Showing posts with label schwannoma. Show all posts
Showing posts with label schwannoma. Show all posts

Wednesday, January 17, 2024

Ramazzini Institute Cell Phone Radiation Study Replicates NTP Study

Genetic profiling of rat gliomas and cardiac schwannomas from life-time radiofrequency radiation exposure study using a targeted next-generation sequencing gene panel

Brooks AM, Vornoli A, Kovi RC, Ton TVT, Xu M, Mashal A, Tibaldi E, Gnudi F, Li JL, Sills RC, Bucher JR, Mandrioli D, Belpoggi F, Pandiri AR. Genetic profiling of rat gliomas and cardiac schwannomas from life-time radiofrequency radiation exposure study using a targeted next-generation sequencing gene panel. PLoS One. 2024 Jan 17;19(1):e0296699. doi: 10.1371/journal.pone.0296699.

Abstract

The cancer hazard associated with lifetime exposure to radiofrequency radiation (RFR) was examined in Sprague Dawley (SD) rats at the Ramazzini Institute (RI), Italy. There were increased incidences of gliomas and cardiac schwannomas. The translational relevance of these rare rat tumors for human disease is poorly understood. We examined the genetic alterations in RFR-derived rat tumors through molecular characterization of important cancer genes relevant for human gliomagenesis. A targeted next-generation sequencing (NGS) panel was designed for rats based on the top 23 orthologous human glioma-related genes. Single-nucleotide variants (SNVs) and small insertion and deletions (indels) were characterized in the rat gliomas and cardiac schwannomas. Translational relevance of these genetic alterations in rat tumors to human disease was determined through comparison with the Catalogue of Somatic Mutations in Cancer (COSMIC) database. These data suggest that rat gliomas resulting from life-time exposure to RFR histologically resemble low grade human gliomas but surprisingly no mutations were detected in rat gliomas that had homology to the human IDH1 p.R132 or IDH2 p.R172 suggesting that rat gliomas are primarily wild-type for IDH hotspot mutations implicated in human gliomas. The rat gliomas appear to share some genetic alterations with IDH1 wildtype human gliomas and rat cardiac schwannomas also harbor mutations in some of the queried cancer genes. These data demonstrate that targeted NGS panels based on tumor specific orthologous human cancer driver genes are an important tool to examine the translational relevance of rodent tumors resulting from chronic/life-time rodent bioassays.

Excerpt

In summary, our results demonstrate that regardless of their etiology (due to lifetime RFR exposure or arising spontaneously), rat gliomas are primarily Idh1/2 wild type unlike most human gliomas. Histologically, most of the rat gliomas resemble diffuse low-grade gliomas in humans and such gliomas that do not harbor IDH1/2 mutations in humans are known to have poor prognosis. The genetic alterations in other cancer genes evaluated in this panel provide novel insights into tumor progression in rat gliomas and cardiac schwannomas. The relevance of specific mutations to human cancers is variable, with some genes (Tp53, Cdkn2a, Erbb2, Chek2, Kras and Pik3r1) harboring many alterations with COSMIC relevance while the opposite is true for other target genes (Idh1/2, Atrx, Notch1, Pten, Rb1 and Setd2). Several of these conserved mutations in rat tumors do not have comparable alterations in the COSMIC database, suggesting that the orthologous mutations could have different functional consequences in rat carcinogenesis and deserve further study. An important consideration is that molecular differences underlying mutational processes contribute to distinct mutational patterns which could be the result of similar etiology, albeit by different mechanisms.

Several of the variants that were detected in gliomas were also observed in non-tumor brain tissues from interim time point providing an insight into the molecular pathogenesis in rodent carcinogenicity studies and these strategies may be utilized to potentially estimate the cancer hazard risk in shorter term animal studies. Finally, this targeted mutation panel may be refined using data from whole genome or exome sequencing of rat tumors and performing error corrected duplex sequencing to increase the sensitivity to detect rare mutations in exposed non-tumor tissues from early time points.

Open access paper: 

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March 22, 2018

A newly-published study by the Ramazzini Institute (RI) replicates the heart tumor result from the NationalToxicology Program (NTP) study of cell phone radiation on rats.The RI study found increased incidence of heart schwannoma in male rats despite the use of different frequencies and much lower intensity radio frequency radiation (RFR) than the NTP study. This suggests that the primary health effect found in the NTP study is robust.


The Ramazzini Institute (RI) conducted a life-span study on rats to evaluate the carcinogenic effects of cell phone radiation.

Among male rats, the overall incidence of heart schwannoma and hyperplasia (precancerous cells) was 0.7% (3 of 412) in the control group, 1.2% (5/401) in the 5 volts/meter (V/m) group, 1.0% (2/209) in the 25 V/m group, and 3.9% (8/207) in the 50 V/m group. The 50 V/m group had significantly greater incidence than the control group (p < .02).

Among male rats, the overall incidence of glioma and glial cell hyperplasia in the control group was 0.0% (0 of 412), 0.7% (3/401) in the 5 V/m group, 1.4% (3/209) in the 25 V/m group, and 0.0% (0/207) in the 50 V/m group. However, these differences were not statistically significant.

The study used a different GSM cell phone carrier frequency (1800 MHz vs. 900 MHz) and much lower intensity microwave radiation exposures than the NTP study. The Specific Absorption Rates ranged from 0.001 - 0.1 W/kg SAR in the RI study as compared to 1.5 - 6.0 W/kg in the NTP study.

The Ramazzini Institute is a non-profit organization in Bologna, Italy that has conducted scientific research for more than two decades to identify and quantify environmental toxic and carcinogenic risks and evaluate the effectiveness of drugs to prevent the onset or development of cancer.

The abstract for the paper and the press release appear below.

P.S. In our six-nation study of RFR exposure, the average total RFR exposure (not just cell tower RFR) was highest in Los Angeles where it ranged from 0.72 to 1.60 V/m across eight different outdoor microenvironments (Sagar et al., 2018). The highest average total RFR value measured in our study was 1.85 V/m which was found on a university campus in Australia and was attributable to FM radio transmissions.

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Falcioni L, Bua L, Tibaldi E, et al. Report of final results regarding brain and heart tumors in Sprague-Dawley rats exposed from prenatal life until natural death to mobile phone radiofrequency field representative of a 1.8 GHz GSM base station environmental emission. Environ Res. 2018;165:496-503. doi:10.1016/j.envres.2018.01.037

Abstract

Background: In 2011, IARC 
(International Agency for Research on Cancer) classified radiofrequency radiation (RFR) as possible human carcinogen (Group 2B). According to IARC, animals studies, as well as epidemiological ones, showed limited evidence of carcinogenicity. In 2016, the NTP published the first results of its long-term bioassays on near field RFR, reporting increased incidence of malignant glial tumors of the brain and heart Schwannoma in rats exposed to GSM – and CDMA –modulated cell phone RFR. The tumors observed in the NTP study are of the type similar to the ones observed in some epidemiological studies of cell phone users.

Objectives: The Ramazzini Institute (RI) performed a life-span carcinogenic study on Sprague-Dawley rats to evaluate the carcinogenic effects of RFR in the situation of far field, reproducing the environmental exposure to RFR generated by 1.8 GHz GSM antenna of the radio base stations of mobile phone. This is the largest long-term study ever performed in rats on the health effects of RFR, including 2448 animals. In this article, we reported the final results regarding brain and heart tumors.

Methods: Male and female Sprague-Dawley rats were exposed from prenatal life until natural death to a 1.8 GHz GSM far field of 0, 5, 25, 50 V/m with a whole-body exposure for 19 h/day.

Results: A statistically significant increase in the incidence of heart Schwannomas was observed in treated male rats at the highest dose (50 V/m). Furthermore, an increase in the incidence of heart Schwann cells hyperplasia was observed in treated male and female rats at the highest dose (50 V/m), although this was not statistically significant. An increase in the incidence of malignant glial tumors was observed in treated female rats at the highest dose (50 V/m), although not statistically significant.

Conclusions: The RI findings on far field exposure to RFR are consistent with and reinforce the results of the NTP study on near field exposure, as both reported an increase in the incidence of tumors of the brain and heart in RFR-exposed Sprague-Dawley rats. These tumors are of the same histotype of those observed in some epidemiological studies on cell phone users. These experimental studies provide sufficient evidence to call for the reevaluation of IARC conclusions regarding the carcinogenic potential of RFR in humans.


https://pubmed.ncbi.nlm.nih.gov/29530389/

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Title: World’s Largest Animal Study on Cell Tower Radiation Confirms Cancer Link

Environmental Health Trust, Press Release, March 22, 2018
Byline: Scientists call on the World Health Organization International Agency for the Research on Cancer to re-evaluate the carcinogenicity of cell phone radiation after the Ramazzini Institute and US government studies report finding the same unusual cancers.

(Washington, DC) – Researchers with the renowned Ramazzini Institute (RI) in Italy announce that a large-scale lifetime study of lab animals exposed to environmental levels of cell tower radiation developed cancer.  A $25 million study of much higher levels of cell phone radiofrequency (RF) radiation, from the U.S. National Toxicology Program (NTP) has also reported finding the same unusual cancer called Schwannoma of the heart in male rats treated at the highest dose.  In addition, the RI study of cell tower radiation also found increases in malignant brain (glial) tumors in female rats and precancerous conditions including Schwann cell hyperplasia in both male and female rats.

"Our findings of cancerous tumors in rats exposed to environmental levels of RF are consistent with and reinforce the results of the US NTP studies on cell phone radiation, as both reported increases in the same types of tumors of the brain and heart in Sprague-Dawley rats. Together, these studies provide sufficient evidence to call for the International Agency for Research on Cancer (IARC) to re-evaluate and re-classify their conclusions regarding the carcinogenic potential of RFR in humans," said Fiorella Belpoggi PhD, study author and RI Director of Research.  

The Ramazzini study exposed 2448 Sprague-Dawley rats from prenatal life until their natural death to “environmental” cell tower radiation for 19 hours a day (1.8 GHz GSM radio frequency radiation (RFR) of 5, 25 and 50 V/m).  RI exposures mimicked base station emissions like those from cell tower antennas, and exposure levels were far less than those used in the NTP studies of cell phone radiation.

“All of the exposures used in the Ramazzini study were below the US FCC limits. These are permissible exposures according to the FCC. In other words, a person can legally be exposed to this level of radiation. Yet cancers occurred in these animals at these legally permitted levels. The Ramazzini findings are consistent with the NTP study demonstrating these effects are a reproducible finding,” explained Ronald Melnick PhD, formerly the Senior NIH toxicologist who led the design of the NTP study on cell phone radiation. “Governments need to strengthen regulations to protect the public from these harmful non-thermal exposures.”   

“This important article from one of the most acclaimed institutions of its kind in the world provides a major new addition to the technical literature indicating strong reasons for concern about electromagnetic radiation from base stations or cell towers,” stated Editor in Chief of Environmental Research Jose Domingo PhD, Professor of Toxicology, School of Medicine at Reus University, Catalonia, Spain.

“The US NTP results combined now with the Ramazzini study, reinforce human studies from our team and others providing clear evidence that RF radiation causes acoustic neuroma (vestibular schwannoma) and gliomas, and should be classified carcinogenic to humans,” stated Lennart Hardell MD, PhD, physician-epidemiologist with the Department of Oncology,  University Hospital, Örebro, Sweden who has published extensively on environmental causes of cancer including Agent Orange, pesticides and cell phone radiofrequency radiation.

“The evidence indicating wireless is carcinogenic has increased and can no longer be ignored,” stated University of Toronto Dalla Lana School of Public Health Professor Emeritus Anthony B. Miller MD, Member of the Royal Colleges of Physicians of Canada and the UK, who is also a  long-term adviser to the World Health Organization.  

This study raises concerns that simply living close to a cell tower will pose threats to human health. Governments need to take measures to reduce exposures from cell tower emissions. Cell towers should not be near schools, hospitals or people's homes.  Public health agencies need to educate the public on how to reduce exposure from all sources of wireless radiofrequency radiation--be it from cell towers or cell phones or Wi-Fi in schools, " stated David O. Carpenter MD, former Dean of the School of Public Health at the University at Albany. “This is particularly urgent because of current plans to place small 5G cell towers about every 300 meters in every street across the country.  These 5G “small cell’ antennas will result in continuous exposure to everyone living nearby and everyone walking down the street. The increased exposures will increase risk of cancer and other diseases such as electro-hypersensitivity.”

Ramazzini Institute investigators have completed nearly 500 cancer bioassays on more than 200 compounds, and their study design is unique in that animals are allowed to live until their natural deaths in order to allow detection of late-developing tumors. Eighty percent of all human cancers are late-developing, occurring in humans after 60 years of age. This longer observation period has allowed the RI to detect such later-occurring tumors for a number of chemicals, and their published research includes studies of benzene, xylenes, mancozeb,  formaldehyde,  and vinyl chloride.

The Ramazzini research results come in the wake of similar findings from the US National Toxicology Program (NTP) large-scale experimental studies on cell phone radiation. Both studies found statistically significant increases in the development of the same type of very rare and highly malignant tumor in the heart of male rats—schwannomas.

“This publication is a serious cause for concern, “ stated Annie J. Sasco, MD, DrPH, SM, MPH, retired Director of Research at the INSERM (French NIH) and former Unit Chief at International Agency for the Research on Cancer/World Health Organization, France who commented that, “some of the results are not statistically significant due to the relatively small number of animals involved. Yet, that does not mean they should be ignored. Larger studies could turn out statistically significant results and in any event statistical significance is just one aspect of evaluation of the relation between exposure and disease. Biological significance and concordance of results between humans and animals clearly reinforces the strength of the evidence of carcinogenicity. The facts that both experimental studies found the same types of rare tumors, which also have pertinence to the human clinical picture, is striking,”

“Such findings of effects at very low levels are not unexpected,” stated Devra Davis PhD, MPH, president of Environmental Health Trust (EHT), pointing to a Jacobs University replication animal study published in 2015 that also found very low levels of RFR promoted tumor growth.“This study confirms an ever growing literature and provides a wake-up call to governments to enact protective policy to limit exposures to the public and to the the private sector to make safe radiation-free technology available.”

In January 2017 at an international conference co-sponsored by EHT and the Israel Institute for Advanced Study at Hebrew University, Fiorella Belpoggi PhD, Director of Research at the Ramazzini Institute, presented the study design and the findings that RFR-exposed animals had significantly lower litter weights. Belpoggi’s presentation and slides are available online. The Ramazzini findings of lower litter weights are consistent with the NTP study, which also found lower litter weights in prenatally exposed animals. At that time, the  Italian journal Corriere published an article about the presentation of the Ramazzini study and quoted Belpoggi’s recommendation of “maximum precaution for children and pregnant women.”

Noting that “current standards were not set to protect children, pregnant women, and the growing numbers of infants and toddlers for whom devices have become playthings”, Davis, who is also Visiting Professor of Medicine of Hebrew University Medical Center, and Guest Editor in Chief of the journal Environmental Research, added, “Current two-decade old FCC limits were set when the average call was six minutes and costly cell phones were used by very few. These important, new, game-changing studies show that animals develop the same types of unusual cancers that are being seen in those few human epidemiological studies that have been done. In light of these results, EHT joins with public health experts from the states of California, Connecticut and Maryland, as well as those in France, Israel, and Belgium to call on government and the private sector to carry out major ongoing public health educational campaigns to promote safer phone and personal device technology, to require and expedite fundamental changes in hardware and software to reduce exposures to RFR/microwave radiation throughout indoor and outdoor environments, and to institute major monitoring, training and research programs to identify solutions, future problems and prevention of related hazards and risks.”  

“More than a dozen countries recommend reducing radiofrequency radiation exposure to children, and countries such as China, Italy, India and Russia have far more stringent cell tower radiation regulations in place when compared to the United States. However, this study provides scientific evidence that governments can use to take even further action,” stated Theodora Scarato, Executive Director of EHT.


Wednesday, July 1, 2020

American Cancer Society: Cell Phone Radiation Risk

"The American Cancer Society (ACS) does not have any official position or statement on whether or not radiofrequency (RF) radiation from cell phones, cell phone towers, or other sources is a cause of cancer. ACS generally looks to other expert organizations to determine if something causes cancer (that is, if it is a carcinogen), including:

  • The International Agency for Research on Cancer (IARC), which is part of the World Health Organization (WHO)
  • The US National Toxicology Program (NTP), which is formed from parts of several different government agencies, including the National Institutes of Health (NIH), the Centers for Disease Control and Prevention (CDC), and the Food and Drug Administration (FDA)
Other major organizations also sometimes comment on the ability of certain exposures (such as cell phone use) to cause cancer."


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Why has the American Cancer Society relied on advice from the International Commission on Non-Ionizing Radiation Protection (ICNIRP), a self-selected group of scientists, many of whose members have conflicts of interestWhy does the Society ignore the advice of its former chief medical director, Otis W. Brawley, M.D. regarding the NTP study (see 2016 ACS press release below.)

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Cellular (Cell) Phones

American Cancer Society, Revised June 1, 2020

Cellular (cell or mobile) phones first became widely available in the United States in the 1990s. Since then, along with the large and still growing number of cell phone users (both adults and children), the amount of time people spend on their phones has also risen sharply.

Cell phones give off a form of energy known as radiofrequency (RF) waves, so the safety of cell phone use has raised some concerns. The main concerns have focused on whether cell phones might increase the risk of brain tumors or other tumors in the head and neck area, as these areas are closest to where the phone is usually held while talking or listening on a call.

How do cell phones work?

Cell phones send signals to (and receive them from) nearby cell towers (base stations) using RF waves. This is a form of energy in the electromagnetic spectrum that falls between FM radio waves and microwaves. Like FM radio waves, microwaves, visible light, and heat, RF waves are a form of non-ionizing radiation. They don’t have enough energy to cause cancer by directly damaging the DNA (genes) inside cells. RF waves are different from stronger (ionizing) types of radiation such as x-rays, gamma rays, and ultraviolet (UV) rays. Ionizing radiation can break the chemical bonds in DNA, which might lead to cancer.

The electromagnetic spectrum illustration shows the possible frequencies of electromagnetic energy, ranging from extremely low frequencies (such as those from power lines) to exposures from extremely high frequencies (x-rays and gamma rays), and includes both non-ionizing and ionizing radiation.

Image credit: National Cancer Institute

At very high levels, RF waves can heat up body tissues. But the levels of energy given off by cell phones are much lower, and are not enough to raise temperatures in the body.

How are people exposed?

The RF waves come from the cell phone's antenna, which is part of the body of a hand-held phone. The waves are strongest at the antenna and lose energy quickly as they travel away from the phone. The phone is often held against the head when a person is on a call. The closer the antenna is to a user's head, the greater their expected exposure to RF waves. The body tissues closest to the phone absorb more energy from RF waves than tissues farther away.

Many factors can affect the amount of energy from RF waves that a person is exposed to, including:

  • The amount of time the person is on the phone.
  • Whether the person is holding the phone close to the head, or is instead using the speaker mode or a hands-free device. The farther away from a person's body the phone is, the less they are exposed.
  • The distance and path to the nearest cell phone tower. Cell phones adjust their power to use the minimum amount for a good signal. Being farther away from the tower requires more energy to get a good signal, as does being inside a building.
  • The amount of cell phone traffic in the area at the time. Higher traffic (from many people using cell phones) may require more energy to get a good signal.
  • The model of phone being used. Different phones give off different amounts of energy.

Cell phone specific absorption rate (SAR)

The specific absorption rate (SAR) is the amount of RF energy from the phone absorbed by the user’s body. Different cell phones have different SAR levels. Cell phone makers are required to report the maximum SAR level of their product to the US Federal Communications Commission (FCC). This information can often be found on the manufacturer’s website or in the user manual for the phone. The upper limit of SAR allowed in the United States according to FCC safety guidelines is 1.6 watts per kilogram (W/kg) of body weight.

But according to the FCC, comparing SAR values between phones can be misleading. The listed SAR value is based only on the phone operating at its highest power, not on what users would typically be exposed to with normal phone use. The actual SAR during use varies based on a number of factors, so it’s possible that a phone with a lower listed SAR value might sometimes expose a person to more energy from RF waves than one with a higher listed SAR value.

Do cell phones cause tumors?

Because cell phones usually are held near the head when a person is on a call, the main concern has been whether the phones might cause or contribute to tumors in this area, including:

  • Malignant (cancerous) brain tumors, such as gliomas
  • Non-cancerous tumors of the brain, such as meningiomas
  • Non-cancerous tumors of the nerve connecting the brain to the ear (vestibular schwannomas, also known as acoustic neuromas)
  • Tumors of the salivary glands

A few studies have also looked at possible links to other types of cancer.

What do studies show?

Researchers use 2 main types of studies to try to determine if something might cause cancer:

  • Studies done in the lab (using lab animals or cell cultures)
  • Studies looking at groups of people

In most cases neither type of study provides enough evidence on its own to show if something causes cancer in people, so researchers usually look at both lab-based and human studies.

The following is a brief summary of some of the major studies that have looked at this issue to date. However, this is not a comprehensive review of all studies that have been done.

Lab studies of RF waves

As noted above, the RF waves given off by cell phones don’t have enough energy to damage DNA directly or to heat body tissues. Because of this, it’s not clear how cell phones might be able to cause cancer. Some studies have found possible increased rates of certain types of tumors in lab animals exposed to RF radiation, but overall, the results of these types of studies have not provided clear answers so far.

Large studies published in 2018 by the US National Toxicology Program (NTP) and by the Ramazzini Institute in Italy exposed groups of lab rats (as well as mice, in the case of the NTP study) to RF waves over their entire bodies for many hours a day, starting before birth and continuing for most or all of their natural lives. Both studies found an increased risk of uncommon heart tumors called malignant schwannomas in male rats, but not in female rats (nor in male or female mice, in the NTP study). The NTP study also reported possible increased risks of certain types of tumors in the brain and in the adrenal glands.

While both of these studies had strengths, they also had limitations that make it hard to know how they might apply to humans being exposed to RF waves from cell phones. A 2019 review of these two studies by the International Commission on Non-Ionizing Radiation Protection (ICNIRP) determined that the limitations of the studies didn’t allow conclusions to be drawn regarding the ability of RF energy to cause cancer.

Still, the results of these studies do not rule out the possibility that RF waves from cell phones might somehow impact human health.

Studies in people

Several dozen studies have looked at possible links between cell phone use and tumors. Most of these studies have focused on brain tumors. Many of these have been case-control studies, in which patients with brain tumors (cases) were compared to people who didn't have brain tumors (controls), in terms of their past cell phone use.

These studies have had mixed results. Some studies have found a possible link between cell phone use and brain tumors, while others have not. For example, several studies published by the same research group in Sweden have reported an increased risk of brain tumors in people using cell phones. However, there was no apparent overall increase in brain tumors in Sweden during the years that correspond to these reports.

Three large studies deserve special mention:

The INTERPHONE study

The 13-country INTERPHONE study, the largest case-control study done to date, looked at cell phone use among more than 5,000 people who developed brain tumors (gliomas or meningiomas) and a similar group of people without tumors. Overall, the study found no link between brain tumor risk and the frequency of calls, longer call time, or cell phone use for 10 or more years. There was a suggestion of a possible increased risk of glioma, and a smaller suggestion of an increased risk of meningioma, in the 10% of people who used their cell phones the most. But this finding was hard to interpret because some people in the study reported implausibly high cell phone use. The researchers noted that the shortcomings of the study prevented them from drawing any firm conclusions, and that more research was needed.

Another part of the INTERPHONE study compared more than 1,000 people with acoustic neuromas to more than 2,000 people without tumors, who served as matched controls. As with gliomas and meningiomas, there was no overall link between cell phone use and acoustic neuromas. There was again a suggestion of a possible increased risk in the 10% of people who used their cell phones the most, but this finding was hard to interpret because some people reported implausibly high cell phone use.

The Danish cohort study

A large, long-term study has been comparing all of the people in Denmark who had a cell phone subscription between 1982 and 1995 (about 400,000 people) to those without a subscription to look for a possible increase in brain tumors. The most recent update of the study followed people through 2007. Cell phone use, even for more than 13 years, was not linked with an increased risk of brain tumors, salivary gland tumors, or cancer overall, nor was there a link with any brain tumor subtypes or with tumors in any location within the brain.

This type of study (following a large group of people going forward in time and not relying on people’s memories about cell phone use) is generally thought to provide stronger evidence than a case-control study.

But this study also has some drawbacks. First, it is based only on whether or not people had a cell phone subscription at the time. It didn’t measure how often these people used their phones (if at all), or if people who didn’t have a subscription used someone else’s phone. There are also limits as to how well this study might apply to people using cell phones today. For example, while the cell phones used at the time of the study tended to emit higher levels of RF waves than modern cell phones do, people also probably used their phones quite a bit less than people use their phones today.

The Million Women Study

A large prospective (forward-looking) study of nearly 800,000 women in the UK examined the risk of developing brain tumors over a 7-year period in relation to self-reported cell phone use at the start of the study. This study found no link between cell phone use and brain tumors overall or several common brain tumor subtypes, but it did find a possible link between long-term cell phone use and acoustic neuromas. The authors of this study, however, did note the possibility that this link might have been due to more intensive medical investigation in long-term cell phone users because of media coverage at the time.

All studies done so far have limitations

In summary, studies of people published so far have not established a clear link between cell phone use and the development of tumors. However, these studies have had some important limitations that make them unlikely to end the controversy about whether cell phone use affects cancer risk.

First, studies have not yet been able to follow people for very long periods of time. After a known cancer-causing exposure, it often takes decades for tumors to develop. Because cell phones have been widely used for only about 20 years in most countries, it is not possible to rule out possible future health effects.

Second, cell phone usage is constantly changing. People are using their cell phones much more than they were even 10 years ago, and the phones themselves are very different from what was used in the past. This makes it hard to know if the results of studies looking at cell phone use in years past still apply today.

Third, most of the studies published so far have focused on adults, rather than children. (One case-control study looking at children and teens did not find a significant link to brain tumors, but the small size of the study limited its power to detect modest risks.) Cell phone use is now widespread even among younger children. It is possible that if there are health effects, they might be more pronounced in children because their bodies might be more sensitive to RF energy. Another concern is that children’s lifetime exposure to RF waves from cell phones will be greater than adults’, who started using cell phones when they were older.

Finally, the measurement of cell phone use in most studies has been crude. Most have been case-control studies, which have relied on people’s memories about their past cell phone use. In these types of studies, it can be hard to interpret any possible link between cancer and an exposure. People with cancer are often thinking about possible reasons for it, so they may sometimes recall their phone usage differently from people without cancer.

With these limitations in mind, it is important to continue to study the possible risk of cell phone exposure, especially with regard to use by children and longer-term use.

What do expert agencies say?

The American Cancer Society (ACS) does not have any official position or statement on whether or not radiofrequency (RF) radiation from cell phones, cell phone towers, or other sources is a cause of cancer. ACS generally looks to other expert organizations to determine if something causes cancer (that is, if it is a carcinogen), including:

  • The International Agency for Research on Cancer (IARC), which is part of the World Health Organization (WHO)
  • The US National Toxicology Program (NTP), which is formed from parts of several different government agencies, including the National Institutes of Health (NIH), the Centers for Disease Control and Prevention (CDC), and the Food and Drug Administration (FDA)

Other major organizations also sometimes comment on the ability of certain exposures (such as cell phone use) to cause cancer.

Based on a review of studies published up until 2011, the International Agency for Research on Cancer (IARC) has classified RF radiation as “possibly carcinogenic to humans,” based on limited evidence of a possible increase in risk for brain tumors among cell phone users, and inadequate evidence for other types of cancer. (For more information on the IARC classification system, see Known and Probable Human Carcinogens.) 

More recently, the US Food and Drug Administration (FDA) issued a technical report based on studies published between 2008 and 2018, as well as national trends in cancer rates. The report concluded: “Based on the studies that are described in detail in this report, there is insufficient evidence to support a causal association between radiofrequency radiation (RFR) exposure and [tumor formation].”

So far, the National Toxicology Program (NTP) has not included RF radiation in its Report on Carcinogens, which lists exposures that are known to be or reasonably anticipated to be human carcinogens. (For more on this report, see Known and Probable Human Carcinogens.)

According to the US Federal Communications Commission (FCC):

“[C]urrently no scientific evidence establishes a causal link between wireless device use and cancer or other illnesses. Those evaluating the potential risks of using wireless devices agree that more and longer-term studies should explore whether there is a better basis for RF safety standards than is currently used.”

According to the US Centers for Disease Control and Prevention (CDC):

“At this time we do not have the science to link health problems to cell phone use. Scientific studies are underway to determine whether cell phone use may cause health effects.”

How can I lower my exposure to RF waves from cell phones?

It is not clear at this time that RF waves from cell phones cause harmful health effects in people, but studies now being done should give a clearer picture of the possible health effects in the future. Until more is known, there are several things that people who are concerned about RF waves can do to limit their exposure.

Use the speaker mode or video chat feature on the phone, or a hands-free device such as a corded or cordless earpiece. This moves the antenna away from your head, which decreases the amount of RF waves that reach the head. Corded earpieces emit virtually no RF waves (although the phone itself still emits small amounts of RF waves that can reach parts of the body if close enough, such as on the waist or in a pocket). Bluetooth® earpieces typically transmit RF waves at much lower power levels than cell phones themselves (see below).

Texting instead of talking on the phone may be another way to reduce your exposure. But it may not be a good option in some situations, especially if you are driving. For safety reasons, it is especially important to limit or avoid the use of cell phones (especially texting) while driving.

Limit your (and your children’s) cell phone use. This is one of the most obvious ways to limit your exposure to RF waves from cell phones. For example, you may want to limit the amount of time you spend talking on the phone (at least with your phone up to your ear). Parents who are concerned about their children’s exposure can limit how much time they spend talking on the phone.

Consider choosing a phone with a low SAR value. Different models of phones can give off different levels of RF waves. But as noted above, according to the FCC the SAR value is not always a good indicator of a person’s exposure to RF waves during normal cell phone use. One way to get information on the SAR level for a specific phone model is to visit the phone maker’s website. The FCC has links to some of these sites. If you know the FCC identification (ID) number for your phone model (which can often be found somewhere on the phone or in the user manual), you can also go to the following web address: www.fcc.gov/oet/ea/fccid. On this page, you will see instructions for entering the FCC ID number.

Are phones on 5G networks any different?

Fifth generation (5G) cellular networks are now being rolled out in many parts of the United States and in other countries. 5G networks are capable of transmitting much larger amounts of data over shorter periods of time than previous generations (4G, 3G, etc.).

5G networks (and the phones that use them) operate on some higher frequency (higher energy) RF wavelengths than older generation networks (although newer phones can typically still use the older networks as well). But the newer 5G signals still use RF waves, so they are still forms of non-ionizing radiation, which is not thought to have the ability to directly damage DNA.

The studies that have been done so far to look at possible links between cell phone use and cancer have focused on older generation (mainly 2G and 3G) signals. At this time, there has been very little research showing that the RF waves used in 5G networks are any more (or less) of a concern than the other RF wavelengths used in cellular communication. For more on 5G networks, see Cell Phone Towers.

What about cordless phones?

Cordless phones, commonly used in homes, have base units that are plugged into telephone jacks and wired to a local telephone service. They are not considered cell phones. Cordless phones operate at about 1/600 the power of cell phones, so they are much less likely to be a concern in terms of health effects.

What about Bluetooth® devices (including earbuds)?

Many wireless devices now communicate over shorter distances using Bluetooth technology. For example, many phones now have the option of using wireless (Bluetooth) earbuds. Phones can also connect to other devices (tablets, laptops, car dashboard computers, etc.) using Bluetooth.

Bluetooth devices use RF waves in a similar wavelength range as those used for cell phones. But because the signals only need to travel a short distance (such as from the phone to a person’s ears), they can operate at much lower power levels than those used by phones, which in theory might make them less of a health concern. But as with other devices that give off RF waves, possible health effects from these devices cannot be ruled out completely at this time.

https://www.cancer.org/cancer/cancer-causes/radiation-exposure/cellular-phones.html


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ACS Responds to New Study Linking Cell Phone Radiation to Cancer

Press Release, American Cancer Society, May 27, 2016

The U.S. National Toxicology Program (NTP) has released partial results from an animal study of the effect of radiofrequency radiation associated with cell phones. The group found radiofrequency radiation was linked to a higher risk of two cancers. Below is a response from Otis W. Brawley, M.D., American Cancer Society Chief Medical Officer.

“For years, the understanding of the potential risk of radiation from cell phones has been hampered by a lack of good science. This report from the National Toxicology Program (NTP) is good science.

“The NTP report linking radiofrequency radiation (RFR) to two types of cancer marks a paradigm shift in our understanding of radiation and cancer risk. The findings are unexpected; we wouldn’t reasonably expect non-ionizing radiation to cause these tumors. This is a striking example of why serious study is so important in evaluating cancer risk. It’s interesting to note that early studies on the link between lung cancer and smoking had similar resistance, since theoretical arguments at the time suggested that there could not be a link.

“The new report covers only partial findings from the study, but importantly one of the two cancers linked to cell phone radiation was malignant gliomas in the brain. The association with gliomas and acoustic neuromas had been suspected from human epidemiology studies. The second cancer, called a schwannoma, is an extremely rare tumor in humans and animals, reducing the possibility that this is a chance finding. And importantly, the study found a ‘dose/response’ effect: the higher the dose, the larger the effect, a key sign that this association may be real.

“The fact that this finding was observed only in male rats has some wondering if the data is not reliable. It’s important to note that these sorts of gender differences often appear in carcinogenic studies, so the fact they show up here should not detract from the importance of the findings.

“This new evidence will undoubtedly factor into ongoing assessments by regulators to determine the potential cancer risk posed by cell phones. The American Cancer Society eagerly awaits guidance from government agencies, like the U.S. Food and Drug Administration (FDA) and the Federal Communications Commission (FCC), about the safety of cell phone use.

“The NTP was given the difficult task of trying to answer important questions about the potential cancer risk posed by cell phones, and the group did not shirk from its responsibility. NTP staff were clearly aware of the potential importance of this study and went the extra distance to ensure the best science is used. They used double the number of animals required for this type of study; they convened not one but three panels to look at abnormal tissues from treated animals to ensure that what was identified as a brain and heart tumor was indeed a brain and heart tumor; they solicited review from multiple scientists from outside the NTP to critically review all aspects of the data analysis and study findings, to ensure the findings would stand up to the critical assessment expected once these unexpected findings were released.

“While this study adds significantly to the evidence that cell phone signals could potentially impact human health, it does not actually tell us how certain scenarios of cell phone use change our long-term risks of getting cancer. For example, the animal studies were performed at very high signal strengths, near but below levels that would cause animal tissue to heat up. Additional research will be needed to translate effects at these high doses to what might be expected at the much lower doses received by typical or even high-end cell phone users. Also, cell phone technology continues to evolve, and with each new generation, transmission strengths have declined and with it radio frequency exposures.”

https://acspressroom.wordpress.com/2016/05/27/ntpcellphones/


January 13, 2015

The American Cancer Society (ACS) recently revised a 58-page document entitled, “Brain and Spinal Cord Tumors in Adults” and updated its website page on “Cellular Phones.”

Brain and Spinal Cord Tumors in Adults

“Brain and Spinal Cord Tumors in Adults” dismisses the potential cancer risk from using cell phones and refers readers to the ACS web site for further information:

Cell phone use
"This has been the subject of a great deal of debate in recent years. Cell phones give off radiofrequency (RF) rays, a form of energy on the electromagnetic spectrum between FM radio waves and those used in microwave ovens, radar, and satellite stations. Cell phones do not give off ionizing radiation, the type that can cause cancer by damaging the DNA inside cells. Still, there have been concerns that the phones, whose antennae are built-in and therefore are placed close to the head when being used, might somehow raise the risk of brain tumors.

Some studies have suggested a possible increased risk of brain tumors or of vestibular schwannomas with cell phone use, but most of the larger studies done so far have not found an increased risk, either overall or among specific types of tumors. Still, there are very few studies of long-term use (10 years or more), and cell phones haven’t been around long enough to determine the possible risks of lifetime use. The same is true of any possible higher risks in children, who are increasingly using cell phones. Cell phone technology also continues to change, and it’s not clear how this might affect any risk.

These risks are being studied, but it will probably be many years before firm conclusions can be made. In the meantime, for people concerned about the possible risks, there are ways to lower your exposure, such as using an earpiece to move the phone itself away from the head. For more information, see our document Cellular Phones."  (p. 15)

Can brain and spinal cord tumors in adults be prevented?

"The risk of many cancers in adults can be reduced with certain lifestyle changes (such as staying at a healthy weight or quitting smoking). But other than radiation exposure, there are no known lifestyle-related or environmental causes of brain and spinal cord tumors, so at this time there is no known way to protect against most of these tumors." (p. 17)  http://bit.ly/1y8vS9B.

Cellular Phones

The ACS web site reviews the research on cell phone radiation and downplays the cancer risk from long-term exposure to cell phone and cordless phone radiation.

Although the ACS seems skeptical there is any cancer risk from cell phone use, they recommend "several things that people who are concerned about RF [radio frequency] waves can do to limit their exposure":

"Use the speaker mode on the phone or a hands-free device such as a corded or cordless earpiece. This moves the antenna away from your head, which decreases the amount of RF waves that reach the head. Corded earpieces emit virtually no RF waves (although the phone itself still emits small amounts of RF waves that can reach parts of the body if close enough, such as on the waist or in a pocket). Bluetooth® earpieces have an SAR value of around 0.001 watts/kg (less than one thousandth the SAR limit for cell phones as set by the FDA and FCC).

Texting instead of talking on the phone may be another option to reduce your exposure. But it may not be a good option in some situations, especially if you are driving. For safety reasons, it is especially important to limit or avoid the use of cell phones while driving.

Limit your (and your children’s) cell phone use. This is one of the most obvious ways to limit your exposure to RF waves from cell phones. You may want to use your cell phone only for shorter conversations, or use it only when a conventional phone is not available. Parents who are concerned about their children’s exposure can limit how much time they spend on the phone.

Some people might consider choosing a phone with a low SAR value. Different models of phones can give off different levels of RF waves. But as noted above, according to the FCC the SAR value is not always a good indicator of a person’s exposure to RF waves during normal cell phone use. One way to get information on the SAR level for a specific phone model is to visit the phone maker’s website. The FCC has links to some of these sites here: www.fcc.gov/encyclopedia/specific-absorption-rate-sar-cellular-telephones. If you know the FCC identification (ID) number for a phone model (which can often be found somewhere on the phone or in the user manual), you can also go to the following web address: www.fcc.gov/oet/ea/fccid. On this page, you will see instructions for entering the FCC ID number.”     http://bit.ly/1z7mZNm

After reviewing and dismissing the growing body of scientific evidence which finds that long-term cell phone phone use is associated with increased brain cancer risk, the ACS makes the following recommendation:

"With these limitations in mind, it is important that the possible risk of cell phone exposure continue to be researched using strong study methods, especially with regard to use by children and longer-term use."   http://bit.ly/1z7mZNm

Since virtually everyone in the U.S. uses a cell phone and all are exposed to cell phone radiation, one might wonder what the ACS has done to ensure that there is adequate funding for strong research on the cancer risk. Has the ACS devoted any research funding to the study of this environmental risk? Has the ACS used its influence to ensure that Federal agencies prioritize health and safety research regarding this risk?

Sources

American Cancer Society. Brain and Spinal Cord Tumors in Adults. Last revised Jan 7, 2015. URL: http://bit.ly/1y8vS9B.

American Cancer Society.  Cellular Phones.  Last revised Dec 12, 2014. URL: http://bit.ly/1z7mZNm.