Increased regulation of tattooing has been shown to decrease incidents of infection and injury. Prison populations and other groups participating in unregulated tattooing procedures are more likely to contract serious infections and transmit diseases like HIV and hepatitis C than the general population (CDC, 2006). Additional tattoos, when applied with the proper hygienic guidelines, have not been shown to increase the risk for hepatitis B and C infections. Despite the apparent risks, state and local legislations can lag behind safety regulations (Armstrong, 2005). Microblading is no exception, and several entities have begun to push for more stringent regulations. Support from public institutions and professional permanent makeup organizations cement the need to uniformly adopt microblading into state and local tattooing regulations. This policy change will streamline the regulating process, thereby improving training and sterilization standards, and advance public health outcomes. References Armstrong, M.L. (2005). Tattooing, body piercing, and permanent cosmetics: A historical and current view of state regulations, with continuing concerns. Journal of Environmental Health, 67 (8), 38– 43. Braverman, S. (2012, February 23). One in five U.S. adults now has a tattoo. The Harris Poll. Retrieved from https://theharrispoll.com/new‐york‐n‐y‐february‐23‐2012‐there‐is‐a‐lot‐of‐ culture‐and‐lore‐associated‐with‐tattoos‐from‐ancient‐art‐to‐modern‐expressionism‐and‐ there‐are‐many‐reasons‐people‐choose‐to‐get‐or‐not‐get‐p/ Centers for Disease Control and Prevention. (2006). HIV transmission among male inmates in a stateprison system—Georgia, 1992–2005. Morbidity and Mortality Weekly Report, 55 (15), 421–426. Coulson, A.C. (2012). Illegal tattoos complicated by Staphylococcus infections: A North Carolina woundcare and medical center experience. Wounds: A Compendium of Clinical Research and Practice, 24 (11), 323–326. Cunningham, L., & Feighery, C. (2015). Granulomatous reaction to eyebrow tattooing responding to potent topical steroid treatment. British Journal of Dermatology, 173(Suppl. S1), 88–89. Darby, D., & Darby, A. (2016a, February 18). Microblading—First things first. CosmeticTattoo.org. Retrieved from http://www.cosmetictattoo.org/article/microblading‐first‐things‐first.html Darby, D., & Darby, A. (2016b, May 18). Regulatory issues: Microblading. CosmeticTattoo.org. Retrieved from http://www.cosmetictattoo.org/article/regulatory‐issues‐microblading.html Dieckmann, R., Boone, I., Brockmann, S.O., Hammerl, J.A., Kolb‐Mäurer, A., Goebeler, M., . . . Al Dahouk, S. (2016). The risk of bacterial infection after tattooing: A systematic review of the literature. Deutsches Ärzteblatt International, 113(40), 665–671. Food and Drug Administration. (2017). Tattoos & permanent makeup: Fact sheet. Retrieved from https://www.fda.gov/cosmetics/cosmetic‐products/tattoos‐permanent‐makeup‐fact‐sheet Greywal, T., & Cohen, P.R. (2016). Cosmetic tattoo pigment reaction. Dermatology Online Journal, 22(7).
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