Electromagnetic hypersensitivity
Encyclopedia
Idiopathic
Idiopathic
Idiopathic is an adjective used primarily in medicine meaning arising spontaneously or from an obscure or unknown cause. From Greek ἴδιος, idios + πάθος, pathos , it means approximately "a disease of its own kind". It is technically a term from nosology, the classification of disease...

 environmental intolerance attributed to electromagnetic fields
(IEI-EMF) is a set of claims of adverse medical symptoms purportedly caused by exposure to electromagnetic field
Electromagnetic field
An electromagnetic field is a physical field produced by moving electrically charged objects. It affects the behavior of charged objects in the vicinity of the field. The electromagnetic field extends indefinitely throughout space and describes the electromagnetic interaction...

s. Other terms for IEI-EMF include electromagnetic hypersensitivity (EHS), electrohypersensitivity, electro-sensitivity, and electrical sensitivity (ES). Although the thermal effects of electromagnetic fields on the body are established, self-described sufferers of electromagnetic hypersensitivity report responding to non-ionizing electromagnetic fields (or electromagnetic radiation) at intensities well below the limits permitted by international radiation safety standards. The majority of provocation trials
Provocation (medical)
A provocation test, also called a provocation trial or provocation study, is a form of clinical trial whereby participants are exposed to either a substance or "thing" that is claimed to provoke a response, or to a sham substance or device that should provoke no response. An example of a...

 to date have found that self-described sufferers of electromagnetic hypersensitivity are unable to distinguish between exposure to real and fake electromagnetic fields, and it is not recognized as a medical condition by the medical or scientific communities.

The reported symptoms of EHS include headache, fatigue, stress, sleep disturbances, skin symptoms like prickling, burning sensations and rashes, pain and ache in muscles and many other health problems. Whatever its cause, EHS symptoms are a real and sometimes a disabling problem for the affected persons.

In 2004 WHO (World Health Organization) conducted a workshop on electromagnetic hypersensitivity. The aim of the conference was to review the current state of knowledge and opinions of the conference participants and propose ways forward on this issue. The meeting was conducted by the WHO International EMF Project as part of the scientific review process to determine biological and health effects from exposure to EMF. The purpose of these workshops is to bring together expert scientists so that established health effects and gaps in knowledge requiring further research can be identified. EHS has been a particularly contentious issue for a number of years.

Symptoms and severity

A 2001 survey found that people related their symptoms most frequently to mobile phone base stations (74%), followed by mobile phones (36%), cordless phones (29%) and power lines (27%). The survey was not designed to find any causal connection between electromagnetic field
Electromagnetic field
An electromagnetic field is a physical field produced by moving electrically charged objects. It affects the behavior of charged objects in the vicinity of the field. The electromagnetic field extends indefinitely throughout space and describes the electromagnetic interaction...

 exposure and ill health.

A report from the UK Health Protection Agency said that self-described "electrical sensitivity" sufferers have symptoms that can be grouped into two broad categories: facial skin symptoms and more general, non-specific symptoms across a range of body systems. The facial skin symptoms and their attribution to visual display units was mostly a Nordic phenomenon. The report pointed out that it did not "imply the acceptance of a causal relationship between symptoms and attributed exposure".

Recently a smaller group of people in Europe as a whole and in the USA have reported general and severe symptoms such as headache, fatigue, tinnitus
Tinnitus
Tinnitus |ringing]]") is the perception of sound within the human ear in the absence of corresponding external sound.Tinnitus is not a disease, but a symptom that can result from a wide range of underlying causes: abnormally loud sounds in the ear canal for even the briefest period , ear...

, dizziness, memory deficits, irregular heart beat, and whole-body skin symptoms. A 2005 Health Protection Agency report noted the overlap in many sufferers with other syndromes known as symptom-based conditions
Medically unexplained physical symptoms
Medically unexplained physical symptoms or medically unexplained symptoms are patient symptoms for which the treating physician, other healthcare providers, and research scientists have found no medical cause...

, FSS (Functional Somatic Syndromes
Somatization disorder
Somatization disorder is a psychiatric diagnosis applied to patients who persistently complain of varied physical symptoms that have no identifiable physical origin...

) and IEI (Idiopathic Environmental Intolerance
Multiple chemical sensitivity
Multiple chemical sensitivity is a chronic medical condition characterized by symptoms the affected person attributes to exposure to low levels of chemicals. Commonly suspected substances include smoke, pesticides, plastics, synthetic fabrics, scented products, petroleum products and paints...

). Levitt proposed ties between electromagnetic fields and some of these 20th century maladies, including Chronic Fatigue Syndrome
Chronic fatigue syndrome
Chronic fatigue syndrome is the most common name used to designate a significantly debilitating medical disorder or group of disorders generally defined by persistent fatigue accompanied by other specific symptoms for a minimum of six months, not due to ongoing exertion, not substantially...

, Gulf War Syndrome
Gulf War syndrome
Gulf War syndrome or Gulf War illness describes a medical condition that affected veterans and civilians who were near conflicts during or downwind of chemical weapons depot demolition, after the 1991 Gulf War. A wide range of acute and chronic symptoms have included fatigue, musculoskeletal...

, and Autism
Autism
Autism is a disorder of neural development characterized by impaired social interaction and communication, and by restricted and repetitive behavior. These signs all begin before a child is three years old. Autism affects information processing in the brain by altering how nerve cells and their...

.

Figures from Carlsson et al. show that 1.9% of people report much annoyance from visual displays and fluorescent lighting. 2.4% report much or some annoyance with both any electrical factor and also chemicals or smells. A 1991 study by William J. Rea concluded that there is "strong evidence that electromagnetic field sensitivity exists".

Those reporting electromagnetic hypersensitivity will usually describe different levels of susceptibility to electric field
Electric field
In physics, an electric field surrounds electrically charged particles and time-varying magnetic fields. The electric field depicts the force exerted on other electrically charged objects by the electrically charged particle the field is surrounding...

s, magnetic field
Magnetic field
A magnetic field is a mathematical description of the magnetic influence of electric currents and magnetic materials. The magnetic field at any given point is specified by both a direction and a magnitude ; as such it is a vector field.Technically, a magnetic field is a pseudo vector;...

s and various frequencies of electromagnetic waves (including fluorescent and low-energy lights, and microwaves from mobile
Mobile phone
A mobile phone is a device which can make and receive telephone calls over a radio link whilst moving around a wide geographic area. It does so by connecting to a cellular network provided by a mobile network operator...

, cordless/portable phones), and Wifi
WIFI
WIFI is a radio station broadcasting a brokered format. Licensed to Florence, New Jersey, USA, the station is currently operated by Florence Broadcasting Partners, LLC.This station was previously owned by Real Life Broadcasting...

  with no consistency in the severity of symptoms between sufferers. Other surveys of electromagnetic hypersensitivity sufferers have not been able to find any consistent pattern to these symptoms. Instead symptoms reflecting almost every part of the body have been attributed to electromagnetic field exposure.

A minority of people who report electromagnetic hypersensitivity claim to be severely affected by it. For instance, one survey has estimated that approximately 10% of electromagnetic hypersensitivity sufferers in Sweden were on sick leave or have taken early retirement or a disability pension, compared to 5% of the general population, while a second survey has reported that of 3046 people who experienced 'annoyance' from electrical equipment, 340 (11%) reported 'much' annoyance. For those who report being severely affected, their symptoms can have a significant impact on their quality of life; with sufferers reporting physical, mental and social impairment and psychological distress.

Prevalence

The prevalence of claimed electromagnetic hypersensitivity has been estimated as being between a few cases per million to 5% of the population depending on the location and definition of the condition.

In 2002, a questionnaire
Questionnaire
A questionnaire is a research instrument consisting of a series of questions and other prompts for the purpose of gathering information from respondents. Although they are often designed for statistical analysis of the responses, this is not always the case...

 survey of 2,072 people in California found that the prevalence of self-reported electromagnetic hypersensitivity within the sample group was 3% (95% CI 2.8–3.68%), with electromagnetic hypersensitivity being defined as "being allergic or very sensitive to getting near electrical appliances, computers, or power lines" (response rate 58.3%).

A similar questionnaire survey from the same year in Stockholm County (Sweden), found a 1.5% prevalence of self-reported electromagnetic hypersensitivity within the sample group, with electromagnetic hypersensitivity being defined as "hypersensitivity or allergy to electric or magnetic fields" (response rate 73%).

A 2004 survey in Switzerland found a 5% prevalence of claimed electromagnetic hypersensitivity in the sample group of 2,048.

In 2007, a UK survey aimed at a randomly selected group of 20,000 people found a prevalence of 4% for symptoms self-attributed to electromagnetic exposure.

A group of scientists also attempted to estimate the number of people reporting "subjective symptoms" from electromagnetic fields for the European Commission
European Commission
The European Commission is the executive body of the European Union. The body is responsible for proposing legislation, implementing decisions, upholding the Union's treaties and the general day-to-day running of the Union....

. In the words of a HPA review, they concluded that "the differences in prevalence were at least partly due to the differences in available information and media attention around electromagnetic hypersensitivity that exist in different countries. Similar views have been expressed by other commentators."

There are currently over thirty support groups across the world for people reporting electromagnetic hypersensitivity.

World Health Organization

Following a study conducted in 2005, the World Health Organization
World Health Organization
The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...

(WHO) concluded that:

EHS is characterized by a variety of non-specific symptoms that differ from individual to individual. The symptoms are certainly real and can vary widely in their severity. Whatever its cause, EHS can be a disabling problem for the affected individual. EHS has no clear diagnostic criteria and there is no scientific basis to link EHS symptoms to EMF exposure. Further, EHS is not a medical diagnosis, nor is it clear that it represents a single medical problem.

Studies

Although individuals who report electromagnetic hypersensitivity believe that electromagnetic fields from common electrical devices trigger or exacerbate their symptoms, it has not been established that these fields play any role in the cause of these symptoms. Exposures are to intensity
Intensity (physics)
In physics, intensity is a measure of the energy flux, averaged over the period of the wave. The word "intensity" here is not synonymous with "strength", "amplitude", or "level", as it sometimes is in colloquial speech...

 levels below those generally accepted to cause physiological effects, and the diverse physiological effects reported are not what would be expected from high intensity electromagnetic fields. Sufferers and their support groups are convinced of a causal relationship with electromagnetic fields, but presently the scientific literature does not support such a link. Some professionals consider electromagnetic hypersensitivity to be a physical condition with an unclear cause, while others suggest that some aspects may be psychological.
Reviews have suggested that psychological mechanisms may play a role in causing or exacerbating EHS symptoms.
Research has also shown neurophysiological differences between sensitive individuals and controls. This may reflect either a psychophysiological stress response to participating in the study or a more general imbalance in autonomic nervous system regulation.

Some sufferers and support groups argue that studies may be influenced by the possible political implications of negative health effects from electromagnetic fields.

In 2005, a systematic review
Systematic review
A systematic review is a literature review focused on a research question that tries to identify, appraise, select and synthesize all high quality research evidence relevant to that question. Systematic reviews of high-quality randomized controlled trials are crucial to evidence-based medicine...

 looked at the results of 31 experiments testing the role of electromagnetic fields in causing ES. Each of these experiments exposed people who reported electromagnetic hypersensitivity to genuine and sham electromagnetic fields under single- or double-blind
Double-blind
A blind or blinded experiment is a scientific experiment where some of the people involved are prevented from knowing certain information that might lead to conscious or subconscious bias on their part, invalidating the results....

 conditions. The review concluded that:
"The symptoms described by 'electromagnetic hypersensitivity' sufferers can be severe and are sometimes disabling. However, it has proved difficult to show under blind conditions that exposure to electromagnetic fields can trigger these symptoms. This suggests that 'electromagnetic hypersensitivity' is unrelated to the presence of electromagnetic fields, although more research into this phenomenon is required."
Seven studies were found which did report an association, while 24 could not find any association with electromagnetic fields. However, of the seven positive studies, two could not be replicated even by the original authors, three had serious methodological shortcomings, and the final two presented contradictory results. Since then, several more double-blind experiments have been published, each of which has suggested that people who report electromagnetic hypersensitivity are unable to detect the presence of electromagnetic fields and are as likely to report ill health following a sham exposure, as they are following exposure to genuine electromagnetic fields.

One of the studies which Rubin et al. reviewed, known as the Essex study, received some criticism for its methodology and analysis, and the authors responded in full to these initial criticisms. The authors noted that their study says nothing about the long-term effects of exposure to electromagnetic fields, but those affected generally claimed to respond to the fields within a few minutes.

In January, 2010 Rubin et al. published a follow up to their original review which included 15 experiments done since the last original review, bringing the totals up to 46 double-blind experiments and 1175 individuals with claimed hypersensitivity. The study confirmed the results of the original, claiming "no robust evidence could be found" to support the hypothesis that electromagnetic exposure causes EHS. The review also found that the studies included did support the role of the nocebo effect in triggering acute symptoms in those with EHS.

In 2008, another systematic review reached the same conclusion as Rubin et al.

A 2005 report by the UK Health Protection Agency
Health Protection Agency
The Health Protection Agency, or, in Welsh, Yr Asiantaeth Diogelu Iechyd is a statutory corporation. It is an independent UK organisation that was set up by the government in 2003 to protect the public from threats to their health from infectious diseases and environmental hazards...

 concluded that electromagnetic hypersensitivity needs to be considered in ways other than its etiology
Etiology
Etiology is the study of causation, or origination. The word is derived from the Greek , aitiologia, "giving a reason for" ....

; that is, the suffering is real, even if the underlying cause is not thought to be related to electromagnetic fields. They also wrote that considering only whether electromagnetic radiation was a causative factor was not meeting the needs of sufferers, although continued research on etiology was essential.

In 2002, some controversy over the causal relationship was demonstrated by the Freiburger Appeal, a petition originated by the German environmental medical lobby group IGUMED, which stated that "we can see a clear temporal and spatial correlation between the appearance of [certain] disease and exposure to pulsed high-frequency microwave radiation", and demanding radical restrictions on mobile phone use. To address some of these concerns, and others, Hocking advised in a 2006 WHO proceedings that the test type and duration should be tailored to the individual, and that washout times are needed to prevent a carry-over effect of previous exposure. However, in 2005 the World Health Organization
World Health Organization
The World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...

 concluded that there is no known scientific basis for the belief that electromagnetic hypersensitivity is caused by exposure to electromagnetic fields.

Diagnosis

Electromagnetic hypersensitivity is not currently an accepted diagnosis. At present there are no accepted research criteria other than ‘self-reported symptoms’, and for clinicians there is no case definition or clinical practice guideline. There is no specific test that can identify sufferers, as symptoms other than skin disorders tend to be subjective or non-specific. It is important firstly to exclude all other possible causes of the symptoms. Researchers and the WHO have stressed the need for a careful investigation. For some, complaints of electromagnetic hypersensitivity may mask organic or psychiatric illness and requires both a thorough medical evaluation to identify and treat any specific conditions that may be responsible for the symptoms, and a psychological evaluation to identify alternative psychiatric/psychological conditions that may be responsible or contribute to the symptoms.

A WHO factsheet also recommends an assessment of the workplace and home for factors that might contribute to the presented symptoms. These could include indoor air pollution, excessive noise, poor lighting (flickering light) or ergonomic factors. They also point out that "[s]ome studies suggest that certain physiological responses of [electromagnetic hypersensitivity] individuals tend to be outside the normal range. In particular, hyper reactivity in the central nervous system and imbalance in the autonomic nervous system need to be followed up in clinical investigations and the results for the individuals taken as input for possible treatment."

Possible treatment and symptom alleviation

For individuals reporting electromagnetic hypersensitivity with long lasting symptoms and severe handicaps, treatment therapy should be directed principally at reducing symptoms and functional handicaps. This should be done in close co-operation with a qualified medical specialist to address the symptoms and a hygienist (to identify and, if necessary, control factors in the environment that have adverse health effects of relevance to the patient).

Those who feel they are sensitive to electromagnetic fields generally try to reduce their exposure to electromagnetic sources as much as is practical. Complete avoidance of electromagnetic fields presents major practical difficulties in modern society. Methods often employed by sufferers include: avoiding sources of exposure; disconnecting or removing electrical devices; shielding or screening of self or residence; medication; and complementary and alternative therapy
Alternative medicine
Alternative medicine is any healing practice, "that does not fall within the realm of conventional medicine." It is based on historical or cultural traditions, rather than on scientific evidence....

.

The UK Health Protection Agency reviewed treatments for electromagnetic hypersensitivity, and success was reported with "neutralizing chemical dilution, antioxidant treatment, Cognitive Behavioural Therapy, Acupuncture and Shiatsu". It was noted that:

The studies reviewed suffer from a combination of the small numbers of subjects
included and the potential variation both within and between study populations. Little information is given as to the attributed exposures of the subjects. These factors limit their general applicability outside the immediate study group. For those studies where detail was available, only two were placebo controlled [Acupunture and nutrition intervention].

It was also noted in the review that success may have more to do with offering a caring environment as opposed to a specific treatment.

A 2006 systematic review identified nine clinical trials testing different treatments for ES: four studies tested cognitive behavioural therapy, two tested visual display unit filters, one tested a device emitting 'shielding' electromagnetic fields, one tested acupuncture, and one tested daily intake of tablets containing vitamin C, vitamin E, and selenium. The authors of the review concluded that:
"The evidence base concerning treatment options for electromagnetic hypersensitivity is limited and more research is needed before any definitive clinical recommendations can be made. However, the best evidence currently available suggests that cognitive behavioural therapy is effective for patients who report being hypersensitive to weak electromagnetic fields."


In 2011, the BBC reported that some Americans with the condition had moved to the United States National Radio Quiet Zone
United States National Radio Quiet Zone
The United States National Radio Quiet Zone is a large area of land surrounding the National Radio Astronomy Observatory at Green Bank, West Virginia, and especially the large Green Bank Telescope radio telescope. The Radio Quiet Zone is a rectangle of land approximately in size that straddles...

 where wireless is restricted.

See also

  • Arthur Firstenberg
    Arthur Firstenberg
    Arthur Robert Firstenberg is an American activist on the subject of electromagnetic hypersensitivity. He is the founder of the independent campaign group the Cellular Phone Task Force...

  • Devra Davis
    Devra Davis
    Devra Lee Davis is an American epidemiologist and writer. She was born on June 7th, 1946, in Washington, DC, the daughter of Harry B. and Jean Langer Davis, and was raised in Donora and Pittsburgh, Pennsylvania....

     - author of a 2010 book Disconnect, which examines the relationships between modern electronic devices, the scientific community, and human health.
  • Electromagnetic radiation and health
  • Mobile phone radiation and health
    Mobile phone radiation and health
    The effect of mobile phone radiation on human health is the subject of recent interest and study, as a result of the enormous increase in mobile phone usage throughout the world . Mobile phones use electromagnetic radiation in the microwave range...

  • TCO Certification for CRT monitor emission
    TCO Certification
    TCO Certification is a series of product certifications for office equipment . It is set by TCO Development, owned by the Swedish Confederation of Professional Employees, TCO . The certifications are named after years...

  • Wireless electronic devices and health
    Wireless electronic devices and health
    The World Health Organization has acknowledged that electromagnetic fields are influencing the environment , and that some people are worried about possible effects...

  • Wifi - sub-section Health Issues
The source of this article is wikipedia, the free encyclopedia.  The text of this article is licensed under the GFDL.
 
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