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Rev Environ Health. 2019 Mar 26;34(1):13-24. doi: 10.1515/reveh-2018-0061.
Between 1953 and 1979, the USSR irradiated the United States embassy in Moscow with microwaves. This episode, a classic Cold War affair, has acquired enormous importance in the discussions on the effect of non-ionizing radiation on people's health. In 2011, the International Agency for Research on Cancer (IARC) classified radiofrequency electromagnetic fields as being a possible human carcinogen (Group 2B), but the results of recent laboratory and epidemiological studies have led some researchers to conclude that radiofrequency electromagnetic fields should be reclassified as a human carcinogen instead of merely a possible human carcinogen. In 1978, the "Moscow signal" case was officially closed after the publication of the epidemiological study of (Lilienfeld AM, Tonascia J, Tonascia S, Libauer CA, Cauthen GM. Foreign Service health status study. Evaluation of health status of foreign service and other employees from selected Eastern European posts. Report on Foreign Service Health Status Study, U.S. Department of State 6025-619073, 1978.), showing no apparent evidence of increased mortality rates and limited evidence regarding general health status. However, several loose ends still remain with respect to this epidemiological study, as well as the affair as a whole. In this paper, we summarize the available evidence concerning this case, paying special attention to the epidemiological study of Lilienfeld et al. After reviewing the available literature (including declassified documents), and after some additional statistical analyses, we provide new insights which do not complete the puzzle, but which may help to better understand it.
1953 年至 1979 年间,苏联曾用微波照射美国驻莫斯科大使馆。这一经典的冷战事件,在关于非电离辐射对人体健康影响的讨论中具有重要意义。2011 年,国际癌症研究机构(IARC)将射频电磁场归类为可能的人类致癌物质(2B 组),但最近实验室和流行病学研究的结果,使一些研究人员得出结论,认为射频电磁场应重新归类为人类致癌物,而不仅仅是可能的人类致癌物。1978 年,在发表了流行病学研究(Lilienfeld AM、Tonascia J、Tonascia S、Lilauer CA、Cauthen GM. Foreign Service Health Status Study. Evaluation of Health Status of Foreign Service and Other Employees from Selected Eastern European Posts. Report on Foreign Service Health Status Study, U.S. Department of State 6025-619073, 1978.)后,“莫斯科信号”案正式结案,该研究表明死亡率没有明显增加,而一般健康状况的证据有限。然而,对于这项流行病学研究以及整个事件,仍然存在一些悬而未决的问题。本文总结了与该病例相关的现有证据,特别关注 Lilienfeld 等人的流行病学研究。在回顾了现有文献(包括解密文件)后,进行了一些额外的统计分析,我们提供了新的见解,这些见解并没有完全解决问题,但可能有助于更好地理解它。
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