Northern Europeans get more skin cancer than people in the South

In a nutshell

  • Skin cancer rates are highest in Holland, Norway, and Denmark and lowest in Turkey, Albania, and Moldova

  • ‍Conventional wisdom - “excessive UV exposure,” – not supported by studies

  • ‍Regular, safe sunlight exposure delivers net health benefits - outweigh skin cancer risk

This is another short article intended to add to a wider discussion of how sunlight provides a foundational benefit to human health and longevity.  It is prompted by the observation that skin cancer rates are higher in northern Europe than southern Europe.  I want to address what the article attributes as cause and to offer an alternative.  I’ll cover the following:

‍ ‍

  • Skin cancer rates addressed in the article

  • ‍What the article offers as the cause

  • ‍A counter-intuitive alternative – with supporting evidence

Skin cancer rates addressed in the article

‍Figure 1 shows that more northerly countries have generally more skin cancer than southern countries.  The highest rates are to be found in Holland, Norway and Denmark, while the lowest are in Turkey, Albania and Moldova.‍ ‍

 

Figure 1:  Skin cancer rates in Europe (from Landgeist at the link above)

 

What the article offers as the cause

The article explains the data according to the standard narrative, namely:

  • Skin cancer is primarily caused by “excessive exposure to the sun’s harmful UV rays”

  • ‍Southern Europe is closer to the equator and should, therefore, be expected to have higher rates of skin cancer than northern Europe

  • ‍Northern Europeans go south to get a tan and get burned because they don’t use clothing and sunblock to protect themselves from the harmful effects of UV

‍ ‍

A counter-intuitive alternative – with supporting evidence

‍The counter-intuitive alternative

‍I suspect that there are a few things going on:

‍ ‍

  • Northern Europeans don’t get regular strong sunlight and are not taking precautions to prevent burning when they do take holidays in the sun – this agrees with the article’s authors

  • Southern Europeans are exposed to stronger sunlight year-round. Culturally, they manage exposure more safely - siestas, shade, clothing, and gradual acclimation.  This affords them the full benefits of natural light

  • Better metabolic health (including less skin cancer) results from regular, safe sun exposure in the south.  Conversely, chronic low sunlight exposure in the north is linked to reduced vitamin D, circadian disruption, mitochondrial dysfunction, and chronic inflammation. These factors increase vulnerability to many diseases, including cancer

‍ ‍

Supporting evidence

‍Safe sun exposure results from allowing our body to “read” the sun’s signals and using them to get ready for strong summer sunlight (known as building a solar callus).

‍We still don’t completely understand how sunlight works to our advantage.  However, specific insights into its benefits are increasing. 

‍A powerful Swedish study followed ~30,000 women for 25–30 years (described here), Women who actively sought sun exposure had:‍

  • Lower all-cause mortality

  • Roughly half the mortality rate

  • Major reductions in heart disease and non-cancer deaths

  • More skin cancer diagnoses - but still lived longer

Other, smaller studies support the observations that sunlight provides a net benefit to human health:

Summary

Full spectrum sunlight is like real food

Avoiding sunlight entirely is like living on ultra-processed food instead of a nutrient-dense diet. Yes, burning carries risk - particularly for fair-skinned people with infrequent exposure. But regular, sensible sun exposure provides a wide array of protective benefits that far outweigh the downsides for most people.

Build a solar callus gradually. Get outside daily. Respect skin’s signals. The data suggests that overall health and longevity will improve.

Additional sunlight articles


Next
Next

Reversing Type 2 Diabetes: Lessons from Dr. David Unwin