Mobile phone radiation and health
Encyclopedia
The effect of mobile phone radiation on human health is the subject of recent interest and study, as a result of the enormous increase in mobile phone
Mobile phone
A mobile phone is a device which can make and receive telephone calls over a radio link whilst moving around a wide geographic area. It does so by connecting to a cellular network provided by a mobile network operator...

 usage throughout the world . Mobile phones use electromagnetic radiation
Electromagnetic radiation
Electromagnetic radiation is a form of energy that exhibits wave-like behavior as it travels through space...

 in the microwave
Microwave
Microwaves, a subset of radio waves, have wavelengths ranging from as long as one meter to as short as one millimeter, or equivalently, with frequencies between 300 MHz and 300 GHz. This broad definition includes both UHF and EHF , and various sources use different boundaries...

 range. Other digital wireless systems
Wireless electronic devices and health
The World Health Organization has acknowledged that electromagnetic fields are influencing the environment , and that some people are worried about possible effects...

, such as data communication networks, produce similar radiation.

The WHO
World Health Organization
The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...

 has classified mobile phone radiation on the IARC
International Agency for Research on Cancer
The International Agency for Research on Cancer is an intergovernmental agency forming part of the World Health Organisation of the United Nations....

 scale into Group 2B - possibly carcinogenic. That means that there "could be some risk" of carcinogenicity, so additional research into the long-term, heavy use of mobile phones needs to be conducted. Some national radiation advisory authorities have recommended measures to minimize exposure to their citizens as a precautionary approach
Precautionary principle
The precautionary principle or precautionary approach states that if an action or policy has a suspected risk of causing harm to the public or to the environment, in the absence of scientific consensus that the action or policy is harmful, the burden of proof that it is not harmful falls on those...

.

Effects

Many scientific studies have investigated possible health symptoms of mobile phone radiation
Radiation
In physics, radiation is a process in which energetic particles or energetic waves travel through a medium or space. There are two distinct types of radiation; ionizing and non-ionizing...

. These studies are occasionally reviewed by some scientific committees to assess overall risks. A recent assessment was published in 2007 by the European Commission
European Commission
The European Commission is the executive body of the European Union. The body is responsible for proposing legislation, implementing decisions, upholding the Union's treaties and the general day-to-day running of the Union....

 Scientific Committee on Emerging and Newly Identified Health Risks
Scientific Committee on Emerging and Newly Identified Health Risks
The Scientific Committee on Emerging and Newly Identified Health Risks is one of the independent scientific committees managed by the Directorate-General for Health and Consumer Protection of the European Commission, which provide scientific advice to the Commission on issues related to consumer...

 (SCENIHR). It concludes that the three lines of evidence, viz. animal, in vitro, and epidemiological studies, indicate that "exposure to RF fields is unlikely to lead to an increase in cancer in humans".

Radiation absorption

Part of the radio waves emitted by a mobile telephone handset are absorbed by the human head
Human head
In human anatomy, the head is the upper portion of the human body. It supports the face and is maintained by the skull, which itself encloses the brain.-Cultural importance:...

. The radio waves emitted by a GSM handset can have a peak power
Power (physics)
In physics, power is the rate at which energy is transferred, used, or transformed. For example, the rate at which a light bulb transforms electrical energy into heat and light is measured in watts—the more wattage, the more power, or equivalently the more electrical energy is used per unit...

 of 2 watt
Watt
The watt is a derived unit of power in the International System of Units , named after the Scottish engineer James Watt . The unit, defined as one joule per second, measures the rate of energy conversion.-Definition:...

s, and a US analogue phone had a maximum transmit power of 3.6 watt
Watt
The watt is a derived unit of power in the International System of Units , named after the Scottish engineer James Watt . The unit, defined as one joule per second, measures the rate of energy conversion.-Definition:...

s. Other digital mobile technologies, such as CDMA2000
CDMA2000
CDMA2000 is a family of 3G mobile technology standards, which use CDMA channel access, to send voice, data, and signaling data between mobile phones and cell sites. The set of standards includes: CDMA2000 1X, CDMA2000 EV-DO Rev. 0, CDMA2000 EV-DO Rev. A, and CDMA2000 EV-DO Rev. B...

 and D-AMPS
Digital AMPS
IS-54 and IS-136 are second-generation mobile phone systems, known as Digital AMPS . It was once prevalent throughout the Americas, particularly in the United States and Canada. D-AMPS is considered end-of-life, and existing networks have mostly been replaced by GSM/GPRS or CDMA2000...

, use lower output power, typically below 1 watt. The maximum power output from a mobile phone is regulated by the mobile phone standard and by the regulatory agencies in each country. In most systems the cellphone and the base station
Base station
The term base station can be used in the context of land surveying and wireless communications.- Land surveying :In the context of external land surveying, a base station is a GPS receiver at an accurately-known fixed location which is used to derive correction information for nearby portable GPS...

 check reception quality and signal strength and the power level is increased or decreased automatically, within a certain span, to accommodate different situations, such as inside or outside of buildings and vehicles.
The rate at which radiation is absorbed by the human body is measured by the Specific Absorption Rate
Specific absorption rate
Specific absorption rate is a measure of the rate at which energy is absorbed by the body when exposed to a radio frequency electromagnetic field; although, it can also refer to absorption of other forms of energy by tissue, including ultrasound . It is defined as the power absorbed per mass of...

 (SAR), and its maximum levels for modern handsets have been set by governmental regulating agencies in many countries. In the USA, the Federal Communications Commission
Federal Communications Commission
The Federal Communications Commission is an independent agency of the United States government, created, Congressional statute , and with the majority of its commissioners appointed by the current President. The FCC works towards six goals in the areas of broadband, competition, the spectrum, the...

 (FCC) has set a SAR limit of 1.6 W/kg, averaged over a volume of 1 gram of tissue, for the head. In Europe, the limit is 2 W/kg, averaged over a volume of 10 grams of tissue. SAR values are heavily dependent on the size of the averaging volume. Without information about the averaging volume used, comparisons between different measurements cannot be made. Thus, the European 10-gram ratings should be compared among themselves, and the American 1-gram ratings should only be compared among themselves.
SAR data for specific mobile phones, along with other useful information, can be found directly on manufacturers' websites, as well as on third party web sites.

Thermal effects

One well-understood effect of microwave radiation is dielectric heating
Dielectric heating
Dielectric heating, also known as electronic heating, RF heating, high-frequency heating and diathermy, is the process in which a high-frequency alternating electric field, or radio wave or microwave electromagnetic radiation heats a dielectric material. At higher frequencies, this heating is...

, in which any dielectric material (such as living tissue
Tissue (biology)
Tissue is a cellular organizational level intermediate between cells and a complete organism. A tissue is an ensemble of cells, not necessarily identical, but from the same origin, that together carry out a specific function. These are called tissues because of their identical functioning...

) is heated by rotations of polar molecules induced by the electromagnetic field. In the case of a person using a cell phone, most of the heating effect will occur at the surface of the head, causing its temperature
Temperature
Temperature is a physical property of matter that quantitatively expresses the common notions of hot and cold. Objects of low temperature are cold, while various degrees of higher temperatures are referred to as warm or hot...

 to increase by a fraction of a degree. In this case, the level of temperature increase is an order of magnitude less than that obtained during the exposure of the head to direct sunlight. The brain's blood circulation is capable of disposing of excess heat by increasing local blood flow
Blood flow
Blood flow is the continuous running of blood in the cardiovascular system.The human body is made up of several processes all carrying out various functions. We have the gastrointestinal system which aids the digestion and the absorption of food...

. However, the cornea
Cornea
The cornea is the transparent front part of the eye that covers the iris, pupil, and anterior chamber. Together with the lens, the cornea refracts light, with the cornea accounting for approximately two-thirds of the eye's total optical power. In humans, the refractive power of the cornea is...

 of the eye does not have this temperature regulation mechanism and exposure of 2–3 hours duration has been reported to produce cataracts in rabbits' eyes at SAR values from 100-140W/kg, which produced lenticular temperatures of 41°C. There were no cataracts detected in the eyes of monkeys exposed under similar conditions. Premature cataracts have not been linked with cell phone use, possibly because of the lower power output of mobile phones.

Non-thermal effects

The communications protocols used by mobile phones often result in low-frequency pulsing of the carrier signal. Whether these modulations have biological significance has been subject to debate.

Some researchers have argued that so-called "non-thermal effects" could be reinterpreted as a normal cellular response to an increase in temperature. The German biophysicist Roland Glaser, for example, has argued that there are several thermoreceptor molecules in cells, and that they activate a cascade of second and third messenger systems, gene expression mechanisms and production of heat shock protein
Heat shock protein
Heat shock proteins are a class of functionally related proteins involved in the folding and unfolding of other proteins. Their expression is increased when cells are exposed to elevated temperatures or other stress. This increase in expression is transcriptionally regulated...

s in order to defend the cell against metabolic cell stress caused by heat. The increases in temperature that cause these changes are too small to be detected by studies such as REFLEX, which base their whole argument on the apparent stability of thermal equilibrium in their cell cultures.

Other researchers believe the stress proteins are unrelated to thermal effects, since they occur for both extremely low frequencies (ELF) and radio frequencies (RF), which have very different energy levels. Another preliminary study published in 2011 by The Journal of the American Medical Association conducted using fluorodeoxyglucose
Fluorodeoxyglucose
Fludeoxyglucose or fluorodeoxyglucose , commonly abbreviated 18F-FDG or FDG, is a radiopharmaceutical used in the medical imaging modality positron emission tomography...

 injections and positron emission tomography
Positron emission tomography
Positron emission tomography is nuclear medicine imaging technique that produces a three-dimensional image or picture of functional processes in the body. The system detects pairs of gamma rays emitted indirectly by a positron-emitting radionuclide , which is introduced into the body on a...

 concluded that exposure to radiofrequency signal waves within parts of the brain closest to the cell phone antenna resulted in increased levels of glucose
Glucose
Glucose is a simple sugar and an important carbohydrate in biology. Cells use it as the primary source of energy and a metabolic intermediate...

 metabolism, but the clinical significance
Clinical significance
In medicine and psychology, clinical significance refers to either of two related but slightly dissimilar concepts whereby certain findings or differences, even if measurable or statistically confirmed, either may or may not have additional significance, either by being of a magnitude that conveys...

 of this finding is unknown.

Blood-brain barrier effects

Swedish researchers from Lund University
Lund University
Lund University , located in the city of Lund in the province of Scania, Sweden, is one of northern Europe's most prestigious universities and one of Scandinavia's largest institutions for education and research, frequently ranked among the world's top 100 universities...

 (Salford, Brun, Persson, Eberhardt, and Malmgren) have studied the effects of microwave radiation on the rat brain. They found a leakage of albumin
Albumin
Albumin refers generally to any protein that is water soluble, which is moderately soluble in concentrated salt solutions, and experiences heat denaturation. They are commonly found in blood plasma, and are unique to other blood proteins in that they are not glycosylated...

 into the brain via a permeated blood-brain barrier
Blood-brain barrier
The blood–brain barrier is a separation of circulating blood and the brain extracellular fluid in the central nervous system . It occurs along all capillaries and consists of tight junctions around the capillaries that do not exist in normal circulation. Endothelial cells restrict the diffusion...

. This confirms earlier work on the blood-brain barrier by Allan Frey, Oscar and Hawkins, and Albert and Kerns. Other groups have not confirmed these findings in in vitro cell studies or whole animal studies.

Cancer

In 2006 a large Danish study about the connection between mobile phone use and cancer incidence was published. It followed over 420,000 Danish citizens for 20 years and showed no increased risk of cancer. The German Federal Office for Radiation Protection (Bundesamt für Strahlenschutz
Bundesamt für Strahlenschutz
The Bundesamt für Strahlenschutz is the German Federal Authority for Radiation Protection. The BfS was established in November 1989, the headquarter is located in Salzgitter, with branch offices in Berlin, Bonn, Freiburg, Gorleben, Oberschleißheim and Rendsburg. It has 708 employees and an annual...

) considers this report inconclusive.

The following studies of long time exposure have been published:
  • The 13 nation INTERPHONE project – the largest study of its kind ever undertaken – has now been published and did not find a solid link between mobile phones and brain tumours.


The International Journal of Epidemiology published a combined data analysis from a multi national population-based case-control study of glioma
Glioma
A glioma is a type of tumor that starts in the brain or spine. It is called a glioma because it arises from glial cells. The most common site of gliomas is the brain.-By type of cell:...

 and meningioma
Meningioma
The word meningioma was first used by Harvey Cushing in 1922 to describe a tumor originating from the meninges, the membranous layers surrounding the CNS ....

, the most common types of brain tumour.

The authors reported the following conclusion:

Overall, no increase in risk of glioma or meningioma was observed with use of mobile phones. There were suggestions of an increased risk of glioma at the highest exposure levels, but biases and error prevent a causal interpretation. The possible effects of long-term heavy use of mobile phones require further investigation.


In the press release accompanying the release of the paper, Dr Christopher Wild, Director of the International Agency for Research on Cancer (IARC) said:

An increased risk of brain cancer is not established from the data from Interphone. However, observations at the highest level of cumulative call time and the changing patterns of mobile phone use since the period studied by Interphone, particularly in young people, mean that further investigation of mobile phone use and brain cancer risk is merited.


A number of independent health and government authorities have commented on this important study including The Australian Centre for Radiofrequency Bioeffects Research (ACRBR) which said in a statement that:

Until now there have been concerns that mobile phones were causing increases in brain tumours. Interphone is both large and rigorous enough to address this claim, and it has not provided any convincing scientific evidence of an association between mobile phone use and the development of glioma or meningioma. While the study demonstrates some weak evidence of an association with the highest tenth of cumulative call time (but only in those who started mobile phone use most recently), the authors conclude that biases and errors limit the strength of any conclusions in this group. It now seems clear that if there was an effect of mobile phone use on brain tumour risks in adults, this is likely to be too small to be detectable by even a large multinational study of the size of Interphone.


The Australian Radiation Protection and Nuclear Safety Agency (ARPANSA)which said in a statement that:

On the basis of current understanding of the relationship between brain cancer and use of mobile phones, including the recently published data from the INTERPHONE study, ARPANSA:


concludes that currently available data do not warrant any general recommendation to limit use of mobile phones in the adult population,


continues to inform those concerned about potential health effects that they may limit their exposure by reducing call time, by making calls where reception is good, by using hands-free devices or speaker options, or by texting; and


recommends that, due to the lack of any data relating to children and long term use of mobile phones, parents encourage their children to limit their exposure by reducing call time, by making calls where reception is good, by using hands-free devices or speaker options, or by texting.


The Cancer Council Australia said in a statement that it cautiously welcomed the results of the largest international study to date into mobile phone use, which has found no evidence that normal use of mobile phones, for a period up to 12 years, can cause brain cancer.

Chief Executive Officer, Professor Ian Olver, said findings from the Interphone study, conducted across 13 countries including Australia, were consistent with other research that had failed to find a link between mobile phones and cancer.

This supports previous research showing mobile phones don’t damage cell DNA, meaning they can’t cause the type of genetic mutations that develop into cancer,” Professor Olver said.


However, it has been suggested that electromagnetic fields associated with mobile phones may play a role in speeding up the development of an existing cancer. The Interphone study found no evidence to support this theory.

  • A Danish study (2004) that took place over 10 years found no evidence to support a link. However, this study has been criticized for collecting data from subscriptions and not necessarily from actual users. It is known that some subscribers do not use the phones themselves but provide them for family members to use. That this happens is supported by the observation that only 61% of a small sample of the subscribers reported use of mobile phones when responding to a questionnaire.

  • A Swedish study (2005) that draws the conclusion that "the data do not support the hypothesis that mobile phone use is related to an increased risk of glioma
    Glioma
    A glioma is a type of tumor that starts in the brain or spine. It is called a glioma because it arises from glial cells. The most common site of gliomas is the brain.-By type of cell:...

     or meningioma
    Meningioma
    The word meningioma was first used by Harvey Cushing in 1922 to describe a tumor originating from the meninges, the membranous layers surrounding the CNS ....

    ."

  • A British study (2005) that draws the conclusion that "The study suggests that there is no substantial risk of acoustic neuroma
    Acoustic neuroma
    A vestibular schwannoma, often called an acoustic neuroma, is a benign primary intracranial tumor of the myelin-forming cells of the vestibulocochlear nerve . The term "vestibular schwannoma" involves the vestibular portion of the 8th cranial nerve and arises from Schwann cells, which are...

     in the first decade after starting mobile phone use. However, an increase in risk after longer term use or after a longer lag period could not be ruled out."

  • A German study (2006) that states "In conclusion, no overall increased risk of glioma or meningioma was observed among these cellular phone users; however, for long-term cellular phone users, results need to be confirmed before firm conclusions can be drawn."

  • A joint study conducted in northern Europe that draws the conclusion that "Although our results overall do not indicate an increased risk of glioma in relation to mobile phone use, the possible risk in the most heavily exposed part of the brain with long-term use needs to be explored further before firm conclusions can be drawn."


Other studies on cancer and mobile phones are:
  • A Swedish scientific team at the Karolinska Institute conducted an epidemiological
    Epidemiology
    Epidemiology is the study of health-event, health-characteristic, or health-determinant patterns in a population. It is the cornerstone method of public health research, and helps inform policy decisions and evidence-based medicine by identifying risk factors for disease and targets for preventive...

     study (2004) that suggested that regular use of a mobile phone over a decade or more was associated with an increased risk of acoustic neuroma
    Acoustic neuroma
    A vestibular schwannoma, often called an acoustic neuroma, is a benign primary intracranial tumor of the myelin-forming cells of the vestibulocochlear nerve . The term "vestibular schwannoma" involves the vestibular portion of the 8th cranial nerve and arises from Schwann cells, which are...

    , a type of benign brain
    Brain
    The brain is the center of the nervous system in all vertebrate and most invertebrate animals—only a few primitive invertebrates such as sponges, jellyfish, sea squirts and starfishes do not have one. It is located in the head, usually close to primary sensory apparatus such as vision, hearing,...

     tumor. The increase was not noted in those who had used phones for fewer than 10 years.

  • The INTERPHONE study group from Japan published the results of a study of brain tumour risk and mobile phone use. They used a new approach: determining the SAR inside a tumour by calculating the radio frequency field absorption in the exact tumour location. Cases examined included glioma
    Glioma
    A glioma is a type of tumor that starts in the brain or spine. It is called a glioma because it arises from glial cells. The most common site of gliomas is the brain.-By type of cell:...

    , meningioma
    Meningioma
    The word meningioma was first used by Harvey Cushing in 1922 to describe a tumor originating from the meninges, the membranous layers surrounding the CNS ....

    , and pituitary adenoma
    Pituitary adenoma
    Pituitary adenomas are tumors that occur in the pituitary gland, and account for about 15% of intracranial neoplasms. Tumors which exceed 10 mm in size are defined as macroadenomas, and those smaller than 10 mm are referred to as microadenomas...

    . They reported that the overall odds ratio
    Odds ratio
    The odds ratio is a measure of effect size, describing the strength of association or non-independence between two binary data values. It is used as a descriptive statistic, and plays an important role in logistic regression...

     (OR) was not increased and that there was no significant trend towards an increasing OR in relation to exposure, as measured by SAR.


In 2007, Dr. Lennart Hardell, from Örebro University in Sweden, reviewed published epidemiological papers (2 cohort studies and 16 case-control studies) and found that:
  • Cell phone users had an increased risk of malignant gliomas.
  • Link between cell phone use and a higher rate of acoustic neuromas.
  • Tumors are more likely to occur on the side of the head that the cell handset is used.
  • One hour of cell phone use per day significantly increases tumor risk after ten years or more.


In a February 2008 update on the status of the INTERPHONE study IARC stated that the long term findings ‘…could either be causal or artifactual, related to differential recall between cases and controls.’

  • A self-published and non-peer reviewed meta-study by Dr. Vini Khurana, an Australia
    Australia
    Australia , officially the Commonwealth of Australia, is a country in the Southern Hemisphere comprising the mainland of the Australian continent, the island of Tasmania, and numerous smaller islands in the Indian and Pacific Oceans. It is the world's sixth-largest country by total area...

    n neurosurgeon, presented what it termed "increasing body of evidence ... for a link between mobile phone usage and certain brain tumours" and that it "is anticipated that this danger has far broader public health ramifications than asbestos and smoking". This was criticised as ‘… an unbalanced analysis of the literature, which is also selective in support of the author’s claims.’


A publication titled "Public health implications of wireless technologies" cites that Lennart Hardell found age is a significant factor. The report repeated the finding that the use of cell phones before age 20 increased the risk of brain tumors by 5.2, compared to 1.4 for all ages. A review by Hardell et al. concluded that current mobile phones are not safe for long-term exposure.

In a time trends study in Europe, conducted by the Institute of Cancer Epidemiology in Copenhagen, no significant increase in brain tumors among cell phone users was found between the years of 1998 and 2003. "The lack of a trend change in incidence from 1998 to 2003 suggests that the induction
Carcinogenesis
Carcinogenesis or oncogenesis is literally the creation of cancer. It is a process by which normal cells are transformed into cancer cells...

 period relating mobile phone use to brain tumors exceeds 5–10 years, the increased risk in this population is too small to be observed, the increased risk is restricted to subgroups of brain tumors or mobile phone users, or there is no increased risk."

On 31 May 2011 the International Agency for Research on Cancer
International Agency for Research on Cancer
The International Agency for Research on Cancer is an intergovernmental agency forming part of the World Health Organisation of the United Nations....

 classified radiofrequency electromagnetic fields as possibly carcinogenic to humans (Group 2B). The IARC assessed and evaluated available literature and studies about the carcinogenicity of radiofrequency electromagnetic fields (RF-EMF), and found the evidence to be "limited for carcinogenicity of RF-EMF, based on positive associations between glioma and acoustic neuroma and exposure". The conclusion of the IARC was mainly based on the INTERPHONE study, which found an increased risk for glioma in the highest category of heavy users (30 minutes per day over a 10‐year period), although no increased risk was found at lower exposure and other studies could not back up the findings. The evidence for other types of cancer was found to be "inadequate". Some members of the Working Group opposed the conclusions and considered the current evidence in humans still as “inadequate”, citing inconsistencies between the assessed studies.

Cognitive effects

A 2009 study examined the effects of exposure to radiofrequency radiation (RFR) emitted by standard GSM cell phones on the cognitive functions of humans. The study confirmed longer (slower) response times to a spatial working memory task when exposed to RFR from a standard GSM cellular phone placed next to the head of male subjects, and showed that longer duration of exposure to RFR may increase the effects on performance. Right-handed subjects exposed to RFR on the left side of their head on average had significantly longer response times when compared to exposure to the right side and sham-exposure.

Electromagnetic hypersensitivity

Some users of mobile handsets have reported feeling several unspecific symptom
Symptom
A symptom is a departure from normal function or feeling which is noticed by a patient, indicating the presence of disease or abnormality...

s during and after its use; ranging from burning and tingling sensations in the skin of the head and extremities, fatigue
Fatigue (physical)
Fatigue is a state of awareness describing a range of afflictions, usually associated with physical and/or mental weakness, though varying from a general state of lethargy to a specific work-induced burning sensation within one's muscles...

, sleep disturbances, dizziness
Dizziness
Dizziness refers to an impairment in spatial perception and stability. The term is somewhat imprecise. It can be used to mean vertigo, presyncope, disequilibrium, or a non-specific feeling such as giddiness or foolishness....

, loss of mental attention
Attention
Attention is the cognitive process of paying attention to one aspect of the environment while ignoring others. Attention is one of the most intensely studied topics within psychology and cognitive neuroscience....

, reaction times and memory
Memory
In psychology, memory is an organism's ability to store, retain, and recall information and experiences. Traditional studies of memory began in the fields of philosophy, including techniques of artificially enhancing memory....

 retentiveness, headache
Headache
A headache or cephalalgia is pain anywhere in the region of the head or neck. It can be a symptom of a number of different conditions of the head and neck. The brain tissue itself is not sensitive to pain because it lacks pain receptors. Rather, the pain is caused by disturbance of the...

s, malaise
Malaise
Malaise is a feeling of general discomfort or uneasiness, of being "out of sorts", often the first indication of an infection or other disease. Malaise is often defined in medicinal research as a "general feeling of being unwell"...

, tachycardia
Tachycardia
Tachycardia comes from the Greek words tachys and kardia . Tachycardia typically refers to a heart rate that exceeds the normal range for a resting heart rate...

 (heart
Heart
The heart is a myogenic muscular organ found in all animals with a circulatory system , that is responsible for pumping blood throughout the blood vessels by repeated, rhythmic contractions...

 palpitations), to disturbances of the digestive system. Reports have noted that all of these symptoms can also be attributed to stress and that current research cannot separate the symptoms from nocebo
Nocebo
In medicine, a nocebo reaction or response refers to harmful, unpleasant, or undesirable effects a subject manifests after receiving an inert dummy drug or placebo...

 effects.

Genotoxic effects

A meta-analysis (2008) of 63 in vitro
In vitro
In vitro refers to studies in experimental biology that are conducted using components of an organism that have been isolated from their usual biological context in order to permit a more detailed or more convenient analysis than can be done with whole organisms. Colloquially, these experiments...

 and in vivo
In vivo
In vivo is experimentation using a whole, living organism as opposed to a partial or dead organism, or an in vitro controlled environment. Animal testing and clinical trials are two forms of in vivo research...

 studies from the years 1990–2005 concluded that RF radiation was genotoxic only in some conditions and that the studies reporting positive effects evidenced publication bias
Publication bias
Publication bias is the tendency of researchers, editors, and pharmaceutical companies to handle the reporting of experimental results that are positive differently from results that are negative or inconclusive, leading to bias in the overall published literature...

.

A meta-study (2009) of 101 publications on genotoxicity of RF electromagnetic fields showed that 49 reported a genotoxic effect and 42 not. The authors found "ample evidence that RF-EMF can alter the genetic material of exposed cells in vivo and in vitro and in more than one way".

In 1995, in the journal Bioelectromagnetics, Henry Lai and Narenda P. Singh reported damaged DNA after two hours of microwave radiation at levels deemed safe according to government standards.

In December 2004, a pan-Europe
Europe
Europe is, by convention, one of the world's seven continents. Comprising the westernmost peninsula of Eurasia, Europe is generally 'divided' from Asia to its east by the watershed divides of the Ural and Caucasus Mountains, the Ural River, the Caspian and Black Seas, and the waterways connecting...

an study named REFLEX (Risk Evaluation of Potential Environmental Hazards from Low Energy Electromagnetic Field (EMF) Exposure Using Sensitive in vitro Methods), involving 12 collaborating laboratories in several countries showed some compelling evidence of DNA damage of cells in in-vitro cultures, when exposed between 0.3 to 2 watts/kg, whole-sample average. There were indications, but not rigorous evidence of other cell changes, including damage to chromosome
Chromosome
A chromosome is an organized structure of DNA and protein found in cells. It is a single piece of coiled DNA containing many genes, regulatory elements and other nucleotide sequences. Chromosomes also contain DNA-bound proteins, which serve to package the DNA and control its functions.Chromosomes...

s, alterations in the activity of certain gene
Gene
A gene is a molecular unit of heredity of a living organism. It is a name given to some stretches of DNA and RNA that code for a type of protein or for an RNA chain that has a function in the organism. Living beings depend on genes, as they specify all proteins and functional RNA chains...

s and a boosted rate of cell division
Cell division
Cell division is the process by which a parent cell divides into two or more daughter cells . Cell division is usually a small segment of a larger cell cycle. This type of cell division in eukaryotes is known as mitosis, and leaves the daughter cell capable of dividing again. The corresponding sort...

.
Research published in 2004 by a team at the University of Athens
National and Kapodistrian University of Athens
The National and Kapodistrian University of Athens , usually referred to simply as the University of Athens, is the oldest university in Southeast Europe and has been in continuous operation since its establishment in 1837. Today, it is the second-largest institution of higher learning in Greece,...

 had a reduction in reproductive capacity in fruit flies
Drosophila melanogaster
Drosophila melanogaster is a species of Diptera, or the order of flies, in the family Drosophilidae. The species is known generally as the common fruit fly or vinegar fly. Starting from Charles W...

 exposed to 6 minutes of 900 MHz pulsed radiation for five days.

Subsequent research, again conducted on fruit flies, was published in 2007, with the same exposure pattern but conducted at both 900 MHz and 1800 MHz, and had similar changes in reproductive capacity with no significant difference between the two frequencies.

Following additional tests published in a third article, the authors stated they thought their research suggested the changes were “…due to degeneration of large numbers of egg chambers after DNA fragmentation of their constituent cells …”.

Australian research conducted in 2009 by subjecting in vitro
In vitro
In vitro refers to studies in experimental biology that are conducted using components of an organism that have been isolated from their usual biological context in order to permit a more detailed or more convenient analysis than can be done with whole organisms. Colloquially, these experiments...

 samples of human spermatozoa to radio-frequency radiation at 1.8 GHz and specific absorption rate
Specific absorption rate
Specific absorption rate is a measure of the rate at which energy is absorbed by the body when exposed to a radio frequency electromagnetic field; although, it can also refer to absorption of other forms of energy by tissue, including ultrasound . It is defined as the power absorbed per mass of...

s (SAR) of 0.4 to 27.5 W/kg showed a correlation between increasing SAR and decreased motility
Motility
Motility is a biological term which refers to the ability to move spontaneously and actively, consuming energy in the process. Most animals are motile but the term applies to single-celled and simple multicellular organisms, as well as to some mechanisms of fluid flow in multicellular organs, in...

 and vitality
Vitality
-Vitality:Etymology: From Latin vita , which means life.Outside of its own existence or source, life is only recognized through some form of expression or dynamic...

 in sperm, increased oxidative stress
Oxidative stress
Oxidative stress represents an imbalance between the production and manifestation of reactive oxygen species and a biological system's ability to readily detoxify the reactive intermediates or to repair the resulting damage...

 and 8-Oxo-2'-deoxyguanosine
8-Oxo-2'-deoxyguanosine
8-Oxo-2'-deoxyguanosine is an oxidized derivative of deoxyguanosine. 8-oxo-dG is one of the major products of DNA oxidation. Concentrations of 8-oxo-dG within a cell are a measurement of oxidative stress....

 markers, stimulating DNA
DNA
Deoxyribonucleic acid is a nucleic acid that contains the genetic instructions used in the development and functioning of all known living organisms . The DNA segments that carry this genetic information are called genes, but other DNA sequences have structural purposes, or are involved in...

 base adduct formation and increased DNA fragmentation
DNA fragmentation
DNA fragmentation is the separation or breaking of DNA strands into pieces. It can be intentional by laboratory personnel or the cells, or it can be spontaneous.-Intentional:Restriction digest is the intentional laboratory breaking of DNA strands....

.

Sleep and EEG effects

Sleep, EEG
Electroencephalography
Electroencephalography is the recording of electrical activity along the scalp. EEG measures voltage fluctuations resulting from ionic current flows within the neurons of the brain...

 and waking rCBF
Cerebral blood flow
Cerebral blood flow, or CBF, is the blood supply to the brain in a given time. In an adult, CBF is typically 750 millitres per minute or 15% of the cardiac output. This equates to 50 to 54 millilitres of blood per 100 grams of brain tissue per minute. CBF is tightly regulated to meet the brain's...

 have been studied in relation to RF exposure for a decade now, and the majority of papers published to date have found some form of effect. While a Finnish study failed to find any effect on sleep or other cognitive function from pulsed RF exposure, most other papers have found significant effects on sleep. Two of these papers found the effect was only present when the exposure was pulsed (amplitude modulated), and one early paper actually found that sleep quality (measured by the amount of participants' broken sleep) actually improved.

While some papers were inconclusive or inconsistent, a number of studies have now demonstrated reversible EEG and rCBF alterations from exposure to pulsed RF exposure. German research from 2006 found that statistically significant EEG changes could be consistently found, but only in a relatively low proportion of study participants (12 - 30%).

Health hazards of base stations

Another area of concern is the radiation emitted by the fixed infrastructure used in mobile telephony, such as base station
Cell site
A cell site is a term used to describe a site where antennas and electronic communications equipment are placed, usually on a radio mast, tower or other high place, to create a cell in a cellular network...

s and their antennas, which provide the link to and from mobile phones. This is because, in contrast to mobile handsets, it is emitted continuously and is more powerful at close quarters. On the other hand, field intensities drop rapidly with distance away from the base of the antenna because of the attenuation of power with the square of distance
Inverse-square law
In physics, an inverse-square law is any physical law stating that a specified physical quantity or strength is inversely proportional to the square of the distance from the source of that physical quantity....

. Because base stations operate at less than 100 watts, the radiation at ground level is much weaker than a cell phone due to the inverse squared law. Base station emissions must comply with safety guidelines (see Safety standards and licensing below). Some countries however (such as South Africa
South Africa
The Republic of South Africa is a country in southern Africa. Located at the southern tip of Africa, it is divided into nine provinces, with of coastline on the Atlantic and Indian oceans...

 for example) have no health regulations governing the placement of base stations.

Several surveys have found a variety of self-reported symptoms for people who live close to base stations. However, there are significant challenges in conducting studies of populations near base stations, especially in assessment of individual exposure. Self-report studies can also be vulnerable to the nocebo effect.

Two double-blind placebo-controlled trials conducted at the University of Essex
University of Essex
The University of Essex is a British campus university whose original and largest campus is near the town of Colchester, England. Established in 1963 and receiving its Royal Charter in 1965...

 and another in Switzerland concluded that mobile phone masts were unlikely to be causing these short term effects in a group of volunteers who complained of such symptoms. The Essex study found that subjects were unable to tell whether they were being exposed to electromagnetic fields or not, and that sensitive subjects reported lower well-being independently of exposure. The principal investigator concluded "It is clear that sensitive individuals are suffering real symptoms and often have a poor quality of life. It is now important to determine what other factors could be causing these symptoms, so appropriate research studies and treatment strategies can be developed."

Experts consulted by France considered it was mandatory that main antenna axis not to be directly in front of a living place at a distance shorter than 100 metres. This recommendation was modified in 2003 to say that antennas located within a 100-metre radius of primary schools or childcare facilities should be better integrated into the cityscape and was not included in a 2005 expert report. The Agence française de sécurité sanitaire environnementale currently says that there is no demonstrated short term effect of electromagnetic fields on health, but that there are open questions for long term effects, and that it's easy to reduce exposure via technological improvements.

Occupational health hazards

Telecommunication workers who spend time at a short distance from the active equipment, for the purposes of testing, maintenance, installation, etcetera, may be at risk of much greater exposure than the general population. Many times base stations are not turned off during maintenance, but the power being sent through to the antennas is cut off, so that the workers do not have to work near live antennas.

A variety of studies over the past 50 years have been done on workers exposed to high RF
Radio frequency
Radio frequency is a rate of oscillation in the range of about 3 kHz to 300 GHz, which corresponds to the frequency of radio waves, and the alternating currents which carry radio signals...

 radiation levels; studies including radar
Radar
Radar is an object-detection system which uses radio waves to determine the range, altitude, direction, or speed of objects. It can be used to detect aircraft, ships, spacecraft, guided missiles, motor vehicles, weather formations, and terrain. The radar dish or antenna transmits pulses of radio...

 laboratory workers, military radar workers, electrical workers, and amateur radio operators. Most of these studies found no increase in cancer rates over the general population or a control group. Many positive results could have been attributed to other work environment conditions, and many negative results of reduced cancer rates also occurred.

Safety standards and licensing

In order to protect the population living around base stations and users of mobile handsets, governments and regulatory bodies adopt safety standards, which translate to limits on exposure levels below a certain value. There are many proposed national and international standards, but that of the International Commission for Non-Ionizing Radiation Protection (ICNIRP) is the most respected one, and has been adopted so far by more than 80 countries. For radio stations, ICNIRP proposes two safety levels: one for occupational exposure, another one for the general population. Currently there are efforts underway to harmonise the different standards in existence.

Radio base licensing procedures have been established in the majority of urban spaces regulated either at municipal/county, provincial/state or national level. Mobile telephone service providers are, in many regions, required to obtain construction licenses, provide certification of antenna emission levels and assure compliance to ICNIRP standards and/or to other environmental legislation.

Many governmental bodies also require that competing telecommunication companies try to achieve sharing of towers so as to decrease environmental and cosmetic impact. This issue is an influential factor of rejection of installation of new antennas and towers in communities.

The safety standards in the U.S. are set by the Federal Communications Commission
Federal Communications Commission
The Federal Communications Commission is an independent agency of the United States government, created, Congressional statute , and with the majority of its commissioners appointed by the current President. The FCC works towards six goals in the areas of broadband, competition, the spectrum, the...

 (FCC). The FCC has based its standards primarily on those standards established by the Institute of Electrical and Electronics Engineers
Institute of Electrical and Electronics Engineers
The Institute of Electrical and Electronics Engineers is a non-profit professional association headquartered in New York City that is dedicated to advancing technological innovation and excellence...

 (IEEE), specifically Subcommittee 4 of the "International Committee on Electromagnetic Safety".

Switzerland has set safety limits lower than the ICNIRP limits for certain "sensitive areas" (classrooms, for example).

Lawsuits

In the USA, a small number of personal injury
Personal injury
Personal injury is a legal term for an injury to the body, mind or emotions, as opposed to an injury to property. The term is most commonly used to refer to a type of tort lawsuit alleging that the plaintiff's injury has been caused by the negligence of another, but also arises in defamation...

 lawsuits have been filed by individuals against cellphone manufacturers, such as Motorola
Motorola
Motorola, Inc. was an American multinational telecommunications company based in Schaumburg, Illinois, which was eventually divided into two independent public companies, Motorola Mobility and Motorola Solutions on January 4, 2011, after losing $4.3 billion from 2007 to 2009...

, NEC, Siemens
Siemens AG
Siemens AG is a German multinational conglomerate company headquartered in Munich, Germany. It is the largest Europe-based electronics and electrical engineering company....

 and Nokia
Nokia
Nokia Corporation is a Finnish multinational communications corporation that is headquartered in Keilaniemi, Espoo, a city neighbouring Finland's capital Helsinki...

, on the basis of allegations of causation of brain cancer and death. In US federal court, expert testimony relating to science must be first evaluated by a judge, in a Daubert hearing
Daubert Standard
The Daubert standard is a rule of evidence regarding the admissibility of expert witnesses' testimony during United States federal legal proceedings. Pursuant to this standard, a party may raise a Daubert motion, which is a special case of motion in limine raised before or during trial to exclude...

, to be relevant and valid before it is admissible as evidence. In one case against Motorola, the plaintiffs alleged that the use of wireless handheld telephones could cause brain cancer, and that the use of Motorola phones caused one plaintiff’s cancer. The judge ruled that no sufficiently reliable and relevant scientific evidence in support of either general or specific causation was proffered by the plaintiffs; accepted a motion to exclude the testimony of the plaintiffs’ experts; and denied a motion to exclude the testimony of the defendants' experts.

French High Court ruling against telecom company

In February 2009 the telecom company Bouygues Telecom
Bouygues Telecom
Bouygues Telecom is a French mobile phone and Internet service provider company, part of the Bouygues group. Its headquarters, designed by Arquitectonica, are located at the border of Paris and Issy-les-Moulineaux near the River Seine....

 was ordered to take down a mobile phone mast due to uncertainty about its effect on health. Residents in the commune Charbonnières
Charbonnières-les-Bains
Charbonnières-les-Bains is a commune in the Rhône department in eastern France.-References:*...

 in the Rhône department had sued the company claiming adverse health effects from the radiation emitted by the 19 meter tall antenna. The milestone ruling by the Versailles Court of Appeal reversed the burden of proof which is usual in such cases by emphasizing the extreme divergence between different countries in assessing safe limits for such radiation. The court stated that, "Considering that, while the reality of the risk remains hypothetical, it becomes clear from reading the contributions and scientific publications produced in debate and the divergent legislative positions taken in various countries, that uncertainty over the harmlessness of exposure to the waves emitted by relay antennas persists and can be considered serious and reasonable".

Precautionary principle

In 2000, the World Health Organization
World Health Organization
The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...

 (WHO) recommended that the precautionary principle
Precautionary principle
The precautionary principle or precautionary approach states that if an action or policy has a suspected risk of causing harm to the public or to the environment, in the absence of scientific consensus that the action or policy is harmful, the burden of proof that it is not harmful falls on those...

 could be voluntarily adopted in this case. It follows the recommendations of the European Community for environmental risks. According to the WHO, the "precautionary principle" is "a risk management policy applied in circumstances with a high degree of scientific uncertainty, reflecting the need to take action for a potentially serious risk without awaiting the results of scientific research." Other less stringent recommended approaches are prudent avoidance principle
Prudent avoidance principle
Prudent avoidance is a precautionary principle in risk management, stating that reasonable efforts to minimise potential risks should be taken when the actual magnitude of the risks is unknown. The principle was proposed by Prof...

 and as low as reasonably practicable. Although all of these are problematic in application, due to the widespread use and economic importance of wireless telecommunication systems in modern civilization, there is an increased popularity of such measures in the general public, though also evidence that such approaches may increase concern. They involve recommendations such as the minimization of cellphone usage, the limitation of use by at-risk population (such as children), the adoption of cellphones and microcells with as low as reasonably practicable levels of radiation, the wider use of hands-free and earphone technologies such as Bluetooth
Bluetooth
Bluetooth is a proprietary open wireless technology standard for exchanging data over short distances from fixed and mobile devices, creating personal area networks with high levels of security...

 headsets, the adoption of maximal standards of exposure, RF field intensity and distance of base stations antennas from human habitations, and so forth.

Precautionary measures and health advisories

In May 2011, the World Health Organisation's International Agency for Research on Cancer announced it was classifying electromagnetic fields from mobile phones and other sources as "possibly carcinogenic to humans" and advised the public to adopt safety measures to reduce exposure, like use of hands-free devices or texting.

Some national radiation advisory authorities, including those of Austria, France, Germany, and Sweden, have recommended measures to minimize exposure to their citizens. Examples of the recommendations are:
  • Use hands-free to decrease the radiation to the head.
  • Keep the mobile phone away from the body.
  • Do not use telephone in a car without an external antenna.


The use of "hands-free" was not recommended by the British Consumers' Association in a statement in November 2000 as they believed that exposure was increased. However, measurements for the (then) UK Department of Trade and Industry and others for the French l’Agence française de sécurité sanitaire environnementale showed substantial reductions. In 2005 Professor Lawrie Challis and others said clipping a ferrite bead
Ferrite bead
A ferrite bead is a passive electric component used to suppress high frequency noise in electronic circuits. It is a specific type of electronic choke. Ferrite beads employ the mechanism of high dissipation of high frequency currents in a ferrite to build high frequency noise suppression devices...

 onto hands-free kits stops the radio waves travelling up the wire and into the head.

Several nations have advised moderate use of mobile phones for children.

See also

  • Wireless electronic devices and health
    Wireless electronic devices and health
    The World Health Organization has acknowledged that electromagnetic fields are influencing the environment , and that some people are worried about possible effects...

     (computer data wireless)
  • Background radiation
    Background radiation
    Background radiation is the ionizing radiation constantly present in the natural environment of the Earth, which is emitted by natural and artificial sources.-Overview:Both Natural and human-made background radiation varies by location....

  • Bioelectromagnetism
    Bioelectromagnetism
    Bioelectromagnetism refers to the electrical, magnetic or electromagnetic fields produced by living cells, tissues or organisms. Examples include the cell membrane potential and the electric currents that flow in nerves and muscles, as a result of action potentials...

  • BioInitiative Report
    BioInitiative Report
    The BioInitiative Report was self-published online, without peer review, on August 31, 2007, by a group "of 14 scientists, researchers, and public health policy professionals", on the relationship between the electromagnetic fields associated with powerlines and wireless devices and health...

  • COSMOS cohort study
    COSMOS cohort study
    COSMOS is a cohort study of mobile phone use and health. The study will investigate the possible health effects of long term mobile phone use. It is an international survey being conducted in five European countries – UK, Denmark, Sweden, Finland and the Netherlands...

  • Electrical sensitivity
    Electrical sensitivity
    Idiopathic environmental intolerance attributed to electromagnetic fields is a set of claims of adverse medical symptoms purportedly caused by exposure to electromagnetic fields. Other terms for IEI-EMF include electromagnetic hypersensitivity , electrohypersensitivity, electro-sensitivity, and...

  • Electromagnetic radiation and health
  • Microwave News
    Microwave News
    Microwave News reports on the health and environmental impacts of electromagnetic fields and other types of non-ionizing radiation, with special emphasis on cell phones and power lines. It also covers radar, radio and TV broadcast towers and many related topics.The first print issue was published...

  • Mobile phones and driving safety
    Mobile phones and driving safety
    Mobile phone use while driving is common, but dangerous. Due to the number of accidents that are related to cell phone use while driving, some jurisdictions have made the use of a cell phone while driving illegal. Others have enacted laws to ban handheld mobile phone use, but allow use of a...

  • Non-ionizing radiation
    Non-ionizing radiation
    Non-ionizing radiation refers to any type of electromagnetic radiation that does not carry enough energy per quantum to ionize atoms or molecules—that is, to completely remove an electron from an atom or molecule...

  • Possible health effects of body scanners
  • Radiation biology
  • Specific absorption rate
    Specific absorption rate
    Specific absorption rate is a measure of the rate at which energy is absorbed by the body when exposed to a radio frequency electromagnetic field; although, it can also refer to absorption of other forms of energy by tissue, including ultrasound . It is defined as the power absorbed per mass of...


External links

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