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July 1, 2011

New report on cell phones and cancer; ‘People should not be alarmed’

Tags: Cancer, Cancer People

LONDON – A respected international panel of scientists says cellphones are possible cancer-causing agents, putting them in the same category as the pesticide DDT, gasoline engine exhaust and coffee.

In Atlanta, the American Cancer Society’s chief medical officer told 11Alive News, “People should not be alarmed” by the report.  See below for his comments.

The classification was issued Tuesday in Lyon, France, by the International Agency for Research on Cancer after a review of dozens of published studies. The agency is an arm of the World Health Organization and its assessment now goes to WHO and national health agencies for possible guidance on cellphone use.

Classifying agents as “possibly carcinogenic” doesn’t mean they automatically cause cancer and some experts said the ruling shouldn’t change people’s cellphone habits.

“Anything is a possible carcinogen,” said Donald Berry, a professor of biostatistics at the M.D. Anderson Cancer Center at the University of Texas. He was not involved in the WHO cancer group’s assessment. “This is not something I worry about and it will not in any way change how I use my cellphone,” he said – speaking from his cellphone.

Read the American Cancer Society’s summary of the potential risks of cell phones, at cancer.org

The same cancer research agency lists alcoholic drinks as a known carcinogen and night shift work as a probable carcinogen. Anyone’s risk for cancer depends on many factors, from genetic makeup to the amount and length of time of an exposure.

After a weeklong meeting on the type of electromagnetic radiation found in cellphones, microwaves and radar, the expert panel said there was limited evidence cellphone use was linked to two types of brain tumors and inadequate evidence to draw conclusions for other cancers.

“We found some threads of evidence telling us how cancers might occur, but there were acknowledged gaps and uncertainties,” said Jonathan Samet of the University of Southern California, the panel’s chairman.

“The WHO’s verdict means there is some evidence linking mobile phones to cancer but it is too weak to draw strong conclusions from,” said Ed Yong, head of health information at Cancer Research U.K. “If such a link exists, it is unlikely to be a large one.”

Dr. Len Lichtenfeld of the American Cancer Society writes that the WHO report refuels the debate on cell phones, but does not end it.  Read his comments here.

Last year, results of a large study found no clear link between cellphones and cancer. But some advocacy groups contend the study raised serious concerns because it showed a hint of a possible connection between very heavy phone use and glioma, a rare but often deadly form of brain tumor. However, the numbers in that subgroup weren’t sufficient to make the case.

The study was controversial because it began with people who already had cancer and asked them to recall how often they used their cellphones more than a decade ago.

In about 30 other studies done in Europe, New Zealand and the U.S., patients with brain tumors have not reported using their cellphones more often than unaffected people.

Because cellphones are so popular, it may be impossible for experts to compare cellphone users who develop brain tumors with people who don’t use the devices. According to a survey last year, the number of cellphone subscribers worldwide has hit 5 billion, or nearly three-quarters of the global population.

People’s cellphone habits have also changed dramatically since the first studies began years ago and it’s unclear if the results of previous research would still apply today.

Since many cancerous tumors take decades to develop, experts say it’s impossible to conclude cellphones have no long-term health risks. The studies conducted so far haven’t tracked people for longer than about a decade.

Cellphones send signals to nearby towers via radio frequency waves, a form of energy similar to FM radio waves and microwaves. But the radiation produced by cellphones cannot directly damage DNA and is different from stronger types of radiation like X-rays or ultraviolet light. At very high levels, radio frequency waves from cellphones can heat up body tissue, but that is not believed to damage human cells.

Some experts recommended people use a headset or earpiece if they are worried about the possible health dangers of cellphones. “If there is a risk, most of it goes away with  earpiece,” said Dr. Otis Brawley, chief medical officer of the American Cancer Society in Atlanta.

Brawley said people should focus on the real health hazards of cellphones. “Cellphones may cause brain tumors but they kill far more people through automobile accidents,” he said. Brawley added it was also reasonable to limit children’s use of cellphones since their brains are still developing.

Earlier this year, a U.S. National Institutes of Health study found that cellphone use can speed up brain activity, but it is unknown whether that has any dangerous health effects.

The cellphone industry trade group, CTIA-The Wireless Association, pointed to two U.S. agencies that have found no evidence cellphones are linked to cancer – the Food and Drug Administration and the Federal Communications Commission.

The WHO’s cancer research agency has reviewed more than 900 occupational exposures, chemicals and other agents since 1971, classifying their link to cancer by labeling them from carcinogenic to probably not carcinogenic. The American Cancer Society has estimated that only about 6 percent of cancers are related to environmental causes and most of that is on-the-job occupational exposure.

11Alive’s Jon Shirek spoke with Otis Brawley, M.D., the chief medical officer for the American Cancer Society, at the ACS headquarters in downtown Atlanta, May 31, 2011:

“Category 2B means that it is possible that cell phones cause cancer, but no one knows” if they do, for sure.  By comparison, “Category 2A is — it is probable that something causes cancer.”

Thus, Dr. Brawley said, cell phones have just been added to other Category 2B risks such as valium, lead in lipstick, coffee and styrofoam cups.

“People who are concerned about cell phones, simply use a wired earpiece , and when making a phone call, hold the phone away from the body.  That’s all you really need to do, and this really becomes a non-issue.

“The incidence of brain tumors has been the same in the United States and Europe for the last 30 years… year after year.  One would expect that if these things are causing lots of brain tumors, we would see more brain tumors, and we’re not…. The real question is, what about 30, 40, 50 or 60 years of cell phone use?  We’re going to have to wait quite a bit of time before we can actually answer that question.” 

Dr Brawley’s comments, as released Tuesday by the American Cancer Society in Atlanta:

“This report comes from a very credible group, and reaches reasonable conclusions about electromagnetic radiation from cellphones and other devices. It is critical that its findings be interpreted with great care. The working group reviewed a large number of studies and concluded that there was limited evidence that cell phones may cause glioma, a type of brain tumor that starts in the brain or spine. A 2B classification means that there could be some risk, but that the evidence is not strong enough to be considered causal, and needs to be investigated further. The bottom line is the evidence is enough to warrant concern, but it is not conclusive. “The American Cancer Society does not independently judge the carcinogenicity of different exposures. Instead, we rely on IARC reviews of available evidence for our recommendations. At first glance, these new recommendations are very much in line with the American Cancer Society’s current information that the evidence is limited, that further research is needed, and that there are things people who are concerned about radiofrequency exposure can do to limit their exposure, including using an ear piece and limiting cell phone use, particularly among children. “Given that the evidence remains uncertain, it is up to each individual to determine what changes they wish to make, if any, after weighing the potential benefits and risks of using a cell phone. If some feel the potential risk outweighs the benefit, they can take actions, including limiting cell phone use, or using a headset. Limiting use among children also seems reasonable in light of this uncertainty. On the other hand, if someone is of the opinion that the absence of strong scientific evidence on the harms of cell phone use is reassuring, they may take different actions, and it would be hard to criticize that. “It’s also important to put this 2B classification into perspective. Many common exposures are classified in Category 2B, including gasoline exhaust and even coffee.”

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