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David Katz, M.D.

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Cell Phones: Assessing and Preventing Risks

Posted: 05/31/11 04:44 PM ET

The risks attached to the use of cellular and wireless phones are still substantially uncertain, but there are studies that hint at possible harms. In a report issued today (5/31/11), the WHO / International Agency for Research on Cancer (IARC) has classified radiofrequency electromagnetic fields as "possibly carcinogenic to humans" based on an increased risk for glioma associated with wireless phone use.

Given the massive and growing exposure to cell phones, the precautionary principle requires that even uncertain harms be treated with care and respect.

Few have advocated more ardently for higher standards of 'cell(f) defense' than Joel M. Moskowitz, PhD. Dr. Joel Moskowitz, a friend and colleague, is on the research faculty at the University of California, Berkeley and directs the Center for Family and Community Health in the School of Public Health. He has conducted research on health promotion and chronic disease prevention for more than thirty years, with a recent focus on wireless phone use.

Here, Dr. Moskowitz answers my questions about the talking we all increasingly do -- and offers his advice on how best to take stock, and control, of the risks involved. On the chance you have not heard Dr. Moskowitz' voice on this important topic before, I hope you can "hear him now!"

Q: How did you get involved in the study of cell phone effects?

A: I got involved when a colleague, Dr. Seung-Kwon Myung, an epidemiologist from the National Cancer Center of South Korea, spent a year working with us at UC Berkeley. He specializes in meta-analysis, a method by which data are combined across studies to generate more robust conclusions. In one study, we reviewed research that examined the association between cell phone use and tumor risk.

Q: Why in general are you concerned about potential harms from cell phones?

A: When we grouped the 23 studies based on the quality of the research, we found strong group differences. In the 13 studies which failed to meet scientific best practices, we found what appeared to be reduced tumor risk. The ten higher-quality studies found a harmful association between cell phone use and tumor risk. Also, the higher quality studies had no funding from the cellular industry whereas the lower quality studies had at least partial industry funding.

Initially, I was skeptical about the results, but as I read more of the science I am persuaded that long-term exposure to cell phone radiation increases tumor risk.

Since our study was published in 2009 in the Journal of Clinical Oncology, I have reviewed many other cell phone radiation studies. There is evidence that cell phone radiation may damage sperm and increase male infertility, increase brain glucose metabolism and alter EEG readings, and may create neurological, memory, and sleep problems for some individuals.

Q: How adequate do you think the science is to date?

A: I'm cautious in reading the literature because many studies are poorly executed or biased. We need more research on the short- and long-term health effects. We don't know enough about long term risks; risks to children and adolescents who are more vulnerable; or risks of newer technologies.

We need to understand better the mechanisms that contribute to health effects. Most scientists who trust the research that demonstrates biologic reactivity believe there are mechanisms other than heat at work. Our government regulations only address heat produced by cell phone radiation.

Q: Can you provide some kind of estimate of the risks -- upper and lower bounds, perhaps? What are the best and worst case scenarios?

A: It's premature to estimate long-term tumor risk because tumors can take three or more decades to develop. A few studies suggest that the risk of glioma, a serious brain tumor, doubles after 10 years of cell phone use. This could amount to an additional 10,000 cases per year in the U.S.

Many people have come to rely on their cell phones over land lines, and many children have begun to use cell phones, so we may see increased risk in the future. On the other hand, patterns of use (e.g., hands-free, texting) are changing which could reduce long-term risk. The technology is also changing, but we don't know if the newer technologies are safer.

Q: How do you compare the risk/benefit trade-offs for cell phones (the 'benefits' being convenience, etc.) to other routine practices, such as driving, or drinking alcohol, or going to the beach? Is there any reasonable way to place cell phone use on some kind of rank list of 'things to worry about'?

A: Obviously, there are substantial benefits to wireless technology, but we can be both practical and safer in terms of potential health risks by changing how we use these devices. Given the limited research, I think it's premature to estimate the risks.

Q: Are all cell phones, and cell phone carriers, created equal in this regard? If not, why not?

A: The amount of cell phone radiation your phone emits depends on various factors throughout the day, including your location and distance from cell towers. Some cell phones generate as much as eight times more radiation at the upper limit of the range than others. This measure, called the SAR, can be looked up on the internet for every cell phone. However, you can't find out how much radiation a phone generates during average daily use, which may be more important in terms of cumulative health risk. Some low SAR phones may generate more radiation on average than high SAR phones.

Your cell phone carrier may matter more than your cell phone. One study shows that GSM phones (e.g., AT&T, T-Mobile) emit 28 times more radiation on average than CDMA phones (e.g., Verizon, Sprint). Another study shows GSM affects EEG readings more than CDMA. More comparative studies on different carrier standards are needed.

Q: What do you recommend individuals do?

A: Keep a safe distance at all times. The amount of radiation is related to the square of the distance so keeping your phone 10 inches away reduces your exposure 100-fold compared to an inch. Use a headset, especially a corded device, or other hands-free method such as a speakerphone or text. Don't keep the phone near your head or reproductive organs when it is turned on. Children are more vulnerable, and their cell phone use should be very limited.

Q: What do you recommend for policy?

A: Although more research on cell phone radiation is needed, we cannot afford to wait for conclusive evidence. There are 300 million cell phones in use in this country, and two-thirds of children over the age of seven use them. The government's regulations are outmoded and need to be revised.

About a dozen nations have issued precautionary health warnings. It is time for our government to do the same and to publicize simple steps people can take to minimize their personal health risk.

An annual assessment of $1 on each cell phone would generate $300 million annually for vitally needed research and education.

Q: What do you do?

A: I usually use the speakerphone or a corded headset. I keep the phone on my desk or keep it turned off when I have it in my pocket, and turn it on periodically to check for messages, or I check for messages from a land line.

Here are Dr. Moskowitz' takeaways:

* Keep your cell phone away from your body whenever it is on. Use a corded headset, speakerphone or text.

* Minimize cell phone use among children, teens, and pregnant women.

* Demand that the federal government revise regulations, fund research, and issue precautionary health recommendations.

And here are some websites he recommends for more information, and keeping current:

My thanks to Dr. Moskowitz for a very informative and electromagnetically safe exchange! You now know the state-of-the-art in cell(f) defense; the practice of it is up to you.

Dr. David L. Katz; www.davidkatzmd.com
www.turnthetidefoundation.org


 

Follow David Katz, M.D. on Twitter: www.twitter.com/DrDavidKatz

The risks attached to the use of cellular and wireless phones are still substantially uncertain, but there are studies that hint at possible harms. In a report issued today (5/31/11), the WHO / Inter...
The risks attached to the use of cellular and wireless phones are still substantially uncertain, but there are studies that hint at possible harms. In a report issued today (5/31/11), the WHO / Inter...
 
 
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07:35 AM on 07/17/2011
Thanks for the take away points. Some of this I'd read before but this was clearer.
10:51 PM on 06/05/2011
This is heart breaking. I run http://buriendaily.com and am using my iPhone constantly. I will probably die from this; I knew that Apple would kill me eventually.
02:18 AM on 06/05/2011
This article is based on Junk Science. Dr. Moskowitiz may speak of high quality studies, but his link to ElectroMagneticHealth.org puts his judgement into serious question. The following quote can be found on that site:

"It is not generally appreciated that there is a cumulative effect and that talking on a cell phone for just an hour a day for ten years can add up to 10,000 watts of radiation. That’s ten times more than from putting your head in a microwave oven."

A high school physics student can immediately determine the glaring flaw in the statement. Power accumulated over time (integration for those who know calculus) is energy and is measured in joules (or watt-seconds), not watts, And for how long would you have to stick your head in a the Microwave oven to achieve this so-called equivalency?

This statement on ElectroMagneticHealth.org is way beyond stupid and demonstrates the low quality editing. Would one argue that being submerged underwater for 10 seconds a day for 360 days has the same effect as being held underwater for an hour? Spending 1000 nights under a 2 lb. blanket equivalent to one night under a ton of steel?
06:17 PM on 06/04/2011
When talking about such a serious issue as whether or not cell phone use may possibly cause brain tumors it is imperative that we stick to the facts and do not overstate them. The IARC panel has not yet published its rationale for its recent decision. The publication is scheduled for July 1, 2011 in Lancet. We do know that they reviewed the literature to date, including 4 studies that have not yet been published, but have been accepted for publication in peer reviewed journals. The highly mentioned 40% increased “risk” of developing a glioma in heavy, long term users, comes from the controversial Interphone Study published a year ago. The authors of this study conceded that statistical Biases and errors limit the strength of the conclusions that can be drawn from these analyses and prevent a causal interpretation. In fact it was the publication of this study one year ago that prompted both the WHO and the FDA to declare that there was NO definitive link to the use of cell phones and the development of brain tumors. Why this weak data is now the cornerstone of the recent WHO announcement is unclear. What is known is that at least four of the authors of this 10-year, 25 million Euro, controversial trial, and who now, with this new classification stand to get millions more in funding, were ALSO members of this WHO panel. You do the math.
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Iatros78
Science is the consensus of expert opinion
10:24 AM on 06/01/2011
Thank you, Dr. Katz, for this reasonable, rational approach to scientific information. Unfortunately, many posters appear to reject approaches that are reasonable, rational, and based on scientific information. I think the medical community needs to have a much stronger presence in creating the science standards for K-12 public education (and in demanding that there be national health standards as well). It is clear to me that many Americans are unable to understand/interpret the medical research information they receive through the media nor do they seem to understand the process by which the medical community establishes consensus opinions.
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cable1977
Against logic there is no armor like ignorance
09:03 AM on 06/04/2011
It is a little early to imply that those who disagree with the notion that cellphones are carcinogenic are, in fact, unreasonable or irrational. The jury is still out on the actual carcinogenesis risk from cellphones, or if one even exists. Part of the problem is that you have scientists willing to make public statements far beyond the available evidence as the interviewee did above:

"It's premature to estimate long-term tumor risk because tumors can take three or more decades to develop. A few studies suggest that the risk of glioma, a serious brain tumor, doubles after 10 years of cell phone use. This could amount to an additional 10,000 cases per year in the U.S."

If it is premature to estimate risk, then why did he estimate risk? That only leads to miscommunication, misinterpretation, and false impressions.
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Jack Daniels Esq
Hold the ice
07:34 AM on 06/01/2011
In a straight shootout with a loaded Mack truck, I gotta go with the carcinogen mobile
05:55 AM on 06/01/2011
This is an beautiful article upon a known fact regarding Mobile phone being carcinogenic . We are surrounded by many of such radiations, so its not to worry much but live with it intelligently . But there is nothing to be so panicked about............... http://bit.ly/iN9g0u
04:59 AM on 06/01/2011
Hard to imagine the now all powerful mobile industries would allow any limit based on inconclusive studies to be put on their merchandises.
04:08 AM on 06/01/2011
Cell phones are the new made-up bogeyman. They're the cigarettes of 2011. Once the cell phone industry is destroyed by the "do-gooders," they'll find another random thing to go after.
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HUFFPOST SUPER USER
ABACADABRA RABBIT
02:41 AM on 06/01/2011
Class Action Lawsuits against Verizon, T-Mobile, and AT
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Uncle Bob
Darwin loves you.
01:50 AM on 06/01/2011
I keep FOUR inches between me and the phone, so I'm FOUR times less likely to get cancer.

That isn't based on science...I base that on the words I capitalize. Hard to argue with.
01:38 AM on 06/01/2011
I have worked with several patients who believe their brain tumors are a direct result of their extended blue tooth and cell phone use.
01:47 AM on 06/05/2011
And that makes it so?
01:21 AM on 06/01/2011
I want to refer you to a link so you can see before and after infrared images of cell phone use. There is also information on an error found in safety standards showing they cause harm. If the interfere with an airlines communications, what does it do to your communications? Look at these images and think of that phone in your pant or shirt pocket. I have heard women put them in a sports bra at time, be careful they can hurt you. Our safety code says it can lead to nerve challenges.
http://www.thermoguy.com/blog/index.php?itemid=53
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02:14 AM on 06/01/2011
Your infared images are sure pretty but don't get too excited. Remember, infared measures heat. When someone talks on the phone for an hour he/she will have insulated the side of their face with the phone and their hand for that period of time. I submit to you that even with no phone in the hand the IR image would still be substantially effected just by holding your hand next to your ear. The images are proof of nothing. Be careful.
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12:35 AM on 06/01/2011
I did some research on this subject when I was in graduate school (electrical engineering) twenty-years ago. My conclusion was that it was a dead issue. However, there was no shortage of speculation about the harmful effects of cell phone use. Today, I interpret this article to mean the status of the issue hasn't changed. This article appears to be a call for funds to continue the research. I am neither a doctor nor a medical scientist; however, I can understand the results of the studies that have been done and I remain skeptical that cell phones are harmful to users.
10:07 PM on 05/31/2011
I understand that the author suggests to keep the phone away anytime it's on "at all times", but shouldn't the warning be limited to anytime it is emitting a telephone/radio signal? Otherwise, isn't the cell phone just an electronic device? I'm not suggesting this, just asking. What if, for example, my child uses her iPhone mostly to text and to play games? Is there still a danger? Is it the same danger as talking on the phone?