at all or very little
1. Lightly
2. Moderately
3. Deeply
4. My skin is naturally dark
Combine total score from
Parts 1 and 2 to determine
your Skin Type Score:
0-7:
8-16:
17-25:
26-30:
30+:
How sensitive is your face to the sun?
0. Very sensitive
1. Sensitive
2. Normal
3. Resistant
4. Very resistant/Never had a problem
Total score for reaction to sun exposure: _______
Your Fitzpatrick Skin Type __________________
Type 1
Type 2
Type 3
Type 4
Type 5-6
For Additional Information
Haliburton, Kawartha,
Pine Ridge District Health Unit
Call toll-free at 1-866-888-4577
Visit www.hkpr.on.ca