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Author (up) Minder, C.E.; Pfluger, D.H. url  openurl
  Title Leukemia, brain tumors, and exposure to extremely low frequency electromagnetic fields in Swiss railway employees Type Journal Article
  Year 2001 Publication American Journal of Epidemiology Abbreviated Journal Am J Epidemiol  
  Volume 153 Issue 9 Pages 825-835  
  Keywords Adult; Brain Neoplasms/*epidemiology/mortality; Causality; Cohort Studies; Confounding Factors (Epidemiology); Dose-Response Relationship, Radiation; Electromagnetic Fields/*adverse effects; Endpoint Determination; Follow-Up Studies; Humans; Leukemia/*epidemiology/mortality; Male; Neoplasms, Radiation-Induced/*epidemiology/mortality; Occupational Exposure/*adverse effects/statistics & numerical data; Odds Ratio; Railroads/*statistics & numerical data; Reproducibility of Results; Risk Assessment; Risk Factors; Switzerland/epidemiology; Time Factors  
  Abstract Railway engineers provide excellent opportunities for studying the relation between exposure to extremely low frequency magnetic fields and leukemia or brain tumors. In a cohort study of Swiss railway personnel with 2.7 x 10(5) person-years of follow-up (1972--1993), the authors compared occupations with high average exposures (line engineers: 25.9 microT) to those with medium and low exposures (station masters: 1 microT). The mortality rate ratio for leukemia was 2.4 (95% confidence interval (CI): 1.0, 6.1) among line engineers (reference category: station masters). The mortality rate ratio for brain tumors was 1.0 (95% CI: 0.2, 4.6) among line engineers and 5.1 (95% CI: 1.2, 21.2) among shunting yard engineers (compared with station masters). Two exposure characteristics were evaluated: cumulative exposure in microT-years and years spent under exposure to magnetic fields of > or =10 microT. There was a significant increase in leukemia mortality of 0.9% (95% CI: 0.2, 1.7) per microT-year of cumulative exposure to extremely low frequency magnetic fields. The increase by years spent under exposure of > or =10 microT was even stronger: 62% per year (95% CI: 15, 129). Brain cancer risk did not show a dose-response relation. This study contributes to the evidence for a link between heavy exposure to extremely low frequency magnetic fields and leukemia. Its strengths include reliable measurements and reliable historical reconstruction of exposures.  
  Address Institute for Social and Preventive Medicine, University of Berne, Berne, Switzerland. minder@ispm.unibe.ch  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 0002-9262 ISBN Medium  
  Area Expedition Conference  
  Notes PMID:11323311 Approved no  
  Call Number Swiss TPH @ martin.roosli @ Serial 205  
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