Review
Review of environmental effects of oxybenzone and other sunscreen active ingredients

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With increasing awareness regarding the risks of sunburn, photoaging, and skin cancer, the use of sunscreens has increased. Organic and inorganic filters are used in sunscreen products worldwide. Concerns have been raised regarding the environmental effects of commonly used organic ultraviolet (UV) filters, including oxybenzone (benzophenone-3), 4-methylbenzylidene camphor, octocrylene, and octinoxate (ethylhexyl methoxycinnamate). Studies have identified UV filters such as oxybenzone, octocrylene, octinoxate, and ethylhexyl salicylate in almost all water sources around the world and have commented that these filters are not easily removed by common wastewater treatment plant techniques. Additionally, in laboratory settings, oxybenzone has been implicated specifically as a possible contributor to coral reef bleaching. Furthermore, UV filters such as 4-methylbenzylidene camphor, oxybenzone, octocrylene, and octinoxate have been identified in various species of fish worldwide, which has possible consequences for the food chain. As dermatologists, it is important for us to continue to emphasize the public health impact of excessive sun exposure and advise our patients about proper photoprotection practice, which consists of seeking shade, wearing photoprotective clothing (including hats and sunglasses), and applying appropriate sunscreens.

Section snippets

Water sources

Wastewater treatment plants (WWTPs) are critical in the water recycling process. Water utilized by humans passes through these facilities for treatment before re-entering rivers and streams. WWTPs worldwide have been tested for UV filters in their influent (incoming water sources) and effluent (water that has been treated). In Brazil, oxybenzone, ethylhexyl salicylate, octinoxate, and octocrylene were identified in raw and treated water.26 Oxybenzone, 4-MBC, octinoxate, and octocrylene were all

Coral reefs

Coral reefs are a critical component of our environment, supporting as many as 1 million species of fish, invertebrates, and algae.34 Coral belong to the Cnidaria family, which are soft bodied animals that engage in symbiosis with algae (zooxanthellae). Zooxanthellae live on coral. Their photosynthesis gives coral energy, and the algae itself provides the coral's vibrant colors. As coral grows, it forms branching structures culminating in reefs. When coral reefs face oxidative stress from

Food chain

UV filters have been studied in fish and mammals. In rats, 4-MBC interferes with sexual behavior and reproductive practices.18, 29 In zebra fish, octocrylene alters development in brain and liver.30 In rainbow trout and Japanese rice fish (medaka), laboratory studies demonstrated that exposure to high concentrations of oxybenzone led to decreased egg production, with significantly fewer hatchings, as well as induction of vitellogenin protein in males (a precursor of the egg yolk found only in

Solutions

Given the growing concerns regarding UV filters present in the environment, public and government agencies have been searching for solutions. Legislation has been proposed to ban chemicals that have affected our food supply.3, 42 On May 1, 2018, the Hawaiian state legislature passed a bill that bans the sale and distribution of sunscreens containing oxybenzone and octinoxate. At the time of writing of this review, the bill was awaiting the signature of Governor David Y. Ige.43 If the bill is

Conclusion

With the known effects of UV radiation on erythema, photoaging, and development of skin cancer, photoprotection is paramount. However, we must also take into account the impact of our efforts on the environment. UV filters have been identified in many water sources; they are extremely difficult to remove by using traditional WWTP practices. With continued use of organic filters, one can surmise that concentrations in our water sources will continue to rise. The effect on coral reefs is clearly

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    Funding sources: None.

    Disclosure: Dr Lim is an investigator/coinvestigator for Ferndale, Estee Lauder, Allergan, and Incyte. Dr Schneider has no conflicts of interest to disclose.

    Reprints not available from the authors.

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