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There is no doubt using a sunbed or sunlamp will raise the risk of skin cancer,
say international experts.
Previously, the International Agency for Research on Cancer (IARC) assessed
sunbeds and sunlamps as "probably carcinogenic to humans".
But it now says their use is definitively "carcinogenic to humans".
Campaigners believe the move, announced in the journal Lancet Oncology, will
increase pressure for tighter industry regulation of sunbed use.
The new assessment puts sunbed use on a par with smoking or exposure to
asbestos.
However, the Sunbed Association in the UK said there was no proven link between
the responsible use of sunbeds and skin cancer.
The IARC is an expert committee that makes recommendations to the World Health
Organization.
It made its decision following a review of research which concluded that the
risk of melanoma - the most deadly form of skin cancer - was increased by 75%
in people who started using sunbeds regularly before the age of 30.
In addition, several studies have linked sunbed use to a raised risk of
melanoma of the eye.
The charity Cancer Research UK warned earlier this year that heavy use of
sunbeds was largely responsible for the number of Britons being diagnosed with
melanoma topping 10,000 a year for the first time.
In the last 30 years, rates of the cancer have more than quadrupled, from 3.4
cases per 100,000 people in 1977 to 14.7 per 100,000 in 2006.
Age limits
Proposals to ban people under the age of 18 from using sunbeds are under
consideration by the government in England.
A similar ban has already been approved in Scotland.
The Sunbed Association (TSA) supports a ban on under-16s, but argues there is
no scientific evidence for a ban on young people aged 17 or 18.
Jessica Harris, Cancer Research UK's health information officer said: "The link
between sunbeds and skin cancer has been convincingly shown in a number of
scientific studies now and so we are very pleased that IARC have upgraded
sunbeds to the highest risk category.
"This backs up Cancer Research UK's advice to avoid sunbeds completely for
cosmetic purposes. They have no health benefits and we know that they increase
the risk of cancer."
Ms Harris called for ministers to implement a ban on under-18s using sunbeds
immediately, and to close salons that are not supervised by trained staff.
Kathy Banks, chief executive of the Sunbed Association, said: "The relationship
between ultraviolet exposure and an increased risk of developing skin cancer is
only likely to arise where over-exposure - burning - has taken place.
"However, research has shown that over 80% of sunbed users are very
knowledgeable about the risks associated with over-exposure to ultraviolet and
the majority of sunbed users take 20 or less sunbed sessions a year."
A Department of Health spokesperson said: "Sunbeds can be dangerous - we must
ensure that people who use them do so safely. If necessary we will look at new
laws to protect young people."