Description

A person at a high altitude may be at increased risk for solar injury. The presence of risk factors should prompt the use of protective measures from sunlight, especially in the ultraviolet (UV) spectrum.


 

Parameters:

(1) altitude

(2) reflection from snow, ice or water

(3) latitude

(4) protective measures taken (clothing and sunscreen)

(5) cloud cover

(6) season of the year

(7) time of the day

(7) personal susceptibility to light damage

 

The intensity of ultraviolet (UV) light increases 4% for each 1,000 feet above sea level.

 

intensity of ultraviolet light at a given altitude in feet =

= (intensity at sea level) * (1 + (0.04 * ((altitude in feet) / 1000)))

 

Snow, ice or water can reflect ultraviolet light, especially to surfaces normally covered, such as the underside of the nose and chin.

 

Light intensity is greater:

(1) as one gets closer to the equator.

(2) during the summer, but also during late spring and early fall

(3) during the mid-day sun (10:00 to 14:00 standard time, or 11:00 to 15:00 daylight savings time)

(4) when there is no cloud cover, partial cloud cover or a light cloud cover

 

Personal susceptibility to UV light depends on:

(1) skin type associated with the level of melanin (low risk in Blacks, intermediate to high risk in Whites, very high in patients with albinism), as described in the chapter on dermatology

(2) photosensitivity due to drugs or underlying disease

 

The presence of long sleeves on shirts and pants, socks, wide brim hat and sunscreen can reduce exposure to UV light. Wet clothing may transmit UV light, especially if the weave is loose. Eye protection is important, especially if there is there is glare from snow or ice.

 


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