{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:34:54Z","timestamp":1787243694975,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Growing global interest in solar energy has renewed attention to sunlight exposure and its health effects. Although sunlight contains harmful ultraviolet radiation (UVR), controlled exposure has preventive and therapeutic benefits. In many low\u2010 and middle\u2010income countries, particularly in sub\u2010Saharan Africa and parts of Asia, newborns are traditionally exposed to early\u2010morning sunlight to prevent vitamin D deficiency and help treat neonatal jaundice. Vitamin D deficiency can lead to nutritional rickets, while untreated severe jaundice may cause serious complications such as brain damage, deafness, cerebral palsy, or death. However, most clinical guidelines discourage sunlight exposure because of the potential risks of dehydration, hyperthermia, sunburn, and long\u2010term skin cancer. This creates a dilemma in resource\u2010limited settings where vitamin D supplements, specialised healthcare, and conventional phototherapy for jaundice are often unavailable or unreliable due to cost, poor maintenance, or electricity shortages. Recent clinical trials in sub\u2010Saharan Africa suggest that filtered\u2010sunlight phototherapy, which blocks harmful ultraviolet radiation while allowing therapeutic blue light when irradiance is optimal, can safely and effectively treat neonatal jaundice. This approach may also provide vitamin D benefits. Further research, improved screening for jaundice, and clear clinical guidance are needed to facilitate the safe and effective use of controlled sunlight exposure for optimal newborn care.<\/jats:p>","DOI":"10.1111\/tmi.70127","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T07:36:21Z","timestamp":1773646581000},"page":"657-659","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Harnessing Sunlight Safely for Newborn Care: Balancing Risks and Benefits in Resource\u2010Limited Settings"],"prefix":"10.1111","volume":"31","author":[{"given":"Bolajoko O.","family":"Olusanya","sequence":"first","affiliation":[{"name":"Centre for Healthy Start Initiative  Lagos Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nem Yun","family":"Boo","sequence":"additional","affiliation":[{"name":"Department of Population Medicine, Faculty of Medicine and Health Sciences Universiti Tunku Abdul Rahman  Kajang Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,16]]},"reference":[{"issue":"3","key":"e_1_2_4_2_1","first-page":"253","article-title":"The Sun, Health and Heliotherapy","volume":"9","author":"Hinsdale G.","year":"1919","journal-title":"Scientific Monthly"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2022-001554"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.21-0588"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30457-7"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13312-022-2448-y"},{"issue":"7","key":"e_1_2_4_7_1","article-title":"Sunlight for the Prevention and Treatment of Hyperbilirubinemia in Term and Late Preterm Neonates","volume":"7","author":"Horn D.","year":"2021","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2013-305506"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/07315724.2015.1039866"},{"key":"e_1_2_4_10_1","unstructured":"National Institute for Health and Care Excellence (NICE) \u201cSunlight Exposure: Risks and Benefits. Guideline 2016 \u201dwww.nice.org.uk\/guidance\/ng34."},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022-058859"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-040182"},{"key":"e_1_2_4_13_1","volume-title":"WHO Recommendations on Maternal and Newborn Care for a Positive Postnatal Experience [Internet]","author":"WHO","year":"2022"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2024-068026"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-019-1552-1"},{"key":"e_1_2_4_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/fmt027"},{"key":"e_1_2_4_17_1","unstructured":"World Health Organization \u201cFact Sheets: Ultraviolet Radiation \u201d2022 https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/ultraviolet\u2010radiation."},{"key":"e_1_2_4_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2016.09.039"},{"key":"e_1_2_4_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/08830738060210061301"},{"key":"e_1_2_4_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2008.01.028"},{"key":"e_1_2_4_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semperi.2020.151359"},{"key":"e_1_2_4_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2025-004240"},{"key":"e_1_2_4_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnesp.2025.06.030"},{"key":"e_1_2_4_24_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0251584"},{"key":"e_1_2_4_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjinnov-2024-001286"}],"container-title":["Tropical Medicine &amp; International Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tmi.70127","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/tmi.70127","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tmi.70127","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T03:03:36Z","timestamp":1780974216000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/tmi.70127"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,16]]},"references-count":24,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/tmi.70127"],"URL":"https:\/\/doi.org\/10.1111\/tmi.70127","archive":["Portico"],"relation":{},"ISSN":["1360-2276","1365-3156"],"issn-type":[{"value":"1360-2276","type":"print"},{"value":"1365-3156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,16]]},"assertion":[{"value":"2025-09-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}