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    INTERNATIONAL PROGRAMME ON CHEMICAL SAFETY




    ENVIRONMENTAL HEALTH CRITERIA 137





    ELECTROMAGNETIC FIELDS
    (300 HZ TO 300 GHZ)



    This report contains the collective views of an international group of
    experts and does not necessarily represent the decisions or the stated
    policy of the United Nations Environment Programme, the International
    Radiation Protection Association, or the World Health Organization.

    Published under the joint sponsorship of
    the United Nations Environment Programme,
    the International Radiation Protection Association,
    and the World Health Organization

    World Health Orgnization
    Geneva, 1993

    WHO Library Cataloguing in Publication Data

    Electromagnetic fields (300 Hz to 300 GHz)

          (Environmental health criteria: 137)

    1. Electromagnetic fields - adverse effects  2. Environmental
    exposure    I.Series

          ISBN 92 4 157137 3         (NLM Classification QT 34)
          ISSN 0250-863X

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    (c) World Health Organization 1993

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    CONTENTS

    PREFACE

    1. SUMMARY AND RECOMMENDATIONS FOR FURTHER STUDIES
         1.1. Summary
              1.1.1. Physical characteristics in relation to biological
                       effects
              1.1.2. Sources and exposure
                       1.1.2.1   Community
                       1.1.2.2   Home
                       1.1.2.3   Workplace
              1.1.3. Biological effects
              1.1.4. Laboratory studies
              1.1.5. Human studies
              1.1.6. Health hazard assessment
                       1.1.6.1   Thermal effects
                       1.1.6.2   Pulsed fields
                       1.1.6.3   Amplitude-modulated RF fields
                       1.1.6.4   RF field effects on tumour induction and
                                 promotion
                       1.1.6.5   RF-induced current densities
                       1.1.6.6   RF contact shocks and burns
              1.1.7. Exposure standards
                       1.1.7.1   Basic exposure limits
                       1.1.7.2   Occupational exposure limits
                       1.1.7.3   Exposure limits for the general
                                 population
                       1.1.7.4   Implementation of standards
              1.1.8. Protective measures
         1.2. Recommendations for further studies
              1.2.1. Introduction
              1.2.2. Pulsed fields
              1.2.3. Cancer, reproduction, and nervous system
                       studies
              1.2.4. Weak-field interactions
              1.2.5. Epidemiology

    2. PHYSICAL CHARACTERISTICS
         2.1. Introduction
         2.2. Electric field
         2.3. Magnetic field
         2.4. Waves and radiation

    3. NATURAL BACKGROUND AND HUMAN-MADE SOURCES
         3.1. General
         3.2. Natural background
              3.2.1. Atmospheric fields
              3.2.2. Terrestrial emissions
              3.2.3. Extraterrestrial fields
         3.3. Human-made sources
              3.3.1. General
              3.3.2. Environment, home, and public premises
              3.3.3. Workplace
              3.3.4. Medical practice

    4. EXPOSURE EVALUATION - CALCULATION AND MEASUREMENT
         4.1. Introduction
         4.2. Theoretical estimation
         4.3. Measurements
              4.3.1. Preliminary considerations
              4.3.2. Near-field versus far-field
              4.3.3. Instrumentation
              4.3.4. Measurement procedures

    5. DOSIMETRY
         5.1. General
         5.2. Low frequency range
              5.2.1. Magnetic fields
              5.2.2. Electric fields
         5.3. High-frequency range
         5.4. Derivation of exposure limits from basic quantities

    6. INTERACTION MECHANISMS
         6.1. General
         6.2. Electrical properties of cells and tissues
              6.2.1. Permittivity
              6.2.2. Non-linear effects
              6.2.3. Induced fields at the cellular level
              6.2.4. Body impedance
         6.3. Direct interactions - strong fields
              6.3.1. Interactions with excitable tissues
              6.3.2. Thermal interactions
         6.4. Direct interactions - weak fields
              6.4.1. General
              6.4.2. Microelectrophoretic motion
              6.4.3. Ion-resonance conditions
              6.4.4. Calcium ion exchange
         6.5. Indirect interactions

    7. CELLULAR AND ANIMAL STUDIES
         7.1. Introduction
         7.2. Macromolecules and cell systems
              7.2.1. Effects on cell membranes
              7.2.2. Effects on haematopoietic tissue
              7.2.3. Isolated cerebral tissue, peripheral nerve tissue,
                       and heart preparations
              7.2.4. Mutagenic effects
              7.2.5. Cancer-related studies
              7.2.6. Summary and conclusions:  in vitro studies
         7.3. Animal studies
              7.3.1. Nervous system
              7.3.2. Ocular effects
              7.3.3. Auditory perception
              7.3.4. Behaviour
                       7.3.4.1   Thermoregulation
                       7.3.4.2   Activity (spontaneous movement)
                       7.3.4.3   Learned behaviours
              7.3.5. Endocrine system
              7.3.6. Haematopoietic and immune systems
              7.3.7. Cardiovascular system
              7.3.8. Reproduction and development
                       7.3.8.1   kHz studies
                       7.3.8.2   MHz and GHz studies
              7.3.9. Genetics and mutagenesis
              7.3.10. Cancer-related studies
              7.3.11. Summary and conclusions

    8. HUMAN RESPONSES
         8.1. Laboratory studies
              8.1.1. Cutaneous perception
              8.1.2. Other perception thresholds
              8.1.3. Auditory effects
              8.1.4. Induced-current effects
              8.1.5. Thermoregulation
              8.1.6. Contact currents
         8.2. Epidemiological and clinical comparative studies
              8.2.1. Mortality and morbidity studies
              8.2.2. Ocular effects
              8.2.3. Effects on reproduction
              8.2.4. VDU studies
              8.2.5. Conclusions
         8.3. Clinical case studies and accidental overexposures

    9. HEALTH HAZARD ASSESSMENT
         9.1. Introduction
         9.2. Thermal effects
         9.3. RF contact shocks and burns
         9.4. Induced current densities
         9.5. Pulsed RF fields
         9.6. RF fields amplitude modulated at ELF frequencies
         9.7. RF effects on tumour induction and progression

    10. EXPOSURE STANDARDS
         10.1. General considerations
         10.2. Present trends
         10.3. Recommendations by the IRPA
         10.4. Concluding remarks

    11. PROTECTIVE MEASURES
         11.1. Engineering measures 
         11.2. Administrative controls
         11.3. Personal protection
         11.4. Medical surveillance 
         11.5. Interference with medical devices and safety equipment

    GLOSSARY
    REFERENCES
    RESUME ET RECOMMANDATIONS EN VUE D'ETUDES FUTURES
    RESUMEN Y RECOMENDACIONES PARA ESTUDIOS ULTERIORES
    

    WHO/IRPA TASK GROUP ON ELECTROMAGNETIC FIELDS (300 Hz TO 300 GHz)

     Members

    Prof J. Bernhardta       Federal Office of Radiological 
                             Protection, Institute for Radiation Hygiene,
                             Munich-Neuherberg, Germany

    Dr C. F. Blackman        US Environmental Protection Agency, Health
                             Effects Research  Laboratory, North
                             Carolina, USA

    Dr L.A. Courta           Département de Protection Sanitaire,
                             Centre d'Etudes Nucléaires,
                             Fontenay-aux-Roses, France

    Mme A. Duchênea          Scientific Secretary, International
                             Non-ionizing Radiation Committee, 
                             Fontenay-aux-Roses, France

    Prof M. Grandolfoa       Istituto Superiore di Sanità, Rome,
                             Italy

    Dr M.H. Repacholia       Royal Adelaide Hospital, Adelaide,
                             Australia  (Chairman)

    Dr R.D. Saunders         National Radiological Protection Board,
                             Didcot, United Kingdom  (Co-Rapporteur)

    Prof M.G. Shandalaa      AN Marzeev Research Institute of General
                             and Communal Hygiene, Kiev, USSR

    Dr J.A. Stolwijka        Department of Epidemiology and Public
                             Health, Yale University, New Haven, USA

    Dr M.A. Stuchlya         Bureau of Radiation and Medical Devices,
                             Ottawa, Canada

    Dr M. Swicord            Centre for Devices and Radiological Health,
                             Food and Drug Administration, Rockville, USA
                              (Co-Rapporteur)

    Dr L.D. Szaboa           National Research Institute for
                             Radiobiology and Radiation Hygiene,
                             Budapest, Hungary

    Dr S. Szmigielski        Centre for Radiobiology and Radiation
                             Safety,Warsaw, Poland  (Vice-Chairman)

     Observer

    Dr A. McKinlaya          National Radiological Protection Board,
                             Didcot, United Kingdom

    a From the International Non-Ionizing Radiation Committee of IRPA.

    NOTE TO READERS OF THE CRITERIA MONOGRAPHS

         Every effort has been made to present information in the criteria
    monographs as accurately as possible without unduly delaying their
    publication. In the interest of all users of the environmental health
    criteria monographs, readers are kindly requested to communicate any
    errors that may have occurred to the Director of the International
    Programme on Chemical Safety, World Health Organization, Geneva,
    Switzerland, in order that they may be included in corrigenda, which
    will appear in subsequent volumes.

    DEDICATION

    This monograph is dedicated to:

    Professor Przemyslaw A. Czerski, a charter member of International
    Non-ionizing Radiation Committee, who died on 15 April 1990 in Silver
    Spring, MD (USA). He was a pioneer investigator into the effects of
    non-ionizing radiation on biosystems and the assessment of the
    potential hazards associated with such exposure. As a fervent promoter
    of international cooperation, Professor Czerski played an active part
    in the establishment of the International Non-Ionizing Radiation
    Committee and in the development of its activities. His broad
    scientific knowledge and his tireless energy made him a major
    contributor to the present publication.

    PREFACE

    The International Radiation Protection Association (IRPA) initiated
    activities concerned with non-ionizing radiation by forming a Working
    Group on Non-Ionizing Radiation in 1974. This Working Group later
    became the International Non-Ionizing Radiation Committee
    (IRPA/INIRC), at the IRPA meeting held in Paris in 1977. The
    IRPA/INIRC reviews the scientific literature on non-ionizing radiation
    and makes assessments of the health risks of human exposure to such
    radiation. On the basis of Environmental Health Criteria monographs,
    developed in conjunction with the World Health Organization, Division
    of Environmental Health, the IRPA/INIRC recommends guidelines on
    exposure limits, drafts codes of safe practice, and works in
    conjunction with other international organizations to promote safety
    and standardization in the non-ionizing radiation field.

    A WHO/IRPA Task Group to review the final draft of the Environmental
    Health Criteria on Electromagnetic Fields (300 Hz-300 GHz) met at the
    WHO Collaborating Centre for NIR in Ottawa, Canada, from 22 to 26
    October 1990. Dr A.J. Liston, Assistant Deputy Minister, Health
    Protection Branch, opened the meeting on behalf of the Minister for
    Health and Welfare Canada. Mr J.R. Hickman, Director General,
    Environmental Health Directorate, welcomed the participants. The
    support of Health and Welfare Canada and the local organization by the
    Environmental Health Directorate are gratefully acknowledged.

    The first draft of this publication was compiled by Professor J.
    Bernhardt, Professor P. Czerski, Professor M. Grandolfo, Dr A.
    McKinlay, Dr M. Repacholi, Dr R. Saunders, Professor J. Stolwijk, and
    Dr M. Stuchly. An editorial group comprising Professor J. Bernhardt,
    Professor P. Czerski, Professor M. Grandolfo, Mr C. Hicks, Dr A.
    McKinlay, Dr R. Saunders, Mr D. Sliney, Professor J. Stolwijk, and Dr
    M. Swicord met at the US Army Environmental Hygiene Agency, Edgewood,
    MD, in February 1990 to revise the draft. A second editorial group
    comprising Professor J. Bernhardt, Mme A. Duchêne, Dr A. McKinlay
    (Chairman), Professor B. Knave, Dr R. Saunders, and Dr M. Stuchly met
    at the National Radiological Protection Board, Didcot, United Kingdom,
    in May 1990 to collate and incorporate the comments received by IPCS
    Focal Points, IRPA Associate Societies, and individual experts. Dr M.
    Repacholi was responsible for the scientific editing of the text and
    Mrs M.O. Head of Oxford for the language editing.

    This publication comprises a review of the data on the effects of
    electromagnetic field exposure on biological systems pertinent to the
    evaluation of human health risks. The purpose of the document is to
    provide an overview of the known biological effects of electromagnetic
    fields in the frequency range 300 Hz to 300 GHz, to identify gaps in
    this knowledge so that direction for further research can be given,
    and to provide information for health authorities, regulatory, and
    similar agencies on the possible effects of electromagnetic field
    exposure on human health, so that guidance can be given on the
    assessment of risks from occupational and general population exposure.

    Most radiofrequency (RF) field standards are based on the premise that
    there exists a threshold specific absorption rate (SAR) of RF energy
    (for frequencies above about 1 MHz) of 1-4 W/kg, above which there is
    increasing likelihood of adverse health effects. Below about 1 MHz,
    standards are based on induced currents in the body, causing shocks
    and burns. The purpose of updating the original Environmental Health
    Criteria monograph on radio frequency (WHO, 1981) is not only to
    provide a description of more completely developed RF dosimetry in
    humans, but to critically review more recent scientific literature, to
    determine if the threshold SAR on which standards are based is still
    valid. With the frequency range covered by the document extended down
    to 300 Hz, more emphasis is placed on induced currents and other
    possible mechanisms of interaction.

    In conducting the literature review, earlier reports are not
    necessarily included, since these were reviewed in UNEP/WHO/IRPA
    (1981). Every effort has been made to distinguish clearly between
    biological effects that have been established and those that have been
    reported as preliminary or isolated results, or as hypotheses proposed
    to explain observed results. The conclusions of this document are
    based on peer reviewed and established knowledge of interactions of
    electromagnetic fields with biological systems.

    Subjects reviewed include: the physical characteristics of
    electromagnetic fields; measurement techniques; applications of
    electromagnetic fields and sources of exposure; mechanisms of
    interaction; biological effects; and guidance on the development of
    protective measures, such as regulations or safe-use guidelines.
    Health agencies and regulatory authorities are encouraged to set up
    and develop programmes that ensure that the maximum benefit occurs
    with the lowest exposure. It is hoped that this criteria document will
    provide useful information for the development of national protection
    measures against electromagnetic fields, as well as serving as a
    reliable basis for such reports as environmental impact statements
    necessary for proposed electromagnetic field emission facilities.

    The WHO Regional Office for Europe has published a second edition of
    the book entitled  Nonionizing radiation protection, which includes
    a chapter on radiofrequency radiation (Suess & Benwell-Morison, 1989).

    1.  SUMMARY AND RECOMMENDATIONS FOR FURTHER STUDIES

    1.1  Summary

    1.1.1  Physical characteristics in relation to biological effects

         This monograph is concerned with the health effects of
    electromagnetic fields in the frequency range of 300 Hz-300 GHz, which
    includes the radiofrequency (RF) range (100 kHz-300 GHz) covered in
    the earlier publication (WHO, 1981). For simplicity, RF is the term
    used in this document for electromagnetic fields of frequency 300
    Hz-300 GHz. Within these frequencies are microwaves, having
    frequencies of between 300 MHz and 300 GHz.

         Exposure levels in the microwave range are usually described in
    terms of "power density" and are normally reported in watt per square
    metre (W/m2), or milliwatt or microwatts per square metre (mW/m2,
    µW/m2). However, close to RF sources with longer wavelengths, the
    values of both the electric (V/m) and magnetic (A/m) field strengths
    are necessary to describe the field.

         Exposure conditions can be altered considerably by the presence
    of objects, the degree of perturbation depending on their size, shape,
    orientation in the field, and electrical properties. Very complex
    field distributions can occur, both inside and outside biological
    systems exposed to electromagnetic fields. Refraction within these
    systems can focus the transmitted energy resulting in markedly
    non-uniform fields and energy deposition. Different energy absorption
    rates can result in thermal gradients causing biological effects that
    may be generated locally, difficult to anticipate, and perhaps unique.
    The geometry and electrical properties of biological systems will also
    be determining factors in the magnitude and distribution of induced
    currents at frequencies below the microwave range.

         When electromagnetic fields pass from one medium to another, they
    can be reflected, refracted, transmitted, or absorbed, depending on
    the conductivity of the exposed object and the frequency of the field.
    Absorbed RF energy can be converted to other forms of energy and cause
    interference with the functioning of the living system. Most of this
    energy is converted into heat. However, not all electromagnetic field
    effects can be explained in terms of the biophysical mechanisms of
    energy absorption and conversion to heat. At frequencies below about
    100 kHz, it has been demonstrated that induced electric fields can
    stimulate nervous tissue. At the microscopic level, other interactions
    leading to perturbations in complex macromolecular biological systems
    (cell membranes, subcellular structures) have been postulated.

    1.1.2  Sources and exposure

    1.1.2.1  Community

         In comprehensive community surveys of background levels of
    electromagnetic fields in the USA, a median exposure of the order of
    50 µW/m2 was found. Very high frequency broadcasts were identified
    as the main contributors to ambient electromagnetic fields. No more
    than 1% of the population was exposed to ambient power densities in
    excess of 10 mW/m2. Exposure in the immediate vicinity (at a
    distance of the order of one half wavelength of the incident fields)
    of transmitting facilities, can be higher, and can be enhanced by
    nearby conducting objects. Such conditions should be evaluated for
    each specific situation.

    1.1.2.2  Home

         RF sources in the home include microwave ovens, induction heating
    stoves, burglar alarms, video display units (VDUs), and television
    receivers. Leakage from microwave ovens can be up to 1.5 W/m2 at 0.3
    m and 0.15 W/m2 at a distance of 1 metre. Exposure to radiation from
    domestic appliances is best limited by design and by monitoring at the
    point of manufacture.

    1.1.2.3  Workplace

         Dielectric heaters for wood fabrication and the sealing of
    plastics, induction heaters for the heating of metals, and video
    display units, are widely used in a variety of occupational settings.
    VDUs create electric and magnetic fields at frequencies in the 15-35
    kHz range and frequencies modulated in the ELF range. Personnel
    working on, or near, broadcasting towers or antennas can be exposed to
    substantial fields of up to 1 kV/m and 5 A/m, respectively. Workers
    near radar installations can be exposed to substantial peak power
    densities, if they are in the RF beam a few metres from radar antennas
    (up to tens of MW/m2). Usually, the average power density in the
    vicinity of air traffic control radars, for example, is of the order
    of 0.03-0.8 W/m2.

         In the occupational environment, the protection of workers is
    best assured by referring to the emission specifications for
    individual items of equipment, and, where necessary, by monitoring and
    surveillance using appropriate instrumentation.

         A special case of exposure occurs in the medical environment with
    the use of diathermy treatments for pain and inflammation in body
    tissues. Diathermy operators are likely to be exposed occupationally
    to stray radiation at relatively high levels, which can be reduced by
    appropriate shielding or machine design. Field strengths of 300 V/m
    and 1 A/m at 10 cm from the applicators have been measured. Similarly,
    surgeons using electrosurgical devices operating at frequencies near
    27 MHz may be exposed to levels above recommended limits. These field

    strengths decline very rapidly with increasing distance from the
    applicators.

         Most magnetic resonance imaging (MRI) systems use static magnetic
    fields with flux densities of up to 2 T, low-frequency gradient fields
    up to 20 T/s, and RF fields in the 1-100 MHz frequency range. Although
    power deposition in the patient can be substantial, staff exposures
    are much lower and are determined by equipment characteristics.

    1.1.3  Biological effects

         Electromagnetic fields in the frequency range of 300 Hz-300 GHz
    interact with human and other animal systems through direct and
    indirect pathways. Indirect interactions are important at frequencies
    below 100 MHz, but are specific to particular situations. When
    metallic objects (such as automobiles, fences) in an electromagnetic
    field have electrical charges induced in them, they can be discharged
    when a body comes into contact with the charged object. Such
    discharges can cause local current densities capable of shock and
    burns.

         A major interaction mechanism is through the currents induced in
    tissues, so effects are dependent on frequency, wave shape, and
    intensity. For frequencies below approximately 100 kHz, the
    interactions with nervous system tissue are of interest, because of
    their increased sensitivity to induced currents. Above 100 kHz, the
    nervous tissue becomes less sensitive to direct stimulation by
    electromagnetic fields and the thermalization of energy becomes the
    major mechanism of interaction.

         There is evidence from a number of studies that weak-field
    interactions also exist. Different mechanisms for such interactions
    have been postulated, but the precise mechanism(s) has not been
    elucidated. These weak-field interactions result from exposure to RF
    fields, amplitude modulated at lower frequencies.

    1.1.4  Laboratory studies

         Many of the biological effects of acute exposure to
    electromagnetic fields are consistent with responses to induced
    heating, resulting either in rises in tissue or body temperature of
    about 1 °C or more, or in responses to minimizing the total heat load.
    Most responses have been reported at specific absorption rates (SARs)
    above about 1-2 W/kg in different animal species exposed under various
    environmental conditions. The animal (particularly primate) data
    indicate the types of responses that are likely to occur in humans
    subjected to a sufficient heat load. However, direct quantitative
    extrapolation to humans is difficult, given species differences in
    responses in general, and in thermoregulatory ability, in particular.

         The most sensitive animal responses to heat loads are
    thermoregulatory adjustments, such as reduced metabolic heat

    production and vasodilation, with thresholds ranging between about
    0.5-5 W/kg, depending on environmental conditions. However, these
    reactions form part of the natural repertoire of thermoregulatory
    responses that serve to maintain normal body temperatures.

         Transient effects seen in exposed animals, which are consistent
    with responses to increases in body temperature of 1 °C or more
    (and/or SARs in excess of about 2 W/kg in primates and rats), include
    reduced performance of learned tasks and increased plasma
    corticosteroid levels. Other heat-related effects include temporary
    haematopoietic and immune responses, possibly due to elevated
    corticosteroid levels. The most consistent effects observed are
    reduced levels of circulating lymphocytes, increased levels of
    neutrophils, and altered natural killer cell and macrophage function.
    An increase in the primary antibody response of B-lymphocytes has also
    been reported. Cardiovascular changes consistent with increased heat
    load, such as an increased heart rate and cardiac output, have been
    observed, together with a reduction in the effect of drugs, such as
    barbiturates, the action of which can be altered by circulatory
    changes.

         Most animal data indicate that implantation and the development
    of the embryo and fetus are unlikely to be affected by exposures that
    increase maternal body temperature by less than 1 °C. Above these
    temperatures, adverse effects, such as growth retardation and
    post-natal changes in behaviour, may occur, with more severe effects
    occurring at higher maternal temperatures.

         Most animal data suggest that low RF exposures that do not raise
    body temperatures above the normal physiological range are not
    mutagenic: Such exposures will not result in somatic mutation or
    hereditary effects. There is much less information describing the
    effects of long-term, low-level exposures. However, so far, it does
    not appear that any long-term effects result from exposures below
    thermally significant levels. The animal data indicate that male
    fertility is unlikely to be affected by long-term exposure to levels
    insufficient to raise the temperature of the body and testes.

         Cataracts were not induced in rabbits exposed at 100 W/m2 for
    6 months, or in primates exposed at 1.5 kW/m2 for over 3 months.

         A study of 100 rats, exposed for most of their lifetime to about
    0.4 W/kg, did not show any increased incidence of non-neoplastic
    lesions or total neoplasias compared with control animals; longevity
    was similar in both groups. There were differences in the overall
    incidence of primary malignancies, but these could not necessarily be
    attributed to the irradiation.

         The possibility that exposure to RF fields might influence the
    process of carcinogenesis is of particular concern. So far, there is
    no definite evidence that irradiation does have an effect, but there
    is clearly a need for further studies to be carried out. Many

    experimental data indicate that RF fields are not mutagenic, and so
    they are unlikely to act as initiators of carcinogenesis; in the few
    studies carried out, the search has mainly been for evidence of an
    enhancement of the effect of a known carcinogen. Long-term exposure of
    mice at 2-8 W/kg resulted in an increase in the progression of
    spontaneous mammary tumours, and of skin tumours in animals treated
    dermally with a chemical carcinogen.

          In vitro studies have revealed enhanced cell transformation
    rates after RF exposure at 4.4 W/kg (alone or combined with
    X-radiation) followed by treatment with a chemical promoter. The
    latter data have not always been consistent between studies. It is
    clear, however, that studies relevant to carcinogenesis need
    replicating and extending further.

         A substantial body of data exists describing biological responses
    to amplitude-modulated RF or microwave fields at SARs too low to
    involve any response to heating. In some studies, effects have been
    reported after exposure at SARs of less than 0.01 W/kg, occurring
    within modulation frequency "windows" (usually between 1-100 Hz) and
    sometimes within power density "windows"; similar results have been
    reported at frequencies within the voice frequency (VF) range (300
    Hz-3 kHz). Changes have been reported in: the electroencephalograms of
    cats and rabbits; calcium ion mobility in brain tissue  in vitro, and
     in vivo; lymphocyte cytotoxicity  in vitro; and activity of an
    enzyme involved in cell growth and division. Some of these responses
    have been difficult to confirm, and their physiological consequences
    are not clear. However, any toxicological investigations should be
    based on tests carried out at appropriate levels of exposure. It is
    important that these studies be confirmed and that the health
    implications, if any, for exposed people, are determined. Of
    particular importance would be studies that link extremely low
    frequency, amplitude-modulated, RF or microwave interactions at the
    cell surface with changes in DNA synthesis or transcription. It is
    worth noting that this interaction implies a "demodulation" of the RF
    signal at the cell membrane.

    1.1.5  Human studies

         There are relatively few studies that address directly the
    effects of acute or long-term exposures of humans to RF fields. In
    studies in the laboratory, cutaneous perception of fields in the 2-10
    GHz range has been reported. Thresholds for just noticeable warming
    have been reported at power densities of 270 W/m2 - 2000 W/m2,
    depending on the area irradiated (13-100 cm2) and the duration of
    exposure (1-180 s). When human volunteers are exposed to SARs of 4
    W/kg for 15-20 minutes their average body temperature rises by 0.2-0.5
    °C, which is quite acceptable in healthy people. The impact that this
    added thermal load would have on thermoregulatory impaired individuals
    in environments that minimize the perspiration-based cooling
    mechanisms is not known.

         The few epidemiological studies that have been carried out on
    populations exposed to RF fields have failed to produce significant
    associations between such exposures and outcomes of shortened life
    span, or excesses in particular causes of death, except for an
    increased incidence of death from cancer, where chemical exposure may
    have been a confounder. In some studies, there was no increase in the
    incidence of premature deliveries or congenital malformations, while
    other studies produced indications that there was an association
    between the level of exposure and adverse pregnancy outcome. Such
    studies tend to suffer from poor exposure assessment and poor
    ascertainment and determination of other risk factors.

    1.1.6  Health hazard assessment

         The following categories of health hazard have been identified in
    an overall assessment of the health hazards associated with RF
    exposures.

    1.1.6.1  Thermal effects

         The deposition of RF energy in the human body tends to increase
    the body temperature. During exercise, the metabolic heat production
    can reach levels of 3-5 W/kg. In normal thermal environments, an SAR
    of 1-4 W/kg for 30 minutes produces average body temperature increases
    of less than 1°C for healthy adults. Thus, an occupational RF
    guideline of 0.4 W/kg SAR leaves a margin of protection against
    complications due to thermally unfavourable environmental conditions.
    For the general population, which includes sensitive subpopulations,
    such as infants and the elderly, an SAR of 0.08 W/kg would provide an
    adequate further margin of safety against adverse thermal effects from
    RF fields.

    1.1.6.2  Pulsed fields

         It has been shown, under a number of conditions, that the
    thresholds for biological effects at frequencies above several hundred
    MHz are decreased when the energy is delivered in short (1-10 µs)
    pulses. For example, auditory effects occur when pulses of less than
    30 µs duration deliver more than 400 mJ/m2 per pulse. A safe limit
    for such pulses cannot be identified on the basis of available
    evidence.

    1.1.6.3  Amplitude-modulated RF fields

         The effects described for this type of field at the cellular,
    tissue, and organ levels cannot be related to adverse health effects.
    No dose-effect relationships can be formulated that demonstrate
    threshold levels; thus, the available information cannot lead to
    specific recommendations.

    1.1.6.4  RF field effects on tumour induction and promotion

         It is not possible, from the reports of the effects of RF
    exposure in certain cell lines, on cell transformation, enzyme
    activity, and tumour incidence and progression in animals, to conclude
    that RF exposure has any effect on the incidence of cancer in humans,
    or, that specific recommendations are necessary to limit such fields
    to reduce cancer risks.

    1.1.6.5  RF-induced current densities

         In the frequency range of 300 Hz-100 kHz, the induction of fields
    and current densities in excitable tissues is the most important
    mechanism for hazard assessment. The thresholds for the stimulation of
    nerve and muscle tissue are strongly dependent on frequency, ranging
    from 0.1-1 A/m2 at 300 Hz to about 10-100 A/m2 at 100 kHz.
    However, with regard to other effects, reported to occur below these
    thresholds, there is not sufficient information available to make
    specific recommendations.

    1.1.6.6  RF contact shocks and burns

         Conducting objects in an RF field can become electrically
    charged. When a person touches a charged object or approaches it
    closely, a substantial current can flow between the object and the
    person. Depending on the frequency, the electric field strength, the
    size and the shape of the object,and the cross-sectional area of
    contact, the resulting current can cause shock through stimulation of
    peripheral nerves. If the current is strong enough, burns can result.
    Protective measures include the elimination or enclosure of conductive
    objects in strong RF fields, or the limiting of physical access.

    1.1.7  Exposure standards

    1.1.7.1  Basic exposure limits

         To protect workers and the general population from the possible
    health effects of exposure to electromagnetic fields, basic exposure
    limits have been determined on the basis of knowledge of biological
    effects. Different scientific bases were used to develop the limits
    for frequencies above and below about 1 MHz. Above 1 MHz, biological
    effects on animals were studied to determine the lowest value of the
    whole body average SAR that caused detrimental health effects in
    animals. This value was found to be in the 3-4 W/kg range.

         The vast majority of results pertained to exposures in the low
    GHz region. Thus, to determine the effects at lower frequencies
    requires an assumption concerning the frequency dependence of the
    biological response. Since the observed bioeffects in the 1-4 W/kg
    range are believed to be thermal, the SAR threshold was assumed to be
    independent of frequency. It was considered that exposure of humans to

    4 W/kg for 30 minutes would result in a body temperature rise of less
    than 1°C. This body temperature rise is considered acceptable.

         A safety factor of 10 is introduced, in order to allow for
    unfavourable, thermal, environmental, and possible long-term effects,
    and other variables, thus arriving at a basic limit of 0.4 W/kg. An
    additional safety factor should be introduced for the general
    population, which includes persons with different sensitivities to RF
    exposure. A basic limit of 0.08 W/kg, corresponding to a further
    safety factor of 5, is generally recommended for the public at large.
    Derived limits of exposure are given in Tables 34 and 35 of this
    publication.

         The limitations for the whole body average SAR are not
    sufficiently restrictive, since the distribution of the absorbed
    energy in the human body can be very inhomogeneous and dependent on
    the RF exposure conditions. In partial body exposure situations,
    depending on frequency, the absorbed energy can be concentrated in a
    limited amount of tissue, even though the whole body average SAR is
    restricted to less than 0.4 W/kg. Therefore, additional basic limits
    of 2 W/100 g are recommended in any other part of the body, in order
    to avoid excessive local temperature elevations. The eye may need
    special consideration.

         At frequencies below about 1 MHz, exposure limits are selected
    that will prevent stimulation of nerve and muscle cells. Basic
    exposure limits refer to current densities induced within body
    tissues. Exposure limits should have a sufficiently large safety
    factor to restrict the current density to 10 mA/m2 at 300 Hz. This
    is the same order of magnitude as natural body currents. Above 300 Hz,
    the current density necessary for excitation of nervous tissue
    increases with frequency, until a frequency is reached at which
    thermal effects dominate. For frequencies around 2-3 MHz, the basic
    limit for current density is equivalent to the limit for the peak SAR
    of 1 W/100g. Since SAR or induced current density values cannot be
    measured easily in practical exposure situations, exposure limits in
    terms of conveniently measurable quantities must be derived from basic
    limits. These "derived limits" indicate the acceptable limits in terms
    of the measured and/or calculated field parameters that allow
    compliance with the basic limits.

    1.1.7.2  Occupational exposure limits

         The occupationally-exposed populations consist of adults exposed
    under controlled conditions, who are aware of the occupational risks.
    Because of the wide frequency range addressed in this publication, a
    single limit number for occupational exposure is not possible.
    Recommended derived occupational limits in the frequency range 100 kHz
    to 300 GHz are provided in Table 34. A conservative approach is
    recommended for pulsed fields where electric and magnetic field
    strengths are limited to 32 times the values given in Table 34, as
    averaged over the pulse width, and the power density is limited to a

    value of 1000 times the corresponding value in Table 34, as averaged
    over the pulse width.

    1.1.7.3  Exposure limits for the general population

         The general population includes persons of different age groups,
    different states of health, and pregnant women. The possibility that
    the developing fetus could be particularly susceptible to exposure to
    RF deserves special consideration.

         Exposure limits for the general population should be lower than
    those for occupational exposure. For example, recommended derived
    limits in the frequency range of 100 kHz-300 GHz are provided in Table
    35, which are generally a factor of 5 lower than the occupational
    limits.

    1.1.7.4  Implementation of standards

         The implementation of RF field occupational and public health
    protection standards necessitates the allocation of responsibility for
    measurements of field intensity and interpretation of results, and the
    establishment of detailed field protection safety codes and guides for
    safe use, which indicate, where appropriate, ways and means of
    reducing exposure.

    1.1.8  Protective measures

         Protective measures include workplace surveillance (exposure
    surveys), engineering controls, administrative controls, personal
    protection, and medical surveillance. Where surveys of RF fields
    indicate levels of exposure in the workplace in excess of limits
    recommended for the general population, workplace surveillance should
    be conducted. Where surveys of RF fields in the workplace indicate
    levels of exposure in excess of recommended limits, action should be
    taken to protect workers. In the first instance, engineering controls
    should be applied, where possible, to reduce emissions to acceptable
    levels. Such controls include good safety design and, where necessary,
    the use of interlocks or similar protection devices.

         Administrative controls, such as limitation of access and the use
    of audible and visible warnings, should be used in conjunction with
    engineering controls. The use of personal protection (protective
    clothing), though useful under certain circumstances, should be
    regarded as a last resort to ensure the safety of the worker. Wherever
    possible, priority should be given to engineering and administrative
    controls. Where workers could be expected to incur exposures in excess
    of the limits applicable to the general population, consideration
    should be given to providing appropriate medical surveillance.

         Prevention of health hazards related to RF fields also
    necessitates the establishment and implementation of rules to ensure:
    (a) the prevention of interference with safety and medical electronic

    equipment and devices (including cardiac pacemakers); (b) the
    prevention of detonation of electroexplosive devices (detonators); and
    (c) the prevention of fires and explosions due to the ignition of
    flammable material from sparks caused by induced fields.

    1.2  Recommendations for further studies

    1.2.1  Introduction

         There are concerns about the possible effects of RF fields in the
    areas of promotion and progression of cancer, of reproductive
    failures, such as spontaneous abortions and congenital malformations,
    and of effects on central nervous system function. Knowledge in all
    these areas is inadequate to determine whether such effects exist, and
    therefore, there is no rational basis for recommendations to protect
    the general population from possible adverse effects.

         Future research efforts in the areas of weak-interaction
    mechanisms on the one hand, and studies of effects on carcinogenesis
    and reproduction in animals and humans on the other hand, should be
    coordinated to a high degree. This coordination can be brought about
    by focusing funding on research proposals of a multidisciplinary and
    multi-institutional nature. Studies on RF field effects could well be
    coordinated with similar programmes addressing ELF (50/60 Hz) field
    effects. A high priority should be placed on research that emphasizes
    causal relationships and dose-effect thresholds and coefficients.

         The following is a list of priority areas identified by the Task
    Group as needing further study.

    1.2.2  Pulsed fields

         There is a major deficiency in the understanding of the effects
    of pulsed fields in which very high peak power densities occur,
    separated by periods of zero power. Only a few isolated reports of
    pulsed field effects are available and it is not possible to identify
    either the frequency or the peak power domain of importance. Data to
    assess human health hazard in terms of pulse peak power, repetition
    frequency, pulse length, and the frequency of the RF in the pulse, are
    urgently needed in view of the widening application of systems
    employing high power pulses, (mostly radar), and involving both
    occupational and general population exposures.

    1.2.3  Cancer, reproduction, and nervous system studies

         There is increasing concern about the possibility that RF
    exposure may play a role in the causation or promotion of cancer,
    specifically of the blood forming organs or in the CNS. Similar
    uncertainties surround possible effects on reproduction, such as
    increased rates of spontaneous abortion and of congenital
    malformations.

         Effects of RF exposure on CNS function, with resulting changes in
    cognitive function, are also surrounded by uncertainties. In view of
    the potential importance of these interactions and the disruptive
    effects of the uncertainty on society, a high priority should be
    placed on research in this area. It is important that research efforts
    be coordinated to clarify rather than increase the level of
    uncertainty. Research on possible mechanisms, such as weak-field
    interactions, should be closely coordinated with appropriately
    designed animal toxicology studies and with human epidemiology.

    1.2.4  Weak-field interactions

         Very few people are exposed to thermally significant levels of
    RF; the vast majority of exposures occur at levels at which weak-
    field interactions would be the only possible source of any adverse
    health response. A substantial amount of experimental evidence
    implicates responses to amplitude-modulated RF fields, which show
    frequency and amplitude windows; some responses are dependent on
    co-exposure to physical and chemical agents. Establishing the
    significance of effects for human health and their dose-response
    relationships is of paramount importance. Studies are necessary that
    identify biophysical mechanisms of interaction and that extend the
    animal and human studies, in order to identify health risks.

    1.2.5  Epidemiology

         Epidemiological studies on the association between cancer and
    adverse reproductive outcomes and RF fields are made difficult by a
    number of factors:

    -    Most members of any population are exposed to levels of RF that
         are orders of magnitude below thermally significant levels.

    -    It is very difficult to establish RF exposure in individuals over
         a meaningful period of time.

    -    Control of major confounders is very difficult.

    Some, but not all, of the sources of difficulties can be overcome by
    a suitably designed and implemented case-control study. Such studies
    are in progress and being planned to study childhood cancer and any
    effects of ELF fields. It is important that such studies evaluate any
    exposures to RF radiation.

    2.  PHYSICAL CHARACTERISTICS

    2.1  Introduction

         The study of the biological effects of electromagnetic fields is
    multidisciplinary; it draws from physics, engineering, mathematics,
    biology, chemistry, medicine, and environmental health. For this
    reason, background information has been included in this publication
    that may appear elementary to some readers, but is essential for those
    from a different discipline. Much of the confusion and the
    controversies that exist in the field today arise from individuals of
    one discipline not fully appreciating the basic facts or theories of
    another.

         In this section, the aim is to summarize briefly the basic
    physical characteristics of electric, magnetic, and electromagnetic
    fields in the frequency range 300 Hz-300 GHz. The corresponding
    wavelengths extend from 1000 km to 1 mm. At low frequencies (below
    about 10 MHz) and for near-field conditions (see section 4), the
    electric (E) and magnetic (H) fields must be treated separately.

         The quantum energies at these frequencies are extremely small and
    are not capable of altering the molecular structure or breaking any
    molecular bonds. The maximum quantum energy (at 300 GHz) is 1.2
    millielectronvolts (meV), while disruption of the weakest hydrogen
    bond requires 80 meV; for comparison, the thermal motion energy at 30
    °C is 26 meV.

         Although there are other definitions of the radiofrequency (RF)
    spectrum, its use in this document covers 300 Hz-300 GHz. The region
    between 300 MHz and 300 GHz is called microwaves (MW).

    2.2  Electric field

         Electric charges exert forces on each other. It is convenient to
    introduce the concept of an electric field to describe this
    interaction. Thus, a system of electric charges produces an electric
    field at all points in space and any other charge placed in the field
    will experience a force because of its presence. The electric field is
    denoted by E and is a vector quantity, which means that it has both
    a magnitude and a direction. The force, F, exerted on a point
    (infinitely small) body containing a net positive charge q placed in
    an electric field E is given by:

         F = qE                                               (Equation 2.1)

    Various units of the electric field strength are in use; the SI unit
    is newton per coulomb (N/C). It is frequently easier and more useful
    to measure the electric potential, V, rather than the force and
    charge. This is because the potential is much less dependent on the

    physical geometry of a given system (e.g., location and sizes of
    conductors).

         The potential difference V between two points in an electric
    field E is defined by V = W/q, where W is the work done by the field
    in moving a charge q between the two points. The work done is W = Fd,
    where d is the separation between the two points; or using equation
    2-1, W = qEd. From V = W/q, it follows that:

         E = V/d                                          (Equation 2.2)

    In practice, the unit of volt per metre (V/m) is used for the electric
    field strength.

         Electric fields exert forces on charged particles. In an
    electrically conductive material, such as living tissue, these forces
    will set charges into motion to cause an electric current to flow.
    This current is frequently specified by the current density, J, the
    magnitude of which is equal to the current flowing through a unit
    surface perpendicular to its direction. The SI unit of current density
    is ampere per square metre (A/m2). J is directly proportional to
    E in a wide variety of materials. Thus:

         J = deltaE                                           (Equation 2.3)

    where the constant of proportionality delta is called the electrical
    conductivity of the medium. The unit of delta is siemens per metre
    (S/m).

    2.3  Magnetic field

         The fundamental vector quantities describing a magnetic field are
    the magnetic field strength H and the magnetic flux density B
    (also called the magnetic induction).

         Magnetic fields, like electric fields, are produced by electric
    charges, but only when these charges are in motion. Magnetic fields
    exert forces on other charges but, again, only on charges that are in
    motion.

         The magnitude of the force F acting on an electric charge q
    moving with a velocity v in the direction perpendicular to a magnetic
    field of flux density B is given by:

         F = qvB                                          (Equation 2.4)

    where the direction of F is perpendicular to both those of v and
    B. If, instead, the direction of v were parallel to B, then F
    would be zero. This illustrates an important characteristic of a
    magnetic field: it does no physical work, because the force, called
    the Lorentz force, generated by its interaction with a moving charge

    is always perpendicular to the direction of motion. The basic unit of
    the magnetic flux density can be deduced from Equation 2.4 to be
    newton second per coulomb metre [N s/C m]. According to the
    International System of Units (SI), this unit is called the tesla (T).
    In the literature, both mks and cgs units are also used to express
    flux density values. The conversion between the gauss (G), the cgs
    unit of flux density, and the tesla is 1 T = 104 G.

         The magnetic field strength H is the force with which the field
    acts on an element of current situated at a particular point. The
    value of H is measured in ampere per metre (A/m).

         The magnetic flux density B, rather than the magnetic field
    strength, H (where B = µH), is used to describe the magnetic field
    generated by currents that flow in conductors. The value of µ (the
    magnetic permeability) is determined by the properties of the medium.

         For most biological materials, the permeability µ is equal to
    µ0, the value of permeability of free space (air) (1.257 × 10-6
    H/m). Thus, for biological materials, the values of B and H are
    related by the constant µ0.

    2.4  Waves and radiation

         Maxwell's equations form the theoretical foundation for all
    classical electromagnetic field theory. These equations are very
    powerful, but for complex systems, such as biological bodies, they are
    difficult to solve.

         One class of their solutions results in wave descriptions of the
    electric and magnetic fields. When the source charges or currents
    oscillate and the frequency of oscillation is high enough, the E and
    H fields produced by these sources will radiate from them. A
    convenient and commonly used description of this radiation is wave
    propagation.

         The basic ideas of wave propagation are illustrated in Fig. 1.
    The distance from one ascending, or descending, node to the next is
    defined as the wavelength, and is usually denoted by lamda.

         The wavelength and the frequency (the number of waves that pass
    a given point in unit time), denoted by f, are related and determine
    the characteristics of electromagnetic radiation. Frequency is the
    more fundamental quantity and for a given frequency, the wavelength
    depends on the velocity of propagation and, therefore, on the
    properties of the medium through which the radiation passes.

         The wavelength normally quoted is that in a vacuum or in air, the
    difference being insignificant. However, the wavelength can change
    significantly when the wave passes through other media. The linking
    parameter with frequency is the speed of light as expressed in
    Equation 2.5 (v = 3 × 108 m/s in air):

         lamda = v/f                                      (Equation 2.5)

    When RF traverses biological material, its speed is reduced and its
    wavelength becomes shorter than in air.

    FIGURE 1

         Two idealizations of wave propagation are commonly used:
    spherical waves and plane waves (Stuchly, 1983; Grandolfo & Vecchia,
    1988). A spherical wave is a good approximation to some
    electromagnetic waves that occur. Their wavefronts have spherical
    surfaces and each crest and trough has a spherical surface. On every
    spherical surface, the E and H fields are constant. The wavefronts
    propagate radially outwards from the source and E and H are both
    tangential to the spherical surfaces.

         A plane wave is another model that approximately represents some
    electromagnetic waves. Plane waves have characteristics similar to
    spherical waves because, at points far from the source, the curvature

    of the spherical wavefronts is so small that they appear to be almost
    planar.

    The defining characteristics of a plane wave are:

    (a)  E, H, and the direction of propagation are all mutually
         perpendicular.

    (b)  The quotient E/H is constant and is called the wave
         impedance. For free space E/H = 377 OMEGA. For other media and
         for sinusoidal steady-state fields, the wave impedance includes
         losses in the medium in which the wave is travelling.

    (c)  Both E and H vary as 1/r, where r is the distance from the
    source.

         In RF plane wave propagation (far-field), the power crossing a
    unit area normal to the direction of wave propagation is usually
    designated by the symbol S. When the electric and magnetic field
    strengths are expressed in V/m and A/m, respectively, S represents
    their product, which yields VA/m2, i.e., W/m2 (watts per square
    metre).

         In free space, electromagnetic waves spread uniformly in all
    directions from a theoretical point (isotropic) source. As the
    distance from the point source increases, the area of the wavefront
    surface increases as a square of the distance, so that the source
    power is spread over a larger area.

         As power density S corresponds also to the quotient of the total
    radiated power and the spherical surface area enclosing the source, it
    is inversely proportional to the square of the distance from the
    source, and can be expressed as:

         S = P/4pi r2                                       (Equation 2.6)

    where P is the total radiated power and r is the distance from the
    source.

         In the case of plane waves, frequently called far-field
    conditions, the power density can be derived from E2/377 or from 377
    H (see Table 1). Therefore, in many practical applications only the
    E field or the H field needs to be measured when the point of
    measurement is at least one wavelength from the source. In this case,
    measurement of E makes possible the determination of H and vice-versa.

    Table 1.  Comparison of power densities in the more commonly used
    units for free-space, far-field conditions (Note: values have been
    rounded to one or two significant figures, based on the relationships
    above)
                                                           
    W/m2        mW/cm2        µW/cm2     V/m      A/m
                                                           

    10-2        10-3          1          2        5 10-3
    10-1        10-2          10         6        1.5 10-2
    1           10-1        102          20       5 10-2
    10          1           103          60       1.5 10-1
    102         10          104          2 102      5 10-1
    103         102         105        6 102      1.5
    104         103         106        2 103      5
                                                           

         The region close to a source is called the near-field. In the
    near-field, the E and H fields are not necessarily perpendicular;
    in fact, they are not always conveniently characterized by waves. They
    are often nonpropagating in nature and are sometimes referred to as
    fringing fields, reactive near-fields, or evanescent modes.
    Near-fields often vary rapidly with distance; the inverse square law
    of the dependence with distance does not apply, and the impedance
    (E/H) may differ from 377 OMEGA. Objects located near sources may
    strongly affect the nature of the fields. For example, placing a probe
    near a source to measure the fields may change the characteristics of
    the fields considerably (Dumansky et al., 1986).

         When RF fields are incident on a conductive object, RF currents
    are induced in the object. These currents produce surface fields that
    are highly localized to the object and are often referred to as RF hot
    spots. RF hot spots are better characterized as electric and magnetic
    fields rather than radiation, since, for many conditions, the fields
    leading to the hot spot never propagate away from the object. At
    higher frequencies, the electric and magnetic fields maintain an
    approximately constant relationship in propagating waves. In general,
    the lower the frequency, the less coupled the fields become. This is
    particularly so when the wavelength is very large with respect to the
    physical size of the source. In practice, the fields of concern from
    a hazard perspective will be near-fields at frequencies below about 1
    MHz.

    3.  NATURAL BACKGROUND AND HUMAN-MADE FIELDS

    3.1  General

         In the last few decades, the use of devices that emit
    electromagnetic fields has increased considerably. This proliferation
    has been accompanied by an increased concern about possible health
    effects of exposure to these fields (Grandolfo et al., 1983;
    Repacholi, 1988; Shandala & Zvinyatskovski, 1988, Franceschetti et
    al., 1989). As a result, throughout the world, many organizations,
    both governmental and nongovernmental, have established safety
    standards or guidelines for exposure (see section 10).

         Electromagnetic devices already in use and the continuous
    addition of new sources result in the expansion to new frequencies in
    the spectrum and the increasing presence of RF fields. Comprehensive
    data on existing emission systems, and evaluation of present levels of
    exposure, are essential for the assessment of potential radiation
    hazards (Repacholi, 1983a; Shandala et al., 1983; Savin, 1986; Stuchly
    & Mild, 1987).

         In this section, sources of electromagnetic fields, both natural
    and human-made, in the 300 Hz-300 GHz frequency range are surveyed.
    The human-made electromagnetic environment consists of fields that are
    produced either intentionally or as by-products of the use of other
    devices.

         Human-made sources in the spectrum considered here, however,
    produce local field levels many orders of magnitude above the natural
    background. Therefore, for the practical purposes of hazard
    assessment, the electromagnetic fields on the earth's surface arise
    from human-made sources. According to the treaty of the International
    Telecommunications Union (ITU, 1981), the electromagnetic spectrum up
    to 3 THz is subdivided into 12 frequency bands. These bands are
    designated by numbers as shown in Table 2; only the bands referred to
    in this publication are given.

    3.2  Natural background

         The natural electromagnetic environment originates from processes
    such as discharges in the earth's atmosphere (terrestrial sources) or
    in the sun and deep space (extra-terrestrial sources).

    Table 2.  Frequency bands of the electromagnetic spectrum in the
              frequency range 300 Hz-300 GHz a
                                                                        
    Band    Frequency range   Metric        Description and symbol
    number  subdivision
                                                                        
    3       0.3 to 3 kHz      -             voice frequency [VF]

    4       3 to 30 kHz       myriametric   very low frequency [VLF]

    Table 2 (continued)
                                                                        
    Band    Frequency range   Metric        Description and symbol
    number  subdivision
                                                                        
    5       30 to 300 kHz     kilometric    low frequency [LF]

    6       0.3 to 3 MHz      hectometric   medium frequency [MF]

    7       3 to 30 MHz       decametric    high frequency [HF]

    8       30 to 300 MHz     metric        very high frequency [VHF]

    9       0.3 to 3 GHz      decimetric    ultra high frequency [UHF]

    10      3 to 30 GHz       centimetric   super high frequency [SHF]

    11      30 to 300 GHz     millimetric   extremely high frequency [EHF]
                                                                        
    a From: ITU (1981).

    3.2.1  Atmospheric fields

         Atmospheric fields of frequencies of less than 30 MHz originate
    predominantly from thunderstorms. Their strengths and range of
    frequencies vary widely with geographical location, time of day, and
    season. Some of these variations are systematic and some are random.
    Overall, atmospheric fields have an emission spectrum with the largest
    amplitude components having frequencies of between 2 and 30 kHz.
    Generally, the atmospheric field level decreases with increasing
    frequency. The geographical dependence is such that the highest levels
    are observed in equatorial areas and the lowest in polar areas.

    3.2.2  Terrestrial emissions

         The earth emits electromagnetic radiation (black-body radiation),
    as do all media, at a temperature T that is different from that at
    absolute zero. In the RF range, the black-body radiation follows the
    Rayleigh-Jeans law and the thermal noise from the earth (T about 300
    K) is 0.003 W/m2 (0.3 µW/cm2), when integrated up to 300 GHz
    (Repacholi 1983).

    The human body also emits electromagnetic fields at frequencies of up
    to 300 GHz at a power density of approximately 0.003 W/m2. For a
    total body surface area of about 1.8 m2, the total radiated power is
    approximately 0.0054 W.

    3.2.3  Extraterrestrial fields

         The atmosphere, ionosphere, and magnetosphere of the earth shield
    it from extra-terrestrial sources of nonionizing electromagnetic
    energy. Electromagnetic waves that are able to penetrate this shield

    are limited to two frequency windows, one optical and the other
    encompassing radiowaves of frequencies from about 10 MHz to 37.5 GHz.
    The short-wave boundary of the RF-window is due to energy absorption
    by molecules contained in the atmosphere (primarily O2 and H2O),
    whereas the long-wave boundary is related to the shielding action of
    the ionosphere.

         RF radiation of cosmic origin observed with earth satellites
    ranges in magnitude from 1.8 × 10-20 W/m2/Hz at 200 kHz to 8 ×
    10-20 W/m2/Hz at 10 MHz (Struzak, 1982).

         There are three main types of solar emission. The first is the
    so-called background, which is the constant component of the emission
    observed during periods of low solar activity. The second is the
    component that displays long-term changes, associated with variations
    in the number of sunspots. Its main contribution is in the frequency
    range from 500 MHz to 10 GHz. The third type of emission arises from
    isolated radio flares or radio emission bursts. The intensity of such
    emission can exceed the average intensity of the quiet radiation by a
    factor of one thousand or more; its duration varies from seconds to
    hours.

         Natural sources of lesser intensity also exist and include the
    moon, Jupiter, Cassiopeia-A, the universal thermal background
    radiation at 3 K, hydrogen emissions from ionized clouds, line
    emissions from neutral hydrogen, the OH radical and, most recently
    observed, from ammonia.

    3.3  Human-made sources

    3.3.1  General

         Radio and television transmitters are examples of human-made RF
    sources that intentionally produce electromagnetic emissions for
    telecommunication purposes. At frequencies of 3 kHz-3 MHz, normal
    service coverage is provided by ground-wave propagation. At VLF,
    propagation over distances of thousands of km is possible using this
    method. At LF and MF, during night-time, reflections from the
    ionosphere make propagation up to 2000 km possible with little
    attenuation. At HF, other propagation modes are also possible. At
    frequencies of 30 MHz-30 GHz, service coverage is provided by
    line-of-sight (short paths), diffraction (intermediate paths), or by
    forward scattering (long paths) propagation.

         Broadcasting systems vary greatly in terms of their design. This
    diversity results in somewhat different approaches in evaluating human
    exposure and potential problems. The situations are significantly
    different for workers and for the general population. In the case of
    some workers, such as those maintaining equipment on broadcasting
    towers, there is a potential for exposure to strong RF fields. Workers
    may also be exposed to strong fields in the close vicinity of towers
    and particularly broadcasting antennas in the VLF, LF, and MF. In

    contrast, it is rare for the general population to be exposed to
    strong RF fields from broadcasting. However, there is simultaneous
    exposure to more than one source.

         Some insight on the levels of exposure of the general population
    may be gained from data collected in the USA, indicating that, in
    large cities, the median exposure level is about 50 µW/m2 (Tell &
    Mantiply, 1980). SAR values ranging from 0.05 to 0.3 µW/kg are
    expected in the frequency range 170-800 MHz.

         There are also human-made sources of electromagnetic fields used
    for non-communication purposes, in industry (I), science (S), and
    medicine (M). ISM applications are intended to transport and
    concentrate electromagnetic energy in a restricted working area to
    produce physical, chemical, and/or biological effects.

         The frequency bands for ISM applications designated by the ITU
    are shown in Table 3. However, in individual countries, different
    and/or additional frequencies may be designated for use by ISM
    equipment (ITU, 1981; Metaxas & Meredith, 1983).

    Table 3.  Centre frequencies and frequency bands agreed
              internationally and assigned for ISM applications a
                                                                        
    Centre frequency     Frequency bands    Area permitted
                                                                        
    70 kHz               60-80 kHz          USSR

    6.780 MHz            6.765-6.795 MHz    subject to agreement
    13.560 MHz           13.553-13.567 MHz  worldwide

    27.120 MHz           26.957-27.283 MHz  worldwide

    40.68 MHz            40.66-40.70 MHz    worldwide

    42;49;56;61;66 MHz   approx. 0.2%       United Kingdom

    84;168 MHz           approx. 0.005%     United Kingdom, Austria,
    433.92 MHz           433.05-434.79 MHz  Liechtenstein,
                                            The Netherlands, Portugal,
                                            Switzerland W. Germany
                                            Yugoslavia

    896 MHz              886-906 MHz        United Kingdom

    915 MHz              902-928 MHz        North and South
                                            America

    2.375 GHz            2.325-2.425 GHz    Albania, Bulgaria,
                                            Czechoslovakia,
                                            Hungary, Romania,
                                            and USSR

    Table 3 (continued)
                                                                        
    Centre frequency     Frequency bands    Area permitted
                                                                        
    2.45 GHz             2.4-2.5 GHz        worldwide, except
                                            where 2.375 GHz is
                                            used

    3.39 GHz             3.37-3.41 GHz      The Netherlands

    5.8 GHz              5.724-5.875 GHz    worldwide
    6.78 GHz             6.74-6.82 GHz      The Netherlands

    24.125 GHz           24.0-24.05 GHz     worldwide
    40.68 GHz            40.43-40.92 GHz    United Kingdom

    61.25 GHz            61.0-61.5 GHz      subject to agreement
    122.5 GHz            122-123 GHz        subject to agreement
    245 GHz              244-246 GHz        subject to agreement
                                                                        

    a Adapted from: ITU (1981) and Metaxus & Meredith (1983).

         Because of unavoidable imperfections in the construction,
    production, and use of ISM equipment, and of fundamental physical
    laws, there is always unintentional leakage of electromagnetic energy
    from such equipment. As a result, each ISM generator acts as an
    unintentional source producing signals capable of causing harmful
    effects, depending upon the amount of leakage.

         To date, the total number of ISM installations in the world is
    estimated at 120 million (Struzak, 1985). The number of ISM generators
    constantly increases at a rate of about 3-7% per year. With such
    growth, the number of ISM generators expected by the year 2000 will be
    2-4 times greater than it is now.

         ISM equipment is usually designed at minimum cost, and,
    typically, is reduced to the essentials necessary for operation.
    Frequency stability and spectral purity of the power delivered to the
    work piece are not normally major objectives. In almost every case,
    the work piece is strongly coupled to the oscillator/amplifier, and
    since the electromagnetic characteristics of the material change
    during the work cycle, the magnitude, phase, and frequency of the
    radiation may be affected by these changes.

         Electromagnetic energy leaks from ISM equipment mainly from the
    applicator and associated leads (e.g., RF heaters and sealers), the
    oscillator body/cabinet, and also from surrounding structures in which
    RF currents are induced. The amount of energy radiated from the
    applicator and associated leads depends on the particular arrangement
    of the devices and the work piece, which together act like an antenna
    the radiation efficiency of which is usually very low. However, the

    radiated power may be considerable if the nominal power is high.

         Stray fields are also associated with currents flowing over the
    surface of the body/cabinet and over the surrounding structures. The
    equipment acts as a complex antenna system consisting of coupled
    radiating surface elements resonating at some unspecified frequencies.
    Often all the power and control wires are situated close to RF power
    circuits with no shielding. As a result, a considerable amount of RF
    energy may be fed into these leads and is conducted outwards at a
    distance and then reradiated.

    Table 4.  Typical applications of equipment generating electromagnetic
              fields in the range 300 Hz-300 GHz
                                                                        
    Frequency   Wavelength   Typical applications
                                                                        
    0.3-3 kHz   1000-100 km  Broadcast modulation, medical applications,
                             electric furnaces, induction heating,
                             hardening, soldering, melting, refining

    3-30 kHz    100-10 km    Very long range communications, radio
                             navigation, broadcast modulation, medical
                             applications, induction heating, hardening,
                             soldering, melting, refining, VDUs

    30-300 kHz  10-1 km      Radionavigation, marine and aeronautical
                             communications, long-range communications,
                             radiolocation, VDUs, electro-erosion
                             treatment, induction heating and melting of
                             metals, power inverters

    0.3-3 MHz   1 km-100 m   Communications, radionavigation, marine
                             radiophone, amateur radio, industrial RF
                             equipment, AM broadcasting, RF excited arc
                             welders, sealing for packaging, production
                             of semiconductor material, medical
                             applications

    3-30 MHz    100-10 m     Citizen band, amateur radio broadcasting,
                             international communications, medical
                             diathermy, magnetic resonance imaging,
                             dielectric heating, wood drying and gluing,
                             plasma heating

    30-300 MHz  10-1 m       Police, fire, amateur FM, VHF-TV, diathermy,
                             emergency medical radio, air traffic
                             control, magnetic resonance imaging,
                             dielectric heating, plastic welding, food
                             processing, plasma heating, particle
                             separation

    Table 4 (continued)
                                                                        
    Frequency   Wavelength   Typical applications
                                                                        
    0.3-3 GHz   100-10 cm    Microwave point to point, amateur, taxi,
                             police, fire, radar, citizen band,
                             radionavigation, UHF-TV, microwave ovens,
                             medical diathermy, food processing, material
                             manufacture, insecticide, plasma heating,
                             particle acceleration

    3-30 GHz    10-1 cm      Radar, satellite communications, amateur,
                             fire, taxi, airborne weather radar, police,
                             microwave relay, anti-intruder alarms,
                             plasma heating, thermonuclear fusion
                             experiments

    30-300 GHz  10-1 mm      Radar, satellite communications, microwave
                             relay, radionavigation, amateur radio
                                                                        

         Typical uses of equipment generating electromagnetic fields in
    the frequency range 300 Hz-300 GHz are shown in Table 4.

    3.3.2  Environment, home, and public premises

         A comprehensive evaluation of general population exposure to RF
    has been performed by the USA Environmental Protection Agency (Tell&
    Mantiply, 1980). Broadcasting services, particularly those usingthe
    VHF and UHF bands, have been identified as the main sources of ambient
    RF fields (Karachev & Bitkin, 1985). Measurements performed in 15
    large cities in the USA led to the conclusions that the median
    exposure level was 50 µW/m2 and that approximately 1% of the
    population studied was potentially exposed to levels greater than 10
    mW/m2.

         The presence of conducting objects can give rise to field
    strengths higher than those expected from theoretical considerations,
    since they act as diffracting elements for the electromagnetic fields.
    Consequently, the presence of such objects in the near-field zone of
    radio stations makes the area between the radiator and the object
    potentially more hazardous and indicates that problems of safety
    should be considered carefully (Bernardi et al., 1981).

         Although measurements as well as theory indicate that there is no
    high-level exposure from broadcasting stations, the existence of
    limited areas of relatively high irradiation close to the sources
    should be checked (Dumansky et al., 1985a). Such situations can exist
    in proximity to very powerful, ground-level transmitters. In several
    cases, urban areas are served locally by low-power, in-town repeaters.
    These are placed, for convenience, on the top of tall buildings;
    unless properly designed, this creates the possibility of stray fields

    in a densely populated area directly below the RF source. A typical,
    high-power, MF transmitter can have a carrier power of 100 kW, plus up
    to 50 kW in the sidebands of the propagated field. This is an example
    of how high field strengths can occur in a space open to the public.

         Although a broadcasting station's property is usually fenced to
    keep out unauthorized individuals, the fence may be close to the tower
    base and people may be able to get as close as a few tens of metres or
    less from the antenna. Because the wavelengths involved are so long,
    a near-field exposure situation may exist and a field strength
    considerably greater than the theoretical ground-wave field strength
    is to be expected (Bini et al., 1980).

         Local MF transmitters find widespread use in cities, where they
    provide coverage on "blind spots" or other low-signal receiving areas.
    Powers range from 100 to 1000 W at the amplifier output and much less
    than that can be expected to be radiated into space. In a typical
    arrangement, the transmitting module is located at the top of a
    stucture. The radiating system is fed via a coaxial cable. It consists
    of a dipole over a ground plane or counterpoise laid directly on the
    roof. More than one transmitter can serve the same radiator. Currents
    can set up fields in a complicated pattern inside the building (Bini
    et al., 1980).

         When RF fields are incident on conductive objects, RF currents
    are induced in the objects. Because of these currents, the objects
    become sources of additional fields that are highly localized and in
    some situations can constructively add to original fields.

         Among the general population, the most popular application of
    microwave power is in the cooking of food. Power levels range from 300
    W to 1 kW in consumer microwave models, at a frequency of 2.45 GHz. In
    a properly designed microwave oven, a very small fraction of this
    power escapes from the oven housing through various leakage paths.
    When leakage occurs, it is most frequently through the door seal. It
    may increase with use or mechanical abuse of the oven. Small amounts
    of leakage can also occur through the viewing screen (Osepchuk, 1979).

         Personal exposure from microwave ovens is extremely small because
    of the rapid decrease of the power flux density with increasing
    distance from the oven. For worst case leakage from the microwave oven
    of 5 mW/cm2, the power density at a distance of 0.3 m is less than
    0.15 mW/cm2 and, at 1 m it is about 10 µW/cm2. Typical leakage
    values, therefore, imply exposure values well below the most
    conservative RF exposure standards in the world (Stuchly, 1977;
    Dumansky et al., 1980).

         Recently, the induction heating stove, a new appliance for
    domestic use, has been introduced on the market. This appliance
    operates in the kilohertz range. Exposure levels at distances greater
    than 0.5 m are low compared with existing exposure limits, being less

    than 5 V/m and 0.5-10 A/m, respectively, at a distance of 0.3 m
    (Stuchly & Lecuyer, 1987).

         Microwave anti-intrusion alarms are typical of low-power devices.
    These operate continuously to avoid thermal drift or switching
    problems, thus exposing people in the protected area. With a typical
    power of 10 mW, power densities of the order of 10 µW/cm2 are
    measured at a distance of about 0.5 m. Population exposure to RF
    fields from commonly encountered sources, such as airport, marine, and
    police radar, is similarly very low (Stuchly, 1977; Dumansky et al.,
    1980, 1985b, 1988).

    3.3.3  Workplace

         Levels of occupational exposure vary considerably, and are
    strongly dependent upon the particular application. While most
    communication and radar workers are exposed to fields of only
    relatively low intensity, some can be exposed to high levels of RF.
    Workers climbing FM radio or TV broadcasting towers may be exposed to
    E fields up to 1 kV/m and H fields up to 5 A/m (Repacholi 1983a; Mild
    & Lovstrand, 1990).

         Radar systems produce strong RF fields along the axis of the
    antenna. However, in most systems, average field strengths are reduced
    typically by a factor of 100-1000, because of antenna rotation and
    because the field is pulsed. With stationary antennas, which represent
    the worst case, peak power flux densities of 10 MW/m2 may occur on
    the antenna axis up to a few metres away from the source.

         In areas surrounding air traffic control radars (ATCRs), workers
    can be exposed to power flux densities of up to tens of W/m2, but
    are normally exposed to fields in the range 0.03-0.8 W/m2. In an
    exposure survey of civilian airport radar workers in Australia, it was
    found that, unless working on open waveguide slots, or within
    transmitter cabinets when high voltage arcing was occurring, personnel
    were, in general, not exposed to levels of radiation exceeding the
    specified limits in the Australian and IRPA radiofrequency exposure
    standards (Joyner & Bangay, 1986a).

         Dielectric or RF heaters are widespread in many industries. RF
    energy produces heat directly within the processed material. This
    unique characteristic is commonly used for such purposes as sealing
    plastics or drying glue for joining wood. All RF heaters have a higher
    efficiency in comparison with conventional ovens. According to several
    surveys (Conover et al., 1980; Stuchly et al., 1980; Grandolfo et al.,
    1982; Bini et al., 1986; Joyner & Bangay, 1986b; Stuchly & Mild,
    1987), the sealing or welding of polyvinyl chloride (PVC) is the most
    common use for RF dielectric heaters. Two pieces of plastic are
    compressed between electrodes and RF power is applied. The plastic
    material heats, partially fuses, and forms a bond. Plastic heaters
    frequently operate at the ISM frequency of 27.12 MHz. However, during

    the operating cycle, this value may vary by several megahertz. The RF
    output power ranges from fractions of a kilowatt to about 100 kW.

         Since the exposure of heater sealer operators and other personnel
    working in the same area takes place in the near-field, both E and H
    field strengths must be measured to evaluate exposure levels. However,
    to demonstrate compliance with basic limits of RF exposure, the
    development of body current measurement techniques should prove to be
    useful (Allen et al., 1986). In the vicinity of RF sources,
    measurements of fields must be made with the operators absent from the
    positions that they normally occupy. The stray fields are localized in
    the immediate vicinity of the sealers, so that exposure of the body is
    highly inhomogeneous.

         RF industrial heaters (plastic sealers and other devices) have
    been found to produce exposure fields exceeding the limits recommended
    in various countries and by the IRPA. Furthermore, direct current
    measurements have confirmed coupling of the RF energy from the device
    to its operator. Various methods have been developed to ameliorate the
    situation, such as shields, grounding strips, and others. Potential
    overexposure to RF radiation is probably one of the most common
    occurrences in the case of RF heaters, unless protective measures are
    employed.

         Magnetic fields below a few tens of megahertz are used in
    industry for the induction heating of metals and semiconductors and in
    arc welding. Surveys of the magnetic field strength to which the
    operators are exposed have shown that these exposures are, in many
    instances, high compared with recommended exposure limits (Stuchly &
    Lecuyer, 1985; Conover et al., 1986; Stuchly, 1986; Andreuccetti et
    al., 1988; Stuchly & Lecuyer, 1989).

         In many practical situations, exposure can be reduced either by
    administrative measures (Eriksson & Mild, 1985) or by the use of
    protective screening. Screening may be intentional (wire fences) or
    incidental (walls of buildings) and may function by reflection or by
    absorption. In general, both contribute to the total attenuation
    provided.

         Thin metal sheets are adequate for the attenuation of RF electric
    fields. However, in many cases, it is usual to use wire screens or
    perforated sheets, since these have the advantages of transparency,
    ventilation, light weight, etc. In all cases, surveys are desirable to
    verify the integrity of such screens or shields. Faults in screens
    could, in some circumstances, be secondary sources of significant
    radiation or reactive fields (White, 1980).

         The applications of video display units (VDUs) are numerous and
    their use widespread. Even more applications are anticipated in the
    future. In the RF region, they emit electric and magnetic fields from
    the cathode ray tubes (CRTs). The dominant sources are the horizontal
    and vertical sweep generators (fly-back transformers) operating at

    frequencies of some 15-35 kHz. VDUs produce fields that have complex
    waveforms. Typical electric field stengths at the operator position
    (0.5 m from the screen) range from less than 1 to 10 V/m (RMS).
    Magnetic flux densities range typically from less than 0.01 µT to 0.1
    µT (RMS). In most VDUs, both fields are produced at the lower end of
    these ranges. VDUs also produce weak, electric and magnetic fields at
    the power line frequency (50 or 60 Hz) and its harmonics. All surveys
    have concluded that VDUs do not present any hazard for human health
    within the context of existing guidelines for exposures to
    non-ionizing electromagnetic fields (see section 10) (BRH, 1981;
    Stuchly et al., 1983b; Harvey, 1984; Repacholi, 1985; Elliott et al.,
    1986).

         A statement has been published by the International Non-Ionizing
    Radiation Committee of the International Radiation Protection
    Association (IRPA, 1988b). Conclusions in this and other documents
    (WHO, 1987; ILO, 1991) are that, on the basis of current biomedical
    knowledge, there are no health hazards associated with radiation or
    fields from VDUs and that there is no scientific basis to justify
    radiation shielding or regular monitoring of the various radiations
    and fields emitted by VDUs.

    3.3.4  Medical practice

         Shortwave and microwave diathermy treatments are used to relieve
    pain through the non-invasive application of non-ionizing
    electromagnetic energy to body tissues. Several surveys have been
    published (EHD, 1980; Ruggera, 1980; Grandolfo et al., 1982; Stuchly
    et al., 1982; Delpizzo & Joyner, 1987), with the primary purpose of
    measuring the field strengths to which diathermy operators are exposed
    during typical treatments. Measurements of the magnitude of fields
    near diathermy electrodes (applicators) were made from shortwave
    diathermy units operating at 27.12 MHz, and from microwave diathermy
    units operating at 434 MHz and 2.45 GHz. They indicate emissions of
    high field and radiation levels in directions other than those
    intended for treatment. Operators, physiotherapists, and personnel
    performing service and maintenance tasks are exposed to stray fields
    and radiations. Reduction of unnecessary exposure of both operator and
    patient during microwave and shortwave diathermy treatments is
    technically achievable through adequate shielding of existing units,
    careful design of new equipment, and judicious planning of the
    treatment area (Bonkowski & Makiewicz, 1986).

         Hyperthermia devices are used in cancer adjuvant therapies (Storm
    et al, 1981; Stuchly et al., 1983a; Hagmann et al., 1985). Treatments
    have been based on biological studies that suggest hyperthermia
    effectiveness in conjunction with radiotherapy and with chemotherapy.
    The evaluation of hyperthermia efficacy is proceeding through the
    development of therapeutic trials for specific tumours (Arcangeli et
    al., 1985; Perez et al., 1991). A few international and national
    organizations have independently determined and developed randomized
    trials (Lovisolo et al., 1988). For the purposes of safety evaluation,

    hyperthemia devices can be classified as: (a) those irradiating
    external to the body and intended for superficial and deep
    hyperthermia, and (b) those irradiating from inside the body and
    intended for interstitial and endocavitary hyperthermia.

         All devices present, to a greater or lesser extent, problems of
    patient health protection. Adverse effects on patients have included
    pain, discomfort, burn, ulceration, and, for deep hyperthemia,
    tachycardia and faintness. These are due to an overheating of
    superficial tissues, tissues surrounding the tumour, and, in deep
    hyperthermia, other tissues far from the tumour and irradiated region
    (Myerson et al., 1989; Petrovich et al., 1989). The magnitude of the
    electromagnetic field around superficial, interstitial, and
    endocavitary applicators is relatively low and does not cause any
    health risk to the operators, though the possibility of leakage of RF
    energy from generators and connecting cables has to be considered in
    some models. Capacitive and phase array devices, however, may leak RF
    energy (Storm et al., 1981).

         Hagmann et al. (1985) measured the stray electric and magnetic
    fields of angular phased array and helical coil applicators for limb
    and torso hyperthermia at 70.93 MHz. Field strengths were measured in
    excess of 300 V/m and 1A/m, respectively, at a distance of about 10 cm
    from the applicator. At 0.5 m, these values were reduced to 14 V/m and
    0.1 A/m, respectively. In general, manufacturers of hyperthermia
    devices pay too little attention to minimizing the leakage of RF
    fields from generators, cables, and applicators, and each new model
    generator should be tested for RF emissions.

         Magnetic resonance imaging (MRI) is now an established diagnostic
    technique while  in vivo spectroscopy is undergoing rapid
    development. The complexity of exposure associated with MRI requires
    the safety consideration of three different fields (Tenforde &
    Budinger, 1986; Budinger, 1988). During clinical imaging, patients or
    volunteers, and operators are exposed to static magnetic fields,
    time-varying magnetic fields, and radiofrequency electromagnetic
    fields. RF fields in the frequency range 1-100 MHz, are deposited in
    patients, principally as heating associated with eddy currents induced
    by the RF magnetic field (Grandolfo et al, 1990). For MRI systems with
    static magnetic flux densities below 2 T, power deposition from
    electric fields associated with RF transmitter coils is relatively
    low, when efficient transmitter coil designs are employed. The power
    deposited by transient magnetic field gradients is similarly low
    (Bottomley et al., 1985). Staff operating the equipment are
    intermittently exposed to weaker fields that are present in the
    vicinity of the imaging equipment. Guidelines on "Protection of the
    patient undergoing magnetic resonance examinations" have been
    published by the International Non-Ionizing Radiation Committee of the
    International Radiation Protection Association (IRPA, 1991).

    4.  EXPOSURE EVALUATION - CALCULATION AND MEASUREMENT

    4.1  Introduction

         Exposure evaluation provides information necessary to perform
    risk assessments. Two methods are available: (i) a theoretical
    estimation; and (ii) measurements of the fields or related parameters,
    such as energy absorption rates and currents.

         Estimates of exposures are necessary before an installation is
    constructed. Whenever possible, estimates of radiation fields should
    be made before detailed surveys of potentially hazardous exposures are
    carried out. This procedure is needed to select suitable survey
    instruments, and to determine whether potentially hazardous exposure
    of the surveyor could occur, if the choice of the instrument were
    inappropriate or if the instrument were faulty.

    4.2  Theoretical estimation

         Electromagnetic waves may be harmonic, i.e., the electric and
    magnetic fields oscillate as sine waves, and power is generated as a
    continuous wave (CW) at essentially a single frequency. The waves may
    be also modulated, i.e., the amplitude, phase, or frequency may be
    changed in a chosen manner, for example, if pulse modulation,
    short-duration electromagnetic pulses are emitted at certain time
    intervals. The duration of the pulse (pulse length or pulse width),
    which may be of the order of small fractions of a second, is
    designated by t. Its reciprocal, the pulse repetition frequency (pulse
    repetition rate), is expressed in hertz. The product of pulse length
    and repetition rate is referred to as the duty cycle, D. In case of
    pulsed-wave generation, the emitted power increases rapidly, reaches
    a peak pulse power, and rapidly decreases.

         This may be averaged for pulse length or per unit time, which
    introduces the concept of mean (average) power emitted, according to:

         Pp = Pa/tfr or Pa = Ppfr t                           (Equation 4.1)

    where Pp is the peak power, Pa the average power, fr the
    repetition frequency, and t the pulse length.

         In practice, average power is usually measured, and, for safety
    purposes, mean power density is used. The peak pulse power may be many
    times higher than the average power output. The average and peak power
    flux densities (Sa and Sp) are given by:

         Sa = DSp                                             (Equation 4.2)

    Universally used sources with moveable antennas and/or beams, such as
    scanning or rotating radars, introduce an additional complication from
    the safety viewpoint. Electromagnetic power from such installations
    arrives intermittently.

         The power flux density for a scanning antenna in motion can be
    estimated from the power flux density measured with the antenna
    stationary using the expression:

         Wm = ksWs                                          (Equation 4.3)

    where Wm is the power flux density for the antenna in motion, ks
    is the antenna rotational reduction factor, and Ws is the power flux
    density measured on the axis of the stationary antenna at a given
    distance.

         In most radar installations, the antenna rotates and therefore an
    occupied position is exposed only when the radar beam sweeps it. The
    average exposure level is obtained by multiplying the measured or
    estimated level from a stationary antenna by the rotational reduction
    factor (RRF). In the far-field, RRF equals the ratio of the half power
    beam width to the antenna scan angle.

         The rotational reduction factor (ks) for the near-field region
    is equal to:

         a/Rk                                               (Equation 4.4)

    where "a" is the dimension of the antenna in the scan (rotation) plane
    and Rk is the circumference of the antenna scan sector at the given
    distance r, at which the measurements have been made.

         The region close to a source antenna is called the near-field. As
    shown in Fig.2, the near-field can be divided into two subregions: the
    reactive near-field region and the radiating near-field region. The
    region of space surrounding the antenna in which the reactive
    components predominate is known as the reactive near-field region. In
    the radiating near-field region, the radiation pattern varies with the
    distance from the antenna. The near-fields often vary rapidly with
    distance and mathematical expressions generally contain the terms 1/r,
    1/r2, ...., 1/rn, where r is the distance from the source to the
    point at which the field is being determined. At greater distances
    from the source, the 1/r2, 1/r3, and higher-order terms are
    negligible compared with the 1/r term and the fields are called
    far-fields. These fields are approximately spherical waves that can,
    in turn, be approximated in a limited region of space by plane waves.
    Measurements and calculations are usually easier in far-fields than in
    near-fields.

         When the longest dimension (L) of the source antenna is greater
    than the wavelength (lamda), the distance from the source to the
    far-field is 2L2/lamda. For L<lamda, this distance is lamda/2pi
    (see Fig. 2). In practice, the distance from the source that
    represents the boundary between the near-field and far-field regions
    is often taken to be the greater of the two quantities, lamda and
    2L2/lamda. However, the appropriate empirical relationship depends
    on the type of aperture of the source and, for example, for a circular

    aperture, such as on a microwave relay tower, the relationship
    L2/lamda may be more appropriate. In this case, with a frequency of
    2 GHz (lamda = 15 cm), L is approximately 3 m and, consequently, the
    quantity L2/lamda = 60 m. Because 60 m is much greater than 15 cm,
    this is the distance that can be assumed as a boundary between the
    near- and far-field regions.

         The boundary between the near-field and far-field regions,
    however, is not sharp, because the near-fields gradually become less
    as the distance from the source increases.

         In free space, electromagnetic waves spread uniformly in all
    directions from a theoretical point source. In this case, the
    wavefront is spherical. As the distance from the point source
    increases, the area of the wavefront surface increases as a square of
    the distance, so that the source power is spread over a larger area.

    FIGURE 2

         If the exposure takes place in the far-field of a well
    characterized antenna in free space, then S is calculated by the
    formula:

         S = GPt /4pi r2 (W/m2)                               (Equation 4.5)

    where G is the far-field power gain, Pt is the power transmitted (W)
    and r is the distance (m) from the antenna.

         For a horn or reflector type antenna:

         G = 4pi Ae/lamda2                                    (Equation 4.6)

    where Ae is the effective area of the antenna.

         If G is not known, a useful approximation of S can be obtained by
    substituting the physical area A for Ae in equation 4.6. This gives
    a somewhat larger value for S, since A is generally larger than Ae.

         Although the equations are far-field relationships, i.e., correct
    for distances greater than approximately 2L2/lamda (L > lamda),
    they can be used with an acceptable error for distances greater than
    0.5 L2/lamda. The error is on the safe side, since the equations
    predict greater values of S. However, at distances closer than 0.5
    L2/lamda, the values of S predicted by the equations become
    unrealistically large and radiating near-field estimates must be used.
    For commonly encountered horn and reflector type antennas, the maximum
    expected radiating, near-field, power flux density Sm can be
    estimated (Hankin, 1974) from:

         Sm = 4Pt/A                                           (Equation 4.7)

         Unfortunately, there are no equivalent reactive near-field
    formulae for small radiators. The radiating near-field behaviour of
    horn and reflector type antennas is discussed in detail elsewhere
    (Bickmore & Hansen,1959; SAA, 1988). A detailed discussion of the
    reactive near-field of small radiators can be found in Jordan &
    Balmain (1968).

         In the near-field, the situation is somewhat complicated, because
    the maxima and minima of E and H fields do not occur at the same
    points along the direction of propagation as they do in the the case
    of the far-field. In this region, the electromagnetic field structure
    may be highly inhomogeneous and typically, there may be substantial
    variations from the plane wave impedance of 377 OMEGA; i.e., in some
    regions, almost pure E-fields may exist and, in other regions, almost
    pure H-fields. Field strengths in the near-field are more difficult to
    specify, because both the E and H fields must be measured and because
    the field patterns are more complicated; the power density tends to
    vary inversely with r instead of r2 (as in the far-field), and may
    display interference patterns. Near-field exposures become
    particularly important when considering fields from microwave
    diathermy equipment, RF sealers, broadcasting antennas, and microwave
    oscillators under test.

    4.3  Measurements

    4.3.1  Preliminary considerations

         Several steps are necessary for the accurate assessment of RF
    exposure. The source and exposure situation must be characterized, so
    that the most appropriate measurement technique and instrumentation
    can be selected (ANSI, 1990; Tell, 1983). The correct use of this
    instrumentation requires knowledge of the quantity to be measured and
    the limitations of the instrument used. A knowledge of relevant
    exposure standards is essential.

         In the following sections, information is given concerning
    preliminary RF survey considerations, measurement procedures, and
    calibration facilities.

         Prior to the commencement of a survey, it is important to obtain
    as much information as possible about the characteristics of the RF
    source and the exposure situation. This information is required for
    the estimation of the expected field strengths and the selection of
    the most appropriate survey instrumentation.

    Information about the RF source should include:

    -    frequencies present, including harmonics;
    -    power transmitted;
    -    polarization (orientation of E field);
    -    modulation characteristics (peak and average values);
    -    duty cycle, pulse width, and pulse repetition frequency;
    -    antenna characteristics, such as type, gain, beam width and scan
         rate.

    Information about the exposure situation must include:

    -    distance from the source;
    -    existence of any scattering objects. Scattering by plane surfaces
         can enhance the E field by a factor of 2, hence, S, by a factor
         of 4. Even greater enhancement may result from curved surfaces,
         e.g., corner reflectors.

    4.3.2  Near-field versus far-field

         For the practical purposes of measurement, the reactive
    near-field exists within 0.5 lamda from the source with a practical
    outer limit of several wavelengths (Jordan & Balmain, 1968). Both E
    and H field components must be measured within the reactive
    near-field. At present, no instruments are available commercially for
    the measurement of H-fields above 300 MHz, which imposes a de facto
    frequency limit on the measurements.

    4.3.3  Instrumentation

         An electric or magnetic field-measuring instrument consists of
    three basic parts; the probe, the leads, and the monitor. To ensure
    appropriate measurements, the following instrumentation
    characteristics are required or are desirable:

    -    The probe must respond to only the E field or the H field and not
         to both simultaneously.
    -    The probe must not produce significant perturbation of the field.
    -    The leads from the probe to the monitor must not disturb the
         field at the probe significantly, or couple energy from the
         field.
    -    The frequency response of the probe must cover the range of
         frequencies required to be measured.
    -    If used in the reactive near-field, the dimensions of the probe
         sensor should preferably be less than a quarter of a wavelength
         at the highest frequency present (see next section).
    -    The instrument should indicate the root mean square (rms) value
         of the measured field parameter.
    -    The response time of the instrument should be known. It is
         desirable to have a response time of about 1 second or less, so
         that intermittent fields are easily detected.
    -    The probe should be responsive to all polarization components of
         the field. This may be accomplished, either by inherent isotropic
         response, or by physical rotation of the probe through three
         orthogonal directions.
    -    Good overload protection, battery operation, portability, and
         rugged construction are other desirable characteristics.
    -    Instruments provide an indication of one or more of the following
         parameters:

         (a)  Average power density (W/m2, mW/cm2);
         (b)  Average E field (V/m) or mean square E field (V2/m2);
         (c)  Average H field (A/m) or mean square H field (A2/m2).

         However, no instrument actually measures average power density
    and this quantity is not useful in the near-field of antennas. Power
    density is measured in the far-field by E-field or H-field probes. The
    surveyor should be aware of the field parameter (E or H) to which the
    instrument responds, and that exposure standards generally stipulate
    limits corresponding to both field parameters. Equivalent plane wave
    power density is certainly a convenient unit, but in the reactive
    near-field, E and H field components must be measured and compared
    with the corresponding exposure limits.

         Some factors that can influence the signal levels of the
    instruments (e.g.,influence of multiple signals, pulse modulation,
    lead pick-up, coupling into probes) are discussed in detail in ANSI
    (1981) and Joyner (1988).

    4.3.4  Measurement procedures

         If information on the RF source and exposure situation is well
    defined, then a surveyor, after making estimates of the expected field
    strengths and selecting appropriate instruments, may proceed with the
    survey using a high-range probe to avoid inadvertent probe burnout and
    a high-range scale to avoid possible over-exposure.

         In the reactive near-field of radiators operating at frequencies
    of less than 300 MHz, an electrically small (largest dimension <0.25
    lamda) probe sensor is required since large gradients in field
    components exist. Spatial resolution is critical (large probes will
    yield spatially averaged values) and the use of an isotropic probe is
    strongly recommended. E and H field measurements should not be made
    closer than a distance of 20 cm from metallic objects. In some such
    cases, it may be possible to assess compliance with exposure standards
    by making contact current measurements.

         Non-uniform field distributions result from reflections from
    various structures. Peaks in the field distribution are separated by
    at least one-half wavelength with the maximum levels of E and H fields
    occurring in different locations. Temporal variations occur also as a
    result of scanning antennas, scanning radiation beams, and changes in
    frequency. Therefore, it is imperative that any survey include a
    sufficiently large sample of data to preclude omission of hazardous
    combinations of conditions. When surveying sources of leakage
    radiation, such as waveguide flanges, equipment cabinet doors, and
    viewing or shielding screens, a "sniffing" procedure in the immediate
    vicinity of the equipment is required. A low-power probe and
    high-range setting should first be used to determine leakage sources
    from a distance, and lower-range settings used as a closer approach is
    made. Usually, leakage power varies as the inverse square of the
    distance.

         When surveying radar antennas, it is necessary to have the
    antenna or the beam stationary, because the response time of the
    instruments is generally not short enough to indicate the maximum
    levels for common beam sweep and scan speed. It is important to
    estimate the peak exposure level, in order to ensure that the probe
    chosen can withstand such a peak level. Also, instruments that
    time-sample the field at insufficiently low sample rates should not be
    used for radar applications (Tell, 1983). Appropriate equations are
    then used to convert back to time-averaged levels for a rotating
    antenna.

         All occupied and accessible locations should be surveyed. The
    operator of the equipment under test and the surveyor should be as far
    away as practicable from the test area. All objects normally present,
    which may reflect or absorb energy, must be in position. The surveyor
    should take precautions against RF burns and shock, particularly near
    high-power, low-frequency systems.

         With careful measurement techniques and the correct choice of
    instrument, overall measurement uncertainties that are acceptable can
    be achieved. Direct field measurements frequently do not provide
    reliable means for exposure evaluation at distances from the field
    source (an antenna, or a re-radiating surface) of less than about 0.2
    m or lamda/2, whichever is smaller. In such a case, it may be
    necessary to evaluate the specific absorption rates (SARs) in a model
    of the human body using one of the dosimetric measures (Stuchly &
    Stuchly, 1986), or to measure directly the RF current flowing through
    the person (Blackwell, 1990; Tell, 1990a).

    5.  DOSIMETRY

    5.1  General

         Time-varying electric and magnetic fields induce electric fields
    and corresponding electric currents in biological systems exposed to
    these fields. The intensities and spatial distribution of induced
    currents and fields are dependent on various characteristics of the
    exposure field, the exposure geometry, and the exposed biological
    system. The exposure field characteristics that play a role include
    the type of field (electric, magnetic, or electromagnetic radiation),
    frequency, polarization, direction, and strength. Important
    characteristics of the exposed biological body system include its
    size, geometry, and electrical properties. The electrical properties
    of biological systems described by the complex permittivity and
    electrical conductivity differ for various tissues.

         The biological responses and effects due to exposure to
    electromagnetic fields generally depend on the strength of induced
    currents and fields. However, only the external fields can be measured
    easily and dosimetry has been developed to correlate the induced
    currents and fields with the exposure conditions. Induced currents, as
    a measure of dose, have been used in the quantification of
    experimentally induced effects in animals and the results have been
    extrapolated to humans.

         In the broad range of frequencies considered in this publication,
    i.e., 300 Hz-300 GHz, two different, but interrelated, quantities are
    commonly used in dosimetry. At lower frequencies (below approximately
    100 kHz), many biological effects can be quantified in terms of the
    current density in tissue. Therefore, this parameter is most often
    used as a dosimetric quantity. At higher frequencies, where many (but
    not all) interactions are due to the rate of energ