Radiofrequency electromagnetic fields and risk of disease and ill health - Research during the last ten years

The focus of this report is electromagnetic fields of the type that occur in connection with mobile telephony, so called radio frequency (RF) fields and the possibility that exposure to such fields poses a risk of disease or ill health. The purpose is to describe what was known ten years ago, what we have learned during the past decade, and where we stand today. TEN YEARS AGO The mechanism of interaction between RF fields and the human body was established long ago and is increased temperature of exposed tissue (compare microwave ovens). Methods for measurements of the fields in the air were developed early but the data on distribution of the absorbed energy in the human body was still restricted. Data regarding sources and levels of exposure to the population was limited because systematic measurements had not been conducted. A considerable number of provocation studies on exposure to fields of lower frequencies (related to electric power and computer screens) had already been conducted and had not found any evidence of an association to symptoms (headache, vertigo, dizziness, concentration difficulties, insomnia) but the corresponding information about RF fields and occurrence of symptoms was scarce. Few and methodologically limited epidemiological studies had been conducted on RF field exposure and cancer. WHAT WAS LEARNED DURING THE PAST TEN YEARS Extensive research on various aspects of RF fields has been conducted during the last ten years and the knowledge database has increased considerably. Simulation models have improved our knowledge about how the fields and the energy are distributed in the body. Mobile, so called, exposimeters have been developed for use in epidemiological studies. Many more measurements have been conducted to increase our knowledge about sources and level of exposure to the population. More than 15 provocation studies (single or double blind) have been conducted on symptoms attributed to exposure to RF fields. These studies have not been able to demonstrate that people experience symptoms or sensations more often when the fields are turned on than when they are turned off. One longitudinal study has looked at frequency of symptoms in relation to environmental exposure and this study found no association between exposure and symptoms. A considerable number of studies on cancer, and in particular brain tumor, were presented. As a consequence there exist now very useful data including methodological results that can be used in the interpretation of this research. With a small number of exceptions the available results are all negative and taken together with new methodological understandings the overall interpretation is that these do not provide support for an association between mobile telephony and brain tumor risk. In addition, national cancer statistics are very useful sources of information because mobile phone usage has increased so quickly. Had mobile phone use and brain cancer risk been associated it would have been visible as an increasing trend in national cancer statistics. But brain cancer rates are not increasing. WHERE WE STAND TODAY We now know much more about measurements and absorption of RF fields and also about sources of exposure to the population and levels of exposure. A considerable number of provocation studies on RF exposure and symptoms have been unable to show any association. Overall, the data on brain tumor and mobile telephony do not support an effect of mobile phone use on tumor risk, in particular when taken together with national cancer trend statistics throughout the world. Research on mobile telephony and health started without a biologically or epidemiologically based hypothesis about possible health risks. Instead the inducement was an unspecific concern related to a new and rapidly spreading technology. Extensive research for more than a decade has not detected anything new regarding interaction mechanisms between radiofrequency fields and the human body and has found no evidence for health risks below current exposure guidelines. While absolute certainty can never be achieved, nothing has appeared to suggest that the since long established interaction mechanism of heating would not suffice as basis for health protection.

[1]  Lena Hillert,et al.  Prevalence of self-reported hypersensitivity to electric or magnetic fields in a population-based questionnaire survey. , 2002, Scandinavian journal of work, environment & health.

[3]  J. Wiart,et al.  Variability analysis of SAR from 20 MHz to 2.4 GHz for different adult and child models using finite-difference time-domain , 2008, Physics in medicine and biology.

[4]  Igor Burstyn,et al.  Authors' reply to Kundi's comments on de Vocht et al. “time trends (1998–2007) in brain cancer incidence rates in relation to mobile phone use in England” , 2011 .

[5]  A Nilsen,et al.  Facial rash in visual display unit operators , 1982, Contact dermatitis.

[6]  V Lindén,et al.  Video computer terminals and occupational dermatitis. , 1981, Scandinavian journal of work, environment & health.

[7]  Effects of Everyday Radiofrequency Electromagnetic-Field Exposure on Sleep Quality: A Cross-Sectional Study , 2010, Radiation research.

[8]  S M J Mortazavi,et al.  Prevalence of subjective poor health symptoms associated with exposure to electromagnetic fields among university students , 2007, Bioelectromagnetics.

[9]  Re: "Radio-frequency radiation exposure from AM radio transmitters and childhood leukemia and brain cancer". , 2008, American journal of epidemiology.

[10]  M. Blettner,et al.  Childhood leukemia in relation to radio frequency electromagnetic fields in the vicinity of TV and radio broadcast transmitters. , 2008, American journal of epidemiology.

[11]  A. Hirata,et al.  Intercomparison of whole-body averaged SAR in European and Japanese voxel phantoms , 2008, Physics in medicine and biology.

[12]  E Cardis,et al.  Determinants of mobile phone output power in a multinational study: implications for exposure assessment , 2009, Occupational and Environmental Medicine.

[13]  Patrizia Frei,et al.  Use of mobile phones and risk of brain tumours: update of Danish cohort study , 2011, BMJ : British Medical Journal.

[14]  Anssi Auvinen,et al.  Mobile Phone Use and Incidence of Glioma in the Nordic Countries 1979–2008: Consistency Check , 2012, Epidemiology.

[15]  G. Rubin,et al.  Electromagnetic Hypersensitivity: A Systematic Review of Provocation Studies , 2005, Psychosomatic medicine.

[16]  R. Santini,et al.  [Symptoms experienced by people in vicinity of base stations: II/ Incidences of age, duration of exposure, location of subjects in relation to the antennas and other electromagnetic factors]. , 2003, Pathologie-biologie.

[17]  Per Hall,et al.  Long-term mobile phone use and brain tumor risk. , 2005, American journal of epidemiology.

[18]  L. Hillert,et al.  Do people with idiopathic environmental intolerance attributed to electromagnetic fields display physiological effects when exposed to electromagnetic fields? A systematic review of provocation studies , 2011, Bioelectromagnetics.

[19]  M Feychting,et al.  Output power levels from mobile phones in different geographical areas; implications for exposure assessment , 2004, Occupational and Environmental Medicine.

[20]  D J Briggs,et al.  Mobile phone base stations and early childhood cancers: case-control study , 2010, BMJ : British Medical Journal.

[21]  Bruce Shadbolt,et al.  A multicenter study of primary brain tumor incidence in Australia (2000-2008). , 2011, Neuro-oncology.

[22]  Yoon-Myoung Gimm,et al.  Radio-frequency radiation exposure from AM radio transmitters and childhood leukemia and brain cancer. , 2007, American journal of epidemiology.

[23]  E. Lyskov,et al.  Psychophysiological tests and provocation of subjects with mobile phone related symptoms , 2006, Bioelectromagnetics.

[24]  M. Röösli,et al.  Wireless communication fields and non-specific symptoms of ill health: a literature review , 2011, Wiener Medizinische Wochenschrift.

[25]  Holter ECG monitoring in patients with perceived electrical hypersensitivity. , 2003, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[26]  R. Tarone,et al.  Cell phones, cancer, and children. , 2011, Journal of the National Cancer Institute.

[27]  G. Bárdos,et al.  Polluted places or polluted minds? An experimental sham-exposure study on background psychological factors of symptom formation in 'Idiophatic Environmental Intolerance attributed to electromagnetic fields'. , 2010, International journal of hygiene and environmental health.

[28]  Robert N. Anderson,et al.  Annual Report to the Nation on the Status of Cancer, 1975–2007, Featuring Tumors of the Brain and Other Nervous System , 2011, Journal of the National Cancer Institute.

[29]  O. Fujiwara,et al.  FDTD calculation of whole-body average SAR in adult and child models for frequencies from 30 MHz to 3 GHz , 2006, Physics in medicine and biology.

[30]  G. T. McIntyre,et al.  Mobile telephones. , 2000, British dental journal.

[31]  Kjell Hansson Mild,et al.  Case-Control Study on Cellular and Cordless Telephones and the Risk for Acoustic Neuroma or Meningioma in Patients Diagnosed 2000–2003 , 2005, Neuroepidemiology.

[32]  Kjell Hansson Mild,et al.  Pooled analysis of case-control studies on malignant brain tumours and the use of mobile and cordless phones including living and deceased subjects. , 2011, International journal of oncology.

[33]  K. H. Mild,et al.  Cellular and cordless telephones and the risk for brain tumours , 2002, European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation.

[34]  Katja Radon,et al.  Personal exposure to mobile phone frequencies and well‐being in adults: A cross‐sectional study based on dosimetry , 2008, Bioelectromagnetics.

[35]  Naohito Yamaguchi,et al.  The INTERPHONE study: design, epidemiological methods, and description of the study population , 2007, European Journal of Epidemiology.

[36]  Anssi Auvinen,et al.  Location of gliomas in relation to mobile telephone use: a case-case and case-specular analysis. , 2011, American journal of epidemiology.

[37]  Lennart Hardell,et al.  Use of wireless telephones and self-reported health symptoms: a population-based study among Swedish adolescents aged 15–19 years , 2008, Environmental health : a global access science source.

[38]  Peter Achermann,et al.  UMTS Base Station-like Exposure, Well-Being, and Cognitive Performance , 2006, Environmental health perspectives.

[39]  M. Röösli,et al.  Systematic review on the health effects of exposure to radiofrequency electromagnetic fields from mobile phone base stations. , 2010, Bulletin of the World Health Organization.

[40]  Christian Bornkessel,et al.  Do mobile phone base stations affect sleep of residents? Results from an experimental double‐blind sham‐controlled field study , 2010, American journal of human biology : the official journal of the Human Biology Council.

[41]  L. Stovner,et al.  Mobile Phone Headache: A Double Blind, Sham-Controlled Provocation Study , 2007, Cephalalgia : an international journal of headache.

[42]  Riccardo Russo,et al.  Development and evaluation of the electromagnetic hypersensitivity questionnaire , 2007, Bioelectromagnetics.

[43]  M. Vrijheid,et al.  Acoustic neuroma risk in relation to mobile telephone use: results of the INTERPHONE international case-control study. , 2011, Cancer epidemiology.

[44]  K. H. Mild,et al.  Use of cellular telephones and the risk for brain tumours: A case-control study. , 1999, International journal of oncology.

[45]  B. Everitt,et al.  Are some people sensitive to mobile phone signals? Within participants double blind randomised provocation study , 2006, BMJ : British Medical Journal.

[46]  S Larjavaara,et al.  Incidence trends of vestibular schwannomas in Denmark, Finland, Norway and Sweden in 1987–2007 , 2011, British Journal of Cancer.

[47]  J Thomsen,et al.  Acoustic neuroma: clinical aspects, audiovestibular assessment, diagnostic delay, and growth rate. , 1990, The American journal of otology.

[48]  E. A. Navarro,et al.  The Microwave Syndrome: A Preliminary Study in Spain , 2003 .

[49]  Niels Kuster,et al.  Sleep after mobile phone exposure in subjects with mobile phone‐related symptoms , 2011, Bioelectromagnetics.

[50]  Maria Blettner,et al.  Cellular phones, cordless phones, and the risks of glioma and meningioma (Interphone Study Group, Germany). , 2006, American journal of epidemiology.

[51]  M. Egger,et al.  Statistical analysis of personal radiofrequency electromagnetic field measurements with nondetects , 2008, Bioelectromagnetics.

[52]  Anssi Auvinen,et al.  Time trends in brain tumor incidence rates in Denmark, Finland, Norway, and Sweden, 1974-2003. , 2009, Journal of the National Cancer Institute.

[53]  C. Törnevik,et al.  Output power distributions of terminals in a 3G mobile communication network , 2012, Bioelectromagnetics.

[54]  Susanna Lagorio,et al.  Recall bias in the assessment of exposure to mobile phones , 2008, Journal of Exposure Science and Environmental Epidemiology.

[55]  J. Olsen,et al.  Cellular telephones and cancer--a nationwide cohort study in Denmark. , 2001, Journal of the National Cancer Institute.

[56]  M. Röösli,et al.  The prevalence of symptoms attributed to electromagnetic field exposure: a cross-sectional representative survey in Switzerland , 2006, Sozial- und Präventivmedizin.

[57]  B. Knave,et al.  Work with video display terminals among office employees. I. Subjective symptoms and discomfort. , 1985, Scandinavian journal of work, environment & health.

[58]  P. Dimbylow,et al.  Whole-body-averaged SAR from 50 MHz to 4 GHz in the University of Florida child voxel phantoms , 2007, Physics in medicine and biology.

[59]  Joe Wiart,et al.  Feasibility of future epidemiological studies on possible health effects of mobile phone base stations , 2006, Bioelectromagnetics.

[60]  Raymond Neutra,et al.  Study of self-reported hypersensitivity to electromagnetic fields in California. , 2002, Environmental health perspectives.

[61]  R. Hoover,et al.  Brain cancer incidence trends in relation to cellular telephone use in the United States. , 2010, Neuro-oncology.

[62]  Elisabeth Cardis,et al.  Brain tumour risk in relation to mobile telephone use: results of the INTERPHONE international case-control study. , 2010, International journal of epidemiology.

[63]  Katja Radon,et al.  Exposure to mobile telecommunication networks assessed using personal dosimetry and well-being in children and adolescents: the German MobilEe-study , 2008, Environmental health : a global access science source.

[64]  R. Stock,et al.  Association between number of cell phone contracts and brain tumor incidence in nineteen U.S. States , 2011, Journal of Neuro-Oncology.

[65]  Niels Kuster,et al.  Assessment of induced radio-frequency electromagnetic fields in various anatomical human body models , 2009, Physics in medicine and biology.

[66]  Long-term effects on symptoms by reducing electric fields from visual display units. , 1999, Scandinavian journal of work, environment & health.

[67]  R. Saunders,et al.  In vitro and in vivo genotoxicity of radiofrequency fields. , 2010, Mutation research.

[68]  Yoshinobu Okano,et al.  Comparison Measurement for Specific Absorption Rate With Physically Different Procedure , 2012, IEEE Transactions on Instrumentation and Measurement.

[69]  Maila Hietanen,et al.  Hypersensitivity symptoms associated with exposure to cellular telephones: No causal link , 2002, Bioelectromagnetics.

[70]  Niels Kuster,et al.  The Virtual Family—development of surface-based anatomical models of two adults and two children for dosimetric simulations , 2010, Physics in medicine and biology.

[71]  J. Stockman,et al.  Adolescent Use of Mobile Phones for Calling and for Sending Text Messages After Lights Out: Results from a Prospective Cohort Study with a One-Year Follow-Up , 2009 .

[72]  Leeka Kheifets,et al.  Mobile Phones, Brain Tumors, and the Interphone Study: Where Are We Now? , 2011, Environmental health perspectives.

[73]  M. Vrijheid,et al.  Quantifying the impact of selection bias caused by nonparticipation in a case-control study of mobile phone use. , 2009, Annals of epidemiology.

[74]  Joachim Schüz,et al.  Lost in laterality: interpreting ‘‘preferred side of the head during mobile phone use and risk of brain tumour’’ associations , 2009, Scandinavian journal of public health.

[75]  Simon Wessely,et al.  Idiopathic environmental intolerance attributed to electromagnetic fields (formerly ‘electromagnetic hypersensitivity’): An updated systematic review of provocation studies , 2009, Bioelectromagnetics.

[76]  E Cardis,et al.  Validation of short term recall of mobile phone use for the Interphone study , 2006, Occupational and Environmental Medicine.

[77]  Elisabeth Cardis,et al.  Radiofrequency exposure in the French general population: band, time, location and activity variability. , 2009, Environment international.

[78]  C. Nygård,et al.  Use of information and communication technology (ICT) and perceived health in adolescence: the role of sleeping habits and waking-time tiredness. , 2007, Journal of adolescence.

[79]  Soichi Watanabe,et al.  Proportion-corrected scaled voxel models for Japanese children and their application to the numerical dosimetry of specific absorption rate for frequencies from 30 MHz to 3 GHz. , 2008, Physics in medicine and biology.

[80]  G. Oftedal,et al.  Skin symptoms after the reduction of electric fields from visual display units. , 1995, Scandinavian journal of work, environment & health.

[81]  Kjell Hansson Mild,et al.  Mobile Phone Use and the Risk for Malignant Brain Tumors: A Case-Control Study on Deceased Cases and Controls , 2010, Neuroepidemiology.

[82]  R. Persson,et al.  Personality, mental distress, and subjective health complaints among persons with environmental annoyance , 2007, Human & experimental toxicology.

[83]  Georg Neubauer,et al.  Cohort study on the effects of everyday life radio frequency electromagnetic field exposure on non-specific symptoms and tinnitus. , 2012, Environment international.

[84]  Georg Neubauer,et al.  Temporal and spatial variability of personal exposure to radio frequency electromagnetic fields. , 2009, Environmental research.

[85]  K. Hansson Mild,et al.  Re-analysis of risk for glioma in relation to mobile telephone use: comparison with the results of the Interphone international case-control study. , 2011, International journal of epidemiology.

[86]  Mark W. Greenlee,et al.  Neuronal correlates of symptom formation in functional somatic syndromes: A fMRI study , 2008, NeuroImage.

[87]  Niels Kuster,et al.  Mobile phone exposure and spatial memory , 2009, Bioelectromagnetics.

[88]  Christian Heumann,et al.  Association between exposure to radiofrequency electromagnetic fields assessed by dosimetry and acute symptoms in children and adolescents: a population based cross-sectional study , 2010, Environmental health : a global access science source.

[89]  Sense and sensibility in the context of radiofrequency electromagnetic field exposure , 2010 .

[90]  A. Ahlbom Guidelines for limiting exposure to time-varying electric, magnetic, and electromagnetic fields (up to 300 GHz) , 1998 .

[91]  John D Boice,et al.  Cellular telephone use and cancer risk: update of a nationwide Danish cohort. , 2006, Journal of the National Cancer Institute.

[92]  S. Devesa,et al.  Mobile phone use and glioma risk: comparison of epidemiological study results with incidence trends in the United States , 2012, BMJ : British Medical Journal.

[93]  James C. Lin DOSIMETRIC COMPARISON BETWEEN DIFFERENT QUANTITIES FOR LIMITING EXPOSURE IN THE RF BAND: RATIONALE AND IMPLICATIONS FOR GUIDELINES , 2007, Health physics.

[94]  Geza Benke,et al.  How well do adolescents recall use of mobile telephones? Results of a validation study , 2009, BMC medical research methodology.

[95]  Kjell Hansson Mild,et al.  Case-control study of the association between the use of cellular and cordless telephones and malignant brain tumors diagnosed during 2000-2003. , 2006, Environmental research.

[96]  C. Heumann,et al.  The impact of exposure to radio frequency electromagnetic fields on chronic well-being in young people--a cross-sectional study based on personal dosimetry. , 2011, Environment international.

[97]  G. Thuróczy,et al.  Comparison of personal radio frequency electromagnetic field exposure in different urban areas across Europe. , 2010, Environmental research.

[98]  Niels Kuster,et al.  Automated E-field scanning system for dosimetric assessments , 1996 .

[99]  Provocation study of persons with perceived electrical hypersensitivity and controls using magnetic field exposure and recording of electrophysiological characteristics. , 2001, Bioelectromagnetics.

[100]  M. Blettner,et al.  Residential characteristics and radiofrequency electromagnetic field exposures from bedroom measurements in Germany , 2012, Radiation and environmental biophysics.

[101]  Muhammad Mujahid Khan,et al.  Adverse effects of excessive mobile phone use. , 2008, International journal of occupational medicine and environmental health.

[102]  M. Koivisto,et al.  Perception of the electromagnetic field emitted by a mobile phone , 2008, Bioelectromagnetics.

[103]  E Cardis,et al.  Risk of brain tumours in relation to estimated RF dose from mobile phones: results from five Interphone countries , 2011, Occupational and Environmental Medicine.

[104]  Anders Ahlbom,et al.  Forskning om elöverkänslighet och andra effekter av elektromagnetiska fält , 2004 .

[105]  M. Hagberg,et al.  Mobile phone use and stress, sleep disturbances, and symptoms of depression among young adults - a prospective cohort study , 2011, BMC public health.