Worldwide standards on exposure to electromagnetic fields: an overview

Over the last years, a wide debate has developed on the possible health effects of exposure to electromagnetic fields. In-depth research activity was therefore developed by the international scientific community aimed at evaluating the risk associated with exposure to this type of radiation. At the same time, various international institutions began to issue recommendations on exposure limits valid for workers and for the population in the frequency range up to 300 GHz. Most of the recently revised safety standards worldwide are set in terms of internal rates of electromagnetic energy deposition (Specific Absorption Rate) at radiofrequency and microwave frequencies, and of induced electric fields or current densities at lower frequencies up to 10 MHz. At the international level, the most authoritative guidelines have been developed by the International Commission on Non-Ionizing Radiation Protection (ICNIRP); another internationally well recognized standard is that developed by the Institute of Electrical and Electronics Engineers (IEEE) in the USA, adopting the same basic approach of ICNIRP, although with some differences in numerical values. This article is mainly focused on the analysis of different approaches for the protection against electromagnetic fields, and on the rationale of most relevant standards.     

Needs of communications with general public about the potential risk of electromagnetic fields and methods for achieving this goal

In the recent years concerns whether exposure to electromagnetic fields (EMF) from base station antennae can cause adverse health effects are grown. Great attention is paid on risk of EMF exposure to people living in a close proximity of base stations. In this issue, a point of interest is the personnel mounting, adjusting and maintaining base stations. Their working tasks require stay in high EMF levels’ conditions. There are only few studies concerning this specific occupational group. The results from our previous investigation (Zaryabova and Israel 2006) show that in␣many cases on performing some specific tasks operators are overexposed according to our national legislation, and ICNIRP guidelines. Here, we present an extended study covering more base stations and more precise scenario for performed tasks and working positions. Results of exposure assessment are presented. They include energetic load calculations on the basis of Bulgarian national legislation, and the corresponding SAR values. Data are used to determine permissible time duration for each particular work operation and served as a base for limiting the exposure and proposal for protective measures for the personnel.     

EMF risk for operators mounting,adjusting and maintaining base stations

In the recent years concerns whether exposure to electromagnetic fields (EMF) from base station antennae can cause adverse health effects are grown. Great attention is paid on risk of EMF exposure to people living in a close proximity of base stations. In this issue, a point of interest is the personnel mounting, adjusting and maintaining base stations. Their working tasks require stay in high EMF levels’ conditions. There are only few studies concerning this specific occupational group. The results from our previous investigation (COST 281—Graz, 2006) show that in many cases on performing some specific tasks operators are overexposed according to our national legislation, and ICNIRP guidelines. Here, we present an extended study covering more base stations and more precise scenario for performed tasks and working positions. Results of exposure assessment are presented. They include energetic load calculations on the basis of Bulgarian national legislation, and the corresponding SAR values. Data are used to determine permissible time duration for each particular work operation and served as a base for limiting the exposure and proposal for protective measures for the personnel.     

Electromagnetic fields in clinical practice of physical and rehabilitation medicine: a health hazard assessment of personnel

The importance of the assessment of the electromagnetic fields /EMF/ background as a health risk factor for the physiotherapy personnel is discussed in this paper. Wide frequency and amplitude ranges as well as large variety of design prescribed in the rehabilitation program form complicated work conditions. In this paper, we attempt to present and classify this specific work environment, i.e., low intensive EMF background with non homogenous frequency and modulation characteristics, stochastic changes running during day, ground or even underground units’ placement and professional specifics, i.e., chronic EMF expositions, personnel’s trunk and hands exposure, dose-measurement absence, lack of program for prevention and prophylaxis for the assessment of the relatively insufficiently elucidated potential of EMF as a harmful factor for medical staff. Our “Study of the biological effects of the EMF among medical staff from PRM wards—potential of risk reduction”/initialized in 1999/and the original survey card structure are presented in general here first. It has been shown the importance to extend the “native” studies among homogenous professional groups, two of them presented there, as well as the study of the biological effects of EMF in their different aspects, especially taking into account the elevated levels of ionizing and non-ionizing radiation in the environment. This includes the special attention on the exposure of medical staff from PRM units and creation of adequate methods for prevention of unnecessary exposure to these physical factors.     

Therapeutic application of static magnetic fields

The interest toward clinical application of magnetic and electromagnetic stimulation increases worldwide. Numerous publications discussed the possibility exogenous magnetic and electromagnetic fields to initiate effects on various biological processes, which are of critical importance for healing of different injuries and pathologies. Today, magnetic and electromagnetic fields are increasingly utilized for treatment of various musculoskeletal injuries and pathologies. For musculoskeletal injuries and post-surgical, post traumatic and chronic wounds, reduction of edema is a major therapeutic factor in the acceleration of pain and stress relief, and thus contribute to healing processes. Electromagnetic and magnetic fields appear to be unique in their safety during clinical use. The application of this new modality will be facilitated by searching for biophysical mechanisms of action as well as by establishing exact dosimetry of application. In that respect basic science research needs to be developed in parallel with clinical applications. Magnetotherapy provides a non-invasive, safe, and easy method to directly treat the site of injury, the source of pain and inflammation, and other types of injury. Unfortunately, there are many obstacles that magnetotherapy has to overcome—both from the mainstream medicine as well as from the manufacturers and distributors of magnetic devices. The physical principle of magnetism as well as the physiological bases for the use of magnetic field for tissue repair are subjects of this review.     

Exposure to electromagnetic fields in the magnetic resonance imaging environment in South Africa

Occupational exposure to radiofrequency (RF) and static magnetic fields at magnetic resonance imaging (MRI) suites is of continuing concern to personnel who routinely work in this environment. Questions regarding the levels of occupational RF and static field exposure have increased with the increasing demand for anesthetics to be administered in this environment. The present study was thus designed towards addressing the above-mentioned problem by gaining information regarding exposure levels of clinical personnel at MRI units in South Africa. Three 1.5 MRI units in Bloemfontein, South Africa were utilized to evaluate the exposure of clinical personnel to the electromagnetic fields present in the MRI environment over a period of time and during different clinical MRI procedures. Three rounds of measurements of RF fields in the MRI environment were done. All the three measurement rounds were focused on the low frequencies, 5 Hz–32 kHz, as well as on the high frequencies, 300 kHz–40 GHz. First round measurements were done to establish the background of the RF fields in and around the magnet room during an MRI examination. Second round RF field measurements were done at a specific location, 1 m away from the bore on the right-hand side of the bed, in the MRI room. The third round measurements were of the same format as the second round, but the specific location was against the magnet bore. Two pieces of Narda Safety Test Solution instruments, the EFA-300 and EMR-300, were used to measure the electromagnetic and magnetic exposure fields generated from the MRI scanners. Results of the measurements indicate that the electromagnetic fields measured during different clinical procedures do not exceed the International Commission on Non-Ionizing Radiation Protection (2000) guidelines in these units. Results from round two and three showed that the RF and gradient exposure 1 m and up against the bore entrance does not exceed these guidelines (rms average over 6 min). Ongoing new developments in MRI scanning create the need for continuously monitoring exposure of patients and workers to the EMF fields in the MRI environment.     

Electromagnetic field dosimetry for clinical application

The 21st century medicine is characterized with increasing variety of diagnostic and therapeutic devices that implement magnetic and electromagnetic fields most of which utilize time varying signals. In many cases, however, these devices are used without proper knowledge of the physical parameters of the applied signals. In an attempt to facilitate the use of magnetotherapeutic devices, the basic principles of physical and biophysical dosimetry in clinical settings are discussed in this article.     

Systemic Effect: A New Approach to Magnetic Field Therapy

Summary Despite of decades of successful worldwide use of magnetic/electromagnetic field therapy, the answer to the question of possible mechanisms of action is still lacking. Scientific reports of successful therapeutic use of magnetic/electromagnetic fields are worldwide; however, our understanding of the underlying mechanism is limited. This paper presents a new hypothesis that therapeutic benefit of magnetic fields might result from effects that originated on the level of important systems in human body. It is known now that the life is an electromagnetic event in aqueous medium. Therefore, an appropriate choice of magnetic and/or electromagnetic field may be expected to initiate systemic changes that result in efficacious effects distant from the point of application. Observations of this phenomenon have been reported in at least two forms: (1) neutralization of the pain experience distant to the point of magnetic field exposure; and, (2) various alterations of T-lymphocytes in response to pain and to magnetic fields. Extrapolating these observations to the level of blood-vessel system, one might hypothesize that a “healthy” cell does not respond as readily to the applied fields as do abnormal cells (which are in a disease or injury state).     

Occupational noise exposure and hearing loss among pulse processing workers

Occupational noise exposure and noise-induced hearing loss (NIHL) has been recognised as a problem among workers in Indian industries. The major industries in India are based on the processing of agricultural products. There are appreciable numbers of pulse processing units spread throughout the country. The purpose of this study was to determine the prevalence of hearing loss among pulse processing workers. As a part of hearing protection intervention, audiometric tests were conducted at the binaural low (250–1,500 Hz), the binaural mid (1,500–4,000 Hz) and the binaural high (3,000–8,000 Hz) frequency averages. The prevalence of hearing loss was determined based on hearing threshold levels (HTLs) with a low fence of 25 dB. Over 50% of pulse processing workers (dana bazaar and dal mill) showed hearing loss in the noise-sensitive higher (binaural mid and high) frequencies. The rate of hearing loss was particularly high among workers in the dal mill. The analyses show a higher risk of prevalence of hearing loss among the dal mill workers compared to the workers associated with the grain preprocessing activities. The study shows alarming signals of NIHL, especially in the dal mill workers. The occupational exposure to noise could be minimised by efficient control measures through engineering controls, administrative controls and the use of personal protective devices. Applications of engineering and/or administrative controls are frequently not feasible in developing countries for technical and financial reasons. A complete hearing conservation programme, including training, audiometry and the use of hearing protection devices, is the most feasible method for the protection of industrial workers from prevailing noise in workplace environments in the developing countries.     

Asbestos fibre supply and the regulation of asbestos exposure

The USA and Canada are each considering measures to reduce general exposure to asbestos. Product bans and workplace exposure rules may each reduce general exposure by reducing domestic asbestos demand. The effectiveness of demand-reducing measures will depend upon the elasticity of asbestos supply to the domestic market. This paper provides calculations of this elasticity for three fibre grade groupings, using a framework that recognizes international trade in asbestos and the joint product nature of most asbestos fibre production. The results suggest that reductions in North American demand result in relatively substantial changes in asbestos use but very small changes in price.     

On experimental setup in bioelectromagnetics

Bioeffects created by electromagnetic field (EMF) are the subject of intensive studies. This paper critically considers estimations of exposure to EMF in bioelectromagnetic experiments. Results of calculations presented herein show the significant role of the presence of conducting bodies (the exposure system) near an object under test on EMF energy absorption as well as mutual interactions between simultaneously exposed objects. Our aims herein are twofold: firstly to find a way to refer measurement results to free-space conditions in order to enable comparison of results obtained in different laboratories, and secondly to show that EMF energy absorption in any exposed object is different and that this difference is a function of the size of the exposure system, the number of exposed objects, and the particular properties (i.e., the electromagnetic structure) of the objects. In the authors’ opinion the existence of interactions caused by the presence of the exposure system and other exposed objects is a reason why remarkable differences are observed between experiments performed even under supposedly identical conditions. The presented considerations and conclusion suggest wider participation of physicists and engineers in bioelectromagnetic experiments in order to ensure the correctness of metrological aspects of these experiments.     

ICNIRP限制电磁场暴露的导则(100kHz~300GHz)解读

ICNIRP于2020年3月出版了2020年版《限制电磁场暴露的导则(100 kHz~300 GHz)》,为了准确掌握2020版导则在基本限值和导出限值方面与旧版导则的差异,通过对比新旧导则对应条款得到具体变化情况。2020版导则修订了全身暴露基本限值与导出限值、局部暴露基本限值、神经刺激基本限值、肢体感应电流导出限值,增加了局部暴露导出限值、短暂局部暴露基本限值与导出限值,删除了微波听觉效应基本限值、接触电流导出限值。2020版导则更新了限制射频电磁场暴露的科学基础,使限值更加匹配近年来的科学研究成果,提升了导则的科学性、严谨性和准确性。     

Pulsed electromagnetic field therapy history,state of the art and future

Magnetic and electromagnetic fields are now recognized by the 21st century medicine as real physical entities that promise the healing of various health problems, even when conventional medicine has failed. Today magnetotherapy provides a non-invasive, safe, and easy method to directly treat the site of injury, the source of pain and inflammation, and other types of diseases and pathologies. Millions of people worldwide have received help in treatment of musculoskeletal system, as well as pain relief. Pulsed electromagnetic fields are one important modality in magnetotherapy and recent technological innovations, such as Curatron pulsed electromagnetic field devices, offer excellent, state of the art computer controlled therapy system. In this article the development, state of the art and future of pulsed electromagnetic field therapy are discussed.     

Reduction of Pain in Reflex Sympathetic Dystrophy (RSD) Associated with Objective Biochemical Changes in Circulating Lymphocytes

Summary In an effort to explain the benefit of therapeutic use of electromagnetic fields (EMF) a systemic effect has been proposed by us. To assess the efficacy of this approach, an objective biochemical approach was developed. Ten patients with Reflex Sympathetic Dystrophy (RSD) were clinically evaluated, and lymphocytes were isolated from their blood samples obtained before and after exposure of the uninvolved limb to an EMF. Utilizing a SpectraCell method that includes radio labeled molecules and protein-free media for culturing the lymphocytes, an elevation of the content of fructose, serine, glycine, and calcium cellular metabolic uptake were found following in the culture to EMF in comparison with non-exposed lymphocytes (p < 0.01). In addition, the pain level was determined by a conventional visual analogue scale (VAS) before and after EMF exposure, evidencing a significant pain relief. Specifically, after exposure to 120 pps semi sinewave, 1500Gauss EMF, generated by a THERAMAG^∘ledR device, an improvement in the flexibility of the limb and a reduction in swelling of the affected extremity were detected clinically. These findings are in concert with the new hypothesis that, with relief of pain, lymphocytes are predominately altered in their cell cycle from M phase to S phases associated with increased structuring of intracellular water. A consideration of the basic understanding of the role lymphocytes may be inferred from this preliminary study. An extensive review of the literature on the basic science and therapeutic use of magnetic fields in humans is provided in an attempt to understand the relevance of magnetic therapy of specific pain syndromes.     

How living systems recognize applied electromagnetic fields

Natural and man-made magnetic and electromagnetic fields are important factors in the contemporary life. The paper discusses the role of environmental magnetic and electromagnetic fields in origin and evolution of life. A brief review of the characteristics of Earth magnetic field, Earth magnetosphere, and their role as a shield for cosmic radiation follows. The role of endogenous and exogenous magnetic fields is discussed in respect of the clarification of the potential hazard and benefit of electromagnetic fields. The second part of the paper discusses the mechanisms of detection and response to exogenous electromagnetic fields, as well as threshold versus window hypothesis for mechanisms of interactions. Finally, the necessity of accurate dosimetry at the target site and the importance of relevant research and clinical protocols in studying biological responses are pointed out.     

Mobile communications and health of population: the risk assessment, social and ethical problems

Today world population lives in a new electromagnetic environment, characterized with (i) around the clock enforcement of chronic exposure of all age and gender groups to a wide range of modulated electromagnetic fields (EMF) from base stations; (ii) daily, repeated from early childhood throughout entire life exposure to EMF RF mobile phone the brain and vestibular receptor apparatus and auditory analyzers, located directly “under the EMF beam” in the inner ear. On the other hand, the world science and epidemiology is missing well-planned and executed research results of prolonged exposure of EMF RF on the brain. International recommendations and domestic guidelines do not include changing conditions of RF EMF on the population: the brain has become a critical organ, and the children entered the risk group. The population continues to actively use the mobile phone. In this situation the problem of assessing the risk of mobile communications has become a social and ethical.     

Biological evidences than human osteoarthritic chondrocytes could be affected by electromagnetic fields with extremely low-frequency or new TAMMEF system

Osteoarthritis (OA) is a chronic degenerative condition involving the joints caused by metabolic changes in chondrocytes metabolism. Treatment with magnetic fields (EMFs) produces benefits to patients affected by this pathology. The present research has the aim to investigate, by a proteomic approach, the effect of magnetic fields on cultured chondrocytes, because EMFs interferes greatly with OA chondrocytes metabolism. Human osteoarthritic chondrocytes were obtained from the femur head of osteoarthritis adult patients and were cultured under standard conditions and exposed for precise times both to extremely low-frequency (ELF; 100-Hz) electromagnetic fields and to the Therapeutic Application of Musically Modulated Electromagnetic Fields (TAMMEF), which are characterized by variable frequencies, intensities, and wave shapes. We tested the effects of the different exposure by 2-DE analysis and demonstrated that chondrocytes metabolism was highly influenced by the treatment with EMFs; in fact many proteins change their expression after the stimulation, but differently, depending on whether we use ELF or TAMMEF system.     

Electromagnetic field levels in the working environment in radio and TV stations

Electromagnetic field sources used for communication always have been subject of serious interest. There are many publications concerning exposure and risk assessment of the working in such environment. Results of epidemiological study performed in Bulgaria in the 1990's show exceeding of the maximal permissible values especially in radio stations for the personnel in 24 h working shift [Israel et al. (1992). Study of the electromagnetic in its influence on personnel working in radio and TV stations, Report, National Centre of Hygiene, Medical Ecology and Nutrition; Israel and Tomov (2001). Epidemiological study of the effects of radiofrequency radiation on operators in radio, TV and relay stations, Proceeding of the Eastern European Regional Meeting and Workshop “Measurements and Criteria for Standard Harmonization in the field of EMF Exposure” and WHO EMF Standards Harmonization Meeting, Varna, Bulgaria, 28 April—3 May, 2001, pp.145–153]. In the last years the situation is strongly influenced by the development of the technology which leads to changes in equipment in radio and TV stations, using lower power, facilitate the working regime. The paper presents data of exposure assessment of different professional groups in selected radio and TV stations. Assessment is being performed on basis of EMF parameters values and energetic load calculations according to the national legislation. Data are compared with the results of previous investigation to evaluate the new situation in this branch. Exposure levels are much lower than those in the previous study, and lower compared to the exposure limits, as well [Israel et al. (1992). Study of the electromagnetic in its influence on personnel working in radio and TV stations, Report, National Centre of Hygiene, Medical Ecology and Nutrition; Israel and Tomov (2001). Epidemiological study of the effects of radiofrequency radiation on operators in radio, TV and relay stations, Proceeding of the Eastern European Regional Meeting and␣Workshop “Measurements and Criteria for Standard Harmonization in the field of EMF Exposure” and WHO EMF Standards Harmonization Meeting, Varna, Bulgaria, 28 April—3 May, 2001, pp.145–153].     

Biological effect on blood cerebrospinal fluid barrier due to radio frequency electromagnetic fields exposure of the rat brain in vivo

Concerns on health effects of radiofrequency (RF) signals have been discussed. Particularly, the effect on the central nerve system is one of main interest among the general public. So far, there are lots of studies regarding the RF effect on the Blood Brain Barrier (BBB), but no study of the RF effect on the Blood Cerebrospinal fluid Barrier (BCB). In this study we explored the effect on BCB function by radiofrequency electromagnetic fields (RF-EMF) exposure. To attain this purpose, we set about to make a real-time measuring system for BCB function using a micro-perfusion method and examined the short time exposure experiment using rats. Our data suggested the 30 min single exposure of 1.5 GHz RF-EMF at the brain average SARs of 9.5 W/kg for adult and 10.4 W/kg for juvenile, did not affect BCB function in rats under the experimental conditions.     

Safe alternative cancer therapy using electromagnetic fields

This article highlights recent research on the beneficial use of selected low frequency electromagnetic fields (EMF) as a safe alternative therapy for treatment of cancer and other health problems. It is shown that EMF therapy provides a safe alternative and adjunct modality for the treatment of cancer and other health problems, and therefore, research in this field deserves more support. The paper also discusses some reports and hypothesis of potential risk of human exposure to low frequency EMF, mainly to the power line frequency of 60 Hz.