n. leitgeb - who · zregional differences bergqvist et. al.1997 indoor sourcesindoor sources...

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N. Leitgeb Institute of Clinical Engineering Graz University of Technology INSTITUTE OF CLINICAL ENGINEERING, GRAZ UNIVERSITY OF TECHNOLOGY, AUSTRIA Workshop on Electrical Hypersensitivity, Prague, October 25-26, 2004

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Page 1: N. Leitgeb - WHO · zregional differences Bergqvist et. al.1997 indoor sourcesindoor sources outdoor sourcesoutdoor sources zphysician’s conviction Leitgeb et. al. 2004 zestimations:

N. Leitgeb

Institute of Clinical EngineeringGraz University of Technology

INSTITUTE OF CLINICAL ENGINEERING, GRAZ UNIVERSITY OF TECHNOLOGY, AUSTRIAWorkshop on Electrical Hypersensitivity, Prague, October 25-26, 2004

Page 2: N. Leitgeb - WHO · zregional differences Bergqvist et. al.1997 indoor sourcesindoor sources outdoor sourcesoutdoor sources zphysician’s conviction Leitgeb et. al. 2004 zestimations:

high public awareness

EHS prevalence

physician’ beliefs

ongoing and planned research

evidence and models

EHS and sleep disorders

INSTITUTE OF CLINICAL ENGINEERING, GRAZ UNIVERSITY OF TECHNOLOGY, AUSTRIAWorkshop on Electrical Hypersensitivity, Prague, October 25-26, 2004

Page 3: N. Leitgeb - WHO · zregional differences Bergqvist et. al.1997 indoor sourcesindoor sources outdoor sourcesoutdoor sources zphysician’s conviction Leitgeb et. al. 2004 zestimations:

regional differencesBergqvist et. al.1997

indoor sourcesindoor sources

outdoor sourcesoutdoor sources

physician’s convictionLeitgeb et. al. 2004

estimations: ~ 2%A: < 2% Leitgeb 1995S: 2% Ericsson 2000S: 1,5% Hillert et. al. 2002US/Ca: 3,2% Levallois et. al. 2002

sources changeVDU power lines MTC basestations

INSTITUTE OF CLINICAL ENGINEERING, GRAZ UNIVERSITY OF TECHNOLOGY, AUSTRIAWorkshop on Electrical Hypersensitivity, Prague, October 25-26, 2004

Page 4: N. Leitgeb - WHO · zregional differences Bergqvist et. al.1997 indoor sourcesindoor sources outdoor sourcesoutdoor sources zphysician’s conviction Leitgeb et. al. 2004 zestimations:

96%: EMF cause illness 96%: EMF + cofactorscause illness

67%: having EHS patients

Leitgeb et. al. 2004

INSTITUTE OF CLINICAL ENGINEERING, GRAZ UNIVERSITY OF TECHNOLOGY, AUSTRIAWorkshop on Electrical Hypersensitivity, Prague, October 25-26, 2004

Page 5: N. Leitgeb - WHO · zregional differences Bergqvist et. al.1997 indoor sourcesindoor sources outdoor sourcesoutdoor sources zphysician’s conviction Leitgeb et. al. 2004 zestimations:

EHS research recommended, e.g. byGB: IEGMP 2000D: SSK 2003EU: EMF-NET 2003WHO: If causal link confirmed, particular lab. studies

EHS research approaches

laboratory (provocational) studies

epidemiological studiesfield studies

prospective studies

INSTITUTE OF CLINICAL ENGINEERING, GRAZ UNIVERSITY OF TECHNOLOGY, AUSTRIAWorkshop on Electrical Hypersensitivity, Prague, October 25-26, 2004

Page 6: N. Leitgeb - WHO · zregional differences Bergqvist et. al.1997 indoor sourcesindoor sources outdoor sourcesoutdoor sources zphysician’s conviction Leitgeb et. al. 2004 zestimations:

Collection of EMF-attributed symptoms / cases

D: “Mainz Watchdog” - hotlineAUS: ARPANSA EMR health complaints register

Calls for listing of EMF- associated symptoms and related sources

Investigation of EHS cases

NL, CH: EHS: well being and cognitionTNO study replication ongoing in CH

A, D, SF, S, J, K, UK: EMF provocation and bioparametersShortterm- provocation to MTC-µW

D, J, S: EHS and psychological and somatic cofactors / indicatorschemical sensitivity (dental amalgam, heavy metals), blood parameters, skin sensations allergies, threat somatisation tendency

A, D, SF, S: EMF perception and scoringShortterm- provocation to ELF-MF (A, S), MTC-µW (A,D,SF,S)

INSTITUTE OF CLINICAL ENGINEERING, GRAZ UNIVERSITY OF TECHNOLOGY, AUSTRIAWorkshop on Electrical Hypersensitivity, Prague, October 25-26, 2004

Page 7: N. Leitgeb - WHO · zregional differences Bergqvist et. al.1997 indoor sourcesindoor sources outdoor sourcesoutdoor sources zphysician’s conviction Leitgeb et. al. 2004 zestimations:

EMF- associated laboratory sleep studiesD;CH: simulated MTC signals and sleep disturbanceRöschke et. al.: 3 studies with simulated MTC-handset fieldsBorbely et. al , Huber et. al: Short-term simulated handset, basestation exposure

020406080

100120140

0.02 0.05 5.00

REM REM L.

%

µW/cm²

Basestation- epidemiological studies

CH: ELF-E,B and sleep disturbanceMüller et. al.: On-site provocation to weak ELF fields, no follow up

CH, D, GB: Feasibility studies ongoingEstimation strategies for exposure assessment

D: basestation and sleep disturbanceDanker-Hopfe et. al.: Blinded basestation- switching : Pilot study finished, main study to be started

A: environmental RF-EMF and sleep disturbanceLeitgeb et. al.: Blinded RF-EMF-shielding: Pilot study finished, main study ongoing

EMF- associated on-site sleep studies

INSTITUTE OF CLINICAL ENGINEERING, GRAZ UNIVERSITY OF TECHNOLOGY, AUSTRIAWorkshop on Electrical Hypersensitivity, Prague, October 25-26, 2004

Page 8: N. Leitgeb - WHO · zregional differences Bergqvist et. al.1997 indoor sourcesindoor sources outdoor sourcesoutdoor sources zphysician’s conviction Leitgeb et. al. 2004 zestimations:

higher score for EHS at UMTS

double-blind exposure to MTC handset signalsTNO- study

no significant changes for GSM X

X

X

X

inaedequacy

somatic

anxiety

well being sum

well being

X

X

9 18 UM 9 18 UM

EHS11m+25w

control22m+14w

well being

author’s conclusions:

influences on both, EHS and controls

X

X

Xreaction time

info filtering

dual tasking

visual selective

memory comparis.

cognition

X

X

XX

X

9 18 UM 9 18 UM

cognition

higher score-sum for controlsselective results for groups / phones

evidence for causal linkimpact on wellbeingEHS stronger reacting

INSTITUTE OF CLINICAL ENGINEERING, GRAZ UNIVERSITY OF TECHNOLOGY, AUSTRIAWorkshop on Electrical Hypersensitivity, Prague, October 25-26, 2004