电磁场(EMF):它们在儿童环境健康(CEH)中起作用吗?
Electromagnetic fields (EMF): do they play a role in children's environmental health (CEH)?
作者信息
Otto Matthias, von Mühlendahl Karl Ernst
机构信息
Kinderumwelt gGmbH of the German Academy of Pediatrics and Adolescent Medicine, Westerbreite 7, 49084 Osnabrück, Germany.
出版信息
Int J Hyg Environ Health. 2007 Oct;210(5):635-44. doi: 10.1016/j.ijheh.2007.07.007. Epub 2007 Aug 31.
Possible adverse health effects of exposure to electric, magnetic and electromagnetic fields (EMF), and especially the question of whether there exists a special vulnerability of children, have been a much discussed topic during the last two decades. Static fields produce health effects only in very rare and exceptional circumstances at extremely high field intensities. As for low-frequency EMF, the results of epidemiological research with respect to childhood leukaemia prompted the International Agency for Research on Cancer (IARC) in 2001 to classify these fields as "possibly carcinogenic to humans". Current hypotheses on the mechanism of such action are presented. The effect, if existent, appears to be not very important in relation to established other causes of childhood leukaemia. High-frequency EMF, as used in mobile and wireless communication (mobile telephony according to the GSM and UMTS standard, cordless DECT phones, wireless local area networks (WLAN), Bluetooth) and since many decades also in radio and television technology, are practically omnipresent. At high intensities, the generation of heat is the principal effect. Current guidelines, limits and regulations prevent any such effect. Mobile phone calls may, in certain circumstances, lead to local exposures close to limit values. Base stations typically produce exposures lower by 2-5 magnitudes. The discussion centres on the so-called non-thermal effects, which are supposedly occurring at field intensities, which are by orders of magnitude lower than those responsible for thermal effects. The reproducibility of these effects is usually poor, and no physiologic or pathogenic mechanism, so far, has been found to explain the alleged effects. Equally, epidemiologic studies have not furnished clear and reproducible data as arguments for negative health effects. Final results of the INTERPHONE study on the risk of brain tumours, acoustic neurinoma and parotid gland tumours associated with the use of mobile phones will be soon available. Preliminary results do not seem to indicate a substantial increase in risk. There are presently no scientific data supporting the concept of a special vulnerability of children and adolescents to high-frequency EMF, even if the usual caveats (developing organisms and structures may be more vulnerable, decades of life to come) are considered. The concept of precautionary measures adapted to such concerns is critically discussed.
暴露于电场、磁场和电磁场(EMF)可能对健康产生的不良影响,尤其是儿童是否存在特殊易感性的问题,在过去二十年中一直是一个备受讨论的话题。静态场仅在极少数极端高场强的特殊情况下才会对健康产生影响。至于低频电磁场,关于儿童白血病的流行病学研究结果促使国际癌症研究机构(IARC)在2001年将这些场归类为“可能对人类致癌”。文中介绍了关于这种作用机制的当前假说。这种影响(如果存在的话)与已确定的儿童白血病其他病因相比似乎并不十分重要。高频电磁场在移动和无线通信(符合GSM和UMTS标准的移动电话、无绳DECT电话、无线局域网(WLAN)、蓝牙)中使用,并且在无线电和电视技术中也已使用了数十年,几乎无处不在。在高强度下,产热是主要影响。当前的指南、限值和规定可防止任何此类影响。在某些情况下,手机通话可能导致局部暴露接近限值。基站通常产生的暴露比限值低2至5个数量级。讨论集中在所谓的非热效应上,这些效应据推测发生在场强比产生热效应的场强低几个数量级的情况下。这些效应的可重复性通常很差,并且到目前为止尚未发现任何生理或致病机制来解释所谓的效应。同样,流行病学研究也没有提供明确且可重复的数据来支持负面健康影响的观点。关于使用手机与脑肿瘤、听神经瘤和腮腺肿瘤风险相关的INTERPHONE研究的最终结果即将公布。初步结果似乎并未表明风险有大幅增加。目前没有科学数据支持儿童和青少年对高频电磁场具有特殊易感性的概念,即使考虑到通常的告诫(发育中的生物体和结构可能更易受影响,未来还有数十年的生命历程)。文中对适用于此类担忧的预防措施概念进行了批判性讨论。