It looks like a bargain - a cheap flight to the sun. But for thousands it is a one-way ticket to cancer. The boom in cheap air travel is not only harming the environment but also the health of the millions who fly in search of summer warmth. Soaring rates of skin cancer were blamed yesterday on the British penchant for holidays abroad involving long periods lying on the beach. Exposing large areas of pallid flesh to the midday sun is the surest way of triggering the lethal form of skin cancer known as malignant melanoma.
And more of us are doing it than ever before. Melanoma is the fastest-rising cancer, up by 43 per cent in a decade, according to by Cancer Research UK. In younger people, aged 25 to 44, the rise is even higher, up 50 per cent between 1995 and 2004. Melanoma often starts at the site of a mole and can be treated if caught early. But it is the most aggressive of the skin cancers, causing about 1,800 deaths a year. In 2004 there were 8,939 new diagnoses, up from 5,783 in 1995. The rise mirrors that in foreign travel, up by 48 per cent between 1997 and 2006 according to the Association of British Travel Agents, with 68 million trips abroad taken last year compared with 46 million in 1997.
Although there is a time lag between exposure to the sun and development of cancer of between eight and 30 years, experts said yesterday that foreign travel was a key factor behind the increase in the cancer, and the boom in cheap flights is certain to see it rise further.
Sara Hiom, director of health information at Cancer Research UK, said: "I do think cheap air travel is a factor behind the increase. The British tend to throw caution to the wind when abroad and, desperate to get a tan, take more risks in the sun. The increase in foreign holidays has been an important cause of the rise in melanoma." The sharp rise in younger people with the cancer was a legacy of sunburn contracted during their childhood and adolescence, when the skin is more vulnerable. Sunburn, rather than gentle tanning, carries the highest risk of causing cancer.
"The younger you are the worse it is. Younger skin is more susceptible to damage. As we age, the skin toughens up and is better protected," she said. "It is possible to get a little bit of colour and be safe in the sun. It is those reddening and burning episodes that every time increase the risk of cancer. They damage the DNA which the body tries to repair but every time there is more chance of more damage. The more hits you get the greater the risk. Those who behaved badly on holiday in their teens [by not covering up or applying suncream] are now seeing the effect in their forties."
Melanoma used to be a disease of affluence, found most commonly among those who could afford to take foreign holidays. But since the boom in package holidays which began in the 1960s and the arrival of cheap flights in the 1990s, the population affected by the disease has changed. Dr Hiom said: "There is anecdotal evidence from dermatologists that it is affecting less affluent groups - I have heard consultants comment on it." Other sharply rising cancers in the past decade include womb cancer, up 21 per cent, and kidney cancer, up 14 per cent. Both are commoner in overweight and obese people and the rises are thought to be driven by expanding waistlines.
(By Jeremy Laurance,
The Independent, 09/08/2007)