There is growing international concern on the biased representation of persons in the preparation of the WHO Monograph on Radiofrequency Radiation. As discussed earlier the group is dominated by members of ICNIRP. In fact the Ethical Board at the Karolinska Institute in Stockholm, Sweden concluded already in 2008 that being a member of ICNIRP may be a conflict of interest that should be stated in scientific publications (Karolinska Institute Diary Number 3753-2008-609).
A recent letter to WHO written by members of the BioInitiative Working Group describes the unbalanced ‘no-risk’ group at WHO preparing the document. The full text may be read here.
The Interphone study on use of mobile phones and brain tumour risk included 13 countries during the study period 2000 – 2004. The major results were published after a delay of 6 years in 2010. In the last decile of cumulative exposure > 1,640 h a statistically significant increased risk for glioma was found, OR = 1.40, 95 % CI =1.03-1.89. In the other categories of cumulative use a decreased risk was found. Bias and confounding were discussed as potential reasons for that. Analysing only subjects with regular use of a mobile phone yielded OR = 1.82, 95 % CI = 1.15-2.89 in the group with highest cumulative use.
There was an age difference between cases and controls in the Interphone study and furthermore cases and the matched controls were interviewed at different time periods, controls usually later than cases. This is problematic for mobile phone use with rapid penetration of the use in the population. In a recently published alternative analysis, cases and controls nearest in age and time for interview were included. The association between mobile phone use and glioma was strengthened thereby. Thus, among regular users in the 10th decile (> 1,640 h) cumulative use gave OR = 2.82, 95 % CI = 1.09-7.32. The authors concluded that there was ‘stronger positive association among long-term users and those in the highest categories of cumulative call time and number of calls.’.
Since the IARC evaluation in 2011 on exposure to radiofrequency radiation form mobile phones, and other devices that emit such radiation, and brain tumour risk additional research has strengthened the association. It is by now time to re-evaluate the scientific evidence on the cancer risk from radiofrequency radiation.
The incidence of thyroid cancer is increasing in many countries, especially the papillary type that is the most radiosensitive type. We used the Swedish Cancer Register and NORDCAN to study the incidence of thyroid cancer during 1970-2013 using joinpoint regression analysis. The incidence increased during the whole study period in both men and women. Based on NORDCAN data, there was a statistically significant increase in the incidence of thyroid cancer in the Nordic countries during the same time period. In both women and men one joinpoint was detected in 2006. The incidence increased substantially during 2006-2013 in women; annual percentage change (APC) +6.16 % (95 % CI +3.94, +8.42 %) and in men; APC +6.84 % (95 % CI +3.69, +10.08 %). These results were similar as in the Swedish Cancer Register. Analyses based on data from the Cancer Register showed that the increasing trend in Sweden was mainly caused by thyroid cancer of the papillary type. We postulate that the whole increase cannot be attributed to better diagnostic procedures. Increasing exposure to ionizing radiation, e.g. medical CT scans, and to radiofrequency radiation (non-ionizing radiation) should be further studied as causative factors to this emerging thyroid cancer health problem.
One aspect to be studied is the increasing use of mobile phones. The antenna was previously placed at the top of the phone but is usually now placed at the bottom in smartphones. This gives higher exposure of radiofrequency radiation to the thyroid gland, see figure. A smartphone can in addition have multiple antennas.