
Almost half of Scots have sunburn at least once a year, research finds
It comes as melanoma skin cancer rates continue to rise in the UK, with around 17,500 new cases each year.
The research found 49% of people in the UK, and 45% in Scotland, suffer from sunburn at least once every year.
Stephen Maxwell, 58, from Clydebank in West Dunbartonshire, was diagnosed with melanoma in 2022 and he is now urging people to take care in the sun.
Mr Maxwell, who has never holidayed abroad, was shocked to be diagnosed with skin cancer and thinks it may stem from the decade he spent working in greenhouses growing plants.
He said: 'I went to the doctor after my mum noticed a strange lump on my back. It was a bit like a mole and initially the doctor thought there was nothing to worry about.
'I had the lump for two-and-a-half years and it started getting bigger and it turned purple.
'Eventually it was properly diagnosed and I had it removed – it was a melanoma cancer tumour the size of my fist. I had immunotherapy but it didn't work and the cancer spread to my bones.'
The father-of-four, who has eight grandchildren, was told 18 months ago that he had six to nine months to live.
Days before he was due to go into a hospice, he was given the opportunity to take part in a medical trial for a new treatment and started a course of Opdualag and steroids.
He said he had a 'great' six months before coming off Opdualag at Christmas after experiencing some side-effects, and is now taking steroids and having scans.
'I'm still having scans and although the cancer is still there, it hasn't spread further and I'm living with it and I'm still here,' he said.
'Any form of sun you must wear protection, even if it's a hat, always a T-shirt and definitely the creams.
'I'm not ginger but I've got wee ginger bits in my beard so that means I've got the ginger gene so when you've got that you're at risk.
'If anybody has got the ginger gene they must cover up, and with climate change being the way it is now Scotland is getting more hot weather.'
The survey of 2,000 UK adults, including 165 in Scotland, was carried out by Censuswide in April.
Commenting on the figures, Melanoma Focus chief executive Susanna Daniels said: 'This data is extremely concerning as we know that more than five sunburns in your lifetime doubles your risk of melanoma, so burning every year has potentially long-term dangerous consequences.
'Nearly nine in 10 melanomas are preventable yet the UK has more deaths from melanoma per year than Australia.
'It is essential that everyone understands the risks associated with sunburn and prioritises sun protection by using factor 30+ sunscreen, wearing a hat, seeking shade and covering up in the heat of the day.'
Melanoma Focus said melanoma skin cancer is the fifth most common cancer in the UK.
The charity is calling on the UK Government to abolish VAT on factor 30+ sunscreen to make it more affordable to everyone.
A Government spokesperson said: 'As part of our 10-year plan to reform the health service, and through a national cancer plan, we are fighting cancer in England on all fronts, from prevention, to diagnosis, treatment, and research.
'As a result of the decisions taken at the Autumn Budget, the Scottish Government will be provided with a record £47.7 billion settlement this year and it is for the Scottish Government to allocate this across its own public sector and meet the priorities of people in Scotland.'

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The Guardian
2 days ago
- The Guardian
Burn notice: Gen Z and the terrifying rise of extreme tanning
Hannah Clark got her first spray tan for her school prom and has never looked back. 'I'm not proud of it, but I have used sunbeds,' says the 29-year-old graphic designer from Plymouth. Her goal is 'that glow you get when coming back from holiday. You know, when you walk around and people say: 'Oh, you look really healthy.' It's that feeling I'm chasing.' Clark is far from alone. On TikTok and Instagram, posts with the hashtag 'sunbed' number more than 500,000. Last year, a survey from skin cancer charity Melanoma Focus found that 28% of UK adults use sunbeds, but this rose to 43% among those aged 18 to 25. This new generation of younger tanning obsessives will go to extreme lengths to darken their skin. Some track the UV index – the level of the sun's ultraviolet radiation – and deliberately sit in the sun at the most dangerous times of day. Others use unregulated nasal tanning sprays and injections, which rely on a chemical to darken the skin. All the people under 30 I spoke to for this article know how dangerous tanning is. NHS guidance states that there is no safe or healthy way to get a tan and advises keeping out of the sun between 11am and 3pm, wearing sunscreen of at least factor 30, and covering up with clothing, hats and sunglasses. Dr Zoe Venables, a consultant dermatologist at Norfolk and Norwich University hospitals, with an interest in skin cancer epidemiology, says that when skin turns darker after UV exposure it 'suggests you're damaging those cells in your skin'. Sunbeds are categorised by the World Health Organization (WHO) as 'dangerous' – with their cosmetic use increasing incidences of skin cancers and driving down the age at which skin cancer first appears. It says people who have used a sunbed at least once at any point in their lives have a 20% greater chance of developing melanoma – the deadliest of the three most common forms of skin cancer – than someone who hasn't. For someone who has used a tanning bed for the first time before the age of 35, there is a 59% greater chance of developing melanoma. Despite this stark reality, having a tan is still presented to many young people as aspirational – whether it's faux tan-lines appearing on catwalks or bronzed influencers on holidays in Dubai. Many sunbed shop owners sell tanning as a form of 'self-care', while influencers post 'come for a sunbed with me' videos. Perhaps most perniciously, some sunbed shops even make light of the known risk associated with them. One meme shared on Instagram by a tanning salon overlays the text: 'When someone tells you sunbeds are bad for you' with a clip from the sitcom Benidorm, in which the character Madge Harvey says: 'I spy with my little eye something beginning with AB: absolute bollocks.' Emily Harris, 23, from Leeds, uses sunbeds. Her parents both work for the NHS and have warned her about the risks. But she says that having spent most of her teenage years in the midst of the Covid-19 pandemic, followed by various global conflicts and the ever-looming presence of climate breakdown, the dangers of a sunbed seem small by comparison. 'You can die of anything – do you know what I mean?' she says. While Harris, who works in sales, can't afford to use sunbeds all the time, she uses them whenever she has 'a bit of spare money', making use of the deals that salons offer. Before a recent holiday, she bought a package that gave her unlimited minutes, with a daily limit, for four weeks. 'I was going every day,' Harris says, which she admits 'is a bit silly', but adds: 'I was trying to make the most of the package.' As well as using tanning beds, Harris is 'obsessed with tracking the UV', and has the index on the lock-screen of her phone. She and her colleagues plan their breaks around times when the UV index is highest, so they can maximise their exposure to the dangerous radiation. A number of her friends also use nasal tanning sprays, which were the subject of a Trading Standards warning issued earlier this year that stated: 'These products can cause nausea, vomiting, high blood pressure, and even changes in mole shape and size … studies have shown a potential link to melanoma, a type of skin cancer.' Harris tried one when her friend had a spare bottle, but 'didn't see a result' so hasn't used one again. Was she worried about what might have been in it? 'To be honest, not really. I know it's bad, but at the time, I was more bothered about getting a tan.' Nasals, as they are known, usually contain a lab-made substance called melanotan II, a chemical that darkens skin pigmentation. Though it is illegal to sell medicinal products containing melanotan II in the UK, cosmetic products fall outside that remit and are easily available on social media. Dr Suraj Kukadia, a GP known to his 282,000 TikTok followers as 'Doctor Sooj', is concerned about the popularity of nasal sprays. He says melanotan II can also lead to 'painful and sustained erections in men, kidney damage, acne and muscle-wasting'. Holly Feldman, 25, lives in Surrey and is the CEO of a swimwear boutique. She has more than 10,000 followers on Instagram and is often sent free tanning products such as nasal sprays and injections. 'I think that was why it was so addictive for me,' she says. Though she had no idea what was in these products, and the injections in particular made her feel unwell, she says: 'I was just trying to turn a blind eye to it because I was so obsessed with how it made me look.' Feldman recently appeared on former Love Island contestant Olivia Attwood's ITV documentary series The Price of Perfection, in which Attwood explores the risks of various cosmetic treatments. Being on the show made Feldman realise how much potential damage she could be doing. She hasn't used a tanning injection for four months, and has reduced her use of a nasal spray to a couple of times over the past month, when previously it would have been four inhalations a day. 'I do still use sunbeds,' she says. 'But I have cut down. There was a time when I was going on them four, five, six times a week and now I only go on them once or twice.' Data from the UK and Ireland's Sunbed Association suggests that tanning beds are most popular among 25- to 45-year-olds, and more women than men use them. But that's not to say gen Z men are free from the pressure to sport a tan. Craig Hopkins, a 29-year-old dance teacher based in Harpenden, Hertfordshire, says he uses sunbeds to 'look like I've just come back from holiday'. He prefers the look of a 'real' tan to a fake tan, which ties in to existing social media trends such as 'looking expensive' and 'quiet luxury'. 'On Instagram especially, everyone is always on holiday, always super brown. So it's probably just trying to keep up,' Harris says. Like Harris, Hopkins also tried a nasal spray once, via a friend who used to sell them, but it made him 'feel really sick'. Despite the known risks and side-effects, most of the young people I spoke to for this article were still willing to give nasal sprays a try. Megan Urbaniak, a 23-year-old nail technician from Rotherham, says: 'I feel as if I know a million people who use them and everyone seems to have been fine. It does kind of weird me out that they don't tell you what's in them, but I'm sure there's worse in the world.' Urbaniak is a regular sunbed user – and has even encouraged friends to use them before going on holiday 'because it stops you from burning immediately when going in the sun'. Venables is quick to debunk claims such as this, saying that all it does is put your skin through even more 'excess UV exposure'. She points to another type of common skin cancer, squamous cell carcinoma, which is thought to be due to cumulative UV exposure. While Urbaniak does not seem to be put off by any safety concerns, she is keen to stress that there is a 'cultural line that you probably shouldn't cross' when it comes to tanning as a white person. 'I don't think that my body is capable of going that colour, but if it was, I'd like to think someone would tell me to stop.' That said, it isn't just white people who like to tan. Melissa Jones, 19, from Chester, says she has 'seen way more people of colour – including south-east Asian girls like me – getting into tanning. For me, it's not about being darker – it's about adding that warm, radiant glow and evening out my tone'. Like Feldman, Jones uses the word 'addictive' in relation to her tanning habit, and thinks it helps her in her job as a content creator. Tanned skin 'looks amazing on camera and in content', she says. However, she has recently switched from using tanning beds to using only fake tan. 'I became more aware of the risks, like ageing, skin cancer, all of that.' The WHO has urged countries to consider banning sunbeds: Australia banned all commercial sunbeds 10 years ago and Brazil banned them in 2009. Kukadia and Venables both say they would like them banned in the UK. Jak Howell, a 26-year-old content creator from Swansea, has been urging his followers to stop using sunbeds since he was diagnosed with stage three advanced melanoma when he was 21, which his doctors were surprised to see in someone so young, and said was probably due to his use of sunbeds. Howell had been using sunbeds regularly since he was 15 (it has been illegal for under-18s to use tanning beds since 2010, but the ones Howell used weren't staffed. Customers bought tokens from a machine and slotted them into the beds). When a mole appeared on his back that 'kept bleeding and scabbing over but never healing', he sent a photograph of it to his GP and was immediately referred to hospital. He underwent radiotherapy and surgeries to remove his lymph nodes, but these failed to remove the cancer. Eventually, after a year of immunotherapy, which 'completely knocks you for six', he went into remission. Howell now wants to see sunbeds banned. He tells young users: 'OK, it hasn't happened yet, but it could happen. And when it does happen, it is far, far worse than anything I could ever describe and you could ever imagine.' For many young people, though, the allure of the sunbed's 'instant fix' is too great to resist. And it's not as if this is the first time young people have put themselves at risk. As Kukadia points out: 'If alcohol was discovered or invented now, it would be illegal.' But tanning does feel different from other classic rebellious pursuits such as binge drinking, cigarettes and drugs because people don't do it for fun, but to achieve a certain aesthetic – a symptom, perhaps, of our screen-filtered lives. 'If I wasn't on social media, I probably wouldn't use sunbeds,' Feldman admits, but because her job requires social media use, she can't see herself stopping. A few years ago, Clark noticed a dark, 'pretty scary-looking' lesion on her leg, and was referred to a dermatologist. Though it didn't turn out to be skin cancer-related, she had to have it removed, and the experience has stopped her being so 'frivolous' with tanning beds. Urbaniak can't see herself giving up either. 'If something were to go wrong, then maybe I'd reconsider,' she says. 'But I feel as if I'm in that generation where we all just live in denial until something happens.' Do you have an opinion on the issues raised in this article? If you would like to submit a response of up to 300 words by email to be considered for publication in our letters section, please click here.


Telegraph
5 days ago
- Telegraph
Exactly what happens to your body when you're sunburnt
Wearing sunscreen should be as routine as brushing teeth or wearing a seatbelt or a bike helmet. Yet many of us – particularly those intent on getting a tan – will have felt that hot, tingling sensation on our shoulders already this month and kicked ourselves for not protecting our skin. Around half the British population get sunburnt at least once a year, according to a study by Melanoma Focus, which found that younger people are the most careless, with 65 per cent of 18 to 32 year olds getting burnt. The same study also revealed that 36 per cent of British people rarely or never apply sunscreen when in the UK during summer months – a figure that increases to 42 per cent for men. Alarm bells should be ringing, as both sunburn and sun tans are physical signs that your skin is reacting to ultraviolet (UV) radiation. 'They are on the same spectrum of damage with a sun tan representing the skin attempting to protect itself from UV damage and a sunburn at the extreme end where it can no longer protect itself – a sign that your skin has been severely damaged at a microscopic level,' says Dr Mary Sommerlad, a consultant dermatologist and spokesman for the British Skin Foundation. 'Repeated sunburns at any age increase your risk of skin cancer; blistering sunburns particularly before adulthood have been shown to increase the risk of malignant melanoma, the type of skin cancer that can shorten life.' Melanoma, once considered rare, is now the fifth most common cancer in the UK with around 17,500 new cases diagnosed each year. The UK now has more deaths from melanoma each year than Australia. 'This data is extremely concerning as we know that more than five sunburns in your lifetime doubles your risk of melanoma,' says Susanna Daniels of Melanoma Focus. Sunburn is itchy, painful and in some cases unsightly for about a week, but the damage to the DNA in the skin cells is irreversible and can lead to cancer over time. UV rays can also cause premature ageing and pigmentation. So it's essential that we understand the immediate and longer-term effects of sun on the skin, says Dr Sommerlad. What happens after you get sunburnt After 15 minutes You might not feel it yet but the damage has already begun. Within just 15 minutes of unprotected sun exposure, UV radiation begins penetrating the outermost layers of your skin. 'UVB radiation starts damaging DNA,' Dr Sommerlad says. 'The body's immune system recognises this damage and triggers an inflammatory response. Blood vessels dilate, which is why in those with lightly pigmented skin, the skin can look red and feels warm and tender. This response is your body trying to bring immune cells to the area to repair the damage. In those with deeply pigmented skin, redness may be less perceptible but instead the skin may feel warm and tender.' After two hours The feelings of warmth, tenderness and swelling may worsen as your immune system continues to respond, Dr Sommerlad continues. 'Blistering may appear in very extreme cases – a troubling sign of dead skin cells that have lost the ability to remain cohesive.' Pain worsens as the nerve cells are activated by the inflammation from the UV damage. Furthermore, in very severe cases there may be flu-like symptoms of chills, aching and nausea caused by a release of inflammatory chemicals into the bloodstream from the extensive UV damage. After 48 hours Peeling begins as your body sheds damaged skin cells trying to remove cells with irreparable DNA damage. 'The skin may remain red or darker than the original skin colour. Itchy skin occurs as wound healing events start to occur in the sun burnt areas,' Dr Sommerlad says. The process of healing the skin can release chemicals in the skin that increase the sensation of itch, she says, a bit like when you have an itchy scab. After 72 hours Excess uneven pigmentation appears as the initial pain and swelling subsides. This is from the overproduction of eumelanin, a type of melanin, in response to excess UV exposure, Dr Sommerlad says. This manifests as freckles, sun spots known as solar lentigos. 'These are often permanent but may fade in less sunny months only to reappear in sunnier weather. Others do not fade even in the winter months,' Dr Sommerlad explains. 'It is important to regularly monitor your skin for any changes, particularly moles,' agrees Clare O'Connor, a suncare scientific advisor at Boots. 'If you do notice anything unusual, you should visit your GP, an NHS Walk-in Centre or a pharmacist.' A mole scanning service is available in selected Boots stores, while a SmartSkin Checker, an AI-powered skin tool that can screen for over 70 skin conditions, is available via Boots Online Doctor. After one year Your skin remembers being sunburnt long after your tan has faded. Long-term effects include hyperpigmentation manifesting as patchy pigment, freckling and sun spots, liver spots or age spots, Dr Sommerlad says. 'Fine lines and loss of firmness can also be observed.' These changes are broadly described as photo damage and give the skin a prematurely aged appearance. UV eye damage can lead to early cataract formation and growths on the surface of the eye such as pterygium which can affect your vision. The World Health Organization (WHO) estimates that up to 20 per cent of cataracts globally are the result of UV overexposure. After a decade Cumulative DNA damage from repeated sunburns can eventually overwhelm your skin's repair mechanisms, leading to mutations in genes that control the skin cells potentially leading to pre-cancer and cancerous skin changes, Dr Sommerlad continues. We know that melanomas arise through a complicated interplay between melanocytes – the cells that give pigment – developing uncontrolled growth and division. 'It is difficult to pinpoint exactly when and why melanomas form,' she says. 'We do know that some people are much more likely to get them.' Those with lots of unusual looking moles, a history of sunburn and sun tan bed use, and who burn very easily or have a family history of skin cancer are at higher risk. According to Dr Sommerlad, photo-damaged skin appears saggier, more lined and wrinkled with extensive uneven pigmentation giving the skin a prematurely aged appearance. Can you reverse sun damage? If so, how? While you can't reverse the underlying damage from sun exposure, you can treat the skin with aftersun afterwards, which cools it and keeps it moisturised. 'Lotions with aloe vera can have a cooling effect on the skin,' O'Connor explains. 'It's also important to drink plenty of water to keep yourself cool and prevent dehydration.' Although prevention is better than cure, some skincare ingredients can help boost texture and firmness such as retinoids and peptides, adds Dr Sommerlad, while retinoids can also help fade dark marks. 'Niacinamide and antioxidants like vitamin C can help with hyperpigmentation too,' she says. 'In clinic procedures such as intense pulsed light (IPL), laser resurfacing, skin peels and microneedling can also target hyperpigmentation and skin laxity but may not suit everyone and can be expensive as you might need several treatments.' How can I protect myself in the future? Dr Sommerlad recommends sticking to shaded areas when spending time outside and avoiding outdoor activities when the sun is at its most potent between midday and 2pm. 'Wear breathable clothing that keeps you cool but protects from sunburns such as long sleeves and keep backs and lower limbs covered,' she advises, adding that we should all invest in a wide brimmed sun hat and suns glasses that have UV protection. For the parts of the body that are not easily covered such as face and neck, hands and ears, she suggests using a broad-spectrum sunscreen (SPF 30+ or 50 with a high UVA protection). 'Reapply every two hours and immediately after swimming or sweating. Never rely on sunscreen alone as its application is also 'user dependent' and 'reuse dependent', and prioritise seeking shade and avoiding sunbathing as well as the protective clothing,' she says. If you notice any signs of sunburn, you should seek shade and cover up with clothing to help stop any more damage from happening. Putting on more sunscreen doesn't mean you can stay out in the sun for longer, Dr Sommerlad adds. Does sunscreen really work? Up to 86 per cent of melanomas are preventable if you protect your skin in the sun, according to Melanoma Focus, with sunscreen and protective clothing. SPF stands for sun protection factor and measures the product's protection against UVB rays; if your skin would burn in 10 minutes and SPF 30 should protect you for 30 times longer, ie about 300 minutes. 'We should use a minimum of SPF30 for all skin tones, increasing to SPF50 for those with fair or sun sensitive skin and for children,' O'Connor says. It's important that a sunscreen also has a high UVA level. UVA rays penetrate deeper into the skin and contribute to premature ageing and skin cancer; they can even pass through a glass window or windscreen. 'Always check the UVA rating when purchasing sunscreen and look for five-star rated UVA, indicating the highest level of UVA protection,' O'Connor says. 'Broad spectrum' means it protects against both UVA and UVB. FAQs Is tanning as bad as sunburn? Yes. Tanning, even without burning, still damages DNA and increases your risk of skin cancer. There's no such thing as a 'safe tan.' What does skin cancer look like? Broadly speaking, Stage 1 melanoma may be a small, flat or raised mole with irregular borders and colour variation, Dr Sommerlad says. It arises in an existing mole in about 20 per cent of cases. Early detection and treatment may reduce the risk of it spreading beyond Stage 1. I had sunburn as a child – is there anything I can do now? Yes. Get familiar with 'self surveillance': checking the skin for potential skin cancers. Have a low threshold to consult a dermatologist if you notice any concerning changes to your skin; early detection of cancer is key. For advice on how to check your skin, see The British Association of Dermatologists website. Meanwhile, be meticulous with sun protection. Avoid sunbathing and suntan beds altogether even if you don't burn. The NHS do not offer mole check services, but many private providers do and may be worth considering if you have a lots of freckles and moles for an in person full skin check where you can also learn how to continue checking yourself at home. Don't I need to go into the sun to get vitamin D? Getting some sun on our skin can help our bodies to make the vitamin D it needs for healthy bones, according to Cancer Research UK, but whatever your skin tone, there's no need to sunbathe or risk getting sunburn for the sake of vitamin D intake. Can you sunburn on a cloudy day? Yes as the clouds don't block all UV; in fact 80 per cent can get through. UV doesn't heat the air – that's infra red light from the sun that gives the warm feeling – so you may be lulled into a false sense of security about UV strength on a cloudy summer's day. Can all skin types sunburn?


The Guardian
05-08-2025
- The Guardian
Burn notice: Gen Z and the terrifying rise of extreme tanning
Hannah Clark got her first spray tan for her school prom and has never looked back. 'I'm not proud of it, but I have used sunbeds,' says the 29-year-old graphic designer from Plymouth. Her goal is 'that glow you get when coming back from holiday. You know, when you walk around and people say: 'Oh, you look really healthy.' It's that feeling I'm chasing.' Clark is far from alone. On TikTok and Instagram, posts with the hashtag 'sunbed' number more than 500,000. Last year, a survey from skin cancer charity Melanoma Focus found that 28% of UK adults use sunbeds, but this rose to 43% among those aged 18 to 25. This new generation of younger tanning obsessives will go to extreme lengths to darken their skin. Some track the UV index – the level of the sun's ultraviolet radiation – and deliberately sit in the sun at the most dangerous times of day. Others use unregulated nasal tanning sprays and injections, which rely on a chemical to darken the skin. All the people under 30 I spoke to for this article know how dangerous tanning is. NHS guidance states that there is no safe or healthy way to get a tan and advises keeping out of the sun between 11am and 3pm, wearing sunscreen of at least factor 30, and covering up with clothing, hats and sunglasses. Dr Zoe Venables, a consultant dermatologist at Norfolk and Norwich University hospitals, with an interest in skin cancer epidemiology, says that when skin turns darker after UV exposure it 'suggests you're damaging those cells in your skin'. Sunbeds are categorised by the World Health Organization (WHO) as 'dangerous' – with their cosmetic use increasing incidences of skin cancers and driving down the age at which skin cancer first appears. It says people who have used a sunbed at least once at any point in their lives have a 20% greater chance of developing melanoma – the deadliest of the three most common forms of skin cancer – than someone who hasn't. For someone who has used a tanning bed for the first time before the age of 35, there is a 59% greater chance of developing melanoma. Despite this stark reality, having a tan is still presented to many young people as aspirational – whether it's faux tan-lines appearing on catwalks or bronzed influencers on holidays in Dubai. Many sunbed shop owners sell tanning as a form of 'self-care', while influencers post 'come for a sunbed with me' videos. Perhaps most perniciously, some sunbed shops even make light of the known risk associated with them. One meme shared on Instagram by a tanning salon overlays the text: 'When someone tells you sunbeds are bad for you' with a clip from the sitcom Benidorm, in which the character Madge Harvey says: 'I spy with my little eye something beginning with AB: absolute bollocks.' Emily Harris, 23, from Leeds, uses sunbeds. Her parents both work for the NHS and have warned her about the risks. But she says that having spent most of her teenage years in the midst of the Covid-19 pandemic, followed by various global conflicts and the ever-looming presence of climate breakdown, the dangers of a sunbed seem small by comparison. 'You can die of anything – do you know what I mean?' she says. While Harris, who works in sales, can't afford to use sunbeds all the time, she uses them whenever she has 'a bit of spare money', making use of the deals that salons offer. Before a recent holiday, she bought a package that gave her unlimited minutes, with a daily limit, for four weeks. 'I was going every day,' Harris says, which she admits 'is a bit silly', but adds: 'I was trying to make the most of the package.' As well as using tanning beds, Harris is 'obsessed with tracking the UV', and has the index on the lock-screen of her phone. She and her colleagues plan their breaks around times when the UV index is highest, so they can maximise their exposure to the dangerous radiation. A number of her friends also use nasal tanning sprays, which were the subject of a Trading Standards warning issued earlier this year that stated: 'These products can cause nausea, vomiting, high blood pressure, and even changes in mole shape and size … studies have shown a potential link to melanoma, a type of skin cancer.' Harris tried one when her friend had a spare bottle, but 'didn't see a result' so hasn't used one again. Was she worried about what might have been in it? 'To be honest, not really. I know it's bad, but at the time, I was more bothered about getting a tan.' Nasals, as they are known, usually contain a lab-made substance called melanotan II, a chemical that darkens skin pigmentation. Though it is illegal to sell medicinal products containing melanotan II in the UK, cosmetic products fall outside that remit and are easily available on social media. Dr Suraj Kukadia, a GP known to his 282,000 TikTok followers as 'Doctor Sooj', is concerned about the popularity of nasal sprays. He says melanotan II can also lead to 'painful and sustained erections in men, kidney damage, acne and muscle-wasting'. Holly Feldman, 25, lives in Surrey and is the CEO of a swimwear boutique. She has more than 10,000 followers on Instagram and is often sent free tanning products such as nasal sprays and injections. 'I think that was why it was so addictive for me,' she says. Though she had no idea what was in these products, and the injections in particular made her feel unwell, she says: 'I was just trying to turn a blind eye to it because I was so obsessed with how it made me look.' Feldman recently appeared on former Love Island contestant Olivia Attwood's ITV documentary series The Price of Perfection, in which Attwood explores the risks of various cosmetic treatments. Being on the show made Feldman realise how much potential damage she could be doing. She hasn't used a tanning injection for four months, and has reduced her use of a nasal spray to a couple of times over the past month, when previously it would have been four inhalations a day. 'I do still use sunbeds,' she says. 'But I have cut down. There was a time when I was going on them four, five, six times a week and now I only go on them once or twice.' Data from the UK and Ireland's Sunbed Association suggests that tanning beds are most popular among 25- to 45-year-olds, and more women than men use them. But that's not to say gen Z men are free from the pressure to sport a tan. Craig Hopkins, a 29-year-old dance teacher based in Harpenden, Hertfordshire, says he uses sunbeds to 'look like I've just come back from holiday'. He prefers the look of a 'real' tan to a fake tan, which ties in to existing social media trends such as 'looking expensive' and 'quiet luxury'. 'On Instagram especially, everyone is always on holiday, always super brown. So it's probably just trying to keep up,' Harris says. Like Harris, Hopkins also tried a nasal spray once, via a friend who used to sell them, but it made him 'feel really sick'. Despite the known risks and side-effects, most of the young people I spoke to for this article were still willing to give nasal sprays a try. Megan Urbaniak, a 23-year-old nail technician from Rotherham, says: 'I feel as if I know a million people who use them and everyone seems to have been fine. It does kind of weird me out that they don't tell you what's in them, but I'm sure there's worse in the world.' Urbaniak is a regular sunbed user – and has even encouraged friends to use them before going on holiday 'because it stops you from burning immediately when going in the sun'. Venables is quick to debunk claims such as this, saying that all it does is put your skin through even more 'excess UV exposure'. She points to another type of common skin cancer, squamous cell carcinoma, which is thought to be due to cumulative UV exposure. While Urbaniak does not seem to be put off by any safety concerns, she is keen to stress that there is a 'cultural line that you probably shouldn't cross' when it comes to tanning as a white person. 'I don't think that my body is capable of going that colour, but if it was, I'd like to think someone would tell me to stop.' That said, it isn't just white people who like to tan. Melissa Jones, 19, from Chester, says she has 'seen way more people of colour – including south-east Asian girls like me – getting into tanning. For me, it's not about being darker – it's about adding that warm, radiant glow and evening out my tone'. Like Feldman, Jones uses the word 'addictive' in relation to her tanning habit, and thinks it helps her in her job as a content creator. Tanned skin 'looks amazing on camera and in content', she says. However, she has recently switched from using tanning beds to using only fake tan. 'I became more aware of the risks, like ageing, skin cancer, all of that.' The WHO has urged countries to consider banning sunbeds: Australia banned all commercial sunbeds 10 years ago and Brazil banned them in 2009. Kukadia and Venables both say they would like them banned in the UK. Jak Howell, a 26-year-old content creator from Swansea, has been urging his followers to stop using sunbeds since he was diagnosed with stage three advanced melanoma when he was 21, which his doctors were surprised to see in someone so young, and said was probably due to his use of sunbeds. Howell had been using sunbeds regularly since he was 15 (it has been illegal for under-18s to use tanning beds since 2010, but the ones Howell used weren't staffed. Customers bought tokens from a machine and slotted them into the beds). When a mole appeared on his back that 'kept bleeding and scabbing over but never healing', he sent a photograph of it to his GP and was immediately referred to hospital. He underwent radiotherapy and surgeries to remove his lymph nodes, but these failed to remove the cancer. Eventually, after a year of immunotherapy, which 'completely knocks you for six', he went into remission. Howell now wants to see sunbeds banned. He tells young users: 'OK, it hasn't happened yet, but it could happen. And when it does happen, it is far, far worse than anything I could ever describe and you could ever imagine.' For many young people, though, the allure of the sunbed's 'instant fix' is too great to resist. And it's not as if this is the first time young people have put themselves at risk. As Kukadia points out: 'If alcohol was discovered or invented now, it would be illegal.' But tanning does feel different from other classic rebellious pursuits such as binge drinking, cigarettes and drugs because people don't do it for fun, but to achieve a certain aesthetic – a symptom, perhaps, of our screen-filtered lives. 'If I wasn't on social media, I probably wouldn't use sunbeds,' Feldman admits, but because her job requires social media use, she can't see herself stopping. A few years ago, Clark noticed a dark, 'pretty scary-looking' lesion on her leg, and was referred to a dermatologist. Though it didn't turn out to be skin cancer-related, she had to have it removed, and the experience has stopped her being so 'frivolous' with tanning beds. Urbaniak can't see herself giving up either. 'If something were to go wrong, then maybe I'd reconsider,' she says. 'But I feel as if I'm in that generation where we all just live in denial until something happens.'