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Journal of Long-Term Effects of Medical Implants
SJR: 0.133 SNIP: 0.491 CiteScore™: 0.89

ISSN Imprimir: 1050-6934
ISSN En Línea: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.v14.i2.30
12 pages

Revolutionary Advances in Sun-Protective Clothing—An Essential Step in Eliminating Skin Cancer in our World

Richard Edlich
Legacy Verified Level I Shock Trauma Center Pediatrics and Adults, Legacy Emanual Hospital; and Plastic Surgery, Biomedical Engineering and Emergency Medicine, University of Virginia Health System, USA
Mary Jude Cox
Glaucoma Service, Eye Physicians of Southern New Jersey, Voorhees, New Jersey; and Department of Physical Medicine & Rehabilitation, Indiana University School of Medicine, Indianapolis, Indiana, USA
Daniel G. Becker
Associate Professor, Director of Facial Plastic Surgery Dept of Otolaryngology-Head and Neck Surgery, University of Pennsylvania Medical Center Founder, Becker Nose and Sinus Center, LLC Sewell, New Jersey, USA
Jed H. Horowitz
Pacific Center for Plastic Surgery & Plastikos Foundation, Huntington Beach, California, USA
Larry S. Nichter
Pacific Center for Plastic Surgery, Huntington Beach, CA, USA
L. D. Britt
Chairman, Brickhouse Professor of Surgery. Department of General Surgery, Eastern Virginia Medical School, Hofheimer Hall, 825 Fairfax Avenue, Norfolk VA 235001, USA
William C. Lineaweaver
Division of Plastic Surgery. The University of Mississippi Medical Center, 2500, North State Street, Jackson, MS 39216-4505
Theodore J. Edlich III
Total Action Against Poverty, Roanoke, Virginia
William B. Long III
Trauma Specialists LLP, Legacy Verified Level I Shock Trauma Center for Pediatrics and Adults, Legacy Emmanuel Hospital Portland, OR, USA


For many years, individuals around the world have relied on sunscreen alone as their primary form of protection against ultraviolet rays (UV-R). Australia has shown that a multitactic approach to skin cancer prevention, combining sun-protective clothing with sunscreen, can be both highly effective and widely accepted by the general public. In the US, the aging baby boomer generation and rising skin cancer epidemic call for a fundamental behavioral shift toward this combination approach to sun protection. Sun-protective clothing, such as that manufactured by Coolibar and awarded the Seal of Recommendation by The Skin Cancer Foundation, offers millions of Americans the opportunity to significantly improve the quality of their lives and is an essential step in eliminating skin cancer in our world.
All Coolibar clothing products carry a minimum ultraviolet protection factor (UPF) rating of 30, blocking 97% UV-R or greater. Each product in the Coolibar clothing line is individually tested and rated for its UV protection level; this process is explained in a thorough hangtag attached to the product. This tag specifies what UPF the product has received, how the UPF is figured, which testing procedures the individual product was submitted to, and if that product has received the Seal of Recommendation from The Skin Cancer Foundation. In addition to photoprotective clothing, The Skin Cancer Foundation recommends Rit Sun Guard™, a photoprotective laundry additive. Rit® Sun Guard™ washes into the clothing fibers and absorbs broadband UV-R. A single treatment of Rit® Sun Guard™ sustains a UPF of 30 for approximately 20 launderings. The active ingredient in Rit® Sun Guard™ is TINOSORB™FD.
In order to be certified by The Skin Cancer Foundation, the Coolibar clothing product must undergo extensive UPF testing to confirm the accuracy of the product labeling. Laundry additives evaluated by The Skin Cancer Foundation undergo similar tests to that of photoprotective clothing after a uniform laundering method is used to apply the product to the clothing fibers. Both of these certification processes confirm the UPF, UV-A and UV-B transmittance, and percentage blocking UV-A and UV-B. The certification process is reviewed on an annual basis.