IPCS INCHEM Home


    INTERNATIONAL PROGRAMME ON CHEMICAL SAFETY



    ENVIRONMENTAL HEALTH CRITERIA 160





    ULTRAVIOLET RADIATION



    This report contains the collective views of an international group of
    experts and does not necessarily represent the decisions or the stated
    policy of the United Nations Environment Programme, the International
    Labour Organisation, or the World Health Organization.

    An Authoritative Scientific Review of Environmental and Health
    Effects of UV, with Reference to Global Ozone Layer Depletion


    Published under the joint sponsorship of
    the United Nations Environment Programme,
    the International Labour Organisation,
    and the World Health Organization

    World Health Orgnization
    Geneva, 1994

          The International Programme on Chemical Safety (IPCS) is a joint
    venture of the United Nations Environment Programme, the International
    Labour Organisation, and the World Health Organization.  The main
    objective of the IPCS is to carry out and disseminate evaluations of
    the effects of chemicals on human health and the quality of the
    environment.  Supporting activities include the development of
    epidemiological, experimental laboratory, and risk-assessment methods
    that could produce internationally comparable results, and the
    development of manpower in the field of toxicology.  Other activities
    carried out by the IPCS include the development of know-how for coping
    with chemical accidents, coordination of laboratory testing and
    epidemiological studies, and promotion of research on the mechanisms
    of the biological action of chemicals.

    WHO Library Cataloguing in Publication Data

    Ultraviolet radiation

    (Environmental health criteria: 160)

    1. Ultraviolet rays           2. Radiation effects
    3. Environmental exposure     I.Series

          ISBN 92 4 157160 8         (NLM Classification: WD 605)
          ISSN 0250-863X

          The World Health Organization welcomes requests for permission
    to reproduce or translate its publications, in part or in full.
    Applications and enquiries should be addressed to the Office of
    Publications, World Health Organization, Geneva, Switzerland,
    Which will be glad to provide the latest information on any changes
    made to the text, plans for new editions, and reprints and
    translations already available.

    (c) World Health Organization 1994

          Publications of the World Health Organization enjoy copyright
    protection in accordance with the provisions of Protocol 2 of the
    Universal Copyright Convention.  All rights reserved.

          The designations employed and the presentation of the material in
    this publication do not imply the impression of any opinion whatsoever
    on the part of the Secretariat of the World Health Organization
    concerning the legal status of every country, territory, city, or area
    or of its authorities, or concerning the delimitation of its frontiers
    or boundaries.

          The mention of specific companies or of certain manufacturers'
    products does not imply that they are endorsed or recommended by the
    World Health Organization in preference to others of a similar nature
    that are not mentioned.  Errors and omissions excepted, the names of
    proprietary products are distinguished by initial capital letters.

    CONTENTS

         PREFACE

    1. SUMMARY AND CONCLUSIONS

         1.1. Physical characteristics
         1.2. Action spectrum and minimum erythemal dose
         1.3. Cellular and molecular studies
         1.4. Animal studies
         1.5. Health effects on humans
                1.5.1. Skin
                1.5.2. Immune system
                1.5.3. Eye
         1.6. Environment
         1.7. Guidelines on exposure limits and protective measures

    2. PHYSICAL CHARACTERISTICS

         2.1. Electromagnetic spectrum
         2.2. Radiometric quantities and units
         2.3. UV production
                2.3.1. Thermal emitters
                2.3.2. Electrical gaseous discharges
                2.3.3. Stimulated emission
         2.4. Summary

    3. UV SOURCES

         3.1. The sun
                3.1.1. Factors affecting solar UV levels
                3.1.2. Ozone depletion effects
                3.1.3. Trends in UV 19
                3.1.4. Theoretical models
                3.1.5. UV monitoring
                3.1.6. Analysis of UV data
                3.1.7. Conclusions
         3.2. Artificial sources
                3.2.1. Incandescent sources
                3.2.2. Gaseous discharge sources
                3.2.3. Gas welding
                3.2.4. Arc welding
                3.2.5. Lasers
                3.2.6. Sunbeds

    4. HUMAN EXPOSURE

         4.1. Sunlight
         4.2. Skin exposure geometry
         4.3. Ocular exposure geometry
         4.4. Workplace

                4.4.1. Outdoor work
                4.4.2. Indoor work
                4.4.3. Research
                4.4.4. Commerce
                4.4.5. Medicine and dentistry
         4.5. Elective exposure

    5. DOSIMETRIC CONCEPTS

         5.1. Interaction of UV with matter
         5.2. Biological weighting factors and spectrally
                weighted quantities
         5.3. Measurement techniques
                5.3.1. Detectors
                5.3.2. Radiometers
                5.3.3. Spectroradiometers
                5.3.4. Personal dosimetry
         5.4. Calibration

    6. CELLULAR AND MOLECULAR STUDIES

         6.1. Introduction
         6.2. Interactions with biomolecules
                6.2.1. Cellular chromophores
                6.2.2. Cellular targets
         6.3. Action spectra
         6.4. Biomolecular damage
                6.4.1. Nucleic acids
                6.4.2. Membranes
                6.4.3. Proteins
         6.5. Cellular defenses
                6.5.1. DNA
                6.5.2. Human excision repair disorders
                6.5.3. Antioxidant pathways
                6.5.4. Summary
         6.6. Cellular consequences of damage
                6.6.1. Membrane disruption
                6.6.2. Activation of genes
                6.6.3. Cell death
                6.6.4. Mutation, chromosomal damage and transformation
         6.7. Conclusions

    7. ANIMAL STUDIES

         7.1. Skin carcinogenesis
                7.1.1. Domestic animals
                7.1.2. Experimental animals
                7.1.3. Interactions between radiations
                        of different wavelengths
                7.1.4. Dose response
                7.1.5. Effect of pattern of exposure

                7.1.6. Action spectrum
                7.1.7. Interaction between UV and chemicals
                7.1.8. Mechanisms of UV carcinogenesis
                7.1.9. Conclusions
         7.2. Immune responses
                7.2.1. Immune function assays
                7.2.2. Susceptibility to rumours
                7.2.3. Susceptibility to infectious disease
                7.2.4. Susceptibility to immunologically-mediated
                        disease
                7.2.5. Conclusions
         7.3. Ocular studies
                7.3.1. Introduction
                7.3.2. General effects
                7.3.3. Caractogenesis
                7.3.4. Retinal effects

    8. HUMAN STUDIES: THE SKIN

         8.1. Characteristics
                8.1.1. Structure and optical properties
                8.1.2. Skin types
         8.2. Beneficial effects
                8.2.1. Vitamin D3
                8.2.2. Skin adaptation
                8.2.3. Other benefits
         8.3. Acute effects
                8.3.1. Erythema and sunburn
                8.3.2. Skin pigmentation and tanning
                8.3.3. Photosensitization
         8.4. Chronic effects on the skin other than cancer
         8.5. Cancer
                8.5.1. Nonmelanocytic skin cancer
                8.5.2. Cutaneous melanoma
                8.5.3. Cancer of the lip
                8.5.4. Ocular cancers
                8.5.5. Other cancers
                8.5.6. Action spectrum
                8.5.7. Dose response
                8.5.8. Effects of pattern of exposure
                8.5.9. Interactions between UV and other agents
                8.5.10. Mechanisms of UV carcinogenesis
         8.6. Conclusions

    9. HUMAN STUDIES: IMMUNE FUNCTION

         9.1.   Immune function assays
         9.2. Susceptibility to tumours, infectious and autoimmune
                diseases
         9.3. Conclusions

    10. HUMAN STUDIES: THE EYE

         10.1. Introduction
         10.2. The eye
         10.3. Study design
         10.4. Diseases of the external eye
                10.4.1. Photokeratitis and photoconjunctivitis
                10.4.2. Climatic droplet keratopathy
                10.4.3. Pinguecula
                10.4.4. Pterygium
                10.4.5. Hyperkeratosis, carcinoma-in-situ, and squamous
                        cell carcinoma of the conjunctiva
         10.5. Diseases of the lens
                10.5.1. Cataract
                10.5.2. Exfoliation syndrome
                10.5.3. Anterior lens capsule
         10.6. Diseases of the choroid and retina
                10.6.1. Uveal melanoma
                10.6.2. Age-related macular degeneration
         10.7. Conclusions

    11. EFFECTS ON PLANT AND AQUATIC ECOSYSTEMS

         11.1. Introduction
         11.2. Effects on terrestrial plants
                11.2.1. UV penetration into the leaf
                11.2.2. Changes in growth
                11.2.3. Effects on plant function
                11.2.4. Species competition
                11.2.5. Plant diseases
                11.2.6. UV-protection systems
         11.3. Effects on aquatic ecosystems
                11.3.1. Effects on phytoplankton
                11.3.2. UV increase and primary biomass production
         11.4. Conclusions

    12. HEALTH HAZARD ASSESSMENT

         12.1. Introduction
         12.2. Elective exposures
                12.2.1. Medical exposures
                12.2.2. Phototherapy of seasonal effective disorder
                        (SED)
                12.2.3. Sunbeds
                12.2.4. Sunbathing
         12.3. Adventitious exposures
                12.3.1. Outdoor exposures
                12.3.2. Artificial sources

    13. INTERNATIONAL GUIDELINES ON EXPOSURE STANDARDS

    14. PROTECTIVE MEASURES

         14.1. Introduction
         14.2. Education
         14.3. Protection factors
         14.4. Clothing
         14.5. Sunscreens
         14.6. Tanning devices
         14.7. Occupational protection
         14.8. Protection in medicine and dentistry
         14.9. Nutrition
         14.10. Additional protective agents
         14.11. Eye protection

    15. FUTURE RESEARCH

         15.1. Introduction
         15.2. INTERSUN
         15.3. Solar and personal UV monitoring
                15.3.1. Solar monitoring
                15.3.2. Personal monitoring
         15.4. Terrestrial plants
         15.5. Aquatic ecosystems
         15.6. Human health
                15.6.1. Skin
                15.6.2. Immune system
                15.6.3. Eye
         15.7. Laboratory studies
         15.8. Education
         15.9. Administration

    16. PREVIOUS EVALUATIONS BY INTERNATIONAL BODIES

         16.1. United Nations Environment Programme
                16.1.1. Ozone
                16.1.2. Human health
         16.2. International Agency for Research on Cancer
         16.3. World Health Organization
         16.4. International Commission on Non-Ionising
                Radiation Protection

    REFERENCES
    

    PREFACE

         The World Health Organization (WHO), in collaboration with the
    United Nations Environment Programme (UNEP) and the International
    Non-Ionizing Radiation Committee (INIRC) of the International
    Radiation Protection Association (IRPA), published the first
    Environmental Health Criteria (EHC) monograph on Ultraviolet
    Radiation in 1979. At the United Nations Conference on the
    Environment and Development (UNCED) in 1992 it was declared under
    Agenda 21 that there should be activities on the effects of
    ultraviolet radiation. Specifically:

    "(i) Undertake, as a matter of urgency, research on the effects on
    human health of the increasing ultraviolet radiation reaching the
    earth's surface as a consequence of depletion of the stratospheric
    ozone layer;

    (ii) On the basis of the outcome of this research, consider taking
    appropriate remedial measures to mitigate the above-mentioned
    effects on human beings".

         Within the United Nations mandate, and that of the 1993 WHO
    Global Strategy for Health and Environment, this monograph has been
    drafted to provide the essential authoritative review on which
    future research programmes in UV can progress.

         IRPA initiated activities in NIR by forming a Working Group on
    Non-Ionizing Radiation in 1974. This Working Group later became the
    INIRC at the IRPA meeting held in Paris in 1977. In May 1992 the
    INIRC was chartered as an independent scientific commission called
    the International Commission on Non-Ionizing Radiation Protection
    (ICNIRP). ICNIRP continues the work of the IRPA/INIRC by reviewing
    the scientific literature on NIR and making assessments of health
    risks of human exposure to such radiation. Using the Environmental
    Health Criteria monographs, developed in conjunction with WHO,
    ICNIRP recommends guidelines on exposure limits, drafts codes of
    practice, and works in conjunction with other international
    organizations to promote safety and standardization in the
    non-ionizing radiation fields.

         A UNEP/WHO/ICNIRP Task Group to review the final draft of the
    updated Environmental Health Criteria on Ultraviolet (UV) Radiation
    met in Geneva from 8-11 December, 1993. Dr W. Kreisel, Executive
    Director, World Health Organization opened the meeting on behalf of
    WHO. Dr H. Gopalan and Mr R. Matthes welcomed the participants on
    behalf of UNEP and ICNIRP respectively.

         The first revision of this publication was compiled by members
    of the IRPA/INIRC and more recently by members of ICNIRP. Chapters
    were prepared by Drs B. Armstrong, J-P. Cesarini, L. Court, P.
    Dolan, G. Johnson, A. Kricker, A. McKinlay, M. Repacholi, M.

    Selgrade, D. Sliney and R. Tyrrell. These chapters together with the
    report of an informal consultation held in Geneva, in August 1993 on
    "The Effects of Solar UV Radiation on the Eye", the International
    Agency for Research on Cancer (IARC) report of the meeting on
    "Health, Solar UV Radiation and Environmental Change " held in Lyon
    in October 1992, and the meeting on Immunotoxicology held in
    Bilthoven in July 1993, were used by Drs M. Repacholi and D. Sliney
    to compile the review draft in September 1993. Comments were
    received from a broad cross-section of specialists in the UV fields
    and their reviews were gratefully received. These comments were then
    incorporated for Task Group review. Final scientific editing of the
    text was completed by Drs J-P. Cesarini, A. McKinlay, M. Repacholi
    and D. Sliney. Sincere thanks to Christine Cornish and Nancy Smith
    for their assistance in the preparation of this text. An editorial
    group consisting of Drs M. Repacholi, H. Gopalan and T. Kjellström
    coordinated the preparation of this monograph.

         This monograph comprises a review of the data on the effects of
    exposure on biological systems pertinent to the evaluation of human
    health risks. Its purpose is to give an overview of the known
    biological effects of UV, identify gaps in knowledge and provide
    direction for further research. This monograph will assist health
    authorities, regulatory and similar agencies to provide guidance on
    health risks from exposure to UV and limits for occupational and
    general public exposure.

         Earlier reports were not necessarily included, as they were
    reviewed in the 1979 monograph. Every effort has been made to
    distinguish clearly between established biological effects and those
    that have been reported as preliminary or isolated results, or as
    hypotheses proposed to explain observed results. The conclusions are
    based on established knowledge of interactions of UV with biological
    systems.

         Subjects reviewed include: the physical characteristics of UV;
    measurement techniques; applications and sources of exposure;
    mechanisms of interaction; biological effects; guidance on
    protective measures; and recommendations on exposure limits.

         This monograph will also serve as a scientific database for the
    planned WHO/UNEP/IARC/ICNIRP International Research Programme on
    Health, Solar UV Radiation and Environmental Change (INTERSUN). The
    general objectives of INTERSUN are to:

    (i) evaluate the quantitative relationship between solar UV at the
    surface of the earth and human health effects, develop reliable
    predictions of the health consequences of changes in UV, provide
    baseline estimates of the incidence of health effects of UV in
    representative populations around the world, and develop practical
    ways of monitoring change in these effects over time in relation to
    environmental and behavioural change;

    (ii) provide essential input into the development of environmental
    and public health policies and actions in relation to depletion of
    stratospheric ozone; and

    (iii) provide a framework for monitoring the effects of solar UV and
    the impact of prevention programmes.

         Health agencies and regulatory authorities are encouraged to
    set up and develop programmes that ensure effective protection
    against the health effects of UV. It is hoped that this criteria
    monograph will provide useful information for such endeavours.

    TASK GROUP MEETING ON THE REVISION OF ENVIRONMENTAL HEALTH CRITERIA
    ON UV RADIATION

    Members

    Dr J.P. Cesarini         LRTPH, Fondation Rothschild, Paris, France

    Dr L. Court              Centre de Recherches du Service de Santé
                             des Armées, La Tronche Cédex, France

    Dr A. McKinlay           National Radiological Protection Board,
                             Didcot, United Kingdom

    Dr D. Sliney             US Army Environmental Hygiene Agency,
                             Aberdeen Proving Ground, MD, USA

    Dr M.J. Selgrade         Immunotoxicology Branch, USEPA, Research
                             Triangle Park, NC, USA

    Dr G. Johnson            Institute of Ophthalmology, University of
                             London, London, United Kingdom

    Dr B. Armstrong          International Agency for Research on
                             Cancer, Lyon, France

    Dr H. Van Loveren        National Institute of Public Health &
                             Environmental Protection, Bilthoven,
                             Holland

    Dr A. Koppikar           Office of Health & Environmental
                             Assessment, USEPA, Washington DC, USA

    Dr R.M. Tyrrell          Swiss Institute for Cancer Research,
                             Epalinges/Lausanne, Switzerland

    Dr J.C. van der Leun     Academisch Ziekenhuis Utrecht, CX Utrecht,
                             Holland

    Dr I.A. Badr             King Khaled Eye Specialist Hospital, King
                             Saud University, Riyadh, Saudi Arabia

    Dr G. Kulandaivelu       School of Biological Sciences, Madurai
                             Kamaraj University, Madurai, India

    Dr E. Turowski           Institute for Water, Soil and Air Hygiene,
                             Berlin, Germany

    Observers

    Dr B. Weatherhead        Surface Radiation Research Branch, Boulder,
                             Colorado, USA

    Dr H. Gopalan            United Nations Environment Programme
                             (UNEP), Nairobi, Kenya

    Dr A. Kulmula            World Meteorological Organization (WMO),
                             Geneva, Switzerland

    Dr A. Kricker            International Agency for Research on
                             Cancer, Lyon, France

    Dr U. Feister            Deutscher Wetterdienst, Potsdam, Germany

    Dr W.H. Weihe            President, International Society of
                             Biometeorology (ISB), Brannenburg, Germany

    Dr R. Matthes            Bundesamt fur Strahlenschutz, Ingolsädter,
                             Oberschleissheim, Germany

    Dr C. Remé               Professor of Ophthalmology,
                             Universitätsspit, Zurich, Switzerland

    WHO Secretariat

    Dr W. Kreisel            Executive Director, Health and Environment
                             Mr G. Ozolins Manager, Prevention of
                             Environmental Pollution
    Dr T. Kjellström         Prevention of Environmental Pollution
    Dr M. Repacholi          Prevention of Environmental Pollution
                             (Secretary)
    Dr B. Thylefors          Manager, Programme for the Prevention of
                             Blindness
    Dr P.-H. Lambert         Chief, Microbiology and Immunology Support
                             Services
    Dr A.-D. Négrel          Programme for the Prevention of Blindness
                             Dr V. Koroltchouk Cancer and Palliative
                             Care

    NOTE TO READERS OF THE CRITERIA MONOGRAPH

         Every effort has been made to present information in the
    criteria monographs as accurately as possible without unduly
    delaying their publication. In the interest of all users of the
    Environmental Health Criteria monographs, readers are kindly
    requested to communicate any errors that may have occurred to the
    Director of the International Programme on Chemical Safety, World
    Health Organization, Geneva, Switzerland, in order that they may be
    included in corrigenda, which will appear in subsequent volumes.

    1.  SUMMARY AND CONCLUSIONS

         This monograph is concerned with the effects of ultraviolet
    (UV) radiation exposure on human health and the environment. Such a
    review of the scientific literature is considered timely in view of
    the consequences of increased levels of UV at the surface of the
    earth resulting from depletion of stratospheric ozone.

    1.1  Physical Characteristics

         Exposure to UV occurs from both natural and artificial sources.
    The sun is the principal source of exposure for most people. Solar
    UV undergoes significant absorption by the atmosphere. With
    depletion of the stratospheric ozone people and the environment will
    be exposed to higher intensities of UV. The consequences of this
    added UV exposure are considered so serious that it was a major
    topic for discussion at the World Environment Conference, held in
    Rio de Janeiro in 1992. In Agenda 21, adopted by the Conference, it
    was specifically recommended to "undertake, as a matter of urgency,
    research on the effects on human health of the increasing
    ultraviolet radiation reaching the earth's surface as the
    consequence of depletion of the stratospheric ozone layer." It is
    this issue that underscores the current need to better understand
    the potential health and environmental risks of UV exposure.

         UV is one of the non-ionizing radiations in the electromagnetic
    spectrum and lies within the range of wavelengths 100 nm (which
    corresponds to a photon energy of approximately 12 eV) to 400 nm.
    The short wavelength limit of the UV region is often taken as the
    boundary between the ionizing radiation spectrum (wavelengths < 100
    nm) and the non-ionizing radiation spectrum. UV can be classified
    into UVA (315 - 400 nm), UVB (280 - 315 nm) and UVC (100 - 280 nm)
    regions, although other conventions for UVA, UVB and UVC wavelengths
    bands are in use.

         Most artificial sources of UV, except for lasers, emit a
    spectral continuum of UV containing characteristic peaks, troughs
    and lines. These sources include various lamps used in medicine,
    industry, commerce, research and the home.

         UV-induced biological effects depend on the wavelengths of the
    radiation. It is necessary for a proper determination of hazard to
    have spectral emission data. These consist of spectral irradiance (W
    m-2 nm-1) measurements or calculations of emissions from the
    source. The total irradiance (W m-2) is obtained by summing over
    all wavelengths emitted. The biological or hazard weighted
    irradiance (W m-2 effective) is determined by multiplying the
    spectral irradiance at each wavelength by the biological or hazard
    weighting factor (which quantifies the relative efficacy at each
    wavelength for causing the effect) and summing over all wavelengths.
    Such factors are obtained from action spectra.

    1.2  Action Spectrum and Minimum Erythemal Dose

         An action spectrum is a graph of the reciprocal of the radiant
    exposure required to produce the given effect at each wavelength.
    All the data in such curves are normalized to the datum at the most
    efficacious wavelength(s). By summing the biologically effective
    irradiance over the exposure period, the biologically effective
    radiant exposure (J m-2 effective) can be calculated. For UV
    induced erythema, the action spectrum adopted by the International
    Commission on Non-Ionizing Radiation Protection (ICNIRP),
    International Commission on Illumination (CIE), the International
    Electrotechnical Commission (IEC) and various national bodies, is a
    composite curve obtained by statistical analysis of many research
    results on the minimum radiant exposure of UV at different
    wavelengths necessary to just cause erythema.

         The most commonly used quantity for describing the erythemal
    potential of an exposure to UV is the number of minimum erythemal
    doses (MEDs) represented by the exposure. An MED is the radiant
    exposure of UV that produces a just noticeable erythema on a
    previously unexposed skin. It corresponds to a radiant exposure of
    monochromatic radiation at the maximum spectral efficacy for
    erythema (around 300 nm) of approximately 150 to 2000 J m-2
    effective, depending on skin type. In this text 200 - 300 J m-2
    effective is used as the value of 1 MED for comparative safety
    purposes for white skin.

    1.3  Cellular and Molecular Studies

         To produce any change, UV must be absorbed by the biomolecule.
    This involves absorption of a single photon by the molecule and the
    production of an excited state in which one electron of the
    absorbing molecule is raised to a higher energy level. The primary
    products caused by UV exposure are generally reactive species or
    free radicals which form extremely quickly but which can produce
    effects that can last for hours, days or even years. DNA is the most
    critical target for damage by UVB and UVC radiations. While a
    considerable amount of knowledge is available concerning the
    interaction of UV with nucleic acids, controversy exists as to which
    lesion constitutes the most important type of pre-mutagenic damage.

         Cell death, chromosome changes, mutation and morphological
    transformations are observed after UV exposure of procaryotic and
    eucaryotic cells. Many different genes and several viruses
    (including HIV) are activated by UV exposure. The genes activated by
    UVB and UVC are different from those activated by UVA. Studies of
    DNA repair defective disorders have clearly established a link
    between UV induced DNA damage in skin and various types of cancer.

    1.4  Animal Studies

         Solar UV has been shown to produce cancers in domestic and food
    animals. In experimental animals UV causes predominantly squamous
    cell carcinomas. UVB is most effective at producing SCCs, although
    they are produced by UVA but at much higher intensities, similar to
    the levels needed for erythema and tanning. The effectiveness of UVC
    is unknown except at one wavelength (254 nm). At this wavelength the
    effectiveness is less than UVB.

         Melanomas are much less common and only two animal models have
    been found for induction of melanoma by UV alone. An initial action
    spectrum determined for a type of hybrid fish indicates a peak in
    the UVB range but also shows a high level of effectiveness in the
    UVA. Basal cell carcinomas are rare in animals.

         Exposure to suberythemal doses of UV have been shown to
    exacerbate a variety of infections in rodent models. UV affects
    infections both at the site of exposure and at distant sites. Recent
    work indicates that systemic infections without skin involvement may
    be affected. Enhanced susceptibility appears to result from T-helper
    cell activity. The mechanisms associated with this suppression
    appear to be the same as those identified with suppression to
    contact and delayed type hypersensitivity responses. Suppression of
    these immune responses appears to be mediated by release of soluble
    mediators from UVB exposed skin which alters the antigen
    presentation by Langerhans and other cells so that they fail to
    activate TH 1 cells. The resulting immune suppression is antigen
    specific, can occur regardless of whether or not antigen is applied
    at the site of exposure, and is relatively long lasting. UV exposure
    also prevents the development of protection immunity to a variety of
    infections in mice and rats.

         Many studies in experimental animals have demonstrated that UV
    exposure can cause both acute and delayed effects such as cataract,
    photokeratitis, damage to the corneal epithelium and various retinal
    effects. Studies of photochemical retinal injury in aphakic monkeys
    have shown that the retina is six times more vulnerable to
    photochemical damage from UV than the visible wavelengths.

    1.5  Health Effects on Humans

    1.5.1  Skin

         Acute effects on the skin consist of solar erythema, "sunburn",
    which, if severe enough, may result in blistering and destruction of
    the surface of the skin with secondary infection and systemic
    effects, similar to those resulting from a first or second degree
    heat burn. Although UVC is very efficiently absorbed by nucleic
    acids, the overlying dead layers of skin absorb the radiation to
    such a degree that there is only mild erythema and, usually, no late

    sequelae, even after repeated exposures. Much less is known about
    the biological effects of UVA. However, doses of UVA, which alone
    may not show any biological effect, can, in the presence of certain
    environmental, consumer and medicinal chemical agents, result in
    injury to tissues (phototoxicity, photoallergy, enhancement of
    photocarcinogenesis).

         Chronic skin changes due to UV consist of skin cancer (both
    melanoma and non-melanocytic), benign abnormalities of melanocytes
    (freckles, melanocytic naevi and solar or senile lentigines), and a
    range of other chronic injuries resulting from UV exposure to
    keratinocytes, blood vessels and fibrous tissue, often described as
    "photoaging" (solar elastosis). The much increased rates of skin
    cancer in patients with xeroderma pigmentosum, who have a deficiency
    in the capacity to repair UV-induced DNA damage, suggest that direct
    UV damage of the DNA may be a step in the cause of these cancers.
    This suggestion has also been supported by the observation of UV
    specific mutations of the p53 tumour suppressor gene in a proportion
    of patients with non-melanocytic skin cancer. Oxidative and immune
    suppressant effects may also contribute to the capacity of UV to
    cause skin cancers.

         Cancer of the lip is much more common in fair than dark skin
    populations and is associated with outdoor work. However possible
    confounding with tobacco and alcohol use has not been adequately
    controlled in any study.

         The worldwide incidence of malignant melanoma has continued to
    increase. Strong epidemiological evidence exists that sun exposure
    causes cutaneous melanoma and non-melanocytic skin cancer. Their
    incidence is less in darker than light skin groups living in the
    same geographical area. Risk of skin cancer decreases with
    increasing pigmentation. The anatomical site most seen for squamous
    cell carcinoma (SCC) is the head and neck, areas most exposed to the
    sun. Incidence of both melanoma and non-melanocytic skin cancer are
    increased in areas of high ambient solar UV radiation. Melanoma is
    strongly related to frequency of recreational exposure to the sun
    and to history of sunburns.

         There is suggestive evidence that exposure to sunlamps may
    increase the risk of melanoma, but the studies conducted so far have
    not consistently controlled confounding factors.

    1.5.2  Immune system

         A number of studies suggest that UV exposures at environmental
    levels suppress immune responses in both rodents and man. In rodents
    this immune suppression results in enhanced susceptibility to
    certain infectious diseases with skin involvement and some systemic
    infections. Mechanisms associated with UV-induced immunosuppression
    and host defence mechanisms which provide for protection against

    infectious agents, are similar in rodents and man. It is therefore
    reasonable to assume that exposure to UV may enhance the risk of
    infection and decrease the effectiveness of vaccines in humans.
    However additional research is necessary to substantiate this.

    1.5.3  Eye

         The acute effects of UV on the eyes consist of the development
    of photokeratitis and photoconjunctivitis, which are unpleasant but
    usually reversible and easily prevented by appropriate eyewear.
    Chronic effects on the eye consist of the development of pterygium
    and squamous cell cancer of the conjunctiva and cataracts. A review
    of the studies suggests that there is sufficient evidence to link
    acute ocular exposure to photokeratitis but our knowledge of the
    effects of chronic exposure is less certain. While there is
    sufficient evidence that cortical and posterior subcapsular
    cataracts (PSC) can be caused by UVB in laboratory animals, there is
    limited evidence to link cortical and PSC cataracts in humans to
    chronic ocular exposure to UVB. Insufficient information is
    available to separate out the other factors contributing to cataract
    formation, or to state the proportion of cataracts which can be
    attributed to UVB exposure. There is also limited evidence to link
    the development of climatic droplet keratopathy and pterygium, but
    insufficient evidence to link uveal melanoma with UV exposure.

    1.6  Environment

         Increased levels of UV due to ozone layer depletion may have
    serious consequences for living organisms. A 10% reduction in ozone
    could lead to as much as a 15-20% increase in UV exposure depending
    on the biological process being considered. While the impact on
    human health, crop production, fisheries etc. is largely unknown,
    adverse effects of increased exposure to UVB have been reported on
    plant growth, photosynthesis and disease resistance. Further, the
    impact of increased UV levels on aquatic ecosystems (the major
    contributor to the earth's biomass) may be substantial.
    Phytoplankton, at the base of the aquatic food chain, serves as food
    for larvae of fish and shrimp. These in turn are consumed by fish,
    which subsequently provide an essential food source for many human
    beings and other animals. A significant reduction in phytoplankton
    from increased UVB exposure will directly affect the human and
    animal marine food source.

    1.7  Guidelines on Exposure Limits and Protective Measures

         Guidance on exposure limits for UV are described in chapter 13.
    International guidelines define exposure limits (ELs) below which it
    is expected that nearly all people may be repeatedly exposed without
    adverse effects. The ELs are intended to be used to evaluate
    potentially hazardous exposures from, for example, solar radiation,
    arcs, gas and vapour discharges, fluorescent lamps and incandescent

    sources. The ELs are generally below levels which are often used for
    the UV exposure of patients required as part of medical treatment
    and below levels associated with sunbed exposure. ELs are not
    intended to apply to exposure of pathologically photosensitive
    individuals, to people concomitantly exposed to photosensitising
    agents or to neonates.

         Finally this monograph describes protection and control
    measures such as the containment of UV sources, and methods for
    personal protection including the use of sunscreen preparations,
    clothing, eye and skin protection, and behavioural modifications.

         While topical application of sunscreen is a preferred method of
    absorbing UVB, some preparations do not absorb the longer wavelength
    UVA effectively. Moreover, some have been found to contain
    ingredients that are mutagenic in sunlight. There is still much
    research necessary before the impact on health of increased levels
    of UVA will be known. In the meantime people using sunscreens should
    use only those with the highest sun protection factor (SPF) and be
    aware that they are for their protection from the sun and not for
    tanning purposes. Use of wide brimmed hats, protective clothing and
    UV absorbing eye glasses is still the best personal protection
    against the adverse effects of UV exposure.

         With increasing levels of solar UV resulting from depletion of
    the ozone layer, and the continuing rise in the level of melanoma
    worldwide, people should become more aware of their UV exposure and
    take appropriate precautions. These precautions include staying out
    of the sun during the period around noon (the period when the UV
    levels are highest), or wearing UV protective clothing, hats and sun
    glasses. Broad spectrum (UVB and UVA protective) sunscreens should
    be used when other means of protection are not feasible. These
    sunscreens should be used to reduce exposure rather than lengthen
    the period of exposure to the sun. Protection of young children is
    particularly important for the prevention of long-term consequences
    of UV exposure. In general behavioural patterns must change to
    protect against increasing solar UV levels.

    2.  PHYSICAL CHARACTERISTICS

    2.1  Electromagnetic Spectrum

         Oscillations of electromagnetic fields can cause energy to be
    transported in the form of electromagnetic radiation. Examples of
    this type of radiative transport of energy include radiofrequency
    waves, light and x rays. Ultraviolet (UV) radiation is one form of
    electromagnetic energy in the optical region of the electromagnetic
    spectrum. All electromagnetic radiation is characterized by
    frequency f and wavelength lambda. These two quantities are linked
    through the relationship:

                                 f = c/lamda

    where c is the speed of light (3 108 m s-1). The energy of a
    single photon is determined by the wavelength of the photon as
    described by the relationship

         (photon energy) = hf = hc/lamda    where h = 1.24 eV nm

         Non-ionizing radiation (NIR) is the term generally applied to
    all forms of electromagnetic radiation whose primary mode of
    interaction with matter is other than by producing ionization. NIR
    refers to electromagnetic fields and radiation with wavelengths
    exceeding 100 nm, which is equivalent to quantum (photon) energies
    below 12.4 eV, the minimum energy needed to break the weakest
    macromolecular bonds. The non-ionizing spectrum encompasses all
    fields of radiation from UV to DC fields.

         For purposes of health protection, the optical portion of NIR
    can be subdivided into several wavelength ranges, as shown in table
    2.1. The nomenclature was standardized by the International
    Commission on Illumination (CIE) however, some scientists use a
    modification of this system by shifting the 315 nm break point
    between UVA and UVB to 320 nm; the reader should always check the
    definition given in each publication. For the purposes of this
    document, the CIE convention is followed.

    Table 2.1  Optical Radiation Spectral Bands
                                                                       

         Ultraviolet radiation              100 - 400 nm
         UVA                                315 - 400 nm
         UVB                                280 - 315 nm
         UVC                                100 - 280 nm
         Visible radiation (light)          400 - 760 nm
         Infrared radiation (IR)            760 - 106 nm = 1 mm
                                                                       
         UV of wavelengths less than 180 nm has no direct biological
    effect on humans since it is effectively absorbed in a few

    centimetres of air. For this reason, the spectral region below 180
    nm is frequently referred to as the  vacuum ultraviolet region.

    2.2  Radiometric Quantities and Units

         Radiometric quantities are absolute physical quantities used to
    describe the characteristics of a source or radiation field. For UV,
    ten generic radiometric terms are summarized in table 2.2. Each of
    these quantities can be defined for a certain wavelength or
    frequency range, or can be integrated over the whole spectrum of a
    given source. Since UV is normally absorbed over a surface, with
    very limited penetration depth, the most common quantities used to
    describe exposure dose and dose rate to UV are: radiant exposure
    (incident energy divided by the receptor surface area) and
    irradiance (incident power divided by the receptor surface area)
    respectively. Radiant exitance is the power per area of the emitted
    radiation  at the emitting surface. The receptor surface is most
    often considered as a flat plane. However, for some biological and
    chemical purposes, the radiation incident on a cylindrical or
    spherical surface may also be considered.

         For the purpose of radiation protection, physical quantities
    are needed to describe sources and fields of radiation as well as
    the interaction of this optical radiation with matter. These are
    described in IRPA/INIRC(1985).

    2.3  UV Production

         Sources of electromagnetic radiation can be categorized in
    several different ways; for example they can be grouped according to
    the type of material or the type of equipment that produces the
    radiation. At the submicroscopic level, the manner in which the
    radiation originates can be described in terms of nuclear,
    electronic or molecular transitions between energy states or by the
    acceleration of charged particles. Common sources of UV emission
    involve energy transitions between electronic states of molecules in
    materials.

    2.3.1  Thermal emitters

         When the temperature of a material increases, electrons in the
    molecules are raised to higher energy states, a variety of energy
    transitions take place and photons are emitted. The higher the
    temperature the greater is the fraction of these photons at higher
    energies. Matter at temperatures above 2500 K emits a significant
    number of photons in the UV spectral range. The emission spectra of
    such incandescent sources are characteristically smooth - so-called
    "continuum", possibly with superimposed spectral emission lines.


    
    Table 2.2  Radiometric terminology for UV:
               Useful radiometric quantities and units
                                                                                                           
    Quantity             Symbol     Defining equation                           Unit and abbreviation
                                                                                                           

    Radiant energy       Qe         Qe = Integral Operator Phie dt              joule (J) = 1 watt second

                                         dQe
    Radiant energy       We         We =                                        joule per cubic metre
    density                              dV                                     (J m-3)

                                           dQe
    Radiant flux         Phie , P   Phie =                                      watt (W)
    (radiant power)                         dt

                                         dPhie
    Radiant exitance     Me         Me =                                        watt per square metre
                                           dA                                   (W m-2)

                                       = Integral Operator Le cosTheta dOmega

    Irradiance or                        dPhie
    Radiant Flux         Ee         Ee =                                        watt per square metre
    Density                                dA                                   (W m-2)

                                         dPhie
    Radiant intensity    Ie         Ie =                                        watt per steradian (W sr-1)
                                         dOmega

                                             d 2Phie
    Radiance1            Le         Le =                                        watt per steradian per
                                         dOmega dA cosTheta                     square metre (W sr-1 m-2)

    Table 2.2 (contd).
                                                                                                           
    Quantity             Symbol     Defining equation                           Unit and abbreviation
                                                                                                           

    Radiant exposure                He = dQe                                    joule per square metre
    (dose in             He                                                     (J m-2)
    photobiology)                         dA

                                         P
    Radiant efficiency2  ne         ne =                                        unitless
    (of a source)                        Pi

    Optical density3     De         De = - log10(gammae)                        unitless
                                                                                                           

    NOTE:  All terms in this table are radiometric terms and should not be confused with photometric terms.
    The symbol A represents surface area, Omega is solid angle, Theta is the incident (zenith) angle,
    V represents volume, t is time. The units may also refer to narrow spectral bands in which the term is
    preceded by the word  spectral and the unit is then per wavelength interval and the symbol has a
    subscript lamda. For example, spectral irradiance Egamma has units of W m-2 nm-1 or W cm-2 nm-1. While
    the metre is the preferred unit of length, the centimetre is still commonly used for many of the above
    terms and the nm or µm are most commonly used to express wavelength.

    1.  At the source L =     dI      and at a receptor L =       dE       
                          dA cosTheta                       dOmega cosTheta

    2.  Pi is electrical input power in watts

    3.  This formula applies only to situations where the radiation is not scattered, but only absorbed.
        In this case gamma represents the fraction of transmitted energy.


    
         The spectral emission of a heated material is governed by basic
    physical laws. The Stefan-Boltzmann Law expresses the total
    radiation emitted by a heated material as a function of its
    temperature. The total radiant power emitted by a theoretically
    perfect radiator, a so-called black body, is proportional to the
    fourth power of its temperature (in kelvin, K). Any practical
    thermal emitter in equilibrium emits less radiant power than its
    equivalent black body at the same temperature and unlike a black
    body the amount depends on the nature of its surface. The spectral
    distribution of black body radiation is described by the Planck
    Radiation Law. Wien's Displacement Law is illustrated in figure 2.1,
    and describes mathematically the spectral distribution of emission
    from a black body and the wavelength of the maximum emission shift
    to shorter wavelengths as temperature increases. When a material is
    heated so that incandescence occurs, it first appears red and, with
    increasing temperature, progresses to white or blue.

    2.3.2  Electrical gaseous discharges

         Radiation may be produced when an electric current is passed
    through a gas or vapour. Atoms may be ionized if sufficient energy
    is transferred from a moving electron. Alternatively the moving
    electron may not impart sufficient energy for ionization, but
    instead may impart energy to raise the electrons of the gas to an
    excited (higher) energy level. When they return to a lower energy
    level, or their ground state, radiation of one or more
    characteristic wavelengths is emitted. The wavelengths of emission
    are determined by the type of gas or vapour present in the discharge
    and appear as spectral emission lines. The width of the lines and
    the amount of radiation in the interval between them depends on the
    pressure of the discharge. At low pressure, fine lines with little
    or no continuum are produced. As the pressure of the discharge is
    raised the lines broaden and their relative magnitudes alter. The
    magnitude of the continuum increases. The electrical gaseous
    discharge is the basis of operation of many UV emitting lamps.

    2.3.3  Stimulated emission

         Radiation can be produced by the specific electronic transition
    process of stimulated emission. This depends on the ability of the
    radiating medium to undergo "population inversion", i.e., achieving
    a condition where there are more atoms or molecules in a higher
    energy excited state than in a lower one. Once population inversion
    occurs an avalanche of photons can be generated by stimulated
    emission. Initially, spontaneously emitted photons stimulate other
    excited atoms to emit photons of the same energy in phase with one
    another. This is the basis of operation of the laser.

    FIGURE 2.1

    2.4  Summary

         UV is a part of the non-ionizing region of the electromagnetic
    spectrum. Its position in the spectrum can be characterised by
    wavelength and it is quantified using radiometric quantities and
    units. Production of UV is possible by different mechanisms that are
    all based on atomic or molecular excitation. Excitation in a medium
    can be achieved by thermal, electrical or optical energy absorption.
    Emission of radiation is caused either by de-excitation or by
    stimulated synchronised processes.

    3.  UV SOURCES

    3.1  The Sun

         The sun is the main source of UV. The broad spectrum and
    intensity of UV from the sun are due to the high temperature at its
    surface and its size. The intensity of solar UV reaching the earth's
    atmosphere would probably be lethal to most living organisms on the
    earth's surface without the shielding afforded by the atmosphere.
    Solar UV undergoes absorption and scattering as it passes through
    the earth's atmosphere with absorption by molecular oxygen and ozone
    being the most important processes. The ozone layer prevents almost
    all UV of wavelengths lamda < 290 nm and a substantial fraction (in
    excess of 90% of the total energy) from 290 - 315 nm from reaching
    the earth's surface. Thus the terrestrial environment is exposed to
    UV between 290 nm and 400 nm. The spectrum, both before passage
    through the atmosphere and at sea level, is shown in figure 3.1

         The solar radiation reaching the top of the earth's atmosphere
    is affected by the solar output and the earth-sun distance.
    Variations in solar output are much smaller than the variations
    caused by atmospheric attenuation factors. The irradiance incident
    on the top of the earth's atmosphere is summarised in table 3.1, but
    will vary with the exact distance of the earth from the sun at a
    particular time. The extreme values associated with this variation
    are approximately ± 3.3% above and below the annual mean and occur
    in January and July respectively.

    Table 3.1  Spectral distribution of solar radiation prior to
    attenuation by the earth's atmosphere (Frederick et al., 1989).
                                                                       
    Wavelength band     Irradiance (W m-2)            Percent of total

    UVC                          6.4                         0.5
    UVB                         21.1                         1.5
    UVA                         85.7                         6.3
    Total UV                   113.2                         8.3
    Visible and IR            1254                          91.7
                                                                       

         The atmosphere has a profound effect on the irradiance which
    reaches the surface of the earth. In January (in the northern
    hemisphere) or July (in the southern hemisphere) when the solar
    elevation is low, direct UV travels a longer path through the
    atmosphere and a large amount of scattering occurs. In addition,
    much of the resultant scattered UV propagates downwards to the
    earth's surface at angles to the horizontal that are larger than the
    solar elevation, hence travelling a shorter and less absorptive
    path. This results in large ratios of scattered to direct UV. During
    the summer the ratio of diffuse to direct UV is smaller.

    FIGURE 3.1

    3.1.1  Factors affecting solar UV levels

         The total solar UV reaching the earth's surface, termed global
    UV can be divided into two components: direct and diffuse. Global UV
    reaching a horizontal surface is the quantity most often measured.
    For biological entities such as people and trees, UV hitting
    cylindrical or spherical surfaces may be more important.

         The amount and spectral distribution of solar UV irradiance
    reaching the earth's surface depends on a number of factors,
    including

    (a)  wavelength of the UV
    (b)  solar zenith angle, which depends on latitude, date of the year
         and time of day
    (c)  solar source spectrum incident at the top of the atmosphere (d)
         ozone column thickness and vertical distribution
    (e)  molecular absorption and scattering (including localized
         gaseous pollutants)
    (f)  aerosol absorption and scattering (including anthropogenic
    (g)  absorption, scattering and reflection by clouds
    (h)  reflectance characteristics (albedo) of the ground
    (i)  shadowing by surrounding objects
    (j)  altitude above sea level

         The presence of cloud cover, air pollution, haze, or even
    scattered clouds, plays a significant role in attenuating UV. UVB
    and UVA irradiances are reduced due to scattering by water droplets
    and/or ice crystals in the clouds. Clouds can block a significant
    portion of the UV which would have otherwise reached the surface.

         Cloud cover and type are highly variable. The transmission of
    UV radiation through clouds depends on cloud height, type and
    optical density. The resultant effect on UV transmission is
    difficult to assess particularly in the case of partial cloudiness.
    The effect of cloudiness on the solar irradiation of a horizontal
    plane can be approximated by

              F = 1 - 0.056 C

    where C is the total cloud index in tenths of sky covered from 0 to
    10, 10 being complete sky cover. Thus for complete cloud cover, the
    transmitted UV irradiance would decrease by 72% and for half cloud
    cover by 44%. In extreme cases cloud cover can decrease UV
    irradiance by over 90%. Estimates of the average reduction of UVB
    due to clouds (relative to cloudless skies) based on satellite
    measurements of backscattered solar UV are 30% at 60 degrees
    latitude, 10% at 20 degrees latitude and 20% at the equator.

    3.1.2  Ozone depletion effects

         Over 90% of the total atmospheric ozone resides in the
    stratosphere (the upper atmosphere). The total ozone column is
    important for filtering solar UV. Only UVB is affected by changes in
    the ozone column. UVC is almost completely absorbed by ozone and
    oxygen in the atmosphere; even with severe ozone reduction UVC would
    still be effectively absorbed by the remaining oxygen.

         As stratospheric ozone levels decrease, the resulting higher
    levels of solar UVB could increase the production of reactive OH
    radical molecules, potentially increasing the chemical reactivity of
    the troposphere. In polluted areas with sufficient concentrations of
    oxides of nitrogen (NOx) (above 0.5 ppb by volume) and hydrocarbon
    compounds this enhanced reactivity is calculated to result in
    greater levels of tropospheric ozone and other potentially harmful
    oxidized products, such as hydrogen peroxide and acids.

         The amount of ozone in the free troposphere is increasing for
    example over central europe and other parts of the globe. The effect
    of these trends on UV radiation needs to be studied further (WMO,
    1993). For high sun angles, tropospheric ozone is a more effective
    absorber of UV radiation than stratospheric ozone because of the
    increased path length of scattered radiation in the lower atmosphere
    (Brühl & Crutzen, 1989).

         The total ozone column is not uniform but varies with latitude
    and time of year. At the same latitude, away from the equator and
    tropics, the total ozone column tends to be greater in spring than
    in autumn. Thus, even though the sun angles are the same on March 21
    and September 21, the differences in total ozone column result in
    more UVB in early autumn than in early spring. If cloud cover and
    atmospheric pollution are not taken into account, in the tropics,
    the relatively constant ozone column and the similar solar angles
    throughout the year, result in little variation in solar UVB with
    season.

         Changes in total column ozone were observed by both ground
    based and satellite based instruments from the WMO Global Ozone
    Observing System. The measurements show pronounced ozone depletion
    over Antarctica in months 9-12 (local early spring) (UNEP-WMO,
    1989). Increases in biologically effective UVB were observed during
    this same time period (NSF, 1993). Over representation of UVA in the
    common broad band meter action spectrum, relative to most biological
    action spectra, produces less pronounced relative and absolute
    changes in assessed UVB. Therefore under cloud free conditions
    common broad band meters are less sensitive in assessing the ground
    level UVB effects of ozone depletion than detectors with a steeper
    action spectrum response such as for DNA damage or for erythema.

    3.1.3  Trends in UV

         There have been no significant changes in ozone at the equator.
    Total column ozone over the Northern mid-latitudes has decreased by
    several percent over the past two decades. Efforts to detect changes
    in UV over long time periods have failed due to changes in column
    ozone.

         Besides the problems indicated in the interpretation and
    comparison of measurement data from different sites and sources,
    there are also insufficient direct solar terrestrial UVB
    measurements for constructing a global climatology or trend
    assessment due to some of the following (Driscoll 1992):

    (a)  problems in establishing appropriate instrumentation: either
         highly sophisticated and reliable spectral instruments or broad
         band instruments which fairly represent the sensitivities of
         different biological and chemical targets (with different
         wavelength dependencies and sensitivity to different
         orientations),

    (b)  difficulty of maintaining accurate field instrument
         calibrations over many years, and

    (c)  practical limitations in establishing a global monitoring
         network especially with the potential for disturbance from
         locally polluted areas.

         With insufficient spectral measurement data collected over long
    periods, data from the more extensively used broad-band measurement
    systems have been scrutinised. UV data from eight stations in the US
    showed decreases in UVB between 0.5% and 1.1% per year during the
    time period of 1974-1985 (Scotto  et al., 1988). However, this
    result does not agree with theoretical predictions and may be due to
    problems in the long-term calibration of meters or local pollution
    in mainly urban or semi-urban sites (Munkata, 1993; Smith & Ryan
    1993). In Russia, a 12% decrease of UVB was observed in Moscow
    between 1968 and 1983 with a concurrent 15% increase in turbidity
    and a 13% increase in cloudiness. At the Jungfraujoch observing
    station in the Swiss alps (3.6 km above sea level), increases of
    0.7±0.2% per year in UVB were observed under clear sky conditions
    between 1981 and 1989. A comparison of summer spectral data weighted
    with the CIE erythemal action spectrum using the same
    instrumentation at Lauder, New Zealand (45°S) and Neuherberg,
    Germany (48°N) showed weighted UV irradiances were 1.6 times larger
    in New Zealand due to decreased ozone column thickness (24% lower
    than in Germany). Spectral filter measurements at 39o N between 1976
    though 1990 showed large increases in monthly maximum values which
    were not statistically significant (Correll  et al., 1992).

    3.1.4  Theoretical models

         To overcome some of the deficiencies in interpreting the
    results from solar UV measurements, theoretical models have been
    used to predict UV levels. However, the theoretical determination of
    the spectral distribution of global UV including the effects of
    cloud cover and ground reflection is extremely complex. There are
    three categories of models to predict UV transmission. Empirical and
    semi-empirical models are useful for assessing daily or annual
    erythemal doses as a function of latitude, solar zenith angle, cloud
    cover and ground albedo. These models have been used for a long time
    at a variety of locations. Two of the most common examples are the
    models of Green  et al. (1974) and Diffey (1977)

         Two stream models simulate the radiative transfer through the
    atmosphere. They have been well verified with field data from
    Antarctica as well as mid-latitudes (e.g. Frederick  et al., 1989).

         Multistream models allow for the angular distribution of UV
    transmission. This is useful for more detailed dosimetry (Stamnes
     et al., 1988).

         The maximum erythemally effective UVB irradiances, calculated
    by the Diffey model, are shown in table 3.2 for the Northern
    Hemisphere, as a function of latitude and time of year at sea level
    (Driscoll 1992). There are strong seasonal and latitudinal
    variations in UVB. Under cloudless skies, the UVB is more intense in
    summer and at all times of year is greater at lower latitudes. The
    solar elevation angle determines the length of the path of the sun's
    rays as they penetrate the atmosphere. When the sun is low in the
    sky, the path through the atmosphere is longer and the filtering
    action of the air is therefore increased. When the sun is directly
    overhead, the sun's rays have the shortest path through the
    atmosphere. Approximately 50% of the daily UV is received during the
    middle four hours around noon when the sun is high in the sky
    (Sliney, 1987).

         The number of minimum erythemal doses (MEDs) in a 3 hour
    exposure period around noon for fair skin is shown as a function of
    latitude and time of year in table 3.3 for the Northern Hemisphere.
    For example, at 55°N (Newcastle), a calculated value of 6 MED would
    be received for a sensitive skin type in a 3 hour exposure around
    noon on a clear day in July (1 MED per half hour exposure).

         Comparing the values in table 3.2 with the results of
    calculations using the model developed by Frederick  et al. (1989)
    for clear sky conditions at noon, the latter are typically 50%
    higher. This may be due to differences in the biological action
    spectra used or in the spectral irradiance data calculated. The R-B
    meter response characteristic used by Frederick  et al. (1989) does

    not follow the CIE reference erythema action spectrum used in the
    model developed by Diffey (1977) at wavelengths greater than 300 nm.

    3.1.5  UV monitoring

         Recent public and scientific concern about ozone depletion and
    increased UV have lead to the establishment of many UV monitoring
    centres in the last few years. Five years ago less than fifty UV
    monitoring stations were operating around the world. Today more than
    250 monitoring centres are underway for a variety of reasons.
    Governmental agencies, scientific institutions, universities and
    private groups have begun to monitor UV. The World Meteorological
    Organization (WMO) has established a global network called Global
    Atmosphere Watch (GAB). It presently has eight observatory stations
    that make continuous spectral and broad band UV measurements. The
    Global Environment Facility is supporting the creation of 10-15
    additional stations in developing countries. Various national and
    multi-national agencies are also operating and establishing UV
    monitoring networks.

    Table 3.2  Calculated clear sky noontime erythemally effective UVB
    irradiances (mW m-2 CIE erythemally weighted) on a horizontal
    surface as a function of latitude (°) and time of year for the sea
    level in the Northern Hemisphere using typical ozone values
    (Driscoll, 1992).
                                                                       

          Jan  Feb  Mar  Apr  May  Jun  Jul  Aug  Sep  Oct  Nov  Dec

     0    229  251  260  229  210  207  214  233  278  248  226  221
     5    212  232  242  235  214  213  220  241  258  227  207  206
    10    203  220  229  248  226  225  232  255  244  215  198  175
    15    155  199  201  227  221  226  234  240  223  198  155  135
    20    127  183  191  215  234  239  247  227  212  184  127  111
    25     95  134  165  185  203  227  219  200  194  143  101   84
    30     79  110  157  176  192  215  208  190  186  117   85   56
    35     42   80  114  146  160  188  182  166  148   93   50   31
    40     28   61   93  139  152  178  172  158  121   73   33   21
    45     16   33   66  105  126  158  153  128   93   42   21   13
    50     12   22   54   85  119  150  145  104   77   28   15    8
    55      6   14   33   65   92  130  114   81   48   18    8    4
    60      4   10   21   53   75  105   93   67   31   12    5    2
    65      0    6   14   35   59   85   76   42   21    7    2    0
    70      0    3   10   23   48   70   62   29   15    4    0    0
    75      0    0    6   15   30   53   39   20    9    0    0    0
    80      0    0    3   11   20   33   26   14    5    0    0    0
    85      0    0    2    7   14   23   18    9    2    0    0    0
    90      0    0    0    4   10   16   13    5    0    0    0    0
                                                                       

    Table 3.3  Number of MEDs in a 3 h exposure period for a sensitive
    skin type (1 MED = 200 J m-2 effective) for the erythemally
    effective UVB irradiances given in table 3.2 as a function of
    latitude (°) and time of year for the Northern Hemisphere (Driscoll
    1992).
                                                                       

          Jan  Feb  Mar  Apr  May  Jun  Jul  Aug  Sep  Oct  Nov  Dec

     0     12   14   14   12   11   11   12   13   15   13   12   12
     5     11   13   13   13   12   12   12   13   14   12   11   11
    10     11   12   12   13   12   12   13   14   13   12   11    9
    15      8   11   11   12   12   12   13   13   12   11    8    7
    20      7   10   10   12   13   13   13   12   11   10    7    6
    25      5    7    9   10   11   12   12   11   10    8    5    5
    30      4    6    8   10   10   12   11   10   10    6    5    3
    35      2    4    6    8    9   10   10    9    8    5    3    2
    40      2    3    5    8    8   10    9    9    7    4    2    1
    45      1    2    4    6    7    9    8    7    5    2    1    1
    50      1    1    3    5    6    8    8    6    4    2    1    0
    55      0    1    2    4    5    7    6    4    3    1    0    0
    60      0    1    1    3    4    6    5    4    2    1    0    0
    65      0    0    1    2    3    5    4    2    1    0    0    0
    70      0    0    1    1    3    4    3    2    1    0    0    0
    75      0    0    0    1    2    3    2    1    0    0    0    0
    80      0    0    0    1    1    2    1    1    0    0    0    0
    85      0    0    0    0    1    1    1    0    0    0    0    0
    90      0    0    0    0    1    1    1    0    0    0    0    0
                                                                       

         The reasons for monitoring UV are generally divided into the
    following four areas:

         (i)  to provide information to the public on UV levels and
              variations,

        (ii)  establishing a basic UV climatology,

       (iii)  studying cause and effects of UV transmission, and

        (iv)  detecting long term variability.

         While these reasons are not mutually exclusive they can often
    dictate the type of care taken with instrument maintenance. The
    quality and care needed for trend detection requires a great deal
    more effort than for UV measurements to provide public information.

         There are many difficulties in making accurate field
    measurements of ambient UV. Care must be taken that no part of the
    instrument is shaded from either direct or indirect sun; nearby
    surfaces must not change during the time period of monitoring; and

    routine maintenance such as snow and debris removal must be
    conducted systematically to avoid trend bias. The value of the
    measurements for trend detection rely on diligent maintenance of the
    site including co-located measurements. The data must have spectral,
    temporal and angular resolution appropriate for validation of model
    calculations and for evaluation of biological effects (spectral
    resolution better than <1 nm). Broad band instruments are useful
    for establishing climatology and operations where spectral
    instruments are not practical.

         Frequent and reliable calibration of the instrumentation is
    necessary. UV monitoring for the detection of trends is difficult
    and failure to detect a trend may be due to lack of awareness of
    changes in instrument behaviour and correction of it.
    Intercomparison of different types of UV monitoring instruments have
    shown that individual instrument characteristics can cause
    substantial differences in measurements. Further intercomparisons
    are necessary to understand and reduce the uncertainties of
    measurements.

    3.1.6  Analysis of UV data

         Atmospheric UV data are difficult to analyze. To date all UV
    data have been analyzed separately by each investigator and in a
    different manner. This variation in analysis makes the
    interpretation and comparison of results difficult. Unfortunately,
    the data are normally not easily obtained and re-analyzed for
    comparative studies.

         UV data pose difficult problems because they are not generally
    independent and normally distributed, therefore robust time series
    techniques should be used to analyze the data correctly. Standard
    techniques, depending on how they are applied, can greatly over or
    under estimate the confidence in the observed trends, as well as
    supply spurious trends when used on UV data. Bishop (1992) has
    suggested that using proper statistical techniques, at least ten
    years of data will be necessary to correctly detect a trend of 5%
    per decade. This estimate was made based on analysis of a single
    station's data independently. However, analysing groups of data may
    allow trend detection in less time.

    3.1.7  Conclusions

         The earth's atmosphere has a profound effect on the UV
    irradiance reaching the earth's surface. It absorbs a large fraction
    of the incident UV and changes part to diffuse radiation. Variations
    in UV intensity depend on solar zenith angle, atmospheric ozone,
    cloudiness, aerosol load and other factors.

         One of the most important tools to determine climatological
    values and long-term changes in solar UV radiation is the monitoring

    of solar UV. Atmospheric parameters which modulate UV need to be
    observed in parallel to help explain the changes observed in the
    measurements. The existing data base is much too scarce to derive
    climatological values and trends on global or regional scales.
    Efforts are being made to establish national and international
    networks for measurements of solar UV radiation.

         Models that simulate typical values and predictions of changes
    in UV radiation for different atmospheric conditions are also used.
    The results from these models need to be compared with measurements.

    3.2  Artificial Sources

         Artificial sources of UV are commonplace. There are few
    artificial sources that result in human exposure to UV greater than
    that from the sun. However, exceptions are those used for medical
    therapy and diagnosis, cosmetic tanning. Industrial sources are
    generally effectively enclosed, but accidental exposure may occur.
    There are very few non-laser sources of optical radiation that emit
    UV solely.

         Any unfiltered optical source, whose emissions are due to the
    heating of a material e.g. a filament lamp, that emits significant
    quantities of UV will also emit visible and infrared radiations. In
    the case of high temperature tungsten halogen lamps biologically
    significant amounts of shorter wavelength UVB are also emitted.
    Essentially the same holds true for high intensity (gaseous)
    discharge (HID) lamps. Some incandescent and HID lamps have
    sufficient intrinsic filtration in the glass envelope of the lamp.
    However, additional filtration, afforded by incorporation of the
    lamp in a suitably filtered luminaire, may be necessary.

         Most man-made sources of UV can be grouped together in the
    categories shown below. The spectrum of the UV emitted varies from
    one source to another

     Incandescent sources
         tungsten lamps

     Gas discharges
         mercury lamps (low-, medium- and high-pressure)
         mercury lamps with metal halides
         xenon lamps
         hydrogen and deuterium lamps
         flash tubes

     Electric discharges
         welding arcs
         carbon arcs

     Fluorescent lamps
         fluorescent lighting tubes
         fluorescent sunlamps (UVB emitters)
         fluorescent UVA tubes

     Lasers
         excimer laser
         dye laser
         gas laser

    3.2.1  Incandescent sources

         When a material is heated a large number of energy transitions
    occur within its molecules and optical photons are emitted. An
    ideally efficient emitter (radiator) is termed a black body
    radiator. The total radiant power and its spectral distribution
    depend only on the temperature of the black body. The spectral
    emissions in terms of spectral radiant exitance of a black body
    radiator for different temperatures are illustrated in figure 3.2
    and tabulated in table 3.4 (McKinlay  et al., 1988). The wavelength
    corresponding to the peak of the spectral emission of a black body
    radiator varies inversely as its temperature and as the temperature
    increases an increasing amount of UV is emitted. Incandescent
    sources whose temperatures are greater than about 2900 K emit
    significant amounts of UV with respect to possible effects on human
    health. The optical emission of the sun corresponds approximately to
    that of a black body radiator at a temperature of around 6000 K.

    FIGURE 3.2

         By integrating over all wavelengths the area under an absolute
    plot of spectral radiant exitance against wavelength, the total
    radiant exitance M can be determined by the formula:

              M = sigmaT4

    where sigma = Stefan-Boltzmann constant (5.67 x 10-3 W m-2 K-4)
    and       T = absolute temperature (K).

    Table 3.4  Approximate radiant exitances of black body sources at
    different temperatures

                                                                      
    Temperature         UVB/C                UVA                UVA
    K              200-315 nm         315-340 nm         340-400 nm
                      [W m-2]            [W m-2]            [W m-2]
                                                                      

    1500           8.6 x 10-5         5.6 x 10-4         2.7 x 10-2
    2000           2.4 x 10-1         7.9 x 10-1               14.2
    2500                   29                 62                634
    3000                  760               1147               8095
    3500                 8050               9220            5 x 104
    4000            4.8 x 104          4.4 x 104            2 x 105
    5000            6.3 x 105            4 x 105          1.4 x 106
    6000            3.6 x 106          1.7 x 106            5 x 106
    10000           1.4 x 108          3.2 x 107          6.9 x 107
                                                                      

         In practice no material emits radiation with a black body
    spectrum. However, tungsten at high temperatures (such as used for
    the filaments of ordinary and tungsten halogen incandescent lamps)
    and molten metals approximate to theoretical black bodies. Such
    sources are termed grey bodies. The ratio of the actual spectral
    radiant exitance to the theoretical black body spectral radiant
    exitance is a measure of how closely the grey body approximates in
    its spectral emission at a particular wavelength to a black body and
    is termed the spectral emissivity (epsilonlamda). Similarly, by
    summation over all wavelengths, the total radiant exitance M of a
    material is given by

              M = epsilon sigma T4

    where epsilon is the emissivity.

         The emissivity depends on the material and on its surface
    structure, and is a function of wavelength. For example, for
    tungsten at 3000 K (typical of a tungsten halogen lamp filament),
    the emissivity varies from an average of about 0.45 in the UVA
    region to about 0.2 in the IRB ( 1.4 - 3.0 µm) region.

         The incandescent lamp is the oldest type of electric lamp still
    in common use. The optical radiation from incandescent lamps results
    from the heating of tungsten filaments which, with the exception of
    lamps for some photographic and graphic arts applications, are not
    heated to temperatures in excess of about 3000 K. Typical gas-filled
    incandescent filament lamps operate between 2700 and 3000 K with
    electrical input powers up to 500 W and the peaks of their spectral
    emissions are in the infra-red (IRA) region. The emissions of UV by
    tungsten filament lamps are generally negligible with respect to
    human health.

         In applications where greater power (up to 5 kW) is required,
    tungsten-halogen (often called quartz-halogen) lamps are often used.
    These are quartz envelope tungsten filament lamps to which a halogen
    vapour (usually iodine) is added. The presence of the vapour enables
    operation at an increased gas pressure compared with conventional
    incandescent lamps, and evaporation from the filament is minimized.
    These features result in improved luminous efficacy and longer life.
    In order to operate efficiently, the temperature of the wall of the
    bulb must be maintained at not less than 260 °C. The majority of the
    bulbs of tungsten-halogen lamps are made from silica (quartz) whose
    thermal properties are most suitable. The combination of filament
    temperatures which are likely to be in the range 2900 to 3450 K and
    quartz bulbs results in a significantly higher level of emission of
    potentially harmful UV compared with ordinary tungsten filament
    lamps. The incorporation of suitable secondary filtration to reduce
    UV emissions to an acceptable level is an important feature of the
    design of any illumination system using tungsten halogen lamps
    (McKinlay  et al., 1989).

    3.2.2  Gaseous discharge sources

         The electrical excitation of a gas or vapour is a typical
    mechanism for generating optical radiation. An electric current is
    passed through a gas or a mixture of gases ionized to produce
    electrons and positive ions. Emissions are the result of electronic
    transitions in the atoms of a material from low to high energy
    states (absorption and excitation) followed by transitions from the
    high to low energy states (de-excitation and emission). This process
    is often combined with the process of luminescence, whereby the
    characteristic (line) photon emissions of the gas are absorbed by a
    luminescent material (luminophor or phosphor) which in turn emits
    optical radiation, typically as a continuum over a range of longer
    wavelengths. The 253.7 nm UV emission from a low pressure mercury
    vapour discharge is used as a source of excitation in low pressure

    fluorescent lamps. By raising the pressure of the discharge to a few
    atmospheres the emission lines increasingly broaden effectively
    forming a continuum. In some cases the 253.7 nm line emission will
    be self-absorbed by the vapour of the discharge.

         Low pressure discharge lamps

          Germicidal lamps

         The low pressure mercury-discharge lamp is often used for the
    purpose of germicide and disinfection. Such lamps are very efficient
    emitters of UV. Approximately 50% of the electrical power is
    converted to UV of which up to 95% is emitted at a wavelength of
    253.7 nm (see figure 3.3). Germicidal type lamps are available in a
    range of sizes, shapes and powers. Small, low-wattage (5-10 W)
    germicidal lamps are often used as fluorescence-inducing lamps for
    the purposes of, for example, chromatographic analysis and the
    fluorescence identification and authentication of documents. The
    quartz envelopes of some lamps in this category transmit 185 nm
    wavelength radiation characteristic of mercury vapour.

          Fluorescent lamps

         The most common application of the low-pressure discharge is
    fluorescent lamps. These operate by means of a discharge between two
    electrodes through a mixture of mercury vapour and a rare gas,
    usually argon. Light is produced by conversion of 253.7 nm mercury
    emission to longer wavelength radiations by means of a phosphor
    coating on the inside of the glass envelope of the lamp. Lamps are
    available with many different phosphors and envelopes to produce a
    wide range of spectral emissions covering the visible (light), UVA
    and UVB regions. While the continuum emissions of fluorescent lamps
    are characteristic of the phosphors the narrow peak, spectral
    emissions are dominated by the characteristic line emission spectrum
    of the low-pressure mercury vapour discharge.

          General lighting fluorescent lamps

         These lamps are available in a range of physical sizes, powers
    and phosphors. The range of phosphors includes a large selection of
    "near white" and "special colour" lamps. In relation to other light
    sources the fluorescent lamp is particularly efficient, with about
    20% of the input energy resulting in useful light. Detailed spectral
    analysis of the UV emissions of different general lighting
    fluorescent lamps have shown that in general UVB and UVC emissions
    are extremely low due to the marked attenuation of wavelengths <
    320 nm afforded by the glass envelope.

    FIGURE 3.3

         Frequently in office and industrial environments where
    fluorescent lamps are used, the luminaire assembly incorporates a
    diffuser or controller. Three materials are commonly used in the
    construction of diffusers; opal acrylic, opal styrene and opal
    polycarbonate. Controllers are luminaire covers that are configured
    with small prisms or lenses. Two commonly used materials are clear
    acrylic and clear styrene. Some luminaires incorporate opal
    (diffusing) sides and a clear figured [controller] base. The use of
    diffusers and controllers results in the absorption and reflection
    of the radiation emitted by the associated lamp. The UV-attenuating
    properties of different diffusers is demonstrated by the measurement
    data in table 3.5.

         During the past few years the further development and improved
    design of general lighting fluorescent lamps have been evident in
    the production of compact fluorescent lamps. These lamps are
    essentially low power small diameter fluorescent tubes folded in a
    compact form. They are most readily available commercially with cool
    white phosphors but other phosphors are also available. For a given
    illuminance their spectral emissions of UV are essentially no
    different from those of full size tubular fluorescent lamps as shown
    in table 3.6.
        Table 3.5  Measurements of UV irradiance from various diffusers/controllers
    with a white fluorescent lamp as the source. Irradiance totals in each
    waveband in mW m-2 (percentage in parentheses), (McKinlay et al., 1988).
                                                                               
    Diffuser Type          UVA            UVB                 UVACGIH**
                           mW m-2         mW m-2              [mW m-2]effective
                                                                               

    Bare lamp              22.32 (100d)   3.45 (100)          59 x 10-3 (100)
    Clear acrylic+         16.35 (73)     2.91 (84)           48 x 10-3 (81)
    Clear styrene+         2.87 (13)      0 (0)               0 (0)
    Opal styrene*          0.92 (4)       3 x 10-3 (< 0.1)    0.02 x 10-3 (<0.1)
    Opal polycarbonate*    0.20 (< 1)     12 x 10-3 (< 1)     0.09 x 10-3 (<1)
                                                                               

     + Surface figured with small prisms
     * Reeded surface
    ** ACGIH occupational hazard weighted irradiance: 1 maximum permissible
    exposure for an 8 h working day is equivalent to 10-3 [W m-2]effective ..
    
    Table 3.6  Measurements of UV from compact fluorescent lamps,
    normalised to an illuminance of 500 lux (Whillock et al., 1990)
                                                                      
    Lamp type                          UVA            UVB
                                       mW m-2         µW m-2
                                                                      

    Luma (7 W) LC7                     47 x 103       0
    Luma (7 W) LC7 with diffuser       197            0
    Osram (11 W) Dulux EL              38 x 103       0.1
    Philips (9 W) SL9                  37 x 103       0
    Sylvania (13 W) Lynx CFD           43 x 103       30.81
    Thorn (16 W) 2D                    54 x 103       2.48
    Tungsram (16 W) Globulux           663            0
                                                                     

          "Special" applications fluorescent lamps

         Apart from a number of colour-rendering fluorescent lamps,
    which are essentially variations of general lighting fluorescent
    lamps, a number of special applications fluorescent lamps have been
    developed.

         A common example of a UVB emitting fluorescent lamp is the FS
    type lamp with spectral emission shown in figure 3.4. Such lamps
    were previously used for cosmetic tanning and are now often used as
    a source of UVB in biological experiments. The blacklight lamp uses
    a nickel/cobalt-oxide (Woods glass) envelope that is almost entirely
    opaque to light. The phosphor chosen for this type of lamp emits
    around 370 nm in the UVA. Such lamps are used for a number of
    commercial, scientific and industrial fluorescence purposes as well
    as for display and entertainment. Three types of fluorescent lamps
    that emit UVA in printing and copying merit mention viz; lamps
    suitable for diazo printing with a principal emission around 360 nm;
    those intended for modern fast diazo printing with a main emission
    around 420 nm; and those used for photocopying with predominantly
    green emissions.

         A medical treatment for hyperbilirubinaemia in neonates
    (neonatal jaundice) consists of irradiating the newborn child with
    phototherapy lamps emitting in the wavelength range approximately
    400 to 470 nm. Some lamps used for this purpose have emission
    spectra that extend into the UV region. Fluorescent lamps in
    printing and copying include lamps for diazo printing with a
    principal emission around 360 nm.

         The development of a range of phosphors with enhanced UVA
    emissions has led to the widespread use of fluorescent lamps in
    sunbeds, solaria and PUVA (Psoralen + UVA) treatment cabinets.

         High pressure discharge lamps

         The designation "high pressure discharge" lamps is taken in
    this monograph to include the families of lamps often called high
    intensity discharge (HID), such as mercury vapour or metal halide
    lamps, where an electric arc is not created. At still higher
    pressures, arcs may be produced, e.g., the xenon or mercury compact
    (short-arc) lamps.

          Mercury and metal halide lamps

         High-pressure mercury vapour lamps are widely used for lighting
    in commerce, streets, displays, floodlighting and a large number of
    printing, curing and other industrial applications. The spectral
    emissions of the discharge are in the blue, green and yellow regions
    of the spectrum and a large amount of UV is also generated. The
    general construction of high-pressure mercury lamps is a fused
    silica (quartz) discharge tube containing the mercury/argon vapour
    discharge mounted inside an outer envelope of soda-lime or
    borosilicate glass.

         The outer glass envelope effectively absorbs most residual UV.
    Consequently the quantity of potentially harmful UV emitted by such
    lamps depends critically on the integrity of this envelope. In the
    USA, but apparently not in Europe, it is a legally enforceable
    manufacturing requirement that breakage of the outer envelope must
    either cause the lamp to fail to operate, in which case the lamps
    are described as "self-extinguishing" and are marked with the letter
    "T", or if not "self-extinguishing" they should be marked with the
    letter "R". In the latter case a warning notice must be included
    with the packaging of the lamp (FDA., 1988). Data from measurements
    made at 2 m from a mercury HID lamp with the outer envelope removed
    illustrate the importance of this aspect of safety design, as shown
    in table 3.7.

    FIGURE 3.4


    
    Table 3.7  UV emissions from HID mercury vapour general lighting (USA) lamps; effective irradiance
    in mW m-2effective, (ACGIH), (Piltingsrud et al., 1978).
                                                                                                                                        
    Test condition                      A                           B                           C                           D

    Lamp type                With outer   Without        With outer   Without        With outer   Without        With outer   Without
                             bulb         outer bulb     bulb         outer bulb     bulb         outer bulb     bulb         outer bulb
                                                                                                                                        

    General Electric         2.5          110*           < 0.1        160            12.5         3640           0.2          0.2
    H400 A33-1
    Clear

    Westinghouse             < 0.1        1040           < 0.1        190            0.2          3680           < 0.1        0.3
    H33 GL 400/DX
    White

    General Electric         < 0.2        75*            < 0.1        180            0.5          3900*          < 0.1        < 0.1*
    H400D x 33-1
    White

    General Electric         < 0.3        122*           < 0.1        6*             1            510*           < 0.1        < 0.1*
    MV400/BUH
    [Metal halide]
                                                                                                                                        

    Test Conditions:
    A: Lamp mounted vertically - measurements at 2 m on mid-line axis of lamp.
    B: Lamp mounted horizontally - measurements at 2 m on central axis of lamp.
    C: Lamp mounted horizontally in reflector shield with no face plate - measurements at 2 m on central axis of lamp.
    D: Lamp mounted horizontally in reflector shield with glass face fitted - measurements 
       at 2 m on central axis of lamp.

    * Lamps did not operate at normal intensity.


    
         The family of metal halide lamps encompasses a number of
    different types of high pressure mercury lamps whose discharges all
    contain additives. The additives are most typically metal halides
    chosen to produce either a strongly coloured emission (usually a
    single halide), to produce a more broadly spectrally uniform
    emission (multi-halide) or to enhance the UV (most often UVA)
    emission. Compared with ordinary high pressure mercury lamps the
    luminous efficacies of metal halide lamps are high. They are used
    for a range of industrial and commercial applications that include
    photochemical processing, graphic and photographic illumination,
    studio lighting, reprography and are also used for UVA cosmetic
    tanning equipment, for some medical applications and for solar
    radiation simulation. The UV irradiances of some metal halide lamps
    used in filtered industrial applications requiring an activating
    range of wavelengths between 320 and 440 nm, e.g. lithographic
    platemaking and printed circuit photo-resist etching, are shown in
    table 3.8 (McKinlay  et al., 1988).

    Table 3.8  UV irradiances measured at 1 m from typical graphics arts
    metal halide mercury lamps (McKinlay et al., 1988)
                                                                      
    Lamp type      Power          UVC            UVB            UVA
                   [W]            [W m-2]        [W m-2]        [W m-2]
                                                                      

    HPA 400        400            0.5            3.2            9.0
    HPA 1000       930            2.3            9.0            23.0
    HPA 2000       1750           4.5            19.0           48.0
                                                                      

         The emission of a device incorporating iron additive halide
    lamps for phototherapy is illustrated in figure 3.5. The importance
    of incorporating filtration in such devices in order to remove
    unwanted components of the UV spectrum is illustrated.

    FIGURE 3.5

         Xenon, compact and linear arcs

         Where an optical source of very high radiance is required and
    of small size a very high pressure arc lamp may be used. These have
    a filling gas of mercury vapour, mercury vapour plus xenon gas or
    xenon gas. Metal halide types are also available. Two physical types
    are commonly used; the compact (short) arc and the linear arc. The
    spectral emission of xenon lamps, which at wavelengths shorter than
    infra-red, closely matches that of a black-body radiator at about
    6000 K. This enables their use in photography and as solar radiation
    simulators.

         The spectral emission of xenon lamps, which at wavelengths
    shorter than infrared closely matches that of a black body radiator
    at about 6000 K, enables their use as solar radiation simulators.
    Their emission spectrum is continuous from the UV through to the IR
    regions. Large amounts of UVA, UVB and UVC are emitted by unfiltered
    lamps to the extent that they can present a significant health
    hazard if incorrectly used. The luminance of compact xenon arcs may
    approach that of the sun and in some lamps with greater than 10 kW
    rating the luminance may exceed that of the sun. They therefore
    present a potentially severe retinal hazard if viewed.

    3.2.3  Gas welding

         Oil, coal and gas flames normally operate at temperatures below
    about 2000 K and consequently emit virtually no UV. Oxyacetylene and
    oxyhydrogen flames burn at much higher temperatures and emit UV
    mostly in the UVA region.

    3.2.4  Arc welding

         By comparison with gas flame processes, the emissions of UV
    from arc welding are very high (see figure 3.6) and many data on the
    optical radiation emissions associated with a variety of electric
    arc welding processes have been published (e.g., Sliney & Wolbarsht,
    1980).

    3.2.5  Lasers

         All lasers have three basic components (see figure 3.7): (a) a
    laser (active) medium; (b) an energy source (pumping system) and;
    (c) a resonant optical cavity. A pumping system is necessary to
    provide energy to electrons to raise them to excited states and
    achieve population inversion. Optical pumping, using an intense
    source of light such as a xenon flashtube; electron-collision
    pumping, using an electrical discharge and; chemical pumping, using
    the energy released from making and breaking chemical bonds, are all
    used for this purpose. A resonant optical cavity is formed by
    mirrors placed at each end of the laser medium. The construction is
    such that the beam passes through the laser medium several times and

    the number of emitted photons is amplified during each transit. One
    of the mirrors is chosen to be partially transmitting thus enabling
    part of the beam to be emitted from the cavity (figure 3.7).
    Examples of lasers that emit UV are presented in table 3.9.

    Table 3.9  UV laser emissions and characteristics,
               (McKinlay, 1992)
                                                                      
    Type        Name                             Spectral emissions
                                                                      

    Excimer     Argon fluoride [(ArF)            193 nm
                Krypton fluoride (KrF)           248 nm
                Xenon chloride (XeCl)            308 nm
                Xenon bromide (XeBr)             282 nm
                Xenon fluoride (XeF)             351 nm
                Krypton chloride (KrCl)          222 nm

    Dye         Excimer-, Nitrogen-,             300 nm-
                Flash lamp pumped                340 nm-

    Gas         Nitrogen (N2)                    337 nm
                Helium cadmium (He-Cd)           325 nm

    Gas ion     Argon (Ar+0                      333 nm-
                                                 357 nm
                                                 363 nm
                Krypton (Kr+)                    337.5 nm
                                                 350.7 nm
                                                 356.4 nm
                                                                      

         A recent generation of UV lasers are the excimer lasers. The
    active media used are rare gas halides such as ArF, KrCl, XeBr or
    XeF. The molecules of those gases have only a short lifetime in the
    ground state, however they are very stable in the excited state. As
    a buffer medium, helium is often used. Population inversion is
    easily achievable because the ground state is very unstable.

    3.2.6  Sunbeds

         Sunbeds are broadly used for cosmetic tanning purposes. The
    expression "sunbed" includes tanning equipment consisting of a UV
    emitting lamp or a number of such lamps incorporated in a bed,
    canopy or panel, or any combination thereof. There are four distinct
    types of lamps in use, each with different UV emission
    characteristics. Those are UVA, low-pressure fluorescent tubes; UVA,
    filtered high-intensity discharge lamps; UVB, low-pressure
    fluorescent tubes; UVB, filtered high-intensity discharge lamps.

    FIGURE 3.6

    FIGURE 3.7

         The emission characteristics and the health risks associated
    with the use of each type of lamp are different. The last two lamp
    types are associated with high levels of UVB and are now little
    used. They have been almost universally replaced by the
    predominantly UVA emitting lamp types.

    4.  HUMAN EXPOSURE

    4.1  Sunlight

         Outdoors, exposure to UV constantly changes during the day.
    People are largely unaware of the degree of these changes. At noon,
    when the sun is overhead, the level of UV at a wavelength of 300 nm
    is ten times greater than at either three hours before (9 am) or
    three hours after noon (3 pm). An untanned person with fair skin may
    receive a mild sunburn in as little as 25 minutes at noon (depending
    on the time of year and the latitude) but would have to lie in the
    sun for at least two hours to receive the same dose after 3 pm. The
    global biologically effective UV falling on a horizontal surface
    occurs primarily during the midday hours, about 50% during the four
    hours centred on noon-time zenith (Sliney, 1987).

         Scattering of sunlight by air molecules (due to Raleigh
    scattering) favours UV and blue light (hence the blue sky). For
    longer pathlengths through the atmosphere when the sun is low in the
    sky, more UV and sunlight is scattered. The sun which is white at
    noonday becomes yellow and then orange as less UV and blue light are
    present in the direct rays. When the sun is overhead staring at the
    sun for 90 seconds would cause solar retinitis. A few hours later,
    with the sun much lower in the sky, it would take many minutes to
    reach a hazardous retinal dose, and it is virtually impossible to
    cause any eye damage at sunset. Thus, the geometry of exposure as
    well as the spectrum (hue) plays a major role in determining the
    hazards from direct exposure from the sun (Sliney, 1983, 1986).

         Estimation of an individual's lifetime UV exposure requires
    knowledge of the ambient solar UV levels, history of outdoor
    exposure and the relative exposures at the different anatomical
    sites. Studies on the anatomical distribution of solar UV have been
    reported (Diffey et al 1979; Rosenthal  et al., 1985; Holman  et
     al., 1983; Gies et al 1992a; Roy  et al., 1988). The relative
    doses at various body sites have been determined using UV sensitive
    polysulphone film on rotating manikins and headforms. It was found
    that even though the relative doses to the face and eyes are higher
    in winter, due to the lower solar elevation, the absolute doses are
    higher in summer. The presence of a brimmed hat reduced the face
    exposure by a factor of at least two and the eye exposure was
    reduced by a factor of 4 to 5 (Diffey  et al., 1979, Roy et al
    1988).

         Polysulphone film badges have also been used to quantify the
    solar UV exposure received by different subjects and results
    compared to those calculated from personal diaries and measured
    ambient solar UVB (Gies  et al., 1992a). In general, when UV
    exposure activities took place under close supervision, good
    correlations were obtained between the polysulphone badges and the
    ambient/diaries approach. Results from a recent study (Roy and Gies,

    1993), of indoor, outdoor and retired workers indicated that
    exposures to badge locations of up to 30% of ambient were recorded.
    Through studies of this type, knowledge is gained on the amount and
    pattern of exposure from routine activities and this can then be
    applied in the design of educational campaigns to modify outdoor
    behaviour and reduce UV exposure. The use of polysulphone or CR39
    plastics (Wong  et al., 1989; Sydenham  et al., 1991) as
    contact-lens dosimeters have been proposed, but lack of sensitivity
    and personal comfort has discouraged their use in field studies.

    4.2  Skin Exposure Geometry

         UV incident on human skin can follow one of three courses, it
    can undergo absorption, reflection, or scattering. Thus, the actual
    radiant exposure received by the various layers of the skin will be
    lower than the incident exposure. Reflection not only occurs at the
    surface of the stratum corneum, but at all interfaces changing in
    refractive index. Scattering occurs because of the different
    structural elements, such as hair follicles and sebaceous glands,
    and also by cellular components, such as mitochondria and ribosomes.
    The remaining UV can penetrate into deeper skin layers.

         UV penetrates into the dermis exposing a variety of cells and
    structures, depending in part on the thickness of the human stratum
    corneum and epidermis. The depth of penetration is wavelength
    dependent the longer the wavelength the deeper the penetration
    (Bruls  et al., 1984). From figure 4.1 it is seen that the same
    incident exposure of UVA or UVB radiation will result in a higher
    actual exposure of UVA than UVB at a given depth. For example, if
    the incident UV exposure was 100 kJ m-2 then 50 kJ m-2 of 365 nm
    radiation would be present at a depth of 30 µm and only 19 kJ m-2
    at a depth of 70 µm. For 313 nm radiation only 33 kJ m-2 would be
    present at 30 µm and 9.5 kJ m-2 at 70 µm. While less than 1% of
    the UVC wavelengths can barely penetrate the epidermal layer (Bruls
     et al., 1984), about 1% of the incident UVA dose can penetrate
    into the subcutaneous tissue (Parrish  et al., 1978). The
    distribution and size of melanin particles also plays an important
    role in protecting epidermal cells. Melanin particles have a
    distribution within the stratum corneum and epidermal cells
    depending upon skin type. In dark skin types (5 and 6) these
    particles are positioned within cells to provide optimum optical
    protection for the cell nuclei and in adequate size in the stratum
    corneum (Kollias  et al., 1991).

    FIGURE 4.1

    4.3  Ocular Exposure Geometry

         People seldom look directly at the sun when it is overhead and
    very hazardous to view. It is not very hazardous to view when the
    sun is low in the sky and falls within the normal field-of-view.
    When the sun is more than 10° above the horizon, the natural
    tendency is to partially close the eyelids or squint (called squint
    reflex), thus shielding the retina from direct exposure. These
    factors reduce the exposure to the cornea to a maximum of about 5%
    of that falling upon the exposed top of head (Sliney, 1986). If the
    squint and other behavioural factors are not considered, the dose to
    the eyelid would be approximately 20% of the dose falling on a
    horizontal surface.

         Although the cornea is more sensitive to UV injury than the
    skin, people seldom experiences a corneal burn when in sunlight.
    Using the action spectrum for human photokeratitis and
    mathematically weighting this with the midday solar spectrum, the
    time to achieve the threshold for photokeratitis is about 100
    seconds (Sliney, 1987, Rosenthal  et al., 1988). Again, the
    geometry of exposure precludes photokeratitis except when ground
    reflectance exceeds approximately 10%. When the sun is overhead and
    UV exposure is most severe, the brow ridge and upper lid shield the
    cornea, and if the eye is turned away from the sun, the more intense
    scattered UV from overhead strikes the cornea at a grazing angle of
    incidence where most is reflected and little is absorbed (Sliney,
    1983). Only when the incident UV rays are parallel to the pupillary
    axis are most rays (approx. 98%) absorbed.

         When looking at snow, UV is reflected directly into the eye;
    hence, the traditional eye protector of the Inuit or Eskimo, the
    slit, in whalebone or in a seal-skin mask, provided geometrical
    rather than spectral protection against UV exposure (Hedblom, 1961).
    The lack of protection above and to the sides of sunglasses is a
    serious shortcoming. However, to obtain a quantitative idea of this
    component of exposure to the eye, measurements were made using a
    simulated ocular geometry in sunlight (Sliney, 1986). The human eye
    received 10 to 25 % of the UV dose when wearing glasses with lenses
    opaque to UV compared to no lens in the glasses. Therefore, unless
    goggles with side-shields are used, UV transmission factors in
    lenses much less than 2-5 % do not provide the eye protection
    suggested by the transmission factor (Sliney, 1986).

         The strong dependence of reflectance with angle of incidence is
    termed Fresnel's Law of Reflection. This law not only explains the
    survival of the cornea exposed overhead to UV, but also the glare
    experienced over water. When the sun is overhead, water reflects
    about 2% of the UV upward (Sliney, 1986). When low in the sky, much
    of the sunlight is reflected while the UV and blue light are
    filtered by the atmosphere. Nevertheless, the strong reflections

    from water at these low sun angles create discomfort glare and UV
    exposure of the cornea is further reduced because of the squint.

         If dark lenses are placed over the eyes, the natural aversion
    to bright light, which leads to the squint reflex (that greatly
    lowers retinal UV or exposure to the eye), would be disabled. This
    may appear to be an unusual way to consider the comfort that shaded
    lenses provide. However, poor sunglasses may actually lead to a
    higher UV exposure (Sliney, 1983).

         However, quantifying the protective value of the upper and
    lower eye lids when they close to squint is difficult. In terms of
    UV exposure, at least a twenty-fold reduction is likely. For
    shielding the retina from the direct image of the sun, the upper lid
    probably provides a protection factor exceeding a thousand (Sliney -
    personal communication). If a brimmed hat is worn, the direct image
    of the sun on the retina is rare and overhead UV exposure is
    virtually eliminated. However, while using a hat the lid opens
    further and ground reflection of UV could become important.

         On an overcast day, the lids open wider, and although the UVB
    irradiance is reduced by cloud cover, the actual UVB dose rate to
    the eye from atmospheric scattering near the horizon may be reduced
    by a factor of only two (Sliney, 1983). Hence, on a cloudy day the
    eye may receive a greater UVB dose than on a bright sunny day.
    However, a heavy overcast may attenuate the UVB sufficiently, that
    this observation may not be true. As sunglasses are not typically
    worn on an overcast day, one could argue that the concern over
    sunglasses increasing total ocular exposure is unimportant. However,
    sunglasses should have sufficient UV filtration so that ocular
    exposure does not actually increase when they are worn on a sunny
    day.

         Eye and head movements can further reduce UV exposure. Most
    humans in bright sunlight squint or avoid looking into the sun
    sector of the sky. These behavioural and physiological factors are
    not taken into account by simple UV measurements. There is an
    obvious need to determine accurately the corneal and lenticular
    exposure to ambient UV. Indeed, the results of previous
    epidemiological studies of cataract may be questioned because of
    inadequate dosimetry. Some epidemiological studies may have reached
    incorrect conclusions regarding risk from UV or sunlight exposure by
    assigning inaccurate exposure levels to population groups, because
    they assumed that overhead UV exposure accurately predicts corneal
    exposure.

    4.4  Workplace

    4.4.1  Outdoor work

         Although humans have adapted and acclimatized to solar UV it
    nevertheless represents the most hazardous source of optical
    radiation likely to be encountered by the average person and with a
    few exceptions by the worker. People who work outdoors will be
    subjected to involuntary UV exposure. The highest exp