International study of childhood leukemia in residences near electrical transformer rooms.

OBJECTIVES: New epidemiologic approaches are needed to reduce the scientific uncertainty surrounding the association between extremely low frequency magnetic fields (ELF-MF) and childhood leukemia. While most previous studies focused on power lines, the Transformer Exposure study sought to assess this association using a multi-country study of children who had lived in buildings with built-in electrical transformers. ELF-MF in apartments above built-in transformers can be 5 times higher than in other apartments in the same building. This novel study design aimed to maximize the inclusion of highly exposed children while minimising the potential for selection bias. METHODS: We assessed associations between residential proximity to transformers and risk of childhood leukemia using registry based matched case-control data collected in five countries. Exposure was based on the location of the subject's apartment relative to the transformer, coded as high (above or adjacent to transformer), intermediate (same floor as apartments in high category), or unexposed (other apartments). Relative risk (RR) for childhood leukemia was estimated using conditional logistic and mixed logistic regression with a random effect for case-control set. RESULTS: Data pooling across countries yielded 16 intermediate and 3 highly exposed cases. RRs were 1.0 (95% CI: 0.5, 1.9) for intermediate and 1.1 (95% CI: 0.3, 3.8) for high exposure in the conditional logistic model. In the mixed logistic model, RRs were 1.4 (95% CI: 0.8, 2.5) for intermediate and 1.3 (95% CI: 0.4, 4.4) for high. Data of the most influential country showed RRs of 1.1 (95% CI: 0.5, 2.4) and 1.7 (95% CI: 0.4, 7.2) for intermediate (8 cases) and high (2 cases) exposure. DISCUSSION: Overall, evidence for an elevated risk was weak. However, small numbers and wide confidence intervals preclude strong conclusions and a risk of the magnitude observed in power line studies cannot be excluded.

Transfer of elements from soil to earthworms and ground beetles in boreal forest.

Data on the transfer of elements (such as heavy metals) and their radionuclides into organisms is needed for assessing environmental risks. The current data on many elements, species and environments is limited, but more information can be obtained both from field studies and experimental laboratory studies. However, it is essential to evaluate whether experimental studies adequately predict transfer in natural conditions. Moreover, because of the sparsity of species-specific empirical data, it is a common practice in current radioecological modelling to use data available for related species under the assumption that transfer into organisms is similar within broader taxonomic groups. Earthworms and ground beetles are examples of important invertebrates living near soil surface in terrestrial ecosystems. In this study, the transfer of 34 elements from soil to these organisms was studied in a field study conducted in boreal forest. The earthworm concentrations were compared to the values obtained in an experimental mesocosm study using soil from the field site and were found to be highly correlated. This indicates that the results of mesocosm studies can be used for predicting the transfer of elements from soil to fauna in natural conditions. Furthermore, concentrations in individual earthworm and beetle species were found to be similar to those observed in broader groups of related species, indicating that the generic approach used in current radioecological models may be useful for predicting uptake of elements into single species.

Transfer of elements into boreal forest ants at a former uranium mining site.

Ants can influence ecological processes, such as the transfer of elements or radionuclides, in several ways. For example, they redistribute materials while foraging and maintaining their nests and have an important role in terrestrial food webs. Quantitative data of the transfer of elements into ants is needed, e.g., for developing improved radioecological models. In this study, samples of red wood ants (genus Formica), nest material, litter and soil were collected from a former uranium mining site in Eastern Finland. Concentrations of 33 elements were analyzed by Inductively Coupled Plasma-Mass Spectroscopy/Optical Emission Spectroscopy. Estimated element concentrations in spruce needles were used as a proxy for studying the transfer of elements into ants via aphids because spruces host the most important aphid farms in boreal forests. Empirically determined organism/medium concentration ratios (CRs) are commonly used in radioecological models. Ant/soil CRs were calculated and the validity of the fundamental assumption behind the of use of CRs (linear transfer) was evaluated. Elements that accumulated in ants in comparison to other compartments were cadmium, potassium, phosphorus, sulfur, and zinc. Ant uranium concentrations were low in comparison to soil, litter, or nest material but slightly elevated in comparison to spruce needles. Ant element concentrations were quite constant regardless of the soil concentrations. Non-linear transfer models could therefore describe the soil-to-ant transfer better than conventional CRs.

Residential extremely low frequency magnetic fields and skin cancer.

OBJECTIVE: Photoinduced radical reactions have a fundamental role in skin cancer induced by ultraviolet radiation, and changes in radical reactions have also been proposed as a mechanism for the putative carcinogenic effects of extremely low frequency (ELF) magnetic fields (MFs). We assessed the association of melanoma and squamous cell carcinoma with residential MF exposure. METHODS: All cohort members had lived in buildings with indoor transformer stations (TSs) during the period from 1971 to 2016. MF exposure was assessed based on apartment location. Out of the 225 492 individuals, 8617 (149 291 person-years of follow-up) living in apartments next to TSs were considered as exposed, while individuals living on higher floors of the same buildings were considered as referents. Associations between MF exposure and skin cancers were examined using Cox proportional hazard models. RESULTS: The HR for MF exposure ≥6 month was 1.05 (95% CI 0.72 to 1.53) for melanoma and 0.94 (95% CI 0.55 to 1.61) for squamous cell carcinoma. Analysis of the age at the start of residence showed an elevated HR (2.55, 95% CI 1.15 to 5.69) for melanoma among those who lived in the apartments when they were less than 15 years old. This finding was based on seven exposed cases. CONCLUSIONS: The results of this study suggested an association between childhood ELF MF exposure and adult melanoma. This is in agreement with previous findings suggesting that the carcinogenic effects of ELF MFs may be associated particularly with childhood exposure.

Transfer of elements relevant to radioactive waste into chironomids and fish in boreal freshwater bodies.

Information on transfer of elements and their radionuclides is essential for radioecological modeling. In the present study, we investigated the transfer of Cl, Co, Mo, Ni, Se, Sr, U and Zn in a boreal freshwater food chain. These elements were selected on the basis that they have important radionuclides that might be released into the biosphere from various stages of the nuclear fuel cycle. Water, sediment, chironomid larvae (Chironomus sp.), roach (Rutilus rutilus) and perch (Perca fluviatilis) were sampled from two ponds near a former uranium mine and one reference pond located further away from the mining area. Concentrations measured in water, sediment and the three animal species indicated the importance of sediment as a source of uptake for most of the elements (but not Cl). This should be considered in radioecological models, which conventionally predict concentration in aquatic organisms from concentration in water. The results also show that the assumption of linear transfer (constant concentration ratio) may not be valid for elements into fish. The results of this study show that further basic research is needed to understand the fundamental processes involved in transfer of elements into freshwater organisms in order to develop radioecological models.

Assessing radiation risk perception by means of a European stakeholder survey.

It is increasingly recognised that stakeholder views can be essential for ascertaining the credibility of those entrusted with protection of the public and workers against radiation risks, the robustness of the approaches to protection and the relevance of research underpinning radiation protection (RP). The CONCERT European Joint Programme of RP research included consideration of stakeholder views. These were evaluated by means of a publicly available survey, translated into 15 languages, to encourage responses from a wide range of European countries. The survey ran in 2017 and received some 1961 responses from many countries, although response rates varied widely between countries. The survey respondents were largely highly educated, with many having a professional connection to RP or the use of radiation in medicine or industry. Survey results indicated a high level of scientific/technical knowledge relevant to RP and indicated a general trust of most actors involved in the RP field, perhaps unsurprisingly given the nature of the sampled population. Most expressed a reasonable level of satisfaction with the information available to them on radiation risk, but there is clearly room for improvement. Additionally, the survey identified potential training needs amongst the groups who responded. It is concluded that, while the survey results are limited by the non-representativeness of the respondents by comparison with the population of the European Union as a whole, it has been successful in gaining insights into areas where communication could be improved, where professional training gaps are present and where research could help to build wider trust in RP.

A cohort study on adult hematological malignancies and brain tumors in relation to magnetic fields from indoor transformer stations.

Extremely low frequency (ELF) magnetic fields (MF) have been classified as possibly carcinogenic. This classification was mainly based on studies indicating increased risk of leukemia in children living near power lines. Increased risks of adult hematological malignancies and brain tumors have also been reported, but the results are mixed. We assessed incidence of adult hematological malignancies and brain tumors associated with residential MF exposure. All cohort members had lived in buildings with indoor transformer stations (TS). MF exposure was assessed based on apartment location. Out of the 256,372 individuals, 9,636 (165,000 person-years of follow-up) living in apartments next to TSs were considered as exposed. Associations between MF exposure and neoplasms were examined using Cox proportional hazard models. The hazard ratio (HR) for MF exposure ≥ 1 month was below one for most hematological neoplasms (HR for any hematological neoplasm: 0.75; 95% CI: 0.54-1.03), and decreased with increasing duration of exposure (HR for exposure ≥ 10 years: 0.47; 95% CI: 0.22-0.99). However, the HR for acute lymphocytic leukemia (ALL) was 2.86 (95% CI: 1.00-8.15), based on 4 exposed cases; the risk increased with duration of exposure (HR for exposure ≥3 years: 3.61; 95% CI: 1.05-12.4) and was particularly associated with childhood exposure (2 exposed cases, HR for exposure during the first two years of life: 11.5; 95% CI: 1.92-68.9). The HR for meningioma was 0.46 (95% CI: 0.19-1.11), with no evidence of exposure-response gradient with increasing duration of exposure. The HR for glioma was 1.47 (95% CI: 0.84-2.57). The hypothesis of a positive association between ELF MFs and adult hematological malignancies was supported only for ALL. The results suggested decreased rather than increased risk of most hematological neoplasms.

Registry of Buildings With Transformer Stations as a Basis for Epidemiological Studies on Health Effects of Extremely Low-Frequency Magnetic Fields.

Buildings with indoor transformer stations may serve as a basis for improved epidemiological studies on the health effects of extremely low-frequency magnetic fields (ELF MFs). Previous studies have shown that ELF MF exposure can be adequately assessed based on the fact that MF levels are high in apartments directly above transformers. In this paper, we describe the creation of a registry of Finnish residential buildings with built-in transformer stations and discuss its usability in epidemiological studies. Information obtained from electric utilities and building blueprints were used to identify 677 buildings in which an apartment was located above or adjacent to a transformer station. All apartments in these buildings were classified into exposure categories based on their location in relation to the transformer. Residential histories of these buildings were obtained from the Population Register Centre. Out of the 287,668 individuals who have resided in the buildings, 9,126 of them have resided in an apartment located directly above a transformer station. All information was collected without contacting residents, thus avoiding selection bias. The registry can be linked with data from high-quality nationwide registries to confirm or challenge the reported associations of ELF MF exposure and diseases such as cancer, miscarriage, and Alzheimer's disease. Bioelectromagnetics. 2020;41:34-40 © 2019 Bioelectromagnetics Society.

Mitochondrial DNA damage in the hair bulb: can it be used as a noninvasive biomarker of local exposure to low LET ionizing radiation?

Purpose: Our aim was to evaluate whether mitochondrial DNA (mtDNA) damage in hair bulbs could be a suitable biomarker for the detection of local exposure to ionizing radiation.Materials and methods: Mouse hair was collected 4 and 24 hours, 3 and 10 days after single whole-body exposure to 0, 0.1, and 2 Gy radiation. Pubic hair (treated area) and scalp hair (control area) were collected from 13 prostate cancer patients before and after fractioned radiotherapy with an average total dose of 2.7 Gy to follicles after five fractions. Unspecified lesion frequency of mtDNA was analyzed with long PCR, large mtDNA deletion levels were tested with real-time PCR.Results: Unspecified lesion frequency of mtDNA significantly increased in mouse hair 24 hours after irradiation with 2 Gy, but variance among samples was high. No increase in lesion frequency could be detected after 0.1 Gy irradiation. In prostate cancer patients, there was no significant change in either the unspecified lesion frequency or in the proportion of 4934-bp deleted mtDNA in pubic hair after radiotherapy. The proportions of murine 3860-bp common deletion, human 4977-bp common deletion and 7455-bp deleted mtDNA were too low to be analyzed reliably.Conclusions: Our results suggest that the unspecified lesion frequency and proportion of large deletions of mtDNA in hair bulbs are not suitable biomarkers of exposure to ionizing radiation.

A pilot study on the reproductive risks of maternal exposure to magnetic fields from electronic article surveillance systems.

PURPOSE: We investigated the feasibility of a large-scale epidemiological study on reproductive effects of intermediate frequency (IF) magnetic field (MF) exposure among cashiers working near electronic article surveillance (EAS) systems. MATERIALS AND METHODS: The study cohort included 4157 women who had worked as cashiers in supermarkets with EAS devices (considered as exposed) or grocery stores without EAS devices (considered as unexposed) between 2008 and 2015. 536 births and 38 miscarriages occurred among these women during the study period, based on information from nationwide health registries. Measurements were also performed to characterize the MF exposure of cashiers. RESULTS: Cashiers were found to be exposed to 8.2 MHz MFs only when passing by the gates at short distance. Static fields of about 0.1 mT were observed at cashier's seat. Extremely low frequency MFs were higher at stores without EAS devices. No differences on the risk of miscarriage, reduced birth weight or preterm birth were observed between cashiers in different store types. CONCLUSIONS: Any further studies should attempt to include study subjects working near EAS systems that produce stronger IF MFs at kHz frequencies. Exposure to ELF MFs should be assessed as a possible confounding factor.

Maternal exposure to extremely low frequency magnetic fields: Association with time to pregnancy and foetal growth.

BACKGROUND: Data on reproductive and developmental effects of extremely low frequency magnetic fields (ELF MFs) are inconclusive. This study tested the hypothesis that maternal exposure to ELF MFs is associated with increased time to pregnancy (TTP), reduced birthweight or small for gestational age (SGA). METHODS: The study cohort consisted of 373 mothers who gave birth between 1990 and 1994 in Kuopio University Hospital, Finland. To increase prevalence of high ELF MF exposure, women living in buildings near known ELF MF sources were included. Maternal exposure to ELF MF before and during pregnancy was assessed with short term measurements in residences and questionnaires. Associations between ELF MF exposure and TTP, low birth weight and SGA were analysed by logistic regression (or linear regression for continuous variables), adjusting for factors known to be associated with the selected pregnancy outcomes, such as maternal smoking, alcohol consumption and socioeconomic status. RESULTS: The MF exposure of the mothers was slightly higher than in Finnish residences in general, but very high exposures (>0.4µT) were rare. No consistent association of ELF MF with TTP, birth weight or SGA was found. CONCLUSIONS: ELF MF exposure is not likely to be associated with TTP or prenatal growth at residential exposure levels that were observable in this study.

Nonlinear transfer of elements from soil to plants: impact on radioecological modeling.

In radioecology, transfer of radionuclides from soil to plants is typically described by a concentration ratio (CR), which assumes linearity of transfer with soil concentration. Nonlinear uptake is evidenced in many studies, but it is unclear how it should be taken into account in radioecological modeling. In this study, a conventional CR-based linear model, a nonlinear model derived from observed uptake into plants, and a new simple model based on the observation that nonlinear uptake leads to a practically constant concentration in plant tissues are compared. The three models were used to predict transfer of (234)U, (59)Ni and (210)Pb into spruce needles. The predictions of the nonlinear and the new model were essentially similar. In contrast, plant radionuclide concentration was underestimated by the linear model when the total element concentration in soil was relatively low, but within the range commonly observed in nature. It is concluded that the linear modeling could easily be replaced by a new approach that more realistically reflects the true processes involved in the uptake of elements into plants. The new modeling approach does not increase the complexity of modeling in comparison with CR-based linear models, and data needed for model parameters (element concentrations) are widely available.

Occupational exposure to intermediate frequency and extremely low frequency magnetic fields among personnel working near electronic article surveillance systems.

Cashiers are potentially exposed to intermediate frequency (IF) magnetic fields at their workplaces because of the electronic article surveillance (EAS) systems used in stores to protect merchandise against theft. This study aimed at investigating occupational exposure of cashiers to IF magnetic fields in Finnish stores. Exposure to extremely low frequency (ELF) magnetic fields was also evaluated because cashiers work near various devices operating with 50 Hz electric power. The peak magnetic flux density was measured for IF magnetic fields, and was found to vary from 0.2 to 4 µT at the cashier's seat. ELF magnetic fields from 0.03 to 4.5 µT were found at the cashier's seat. These values are much lower than exposure limits. However, according to the International Commission on Non-Ionizing Radiation Protection (ICNIRP) occupational reference levels for IF magnetic fields (141 µT for the peak field) were exceeded in some cases (maximum 189 µT) for short periods of time when cashiers walked through the EAS gates. As the ICNIRP reference levels do not define any minimum time for exposure, additional investigations are recommended to determine compliance with basic restrictions. Even if the basic restrictions are not exceeded, persons working near EAS devices represent an exceptional group of workers with respect to exposure to electromagnetic fields. This group could serve as a basis for epidemiological studies addressing possible health effects of IF magnetic fields. Compliance with the reference levels for IF fields was evaluated using both broadband measurement of peak fields and the ICNIRP summation rule for multiple frequencies. The latter was generally more conservative, and the difference between the two methods was large (>10-fold) for EAS systems using a 58 kHz signal with complex waveform. This indicates that the ICNIRP multiple frequency rule can be unnecessarily conservative when measuring complex waveforms.

Indoor transformer stations and ELF magnetic field exposure: use of transformer structural characteristics to improve exposure assessment.

Previous studies have shown that populations of multiapartment buildings with indoor transformer stations may serve as a basis for improved epidemiological studies on the relationship between childhood leukaemia and extremely-low-frequency (ELF) magnetic fields (MFs). This study investigated whether classification based on structural characteristics of the transformer stations would improve ELF MF exposure assessment. The data included MF measurements in apartments directly above transformer stations ("exposed" apartments) in 30 buildings in Finland, and reference apartments in the same buildings. Transformer structural characteristics (type and location of low-voltage conductors) were used to classify exposed apartments into high-exposure (HE) and intermediate-exposure (IE) categories. An exposure gradient was observed: both the time-average MF and time above a threshold (0.4 µT) were highest in the HE apartments and lowest in the reference apartments, showing a statistically significant trend. The differences between HE and IE apartments, however, were not statistically significant. A simulation exercise showed that the three-category classification did not perform better than a two-category classification (exposed and reference apartments) in detecting the existence of an increased risk. However, data on the structural characteristics of transformers is potentially useful for evaluating exposure-response relationship.

Element interactions and soil properties affecting the soil-to-plant transfer of six elements relevant to radioactive waste in boreal forest.

Cobalt (Co), lead (Pb), molybdenum (Mo), nickel (Ni), uranium (U), and zinc (Zn) are among the elements that have radioactive isotopes in radioactive waste. Soil-to-plant transfer is a key process for possible adverse effects if these radionuclides are accidentally released into the environment. The present study aimed at investigating factors affecting such transfer in boreal forest. The plant species studied were blueberry (Vaccinium myrtillus), May lily (Maianthemum bifolium), narrow buckler fern (Dryopteris carthusiana), rowan (Sorbus aucuparia) and Norway spruce (Picea abies). Regression analyses were carried out to investigate the effects of the chemical composition and physical properties of soil on the soil-to-leaf/needle concentration ratios of Co, Mo, Ni, Pb, U and Zn. Soil potassium (K), magnesium (Mg), manganese (Mn), phosphorus (P) and sulphur (S) concentrations were the most important factors affecting the soil-to-plant transfer of the elements studied. Soil clay and organic matter contents were found to significantly affect plant uptake of Mo, Pb and U. Knowledge of the effects of these factors is helpful for interpretation of the predictions of radioecological models describing soil-to-plant transfer and for improving such models.

Soil-to-plant transfer of elements is not linear: Results for five elements relevant to radioactive waste in five boreal forest species.

Element-specific concentration ratios (CRs) assuming that plant uptake of elements is linear are commonly used in radioecological modelling to describe the soil-to-plant transfer of elements. The goal of this study was to investigate the validity of the linearity assumption in boreal forest plants, for which only limited relevant data are available. The soil-to-plant transfer of three essential (Mo, Ni, Zn) and two non-essential (Pb, U) elements relevant to the safety of radioactive waste disposal was studied. Three understory species (blueberry, narrow buckler fern and May lily) and two tree species (Norway spruce and rowan) were included. Examining CRs as a function of soil concentration showed that CR was not constant but decreased with increasing soil concentrations for all elements and plant species. A non-linear equation fitted fairly well with the empirical data; the R(2)-values for this equation were constantly higher than those for the linear fit. The difference between the two fits was most evident at low soil concentrations where the use of constant CRs underestimated transfer from soil to plants. Site-specific factors affected the transfer of Mo and Ni. The results suggested that systematic variation with soil concentrations explains a part of the large variation of empirically determined CRs, and the accuracy of modelling the soil-to-plant transfer might be improved by using non-linear methods. Non-linearity of soil-to-plant transfer has been previously reported for a few different species, elements and environments. The present study systematically tested the linearity assumption for five elements (both essential and non-essential) and in five boreal forest species representing different growth traits and phylogenies. The data supported non-linearity in all cases.

Transfer of elements relevant to radioactive waste from soil to five boreal plant species.

In long-term safety assessment models for radioactive waste disposal, uptake of radionuclides by plants is an important process with possible adverse effects in ecosystems. Cobalt-60, (59,63)Ni, (93)Mo, and (210)Pb are examples of long-living radionuclides present in nuclear waste. The soil-to-plant transfer of stable cobalt, nickel, molybdenum and lead and their distribution across plant parts were investigated in blueberry (Vaccinium myrtillus), May lily (Maianthemum bifolium), narrow buckler fern (Dryopteris carthusiana), rowan (Sorbus aucuparia) and Norway spruce (Picea abies) at two boreal forest sites in Eastern Finland. The concentrations of all of the studied elements were higher in roots than in above-ground plant parts showing that different concentration ratios (CR values) are needed for modelling the transfer to roots and stems/leaves. Some significant differences in CR values were found in comparisons of different plant species and of the same species grown at different sites. However, large within-species variation suggests that it is not justified to use different CR values for modelling soil-to-plant transfer of these elements in the different boreal forest plant species.