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Future needs of occupational epidemiology of extremely low frequency electric and magnetic fields: review and recommendations.

Authors
Kheifets-L; Bowman-JD; Checkoway-H; Feychting-M; Harrington-JM; Kavet-R; Marsh-G; Mezei-G; Renew-DC; van Wijngaarden-E
Source
J Occup Environ Med 2009 Jan; 66(1):72-80
NIOSHTIC No.
20034936
Abstract
The occupational epidemiological literature on extremely low frequency electric and magnetic fields (EMF) and health encompasses a large number of studies of varying design and quality that have addressed many health outcomes, including various cancers, cardiovascular disease, depression and suicide, and neurodegenerative diseases, such as Alzheimer disease and amyotrophic lateral sclerosis (ALS). At a 2006 workshop we reviewed studies of occupational EMF exposure with an emphasis on methodological weaknesses, and proposed analytical ways to address some of these. We also developed research priorities that we hope will address remaining uncertainties. Broadly speaking, extensive epidemiological research conducted during the past 20 years on occupational EMF exposure does not indicate strong or consistent associations with cancer or any other health outcomes. Inconsistent results for many of the outcomes may be attributable to numerous shortcomings in the studies, most notably in exposure assessment. There is, however, no obvious correlation between exposure assessment quality and observed associations. Nevertheless, for future research, the highest priorities emerge in both the areas of exposure assessment and investigation of ALS. To better assess exposure, we call for the development of a more complete job-exposure matrix that combines job title, work environment and task, and an index of exposure to electric fields, magnetic fields, spark discharge, contact current, and other chemical and physical agents. For ALS, we propose an international collaborative study capable of illuminating a reported association with electrical occupations by disentangling the potential roles of electric shocks, magnetic fields and bias. Such a study will potentially lead to evidence-based measures to protect public health.
Keywords
Work-environment; Worker-health; Workplace-studies; Occupational-exposure; Occupational-health; Electrical-waves; Electromagnetic-energy; Electromagnetic-fields; Electromagnetic-radiation; Electromagnetic-wave-transmission; Epidemiology
Contact
LLeeka Kheifets, UCLA School of Public Health, Department of Epidemiology, 73-284 CHS, 650 Charles E Young Drive South, Los Angeles, CA 90095-1772
CODEN
JOEMFM
Publication Date
20090101
Document Type
Journal Article
Email Address
kheifets@ucla.edu
Fiscal Year
2009
NTIS Accession No.
NTIS Price
Issue of Publication
1
ISSN
1076-2752
NIOSH Division
DART
Source Name
Journal of Occupational and Environmental Medicine
State
OH
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