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Malavolti M, Malagoli C, Wise LA, Poli M, Notari B, Taddei I, Fabbi S, Teggi S, Balboni E, Pancaldi A, Palazzi G, Vinceti M, Filippini T. Residential exposure to magnetic fields from transformer stations and risk of childhood leukemia. ENVIRONMENTAL RESEARCH 2024; 245:118043. [PMID: 38145739 DOI: 10.1016/j.envres.2023.118043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 12/23/2023] [Accepted: 12/23/2023] [Indexed: 12/27/2023]
Abstract
BACKGROUND Several studies have documented an increased risk of leukemia among children exposed to magnetic fields from high-voltage power lines, with some evidence of dose-response relation. However, findings in some studies have been inconsistent, and data on the effects of different sources of exposure are lacking. In this study, we evaluated the relation of childhood leukemia risk to exposure to magnetic fields from transformer stations. METHODS We conducted a population-based case-control study in a pediatric population of two Northern Italian provinces of Modena and Reggio Emilia. We included 182 registry-identified childhood leukemia cases diagnosed during 1998-2019 and 726 population controls matched on sex, year of birth, and province of residence. We assessed exposure by calculating distance from childhood residence to the nearest transformer station within a geographical information system, computing disease odds ratios (ORs) and 95% confidence intervals (CIs) using conditional logistic regression, adjusting for potential confounders. We evaluated exposure using two buffers (15 m and 25 m radius) and assessed two case groups: leukemia (all subtypes) and acute lymphoblastic leukemia (ALL). RESULTS Residing within 15 m of a transformer station (vs. ≥15 m) was not appreciably associated with risk of leukemia (all subtypes) or ALL. We found similar results using a less stringent exposure buffer (25 m). Among children aged ≥5 years, the adjusted ORs were 1.3 (95% CI 0.1-12.8) for leukemia and 1.3 (95% CI 0.1-12.4) for ALL using the 15 m buffer, while they were 1.7 (95% CI 0.4-7.0) for leukemia and 0.6 (95% CI 0.1-4.8) for ALL using the 25 m buffer. CONCLUSIONS While we found no overall association between residential proximity to transformer stations and childhood leukemia, there was some evidence for elevated risk of childhood leukemia among children aged ≥5 years. Precision was limited by the low numbers of exposed children.
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Affiliation(s)
- Marcella Malavolti
- Environmental, Genetic and Nutritional Epidemiology Research Center (CREAGEN), Section of Public Health, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - Carlotta Malagoli
- Environmental, Genetic and Nutritional Epidemiology Research Center (CREAGEN), Section of Public Health, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - Lauren A Wise
- Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA
| | - Maurizio Poli
- Emilia-Romagna Regional Agency for Environmental Prevention and Energy (ARPAE), Emilia-Romagna Region, Italy
| | - Barbara Notari
- Emilia-Romagna Regional Agency for Environmental Prevention and Energy (ARPAE), Emilia-Romagna Region, Italy
| | - Irene Taddei
- Emilia-Romagna Regional Agency for Environmental Prevention and Energy (ARPAE), Emilia-Romagna Region, Italy
| | - Sara Fabbi
- Department of Engineering 'Enzo Ferrari', University of Modena and Reggio Emilia, Modena, Italy
| | - Sergio Teggi
- Department of Engineering 'Enzo Ferrari', University of Modena and Reggio Emilia, Modena, Italy
| | - Erica Balboni
- Environmental, Genetic and Nutritional Epidemiology Research Center (CREAGEN), Section of Public Health, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy; Health Physics Unit, Modena Policlinico University Hospital, Modena, Italy
| | - Alessia Pancaldi
- Pediatric Oncology and Hematology Unit, Department of Medical and Surgical Sciences for Mothers, Children and Adults, University of Modena and Reggio Emilia, Modena, Italy
| | - Giovanni Palazzi
- Pediatric Oncology and Hematology Unit, Department of Medical and Surgical Sciences for Mothers, Children and Adults, University of Modena and Reggio Emilia, Modena, Italy
| | - Marco Vinceti
- Environmental, Genetic and Nutritional Epidemiology Research Center (CREAGEN), Section of Public Health, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy; Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA.
| | - Tommaso Filippini
- Environmental, Genetic and Nutritional Epidemiology Research Center (CREAGEN), Section of Public Health, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy; School of Public Health, University of California Berkeley, Berkeley, CA, USA
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Lai H. Neurological effects of static and extremely-low frequency electromagnetic fields. Electromagn Biol Med 2022; 41:201-221. [DOI: 10.1080/15368378.2022.2064489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Henry Lai
- Department of Bioengineering, University of Washington, Seattle, WA, USA
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Khan MW, Juutilainen J, Auvinen A, Naarala J, Pukkala E, Roivainen P. A cohort study on adult hematological malignancies and brain tumors in relation to magnetic fields from indoor transformer stations. Int J Hyg Environ Health 2021; 233:113712. [PMID: 33601135 DOI: 10.1016/j.ijheh.2021.113712] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Revised: 01/12/2021] [Accepted: 02/05/2021] [Indexed: 12/14/2022]
Abstract
Extremely low frequency (ELF) magnetic fields (MF) have been classified as possibly carcinogenic. This classification was mainly based on studies indicating increased risk of leukemia in children living near power lines. Increased risks of adult hematological malignancies and brain tumors have also been reported, but the results are mixed. We assessed incidence of adult hematological malignancies and brain tumors associated with residential MF exposure. All cohort members had lived in buildings with indoor transformer stations (TS). MF exposure was assessed based on apartment location. Out of the 256,372 individuals, 9,636 (165,000 person-years of follow-up) living in apartments next to TSs were considered as exposed. Associations between MF exposure and neoplasms were examined using Cox proportional hazard models. The hazard ratio (HR) for MF exposure ≥ 1 month was below one for most hematological neoplasms (HR for any hematological neoplasm: 0.75; 95% CI: 0.54-1.03), and decreased with increasing duration of exposure (HR for exposure ≥ 10 years: 0.47; 95% CI: 0.22-0.99). However, the HR for acute lymphocytic leukemia (ALL) was 2.86 (95% CI: 1.00-8.15), based on 4 exposed cases; the risk increased with duration of exposure (HR for exposure ≥3 years: 3.61; 95% CI: 1.05-12.4) and was particularly associated with childhood exposure (2 exposed cases, HR for exposure during the first two years of life: 11.5; 95% CI: 1.92-68.9). The HR for meningioma was 0.46 (95% CI: 0.19-1.11), with no evidence of exposure-response gradient with increasing duration of exposure. The HR for glioma was 1.47 (95% CI: 0.84-2.57). The hypothesis of a positive association between ELF MFs and adult hematological malignancies was supported only for ALL. The results suggested decreased rather than increased risk of most hematological neoplasms.
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Affiliation(s)
- Muhammad Waseem Khan
- Department of Environmental and Biological Sciences, University of Eastern Finland, Kuopio, Finland; Department of Biotechnology, Balochistan University of Information Technology, Engineering & Management Sciences, Quetta, Pakistan
| | - Jukka Juutilainen
- Department of Environmental and Biological Sciences, University of Eastern Finland, Kuopio, Finland
| | - Anssi Auvinen
- Unit of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland; STUK - Radiation and Nuclear Safety Authority, Helsinki, Finland
| | - Jonne Naarala
- Department of Environmental and Biological Sciences, University of Eastern Finland, Kuopio, Finland
| | - Eero Pukkala
- Unit of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland; Finnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research, Helsinki, Finland
| | - Päivi Roivainen
- Department of Environmental and Biological Sciences, University of Eastern Finland, Kuopio, Finland; STUK - Radiation and Nuclear Safety Authority, Helsinki, Finland.
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Su L, Zhu L, Chen G. Residence near power lines and risk of Alzheimer's dementia and Parkinson's disease. Int J Epidemiol 2020; 49:700-701. [PMID: 32091087 DOI: 10.1093/ije/dyaa023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Liling Su
- Bioelectromagnetics Laboratory and Department of Reproductive Endocrinology of Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China.,Department of Clinical Medicine, Jiangxi Medical College, Shangrao, China
| | - Longtao Zhu
- Bioelectromagnetics Laboratory and Department of Reproductive Endocrinology of Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Guangdi Chen
- Bioelectromagnetics Laboratory and Department of Reproductive Endocrinology of Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China
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Khan MW, Juutilainen J, Roivainen P. Registry of Buildings With Transformer Stations as a Basis for Epidemiological Studies on Health Effects of Extremely Low‐Frequency Magnetic Fields. Bioelectromagnetics 2019; 41:34-40. [DOI: 10.1002/bem.22228] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2019] [Accepted: 10/22/2019] [Indexed: 12/22/2022]
Affiliation(s)
- Muhammad Waseem Khan
- Department of Environmental and Biological SciencesUniversity of Eastern FinlandKuopio Finland
- Department of BiotechnologyBalochistan University of Information Technology, Engineering and Management SciencesQuetta Pakistan
| | - Jukka Juutilainen
- Department of Environmental and Biological SciencesUniversity of Eastern FinlandKuopio Finland
| | - Päivi Roivainen
- Department of Environmental and Biological SciencesUniversity of Eastern FinlandKuopio Finland
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Lai H. Exposure to Static and Extremely-Low Frequency Electromagnetic Fields and Cellular Free Radicals. Electromagn Biol Med 2019; 38:231-248. [PMID: 31450976 DOI: 10.1080/15368378.2019.1656645] [Citation(s) in RCA: 43] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
This paper summarizes studies on changes in cellular free radical activities from exposure to static and extremely-low frequency (ELF) electromagnetic fields (EMF), particularly magnetic fields. Changes in free radical activities, including levels of cellular reactive oxygen (ROS)/nitrogen (RNS) species and endogenous antioxidant enzymes and compounds that maintain physiological free radical concentrations in cells, is one of the most consistent effects of EMF exposure. These changes have been reported to affect many physiological functions such as DNA damage; immune response; inflammatory response; cell proliferation and differentiation; wound healing; neural electrical activities; and behavior. An important consideration is the effects of EMF-induced changes in free radicals on cell proliferation and differentiation. These cellular processes could affect cancer development and proper growth and development in organisms. On the other hand, they could cause selective killing of cancer cells, for instance, via the generation of the highly cytotoxic hydroxyl free radical by the Fenton Reaction. This provides a possibility of using these electromagnetic fields as a non-invasive and low side-effect cancer therapy. Static- and ELF-EMF probably play important roles in the evolution of living organisms. They are cues used in many critical survival functions, such as foraging, migration, and reproduction. Living organisms can detect and respond immediately to low environmental levels of these fields. Free radical processes are involved in some of these mechanisms. At this time, there is no credible hypothesis or mechanism that can adequately explain all the observed effects of static- and ELF-EMF on free radical processes. We are actually at the impasse that there are more questions than answers.
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Affiliation(s)
- Henry Lai
- Department of Bioengineering, University of Washington , Seattle , WA , USA
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Exposure to 50 Hz Magnetic Fields in Homes and Areas Surrounding Urban Transformer Stations in Silla (Spain): Environmental Impact Assessment. SUSTAINABILITY 2018. [DOI: 10.3390/su10082641] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Exposure to extremely low frequency electromagnetic fields (ELFs) is almost inevitable almost anywhere in the world. An ELF magnetic field (ELF-MF) of around 1 mG = 0.1 μT is typically measured in any home of the world with a certain degree of development and well-being. There is fear and concern about exposure to electromagnetic fields from high- and medium-voltage wiring and transformer stations, especially internal transformer stations (TSs), which in Spain are commonly located inside residential buildings on the ground floor. It is common for neighbors living near these stations to ask for stations to be moved away from their homes, and to ask for information about exposure levels and their effects. Municipality is the closest administration to the citizens that must solve this situation, mediating between the citizens, the utility companies and the national administration. In this case, the municipality of Silla (València, Spain) wanted to know the levels of exposure in the dwellings annexed to the TSs, to compare them with Spanish legislation and the recommendations coming from epidemiological studies. This article presents the first systematic campaign of ELF-MF measurements from TSs carried out in a Spanish city. Many measurements were carried out in the rooms of the apartments doing spatial averages of spatial grid measurements. Measurements are made in the bed and bedrooms and a weighted average and an environmental impact indicator were obtained for each location. We found that old TSs usually provide the highest peak exposure levels. A notable result of this work is that approximately one quarter of the population living above or next to a TS would be exposed to a weighted MF level greater than 0.3 μT, and that about a 10% of this population would not be able to relocate their bedroom or living room to minimize the level of exposure.
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Abuasbi F, Lahham A, Abdel-Raziq IR. RESIDENTIAL EXPOSURE TO EXTREMELY LOW FREQUENCY ELECTRIC AND MAGNETIC FIELDS IN THE CITY OF RAMALLAH-PALESTINE. RADIATION PROTECTION DOSIMETRY 2018; 179:49-57. [PMID: 29618131 DOI: 10.1093/rpd/ncx209] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2017] [Accepted: 09/15/2017] [Indexed: 06/08/2023]
Abstract
This study was focused on the measurement of residential exposure to power frequency (50-Hz) electric and magnetic fields in the city of Ramallah-Palestine. A group of 32 semi-randomly selected residences distributed amongst the city were under investigations of fields variations. Measurements were performed with the Spectrum Analyzer NF-5035 and were carried out at one meter above ground level in the residence's bedroom or living room under both zero and normal-power conditions. Fields' variations were recorded over 6-min and some times over few hours. Electric fields under normal-power use were relatively low; ~59% of residences experienced mean electric fields <10 V/m. The highest mean electric field of 66.9 V/m was found at residence R27. However, electric field values were log-normally distributed with geometric mean and geometric standard deviation of 9.6 and 3.5 V/m, respectively. Background electric fields measured under zero-power use, were very low; ~80% of residences experienced background electric fields <1 V/m. Under normal-power use, the highest mean magnetic field (0.45 μT) was found at residence R26 where an indoor power substation exists. However, ~81% of residences experienced mean magnetic fields <0.1 μT. Magnetic fields measured inside the 32 residences showed also a log-normal distribution with geometric mean and geometric standard deviation of 0.04 and 3.14 μT, respectively. Under zero-power conditions, ~7% of residences experienced average background magnetic field >0.1 μT. Fields from appliances showed a maximum mean electric field of 67.4 V/m from hair dryer, and maximum mean magnetic field of 13.7 μT from microwave oven. However, no single result surpassed the ICNIRP limits for general public exposures to ELF fields, but still, the interval 0.3-0.4 μT for possible non-thermal health impacts of exposure to ELF magnetic fields, was experienced in 13% of the residences.
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Affiliation(s)
- Falastine Abuasbi
- Physics Department, Faculty of Graduate Studies, An-Najah National University, Nablus, Palestine
| | - Adnan Lahham
- Center for Radiation Science & Technology, Al-Quds University, PO Box 20002, East Jerusalem, Palestine
| | - Issam Rashid Abdel-Raziq
- Physics Department, Faculty of Graduate Studies, An-Najah National University, PO Box 7, Nablus, Palestine
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Gajšek P, Ravazzani P, Grellier J, Samaras T, Bakos J, Thuróczy G. Review of Studies Concerning Electromagnetic Field (EMF) Exposure Assessment in Europe: Low Frequency Fields (50 Hz-100 kHz). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2016; 13:E875. [PMID: 27598182 PMCID: PMC5036708 DOI: 10.3390/ijerph13090875] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/20/2016] [Revised: 08/01/2016] [Accepted: 08/23/2016] [Indexed: 11/17/2022]
Abstract
We aimed to review the findings of exposure assessment studies done in European countries on the exposure of the general public to low frequency electric and magnetic fields (EMFs) of various frequencies. The study shows that outdoor average extremely low frequency magnetic fields (ELF-MF) in public areas in urban environments range between 0.05 and 0.2 µT in terms of flux densities, but stronger values (of the order of a few µT) may occur directly beneath high-voltage power lines, at the walls of transformer buildings, and at the boundary fences of substations. In the indoor environment, high values have been measured close to several domestic appliances (up to the mT range), some of which are held close to the body, e.g., hair dryers, electric shavers. Common sources of exposure to intermediate frequencies (IF) include induction cookers, compact fluorescent lamps, inductive charging systems for electric cars and security or anti-theft devices. No systematic measurement surveys or personal exposimetry data for the IF range have been carried out and only a few reports on measurements of EMFs around such devices are mentioned. According to the available European exposure assessment studies, three population exposure categories were classified by the authors regarding the possible future risk analysis. This classification should be considered a crucial advancement for exposure assessment, which is a mandatory step in any future health risk assessment of EMFs exposure.
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Affiliation(s)
- Peter Gajšek
- Institute of Non-Ionizing Radiation (INIS), Pohorskega Bataljona 215, Ljubljana 1000, Slovenia
| | - Paolo Ravazzani
- Istituto di Elettronica e di Ingegneria dell’Informazione e delle Telecomunicazioni IEIIT, CNR Consiglio Nazionale delle Ricerche, Piazza Leonardo da Vinci 32, Milan 20133, Italy;
| | - James Grellier
- European Centre for Environment and Human Health (ECEHH), University of Exeter Medical School, Knowledge Spa, Royal Cornwall Hospital, Truro, Cornwall TR1 3HD, UK;
- Formerly Centre for Research in Environmental Epidemiology (CREAL), Parc de Recerca Biomèdica de Barcelona, Doctor Aiguader, 88, Barcelona 08003, Spain
| | - Theodoros Samaras
- Formerly Centre for Research in Environmental Epidemiology (CREAL), Parc de Recerca Biomèdica de Barcelona, Doctor Aiguader, 88, Barcelona 08003, Spain
| | - József Bakos
- Department of Physics, Aristotle University of Thessaloniki, Thessaloniki GR-54124, Greece;
| | - György Thuróczy
- Department of Physics, Aristotle University of Thessaloniki, Thessaloniki GR-54124, Greece;
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