Walking around town will reveal just how low some
women think of their natural black skin complexion. They strive to
achieve a lighter skin complexion because they think that the lighter
their skin complexions are, the better and probably more appealing they
will look.
As such, skin bleaching continues to manifest itself in many black
communities where even the supposedly lighter-looking women will go an
extra mile to make themselves lighter.
Skin whitening, as answers.com offers, is a term covering a variety of
cosmetic methods used to whiten the skin, in parts of East Asia, the
Americas, the Middle East and Africa.
The site adds that skin lightening or whitening is a controversial topic
as it is closely intertwined with the detrimental effects on health,
identity, self image and racial supremacy.
According to Dr Pius Okong, a health consultant with St Francis Hospital
Nsambya, this remains a big problem he attributes to inferiority complex
where women are not satisfied with the colour of their skins and
therefore go out to try and achieve a light complexion which comes with
a price to pay. In most cases, the products have found their way to
shops unchecked yet the effects of the chemicals used in making (such)
products like soaps and creams, as Dr. Vincent Karuhanga explains, have
been found to have adverse effects on unborn children, women and men.
“Many of these bleaching agents contain steroids, hydroquinone and
mercury which can affect the body as drugs do, given the fact that they
interfere with the production of melanin- group of naturally occurring
dark pigments, especially the pigment found in skin,” Dr Karuhanga
elaborates.
In communities, the problem has not gone unattended to and last year,
The International Anti-Corruption Theatre Movement (IATM), a pressure
group against bleaching, indicated that thousands of women in Uganda use
soaps containing mercury to obtain a lighter complexion without knowing
the health hazards of using such soaps.
Mercury according to findings through Nordic Chemicals Group, the
Geological Survey of Denmark and Greenland and Ms Uganda, causes a
number of health problems such as skin cancer and nervous disorder.
Steroids, on the other hand, could cause diabetes given
that they increase the amount of sugar metabolism in the body thus worsening
the infection, Dr Karuhanga adds. He points out creams like Pimplex usually
used to treat pimples, contain mercury which is reportedly poisonous.
According to mercuryexposure.org, mercury-based bleaching creams contain
ammoniated mercury or mercrous chloride as a bleaching agent. Some of these
creams may contain up to more than 2-5 per cent mercury that will be harmful
to health, therefore resulting in mercury poisoning, especially chronic
mercury poisoning.
“In the Minimata epidemic in Japan, there were 42 brain-damaged children in
400 live births. Only one of the mothers had no sign of having mercury
poisoning.
Majority of the mothers had used mercury-based bleaching creams during their
childbearing years,” mercuryexposure.org explains.
“The biggest problem is that by the time someone realises signs of the
effects, the damage is already done.
The inferiority complex has also caught up with men and they have started
bleaching their skins too,” Dr Karuhanga further explains, adding that the
worst side effect victims could suffer would be worsened infections.
Mercury, he adds, can affect the kidney and nervous system while
hydroquinone can damage the body nerves as well as the blood cells. Steroids
have a pushing syndrome and can thus precipitate high blood pressure,
diabetes and could cause acne.
However, that is not to say all bleaching agents have bad side effects. And
as Dr Karuhanga and David Ssali, a dermatologist at Dama Medical Clinic
agree, some herbal creams and soaps have been found to be good, given the
fact that most are natural.
According to Ssali, for most people, the intention is not to bleach. They
are looking for a good skin but with the continuous trials with different
products, end up bleaching their skins unknowingly.
“People should be made aware of alternatives to achieving this (good skin).
They could eat fruits like carrots, simsim and a variety of coloured fruits
and vegetables,” Ssali who did not rule out skin cancer for continued use of
skin products, adds.
“By using some of these products, you remove the natural pigment which makes
the skin vulnerable to ultraviolet rays, opening the skin pores further
which puts you at many health risks,” he warns.
According to the AAR Health services Kenya website, dermatologists caution
that the treatment of skin conditions must be done strictly with the advice
of the gynaecologists or dermatologists. In pregnant women, the unborn child
is susceptible to medications, even those applied to the skin and great care
must be taken.
In neighbouring Kenya, there has been a ban on bleaching creams with
stringent laws and public campaigns have been launched to address the
harmful effects of these products on the skin.
Much as effort has been taken to ban the importation of skin lightening
creams, they are still in plenty and sold across the counter in most shops
and on the roadside in Uganda.
Ideally, skin whitening could be advised to treat pigmentation (coloration
of tissues by pigment) disorders like spotted skin tone, age spots,
freckles- small, usually yellow or brown spots on the skin, often seen on
the face and pregnancy marks.
AAR Health Services adds that an example of a circumstance under which a
dermatologist could prescribe skin lighteners would be a situation when he
detects altered skin colouring (pigmentation). A skin lightener may be
prescribed for medical reasons.