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FAQs and Facts
Position Statements
Neurosurgeon claims about mobile phones and cancer
April 8, 2008
Printable version (PDF format)
In a self published online report, Canberra based neurosurgeon, Dr Vini Khurana, claims that there is compelling evidence of a link between mobile phone use and brain tumours. The report purports to undertake a wide ranging review of the literature on the subject of mobile phone use and the incidence of brain tumours, mostly based on epidemiological studies undertaken in the last decade or so. The review was not published in a peer reviewed journal and presents no new research findings.
While making strong claims that “There is a growing and statistically significant body of evidence that brain tumours…are linked with “heavy” and “prolonged” mobile phone use…”, the review is inexpert and incomplete, containing a number of factual errors. In particular, Khurana fails to consider the relative scientific quality of different studies. This produces an unbalanced analysis of the literature, which is also selective in support of the author’s claims.
The ACRBR recommends a ‘weight of evidence approach’ when reviewing the RF health effects literature, giving priority to the results of published, peer-reviewed and replicated scientific research. Hence, the epidemiological evidence regarding a possible association between RF exposure and brain tumours has not indicated a causal relationship. For example, “Interphone”, the largest study performed to date, has not found any consistent relationship between mobile phone use and brain tumours, although compilation of data from this study is incomplete. In a recent update on their website (see http://www.iarc.fr/ENG/Units/INTERPHONEresultsupdate.pdf), the International Agency for Research on Cancer (IARC, which co-ordinates the Interphone study) reports little evidence in the main analyses for an overall association between mobile phone use and an increase in the incidence of head and neck tumours The ACRBR has completed a systematic review of all studies published so far (itself awaiting publication) and is also of this view, although this is contingent on the findings when the complete data from Interphone become available later this year.
It is also the view of the leading international health authority, the World Health Organisation (WHO) (see http://www.who.int/peh-emf/about/en/), that research to date has not identified any association between mobile phone base stations and adverse health effects.
However, both the ACRBR and WHO agree there is a need for more research in certain areas to improve knowledge and better evaluate any possible health risk. In response to these concerns, the ACRBR has been funded by the Australian Government to conduct a wide-ranging program of research on neurological and behavioural aspects of mobile telephony, embracing epidemiological, human, animal and cellular studies. The ACRBR also specialises in the measurement and analysis of the absorption of energy from radio devices by biological systems, including humans.
ACRBR review of Lahkola et al: Mobile phone use and risk of glioma in 5 North European countries
April 1, 2007
Lahkola et al abstract: PubMed entry
Printable version (PDF format)
What is this study?
This investigation is part of the larger Interphone study, which is a case-control study examining the association between mobile phone use of up to 10 years and brain tumours. In this study participants were recruited from Finland, Denmark, Norway, Sweden and the South-Eastern region of the United Kingdom. This amounted to 1,522 subjects suffering from a particular brain cancer known as glioma (cases), who were recruited from national cancer registries and hospitals, and 3,301 healthy subjects (controls), who were recruited at random from national population registers or other publicly available lists of wide cross-sections of the community. To reduce systematic differences between the two groups, control subject were chosen to match case subjects in terms of age, gender, and region of residence. The researchers then compared differences in mobile phone usage patterns between the cases and controls to determine whether there was any association between their disease status (case or control) and their mobile phone use.
What were the findings?
No indication was found of increased glioma risk with mobile phone use for categories of ‘regular phone use’ (defined as use at least once a week for six months), duration of use, years since first use, number of calls or cumulative hours of phone use. Results were similar for men and women, for analogue and digital phones, and across the five countries. The authors report a marginally significant increase in the risk of glioma for greater than ten years of use, where the use is reported on the same side of the head as the tumour was diagnosed (ipsilateral). However, they also report a corresponding decrease in the risk of glioma where phone use occurred on the opposite side of the head as the tumour (contralateral). This is widely regarded as indicating recall bias in the results, meaning a skew in results due to inaccurate reporting of phone use by participants. The authors note this limitation in the particular finding and suggest that more research is needed to clarify this result.
How should the results be interpreted?
The overall results of this study, based on a large number of cases and controls, provide strong evidence of no increased risk of glioma associated with mobile phone use of up to 10 years. Results for the sub-category of ipsilateral/contralateral phone use of longer than ten years are drawn from far fewer subjects, providing far less certainty in those results. Additionally, the ipsilateral and contralateral results are contradictory, and the authors caution that such findings are “…difficult to interpret and lend themselves to…non-causal (artefactual) explanations.” In particular, it is worth noting that when the researchers restrict the data contributing to this result to only that which they consider to be of “good or very good” quality, the association reported is no longer evident.
What conclusions can we draw?
Overall, the only strong conclusion that can be drawn is that this study provides no evidence of an increased risk of glioma associated with mobile phone use up to 10 years. Firm results cannot be drawn regarding phone use of longer than 10 years, but it is hoped that the upcoming results from the full Interphone analysis from 13 countries will provide more information.
ACRBR Position Statement on Reported RMIT Cancer Cluster
August 3, 2006
Printable version (PDF format)
RMIT today released the findings of an independent review led by A/Prof LaMontagne
(http://mams.rmit.edu.au/g60adi0a81r3.pdf),
of recent investigations addressing an apparent
brain tumour cluster occurring in the top two floors of their Business Studies building in
Bourke St, Melbourne. The Australian Centre for Radiofrequency Bioeffects Research
(ACRBR) has been monitoring this issue closely due to initial concerns by RMIT staff that this
‘reported cluster’ may be related to telecommunications base stations on the roof of that
building.
The LaMontagne review was summarized as concluding that 1/ there is no evidence of a
brain tumour cluster, and 2/ there is no evidence of exposures at or above levels of concern
for known or suspected occupational or environmental risk factors for brain cancer. The
ACRBR has assessed this review, and believe that these conclusions are entirely
appropriate.
Consistent with this conclusion, the ACRBR would emphasize the following:
1/ As pointed out by the LaMontagne Review, given the size and age of the workforce over
those two floors, 7 cases of malignant tumour is about what would be expected based on the
incidence of cancer in the Victorian population.
2/ Radiofrequency (RF) fields in publicly accessible areas in the vicinity of mobile phone base
stations are exceedingly low and below Australian and International standards.
3/ Based on extensive investigation and consultation with research and community groups,
the leading international health authority, the World Health Organisation (WHO) (see
http://www.who.int/peh-emf/about/en/), has concluded that there is no evidence of an
association between mobile phone base stations and adverse health effects.
4/ Investigation of apparent cancer clusters is rarely conclusive. Apart from well documented
events such as exposure to ionising radiation from atomic blasts or catastrophic reactor
leakages and contaminants such as asbestos, it is often difficult to identify an environmental
cause. Moreover, the cause of brain tumours is poorly understood (see
http://www.ncri.ie/cancerinfo/clusters.shtml).
However, both the ACRBR and WHO agree there is a need for more research in certain
areas to improve knowledge and better evaluate any possible health risk. In response to
these concerns, the ACRBR has been funded by the Australian Government to conduct a
wide-ranging program of research on neurological and behavioural aspects of mobile
telephony, embracing epidemiological, human, animal and cellular studies. The ACRBR also
specialises in the measurement and analysis of the absorption of energy from radio devices
by biological systems, including humans.
Frequently Asked Questions
What is radiofreqency (RF) energy?
Radiofrequency (RF) energy is a type
of electromagnetic radiation. Electromagnetic radiation consists of waves
of electrical and magnetic energy which 'radiate' (that is, travel) through
space. The number of waves occurring per second is known as the frequency
of the electromagnetic radiation and is measured in Hertz (Hz).
Radiofrequency electric and magnetic waves occur at a rate of 3 kilohertz
(kHz) - 300 Megahertz (MHz) (that is, 3 thousand to 300 million waves per
second).
Sources of RF exposure
Typical sources of radiowaves
include television and radio transmitters, and mobile phone signals, mobile
phone towers, magnetic resonance imaging (MRI), and microwave ovens. The
sun also emits radiowaves.
Are there other types of electromagnetic radiation?
Radiowaves are only one portion of
the electromagnetic spectrum. Other forms of electromagnetic radiation
includes ultraviolet light, visible light, and x-rays. Each of these types
of radiation are defined by their frequency.
What is the difference between RF and other forms of electromagnetic radiation?
The frequency of an electromagnetic
wave has very important consequences for the way in which it interacts with
the human body. Very high frequency electromagnetic waves, such as x-rays,
gamma rays, and radiation emitted from radioactive substances are classified
as ionising forms of radiation. This means that they carry
sufficient quantum energy to strip electrons away from atoms creating free
radicals which can be damaging to cells in the human body, subsequently high doses of ionising radiation is damaging to the human body
and human DNA and can cause cancer.
Radiowaves, visible light and microwaves are all considered non-ionising forms of radiation. This
is because, no matter how intense, non-ionising radiation is incapable of
breaking electrical bonds within atoms. However, non-ionising radiation
does cause a heating effect which is proportional to its intensity and if
present in sufficient quantity may be harmful.
Can radiowaves cause cancer?
There has been numerous studies of
the relationship between radiowave exposure and cancer, ranging from animal
and biological tissue sample studies to human studies in which the health of
human volunteers is monitored in relation to their exposure to radiowaves
(e.g. through mobile phone use). This literature has been reviewed by
numerous national and international committees, expert working groups and
agencies. Recently, National Radiological Protection Board (UK) reviewed 26
such reports regarding the health effects of mobile phones that were
published between 2000 and 2004. These reports were similar in their
conclusions and recommendations. Overall, these reports suggested that
mobile phone emissions may have subtle biological effects, but that there is
no strong evidence to suggest that mobile phone emissions have adverse
health effects such as cancer.
How might mobile phone affect the brain?
It is widely accepted that emissions
from mobile phones cause minute heating of the brain. This is due to two
factors. First, the electric field generated by mobile phone causes
electrically charged particles in brain tissue to move. The electrical
properties of the brain tissue provide some resistance to this movement, and
this produces heat. Second, the electric field causes water molecules,
which are positively charged at one end and negatively charged at the other,
to rotate such that they are electrically aligned with the electrical
field. Due to the cohesive properties of water, there is again some
resistance to this process, thus producing heat.
The power output of mobile phones
are limited by international standards to protect users from excessive
heating. These standards dictate that the average specific energy
absorption rate (SAR) in any 10g region of biological tissue produced by
radiofrequency emission must be less than 2 W/kg for the public and 10 W/kg
for those who are occupationally exposed. At these levels, the degree of
heating within the brain at the point closest to a mobile phone antenna is
thought to be less than 1°C. This heat is thought to dissipate quickly to
surrounding tissue and is thought to pose no health risk. Based on current
evidence, RF-induced heating of brain tissue is the only widely accepted
explanation for possible RF-induced changes in cognition (memory and
attention).
Nevertheless, there have been
several theories about how mobile phone emissions may interact with
biological tissue through mechanisms which do not involve heat (non-thermal
mechanisms). For
example, it has been suggested mobile phone emission could also exert
magnetic forces on the ferrimagnetic compound magnetite (Fe3O4)
which occurs naturally within the body. Because this compound is often
mechanically linked to cellular ion channels (the gates to the inside of
cells) within the brain, these forces
may open ion channels leading to altered nerve cell activity. However, this
and many other non-thermal theories are doubtful, as almost all supporting
evidence has been obtained using electromagnetic radiation outside of the
radiofrequency range or of far greater intensity than is emitted by mobile
phones. Based on present evidence and currently accepted laws of
biophysics, it has been argued in several recent scientific reviews that it
is very unlikely that mobile phones are able to interact with biological
matter through non-thermal mechanisms. Nevertheless, a select number of
proposed non-thermal interaction mechanisms have some experimental
support which requires further research.
What about mobile phone base stations?
The antennas used by base stations are placed up high and emit radiowaves in
a horizontal direction. Radiowaves spread out as they travel and hit
the ground at some distance from the antenna, like water from a water
sprinkler. This means that the point of maximum radiowave exposure is
located at some distance from the antenna. Typically peak exposure may
occur at 100 metres from the antenna, but even here the amount of radiowave
exposure received is considered very low and is considerably less than one
would receive when using a mobile telephone. However distances to peak
radiowave strength vary considerably based on the antenna height, tilt and
orientation (e.g. distance of 14 to 480 metres from the antenna have
recently been reported in Australia). The Australian Radiation Protection
and Nuclear Safety Agency (ARPANSA) conducted a study in which radiowaves
were measured in the vicinity of 60 mobile phone base stations in five
Australian state capitals. In all cases the measured levels were found to be
far below the applicable exposure limits (follow this
link for the report).
Radiofrequency Emissions from Wireless Computer Networks
In order to reduce the inconvenience and trip hazards of running multiple connecting cables
between PCs, printers, modems and other internet connections, many homes, schools and offices
have installed Wireless Local Area Network (WLAN) systems. These systems have the added bonus
of allowing, for example, laptops to be operated in the garden or other convenient locations
rather than being restricted by cable length. Wireless communication is typically achieved
by using a ‘router’ (which is a two-way transmitter and receiver) sited close to the main
wired or cable internet connection and a card or plug-in device in the computer, which also
acts as a transmitter and receiver of data. In office environments, numerous ‘access points’
(which are similar in function to a router) are placed at convenient points within buildings,
usually on ceilings or walls. Each of these routers or access points has to comply with rigid
RF emission standards with antennas designed for home or in-building use rated at less than
100 mW (which is similar to a mobile phone handset in normal operation). They typically operate
at frequencies similar to the new 3G (UMTS) network or higher. In order to prevent interference
the range of most domestic routers is around 30 m and the range for office locations is about
the same, although multiple access points will ensure adequate coverage for a large building complex.
Laptops and PCs also have a transmitting antenna, which often is an integral part of the internal
circuitry or plug-in device. The antenna is similar to a mobile phone handset antenna, but in
general, operates at a lower signal strength, since the router or access point is much closer
than the mobile phone base station, which could be kilometres away.
In terms of RF exposure, the worst-case scenario is probably the use of a laptop computer
actually on the lap, where parts of the body may only be centimetres away. There is also
the possibility of children playing near to the antennas of the computer or the router.
However, this is likely to be less than the exposure to the brain from a mobile phone handset,
where the antenna is probably much closer. In terms of duration of exposure, the transmission
of RF energy is greatest during data uploads from and downloads to the internet. This will usually
only occupy a small fraction of time spent at the computer.
The UK Health Protection Agency has conducted measurements from WLANS and have found RF
emissions to be well within international health and safety guidelines.
See also: note on use of personal data assistants (PDAs); Cordless Phones
For further information see:
http://en.wikipedia.org/wiki/Wireless_LANhttp://en.wikipedia.org/wiki/Wi-Fi#Wireless_Routerhttp://www.hpa.org.uk/radiation/understand/radiation_topics/emf/wlans.htm
The Use of Mobile Phones in Hospitals
In most hospitals there are local rules on visitor use of mobile phones.
Recently, there has been some relaxation of the earlier ‘blanket bans’ to
permit visitor use in certain designated areas. Mobile phones are increasing
being used by medical staff to inform relative of the outcome of medical
procedures, so it is incongruous to prohibit visitor use, particularly where
arrangements concerning patient wellbeing are concerned.
Blanket bans were originally introduced not because of concerns for possible
effects of RF emissions on health, but because in a number of isolated instances
sensitive hospital equipment, especially life support systems, were found to be
affected by the RF emissions from the phone handsets. However, if the phone or other
wireless device is more than 2 m from the equipment, the incidence of clinically
relevant interference is very low, but not zero. There is thus some justification
in designating some ‘phone and GPRS switch-off’ areas of the hospitals where sensitive
life-support equipment is expected to be. Nevertheless, because of the difficulty of
knowing, especially when replying to a mobile phone call, how far away particular
equipment is, these areas may need to include corridors and other public space. More
modern devices may be less capable of causing interference because of the higher
frequencies, lower transmit powers and different modulation schemes involved.
See also: Using mobile phones at motor service stations; Use of mobile phone on aircraft
For further information:
http://www.mhra.gov.uk/home/idcplg?
IdcService=SS_GET_PAGE&useSecondary=true&ssDocName=CON2023751http://www.fda.gov/cdrh/emc/emc-in-hcf.html
Lawrentschuk N, Bolton DM. 2004. Mobile phone interference with medical equipment and its clinical relevance: a systematic review. Med J Aust; 181:145-9
Using Mobile Phones at Motor Service Stations
Most motor service stations have warning signs at fuel bowsers to request that
mobile phones be turned off. These signs have no legal status but have been in place
for many years because of a concern not of possible health effects from RF emissions
but of fuel vapour ignition from electrical sparks. Whilst it is true that sparks can
ignite flammable vapour, modern mobile phone handsets are highly unlikely to produce
sparks, because the switches and keys operate on different principles to those used
in the early prototypes in the 1980s and which may have been the reason for initial
caution. There has not been a single incident in which mobile phone use has been
unambiguously implicated in the ignition of fuel vapour at filling stations, although
there have been unsubstantiated media stories. Curiously, nylon clothing (which can
cause significant sparks due to static electricity), is not banned at service stations.
See:
http://news.bbc.co.uk/2/hi/uk_news/england/kent/4366337.stm
Use of mobile phone on aircraft
On air flights the announcement is routinely made at the commencement of preparation for
take-off that all mobile communications equipment and hand-held games be turned off. This
is because the RF emissions from mobile phones can interfere with aircraft navigation and
other electronic equipment. At cruising altitude, the base stations are so far away that
the handsets have to transmit at full power to try to establish contact.
Qantas introduced a 3-month trial, commencing in April 2007, in which mobile phones and
personal data assistants (PDAs) can be used during domestic flights, because aircraft been
installed with a ‘microcell’ to monitor and relay calls. The handsets are thus contacting a
base-station a matter of metres away and thus power down to a minimum level.
See:
http://en.wikipedia.org/wiki/Mobile_phones_on_aircrafthttp://www.qantas.com.au/info/flying/inTheAir/communications#jump0
Broadband over Powerlines (BPL)
An innovated solution to providing fast internet in homes is to deliver the data as an
additional RF current to the mains current provided by the power socket to the computer
or computer peripheral. The RF current represents a tiny fraction of the total current and
electronic circuitry can easily separate the two forms of current. What this means is that
in addition to the electric and magnetic fields (EMF) associated with the electric power
(so called Extremely Low Frequency of ELF fields) there are also RF EMFs. Since the values
of EMF allowed in safety standards are much lower at RF compared with ELF, there is some concern
that the fields could affect health. However, the currents are so small and the fields fall off
very rapidly with distance, so appear to be well within the limits for human exposure. The UK
Health Protection Agency has undertaken some measurements, which confirm this.
See:
http://en.wikipedia.org/wiki/Power_line_communication#Internet_access_.
28Broadband_over_powerlines.2C_BPL.29
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