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ICBE-EMF finds serious problems with WHO-Commissioned review of human observational studies on the effects of exposure to radio-frequency EMFs, published today in Reviews in Environmental Health
PRESS RELEASE
TUCSON, AZ – July 15, 2024 – The International Commission on the Biological Effects of Electromagnetic Fields (ICBE-EMF) documented serious problems with a WHO-commissioned review of research on the effects of exposure to radio-frequency electromagnetic fields (RF-EMF) in a commentary published today in the journal Reviews on Environmental Health.
Our commentary, “A critical appraisal of the WHO 2024 systematic review of the effects of RF-EMF exposure on tinnitus, migraine/headache, and non-specific symptoms,” discusses major problems with a recent review of human observational studies on this topic by Röösli and colleagues (2024) that was published in the journal Environment International.
We call for a retraction of this paper. Contrary to the opinion of the authors, we conclude that the body of evidence reviewed for this paper is not adequate to either support or refute the safety of current exposure limits – largely due to the very small number and low methodological quality of the relevant primary studies to date, and the fundamental inappropriateness of meta-analysis for the handful of very heterogeneous primary studies identified for each of the analyzed exposure/outcome combinations.
Furthermore, the ICBE-EMF calls for an impartial international investigation, by unconflicted experts, of both the currently available evidence base on these issues, as well as related research priorities for the future.
The ICBE-EMF is made up of a multidisciplinary consortium of scientists, doctors and related professionals who are involved with research related to the biological and health effects of electromagnetic frequencies up to and including 300 GHz. The organization makes recommendations that include and go beyond establishing numerical exposure guidelines based on the best peer-reviewed scientific research publications.
Frank J, Melnick R, Moskowitz J, on behalf of the International Commission on the Biological Effects of Electromagnetic Fields (ICBE-EMF). A critical appraisal of the WHO 2024 systematic review of the effects of RF-EMF exposure on tinnitus, migraine/headache, and non-specific symptoms. Reviews on Environmental Health. 2024. doi: 10.1515/reveh-2024-0069.
 
Abstract
The World Health Organization (WHO) in 2012 initiated an expert consultation about research on the health effects of radio-frequency electromagnetic fields (RF-EMF) for a WHO monograph that was last updated in 1993. The project was abandoned over concerns about the quality of the commissioned review papers. The WHO restarted the project in 2019 by commissioning ten systematic reviews (SRs) of the research on RF-EMF exposure and adverse biological and health outcomes in laboratory animals, cell cultures, and human populations. The second of these SRs, published in 2024, addresses human observational studies of RF-EMF exposure and non-specific symptoms, including tinnitus, migraine/headache, and sleep disturbance. The present commentary is a critical appraisal of the scientific quality of this SR (SR7) employing criteria developed by the Oxford Centre for Evidence-Based Medicine. Based upon our review, we call for a retraction of SR7 and an impartial investigation by unconflicted experts of the currently available evidence and future research priorities.
Conclusion
 
To summarize, the way in which any epidemiologically unsophisticated reader is likely to be misled by this SR is clear. It appears to conclude unequivocally that the body of scientific evidence reviewed supports the safety of current (e.g. ICNIRP-based) population exposure limits for RF-EMF [10]. We reiterate that, on the contrary, this body of evidence is not adequate to either support or refute the safety of current exposure limits – largely due to the very small number and low methodological quality of the relevant primary studies to date, and the fundamental inappropriateness of meta-analysis for the handful of very heterogeneous primary studies identified by Röösli et al. [3] for each of the exposure/outcome combinations analysed.
We therefore call for a retraction of the SR by Röösli et al., and an impartial international investigation, by unconflicted experts, of both the currently available evidence base on these issues, as well as related research priorities for the future. That investigation should particularly address, above and beyond the topic of priority health outcomes to be researched (which was already assessed in the international expert consultation by WHO in 2018) [2], and the need for improved methods of accurately measuring RF-EMF exposures, suitable for large human observational studies in the general population – the Achilles heel of the current literature.
 
References cited above:
2. Verbeek J, Oftedal G, Feychting M, van Rongen E, Rosaria Scarfì M, Mann S, Wong R, van Deventer E. Prioritizing health outcomes when assessing the effects of exposure to radiofrequency electromagnetic fields: A survey among experts. Environ Int. 2021 Jan;146:106300. doi: 10.1016/j.envint.2020.106300.
 3. Röösli M, Dongus S, Jalilian H, Eyers J, Esu E, Oringanje CM, Meremikwu M, Bosch-Capblanch X. The effects of radiofrequency electromagnetic fields exposure on tinnitus, migraine and non-specific symptoms in the general and working population: A systematic review and meta-analysis on human observational studies. Environ Int. 2024 Jan;183:108338. doi: 10.1016/j.envint.2023.108338.
10. ICNIRP – International Commission on Non-Ionizing Radiation Protection (website): https://www.icnirp.org/ (accessed Feb. 26, 2024).
Elizabeth Kelley, MA   Managing Director, International Commission on the Biological Effects of Electromagnetic Fields,   icbe-emf.org

ICBE-EMF’s primary purpose is to make recommendations, based on the best peer-reviewed scientific research publications, that include, and go beyond establishing numerical exposure guidelines. We are dedicated to ensuring the protection of humans and other species from the harmful effects of non-ionizing radiation.

ICBE-EMF is made up of a multi-disciplinary consortium of scientists, doctors and related professionals who are, or have been, involved with research related to the biological and health effects of electromagnetic frequencies up to and including 300 GHz.

Learn more at icbe-emf.org