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Tytuł:
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Prioritizing health outcomes when assessing the effects of exposure to radiofrequency electromagnetic fields: A survey among experts.
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Autorzy:
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Verbeek J; Amsterdam University Medical Center, Cochrane Work Review Group, Amsterdam, the Netherlands. Electronic address: .
Oftedal G; Department of Electronic Systems, Norwegian University of Science and Technology - NTNU, Trondheim, Norway.
Feychting M; Unit of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
van Rongen E; Health Council of the Netherlands, Den Haag, the Netherlands.
Rosaria Scarfì M; National Research Council, Institute for Electromagnetic Sensing of the Environment, Naples, Italy.
Mann S; Public Health England, Chilton, Didcot, United Kingdom.
Wong R; University of Toronto, Toronto, Canada.
van Deventer E; Department of Environment, Climate Change and Health, World Health Organization, Geneva, Switzerland.
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Źródło:
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Environment international [Environ Int] 2021 Jan; Vol. 146, pp. 106300. Date of Electronic Publication: 2020 Dec 11.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Publication: : Amsterdam : Elsevier Science
Original Publication: Oxford; Elmsford, N. Y., Pergamon Press.
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MeSH Terms:
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Cell Phone*
Electromagnetic Fields*/adverse effects
Animals ; Environmental Exposure ; Female ; Humans ; Outcome Assessment, Health Care ; Pregnancy ; Radio Waves/adverse effects ; Surveys and Questionnaires ; Systematic Reviews as Topic
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Grant Information:
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001 International WHO_ World Health Organization
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Contributed Indexing:
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Keywords: Adverse health effects; Mobile phones; Priority setting; Radiofrequency electromagnetic fields; Systematic review; World Health Organization
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Entry Date(s):
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Date Created: 20210105 Date Completed: 20210423 Latest Revision: 20220531
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Update Code:
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20240105
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DOI:
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10.1016/j.envint.2020.106300
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PMID:
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33395944
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Exposure to radiofrequency (RF) electromagnetic fields (EMF) (frequencies of 100 kHz to 300 GHz) has been steadily increasing. In addition to heat-related effects of RF EMF, other yet-unspecified biological effects, might exist which could possibly lead to health effects. Given the large number of health endpoints that have been studied, we wanted to prioritize those that would merit systematic reviews. We developed a survey listing of all health endpoints reported in the literature and we asked 300 RF EMF experts and researchers to prioritize these health effects for systematic review as critical, important or unimportant. We also asked the experts to provide the rationale for their prioritization. Of the 300 RF EMF experts queried, 164 (54%) responded. They rated cancer, heat-related effects, adverse birth outcomes, electromagnetic hypersensitivity, cognitive impairment, adverse pregnancy outcomes and oxidative stress as outcomes most critical regarding RF EMF exposure. For these outcomes, systematic reviews are needed. For heat-related outcomes, the experts based their ranking of the critical outcomes on what is known from human or animal studies, and for cancer and other outcomes, they based their rating also on public concern. To assess health risks of an exposure in a robust manner, it is important to prioritize the health outcomes that should be systematically reviewed. Here we have shown that it feasible to do so in an inclusive and transparent way.
(Copyright © 2020. Published by Elsevier Ltd.)
