Semi-quantitative methodology to assess health and safety risks arising from exposure to electromagnetic fields up to 300 GHz in workplaces according to Italian regulations

References

• SCENIHR (Scientific Committee on Emerging and Newly Identified Health Risks). Opinion on potential health effects of exposure to electromagnetic fields (EMF) [Internet]; 2015 [cited 2022 Mar 23]. Available from: https://ec.europa.eu/health/scientific_committees/emerging/docs/scenihr_o_041.pdf
   Google Scholar
• International Agency for Research on Cancer (IARC) of World Health Organization (WHO). Interphone study on mobile phone use and brain cancer risk [Internet]; May 2010 [cited 2022 Mar 23]. Available from: https://www.iarc.who.int/wp-content/uploads/2018/07/pr200_E.pdf
   Google Scholar
• Brain tumour risk in relation to mobile telephone use: results of the INTERPHONE international case–control study. Int J Epidemiol 2010 [cited 2022 Mar 23]. Available from: https://academic.oup.com/ije/
   Google Scholar
• EMF-NET Project. Final report summary, effects of the exposure to electromagnetic fields: from science to public health [Internet]; 2008 [cited 2022 Mar 23]. Available from: https://cordis.europa.eu/project/id/502173/reporting/it
   Google Scholar
• Hansson Mild K, Alanko T, Decat G, et al. Exposure of workers to electromagnetic fields: a review of open questions on exposure assessment techniques. Int J Occup Saf Ergon. 2009;15(1):3–33. doi:10.1080/10803548.2009.11076785
   PubMed Web of Science ®Google Scholar
• Ravazzani P. The interpretation of the results of the research on electromagnetic fields and health in Europe: the EC Coordination Action EMF-NET. Ann Telecommun. 2008;63(1–2):11–15.
   Web of Science ®Google Scholar
• Cardis E. Deliverable D17: report on health effects of RF with recommendations for non-ionising radiation protection and research needs. EMF-NET Project: 1-43; 2009. Available from: https://www.emf-portal.org/en/article/20052
   Google Scholar
• Marino C. WP2.2 deliverable report D4bis: effects on reproduction and development [Internet]. EMF-NET Project: 1-22; 2007 [cited 2022 Mar 23]. Available from: https://www.emf-portal.org/en/search/results?query=EMF-NET&languageIds%5B%5D=en
   Google Scholar
• Feychting M, Cardis E. Deliverable D15_C: report on new epidemiological studies on static fields, ELF, intermediate frequencies, and RF. EMF-NET Project: 1-15; 2009. Available from: https://www.emf-portal.org/en/article/20060
   Google Scholar
• D'Inzeo G. Deliverable Report D41: reports on theoretical mechanisms and their plausibility, including experimental/epidemiological evidence, computer models and explicit evaluation of contrary arguments. EMF-NET Project: 1-13; 2009. Available from: https://www.emf-portal.org/en/article/20058
   Google Scholar
• EFHRAN Project. European Health Risk Assessment Network on Electromagnetic Fields Exposure [Internet]; 2009–2012 [cited 2022 Mar 23]. Available from: https://webgate.ec.europa.eu/chafea_pdb/assets/files/pdb/20081106/20081106_d1-d9_en_ps.pdf
   Google Scholar
• Sienkiewicz Z, Schüz J, Poulsen AH, et al. European Health Risk Assessment Network on Electromagnetic Fields Exposure (EFHRAN): D 2 – report – risk analysis of human exposure to electromagnetic fields (revised). Executive Agency for Health and Consumers (EAHC), European Commission; 2012. p. 1–62. Available from: https://webgate.ec.europa.eu/chafea_pdb/assets/files/pdb/20081106/20081106_d1-d9_en_ps.pdf
   Google Scholar
• Ahlbom A, Day N, Feychting M, et al. A pooled analysis of magnetic fields and childhood leukaemia. Br J Cancer. 2000;83:692–698. doi:10.1054/bjoc.2000.1376 PMID: 10944614
   PubMed Web of Science ®Google Scholar
• Attwell D. Interaction of low frequency electric fields with the nervous system: the retina as a model system. Radiat Protect Dosim. 2003;106:341–348. doi:10.1093/oxfordjournals.rpd.a006370 PMID: 14690277
   PubMed Web of Science ®Google Scholar
• Bahr A, Bolz T, Hennes C. Numerical dosimetry ELF: accuracy of the method: variability of models and parameters, and the implication for quantifying guidelines. Health Phys. 2007;92:521–530. doi:10.1097/01.HP.0000251249.00507.ca PMID: 17495652
   PubMed Web of Science ®Google Scholar
• Barth A, Ponocny I, Ponocny-Seliger E, et al. Effects of extremely low-frequency magnetic field exposure on cognitive functions: results of a meta-analysis. Bioelectromagnetics. 2010;31:173–179. doi:10.1002/bem.20543 PMID: 19753600
   PubMed Web of Science ®Google Scholar
• Cook CM, Thomas AW, Prato FS. Human electrophysiological and cognitive effects of exposure to ELF magnetic and ELF modulated RF and microwave fields: a review of recent studies. Bioelectromagnetics. 2002;23:144–157. doi:10.1002/bem.107 PMID: 11835261
   PubMed Web of Science ®Google Scholar
• Cook CM, Saucier DM, Thomas AW, et al. Exposure to ELF magnetic and ELF-modulated radiofrequency fields: the time-course of physiological and cognitive effects observed in recent studies (2001–2005). Bioelectromagnetics. 2006;27:613–627. doi:10.1002/bem.20247 PMID: 16724317
   PubMed Web of Science ®Google Scholar
• Crasson M. 50–60 Hz electric and magnetic field effects on cognitive function in humans: a review. Radiat Protect Dosim. 2003;106:333–340. doi:10.1093/oxfordjournals.rpd.a006369 PMID: 14690276
   PubMed Web of Science ®Google Scholar
• Crumpton MJ, Collins AR. Are environmental electromagnetic fields genotoxic? DNA Repair. 2004;3:1385–1387. doi:10.1016/j.dnarep.2004.05.006 PMID: 15336633
   PubMed Web of Science ®Google Scholar
• Garcia AM, Sisternas A, Hoyos SP. Occupational exposure to extremely low frequency electric and magnetic fields and Alzheimer disease: a meta-analysis. Int J Epidemiol. 2008;37:329–340. doi:10.1093/ije/dym295 PMID: 18245151
   PubMed Web of Science ®Google Scholar
• Consales C, Cirotti C, Filomeni F, et al. Fifty-Hertz magnetic field affects the epigenetic modulation of the miR-34b/c in neuronal cells. Mol Neurobiol. 2018;55(7):5698–5714. doi:10.1007/s12035-017-0791-0 PMID: 29039021
   PubMed Web of Science ®Google Scholar
• Benassi B, Filomeni G, Montagna C, et al. Extremely low frequency magnetic field (ELF-MF) exposure sensitizes SH-SY5Y cells to the pro-Parkinson's disease toxin MPP(.). Mol Neurobiol. 2016;53(6):4247–4260. doi:10.1007/s12035-015-9354-4 PMID: 26223801
   PubMed Web of Science ®Google Scholar
• McRobbie DW. Occupational exposure in MRI. Br J Radiol. 2012;85(1012):293–312. doi:10.1259/bjr/30146162 PMID: 22457400
   PubMed Web of Science ®Google Scholar
• Andreuccetti D, Biagi L, Burriesci G, et al. Occupational exposure in MR facilities due to movements in the static magnetic field. Med Phys. 2017;44(11):5988–5996. doi:10.1002/mp.12537 PMID: 28857189
   PubMed Web of Science ®Google Scholar
• ICNIRP. Guidelines for limiting exposure to time-varying electric,: magnetic, and electromagnetic fields (up to 300 GHz). Health Phys. 1998;74(4):494–522. PMID: 9525427
   PubMed Web of Science ®Google Scholar
• ICNIRP. Guidelines on limits of exposure to static magnetic fields. Health Phys. 2009;96(4):504–514. doi:10.1097/01.HP.0000343164.27920.4a PMID: 19276710
   PubMed Web of Science ®Google Scholar
• ICNIRP. Guidelines for limiting exposure to time-varying electric and magnetic fields (1 Hz to 100 kHz). Health Phys. 2010;99(6):818–836. doi:10.1097/HP.0b013e3181f06c86 PMID: 21068601
   PubMed Web of Science ®Google Scholar
• ICNIRP. Guidelines for limiting exposure to electric fields induced by movement of the human body in a static magnetic field and by time varying magnetic fields below 1 Hz. Health Phys. 2014;106(3):418–425. doi:10.1097/HP.0b013e31829e5580 PMID: 25208018
   PubMed Web of Science ®Google Scholar
• ICNIRP. Guidelines for limiting exposure to electromagnetic fields (100 kHz to 300 GHz). Health Phys. 2020;118(5):483–524. doi:10.1097/HP.0000000000001210 PMID: 32167495
   PubMed Web of Science ®Google Scholar
• 1999/519/EC: Council Recommendation of 12 July 1999 on the limitation of exposure of the general public to electromagnetic fields (0 Hz to 300 GHz) [Internet]. Official Journal of the European Communities, L 199, 30 July 1999:59–70; [cited 2022 Mar 23]. Available from: https://eur-lex.europa.eu/eli/reco/1999/519/oj
   Google Scholar
• Directive 2013/35/EU of the European Parliament and of the Council of 26 June 2013 on the minimum health and safety requirements regarding the exposure of workers to the risks arising from physical agents (electromagnetic fields) (20th individual Directive within the meaning of Article 16(1) of Directive 89/391/EEC) and repealing Directive 2004/40/EC [Internet]. Official Journal of the European Union, L 179, 29 June 2013:1–21; [cited 2022 March 23]. Available from: https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32013L0035&from=EN
   Google Scholar
• World Health Organization. The International EMF Project [Internet]; [cited 2022 Mar 23]. Available from: https://www.who.int/initiatives/the-international-emf-project
   Google Scholar
• Non-binding guide to good practice for implementing Directive 2013/35/EU electromagnetic fields. Volume 1 – practical guide, Volume 2 – case studies, Volume 3 – the guide for SMEs [Internet]. EU; 2015 [cited 2022 Mar 23]. Available from: https://webgate.ec.europa.eu/chafea_pdb/assets/files/pdb/20081106/20081106_d1-d9_en_ps.pdf
   Google Scholar
• IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Non-ionizing radiation; part 1: static and extremely low-frequency (ELF) electric and magnetic fields. IARC Monogr Eval Carcinog Risks Hum. 2002;80:1–395. PMID: 12071196
   PubMedGoogle Scholar
• IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Non-ionizing radiation; part 2: radiofrequency electromagnetic fields. IARC Monogr Eval Carcinog Risks Hum. 2013;102(Pt 2):1–460. PMID: 24772662
   PubMedGoogle Scholar
• Stamm R. Comparison of international policies on electromagnetic fields [Internet]. The Netherlands: National Institute for Public Health and the Environment, RIVM; 2018 [cited 2022 Mar 23]. Available from: https://www.rivm.nl/sites/default/files/2018-11/Comparison%20of%20international%20policies%20on%20electromagnetic%20fields%202018.pdf
   Google Scholar
• Letter GROW/C3/DP/mm (2016) 2534933 to CENELEC TC 106X, 29 April 2016.
   Google Scholar
• Decreto Legislativo 9 aprile 2008 n.81 (D. Lgs. 81/2008), Testo coordinato con il D. Lgs. 3 agosto 2009, n. 106 − Attuazione dell’art. 1 della legge 3 agosto 2007, n. 123, in materia di tutela della salute e della sicurezza nei luoghi di lavoro [Italian Legislative Decree No. 81 of 9th April 2008, Act coordinated with legislative decree No.106 of 3rd August 2009 – implementation of clause 1 of the Law No. 123 of 3rd August 2009 on health and safety protection in workplaces]. Official Journal of the Italian Republic, No. 180, 5 August 2008, Revision November 2020.
   Google Scholar
• Decreto Legislativo 1 agosto 2016, n. 159, Attuazione della direttiva 2013/35/UE sulle disposizioni minime di sicurezza e di salute relative all’esposizione dei lavoratori ai rischi derivanti dagli agenti fisici (campi elettromagnetici) e che abroga la direttiva 2004/40/CE [Italian Legislative Decree No. 159 of 1st August 2016, implementation of directive 2013/35/UE of the European Parliament and of the Council of 26 June 2013 on the minimum health and safety requirements regarding the exposure of workers to the risks arising from physical agents (electromagnetic fields) repealing directive 2004/40/CE]. Official Journal of the Italian Republic, No. 192, 18 August 2016, Revision November 2020.
   Google Scholar
• Decreto del Presidente del Consiglio dei Ministri 8 luglio 2003, Fissazione dei limiti di esposizione, dei valori di attenzione e degli obiettivi di qualità per la protezione della popolazione dalle esposizioni ai campi elettrici e magnetici alla frequenza di rete (50 Hz) generati dagli elettrodotti [Italian Prime Minister’s Decree 8th July 2003, establishment of exposure limits, attention values and quality objectives for the protection of the population from exposure to electric and magnetic fields at the industrial frequency (50 Hz) generated by power lines]. Official Journal of the Italian Republic, No. 200, 29 August 2003.
   Google Scholar
• Decreto del Presidente del Consiglio dei Ministri 8 luglio 2003, Fissazione dei limiti di esposizione, dei valori di attenzione e degli obiettivi di qualità per la protezione della popolazione dalle esposizioni a campi elettrici, magnetici ed elettromagnetici generati a frequenze comprese tra 100 kHz e 300 GHz [Italian Prime Minister’s Decree 8th July 2003, establishment of exposure limits, attention values and quality objectives for the protection of the population from exposure to electric, magnetic and electromagnetic fields generated at frequencies between 100 kHz and 300 GHz]. Official Journal of the Italian Republic, No. 199, 28 August 2003.
   Google Scholar
• Legge 22 febbraio 2001, n.36, Legge quadro sulla protezione dalle esposizioni a campi elettrici, magnetici ed elettromagnetici [Italian Law No. 36 of 22 February 2001, framework law for the protection from exposure to electric, magnetic and electromagnetic fields]. Official Journal of the Italian Republic, No. 55, 7 March 2001.
   Google Scholar
• Norma CEI 106-45:2021 Guida CEM – Guida alla valutazione dell’esposizione ai campi elettrici,: magnetici ed elettromagnetici (CEM) fra 0 Hz e 300 GHz nei luoghi di lavoro [Italian standard CEI 106-45:2021 EMF guide – guide to health and safety risk assessment due to exposure to electric, magnetic and electromagnetic fields (EMF) from 0 Hz to 300 GHz at workplaces]. CEI 106-45 (2021-01):17850. Available from: https://my.ceinorme.it/home.html
   Google Scholar
• Filosa L, Lopresto V. Assessment and management of professional and non-professional exposure to electromagnetic fields (0 Hz to 300 GHz) at workplaces: a compass to keep the right course by Italian experience. Int J Occ Safety Ergon (submitted).
   Google Scholar
• Directive 2006/42/EC of the European Parliament and of the council of 17 May 2006 on machinery, and amending Directive 95/16/EC (recast) [Internet]. Official Journal of the European Union, L 157, June 9 2006; [cited 2022 Mar 23]. Available from: https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32006L0042&from=IT
   Google Scholar
• European Standard EN 50499:2019, procedure for the assessment of the exposure of workers to electromagnetic fields [Internet]; [cited 2022 Mar 23]. Available from: https://www.en-standard.eu/bs-en-50499-2019-procedure-for-the-assessment-of-the-exposure-of-workers-to-electromagnetic-fields/?gclid=Cj0KCQjw1ouKBhC5ARIsAHXNMI8oLpRWPEfEHvDsnw-3UwQ7YJrpx23H9DiipLWVljUsk8b5SSiRXYsaAsj0EALw_wcB
   Google Scholar
• Norma UNI 11347:2015 Acustica – Programmi aziendali di riduzione dell'esposizione a rumore nei luoghi di lavoro [Italian standard UNI 11347:2015 acoustics – programme for reducing employee exposure to noise in working environments]. Available from: https://store.uni.com
   Google Scholar
• Directive 2014/34/EU of the European Parliament and of the Council of 26 February 2014 on the harmonisation of the laws of the Member States relating to equipment and protective systems intended for use in potentially explosive atmospheres (recast) [Internet]. Official Journal of the European Union, L 096, 29 March 2014; [cited 2022 March 23]. Available from: https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32014L0034&from=EN
   Google Scholar
• European standard EN 50527-1:2016 procedure for the assessment of the exposure to electromagnetic fields of workers bearing active implantable medical devices (AIMD) – part 1: general. Available from: https://my.ceinorme.it/home.html
   Google Scholar
• European standard EN 50527-2-1:2016 procedure for the assessment of the exposure to electromagnetic fields of workers bearing active implantable medical devices (AIMD) – part 2-1: specific assessment for workers with cardiac pacemakers (pacemaker). Available from: https://my.ceinorme.it/home.html
   Google Scholar
• European standard EN 50527-2-2:2018 procedure for the assessment of the exposure to electromagnetic fields of workers bearing active implantable medical devices (AIMD) – part 2-2: specific assessment for workers with cardioverter defibrillators (ICDs). Available from: https://my.ceinorme.it/home.html
   Google Scholar
• European standard EN 50527-2-3 (publishing) procedure for the assessment of the exposure to electromagnetic fields of workers bearing active implantable medical devices – part 2-3: specific assessment for workers with implantable neurostimulators. Available from: https://my.ceinorme.it/home.html
   Google Scholar
• Associazione Italiana di Radioprotezione Medica (AIRM), AA.VV.: Linee guida per la sorveglianza sanitaria dei lavoratori esposti campi elettromagnetici. Edizoni stampa [Italian Association of Medical Radiation Protection (AIRM), VV.AA. Guidelines for health surveillance of workers exposed to electromagnetic fields. Print editions]. Caserta: Depigraf; 2021.
   Google Scholar