Exposure assessment for power frequency electric and magnetic fields (EMF) and its application to epidemiologic studies.

Epidemiologic studies suggesting possible health effects associated with exposure to electric and magnetic fields (EMF) from the transmission, distribution, and use of electricity have motivated increased interest in and attention to EMF exposure assessment. The result has been new instruments, measurement approaches, and exposure models that can improve on what has been a weakness in past epidemiologic studies, namely EMF exposure assessment. This paper presents a status report on EMF exposure assessment that emphasizes the need for incorporation of these advances in future studies. Several factors are identified that make the assignment of contemporary or retrospective EMF exposures potentially more difficult than for other environmental agents. These include: EMF is not generally detectable by humans, exposure scenarios for EMF are generally not memorable, there is no clear mechanism for EMF effects, and the pervasive nature of EMF in an industrialized society makes identification of a low-exposure group difficult. Elements of study design that are impacted by the nature of EMF exposures include: sampling and measurement strategies, summary measures of exposure, and the choice of surrogate and/or models of exposure. Consideration of these exposure assessment issues and incorporation of recent advances can improve the overall quality of epidemiologic studies with an EMF exposure component.