The effects of radiofrequency electromagnetic fields exposure on tinnitus, migraine and non-specific symptoms in the general and working population: A systematic review and meta-analysis on human observational studies

Exposure Perception and Symptom Reporting in Idiopathic Environmental Intolerance Attributed to Electromagnetic Fields Using a Co-Designed Provocation Test

Idiopathic Environmental Intolerance Attributed to Electromagnetic Fields (IEI-EMF) is a syndrome that defines people who report symptoms that they attribute to their exposure to EMF sources, without any identified underlying medical condition to explain these symptoms. To date, provocation protocols have failed to demonstrate a consistent relationship between EMF exposure and reported symptoms, raising questions among some researchers and individuals with IEI-EMF about the relevance of these protocols for studying the syndrome. To address these criticisms, a provocation protocol was co-designed in collaboration with individuals with IEI-EMF. This study presents the results of the tests, with a focus on exposure perception and symptom reporting among IEI-EMF volunteers. A total of 47 IEI-EMF volunteers were enrolled and participated in an open-field habituation session. Of these, 27 completed the first double-blind controlled exposure session, while 26 and 16 volunteers, respectively, participated in three sessions for collective analyses and 12 sessions for individual-level analyses. At the individual level, no consistent association was found between exposure perception certainty level and exposure status, except for one volunteer whose perception was mostly consistent with exposure status. Similarly, symptom reporting did not align with exposure status, except for the same volunteer, whose symptom reporting showed a borderline significant result with exposure status. However, for half of the volunteers, symptom reporting was significantly correlated with exposure perception certainty level, supporting a nocebo hypothesis. At the collective level, no consistency was observed between exposure perception certainty level, symptom reporting, and exposure status. This study discusses the conditions necessary for future provocation protocols to enhance their relevance, acceptability, and potential utility in a possible care-oriented approach. It also considers criticisms of using exposure perception and symptom reporting as outcomes in provocation protocols, despite their central role in how individuals identify themselves as individuals with IEI-EMF.

Risks of electromagnetic fields from the perspective of general practitioners and pediatricians

BACKGROUND

Although there is little evidence for adverse health effects due to exposure to electromagnetic fields (EMF) below legal limits, worries regarding these effects are relatively frequent in the general population. For many individuals, general practitioners (GPs) and pediatricians are the first point of contact with the health system. Therefore, it is essential to understand their EMF risk perception.

METHODS

We conducted a cross-sectional mixed methods study inviting 3,000 GPs and 2,000 pediatricians sampled from the German Federal Medical Registry, of which 614 (12.3%) participated in an online survey and 25 participated in focus groups. We estimated the prevalence of high risk perception, poor subjective knowledge regarding EMF, and the relevance of EMF in their everyday work correcting for non-response by Multilevel Regression and Poststratification.

RESULTS

About a quarter of physicians indicated high risk perception regarding health and EMF. Relevance was low, with about 40% of GPs and about 20% of pediatricians reporting EMF-related consultations during the last year. About 60% of physicians had poor subjective knowledge. Many physicians said they could not rule out the possibility of adverse health effects of EMF due to insufficient knowledge and expressed a need for information to address this knowledge gap.

CONCLUSIONS

A substantial part of GPs and pediatricians with high risk perception are physicians with poor subjective knowledge regarding EMF who cannot completely rule out EMF below legal limits as a cause of unspecific, unclear symptoms, and who are therefore open to patients' suggestions of EMF as a potential cause.

International Commission on Non-Ionizing Radiation Protection (ICNIRP). Gaps in Knowledge Relevant to the "ICNIRP Guidelines for Limiting Exposure to Time-Varying Electric, Magnetic and Electromagnetic Fields (100 kHz TO 300 GHz)"

ABSTRACT

In the last 30 y, observational as well as experimental studies have addressed possible health effects of exposure to radiofrequency electromagnetic fields (EMF) and investigated potential interaction mechanisms. The main goal of ICNIRP is to protect people and the environment from detrimental exposure to all forms of non-ionizing radiation (NIR), providing advice and guidance by developing and disseminating exposure guidelines based on the available scientific research on specific parts of the electromagnetic spectrum. During the development of International Commission on Non-Ionizing Radiation Protection's (ICNIRP's) 2020 radiofrequency EMF guidelines some gaps in the available data were identified. To encourage further research into knowledge gaps in research that would, if addressed, assist ICNIRP in further developing guidelines and setting revised recommendations on limiting exposure, data gaps that were identified during the development of the 2020 radiofrequency EMF guidelines, in conjunction with subsequent consideration of the literature, are described in this Statement. Note that this process and resultant recommendations were not intended to duplicate more traditional research agendas, whose focus is on extending knowledge in this area more generally but was tightly focused on identifying the highest data gap priorities for guidelines development more specifically. The result of this distinction is that the present data gap recommendations do not include some gaps in the literature that in principle could be relevant to radiofrequency EMF health, but which were excluded because either the link between exposure and endpoint, or the link between endpoint and health, was not supported sufficiently by the literature. The evaluation of these research areas identified the following data gaps: (1) Issues concerning relations between radiofrequency EMF exposure and heat-induced pain; (2) Clarification of the relation between whole-body exposure and core temperature rise from 100 kHz to 300 GHz, as a function of exposure duration and combined EMF exposures; (3) Adverse effect thresholds and thermal dosimetry for a range of ocular structures; (4) Pain thresholds for contact currents under a range of exposure scenarios, including associated dosimetry; and (5) A range of additional dosimetry studies to both support future research, and also to improve the application of radiofrequency EMF exposure restrictions in future guidelines.

A mechanistic understanding of human magnetoreception validates the phenomenon of electromagnetic hypersensitivity (EHS)

BACKGROUND

Human electromagnetic hypersensitivity (EHS) or electrosensitivity (ES) symptoms in response to anthropogenic electromagnetic fields (EMFs) at levels below current international safety standards are generally considered to be nocebo effects by conventional medical science. In the wider field of magnetoreception in biology, our understanding of mechanisms and processes of magnetic field (MF) interactions is more advanced.

METHODS

We consulted a range of publication databases to identify the key advances in understanding of magnetoreception across the wide animal kingdom of life.

RESULTS

We examined primary MF/EMF sensing and subsequent coupling to the nervous system and the brain. Magnetite particles in our brains and other tissues can transduce MFs/EMFs, including at microwave frequencies. The radical pair mechanism (RPM) is accepted as the main basis of the magnetic compass in birds and other species, acting via cryptochrome protein molecules in the eye. In some cases, extraordinary sensitivity is observed, several thousand times below that of the geomagnetic field. Bird compass disorientation by radio frequency (RF) EMFs is known.

CONCLUSIONS

Interdisciplinary research has established that all forms of life can respond to MFs. Research shows that human cryptochromes exhibit magnetosensitivity. Most existing provocation studies have failed to confirm EHS as an environmental illness. We attribute this to a fundamental lack of understanding of the mechanisms and processes involved, which have resulted in the design of inappropriate and inadequate tests. We conclude that future research into EHS needs a quantum mechanistic approach on the basis of existing biological knowledge of the magnetosensitivity of living organisms.

Comparison of a radiofrequency electric and magnetic field source-based job-exposure matrix with personal radiofrequency exposure measurements

OBJECTIVES

Assessing occupational exposure to radiofrequency electromagnetic fields (RF-EMF) presents significant challenges due to the considerable variability in exposure levels within and between occupations. This spatial and temporal variability complicates the reliable evaluation of potential health risks associated with RF-EMF exposure in the workplace. Accurate assessment methods are crucial to understand the extent of exposure and to evaluate potential health risks, especially given the potential for higher exposures in occupational settings compared to the general population. This study compares the historical RF-EMF exposure estimates in the INTEROCC RF-EMF job-exposure matrix (RF-JEM) with recent personal measurement data collected in 2 countries as part of the OccRF-Health study, to assess the broader applicability of the RF-JEM.

METHODS

Weighted kappa (kw) coefficients and Spearman rank correlation tests were performed to assess the alignment between RF-JEM estimates and measurements for 8 h time-weighted average exposure intensity and prevalence estimates across various occupations. The comparisons were mainly based on 22 jobs having ≥5 measured workers in the OccRF-Health study.

RESULTS

Poor agreement was found for both exposure prevalence and intensity between both methods (kw < 0.1). RF-JEM values likely overestimated exposure levels for both electric (E) and magnetic (H) fields (mean percentage difference >194%) compared to current personal measurements.

CONCLUSIONS

Findings suggest that the INTEROCC-JEM likely overestimates current exposure intensity levels in the measured jobs. Adopting a semiquantitative JEM could also mitigate misclassification errors due to exposure variability, improving accuracy in exposure assessment. These findings indicate the need for more targeted personal measurements, including among highly exposed workers, and for potentially considering new exposure metrics to more accurately assess occupational RF-EMF exposures in occupational epidemiological research.

Single-domain magnetic particles with motion behavior under electromagnetic AC and DC fields are a fatal cargo in Metropolitan Mexico City pediatric and young adult early Alzheimer, Parkinson, frontotemporal lobar degeneration and amyotrophic lateral sclerosis and in ALS patients

Metropolitan Mexico City (MMC) children and young adults exhibit overlapping Alzheimer and Parkinsons' diseases (AD, PD) and TAR DNA-binding protein 43 pathology with magnetic ultrafine particulate matter (UFPM) and industrial nanoparticles (NPs). We studied magnetophoresis, electron microscopy and energy-dispersive X-ray spectrometry in 203 brain samples from 14 children, 27 adults, and 27 ALS cases/controls. Saturation isothermal remanent magnetization (SIRM), capturing magnetically unstable FeNPs ~ 20nm, was higher in caudate, thalamus, hippocampus, putamen, and motor regions with subcortical vs. cortical higher SIRM in MMC ≤ 40y. Motion behavior was associated with magnetic exposures 25-100 mT and children exhibited IRM saturated curves at 50-300 mT associated to change in NPs position and/or orientation in situ. Targeted magnetic profiles moving under AC/AD magnetic fields could distinguish ALS vs. controls. Motor neuron magnetic NPs accumulation potentially interferes with action potentials, ion channels, nuclear pores and enhances the membrane insertion process when coated with lipopolysaccharides. TEM and EDX showed 7-20 nm NP Fe, Ti, Co, Ni, V, Hg, W, Al, Zn, Ag, Si, S, Br, Ce, La, and Pr in abnormal neural and vascular organelles. Brain accumulation of magnetic unstable particles start in childhood and cytotoxic, hyperthermia, free radical formation, and NPs motion associated to 30-50 μT (DC magnetic fields) are critical given ubiquitous electric and magnetic fields exposures could induce motion behavior and neural damage. Magnetic UFPM/NPs are a fatal brain cargo in children's brains, and a preventable AD, PD, FTLD, ALS environmental threat. Billions of people are at risk. We are clearly poisoning ourselves.

The effects of radiofrequency electromagnetic fields exposure on human self-reported symptoms: A systematic review of human experimental studies

BACKGROUND

The technological applications of radiofrequency electromagnetic fields (RF-EMF) have been steadily increasing since the 1950s exposing large proportions of the population. The World Health Organization (WHO) is assessing the potential health effects of exposure to RF-EMF.

OBJECTIVES

To systematically assess the effects of exposure to RF-EMF on self-reported non-specific symptoms in human subjects and to assess the accuracy of perceptions of presence or absence of RF-EMF exposure.

METHODS

Eligibility criteria: experimental studies carried out in the general population and in individuals with idiopathic environmental intolerance attributed to EMF (IEI-EMF), in any language.

INFORMATION SOURCES

Medline, Web of Science, PsycInfo, Cochrane Library, Epistemonikos, Embase and EMF portal, searched till April 2022. Risk of Bias (ROB): we used the RoB tool developed by OHAT adapted to the topic of this review.

SYNTHESIS OF RESULTS

we synthesized studies using random effects meta-analysis and sensitivity analyses, where appropriate.

RESULTS

Included studies: 41 studies were included, mostly cross over trials and from Europe, with a total of 2,874 participants.

SYNTHESIS OF RESULTS

considering the primary outcomes, we carried out meta-analyses of 10 exposure-outcomes pairs. All evidence suggested no or small non-significant effects of exposure on symptoms with high (three comparisons), moderate (four comparisons), low (one comparison) and very low (two comparisons) certainty of evidence. The effects (standard mean difference, where positive values indicate presence of symptom being exposed) in the general population for head exposure were (95% confidence intervals) 0.08 (-0.07 to 0.22) for headache, -0.01 (-0.22 to 0.20) for sleeping disturbances and 0.13 (-0.51 to 0.76) for composite symptoms; and for whole-body exposure: 0.09 (-0.35 to 0.54), 0.00 (-0.15 to 0.15) for sleeping disturbances and -0.05 (-0.17 to 0.07) for composite symptoms. For IEI-EMF individuals SMD ranged from -0.19 to 0.11, all of them with confidence intervals crossing the value of zero. Further, the available evidence suggested that study volunteers could not perceive the EMF exposure status better than what is expected by chance and that IEI-EMF individuals could not determine EMF conditions better than the general population.

DISCUSSION

Limitations of evidence: experimental conditions are substantially different from real-life situations in the duration, frequency, distance and position of the exposure. Most studies were conducted in young, healthy volunteers, who might be more resilient to RF-EMF than the general population. The outcomes of interest in this systematic review were symptoms, which are self-reported. The available information did not allow to assess the potential effects of exposures beyond acute exposure and in elderly or in chronically ill people. It cannot be ruled out that a real EMF effect in IEI-EMF groups is masked by a mix with insensitive subjects. However, studies on symptoms reporting and/or field perceptions did not find any evidence that there were particularly vulnerable individuals in the IEI-EMF group, although in open provocation studies, when volunteers were informed about the presence or absence of EMF exposure, such differences were consistently observed.

INTERPRETATION

available evidence suggests that acute RF-EMF below regulatory limits does not cause symptoms and corresponding claims in the everyday life are related to perceived and not to real EMF exposure status.