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Di Ciaula A, Petronio MG, Bersani F, Belpoggi F. Exposure to radiofrequency electromagnetic fields and risk of cancer: Epidemiology is not enough! ENVIRONMENT INTERNATIONAL 2025:109275. [PMID: 39890539 DOI: 10.1016/j.envint.2025.109275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2024] [Accepted: 01/09/2025] [Indexed: 02/03/2025]
Affiliation(s)
- Agostino Di Ciaula
- Clinica Medica "A. Murri", AOUC Policlinico Bari - Department of Preventive and Regenerative Medicine and Ionian Area (DiMePrev-J), University of Bari Aldo Moro, Bari, Italy; International Society of Doctors for Environment (ISDE), Arezzo, Italy.
| | | | - Fausto Bersani
- International Society of Doctors for Environment (ISDE), Arezzo, Italy
| | - Fiorella Belpoggi
- International Society of Doctors for Environment (ISDE), Arezzo, Italy
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Bushberg JT, Butcher MJ. Measurement of Ambient Millimeter Wave Exposure Levels around Small Base Stations. HEALTH PHYSICS 2025:00004032-990000000-00220. [PMID: 39804717 DOI: 10.1097/hp.0000000000001935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/16/2025]
Abstract
ABSTRACT This study investigated the implementation and impact of fifth-generation (5G) wireless millimeter wave (mmW) technology. 5G offers significant advancements over previous generations and supports additional frequency bands, including mmW, to enhance mobile broadband with ultra-reliable, low-latency communications, supporting a high volume of diverse communications. This technology is expected to enable billions of new connections in the Internet of Things (IoT), fostering innovations in various sectors including healthcare, manufacturing, and education. This research contributes to the understanding and safe implementation of this transformative technology. Global adoption of 5G is rapidly increasing, with over 1.5 billion subscriptions as of 2024, projected to reach 58% of all wireless subscriptions by 2029. Despite its benefits, 5G mmW installations have raised concerns regarding exposure to electromagnetic fields. This study was conducted using a dual-polarized horn antenna and relatively inexpensive spectrum analyzers to measure typical ambient mmW radiofrequency field power densities near operational radio base stations (RBS) in urban and suburban environments. The measurements were taken at various times of the day and in different weather conditions to ensure a comprehensive understanding of the ambient mmW exposure. The study's results provide reassuring evidence that the ambient mmW exposure from RBSs is significantly lower than the safety limits set by the Federal Communications Commission (FCC) and other international standards. The exposure levels ranged from 0.0003% to 0.0082% of the public maximum permissible exposure (MPE), with the highest levels being more than 25,000 times lower than the allowed continuous public exposure. This study concludes that typical mmW exposure from 5G RBSs is minimal and substantially below established safety limits.
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Affiliation(s)
- Jerrold T Bushberg
- Department of Radiology, School of Medicine, University of California, Davis, Sacramento, CA
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Meyer F, Bitsch A, Forman HJ, Fragoulis A, Ghezzi P, Henschenmacher B, Kellner R, Kuhne J, Ludwig T, Sachno D, Schmid G, Tsaioun K, Verbeek J, Wright R. The effects of radiofrequency electromagnetic field exposure on biomarkers of oxidative stress in vivo and in vitro: A systematic review of experimental studies. ENVIRONMENT INTERNATIONAL 2024; 194:108940. [PMID: 39566441 DOI: 10.1016/j.envint.2024.108940] [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: 07/25/2024] [Accepted: 08/04/2024] [Indexed: 11/22/2024]
Abstract
BACKGROUND Oxidative stress is thought to be related to many diseases. Furthermore, it is hypothesized that radiofrequency electromagnetic fields (RF-EMF) may induce excessive oxidative stress in various cell types and thereby have the potential to compromise human and animal health. The objective of this systematic review (SR) is to summarize and evaluate the literature on the relation between the exposure to RF-EMF in the frequency range from 100 kHz to 300 GHz and biomarkers of oxidative stress. METHODS The SR framework was developed following the guidelines established in the WHO Handbook for Guideline Development and NTP/OHAT's Handbook for Conducting a Literature-Based Health Assessment. We used the latter handbook's methodology for implementing the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach for environmental health assessments. We searched the following databases up until June 30, 2023: PubMed, Embase, Web of Science Core Collection, Scopus, and the EMF-Portal. The reference lists of included studies and retrieved review articles were also manually searched. We rated Risk of Bias (RoB) using the OHAT RoB Rating Tool and assessed publication bias using funnel plots of included studies. We assessed the certainty of the evidence (high, moderate, low, or very low) for an association between RF-EMF and oxidative stress using an adapted version of the GRADE framework. Data were extracted according to a predefined set of forms developed in DistillerSR. Data were analysed after grouping them first as in vitro or in vivo and then according to outcome category, species category, and exposed tissue. We synthesized study results using a random effects meta-analysis when study characteristics were judged sufficiently similar to be combined and heterogeneity (I2) was lower than 75 %, otherwise we describe the findings narratively. RESULTS Fifty-six (56) studies, 45 in vivo and 11 in vitro, in which cells (in vitro) or animals (in vivo) were exposed to frequencies in the range 800-2450 MHz, were included in the systematic review after eliminating 12,353 publications because they did not meet the criteria defined in the published protocol (Henschenmacher et al., 2022). Of 56 studies 52 studies with 169 individual results were included in the meta-analysis. Together, these studies examined six human in vitro samples and fifty animal samples, including rodents (mice, rats, hamsters, and guinea pigs, (n = 46)) and rabbits (n = 4). RF-EMF were predominantly applied as continuous wave exposures in these studies. The outcome biomarkers for modified proteins and amino acids were measured in n = 30 studies, for oxidized DNA bases in n = 26 studies, for oxidized lipids in n = 3 studies and hydrogen peroxide production in 2 studies. Outcomes were mostly measured in the brain (n = 22), liver (n = 9), cells (n = 9), blood (n = 6), and testis (n = 2). RoB in studies was high, mainly due to biases in exposure and outcome assessment. IN VIVO STUDIES Brain: The effect on biomarkers for oxidized DNA bases in the rodent brain (five studies, n = 98) had an inconsistent effect, varying from a large decrease with a standardized mean difference (SMD) of -3.40 (95 % CI [-5.15, -1.64]) to a large increase with an SMD of 2.2 (95 % CI [0.78, 3.62]). In the brain of rabbits (two studies, n = 44), the effect sizes also varied, from an SMD of -1.06 (95 % CI [-2.13, 0.00]) to an SMD of 5.94 (95 % CI [3.14, 8.73]). The effect on biomarkers for modified proteins and amino acids in the rodent brain (15 studies, n = 328) also varied from a large decrease with an SMD of -6.11 (95 % CI [-8.16, -4.06]) to a large increase with an SMD of 5.33 (95 % CI [2.49, 8.17]). The effect on biomarkers for oxidized lipids in the brain of rodents (one study, n = 56) also varied from a large decrease with SMD = -4.10 (95 % CI [-5.48, -2.73]) to SMD = 1.27 (95 % CI [0.45, 2.10]). Liver: The effect on biomarkers for oxidized DNA bases in the rodent liver (two studies, n = 26) was inconsistent with effect sizes in both directions: SMD = -0.71 (95 % CI [-1.80, 0.38]) and SMD = 1.56 (95 % CI [0.19, 2.92]). The effect on biomarkers for oxidized DNA bases in the rabbits' liver (two studies, n = 60) was medium with a pooled SMD of 0.39 (95 % CI [-0.79, 1.56]). Biomarkers for modified proteins and amino acids in the liver of rodents (six studies, n = 159) increased with a pooled SMD of 0.55 (95 % CI [0.06, 1.05]). Blood: The effect of RF-EMF on biomarkers for oxidized DNA bases in rodent blood (four studies, n = 104) was inconsistent, with SMDs ranging from -1.14 (95 % CI [-2.23, -0.06]) to 1.71 (95 % CI [-0.10, 3.53]). RF-EMF had no effect on biomarkers for modified proteins and amino acids in rodent blood (three studies, n = 40), with a pooled SMD of -0.08 (95 % CI [-1.32, 1.16]). There was a large increase in biomarkers for oxidized DNA bases in rodent plasma (two studies, n = 38) with a pooled SMD of 2.25 (95 % CI [1.27, 3.24]). Gonads: There was an increase in biomarkers for oxidized DNA bases in the rodent testis (two studies, n = 24) with a pooled SMD of 1.60 (95 % CI [0.62, 2.59]). The effect of RF-EMF on biomarkers for modified proteins and amino acids in the ovary of rodents (two studies, n = 52) was inconsistent with a medium effect, SMD = 0.24 (95 % CI [-0.74, 1.23])) and a large effect (SMD = 2.08 (95 % CI [1.22, 2.94])). Thymus: RF-EMF increased biomarkers for modified proteins and amino acids in the thymus of rodents (one study, n = 42) considerably with a pooled SMD of 6.16 (95 % CI [3.55, 8.76]). Cells: RF-EMF increased oxidized DNA bases in rodent cells with SMD of 2.49 (95 % CI [1.30, 3.67]) (one study, n = 27). There was a medium effect in oxidized lipids (one study, n = 18) but not statistically significant with SMD = 0.34 (95 % CI [-0.62, 1.29]). IN VITRO STUDIES In in vitro studies in human cells (three studies, n = 110), there were inconsistent increases in biomarkers for oxidized DNA bases, where the SMDs varied between 0.01 (95 % CI [-0.59, 0.62]) and 7.12 (95% CI [0.06, 14.18]) in 4 results (2 of them statistically significant). In rodent cells (three studies, n = 24), there was a not statistically significant large effect in biomarkers for oxidized DNA bases with SMD = 2.07 (95 % CI [-1.38, 5.52]). The RF-EMF biomarkers for modified proteins and amino acids in human cells (one study, n = 18) showed a large effect with SMD = 1.07 (95 % CI [-0.05, 2.19]). In rodent cells (two studies, n = 24) a medium effect of SMD = 0.56 (95 % CI [-0.29, 1.41]) was observed. DISCUSSION The evidence on the relation between the exposure to RF-EMF and biomarkers of oxidative stress was of very low certainty, because a majority of the included studies were rated with a high RoB level and provided high heterogeneity. This is due to inaccurate measurements of exposure and/or of measurement of oxidative stress biomarkers and missing information on the blinding of research personnel to exposure conditions or outcome measurements. There may be no or an inconsistent effect of RF-EMF on biomarkers of oxidative stress in the brain, liver, blood, plasma and serum, and in the female reproductive system in animal experiments but the evidence is of very low certainty. There may be an increase in biomarkers of oxidative stress in testes, serum and thymus of rodents but the evidence is of very low certainty. Future studies should improve experimental designs and characterization of exposure systems as well as the use of validated biomarker measurements with positive controls. Other: This review was partially funded by the World Health Organization. The protocol for this review is registered in PROSPERO (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021235573) and published in Environment International (https://doi.org/10.1016/j.envint.2021.106932) (Henschenmacher et al., 2022).
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Affiliation(s)
- Felix Meyer
- Federal Office for Radiation Protection, Competence Centre EMF, Karl-Liebknecht-Strasse 33, 03046 Cottbus, Germany.
| | - Annette Bitsch
- Fraunhofer Institute for Toxicology and Experimental Medicine, Chemical Safety and Toxicology, Nikolai-Fuchs-Straße 1, 30625 Hannover, Germany
| | - Henry Jay Forman
- Leonard Davis School of Gerontology, University of Southern California, 3715 McClintock Avenue, Los Angeles, CA 90089, USA; University of California Merced, 5200 Lake Road, Merced, CA 95343, USA
| | - Athanassios Fragoulis
- Department of Anatomy and Cell Biology, Uniklinik RWTH Aachen, Wendlingweg 2, 52074 Aachen, Germany
| | - Pietro Ghezzi
- Brighton and Sussex Medical School, University of Sussex, Trafford Centre, Falmer BN1 9RY, United Kingdom; Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Bernd Henschenmacher
- Federal Office for Radiation Protection, Ingolstädter Landstrasse 1, 85764 Oberschleißheim, Germany
| | - Rupert Kellner
- Fraunhofer Institute for Toxicology and Experimental Medicine, Chemical Safety and Toxicology, Nikolai-Fuchs-Straße 1, 30625 Hannover, Germany
| | - Jens Kuhne
- Federal Office for Radiation Protection, Competence Centre EMF, Karl-Liebknecht-Strasse 33, 03046 Cottbus, Germany
| | - Tonia Ludwig
- Federal Office for Radiation Protection, Ingolstädter Landstrasse 1, 85764 Oberschleißheim, Germany
| | - Dmitrij Sachno
- Fraunhofer Institute for Toxicology and Experimental Medicine, Chemical Safety and Toxicology, Nikolai-Fuchs-Straße 1, 30625 Hannover, Germany
| | - Gernot Schmid
- Seibersdorf Laboratories, Campus Seibersdorf, 2444 Seibersdorf, Austria
| | - Katya Tsaioun
- Evidence-based Toxicology Collaboration (EBTC), Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
| | - Jos Verbeek
- University Medical Center Amsterdam, Cochrane Work, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
| | - Robert Wright
- Welch Medical Library, Johns Hopkins University School of Medicine, 1900 E. Monument Street, Baltimore, MD 21205, USA
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López-Martín E, Sueiro-Benavides R, Leiro-Vidal JM, Rodríguez-González JA, Ares-Pena FJ. Redox cell signalling triggered by black carbon and/or radiofrequency electromagnetic fields: Influence on cell death. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 953:176023. [PMID: 39244061 DOI: 10.1016/j.scitotenv.2024.176023] [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: 05/04/2024] [Revised: 09/02/2024] [Accepted: 09/02/2024] [Indexed: 09/09/2024]
Abstract
The capacity of environmental pollutants to generate oxidative stress is known to affect the development and progression of chronic diseases. This scientific review identifies previously published experimental studies using preclinical models of exposure to environmental stress agents, such as black carbon and/or RF-EMF, which produce cellular oxidative damage and can lead to different types of cell death. We summarize in vivo and in vitro studies, which are grouped according to the mechanisms and pathways of redox activation triggered by exposure to BC and/or EMF and leading to apoptosis, necrosis, necroptosis, pyroptosis, autophagy, ferroptosis and cuproptosis. The possible mechanisms are considered in relation to the organ, cell type and cellular-subcellular interaction with the oxidative toxicity caused by BC and/or EMF at the molecular level. The actions of these environmental pollutants, which affect everyday life, are considered separately and together in experimental preclinical models. However, for overall interpretation of the data, toxicological studies must first be conducted in humans, to enable possible risks to human health to be established in relation to the progression of chronic diseases. Further actions should take pollution levels into account, focusing on the most vulnerable populations and future generations.
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Affiliation(s)
- Elena López-Martín
- Department of Morphological Sciences, Santiago de Compostela, School of Medicine, University of Santiago de Compostela, Santiago de Compostela, Spain.
| | - Rosana Sueiro-Benavides
- Institute of Research in Biological and Chemical Analysis, IAQBUS, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - José M Leiro-Vidal
- Institute of Research in Biological and Chemical Analysis, IAQBUS, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Juan A Rodríguez-González
- Department of Applied Physics, Santiago de Compostela School of Physics, University of Santiago de Compostela, Santiago de Compostela, Spain
| | - Francisco J Ares-Pena
- Department of Applied Physics, Santiago de Compostela School of Physics, University of Santiago de Compostela, Santiago de Compostela, Spain
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Jazyah YH. Thermal and Nonthermal Effects of 5 G Radio-Waves on Human's Tissue. ScientificWorldJournal 2024; 2024:3801604. [PMID: 39105157 PMCID: PMC11300075 DOI: 10.1155/2024/3801604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Revised: 05/16/2024] [Accepted: 06/21/2024] [Indexed: 08/07/2024] Open
Abstract
The deployment of 5 G wireless technology has generated considerable interest and debate regarding its potential effects on human health. This work provides a comprehensive overview of the current scientific understanding of the potential health implications associated with 5 G technology. Drawing upon a wide range of research studies, reviews, and expert opinions, we explore the implications through which 5 G signals interact with the human body. This work presents a balanced perspective, summarizing both the potential benefits of 5 G technology, such as improved data transfer speeds, reduced latency, and enhanced connectivity, as well as concerns that have been raised about its effects on human's tissues. We discuss various aspects of health impacts, including thermal and nonthermal effects, focusing on the existing research on radiofrequency electromagnetic fields and their potential to cause adverse health outcomes. Simulation results show the negative effect of radio waves on human's tissues.
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Nyberg NR, McCredden JE, Weller SG, Hardell L. The European Union prioritises economics over health in the rollout of radiofrequency technologies. REVIEWS ON ENVIRONMENTAL HEALTH 2024; 39:47-64. [PMID: 36129168 DOI: 10.1515/reveh-2022-0106] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 09/02/2022] [Indexed: 06/15/2023]
Abstract
The fifth generation of radiofrequency communication, 5G, is currently being rolled out worldwide. Since September 2017, the EU 5G Appeal has been sent six times to the EU, requesting a moratorium on the rollout of 5G. This article reviews the 5G Appeal and the EU's subsequent replies, including the extensive cover letter sent to the EU in September 2021, requesting stricter guidelines for exposures to radiofrequency radiation (RFR). The Appeal notes the EU's internal conflict between its approach to a wireless technology-led future, and the need to protect the health and safety of its citizens. It critiques the reliance of the EU on the current guidelines given by the International Commission on Non-Ionizing Radiation Protection (ICNIRP), that consider only heating and no other health relevant biological effects from RFR. To counteract the ICNIRP position, the 2021 cover letter briefly presented recent research from the EU's own expert groups, from a large collection of European and other international studies, and from previous reviews of the effects of RFR on humans and the environment. The 5G Appeal asserts that the majority of scientific evidence points to biological effects, many with the potential for harm, occurring below the ICNIRP public limits. Evidence to establish this position is drawn from studies showing changes to neurotransmitters and receptors, damage to cells, proteins, DNA, sperm, the immune system, and human health, including cancer. The 2021 Appeal goes on to warn that 5G signals are likely to additionally alter the behaviour of oxygen and water molecules at the quantum level, unfold proteins, damage skin, and cause harm to insects, birds, frogs, plants and animals. Altogether, this evidence establishes a high priority for the European Union towards (i) replacing the current flawed guidelines with protective thresholds, and (ii) placing a moratorium on 5G deployment so as to (iii) allow industry-independent scientists the time needed to propose new health-protective guidelines. This 2021 Appeal's relevance becomes even more pressing in the context of the EU plans to roll out the sixth generation of wireless technologies, 6G, further adding to the known risks of RFR technology for humans and the environment. This all leads to an important question: Do EU decision makers have the right to ignore EU´s own directives by prioritising economic gain over human and environmental health?
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Affiliation(s)
| | - Julie E McCredden
- Oceania Radiofrequency Science Advisory Association (ORSAA), Kearneys Spring, QLD, Australia
| | - Steven G Weller
- Centre of Environmental and Population Health, School of Medicine and Dentistry, Griffith University, Brisbane, QLD, Australia
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Torres-Ruiz M, Suárez OJ, López V, Marina P, Sanchis A, Liste I, de Alba M, Ramos V. Effects of 700 and 3500 MHz 5G radiofrequency exposure on developing zebrafish embryos. THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 915:169475. [PMID: 38199355 DOI: 10.1016/j.scitotenv.2023.169475] [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: 06/23/2023] [Revised: 12/12/2023] [Accepted: 12/16/2023] [Indexed: 01/12/2024]
Abstract
Telecommunications industries are rapidly deploying the fifth generation (5G) spectrum and there is public concern about the safety and health impacts of this type of Radio Frequency Radiation (RFR), in part because of the lack of comparable scientific evidence. In this study we have used a validated commercially available setting producing a uniform field to expose zebrafish embryos (ZFe) to unmodulated 700 and 3500 MHz frequencies. We have combined a battery of toxicity, developmental and behavioral assays to further explore potential RFR effects. Our neurobehavioral profiles include a tail coiling assay, a light/dark activity assay, two thigmotaxis anxiety assays (auditory and visual stimuli), and a startle response - habituation assay in response to auditory stimuli. ZFe were exposed for 1 and 4 h during the blastula period of development and endpoints evaluated up to 120 hours post fertilization (hpf). Our results show no effects on mortality, hatching or body length. However, we have demonstrated specific organ morphological effects, and behavioral effects in activity, anxiety-like behavior, and habituation that lasted in larvae exposed during the early embryonic period. A decrease in acetylcholinesterase activity was also observed and could explain some of the observed behavioral alterations. Interestingly, effects were more pronounced in ZFe exposed to the 700 MHz frequency, and especially for the 4 h exposure period. In addition, we have demonstrated that our exposure setup is robust, flexible with regard to frequency and power testing, and highly comparable. Future work will include exposure of ZFe to 5G modulated signals for different time periods to better understand the potential health effects of novel 5G RFR.
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Affiliation(s)
- Monica Torres-Ruiz
- Environmental Toxicology Unit, Centro Nacional de Sanidad Ambiental (CNSA), Instituto de Salud Carlos III (ISCIII), Ctra. Majadahonda-Pozuelo Km. 2,2., Majadahonda, Madrid 28220, Spain
| | - Oscar J Suárez
- Radio Frequency Laboratory, Telecommunications General Secretary and Audiovisual Communication Services Ordenation, Madrid, Spain
| | - Victoria López
- Chronical Diseases Research Functional Unit (UFIEC), Instituto de Salud Carlos III (ISCIII), Ctra. Majadahonda-Pozuelo Km. 2,2., Majadahonda, Madrid 28220, Spain
| | - Pablo Marina
- Telemedicine and eHealth Research Unit, Instituto de Salud Carlos III (ISCIII), Avda. Monforte de Lemos, 5, Madrid 28029, Spain
| | - Aránzazu Sanchis
- Non-Ionizing Radiation Unit, Centro Nacional de Sanidad Ambiental (CNSA), Instituto de Salud Carlos III (ISCIII), Ctra. Majadahonda-Pozuelo Km. 2,2., Majadahonda, Madrid 28220, Spain
| | - Isabel Liste
- Chronical Diseases Research Functional Unit (UFIEC), Instituto de Salud Carlos III (ISCIII), Ctra. Majadahonda-Pozuelo Km. 2,2., Majadahonda, Madrid 28220, Spain
| | - Mercedes de Alba
- Environmental Toxicology Unit, Centro Nacional de Sanidad Ambiental (CNSA), Instituto de Salud Carlos III (ISCIII), Ctra. Majadahonda-Pozuelo Km. 2,2., Majadahonda, Madrid 28220, Spain
| | - Victoria Ramos
- Telemedicine and eHealth Research Unit, Instituto de Salud Carlos III (ISCIII), Avda. Monforte de Lemos, 5, Madrid 28029, Spain.
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Weller S, McCredden JE. Understanding the public voices and researchers speaking into the 5G narrative. Front Public Health 2024; 11:1339513. [PMID: 38283297 PMCID: PMC10820716 DOI: 10.3389/fpubh.2023.1339513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Accepted: 12/26/2023] [Indexed: 01/30/2024] Open
Abstract
The many different voices speaking into the current narrative surrounding the health effects of 5G technologies necessitate an exploration of the background of the various published author-spokespersons and their potential motives. This has been attempted recently by de Vocht and Albers. However, that opinion piece used a narrow investigative lens, resulting in an undermining of both the rationality of the concerned general public and the motives of specific researchers. At the same time, biases, conflicts of interest, and flaws found in "independent" reviews were not considered. To address these oversights, an evidence-based appraisal of public opinion and the scientific caliber of authors involved in the 5G health discussion is warranted. Subsequently, this review article presents an analysis of the available Australian data representing public voices, while also conducting a broader investigation of the level of expertise of recent author-spokespersons based on their experience as scientists, particularly in the area of health effects of radiofrequency electromagnetic fields. This review thus attempts to more clearly illustrate for the reader the caliber and motives of the voices speaking into the 5G narrative. The article concludes with a set of questions that need to be answered to enable scientists to advise policy makers more effectively on matters of 5G and public health.
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Affiliation(s)
- Steven Weller
- Centre for Environmental and Population Health, School of Medicine and Dentistry, Griffith University, Brisbane, QLD, Australia
- Oceania Radiofrequency Scientific Advisory Association Inc. (ORSAA), Scarborough, QLD, Australia
| | - Julie E. McCredden
- Oceania Radiofrequency Scientific Advisory Association Inc. (ORSAA), Scarborough, QLD, Australia
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Loizeau N, Zahner M, Schindler J, Stephan C, Fröhlich J, Gugler M, Ziegler T, Röösli M. Comparison of ambient radiofrequency electromagnetic field (RF-EMF) levels in outdoor areas and public transport in Switzerland in 2014 and 2021. ENVIRONMENTAL RESEARCH 2023; 237:116921. [PMID: 37598840 DOI: 10.1016/j.envres.2023.116921] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Revised: 08/09/2023] [Accepted: 08/17/2023] [Indexed: 08/22/2023]
Abstract
Mobile communication technology has evolved rapidly over the last ten years with a drastic increase in wireless data traffic and the deployment of new telecommunication technologies. The aim of this study was to evaluate the ambient radiofrequency electromagnetic field (RF-EMF) levels and temporal changes in various microenvironments in Switzerland in 2014 and 2021. We measured the ambient RF-EMF levels in V/m in the same 49 outdoor areas and in public transport in 2014 and 2021 using portable RF-EMF exposure meters carried in a backpack. The areas were selected to represent some typical types of microenvironments (e.g. urban city centres, suburban and rural areas). We calculated the summary statistics (mean, percentiles) in mW/m2 and converted back to V/m for each microenvironment. We evaluated the distribution and the variability of the ambient RF-EMF levels per microenvironment types in 2021. Finally, we compared the ambient RF-EMF mean levels in 2014 and 2021 using multilevel regression modelling. In outdoor areas, the average ambient RF-EMF mean levels per microenvironment in 2021 ranged from 0.19 V/m in rural areas to 0.43 V/m in industrial areas (overall mean: 0.27 V/m). In public transports, the mean levels were 0.27 V/m in buses, 0.33 V/m in trains and 0.36 V/m in trams. In 2021, mean levels across all outdoor areas were -0.022 V/m lower (95% confidence interval: -0.072, 0.030) than in 2014. Results from our comprehensive measurement study across Switzerland suggest that RF-EMF levels in public places have not significantly changed between 2014 and 2021 despite an 18-fold increase in mobile data transmission during that period. The absence of temporal changes may be owed to the shift to newer mobile communication technologies, which are more efficient.
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Affiliation(s)
- Nicolas Loizeau
- Swiss Tropical and Public Health Institute, 4123, Allschwil, Switzerland; University of Basel, 4001, Basel, Switzerland
| | | | - Johannes Schindler
- Grolimund + Partner AG Environmental Engineering, 3097, Bern, Switzerland
| | - Christa Stephan
- Grolimund + Partner AG Environmental Engineering, 3097, Bern, Switzerland
| | | | | | - Toni Ziegler
- Grolimund + Partner AG Environmental Engineering, 3097, Bern, Switzerland
| | - Martin Röösli
- Swiss Tropical and Public Health Institute, 4123, Allschwil, Switzerland; University of Basel, 4001, Basel, Switzerland.
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Ramirez-Vazquez R, Escobar I, Moreno JJH, Martínez-Plaza A, Maffey S, Arribas E. Personal exposure from free Wi-Fi hotspots in downtown Mexico City. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2023; 30:91216-91225. [PMID: 37474852 DOI: 10.1007/s11356-023-28839-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Accepted: 07/13/2023] [Indexed: 07/22/2023]
Abstract
In 2019, the Government of Mexico City implemented actions that allowed citizens to approach a free Wi-Fi hotspot, where more than 13000 points have been installed throughout the city. In this work, we present the results of the measurements of personal exposure to Radiofrequency Electromagnetic Fields carried out in Plaza de la Constitución, better known as Zócalo located in the center of Mexico City. The measurements were taken by one of the researchers while walking on a weekday morning and afternoon, in different microenvironments (on the street, on public transport: subway, at the Zócalo, and finally, at home). We also carry out spot measurements in the center of the Zócalo. Subsequently, we carried out a comparative analysis of the different microenvironments, through box plot and violin plot, and we elaborate georeferenced and interpolated maps with intensity levels through the Kriging method, using the Geographic Information System. The Kriging interpolation gives us a good visualization of the spatial distribution of RF-EMF exposure in the study area, showing the highest and lowest intensity levels. The mean values recorded at the measured points in the Zócalo were 326 μW/m2 in the 2.4- to 2.5-GHz Wi-Fi band and 2370 μW/m2 in the 5.15- to 5.85-GHz Wi-Fi band. In the case of the mean values recorded on the street, they were 119 μW/m2 in the 2.4- to 2.5-GHz frequency band and 31.8 μW/m2 in the 5.15- to 5.85-GHz frequency band, like the values recorded at home, 122 μW/m2 and 33.9 μW/m2, respectively. All values are well below the reference levels established by the International Commission on Non-Ionizing Radiation Protection.
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Affiliation(s)
- Raquel Ramirez-Vazquez
- Faculty of Computer Science Engineering, Applied Physics Department, University of Castilla-La Mancha, Avda. de España s/n, University Campus, 02071, Albacete, Spain
- ESAT-WaveCoRE, Department of Electrical Engineering, Katholieke Universiteit Leuven, Kasteelpark Arenberg 10, Box 2444, 3001, Leuven, Belgium
| | - Isabel Escobar
- Faculty of Computer Science Engineering, Applied Physics Department, University of Castilla-La Mancha, Avda. de España s/n, University Campus, 02071, Albacete, Spain
| | - Juan José Hurtado Moreno
- Sección de Estudiantes de Posgrado e Investigación, UPIICSA-Instituto Politécnico Nacional, Mexico City, Mexico
| | - Antonio Martínez-Plaza
- Mathematics Department, School of Industrial Engineering, University of Castilla-La Mancha, Avda. de España s/n, University Campus, 02071, Albacete, Spain
| | | | - Enrique Arribas
- Faculty of Computer Science Engineering, Applied Physics Department, University of Castilla-La Mancha, Avda. de España s/n, University Campus, 02071, Albacete, Spain.
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Ma T, Ding Q, Liu C, Wu H. Electromagnetic fields regulate calcium-mediated cell fate of stem cells: osteogenesis, chondrogenesis and apoptosis. Stem Cell Res Ther 2023; 14:133. [PMID: 37194107 DOI: 10.1186/s13287-023-03303-w] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 03/28/2023] [Indexed: 05/18/2023] Open
Abstract
Electromagnetic fields (EMF) are increasing in popularity as a safe and non-invasive therapy. On the one hand, it is widely acknowledged that EMF can regulate the proliferation and differentiation of stem cells, promoting the undifferentiated cells capable of osteogenesis, angiogenesis, and chondroblast differentiation to achieve bone repair purpose. On the other hand, EMF can inhibit tumor stem cells proliferation and promote apoptosis to suppress tumor growth. As an essential second messenger, intracellular calcium plays a role in regulating cell cycle, such as proliferation, differentiation and apoptosis. There is increasing evidence that the modulation of intracellular calcium ion by EMF leads to differential outcomes in different stem cells. This review summarizes the regulation of channels, transporters, and ion pumps by EMF-induced calcium oscillations. It furtherly discusses the role of molecules and pathways activated by EMF-dependent calcium oscillations in promoting bone and cartilage repair and inhibiting tumor stem cells growth.
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Affiliation(s)
- Tian Ma
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China
| | - Qing Ding
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China
| | - Chaoxu Liu
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China.
| | - Hua Wu
- Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China.
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Wang M, Ji H, Jia M, Sun Z, Gu J, Ren H. Method and application of information sharing throughout the emergency rescue process based on 5G and AR wearable devices. Sci Rep 2023; 13:6353. [PMID: 37072525 PMCID: PMC10113192 DOI: 10.1038/s41598-023-33610-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Accepted: 04/15/2023] [Indexed: 05/03/2023] Open
Abstract
The 2022 Winter Olympics were held in the three competition zones of Beijing, Yanqing and Zhangjiakou, China. The venues of this Winter Olympics were scattered and the terrain was complex. Moreover, the medical resources of Hebei and Beijing were relatively unbalanced. In the medical security of major events, the connection between first aid and in-hospital processes is of the utmost importance to rescue quality. 5th generation mobile network (5G) applications in medical scenarios are on the rise. It would be of great relevance to fully use 5G's low-latency and high-speed features to share the process information of patients, ambulance personnel, and the destination hospital's rescue team at emergency scenes and in transportation, improving rescue efficiency. This paper proposes a system scheme of cross-institutional emergency health information sharing based on 5G and augmented reality wearable devices. It also integrates the construction method of monitoring and other sign data sharing, in addition to testing the proposed scheme's service quality in 5G environments. In the deployment area of the 5G emergency medical rescue information sharing scheme for the Beijing Winter Olympic Games, we selected two designated medical support institutions for testing. The test adopted a combination of fixed-point and driving tests to experiment on the service data, voice service, and streaming media indicators. The 5G signal's coverage rate was close to 100%, the standalone connection's success rate was 100%, and the drop rate was 0. The average downlink rate of multiple scenarios was 620mbps, and the average uplink rate of 5G was over 71.8mbps, which is higher than the average 5G level in China. The downlink rate was more than 20 times larger than the 4th generation mobile network (4G) rate. This study's proposed scheme demonstrates the importance of 5G applications in emergency response and support, in addition to providing a suitable scheme for the integration of 5G networks in the medical scene.
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Affiliation(s)
- Mengying Wang
- Information Management and Big Data Center, Peking University Third Hospital, Beijing, China
| | - Hong Ji
- Information Management and Big Data Center, Peking University Third Hospital, Beijing, China.
| | - Mo Jia
- Information Management and Big Data Center, Peking University Third Hospital, Beijing, China
| | - Zhen Sun
- Information Management and Big Data Center, Peking University Third Hospital, Beijing, China
| | - Jinyi Gu
- Information Management and Big Data Center, Peking University Third Hospital, Beijing, China
| | - Haiying Ren
- China Academy of Information and Communications Technology, Beijing, China
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Yu G, Zhu Y, Song C, Chen L, Tang Z, Wu T. The ZIP9-centered androgen pathway compensates for the 2605 MHz radiofrequency electromagnetic radiation-mediated reduction in resistance to H 2O 2 damage in Sertoli cells of adult rats. ECOTOXICOLOGY AND ENVIRONMENTAL SAFETY 2023; 254:114733. [PMID: 36889209 DOI: 10.1016/j.ecoenv.2023.114733] [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: 11/08/2022] [Revised: 02/17/2023] [Accepted: 03/03/2023] [Indexed: 06/18/2023]
Abstract
The direct biological effects of radiofrequency electromagnetic radiation (RF-EMR) from wireless communication equipment on the testes are still unclear. Our previous study proved that long-term exposure to 2605 MHz RF-EMR gradually damage spermatogenesis and resulted in time-dependent reproductive toxicity by directly disrupting blood-testis barrier circulation. Although short-term exposure did not cause readily observable damage to fertility, whether it caused specific biological effects and how these effects contributed to the time-dependent reproductive toxicity of RF-EMR were currently unknown. Studies on this issue are important for elucidating the time-dependent reproductive toxicity of RF-EMR. The present study established a 2605 MHz RF-EMR (SAR=1.05 W/Kg) scrotal exposure model with rats and extracted primary Sertoli cells for exposure to investigate the direct biological effects of short-term RF-EMR exposure on the testis. The results showed that short-term RF-EMR exposure did not decrease sperm quality and spermatogenesis, but it increased the levels of testicular testosterone (T) and zinc transporter 9 (ZIP9) in Sertoli cells of rats. In vitro, 2605 MHz RF-EMR exposure did not increase the apoptosis rate of Sertoli cells, but it increased the apoptosis rate and MDA of Sertoli cells exposed to H2O2. T reversed these changes and increased ZIP9 level in Sertoli cells, whereas inhibiting ZIP9 expression significantly suppressed these T-mediated protective effects. Moreover, T increased the levels of phosphorylated inositol-requiring enzyme 1 (P-IRE1), phosphorylated protein kinase R (PKR)-like endoplasmic reticulum kinase (P-PERK), phosphorylated eukaryotic initiation factor 2a (P-eIF2a) and phosphorylated activating transcription factor 6 (P-ATF6) in Sertoli cells, and these effects were reversed by ZIP9 inhibition. With prolonged exposure time, testicular ZIP9 was gradually downregulated, and testicular MDA increased. ZIP9 level was negatively correlated with MDA level in the testes of exposed rats. Thus, although short-term exposure to 2605 MHz RF-EMR (SAR=1.05 W/kg) did not significantly disturb spermatogenesis, it suppressed the ability of Sertoli cells to resist external insults, which was rescued by enhancing the ZIP9-centered androgen pathway in the short term. Increasing the unfolded protein response might be an important downstream mechanism involved. These results promote a better understanding of the time-dependent reproductive toxicity of 2605 MHz RF-EMR.
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Affiliation(s)
- Gang Yu
- Department of Urology, Renmin Hospital of Wuhan University, Wuhan, Hubei Province, China.
| | - Yabing Zhu
- Department of Critical Care Medicine, Renmin Hospital of Wuhan University, Wuhan, Hubei Province, China
| | - Chao Song
- Department of Urology, Renmin Hospital of Wuhan University, Wuhan, Hubei Province, China
| | - Liang Chen
- Department of Urology, Renmin Hospital of Wuhan University, Wuhan, Hubei Province, China
| | - Zeping Tang
- Guangdong Environmental Radiation Monitoring Center, Guangzhou, Guangdong Province, China
| | - Tianpeng Wu
- Department of Urology, Renmin Hospital of Wuhan University, Wuhan, Hubei Province, China.
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Ramirez-Vazquez R, Escobar I, Vandenbosch GAE, Vargas F, Caceres-Monllor DA, Arribas E. Measurement studies of personal exposure to radiofrequency electromagnetic fields: A systematic review. ENVIRONMENTAL RESEARCH 2023; 218:114979. [PMID: 36460078 DOI: 10.1016/j.envres.2022.114979] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Revised: 11/26/2022] [Accepted: 11/28/2022] [Indexed: 06/17/2023]
Abstract
The last 25 years have seen an increase in the number of radiofrequency sources with the global adoption of smartphones as primary connectivity devices. The objective of this work was to review and evaluate the measured studies of personal exposure to Radiofrequency Electromagnetic Fields (RF-RMF) and meet the basic quality criteria eligible for inclusion in this Review, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, following the eligibility criteria of the PECO (Population, Exposure, Comparator, and Outcome) methodology, and the instrument for critical reading Critical Appraisal Skills Programme Español (CASPe). We systematically reviewed the works published between January 1, 1998, and December 31, 2021, yielding 56 publications. Of the different types of studies in which personal exposure to RF-EMF has been measured with two measurement methodologies can be highlighted: Personal measurements with volunteers and Personal measurements with a trained researcher (touring a specific area, one or several microenvironments, an entire city, walking or in some means of transport). Personal exposimeters were used in 83% of the studies. The lowest mean was measured in Egypt with a value of 0.00100 μW/m2 (1.00 nW/m2) in 2007 and the highest mean was measured in Belgium with a value of 285000 μW/m2 (0.285 W/m2) in 2019. The results of our study confirm that RF-EMF exposure levels are well below the maximum levels established by the ICNIRP guidelines.
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Affiliation(s)
- Raquel Ramirez-Vazquez
- University of Castilla-La Mancha, Applied Physics Department, Faculty of Computer Science Engineering, Avda. de España S/n, University Campus, 02071, Albacete, Spain
| | - Isabel Escobar
- University of Castilla-La Mancha, Applied Physics Department, Faculty of Computer Science Engineering, Avda. de España S/n, University Campus, 02071, Albacete, Spain
| | - Guy A E Vandenbosch
- ESAT-WaveCoRE, Dep. of Electrical Engineering, Katholieke Universiteit Leuven, Kasteelpark Arenberg 10, Box 2444, 3001, Leuven, Belgium
| | | | | | - Enrique Arribas
- University of Castilla-La Mancha, Applied Physics Department, Faculty of Computer Science Engineering, Avda. de España S/n, University Campus, 02071, Albacete, Spain.
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Prasad D, Kudva V, Singh A, Hegde RB, Rukmini PG. Role of 5G Networks in Healthcare Management System. Crit Rev Biomed Eng 2023; 51:1-25. [PMID: 37602445 DOI: 10.1615/critrevbiomedeng.2023047013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/22/2023]
Abstract
The present-day healthcare system operates on a 4G network, where the data rate needed for many IoT devices is impossible. Also, the latency involved in the network does not support the use of many devices in the network. The 5G-based cellular technology promises an effective healthcare management system with high speed and low latency. The 5G communication technology will replace the 4G technology to satisfy the increasing demand for high data rates. It incorporates higher frequency bands of around 100 MHz using millimetre waves and broadband modulation schemes. It is aimed at providing low latency while supporting real-time machine-to-machine communication. It requires a more significant number of antennas, with an average base station density three times higher than 4G. However, the rise in circuit and processing power for multiple antennas and transceivers deteriorates energy efficiency. Also, the data transmission power for 5G is three times higher than for 4G technology. One of the advanced processors used in today's mobile equipment is NVIDIA Tegra, which has a multicore system on chip (SoC) architecture with two ARM Cortex CPU cores to handle audio, images, and video. The state-of-the-art software coding using JAVA or Python has achieved smooth data transmission from mobile equipment, desktop or laptop through the internet with the support of 5G communication technology. This paper discusses some key areas related to 5G-based healthcare systems such as the architecture, antenna designs, power consumption, file protocols, security, and health implications of 5G networks.
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Affiliation(s)
- Durga Prasad
- NITTE (Deemed to be University), Department of Electronics and Communication Engineering, NMAM Institute of Technology, Nitte - 574110, Karnataka, India
| | - Vidya Kudva
- NITTE (Deemed to be University), Department of Electronics and Communication Engineering, NMAM Institute of Technology, Nitte - 574110, Karnataka, India
| | - Ashish Singh
- NITTE (Deemed to be University), Department of Electronics and Communication Engineering, NMAM Institute of Technology, Nitte - 574110, Karnataka, India
| | - Roopa B Hegde
- NITTE (Deemed to be University), Department of Electronics and Communication Engineering, NMAM Institute of Technology, Nitte - 574110, Karnataka, India
| | - Pradyumna Gopalakrishna Rukmini
- NITTE (Deemed to be University), Department of Electronics and Communication Engineering, NMAM Institute of Technology, Nitte - 574110, Karnataka, India
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Weller S, May M, McCredden J, Leach V, Phung D, Belyaev I. Comment on "5G mobile networks and health-a state-of-the-science review of the research into low-level RF fields above 6 GHz" by Karipidis et al. JOURNAL OF EXPOSURE SCIENCE & ENVIRONMENTAL EPIDEMIOLOGY 2023; 33:17-20. [PMID: 36434135 PMCID: PMC9849131 DOI: 10.1038/s41370-022-00497-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 10/27/2022] [Accepted: 10/31/2022] [Indexed: 06/16/2023]
Affiliation(s)
- Steven Weller
- Centre for Environmental and Population Health, School of Medicine and Dentistry, Griffith University, 170 Kessels Road, Nathan, Brisbane, QLD, 4111, Australia.
- Oceania Radiofrequency Scientific Advisory Association (ORSAA), Scarborough, QLD, 4020, Australia.
| | - Murray May
- Oceania Radiofrequency Scientific Advisory Association (ORSAA), Scarborough, QLD, 4020, Australia
| | - Julie McCredden
- Oceania Radiofrequency Scientific Advisory Association (ORSAA), Scarborough, QLD, 4020, Australia
| | - Victor Leach
- Oceania Radiofrequency Scientific Advisory Association (ORSAA), Scarborough, QLD, 4020, Australia
| | - Dung Phung
- School of Public Health, University of Queensland, St Lucia, QLD, 4072, Australia
| | - Igor Belyaev
- Department of Radiobiology, Cancer Research Institute, Biomedical Research Center, Slovak Academy of Sciences, Bratislava, 845 05, Slovak Republic
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Bozok S, Karaagac E, Sener D, Akakin D, Tumkaya L. The effects of long-term prenatal exposure to 900, 1800, and 2100 MHz electromagnetic field radiation on myocardial tissue of rats. Toxicol Ind Health 2023; 39:1-9. [PMID: 36383165 DOI: 10.1177/07482337221139586] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
It is well-known that wireless communication technologies facilitate human life. However, the harmful effects of electromagnetic field (EMF) radiation on the human body should not be ignored. In the present study, we evaluated the effects of long-term, prenatal exposure to EMF radiation on the myocardium of rats at varying durations. Overall, 18 pregnant Sprague-Dawley rats were assigned into six groups (n = 3 in each group). In all groups other than the control group, three pregnant rats were exposed to EMF radiation (900, 1800 and 2100 MHz) for 6, 12 and 24 h over 20 days. After delivery, the newborn male pups were identified and six newborn male pups from each group were randomly selected. Then, histopathological and biochemical analysis of myocardial samples were performed. When 24-h/day prenatal exposures to 900, 1800, 2100 MHz EMF radiation were evaluated, myocardial damage was greater in the 2100 MHz EMF-24h group than the other groups. In addition, when malondialdehyde (MDA) and glutathione (GSH) levels associated with reactive oxidative species (ROS) were evaluated, the MDA level was higher in the 2100 MHz EMF-24h group compared with the other groups. The GSH level was also lower in the 2100 MHz EMF-24h group. When the 6, 12 and 24 h/day prenatal exposures to 1800 MHz EMF radiation were evaluated, myocardial damage was greater in 1800 MHz EMF-24h group than the remaining groups (p < 0.0001). Also, MDA level was greater in the 1800 MHz EMF-24h group compared with the other groups while the GSH level was lower in this group. It was shown that myocardial tissue was affected more by long-term exposure to EMF radiation at high frequencies. The data raise concerns that the harmful effects of non-ionizing radiation exposure on cardiac tissue will increase with 5G technology.
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Affiliation(s)
- Sahin Bozok
- Department of Cardiovascular Surgery, 578038Bakircay University Faculty of Medicine, Izmir, Turkey
| | - Erturk Karaagac
- Department of Cardiovascular Surgery, Mus State Hospital, Mus, Turkey
| | - Dila Sener
- Department of Histology and Embriology, 472597Bahcesehir University Faculty of Medicine, Istanbul, Turkey
| | - Dilek Akakin
- Department of Histology and Embriology, 64050Marmara University Faculty of Medicine, Istanbul, Turkey
| | - Levent Tumkaya
- Department of Histology and Embriology, 485660Recep Tayyip Erdogan University Faculty of Medicine, Rize, Turkey
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de Vocht F, Albers P. The population health effects from 5G: Controlling the narrative. Front Public Health 2022; 10:1082031. [PMID: 36600933 PMCID: PMC9806221 DOI: 10.3389/fpubh.2022.1082031] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 11/24/2022] [Indexed: 12/23/2022] Open
Affiliation(s)
- Frank de Vocht
- Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom
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Ke Z, Jiayi H, Long C. The effects of expectancies and patriotism on Chinese use intention of 5G network. Front Psychol 2022; 13:946000. [PMID: 36017448 PMCID: PMC9396141 DOI: 10.3389/fpsyg.2022.946000] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Accepted: 07/04/2022] [Indexed: 11/13/2022] Open
Abstract
China leads the world in the development and rollout of 5G network, yet less research has been done on the drivers of Chinese people’s adoption of 5G network, especially the specific role of national sentiments, such as the influence of patriotism on their attitude toward 5G network. The study obtained 804 effective online questionnaires from the respondents of various ages, genders, areas, and educational levels. The results based on the structural equation modeling (SEM) analysis showed that patriotism was an antecedent to Chinese users’ cognition of the conditions provided by the government and telecom operators and the extent that users were influenced by media and surrounding people, which in turn increased users’ expectations of the performance of 5G network and their confidence in adapting to 5G network, and resulted in an increased willingness to use 5G network. This research helps to understand the role of patriotism, which is an emotional factor, in stimulating Chinese users’ attitudes toward 5G network at the time when 5G network is putting into large-scale commercial use in China.
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Affiliation(s)
- Zhang Ke
- School of Communication, Soochow University, Suzhou, China
| | - Hou Jiayi
- Department of Psychology, Renmin University of China, Beijing, China
| | - Chen Long
- School of Communication, Soochow University, Suzhou, China
- *Correspondence: Chen Long,
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5G Electromagnetic Radiation Attenuates Skin Melanogenesis In Vitro by Suppressing ROS Generation. Antioxidants (Basel) 2022; 11:antiox11081449. [PMID: 35892650 PMCID: PMC9331092 DOI: 10.3390/antiox11081449] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Revised: 07/18/2022] [Accepted: 07/22/2022] [Indexed: 02/04/2023] Open
Abstract
Recently, the impacts of 5G electromagnetic radiation (EMR) with 28 GHz on human health have been attracting public attention with the advent of 5G wireless communication. Here, we report that 5G (28 GHz) EMR can attenuate the skin pigmentation in murine melanoma cells (B16F10) and a 3D pigmented human epidermis model (Melanoderm™). B16 cells were exposed to 5G (28 GHz) with or without α-MSH for 4 h per day. Interestingly, 5G attenuated α-MSH-induced melanin synthesis. Fontana-Masson staining confirmed that the dendritic formation of α-MSH stimulated B16 cells was diminished by 5G exposure. To confirm the anti-melanogenic effect of 5G EMR, MelanoDerm™ was irradiated with 5G at a power intensity of 10 W/m2 for 4 h a day for 16 days and melanin distribution was detected with Fontana-Masson staining, which supported the anti-melanogenic effect of 5G EMR. Consistently, 5G EMR suppressed α-MSH induced upregulation of melanogenic enzymes; tyrosinase, TRP-1, and TRP-2. Of note, 5G EMR attenuated ROS production stimulated by α-MSH and H2O2, suggesting that 5G EMR may dissipate ROS generation, which is pivotal for the melanin synthesis. Collectively, we demonstrated that 5G EMR can attenuate skin pigmentation by attenuating ROS generation.
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Effects of 5.8 GHz Microwaves on Testicular Structure and Function in Rats. BIOMED RESEARCH INTERNATIONAL 2022; 2022:5182172. [PMID: 35707372 PMCID: PMC9192205 DOI: 10.1155/2022/5182172] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 03/28/2022] [Indexed: 11/17/2022]
Abstract
Objective To investigate the effects of exposure to 5.8 GHz microwaves on testicular structure and function of male adult rats. Methods After 30 days of exposure, we evaluated sperm quality by determining sperm concentration and quantifying the number of abnormal sperm. Testicular morphology was investigated by hematoxylin-eosin (HE) staining. The levels of testosterone (T), follicle-stimulating hormone (FSH), luteinizing hormone (LH), glial cell line-derived neurotrophic factor (GDNF), stem cell factor (SCF), and transferrin (TRF) were determined by enzyme-linked immunosorbent assays (ELISAs). We also used western blotting to determine the levels of GDNF and SCF and apoptosis-related protein (caspase-3) in the testis. Results Compared with the sham group, there were no significant differences in terms of sperm count, sperm abnormality, and the levels of T, FSH, LH, GDNF, SCF, and caspase-3 in the microwave group. Conclusion Under the experimental conditions, 5.8 GHz microwave exposure has no obvious effect on testicular structure and function of rats.
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Molecular Mechanism of Malignant Transformation of Balb/c-3T3 Cells Induced by Long-Term Exposure to 1800 MHz Radiofrequency Electromagnetic Radiation (RF-EMR). Bioengineering (Basel) 2022; 9:bioengineering9020043. [PMID: 35200397 PMCID: PMC8869874 DOI: 10.3390/bioengineering9020043] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 01/08/2022] [Accepted: 01/09/2022] [Indexed: 12/23/2022] Open
Abstract
Purpose: We aimed to investigate RF-EMR-induced cell malignant transformation. Methods: We divided Balb/c-3T3 cells into sham and expo groups. The expo groups were exposed to a 1800 MHz RF continuous wave for 40 and 60 days, for 4 h per day. The sham group was sham-exposed. Cells were harvested for a cell transformation assay, transplantation in severe combined immune deficient (SCID) mice, soft agar clone formation detection, and a transwell assay. The mRNA microarray assay was used to declare key genes and pathways. Results: The exposed Balb/c-3T3 cells showed a strong increase in cell proliferation and migration. Malignant transformation was observed in expo Balb/c-3T3 cells exposed for 40 days and 60 days, which was symbolized with visible foci and clone formation. Expo Balb/c-3T3 cells that were exposed for 40 days and 60 days produced visible tumors in the SCID mice. Lipid metabolism was the key biological process and pathway involved. The mevalonate (MVA) pathway was the key metabolic pathway. The interacted miRNAs could be further research targets to examine the molecular mechanism of the carcinogenic effects of long-term exposure. Conclusion: Exposure for 40 and 60 days to 1800 MHz RF-EMR induced malignant transformation in Balb/c-3T3 cells at the SAR of 8.0 W/kg. We declared that lipid metabolism was the pivotal biological process and pathway. The MVA pathway was the key metabolic pathway.
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Henschenmacher B, Bitsch A, de Las Heras Gala T, Forman HJ, Fragoulis A, Ghezzi P, Kellner R, Koch W, Kuhne J, Sachno D, Schmid G, Tsaioun K, Verbeek J, Wright R. The effect of radiofrequency electromagnetic fields (RF-EMF) on biomarkers of oxidative stress in vivo and in vitro: A protocol for a systematic review. ENVIRONMENT INTERNATIONAL 2022; 158:106932. [PMID: 34662800 PMCID: PMC8668870 DOI: 10.1016/j.envint.2021.106932] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Revised: 09/22/2021] [Accepted: 10/08/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Oxidative stress is conjectured to be related to many diseases. Furthermore, it is hypothesized that radiofrequency fields may induce oxidative stress in various cell types and thereby compromise human and animal health. This systematic review (SR) aims to summarize and evaluate the literature related to this hypothesis. OBJECTIVES The main objective of this SR is to evaluate the associations between the exposure to radiofrequency electromagnetic fields and oxidative stress in experimental models (in vivo and in vitro). METHODS The SR framework has been developed following the guidelines established in the WHO Handbook for Guideline Development and the Handbook for Conducting a Literature-Based Health Assessment). We will include controlled in vivo and in vitro laboratory studies that assess the effects of an exposure to RF-EMF on valid markers for oxidative stress compared to no or sham exposure. The protocol is registered in PROSPERO. We will search the following databases: PubMed, Embase, Web of Science Core Collection, Scopus, and the EMF-Portal. The reference lists of included studies and retrieved review articles will also be manually searched. STUDY APPRAISAL AND SYNTHESIS METHOD Data will be extracted according to a pre-defined set of forms developed in the DistillerSR online software and synthesized in a meta-analysis when studies are judged sufficiently similar to be combined. If a meta-analysis is not possible, we will describe the effects of the exposure in a narrative way. RISK OF BIAS The risk of bias will be assessed with the NTP/OHAT risk of bias rating tool for human and animal studies. We will use GRADE to assess the certainty of the conclusions (high, moderate, low, or inadequate) regarding the association between radiofrequency electromagnetic fields and oxidative stress. FUNDING This work was funded by the World Health Organization (WHO). REGISTRATION The protocol was registered on the PROSPERO webpage on July 8, 2021.
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Affiliation(s)
- Bernd Henschenmacher
- Federal Office for Radiation Protection, Ingolstädter Landstraße 1, 85764 Oberschleißheim, Germany.
| | - Annette Bitsch
- Fraunhofer Institute for Toxicology and Experimental Medicine, Chemical Safety and Toxicology, Nikolai-Fuchs-Straße 1, 30625 Hannover, Germany.
| | - Tonia de Las Heras Gala
- Federal Office for Radiation Protection, Ingolstädter Landstraße 1, 85764 Oberschleißheim, Germany.
| | - Henry Jay Forman
- Leonard Davis School of Gerontology, University of Southern California, 3715 McClintock Avenue, Los Angeles, CA 90089, USA; University of California Merced, 5200 Lake Road, Merced, CA 95343, USA
| | - Athanassios Fragoulis
- Department of Anatomy and Cell Biology, Uniklinik RWTH Aachen, Wendlingweg 2, 52074 Aachen, Germany.
| | - Pietro Ghezzi
- Brighton and Sussex Medical School, University of Sussex, Trafford Centre, Falmer BN1 9RY, United Kingdom; Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino, Italy
| | - Rupert Kellner
- Fraunhofer Institute for Toxicology and Experimental Medicine, Chemical Safety and Toxicology, Nikolai-Fuchs-Straße 1, 30625 Hannover, Germany.
| | - Wolfgang Koch
- Fraunhofer Institute for Toxicology and Experimental Medicine, Chemical Safety and Toxicology, Nikolai-Fuchs-Straße 1, 30625 Hannover, Germany.
| | - Jens Kuhne
- Federal Office for Radiation Protection, Ingolstädter Landstraße 1, 85764 Oberschleißheim, Germany.
| | - Dmitrij Sachno
- Fraunhofer Institute for Toxicology and Experimental Medicine, Chemical Safety and Toxicology, Nikolai-Fuchs-Straße 1, 30625 Hannover, Germany.
| | - Gernot Schmid
- Seibersdorf Laboratories, Campus Seibersdorf, 2444 Seibersdorf, Austria.
| | - Katya Tsaioun
- Evidence-based Toxicology Collaboration (EBTC), Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
| | - Jos Verbeek
- University Medical Center Amsterdam, Cochrane Work, Meibergdreef 9, 1105 AZ Amsterdam, the Netherlands.
| | - Robert Wright
- William H. Welch Medical Library, Johns Hopkins University School of Medicine, 2024 E. Monument Street, Suite 1-200, Baltimore, MD 21205, USA.
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Sánchez López JD, Luque Martínez F. Impacto y desafíos de la tecnología 5 g en cuidados primarios. el futuro ha llegado. Semergen 2022; 48:1-2. [DOI: 10.1016/j.semerg.2021.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Revised: 11/15/2021] [Accepted: 12/03/2021] [Indexed: 11/25/2022]
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Richards D. Flying high: a human perspective of unmanned aerial systems in future cities. THEORETICAL ISSUES IN ERGONOMICS SCIENCE 2021. [DOI: 10.1080/1463922x.2021.1957517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Dale Richards
- Department of Engineering, Nottingham Trent University, Nottingham, UK
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26
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Cazzolla Gatti R. Why We Will Continue to Lose Our Battle with Cancers If We Do Not Stop Their Triggers from Environmental Pollution. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:6107. [PMID: 34198930 PMCID: PMC8201328 DOI: 10.3390/ijerph18116107] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 05/21/2021] [Accepted: 06/01/2021] [Indexed: 12/11/2022]
Abstract
Besides our current health concerns due to COVID-19, cancer is a longer-lasting and even more dramatic pandemic that affects almost a third of the human population worldwide. Most of the emphasis on its causes has been posed on genetic predisposition, chance, and wrong lifestyles (mainly, obesity and smoking). Moreover, our medical weapons against cancers have not improved too much during the last century, although research is in progress. Once diagnosed with a malignant tumour, we still rely on surgery, radiotherapy, and chemotherapy. The main problem is that we have focused on fighting a difficult battle instead of preventing it by controlling its triggers. Quite the opposite, our knowledge of the links between environmental pollution and cancer has surged from the 1980s. Carcinogens in water, air, and soil have continued to accumulate disproportionally and grow in number and dose, bringing us to today's carnage. Here, a synthesis and critical review of the state of the knowledge of the links between cancer and environmental pollution in the three environmental compartments is provided, research gaps are briefly discussed, and some future directions are indicated. New evidence suggests that it is relevant to take into account not only the dose but also the time when we are exposed to carcinogens. The review ends by stressing that more dedication should be put into studying the environmental causes of cancers to prevent and avoid curing them, that the precautionary approach towards environmental pollutants must be much more reactionary, and that there is an urgent need to leave behind the outdated petrochemical-based industry and goods production.
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Affiliation(s)
- Roberto Cazzolla Gatti
- Konrad Lorenz Institute for Evolution and Cognition Research, 3400 Klosterneuburg, Austria;
- Biological Institute, Tomsk State University, 634050 Tomsk, Russia
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27
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Ramirez-Vazquez R, Gonzalez-Rubio J, Escobar I, Suarez Rodriguez CDP, Arribas E. Personal Exposure Assessment to Wi-Fi Radiofrequency Electromagnetic Fields in Mexican Microenvironments. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041857. [PMID: 33673014 PMCID: PMC7918906 DOI: 10.3390/ijerph18041857] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Revised: 02/05/2021] [Accepted: 02/09/2021] [Indexed: 12/23/2022]
Abstract
In recent years, personal exposure to Radiofrequency Electromagnetic Fields (RF-EMF) has substantially increased, and most studies about RF-EMF with volunteers have been developed in Europe. To the best of our knowledge, this is the first study carried out in Mexico with personal exposimeters. The main objective was to measure personal exposure to RF-EMF from Wireless Fidelity or wireless Internet connection (Wi-Fi) frequency bands in Tamazunchale, San Luis Potosi, Mexico, to compare results with maximum levels permitted by international recommendations and to find if there are differences in the microenvironments subject to measurements. The study was conducted with 63 volunteers in different microenvironments: home, workplace, outside, schools, travel, and shopping. The mean minimum values registered were 146.5 μW/m2 in travel from the Wi-Fi 2G band and 116.8 μW/m2 at home from the Wi-Fi 5G band, and the maximum values registered were 499.7 μW/m2 and 264.9 μW/m2 at the workplace for the Wi-Fi 2G band and the Wi-Fi 5G band, respectively. In addition, by time period and type of day, minimum values were registered at nighttime, these values being 129.4 μW/m2 and 93.9 μW/m2, and maximum values were registered in the daytime, these values being 303.1 μW/m2 and 168.3 μW/m2 for the Wi-Fi 2G and Wi-Fi 5G bands, respectively. In no case, values exceeded limits established by the International Commission on Non-Ionizing Radiation Protection (ICNIRP). Of the study participants (n = 63), a subgroup (n = 35) answered a survey on risk perception. According to these results, the Tamazunchale (Mexico) population is worried about this situation in comparison with several European cities; however, the risk perception changes when they are informed about the results for the study.
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Affiliation(s)
- Raquel Ramirez-Vazquez
- Applied Physics Department, Faculty of Computer Science Engineering, University of Castilla-La Mancha, Avda. de España s/n, Campus Universitario, 02071 Albacete, Spain; (I.E.); (E.A.)
- Correspondence:
| | - Jesus Gonzalez-Rubio
- Medical Science Department, School of Medicine, University of Castilla-La Mancha, C/Almansa 14, 02071 Albacete, Spain;
| | - Isabel Escobar
- Applied Physics Department, Faculty of Computer Science Engineering, University of Castilla-La Mancha, Avda. de España s/n, Campus Universitario, 02071 Albacete, Spain; (I.E.); (E.A.)
| | - Carmen del Pilar Suarez Rodriguez
- Department of Mechanical Engineering, Autonomous University of San Luis Potosi, Academic Coordination of the Huasteca South Region, Tamazunchale, San Luis Potosi 79960, Mexico;
| | - Enrique Arribas
- Applied Physics Department, Faculty of Computer Science Engineering, University of Castilla-La Mancha, Avda. de España s/n, Campus Universitario, 02071 Albacete, Spain; (I.E.); (E.A.)
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Frank JW. Electromagnetic fields, 5G and health: what about the precautionary principle? J Epidemiol Community Health 2021; 75:jech-2019-213595. [PMID: 33468601 DOI: 10.1136/jech-2019-213595] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Revised: 10/13/2020] [Accepted: 10/16/2020] [Indexed: 12/11/2022]
Abstract
New fifth generation (5G) telecommunications systems, now being rolled out globally, have become the subject of a fierce controversy. Some health protection agencies and their scientific advisory committees have concluded that there is no conclusive scientific evidence of harm. Several recent reviews by independent scientists, however, suggest that there is significant uncertainty on this question, with rapidly emerging evidence of potentially harmful biological effects from radio frequency electromagnetic field (RF-EMF) exposures, at the levels 5G roll-out will entail. This essay identifies four relevant sources of scientific uncertainty and concern: (1) lack of clarity about precisely what technology is included in 5G; (2) a rapidly accumulating body of laboratory studies documenting disruptive in vitro and in vivo effects of RF-EMFs-but one with many gaps in it; (3) an almost total lack (as yet) of high-quality epidemiological studies of adverse human health effects from 5G EMF exposure specifically, but rapidly emerging epidemiological evidence of such effects from past generations of RF-EMF exposure; (4) persistent allegations that some national telecommunications regulatory authorities do not base their RF-EMF safety policies on the latest science, related to unmanaged conflicts of interest. The author, an experienced epidemiologist, concludes that one cannot dismiss the growing health concerns about RF-EMFs, especially in an era when higher population levels of exposure are occurring widely, due to the spatially dense transmitters which 5G systems require. Based on the precautionary principle, the author echoes the calls of others for a moratorium on the further roll-out of 5G systems globally, pending more conclusive research on their safety.
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29
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Saeed N, Loukil MH, Sarieddeen H, Al-Naffouri TY, Alouini MS. Body-Centric Terahertz Networks: Prospects and Challenges. IEEE TRANSACTIONS ON MOLECULAR, BIOLOGICAL AND MULTI-SCALE COMMUNICATIONS 2021; 8:138-157. [PMID: 36345554 PMCID: PMC9564038 DOI: 10.1109/tmbmc.2021.3135198] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Accepted: 10/14/2021] [Indexed: 11/22/2022]
Abstract
Following recent advancements in Terahertz (THz) technology, THz communications are currently being celebrated as key enablers for various applications in future generations of communication networks. While typical communication use cases are over medium-range air interfaces, the inherently small beamwidths and transceiver footprints at THz frequencies support nano-communication paradigms. In particular, the use of the THz band for in-body and on-body communications has been gaining attention recently. By exploiting the accurate THz sensing and imaging capabilities, body-centric THz biomedical applications can transcend the limitations of molecular, acoustic, and radio-frequency solutions. In this paper, we study the use of the THz band for body-centric networks, by surveying works on THz device technologies, channel and noise modeling, modulation schemes, and networking topologies. We also promote THz sensing and imaging applications in the healthcare sector, especially for detecting zootonic viruses such as Coronavirus. We present several open research problems for body-centric THz networks.
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Affiliation(s)
- Nasir Saeed
- Department of Electrical EngineeringNorthern Border University Arar 9280 Saudi Arabia
| | - Mohamed Habib Loukil
- Department of Computer, Electrical and Mathematical Sciences and EngineeringKing Abdullah University of Science and Technology Thuwal 23955-6900 Saudi Arabia
| | - Hadi Sarieddeen
- Department of Computer, Electrical and Mathematical Sciences and EngineeringKing Abdullah University of Science and Technology Thuwal 23955-6900 Saudi Arabia
| | - Tareq Y Al-Naffouri
- Department of Computer, Electrical and Mathematical Sciences and EngineeringKing Abdullah University of Science and Technology Thuwal 23955-6900 Saudi Arabia
| | - Mohamed-Slim Alouini
- Department of Computer, Electrical and Mathematical Sciences and EngineeringKing Abdullah University of Science and Technology Thuwal 23955-6900 Saudi Arabia
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30
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Kim K, Lee YS, Kim N, Choi HD, Kang DJ, Kim HR, Lim KM. Effects of Electromagnetic Waves with LTE and 5G Bandwidth on the Skin Pigmentation In Vitro. Int J Mol Sci 2020; 22:E170. [PMID: 33375304 PMCID: PMC7794711 DOI: 10.3390/ijms22010170] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 12/20/2020] [Accepted: 12/21/2020] [Indexed: 12/23/2022] Open
Abstract
With the rapid growth of wireless communication devices, the influences of electromagnetic fields (EMF) on human health are gathering increasing attention. Since the skin is the largest organ of the body and is located at the outermost layer, it is considered a major target for the health effects of EMF. Skin pigmentation represents one of the most frequent symptoms caused by various non-ionizing radiations, including ultraviolet radiation, blue light, infrared, and extremely low frequency (ELF). Here, we investigated the effects of EMFs with long-term evolution (LTE, 1.762 GHz) and 5G (28 GHz) bandwidth on skin pigmentation in vitro. Murine and Human melanoma cells (B16F10 and MNT-1) were exposed to either LTE or 5G for 4 h per day, which is considered the upper bound of average smartphone use time. It was shown that neither LTE nor 5G exposure induced significant effects on cell viability or pigmentation. The dendrites of MNT-1 were neither lengthened nor regressed after EMF exposure. Skin pigmentation effects of EMFs were further examined in the human keratinocyte cell line (MNT-1-HaCaT) co-culture system, which confirmed the absence of significant hyper-pigmentation effects of LTE and 5G EMFs. Lastly, MelanoDerm™, a 3D pigmented human epidermis model, was irradiated with LTE (1.762 GHz) or 5G (28 GHz), and image analysis and special staining were performed. No changes in the brightness of MelanoDerm™ tissues were observed in LTE- or 5G-exposed tissues, except for only minimal changes in the size of melanocytes. Collectively, these results imply that exposure to LTE and 5G EMFs may not affect melanin synthesis or skin pigmentation under normal smartphone use condition.
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Affiliation(s)
- Kyuri Kim
- College of Pharmacy, Ewha Womans University, Seodaemungu, Seoul 03760, Korea;
| | - Young Seung Lee
- Radio & Satellite Research Division, Electronics and Telecommunications Research Institute, Yuseong-gu, Daejeon 34129, Korea; (Y.S.L.); (H.-D.C.)
| | - Nam Kim
- Department of Computer and Communication Engineering, Chungbuk National University, Seowon-gu, Cheongju 28644, Korea;
| | - Hyung-Do Choi
- Radio & Satellite Research Division, Electronics and Telecommunications Research Institute, Yuseong-gu, Daejeon 34129, Korea; (Y.S.L.); (H.-D.C.)
| | - Dong-Jun Kang
- Department of Pharmacology, College of Medicine, Dankook University, Cheonan, Chungnam 31116, Korea; (D.-J.K.); (H.R.K.)
| | - Hak Rim Kim
- Department of Pharmacology, College of Medicine, Dankook University, Cheonan, Chungnam 31116, Korea; (D.-J.K.); (H.R.K.)
| | - Kyung-Min Lim
- College of Pharmacy, Ewha Womans University, Seodaemungu, Seoul 03760, Korea;
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Abstract
In today's world, most children are exposed to various manmade electromagnetic fields (EMFs). EMFs are electromagnetic waves less than 300 GHz. A developing child's brain is vulnerable to electromagnetic radiation; thus, their caregivers' concerns about the health effects of EMFs are increasing. EMF exposure is divided into 2 categories: extremely low frequencies (ELFs; 3-3,000 Hz), involving high-voltage transmission lines and in-house wiring; and radiofrequencies (RFs; 30 kHz to 300 GHz), involving mobile phones, smart devices, base stations, WiFi, and 5G technologies. The biological effects of EMFs on humans include stimulation, thermal, and nonthermal, the latter of which is the least known. Among the various health issues related to EMFs, the most important issue is human carcinogenicity. According to the International Agency for Research on Cancer's (IARC's) evaluation of carcinogenic risks to humans, ELFs and RFs were evaluated as possible human carcinogens (Group 2B). However, the World Health Organization's (WHO's) view of EMFs remains undetermined. This article reviews the current knowledge of EMF exposure on humans, specifically children. EMF exposure sources, biological effects, current WHO and IARC opinions on carcinogenicity, and effects of EMF exposures on children will be discussed. As well-controlled EMF experiments in children are nearly impossible, scientific knowledge should be interpreted objectively. Precautionary approaches are recommended for children until the potential health effects of EMF are confirmed.
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Affiliation(s)
- Jin-Hwa Moon
- Department of Pediatrics, Hanyang University School of Medicine, Seoul, Korea
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32
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Hardell L, Carlberg M. Health risks from radiofrequency radiation, including 5G, should be assessed by experts with no conflicts of interest. Oncol Lett 2020; 20:15. [PMID: 32774488 PMCID: PMC7405337 DOI: 10.3892/ol.2020.11876] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Accepted: 06/19/2020] [Indexed: 12/21/2022] Open
Abstract
The fifth generation, 5G, of radiofrequency (RF) radiation is about to be implemented globally without investigating the risks to human health and the environment. This has created debate among concerned individuals in numerous countries. In an appeal to the European Union (EU) in September 2017, currently endorsed by >390 scientists and medical doctors, a moratorium on 5G deployment was requested until proper scientific evaluation of potential negative consequences has been conducted. This request has not been acknowledged by the EU. The evaluation of RF radiation health risks from 5G technology is ignored in a report by a government expert group in Switzerland and a recent publication from The International Commission on Non-Ionizing Radiation Protection. Conflicts of interest and ties to the industry seem to have contributed to the biased reports. The lack of proper unbiased risk evaluation of the 5G technology places populations at risk. Furthermore, there seems to be a cartel of individuals monopolizing evaluation committees, thus reinforcing the no-risk paradigm. We believe that this activity should qualify as scientific misconduct.
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Affiliation(s)
- Lennart Hardell
- The Environment and Cancer Research Foundation, SE-702 17 Örebro, Sweden
| | - Michael Carlberg
- The Environment and Cancer Research Foundation, SE-702 17 Örebro, Sweden
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33
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Fifth-Generation (5G) mmWave Spatial Channel Characterization for Urban Environments' System Analysis. SENSORS 2020; 20:s20185360. [PMID: 32962137 PMCID: PMC7570741 DOI: 10.3390/s20185360] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 09/05/2020] [Accepted: 09/16/2020] [Indexed: 11/16/2022]
Abstract
In this work, the channel characterization in terms of large-scale propagation, small-scale propagation, statistical and interference analysis of Fifth-Generation (5G) Millimeter Wave (mmWave) bands for wireless networks for 28, 30 and 60 GHz is presented in both an outdoor urban complex scenario and an indoor scenario, in order to consider a multi-functional, large node-density 5G network operation. An in-house deterministic Three-Dimensional Ray-Launching (3D-RL) code has been used for that purpose, considering all the material properties of the obstacles within the scenario at the frequency under analysis, with the aid of purpose-specific implemented mmWave simulation modules. Different beamforming radiation patterns of the transmitter antenna have been considered, emulating a 5G system operation. Spatial interference analysis as well as time domain characteristics have been retrieved as a function of node location and configuration.
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Bushberg JT, Chou CK, Foster KR, Kavet R, Maxson DP, Tell RA, Ziskin MC. IEEE Committee on Man and Radiation-COMAR Technical Information Statement: Health and Safety Issues Concerning Exposure of the General Public to Electromagnetic Energy from 5G Wireless Communications Networks. HEALTH PHYSICS 2020; 119:236-246. [PMID: 32576739 PMCID: PMC7337122 DOI: 10.1097/hp.0000000000001301] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 04/18/2020] [Indexed: 06/11/2023]
Abstract
This COMAR Technical Information Statement (TIS) addresses health and safety issues concerning exposure of the general public to radiofrequency (RF) fields from 5G wireless communications networks, the expansion of which started on a large scale in 2018 to 2019. 5G technology can transmit much greater amounts of data at much higher speeds for a vastly expanded array of applications compared with preceding 2-4G systems; this is due, in part, to using the greater bandwidth available at much higher frequencies than those used by most existing networks. Although the 5G engineering standard may be deployed for operating networks currently using frequencies extending from 100s to 1,000s of MHz, it can also operate in the 10s of GHz where the wavelengths are 10 mm or less, the so-called millimeter wave (MMW) band. Until now, such fields were found in a limited number of applications (e.g., airport scanners, automotive collision avoidance systems, perimeter surveillance radar), but the rapid expansion of 5G will produce a more ubiquitous presence of MMW in the environment. While some 5G signals will originate from small antennas placed on existing base stations, most will be deployed with some key differences relative to typical transmissions from 2-4G base stations. Because MMW do not penetrate foliage and building materials as well as signals at lower frequencies, the networks will require "densification," the installation of many lower power transmitters (often called "small cells" located mainly on buildings and utility poles) to provide for effective indoor coverage. Also, "beamforming" antennas on some 5G systems will transmit one or more signals directed to individual users as they move about, thus limiting exposures to non-users. In this paper, COMAR notes the following perspectives to address concerns expressed about possible health effects of RF field exposure from 5G technology. First, unlike lower frequency fields, MMW do not penetrate beyond the outer skin layers and thus do not expose inner tissues to MMW. Second, current research indicates that overall levels of exposure to RF are unlikely to be significantly altered by 5G, and exposure will continue to originate mostly from the "uplink" signals from one's own device (as they do now). Third, exposure levels in publicly accessible spaces will remain well below exposure limits established by international guideline and standard setting organizations, including ICNIRP and IEEE. Finally, so long as exposures remain below established guidelines, the research results to date do not support a determination that adverse health effects are associated with RF exposures, including those from 5G systems. While it is acknowledged that the scientific literature on MMW biological effect research is more limited than that for lower frequencies, we also note that it is of mixed quality and stress that future research should use appropriate precautions to enhance validity. The authorship of this paper includes a physician/biologist, epidemiologist, engineers, and physical scientists working voluntarily and collaboratively on a consensus basis.
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Affiliation(s)
- J T Bushberg
- Committee on Man and Radiation (COMAR), IEEE Engineering in Medicine and Biology Society
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Ye J. The Role of Health Technology and Informatics in a Global Public Health Emergency: Practices and Implications From the COVID-19 Pandemic. JMIR Med Inform 2020; 8:e19866. [PMID: 32568725 PMCID: PMC7388036 DOI: 10.2196/19866] [Citation(s) in RCA: 76] [Impact Index Per Article: 15.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 05/22/2020] [Accepted: 06/21/2020] [Indexed: 01/22/2023] Open
Abstract
At present, the coronavirus disease (COVID-19) is spreading around the world. It is a critical and important task to take thorough efforts to prevent and control the pandemic. Compared with severe acute respiratory syndrome and Middle East Respiratory Syndrome, COVID-19 spreads more rapidly owing to increased globalization, a longer incubation period, and unobvious symptoms. As the coronavirus has the characteristics of strong transmission and weak lethality, and since the large-scale increase of infected people may overwhelm health care systems, efforts are needed to treat critical patients, track and manage the health status of residents, and isolate suspected patients. The application of emerging health technologies and digital practices in health care, such as artificial intelligence, telemedicine or telehealth, mobile health, big data, 5G, and the Internet of Things, have become powerful "weapons" to fight against the pandemic and provide strong support in pandemic prevention and control. Applications and evaluations of all of these technologies, practices, and health delivery services are highlighted in this study.
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Affiliation(s)
- Jiancheng Ye
- Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
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36
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Santiñà M. [5G technology, look from healthcare quality]. J Healthc Qual Res 2020; 35:269-271. [PMID: 32563718 DOI: 10.1016/j.jhqr.2020.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Accepted: 05/10/2020] [Indexed: 10/24/2022]
Affiliation(s)
- M Santiñà
- Editor Journal Healthcare Quality Research, Adjunto Dirección de Calidad y Seguridad Clínica, Hospital Clínic de Barcelona, Barcelona, España.
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37
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Materia FT, Faasse K, Smyth JM. Understanding and Preventing Health Concerns About Emerging Mobile Health Technologies. JMIR Mhealth Uhealth 2020; 8:e14375. [PMID: 32449688 PMCID: PMC7281144 DOI: 10.2196/14375] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Revised: 12/05/2019] [Accepted: 02/09/2020] [Indexed: 12/14/2022] Open
Abstract
New technologies and innovations have often improved population well-being and societal function; however, these are also often initially accompanied by worry and fear. In some cases, such worries can impede, or even prevent entirely, the adoption of the technology. Mobile health (mHealth), a discipline broadly focused on employing ambulatory technologies to improve the affordability, reach, and effectiveness of health promotion and clinical intervention approaches, offers new innovations and opportunities. Despite emerging evidence supporting mHealth efficacy (eg, for improving health outcomes), some individuals have concerns about mHealth technology that may impede scalability, efficacy, and, ultimately, the public health benefits of mHealth. We present a review and conceptual framework to examine these issues, focusing on three overarching themes: biophysiological, psychological, and societal concerns. There are features of mHealth that lead to worries about the potential negative effects on an individual’s health (eg, due to exposure to electromagnetic or radio waves), despite evidence supporting the safety of these technologies. When present, such beliefs can lead to worry that gives rise to the experience of unpleasant and concerning physical symptoms—the nocebo effect. This may represent an important implementational barrier because of apprehension toward beneficial mHealth products (or features thereof, such as wireless charging, wearable or implantable sensors, etc) and may also have broader ramifications (eg, leading to economic, governmental, and legislative actions). In addition to reviewing evidence on these points, we provide a broad three-step model of implementation research in mHealth that focuses on understanding and preventing health concerns to facilitate the safe and effective scalability of mHealth (and that may be generalizable and applied to similar technologies): (1) evaluating and better discerning public perceptions and misperceptions (and how these may differ between populations), (2) developing theory-based public health communication strategies regarding the safety of mHealth, and (3) disseminating this messaging using evidence-based methods. Collectively, these steps converge on reviewing evidence regarding the potential role of worry and nocebo in mHealth and providing a model for understanding and changing attitudes and preventing unfounded negative perceptions related to mHealth technology.
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Affiliation(s)
- Frank T Materia
- The Pennsylvania State University, University Park, PA, United States
| | - Kate Faasse
- University of New South Wales, Sydney, Australia
| | - Joshua M Smyth
- The Pennsylvania State University, University Park, PA, United States
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Ramirez-Vazquez R, Arabasi S, Al-Taani H, Sbeih S, Gonzalez-Rubio J, Escobar I, Arribas E. Georeferencing of Personal Exposure to Radiofrequency Electromagnetic Fields from Wi-Fi in a University Area. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E1898. [PMID: 32183369 PMCID: PMC7142519 DOI: 10.3390/ijerph17061898] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/06/2020] [Revised: 03/07/2020] [Accepted: 03/09/2020] [Indexed: 12/13/2022]
Abstract
In the last two decades, due to the development of the information society, the massive increase in the use of information technologies, including the connection and communication of multiple electronic devices, highlighting Wi-Fi networks, as well as the emerging technological advances of 4G and 5G (new-generation mobile phones that will use 5G), have caused a significant increase in the personal exposure to Radiofrequency Electromagnetic Fields (RF-EMF), and as a consequence, increasing discussions about the possible adverse health effects. The main objective of this study was to measure the personal exposure to radiofrequency electromagnetic fields from the Wi-Fi in the university area of German Jordanian University (GJU) and prepare georeferenced maps of the registered intensity levels and to compare them with the basic international restrictions. Spot measurements were made outside the university area at German Jordanian University. Measurements were made in the whole university area and around two buildings. Two Satimo EME SPY 140 (Brest, France) personal exposimeters were used, and the measurements were performed in the morning and afternoon, and on weekends and weekdays. The total average personal exposure to RF-EMF from the Wi-Fi band registered in the three study areas and in the four days measured was 28.82 μW/m2. The average total exposure from the Wi-Fi band registered in the ten measured points of the university area of GJU was 22.97 μW/m2, the one registered in the eight measured points of building H was 34.48 μW/m2, and the one registered in the eight points of building C was 29.00 μW/m2. The maximum average values registered in the campus of GJU are below the guidelines allowed by International Commission on Non-ionizing Radiation Protection (ICNIRP). The measurement protocol used in this work has been applied in measurements already carried out in Spain and Mexico, and it is applicable in university areas of other countries.
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Affiliation(s)
- Raquel Ramirez-Vazquez
- Applied Physics Department, Faculty of Computer Science, Engineering, University of Castilla-La Mancha, Avda. de España s/n, Campus Universitario, 02071 Albacete, Spain; (R.R.-V.); (I.E.)
| | - Sameer Arabasi
- School of Basic Sciences and Humanities, German Jordanian University, Amman Madaba Street, P.O. Box 35247, Amman 11180, Jordan; (S.A.); (H.A.-T.); (S.S.)
| | - Hussein Al-Taani
- School of Basic Sciences and Humanities, German Jordanian University, Amman Madaba Street, P.O. Box 35247, Amman 11180, Jordan; (S.A.); (H.A.-T.); (S.S.)
| | - Suhad Sbeih
- School of Basic Sciences and Humanities, German Jordanian University, Amman Madaba Street, P.O. Box 35247, Amman 11180, Jordan; (S.A.); (H.A.-T.); (S.S.)
| | - Jesus Gonzalez-Rubio
- Medical Science Department, School of Medicine, University of Castilla-La Mancha, C/ Almansa 14, 02071 Albacete, Spain;
| | - Isabel Escobar
- Applied Physics Department, Faculty of Computer Science, Engineering, University of Castilla-La Mancha, Avda. de España s/n, Campus Universitario, 02071 Albacete, Spain; (R.R.-V.); (I.E.)
| | - Enrique Arribas
- Applied Physics Department, Faculty of Computer Science, Engineering, University of Castilla-La Mancha, Avda. de España s/n, Campus Universitario, 02071 Albacete, Spain; (R.R.-V.); (I.E.)
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Deruelle F. The different sources of electromagnetic fields: Dangers are not limited to physical health. Electromagn Biol Med 2020; 39:166-175. [PMID: 32151189 DOI: 10.1080/15368378.2020.1737811] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
The impact of electromagnetic waves on health has been clearly established by many studies in recent decades. No State, with the exception of Russia, takes any real precautions in terms of standards for the population. Conflicts of interest and political lies are used to hide the truth about the dangers of electromagnetic pollution.In addition, it would seem that other sources of radiation than the most well-known ones (mobile phones, digital enhanced cordless telecommunication (DECT) phones, bluetooth, base stations, Wi-Fi, 4G, 5G) come into play. A system such as HAARP (High-frequency Active Auroral Research Program), as well as directed wave beams (related to past and recent scandals) must be analyzed and considered in a comprehensive way to understand why the wave level is only increasing despite the considerable amount of scientific work demonstrating that the standards are not adequate to maintain public health.Thus, official documents show that the impact of electromagnetic waves is not only physical and biological. Indeed, the climate and the behavior of the population are also targeted.
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Kostoff RN, Heroux P, Aschner M, Tsatsakis A. Adverse health effects of 5G mobile networking technology under real-life conditions. Toxicol Lett 2020; 323:35-40. [PMID: 31991167 DOI: 10.1016/j.toxlet.2020.01.020] [Citation(s) in RCA: 41] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Revised: 01/16/2020] [Accepted: 01/23/2020] [Indexed: 12/23/2022]
Abstract
This article identifies adverse effects of non-ionizing non-visible radiation (hereafter called wireless radiation) reported in the premier biomedical literature. It emphasizes that most of the laboratory experiments conducted to date are not designed to identify the more severe adverse effects reflective of the real-life operating environment in which wireless radiation systems operate. Many experiments do not include pulsing and modulation of the carrier signal. The vast majority do not account for synergistic adverse effects of other toxic stimuli (such as chemical and biological) acting in concert with the wireless radiation. This article also presents evidence that the nascent 5G mobile networking technology will affect not only the skin and eyes, as commonly believed, but will have adverse systemic effects as well.
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Affiliation(s)
- Ronald N Kostoff
- Research Affiliate, School of Public Policy, Georgia Institute of Technology, Georgia, United States.
| | - Paul Heroux
- Toxicology and Health Effects of Electromagnetism, McGill University, Canada
| | - Michael Aschner
- Molecular Pharmacology, Einstein Center of Toxicology, Albert Einstein College of Medicine, United States
| | - Aristides Tsatsakis
- Laboratory of Toxicology, Medical School, University of Crete, Voutes, 71409 Heraklion, Crete, Greece; Department of Analytical, Toxicology, Pharmaceutical Chemistry and Pharmacognosy, Sechenov University, 119991 Moscow, Russia.
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Affiliation(s)
- Er-Liang Li
- Department of Orthopedics, the First Hospital of Lanzhou University, Lanzhou, Gansu 730000, China
- The First Clinical Medical College, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Wen-Ji Wang
- Department of Orthopedics, the First Hospital of Lanzhou University, Lanzhou, Gansu 730000, China
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