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Tattoo taboos

Grainne Donovan
Regina Mundi College, Cork

What is a tattoo? A tattoo is a permanent mark or design made on the body by the introduction of pigment through ruptures in the skin. (Britannica Encyclopaedia)

So what's the attraction? With famous stars including Sean Coney, Cheer, Drew Barrymore and Whoopie Goldberg all possessing tattoos and with the number of people who express an interest in tattooing rising there must be something about a tattoo that attracts people.

  • Some believe a tattoo expresses in the most romantic way possible your undying love for someone.
  • According to enthusiasts a tattoo sets you apart and gives you a special exclusivity.
  • Tattooed designs are thought by various people to provide magical protection against sickness or misfortune, or they serve to identify the wearer's rank, status, or membership in a group. Decoration is probably the commonest motive for tattooing.

An English psychiatrist (mentioned in an article in The Irish Times in June) after being asked on his view of tattooing some years ago said, "I think people who do this are trying to express a part of their personality they do not consciously understand. Hopefully, it is harmless - but when I look at tattoos of snakes winding their way around a women's bosom I cannot but pray that I will never have to treat the child who sucked at that breast when he grows up."

Tattooing, is it new? Definitely not. The body of an "Iceman", who died over 5000 years ago, was found in 1992 buried under glacier-ice in the European Alps, on the border between Italy and Austria. Tattoos along his spine were easily seen as his body was well preserved. His tattoos are simple dots and lines, but they are clearly tattoos and no less than 57 have been counted.

The Romans tattooed criminals and slaves. However, after the advent of Christianity, tattooing was forbidden in Europe, but it persisted in the Near East and in other parts of the world. In the Americas, many Indian tribes customarily tattooed the body or the face, or both. The usual technique was a simple pricking, but some Californian tribes introduced colour into scratches. In Japan, needles set in a wooden handle are used to tattoo very elaborate multicoloured designs, in many cases covering much of the body.

The Europeans rediscovered tattooing when the age of exploration brought them into contact with American Indians and Polynesians. The word tattoo derived from tau-tau (tap tap) is in fact Polynesian and was brought to Europe by Captain Cook from Tahiti in 1769.

What you should know if you are getting a tattoo?

1. Unsterilised tattooing equipment and needles can spread serious infection, hepatitis B and C, tetanus or possibly even HIV. Last October in The Irish Times the Eastern Health Board's chief executive, Mr. Pat McLoughlin, confirmed that several benign and malignant lesions had occurred in tattoos.

"Up to 1997, eight documented cases of malignant melanoma occurring in tattoos had been reported in English-language literature," he said. According to Kris Sperry, M.D., a forensic pathologist in Atlanta and co-founder of the Alliance of Professional Tattooists, "If a tattooist follows appropriate cleanliness procedures, and the person who receives a tattoo takes proper care of it, the risk of infection at the site of the tattoo is minimal, and the risk of picking up any type of blood-borne pathogen is virtually nil."

Because HIV may be transmitted through the introduction of contaminated blood or blood products into the body through the skin, "it is theoretically possible that tattooing could transmit this viral disease," Sperry wrote in the January 1992 issue of American Journal of Forensic Medicine and Pathology. "The sterilisation techniques commonly used by professional tattooists all adequately kill HIV, but the amateur tattooist who does not sterilise equipment could conceivably transfer HIV with dirty needles."

2. Tattoo-mediated severe allergic contact dermatitis (severe skin irritation) has been reported with the use of certain pigments. Also reported are granulomas (large thick scars) developing at the site of the tattoo.

3. Without proper cleaning and protection from the sun, infection may result and the body may work to reject the tattoo.

4. Tattoo removal is very expensive because of the apparatus and skill needed so a lot of people who decide they no longer like their tattoo just have to grin and bear it for the rest of their lives.

5. Blood donations cannot be made for a year after getting a tattoo.

If you are still thinking about getting a tattoo and know the risks involved then here are some guidelines.

The Tattoo Procedure: Adolescents can acquire a "professional" or amateur tattoo. The "professional" tattoo can be applied with or without consent from their parent or guardian. Tattoo artists use electrically powered, vertical vibrating instrument to inject the tattoo pigment 50 to 3000 times per minute into the second layer of the skin (dermis), at a depth of 1/64 to 1/16 of an inch. A single needle outlines the tattoo and the design is then filled in with 5 to 7 needles in a needle bar. The inks used are red cinnaber (mercuric sulfite, blue (cobalt), green (chromium), or yellow (cadmium). Pencil graphite, gun powder, asphalt, and zirconium are also used.

The second method of obtaining a tattoo is from an amateur. More frequently teens obtain their tattoos from friends or self-inflict their own tattoos. These tattoos are done in unclean conditions using objects such as pencils, pens, straight pins, or needles. Pigments injected include India ink, carbon, soot, mascara, charcoal and dirt. This method is discouraged because of potential complications.

You're not so sure you want the tattoo you've got after all. What do you do?

Until the recent development of the Q-switched lasers, tattoos were removed either by Salabrasion, (the removal of the tattoo by rubbing salt into the tattoo), dermabrasion (the scraping of the skin down to the dermis (second layer of skin) or else a carbon dioxide laser was used to remove the top layers of skin and the tattoo particles were then removed with chemicals such as urea. All of the above methods resulted in scarring.

Since the 1980's, the Q-switched ruby laser (for blue-black and green pigments), the Q-switched Nd-YAG laser (for blue-black and red pigments) and the Q-switched alexandrite laser (for blue-black pigments) remove most tattoos with little risk of scarring in 4 to 10 treatments. The number of treatments depends on the amount and type of ink or pigment used and the depth of the ink in the skin. The cost of laser removal is quite expensive and not covered by insurance. It emerged in August that Miss Cork was to spend up to £1,500 of her own money on laser treatments to remove her tattoos to increase her chances in the Miss Ireland contest. This gives an example of exactly how expensive tattoo removal can be.

Website: This website gives additional information about tattooing practices, the selection of a tattooist, tattoo removal and the health risks.

http://vm.cfsan.fda.gov/~dms/cos-204.html

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