Prioritizing health outcomes when assessing the effects of exposure to radiofrequency electromagnetic fields: A survey among experts

Exposure to radiofrequency (RF) electromagnetic fields (EMF) (frequencies of 100 kHz to 300 GHz) has been steadily increasing. In addition to heat-related effects of RF EMF, other yet-unspecified biological effects, might exist which could possibly lead to health effects. Given the large number of h...

Full description

Bibliographic Details
Main Authors: Jos Verbeek, Gunnhild Oftedal, Maria Feychting, Eric van Rongen, Maria Rosaria Scarfì, Simon Mann, Rachel Wong, Emilie van Deventer
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:Environment International
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0160412020322558
_version_ 1823958718244454400
author Jos Verbeek
Gunnhild Oftedal
Maria Feychting
Eric van Rongen
Maria Rosaria Scarfì
Simon Mann
Rachel Wong
Emilie van Deventer
author_facet Jos Verbeek
Gunnhild Oftedal
Maria Feychting
Eric van Rongen
Maria Rosaria Scarfì
Simon Mann
Rachel Wong
Emilie van Deventer
author_sort Jos Verbeek
collection DOAJ
description Exposure to radiofrequency (RF) electromagnetic fields (EMF) (frequencies of 100 kHz to 300 GHz) has been steadily increasing. In addition to heat-related effects of RF EMF, other yet-unspecified biological effects, might exist which could possibly lead to health effects. Given the large number of health endpoints that have been studied, we wanted to prioritize those that would merit systematic reviews.We developed a survey listing of all health endpoints reported in the literature and we asked 300 RF EMF experts and researchers to prioritize these health effects for systematic review as critical, important or unimportant. We also asked the experts to provide the rationale for their prioritization.Of the 300 RF EMF experts queried, 164 (54%) responded. They rated cancer, heat-related effects, adverse birth outcomes, electromagnetic hypersensitivity, cognitive impairment, adverse pregnancy outcomes and oxidative stress as outcomes most critical regarding RF EMF exposure. For these outcomes, systematic reviews are needed. For heat-related outcomes, the experts based their ranking of the critical outcomes on what is known from human or animal studies, and for cancer and other outcomes, they based their rating also on public concern.To assess health risks of an exposure in a robust manner, it is important to prioritize the health outcomes that should be systematically reviewed. Here we have shown that it feasible to do so in an inclusive and transparent way.
first_indexed 2024-12-17T16:21:22Z
format Article
id doaj.art-4a0ae9a5f6f84975b60b389e7035bb27
institution Directory Open Access Journal
issn 0160-4120
language English
last_indexed 2024-12-17T16:21:22Z
publishDate 2021-01-01
publisher Elsevier
record_format Article
series Environment International
spelling doaj.art-4a0ae9a5f6f84975b60b389e7035bb272022-12-21T21:41:31ZengElsevierEnvironment International0160-41202021-01-01146106300Prioritizing health outcomes when assessing the effects of exposure to radiofrequency electromagnetic fields: A survey among expertsJos Verbeek0Gunnhild Oftedal1Maria Feychting2Eric van Rongen3Maria Rosaria Scarfì4Simon Mann5Rachel Wong6Emilie van Deventer7Amsterdam University Medical Center, Cochrane Work Review Group, Amsterdam, the Netherlands; Corresponding author at: Amsterdam University Medical Center, Cochrane Work Review Group, Amsterdam, the Netherlands.Department of Electronic Systems, Norwegian University of Science and Technology - NTNU, Trondheim, NorwayUnit of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, SwedenHealth Council of the Netherlands, Den Haag, the NetherlandsNational Research Council, Institute for Electromagnetic Sensing of the Environment, Naples, ItalyPublic Health England, Chilton, Didcot, United KingdomUniversity of Toronto, Toronto, CanadaDepartment of Environment, Climate Change and Health, World Health Organization, Geneva, SwitzerlandExposure to radiofrequency (RF) electromagnetic fields (EMF) (frequencies of 100 kHz to 300 GHz) has been steadily increasing. In addition to heat-related effects of RF EMF, other yet-unspecified biological effects, might exist which could possibly lead to health effects. Given the large number of health endpoints that have been studied, we wanted to prioritize those that would merit systematic reviews.We developed a survey listing of all health endpoints reported in the literature and we asked 300 RF EMF experts and researchers to prioritize these health effects for systematic review as critical, important or unimportant. We also asked the experts to provide the rationale for their prioritization.Of the 300 RF EMF experts queried, 164 (54%) responded. They rated cancer, heat-related effects, adverse birth outcomes, electromagnetic hypersensitivity, cognitive impairment, adverse pregnancy outcomes and oxidative stress as outcomes most critical regarding RF EMF exposure. For these outcomes, systematic reviews are needed. For heat-related outcomes, the experts based their ranking of the critical outcomes on what is known from human or animal studies, and for cancer and other outcomes, they based their rating also on public concern.To assess health risks of an exposure in a robust manner, it is important to prioritize the health outcomes that should be systematically reviewed. Here we have shown that it feasible to do so in an inclusive and transparent way.http://www.sciencedirect.com/science/article/pii/S0160412020322558Radiofrequency electromagnetic fieldsMobile phonesAdverse health effectsWorld Health OrganizationSystematic reviewPriority setting
spellingShingle Jos Verbeek
Gunnhild Oftedal
Maria Feychting
Eric van Rongen
Maria Rosaria Scarfì
Simon Mann
Rachel Wong
Emilie van Deventer
Prioritizing health outcomes when assessing the effects of exposure to radiofrequency electromagnetic fields: A survey among experts
Environment International
Radiofrequency electromagnetic fields
Mobile phones
Adverse health effects
World Health Organization
Systematic review
Priority setting
title Prioritizing health outcomes when assessing the effects of exposure to radiofrequency electromagnetic fields: A survey among experts
title_full Prioritizing health outcomes when assessing the effects of exposure to radiofrequency electromagnetic fields: A survey among experts
title_fullStr Prioritizing health outcomes when assessing the effects of exposure to radiofrequency electromagnetic fields: A survey among experts
title_full_unstemmed Prioritizing health outcomes when assessing the effects of exposure to radiofrequency electromagnetic fields: A survey among experts
title_short Prioritizing health outcomes when assessing the effects of exposure to radiofrequency electromagnetic fields: A survey among experts
title_sort prioritizing health outcomes when assessing the effects of exposure to radiofrequency electromagnetic fields a survey among experts
topic Radiofrequency electromagnetic fields
Mobile phones
Adverse health effects
World Health Organization
Systematic review
Priority setting
url http://www.sciencedirect.com/science/article/pii/S0160412020322558
work_keys_str_mv AT josverbeek prioritizinghealthoutcomeswhenassessingtheeffectsofexposuretoradiofrequencyelectromagneticfieldsasurveyamongexperts
AT gunnhildoftedal prioritizinghealthoutcomeswhenassessingtheeffectsofexposuretoradiofrequencyelectromagneticfieldsasurveyamongexperts
AT mariafeychting prioritizinghealthoutcomeswhenassessingtheeffectsofexposuretoradiofrequencyelectromagneticfieldsasurveyamongexperts
AT ericvanrongen prioritizinghealthoutcomeswhenassessingtheeffectsofexposuretoradiofrequencyelectromagneticfieldsasurveyamongexperts
AT mariarosariascarfi prioritizinghealthoutcomeswhenassessingtheeffectsofexposuretoradiofrequencyelectromagneticfieldsasurveyamongexperts
AT simonmann prioritizinghealthoutcomeswhenassessingtheeffectsofexposuretoradiofrequencyelectromagneticfieldsasurveyamongexperts
AT rachelwong prioritizinghealthoutcomeswhenassessingtheeffectsofexposuretoradiofrequencyelectromagneticfieldsasurveyamongexperts
AT emilievandeventer prioritizinghealthoutcomeswhenassessingtheeffectsofexposuretoradiofrequencyelectromagneticfieldsasurveyamongexperts