What is the true price of your ‘farmer’s tan’? Sun safety for large animal vets and those working outside

As vets who work with farm and equine animals, we are fortunate to be able to spend our days outside in the fresh air, surrounded by nature. However, this also means that we’re exposed to the sun for prolonged periods, which can lead to sun damage and, in some cases, skin cancer. This week is Sun Awareness Week, and it feels like a good time to share my own experience with basal cell carcinoma (BCC) and consider how we can reduce our sun exposure risk while working outside.

As a first opinion equine vet for 30 years, I have spent countless hours working outside, enjoying the sun and revelling in a “farmer’s tan” complete with polo shirt lines and bleached hair. It felt like a bonus when I met with pallid friends from small animal practice. In retrospect, I was foolish never to see sun protection as part of my daily routine until I reached my late forties.

I first noticed a small skin lump on my neck several years ago and while it didn’t grow fast it continued to enlarge over the next few months, developing a raised rim. I asked my GP to take a look and two dermatology visits later I was told it was probably a BCC and should be removed. Histopathology confirmed the diagnosis — fortunately it has an excellent prognosis and low recurrence. After a thorough look at my face, neck and forearms the dermatologist went on to give me a tough lecture and said it was plain to see from all the pigment changes that I’d exposed myself to too much sun!

It is easy to think that the UK doesn’t receive much sun and to make the most of every opportunity to "catch some rays", but the reality is that those of us in large animal practice need to think differently. Don’t take your health for granted!

A double whammy in the last year was visiting the optician when I realised I’ve lost a bit of visual acuity, as well as becoming more long-sighted. “Yes”, he said, “you’ve also got the start of cataracts—probably too much unprotected sun exposure”. A lesson I wish I’d learned earlier, but I hope others can learn from my experiences:

• Individuals who work outside, such as farm and equine vets, are at a higher risk of developing skin cancer.
• A career of prolonged sun exposure without protection can lead to skin damage and even skin cancer, often in later life.
• Relatively simple precautions can significantly reduce your risk.
• UV radiation exposure has also been consistently associated with a heightened risk of developing cataracts.

Wear Sunscreen

Use a broad spectrum, high SPF sunscreen and reapply during the day, particularly if sweating due to a physical job. Remember all areas that receive sun exposure, not just your face.

Wear Protective Clothing

Consider wearing long-sleeved shirts and wide-brimmed hats. UV-blocking sunglasses or UV-protection contact lenses are another important consideration.

Choose shade

If you have a long job to do outside, it’s often possible to pick where you work. In the past I would have chosen a sunny spot in a yard, but particularly during the summer it’s more sensible to find the shade of a tree or building whenever you can.

Don’t ignore skin changes

Early detection is key when it comes to skin cancer. It's important to consult your doctor if you develop suspicious moles or spots early on.

As Hillary Fogelson, a three-time melanoma survivor, has said, "Sun protection doesn't need to be complicated or expensive — it needs to be consistent." By consistently taking steps to protect ourselves from the sun, we can enjoy the benefits of working outside while reducing our risk of skin damage and cancer.

Let's take the time this Sun Awareness Week to reflect on our sun safety habits and make a commitment to protecting ourselves while working outside. By doing so, we can continue to enjoy our profession and live healthy, active lifestyles.

Every day can smell like a holiday when you wear sunscreen to work!