Repacholi M H
Royal Adelaide Hospital, South Australia.
Australas Phys Eng Sci Med. 1990 Mar;13(1):4-17.
Millions of dollars are presently being spent on both laboratory and epidemiological studies to determine if an association exists between the exposure of humans to 50/60 Hz electromagnetic fields and cancer incidence. This review discusses findings from both of these areas of study and focuses attention on their relevance to the electromagnetic field-cancer debate. So far, the conflicting results from epidemiology have succeeded only in raising the concerns of both occupationally exposed groups and the general public. A few hypotheses have suggested possible mechanisms by which fields could exert biological effects. However the studies on which these hypotheses are based require substantiation and further, there is insufficient evidence to indicate if the biological effects observed in these studies have any relevance to human health. It will be at least another three to five years before there are results from large scale human studies presently being designed or undertaken. From an objective review of existing scientific data it can only be concluded that exposure to 50/60 Hz electric and magnetic fields at levels occurring in our environment have not been established to lead to cancer in humans. Sufficient gaps in our knowledge exist however to recommend that research continue, especially in areas identified in the text. To assist the casual reader of this subject the complex issues of cancer initiation and promotion are considered.
目前,数百万元资金正投入到实验室研究和流行病学研究中,以确定人类接触50/60赫兹电磁场与癌症发病率之间是否存在关联。本综述讨论了这两个研究领域的结果,并将重点放在它们与电磁场和癌症争论的相关性上。到目前为止,流行病学得出的相互矛盾的结果只是加剧了职业暴露群体和公众的担忧。有一些假说提出了电磁场可能产生生物学效应的潜在机制。然而,这些假说所依据的研究需要进一步证实,而且,没有足够的证据表明这些研究中观察到的生物学效应与人类健康有任何关联。目前正在设计或开展的大规模人体研究至少还需要三到五年才能得出结果。从对现有科学数据的客观综述中只能得出这样的结论:在我们环境中所存在的强度水平下,接触50/60赫兹的电场和磁场尚未被证实会导致人类患癌症。然而,我们的知识中存在足够多的空白,因此建议继续开展研究,特别是本文中所确定的领域。为了帮助普通读者理解这个主题,本文还探讨了癌症起始和促进的复杂问题。