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The Lancet Planetary Health

As the Planetary Health Alliance moves forward after a productive second annual meeting, a discussion on the rapid global proliferation of artificial electromagnetic fields would now be apt. The most notable is the blanket of radiofrequency electromagnetic radiation, largely microwave radiation generated for wireless communication and surveillance technologies, as mounting scientific evidence suggests that prolonged exposure to radiofrequency electromagnetic radiation has serious biological and health effects. However, public exposure regulations in most countries continue to be based on the guidelines of the International Commission on Non-Ionizing Radiation Protection1International Commission on Non-Ionizing Radiation ProtectionICNIRP guidelines for limiting exposure to time-varying electric, magnetic, and electromagnetic fields (up to 300 GHz).Health Phys. 1998; 74: 494-522PubMed Google Scholar and Institute of Electrical and Electronics Engineers,2Institute of Electrical and Electronics EngineersIEEE C95.7-2014—IEEE recommended practice for radio frequency safety programs, 3 kHz to 300 GHz. IEEE Standards Association, 2014https://standards.ieee.org/standard/C95_7-2014.htmlDate accessed: November 6, 2018Google Scholar which were established in the 1990s on the belief that only acute thermal effects are hazardous. Prevention of tissue heating by radiofrequency electromagnetic radiation is now proven to be ineffective in preventing biochemical and physiological interference. For example, acute non-thermal exposure has been shown to alter human brain metabolism by NIH scientists,3Volkow ND Tomasi D Wang GJ et al.Effects of cell phone radiofrequency signal exposure on brain glucose metabolism.JAMA. 2011; 305: 808-813Crossref PubMed Scopus (216) Google Scholar electrical activity in the brain,4Schmid MR Loughran SP Regel SJ et al.Sleep EEG alterations: effects of different pulse-modulated radio frequency electromagnetic fields.J Sleep Res. 2012; 21: 50-58Crossref PubMed Scopus (73) Google Scholar and systemic immune responses.5Kimata H Microwave radiation from cellular phones increases allergen-specific IgE production.Allergy. 2005; 60: 838-839Crossref PubMed Scopus (11) Google Scholar Chronic exposure has been associated with increased oxidative stress and DNA damage6Zothansiama Zosangzuali M Lalramdinpuii M Jagetia GC Impact of radiofrequency radiation on DNA damage and antioxidants in peripheral blood lymphocytes of humans residing in the vicinity of mobile phone base stations.Electromagn Biol Med. 2017; 36: 295-305Crossref PubMed Scopus (46) Google Scholar, 7Bandara P Weller S Biological effects of low-intensity radiofrequency electromagnetic radiation—time for a paradigm shift in regulation of public exposure.Radiat Protect Australas. 2017; 34: 2-6Google Scholar and cancer risk.8Carlberg M Hardell L Evaluation of mobile phone and cordless phone use and glioma risk using the bradford hill viewpoints from 1965 on association or causation.Biomed Res Int. 2017; 2017: 9218486Crossref PubMed Scopus (55) Google Scholar Laboratory studies, including large rodent studies by the US National Toxicology Program9Cell phone radio frequency radiation. National Toxicology Program, US Department of Health and Human Services, 2018https://ntp.niehs.nih.gov/results/areas/cellphones/index.htmlDate accessed: November 8, 2018Google Scholar and Ramazzini Institute of Italy,10Falcioni L Bua L Tibaldi E et al.Report of final results regarding brain and heart tumors in Sprague-Dawley rats exposed from prenatal life until natural death to mobile phone radiofrequency field representative of a 1.8GHz GSM base station environmental emission.Environ Res. 2018; 165: 496-503Crossref PubMed Scopus (111) Google Scholar confirm these biological and health effects in vivo. As we address the threats to human health from the changing environmental conditions due to human activity,11Myers SS Planetary health: protecting human health on a rapidly changing planet.Lancet. 2018; 390: 2860-2868Summary Full Text Full Text PDF PubMed Scopus (91) Google Scholar the increasing exposure to artificial electromagnetic radiation needs to be included in this discussion. Due to the exponential increase in the use of wireless personal communication devices (eg, mobile or cordless phones and WiFi or Bluetooth-enabled devices) and the infrastructure facilitating them, levels of exposure to radiofrequency electromagnetic radiation around the 1 GHz frequency band, which is mostly used for modern wireless communications, have increased from extremely low natural levels by about 1018 times (figure). Radiofrequency electromagnetic radiation is also used for radar, security scanners, smart meters, and medical equipment (MRI, diathermy, and radiofrequency ablation). It is plausibly the most rapidly increasing anthropogenic environmental exposure since the mid-20th century, and levels will surge considerably again, as technologies like the Internet of Things and 5G add millions more radiofrequency transmitters around us. Unprecedented human exposure to radiofrequency electromagnetic radiation from conception until death has been occurring in the past two decades. Evidence of its effects on the CNS, including altered neurodevelopment14Divan HA Kheifets L Obel C Olsen J Prenatal and postnatal exposure to cell phone use and behavioral problems in children.Epidemiology. 2008; 19: 523-529Crossref PubMed Scopus (138) Google Scholar and increased risk of some neurodegenerative diseases,15Zhang X Huang WJ Chen WW Microwaves and Alzheimer's disease.Exp Ther Med. 2016; 12: 1969-1972Crossref PubMed Scopus (9) Google Scholar is a major concern considering the steady increase in their incidence. Evidence exists for an association between neurodevelopmental or behavioural disorders in children and exposure to wireless devices,14Divan HA Kheifets L Obel C Olsen J Prenatal and postnatal exposure to cell phone use and behavioral problems in children.Epidemiology. 2008; 19: 523-529Crossref PubMed Scopus (138) Google Scholar and experimental evidence, such as the Yale finding, shows that prenatal exposure could cause structural and functional changes in the brain associated with ADHD-like behaviour.16Aldad TS Gan G Gao XB Taylor HS Fetal radiofrequency radiation exposure from 800–1900 mhz-rated cellular telephones affects neurodevelopment and behavior in mice.Sci Rep. 2012; 2: 312Crossref PubMed Scopus (100) Google Scholar These findings deserve urgent attention. At the Oceania Radiofrequency Scientific Advisory Association, an independent scientific organisation, volunteering scientists have constructed the world's largest categorised online database of peer-reviewed studies on radiofrequency electromagnetic radiation and other man-made electromagnetic fields of lower frequencies. A recent evaluation of 2266 studies (including in-vitro and in-vivo studies in human, animal, and plant experimental systems and population studies) found that most studies (n=1546, 68·2%) have demonstrated significant biological or health effects associated with exposure to anthropogenic electromagnetic fields. We have published our preliminary data on radiofrequency electromagnetic radiation, which shows that 89% (216 of 242) of experimental studies that investigated oxidative stress endpoints showed significant effects.7Bandara P Weller S Biological effects of low-intensity radiofrequency electromagnetic radiation—time for a paradigm shift in regulation of public exposure.Radiat Protect Australas. 2017; 34: 2-6Google Scholar This weight of scientific evidence refutes the prominent claim that the deployment of wireless technologies poses no health risks at the currently permitted non-thermal radiofrequency exposure levels. Instead, the evidence supports the International EMF Scientist Appeal by 244 scientists from 41 countries who have published on the subject in peer-reviewed literature and collectively petitioned the WHO and the UN for immediate measures to reduce public exposure to artificial electromagnetic fields and radiation. Evidence also exists of the effects of radiofrequency electromagnetic radiation on flora and fauna. For example, the reported global reduction in bees and other insects is plausibly linked to the increased radiofrequency electromagnetic radiation in the environment.17Taye RR Deka MK Rahman A Bathari M Effect of electromagnetic radiation of cell phone tower on foraging behaviour of Asiatic honey bee, Apis cerana F. (Hymenoptera: Apidae).J Entomol Zool Stud. 2017; 5: 1527-1529Google Scholar Honeybees are among the species that use magnetoreception, which is sensitive to anthropogenic electromagnetic fields, for navigation. Man-made electromagnetic fields range from extremely low frequency (associated with electricity supplies and electrical appliances) to low, medium, high, and extremely high frequency (mostly associated with wireless communication). The potential effects of these anthropogenic electromagnetic fields on natural electromagnetic fields, such as the Schumann Resonance that controls the weather and climate, have not been properly studied. Similarly, we do not adequately understand the effects of anthropogenic radiofrequency electromagnetic radiation on other natural and man-made atmospheric components or the ionosphere. It has been widely claimed that radiofrequency electromagnetic radiation, being non-ionising radiation, does not possess enough photon energy to cause DNA damage. This has now been proven wrong experimentally.18Smith-Roe SL, Wyde ME, Stout MD, et al. Evaluation of the genotoxicity of cell phone radiofrequency radiation in male and female rats and mice following subchronic exposure. Environmental Mutagenesis and Genomics Society Annual Conference; Raleigh, NC, USA; Sept 9–13, 2017.Google Scholar, 19Ruediger HW Genotoxic effects of radiofrequency electromagnetic fields.Pathophysiology. 2009; 16: 89-102Summary Full Text Full Text PDF PubMed Scopus (129) Google Scholar Radiofrequency electromagnetic radiation causes DNA damage apparently through oxidative stress,7Bandara P Weller S Biological effects of low-intensity radiofrequency electromagnetic radiation—time for a paradigm shift in regulation of public exposure.Radiat Protect Australas. 2017; 34: 2-6Google Scholar similar to near-UV radiation, which was also long thought to be harmless. At a time when environmental health scientists tackle serious global issues such as climate change and chemical toxicants in public health, there is an urgent need to address so-called electrosmog. A genuine evidence-based approach to the risk assessment and regulation of anthropogenic electromagnetic fields will help the health of us all, as well as that of our planetary home. Some government health authorities have recently taken steps to reduce public exposure to radiofrequency electromagnetic radiation by regulating use of wireless devices by children and recommending preferential use of wired communication devices in general, but this ought to be a coordinated international effort. We declare no competing interests. We thank Alasdair Philips for assistance with the figure and Victor Leach and Steve Weller for assistance with the ORSAA Database, which has enabled our overview of the scientific evidence in this area of research.

Planetary electromagnetic pollution: it is time to assess its impact