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RFK Jr. clears path for minors’ use of tanning beds, much to the dismay of dermatologists

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RFK Jr. clears path for minors’ use of tanning beds, much to the dismay of dermatologists

Days before the 2024 presidential election, future Health and Human Services Secretary Robert F. Kennedy Jr. posted a statement on X promising to end the U.S. Food and Drug Administration’s “aggressive suppression” of such alternative therapies as raw milk, ivermectin, psychedelics and, somewhat perplexingly, “sunshine.”

While the post did not explain how the FDA was limiting Americans’ access to the sun, many dermatologists were dismayed when Kennedy abruptly withdrew a proposed FDA rule that would have banned minors from using devices that mimic sunlight — indoor tanning lamps.

The rule, which was withdrawn March 16, would have also required indoor tanning facility users to sign a form acknowledging the risk of cancer, early skin aging and other health effects.

Kennedy’s action comes at a time when many adherents of his Make America Healthy Again movement have adopted regular sun exposure as a core principle of wellness, with social media influencers encouraging followers to abandon sunscreen and build up their “solar callus,” or sun tolerance, instead.

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The trend has frustrated many dermatologists, who warn that the damage of frequent sunburns and tans accumulates over a lifetime, and those acquired early in life appear to play a disproportionate role in later risk of skin cancer. The Skin Cancer Foundation notes also that you cannot build up a tolerance to sun exposure and “there is no such thing as a ‘solar callus.’”

Dermatologists have long cautioned that indoor tanning lamps are no less dangerous, since they expose users to ultraviolet light at concentrations far above natural sunlight. Like sunlight, the lamps emit two different types of ultraviolet wavelengths: UVA, which are longer and penetrate more deeply into the skin, and UVB, which are shorter and more easily burn the outer layers.

Both light sources darken skin through the same biological process: UV rays change the structure and chemical profile of DNA in the skin, which then produces more melanin in order to prevent further damage.

A tanning bed session exposes users to UVB rays akin to those at noon at the equator — an intense experience, but at least one with a terrestrial equivalent, said Hunter Shain, an associate professor of dermatology at UC San Francisco. The UVA radiation in a tanning bed is roughly 15 times that found anywhere on the surface of the planet.

“They’re really blasting you with these super physiological doses of UV radiation that you couldn’t even find in a natural environment,” he said.

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The World Health Organization counts UV-emitting tanning beds as a Group 1 carcinogen, alongside other known human carcinogens like tobacco cigarettes and asbestos. One study Shain co-authored found that tanning beds accelerate DNA mutations in parts of the body not typically exposed to the sun, leading to a nearly threefold increase in indoor tanners’ lifetime melanoma risk. Rates of melanoma diagnoses have increased by 46% in the last decade.

The tanning lamp rule, which was first proposed in 2015, focused on age as a specific risk factor. Tanning bed usage before the age of 35 is associated with a 75% increase in the risk of melanoma, the most serious and frequently fatal form of skin cancer.

The rule drew more than 9,000 public comments from both physicians and cancer research organizations supporting its implementation and from tanning bed industry representatives and business owners opposed.

Kennedy, who was photographed leaving a Washington tanning salon last year, was ultimately unconvinced of the need to ban minors from such establishments.

“In light of the scientific and technical concerns raised in the comments on the Proposed Rule, concerns regarding possible unintended consequences of certain proposals in the Proposed Rule, and potential alternatives proposed in comments received on the Proposed Rule, FDA is withdrawing the Proposed Rule in order to reconsider the best means for addressing the issues,” Kennedy wrote in the withdrawal letter.

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Health and Human Services did not respond to questions about what scientific concerns and unintended consequences Kennedy was referring to.

Nineteen states (including California) and the District of Columbia have already banned people under 18 from indoor tanning salons. Roughly two dozen more have some kind of regulations regarding minors and indoor tanning, such as requiring parental permission or barring only younger children.

The collapse of the proposed federal ban has left many dermatologists disappointed.

“As you can see, when it’s left to the states, the implementation and the guardrails to minimize the exposure to carcinogens are not consistent. … Why are you going to default to a system that we know isn’t working correctly?” said Dr. Clara Curiel-Lewandrowski, chair of dermatology and co-director of the Skin Cancer Institute at the University of Arizona.

Minors in sun-baked Arizona are free to patronize indoor tanning establishments as long as they have a note from their parents. Curiel-Lewandrowski has treated many former sunbed enthusiasts for advanced melanoma in their 20s and 30s, she said.

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“There’s a lot of regret. Regret for not knowing more, for not getting more help to understand the threat,” she said. “This is an age group that has a very hard time assessing risk. At that age, they don’t view carcinogens as a real threat.”

The U.S. is a bit of an outlier in its permissive approach to youth indoor tanning. Australia and Brazil have banned cosmetic indoor tanning entirely for people of all ages. Most western European countries ban minors from indoor tanning, as do most Canadian provinces.

“After the proposal lay dormant for more than a decade, I can’t say I was surprised to hear that the FDA withdrew it,” said Dr. Deborah S. Sarnoff, president of the Skin Cancer Foundation. “On the positive side, we made the public very aware of this issue, and this fight is far from over. We won’t be satisfied until tanning beds are banned in this country.”

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Archaeologists Find Egyptian Mummy Buried With the ‘Iliad’

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Archaeologists Find Egyptian Mummy Buried With the ‘Iliad’

Archaeologists working in Egypt have discovered a remarkable combination of Homeric epic and Egyptian ritual: a 2,000-year-old mummy with a papyrus fragment of the “Iliad” sealed in a clay packet outside its wrappings.

It is the first time a literary work has been found playing a functional, spiritual role in the mummification process. And it suggests that for a Roman-era Egyptian, the “Iliad” — specifically some lines from Book 2’s “Catalogue of Ships” — was perhaps as crucial for navigating the afterlife as a magical spell.

“The find is incredibly significant, primarily for the discovery of such a papyrus with Greek literary text in its original context,” said Foy Scalf, an Egyptologist at the University of Chicago. “We have evidence that such Greek literary texts could be used as magical amulets and that Homer was frequently cited in such amulets, as well as in the large handbooks now known as ‘The Greco-Egyptian Formularies.’ The new find directly supports that indirect knowledge.”

The mummy, a nonroyal male, was unearthed by the Mission of the University of Barcelona at a burial site known as Oxyrhynchus, as part of a project directed by Ignasi-Xavier Adiego of the university’s Institute of Ancient Near East. Leah Mascia, a specialist in the written and material culture of Greco-Roman and Late Antique Egypt at the Free University of Berlin, coordinated the collaborative breakthrough that finally brought the damaged text to light.

Recognizing that the heavily degraded papyrus required careful analysis, Dr. Mascia worked with a conservator, Margalida Munar, to stabilize the artifact, and Dr. Adiego, an authority on the Carian language, to study the text. Together, their combined expertise in preservation and linguistics allowed them to identify and read the document.

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After six years of painstakingly reconstructing tomb fragments, Dr. Mascia uncovered a rare moment of cultural alchemy: Roman Egypt, where foreign and local customs merged. Her analysis, which identified embalmer seals and folding patterns of the papyrus packet, suggests that classical Greek epics were not merely read but physically repurposed.

Traditionally, mummified bodies were buried with sepulchral texts like the “Book of the Dead” and “The Book of Breathing,” formulaic manuals intended to protect and guide the deceased through the underworld. Yet, by the early Roman period, a major shift emerged: the introduction of sealed papyrus packets placed upon the dead.

These new packets contained a surprising mix of texts, including Greco-Egyptian magic, documentary records and even literary works like the “Iliad,” indicating a personalized, alternative funerary practice.

Fragments of the “Iliad” papyrus.Credit…IPOA (University Institute of the Ancient Near East)

The Oxyrhynchus necropolis, located near the modern village of El-Bahnasa about 120 miles south of Cairo, is not just a burial site but an archaeological mother lode. Located on the banks of the Bahr Yussef canal, the area is speckled with ancient garbage dumps that managed to preserve everything from wedding invitations and tax records to horoscopes and early Christian gospels.

The ruins of Oxyrhynchus were initially documented by Vivant Denon, a scholar during Napoleon’s 1798 Egyptian campaign. But they held a secret that remained buried for an additional century, until 1896, when British archaeologists dug up more than 400,000 fragments of papyri from the ancient trash heaps. The discoveries ultimately included lost masterworks by poets and playwrights like Sappho and Euripides, transforming millenniums-old refuse into a cornerstone of classical literature.

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In the 1990s, the Mission of the University of Barcelona and the University of Cairo began a joint project largely funded by the Spanish Ministry of Culture and the Egyptian Ministry of Tourism and Antiquities. This ongoing mission, directed by Maite Mascort i Roca and Esther Pons Mellado and staffed by archaeologists, epigraphists and papyrologists, focuses on various sectors of the necropolis, including No. 22, where experts are reconstructing the elaborate social and religious life of residents during the transition from the Ptolemaic to the Roman era.

Researchers exploring the multichambered burial site have exhumed a remarkable trove of treasures, among them mummies adorned with golden tongues — gold foil placed over the mouth — and at least one with copper, ritualistic additions that may have ensured that the dead could confidently speak their case to Osiris, the god of death and resurrection, before judgment.

A separate, distinct area of the necropolis — Sector 42 — has yielded large jars containing cremated remains. One vessel held the bones of an adult, an infant and a feline, along with fabric fragments. While these individuals most likely date to a slightly different period from the “Iliad” mummy, the immense complexity of these rites implies a wealthy, status-conscious class, providing fresh insight into the spiritual anxieties of the Roman-era community.

Recovered in December from Tomb 65, the fragmentary papyrus packet contains a passage from the 2,800-year-old “Iliad” that functions as a detailed inventory of the Achaean army’s naval strength and regional origins, describing the forces arrayed against Troy to retrieve Helen. The text mentions specific commanders, such as Guneus, who arrived with “two and twenty ships from Cyphus,” and Tlepolemus, a “son of Hercules” who brought nine ships from Rhodes.

Dr. Mascia’s findings reveal a deliberate, intimate act: a document prepared in a mummification workshop and placed directly upon the body of the deceased. “These sealed papyrus packets may have been regarded as part of an alternative funerary procedure,” she said, adding that further studies were essential to prove this hypothesis.

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This spiritual first-aid follows a long tradition. Dr. Scalf noted that “The Greco-Egyptian Formularies” even suggests the “Iliad” doubled as a literal medical kit. For a bed-bound patient shivering with malaria, the prescription was simple: Brace your head against a papyrus scroll of Book 4 to break the fever.

For residents navigating the complex, vibrant crossroads of Roman Egypt, Greek literary papyri may have functioned as a crucial cultural passport, said Anna Dolganov, a historian at the Austrian Archaeological Institute. In Egypt, being Hellenic connoted an exclusive social status and financial privilege — and had to be meticulously documented through genealogies going back across several centuries.

Buried with the dead, the “Iliad” perhaps served as a cheat code for a more comfortable afterlife. Dr. Dolganov wonders if carrying the epic poem was a deliberate strategy to secure entry into the Greek underworld, effectively sidestepping the torturous trials of Egyptian mythology. For these individuals, a Hellenic identity wasn’t just for this world — it was an eternal upgrade, offering a smoother path and higher status in the great beyond.

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Ten times worse than benzene — California updates its science on two chemicals in everyday air

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Ten times worse than benzene — California updates its science on two chemicals in everyday air

Two toxic contaminants present in California’s ambient air appear to be much stronger carcinogens than previously known, state environmental health officials announced Thursday.

The draft finding from the state’s Office of Environmental Health Hazard Assessment finds that acrolein and ethylene oxide may pose an estimated cancer risk more than 10 times higher than benzene, a serious carcinogen linked to leukemia and other cancers.

It is the first step in a review process before final risk values are adopted, and it arrives at a time federal air-quality regulations are being reined in.

“If the early air monitoring results bear out, and if the draft cancer values developed are close to what eventually becomes final, then each air contaminant poses an unacceptable cancer risk,” said Kris Thayer, OEHHA’s director.

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The update reflects the state’s evolving understanding of its most dangerous pollutants, which has shifted over the decades from visible pollutants, such as smog, to more invisible ones that cause cancer, heart disease and other health harms.

It comes only two months after the Trump administration’s Environmental Protection Agency moved to roll back standards on ethylene oxide, or EtO, in an effort to save millions of dollars in compliance costs for facilities that use the chemical for medical sterilization. The administration said it acted to “safeguard the supply of essential medical equipment,” but experts said the move will also expose more people to health risks.

It also follows a new national report from the American Lung Assn. that found 82% of Californians live in counties with unhealthful air, nearly double the national average.

“This is an important step to better understanding the harms of pollutants impacting Californians’ health,” said Will Barrett, assistant vice president for nationwide clean air policy at the American Lung Assn., who reviewed the state’s findings for The Times. “Following the latest available health science to determine risk is crucial to protecting health.”

Ethylene oxide is a colorless gas often used in the sterilization of medical devices, particularly those that can’t be cleaned using steam or radiation.

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Acrolein can be formed when materials burn, such as cigarettes, e-cigarettes and vapes, wood, plastics and gasoline for cars, trucks, ships and aircraft. It can also be released by cooking fats and oils at high temperatures, and has been found in water produced by oil and gas operations and is an ingredient in some pesticides used in irrigation canals.

People can take steps to protect themselves from acrolein exposure in everyday life by avoiding smoking tobacco or using e-cigarettes and vaping products, avoiding smoke from fires or exhaust from diesel and gasoline vehicles and equipment — much of which can also help reduce exposure to ethylene oxide, officials said. When cooking with oils or fats, people should avoid very high temperatures and use a range hood fan when possible.

While both chemicals have been present in the state’s air for years, the new assessments from OEHHA are based on the latest science on health risks, officials said. Both acrolein and ethylene oxide were found to pose an estimated cancer risk exceeding 800 in 1 million — on par with the cancer risk that diesel exhaust was estimated to pose when it first emerged as a major public health concern in the 1990s, the agency said.

In response to the findings, Gov. Gavin Newsom’s May budget revision, released Thursday, includes $2.5 million in funding for the California Air Resources Board and OEHHA in support of research to help reduce people’s exposure to acrolein and ethylene oxide. The funding will help the state identify and track major sources of the chemicals and turn the findings into public health policy outcomes, officials said.

OEHHA’s assessment provides the first cancer risk value for acrolein since it was classified as probably cancer-causing to humans by the International Agency for Research on Cancer in 2020. Ethylene oxide was already identified as a carcinogen by the state, but the new assessment updates its risk levels based on the new research. The risk calculations are based on air monitoring data, which vary across the state depending on location, nearby sources and other factors.

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Officials said the findings underscore the state’s efforts to strengthen environmental protection measures for residents at a moment when federal officials seek to loosen them.

“Especially in light of some of the national rollbacks we’re seeing on protections for public health, it really underscores how important the work that we’re doing here in California is,” said Courtney Smith, principal deputy executive officer with the Air Resources Board. “Not only for protecting the health of Californians, but also to ensure that there is rigorous, solid science available to other entities as well who may want to pursue additional protections.”

Short-term exposure to EtO by inhalation can cause headaches, dizziness, nausea, fatigue respiratory irritation and other adverse health effects, according to the federal Agency for Toxic Substances and Disease Registry. Longer-term exposure increases the risk of cancers of the white blood cells, such as non-Hodgkin’s lymphoma, as well as breast cancer.

Inhaling acrolein can cause nose and throat irritation and a decreased breathing rate. Chronic exposure, such as through cigarette smoke, has been linked to the development of asthma, chronic obstructive pulmonary disease and respiratory cancers.

The findings also come as California continues to receive poor grades on air quality. The American Lung Assn. annual State of the Air report found that the five U.S. counties with the worst smog pollution are all in California. Bakersfield was the metropolitan area with the worst level of year-round particle pollution for the seventh year in a row, while Los Angeles was the city with the worst ozone pollution, as it has been for 26 of the last 27 years.

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“Californians face the most significant smog and soot challenges in the nation, but our air agencies have followed the science to build policies and programs to make real headway,” Barrett said. The state’s latest assessment “speaks to the need for ongoing local efforts while the federal government ignores the science and opens the door for more pollution. California must continue to invest in things like cleaning up truck fleets, broader public education and the underlying science to guide policies to protect health.”

Thursday’s announcement kicks off a 45-day public comment period, after which the draft assessments may be revised before undergoing additional public comment, peer review by the state’s Scientific Review Panel on Toxic Air Contaminants, and eventual adoption.

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Lithuania’s Peat Bogs Could Help the Climate and Defend the Border, Too

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Lithuania’s Peat Bogs Could Help the Climate and Defend the Border, Too

In a scrubby forest an hour outside the Lithuanian capital on a recent day this spring, excavators were digging ditches and tree harvesters were whirring in an effort to restore a waterlogged, mosquito-infested ecosystem that was drained in the Soviet era.

The reason is twofold: to help the climate and to defend the country from invasion.

The area was once a vast peat bog, and peat bogs are highly efficient at storing planet-warming carbon dioxide. They also happen to be very good at stopping tanks, because the spongy soil can’t support the weight of armored vehicles. The tanks get stuck and sink, often permanently.

Tomas Godliauskas, the Lithuanian vice minister of defense, said the bogs would form “an integral defensive line” when combined with other military tactics. The project also has the advantage of being relatively cheap compared with other measures like tank ditches and minefields, he added.

Lithuania isn’t the only European Union country using bogs to deter a Russian invasion. Latvia and Finland, for example, are also seeking to restore bogs for both environmental and defense purposes. And Ukrainian bogs helped to delay Russian troops in a failed push toward Kyiv in 2022.

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Richard Hooker, a former director at the National Security Council who’s now a senior fellow at the Atlantic Council, a research organization based in Washington that focuses on international security, said peatland restoration could play an important role in Lithuania’s defense against an invasion from the east.

He noted that only one major highway runs from Minsk, in Byelorussia, to the Lithuanian capital, Vilnius, and that the Russian Army is heavily mechanized, without the kind of light infantry units that the U.S. Army has. That means restored, impassible peat bogs would force invading troops onto roads and trails, where they would be more vulnerable.

“The idea that you can use natural obstacles to tie in with man-made obstacles to slow down an attacker is an excellent one,” Mr. Hooker said. “A lot more could be done than has been done, but the early signs anyway are promising.”

The hazards of the bogs were illustrated in March last year, when a 70-ton M88 armored recovery vehicle from the U.S. Army sank during a training exercise near Pabrade, a city in eastern Lithuania near the border with Belarus. Four crew members died.

The bog restoration project is part of Lithuania’s total defense doctrine, a security strategy mobilizing the military, civilian and private sectors to be prepared in case of Russian aggression. The country is looking to restore 6,000 hectares of peatlands, Mr. Godliauskas said.

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But it’s about more than just defending the border. It’s also about carbon capture.

Peat bogs form when oxygen-poor conditions in wetlands prevent bacteria and fungi from fully breaking down organic matter like plants and dead animals. In Lithuania, some of the resulting peat was extracted by the Soviet authorities to burn in power plants and to expand agriculture.

The restoration effort is a priority across multiple agencies in the government, said Aira Paliukenaite, Lithuania’s vice minister of the environment. The ministry is planning for restoration to continue for the next 30 years as a part of its policy of aligning with the European Union’s Nature Restoration Law.

That measure requires every country in the bloc to implement a plan, with targets, to mitigate carbon emissions and restore biodiversity and habitats in the coming decades.

Lithuania appears to be in a good starting position. The country still has large quantities of undisturbed peat underground. By rewetting it, officials said they could transform the land back into a what’s known as a carbon sink, or storage system, because peat can lock away carbon for much longer than forests can.

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It’s not a simple process, though. The technical planning and site preparation can take years. The projects are still in the early stages, especially those along the border, but they are starting to work with nongovernmental groups like the Foundation for Peatland Restoration and Conservation.

While some in the country are skeptical about the restoration process and its efficacy, others are welcoming the plan.

Albertas Lakstauskas, 52, a teacher and politician, has lived his whole life in Zasliai, a small town near one of the foundation’s projects, the restoration of about 150 acres of drained land where peat was extracted to supply energy to the Soviet Union.

Mr. Lakstauskas said he, like some others in the town, was doubtful that peat bogs alone could stop a Russian invasion, but he said he thought supporting the environment was a matter of national pride.

“If we can do some things to do better, I think that’s a good opportunity,” he said. “And I choose to participate.”

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