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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">OL</journal-id>
<journal-title-group>
<journal-title>Oncology Letters</journal-title>
</journal-title-group>
<issn pub-type="ppub">1792-1074</issn>
<issn pub-type="epub">1792-1082</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ol.2019.10899</article-id>
<article-id pub-id-type="publisher-id">OL-0-0-10899</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Radiofrequency radiation from nearby mobile phone base stations-a case comparison of one low and one high exposure apartment</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Koppel</surname><given-names>Tarmo</given-names></name>
<xref rid="af1-ol-0-0-10899" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author"><name><surname>Ahonen</surname><given-names>Mikko</given-names></name>
<xref rid="af2-ol-0-0-10899" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author"><name><surname>Carlberg</surname><given-names>Michael</given-names></name>
<xref rid="af3-ol-0-0-10899" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Hedendahl</surname><given-names>Lena K.</given-names></name>
<xref rid="af3-ol-0-0-10899" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author"><name><surname>Hardell</surname><given-names>Lennart</given-names></name>
<xref rid="af3-ol-0-0-10899" ref-type="aff">3</xref>
<xref rid="c1-ol-0-0-10899" ref-type="corresp"/></contrib>
</contrib-group>
<aff id="af1-ol-0-0-10899"><label>1</label>Department of Labour Environment and Safety, Tallinn University of Technology, Tallinn 19086, Estonia</aff>
<aff id="af2-ol-0-0-10899"><label>2</label>Institute of Environmental Health and Safety, Tallinn 11615, Estonia</aff>
<aff id="af3-ol-0-0-10899"><label>3</label>The Environment and Cancer Research Foundation, SE-702 17 &#x00D6;rebro, Sweden</aff>
<author-notes>
<corresp id="c1-ol-0-0-10899"><italic>Correspondence to</italic>: Professor Lennart Hardell, The Environment and Cancer Research Foundation, Studiev&#x00E4;gen 35, SE-702 17 &#x00D6;rebro, Sweden, E-mail: <email>lennart.hardell@environmentandcancer.com</email></corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>11</month>
<year>2019</year></pub-date>
<pub-date pub-type="epub">
<day>20</day>
<month>09</month>
<year>2019</year></pub-date>
<volume>18</volume>
<issue>5</issue>
<fpage>5383</fpage>
<lpage>5391</lpage>
<history>
<date date-type="received"><day>10</day><month>05</month><year>2019</year></date>
<date date-type="accepted"><day>05</day><month>08</month><year>2019</year></date>
</history>
<permissions>
<copyright-statement>Copyright: &#x00A9; Koppel et al.</copyright-statement>
<copyright-year>2019</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license>
</permissions>
<abstract>
<p>Radiofrequency (RF) radiation in the frequency range of 30&#x2013;300 GHz has, since 2011, been classified as a &#x2018;possible&#x2019; human carcinogen by Group 2B, International Agency for Research on Cancer (IARC) at WHO. This was based on a number of human epidemiology studies on increased risk for glioma and acoustic neuroma. Based on further human epidemiology studies and animal studies, the evidence on RF radiation carcinogenesis has increased since 2011. In previous measurement studies, it has been indicated that high environmental RF radiation levels are present in certain areas of Stockholm Sweden, including in one apartment. Field spatial distribution measurements were performed in the previously measured apartment in Stockholm, which exhibited high RF radiation from nearby base stations. Based on the RF broadband analyzer spot measurements, the maximum indoor E-field topped at 3 V m<sup>&#x2212;1</sup> in the bedroom at the 7th floor. The maximum outdoor exposure level of 6 V m<sup>&#x2212;1</sup> was encountered at the 8th floor balcony, located at the same elevation and only 6.16 m away from the base station antennas. For comparison, a measurement was made in a low exposure apartment in Stockholm. Here, the maximum indoor field 0.52 V m<sup>&#x2212;1</sup> was measured at the corner window, with direct line of sight to the neighboring house with mobile phone base station antennas. The maximum outdoor field of 0.75 V m<sup>&#x2212;1</sup> was measured at the balcony facing the same next-door building with mobile phone base station antennas. The minimum field of 0.10 V m<sup>&#x2212;1</sup> was registered on the apartment area closest to the center of the building, demonstrating the shielding effects of the indoor walls. Good mobile phone reception was achieved in both apartments. Therefore, installation of base stations to risky places cannot be justified using the good reception requirement argument.</p>
</abstract>
<kwd-group>
<kwd>radiofrequency radiation</kwd>
<kwd>microwaves</kwd>
<kwd>mobile phone</kwd>
<kwd>base stations</kwd>
<kwd>exposure</kwd>
<kwd>health</kwd>
<kwd>building</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Public exposure to radiofrequency (RF) electromagnetic fields (EMF) in today&#x0027;s cities may be caused by a number of sources, including mobile phone base stations, TV and radio towers, wireless local area networks (WLAN), emergency services radio network, RF-identification systems, microwave ovens, anti-theft gates etc. Additionally, individual&#x0027;s exposure may be significantly elevated by personal usage of mobile and cordless phones, 2-way radios, WLAN, Bluetooth and other wireless devices. In this study we have focused on the exposure from mobile phone base station antennas. Exposure in two apartments positioned close to mobile phone base station antennas is measured in detail.</p>
<p>Developments in telecommunications technologies have led to widespread use of mobile devices connected to the network in constantly increasing loads. This has resulted also in the public&#x0027;s exposure to RF EMFs. Temporal trends in RF EMF exposure in everyday environments were investigated across European cities of Basel, Ghent and Brussels in 2011&#x2013;2012 (<xref rid="b1-ol-0-0-10899" ref-type="bibr">1</xref>). Within a year total RF exposure levels in all investigated outdoor locations combined raised 57.1&#x0025;. The increase in exposure was most notably observed in outdoor locations due to mobile phone base stations (<xref rid="b1-ol-0-0-10899" ref-type="bibr">1</xref>).</p>
<p>In many European countries on-site RF exposure measurements have been conducted since the 1990&#x0027;s. Most studies have focused on the mobile communications&#x0027; frequency bands. A comparative analysis concluded that due to the developments in telecommunications technology, the RF exposure is continuously increasing and is estimated &#x003E;65&#x0025; of the total exposure (<xref rid="b2-ol-0-0-10899" ref-type="bibr">2</xref>). Based on the personal exposure measurements in the EU, the mean RF is generally from 0.10 to 0.26 V m<sup>&#x2212;1</sup>; however most of these studies are based on outdoor measurements.</p>
<p>RF field exposure literature in Europe was reviewed, comparing indoor levels to outdoor levels (<xref rid="b3-ol-0-0-10899" ref-type="bibr">3</xref>). The mean RF exposure from spot measurements in homes was determined to be 0.29 V m<sup>&#x2212;1</sup> and for outdoor 0.54 V m<sup>&#x2212;1</sup>. In outdoor studies the exposure levels rarely exceeded 1.0 V m<sup>&#x2212;1</sup>, whereas the highest exposure contributor was the downlink i.e., radiation from mobile phone base station antenna. A finding of the systematic review was that there was no distinct difference in exposure levels between European countries. However, studies done by different researchers across the Europe have used different procedures limiting the comparability between studies (<xref rid="b3-ol-0-0-10899" ref-type="bibr">3</xref>).</p>
<p>RF levels are exponentially higher when located closer to the mobile phone base station antenna. Therefore, proper safety measures must be applied when protecting public from the excess RF radiation. One of the main safety principles is creating sufficient distance between the public and the RF sources. This requirement may not be met in certain housing conditions. Mobile phone base stations installed on rooftops may become very close to people in nearby apartments.</p>
<p>RF field exposure from a mobile phone base station antenna, located at the rooftop showed that allowable maximum safety levels were exceeded when being closer than 30 m to the base station antenna (<xref rid="b4-ol-0-0-10899" ref-type="bibr">4</xref>). With the increasing distance, the RF power density is increasingly affected by the landscape topography, buildings, and trees that induce reflection and absorption. Also, RF power density depends on the numbers of channels in use by the base station antenna, the number of time intervals used and other mobile communication specific factors. The base station&#x0027;s maximum RF level varies across the day, which is an indicator of the mobile communications&#x0027; service load. Also, RF power density distribution is greatly determined by the antenna&#x0027;s directional pattern. Values were measured highest in the balconies within the main radiation lobe of the antenna (<xref rid="b4-ol-0-0-10899" ref-type="bibr">4</xref>).</p>
<p>We have previously reported results from our measurements of RF radiation levels at certain places in Stockholm, Sweden such as at the Central Railway station (<xref rid="b5-ol-0-0-10899" ref-type="bibr">5</xref>), the Old Town (<xref rid="b6-ol-0-0-10899" ref-type="bibr">6</xref>), and in the City (<xref rid="b7-ol-0-0-10899" ref-type="bibr">7</xref>). High radiation was measured at a square, J&#x00E4;rntorget, in the Old Town as further displayed in a recent publication displaying RF E-field distribution (<xref rid="b8-ol-0-0-10899" ref-type="bibr">8</xref>). Most of the radiation was downlink.</p>
<p>Of special concern is our results of measurements in a Stockholm apartment for everyday living purposes (<xref rid="b9-ol-0-0-10899" ref-type="bibr">9</xref>). Two groups of base stations are located close to the apartment. The total mean RF radiation level was 3,811 &#x00B5;W/m<sup>2</sup> (range 15.2&#x2013;112,318 &#x00B5;W/m<sup>2</sup>) for the measurement of the whole apartment, including balconies. Particularly high levels were measured on three balconies and in 3 of 4 bedrooms. High mean exposure levels in the bedrooms of growing children (one at 2,531 &#x00B5;W/m<sup>2</sup> and the other at 1,471 &#x00B5;W/m<sup>2</sup>) with maximum peaks at 11,803 and 13,739 &#x00B5;W/m<sup>2</sup>, respectively, may have deleterious effects on their physical and mental health (<xref rid="b9-ol-0-0-10899" ref-type="bibr">9</xref>,<xref rid="b10-ol-0-0-10899" ref-type="bibr">10</xref>).</p>
<p>The aim of this study was to further investigate radiation levels in the high exposure apartment (<xref rid="b9-ol-0-0-10899" ref-type="bibr">9</xref>) and to compare it with a low exposure apartment showing RF E-field distribution. This was a measurement study with no involvement of test persons. Thus, no ethical permission was needed.</p>
</sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<p>In the present study RF field levels were investigated in two apartments near mobile phone base station antennas. One of the apartments represented a high exposure living area, while the other was of low exposure area. Both of the apartments were near to mobile phone base stations but located at different city districts in Stockholm, Sweden. The locations of the base stations close to the apartment with high RF radiation exposure are shown in <xref rid="f1-ol-0-0-10899" ref-type="fig">Figs. 1</xref> and <xref rid="f2-ol-0-0-10899" ref-type="fig">2</xref>, whereas the base stations relating to the low exposure apartment are shown in <xref rid="f3-ol-0-0-10899" ref-type="fig">Fig. 3</xref>.</p>
<p>The high exposure apartment&#x0027;s outdoor areas were positioned close to the mobile phone base station antennas, being as close as 6 m. The low exposure apartment&#x0027;s balcony was about 40 m away from the base station antennas, since these were installed on the neighboring building and significantly higher on the roof.</p>
<p>Field spatial distribution measurements were conducted in the investigated apartments. The following analyses bring forth the low and high exposure determinant factors. RF electric field was measured at each room of the apartments. Depending on the room size, the room was divided into two to ten quadrants (smaller imaginary squares). At each quadrant a spot measurement was conducted. At each spot the field was measured with slow circular movements to cover the area of about 1 m<sup>2</sup> at heights of 0.7&#x2013;2 m. At each spot, the average and maximum electric field in Volts per meter (V m<sup>&#x2212;1</sup>) was recorded representing the measurement period of about 1 min.</p>
<p>The measurements were conducted on a working day during business hours (afternoon) in January 2019.</p>
<p>Field perturbation by the measurer was minimized by distancing the meter from the body-the meter was held at arm&#x0027;s length, with the extending probe outward. The measurements area was therefore at about 0.8&#x2013;0.9 m from the investigator.</p>
<p>Spot distance to mobile phone base station antenna was measured by targeting the closest antenna element. Distance was measured by laser distance meter STABILA LE50, which provides precise distance measurements up to 100 m with the resolution of 0.001 m at the accuracy &#x00B1;1.5 mm/m.</p>
<p>The measurements were conducted with a RF broadband analyzer, Narda NBM-520, with a E-field probe E0391 (Narda-Safety-Test-Solutions GmbH, Pfullingen, Germany). The Narda NBM-series meter is capable of time and spatial averaging and determining the maximum level during the period monitored. Narda EF0391 probe is intended by the manufacturer for base station measurements and has a frequency range from 100 kHz to 3 GHz.</p>
<p>The broadband meter Narda EF0391 covers a large range of RF transmissions, including different telecommunications protocols: frequency modulation (FM) radio broadcasting; television (TV) broadcasting; TETRA emergency services (police, rescue, etc.); global system for mobile communications (GSM) second generation mobile communications; universal mobile telecommunications systems (UMTS) third generation mobile communications, 3G; long-term evolution (LTE) fourth generation mobile communications standard, 4G; digital European cordless telecommunications (DECT) cordless telephone systems standard; Wi-Fi wireless local area network protocol, 2.45 GHz; worldwide interoperability for microwave access (WIMAX) wireless communication standard for high speed voice, data and internet.</p>
<p>Mobile communications&#x0027; service coverage reception level was confirmed using an Android mobile phone, showing service coverage in decibel milliwatts (dBm).</p>
<p>In the present study, measurement data are presented both in tables and visual views. Spatial distribution of the RF levels is presented in a heat map view. Heat map is possible only by a volume of spatially scattered spot measurements. Heat map is also seen by some other authors as a way to communicate the measurements data in a comprehensible way to the public (<xref rid="b11-ol-0-0-10899" ref-type="bibr">11</xref>).</p>
<p>The measurement data, specifically average spot measurement values, were entered to the contour map software 3DFIELD ver. 4.5.2.0 (by Vladimir Galouchko) and spatial field distribution maps were drawn. Field distribution maps were based on the spot measurements using 1 min time averaging.</p>
<p><italic>Conversion from V m</italic><sup>&#x2212;1</sup>, <italic>to</italic> W/m<sup>2</sup>, see also <xref rid="tI-ol-0-0-10899" ref-type="table">Table I</xref>. In most of our earlier studies we have used the EME Spy 200 from Satimo and preferred to show our results in power flux density in W/m<sup>2</sup> and &#x00B5;W/m<sup>2</sup> for RF radiation. In the current measurements the broadband analyzer Narda NBM-520 measures in V m<sup>&#x2212;1</sup> and the contour map software 3DFIELD is also constructed for measurements in V m<sup>&#x2212;1</sup>.</p>
<p>To convert from electric field strength, E, in V m<sup>&#x2212;1</sup> to power flux density in W/m<sup>2</sup>, S, use the formula: S=0.002654 &#x00D7; E<sup>2</sup></p>
<sec>
<title/>
<sec>
<title>Statistical methods</title>
<p>The data was analyzed using the spreadsheet software Microsoft Excel 2016, calculating mean, median, minimum and maximum for the measured areas. Mean (x&#x0304;), median, and minimum values were based on the time averaging function of spot measurements; maximum value was based on the maximum reading registered during the spot measurement. Differences in field level across different areas was compared in a table and illustrated in a box plot and the factors determining the attenuation/elevation of the field pointed out.</p>
</sec>
</sec>
</sec>
<sec sec-type="results">
<title>Results</title>
<p>The field spatial distribution measurements conducted at the apartments in Stockholm show great variation in the RF field levels.</p>
<sec>
<title/>
<sec>
<title>High exposure apartment</title>
<p>As illustrated in <xref rid="f4-ol-0-0-10899" ref-type="fig">Figs. 4</xref>&#x2013;<xref rid="f6-ol-0-0-10899" ref-type="fig">6</xref>, the propagation of the field from the nearby mobile phone base stations&#x0027; several antennas in the high exposure apartment. Based on the RF broadband analyzer spot measurements, the maximum indoor E-field topped at 3 V m<sup>&#x2212;1</sup> at the bedroom on the 7th floor. The maximum outdoor exposure level of 6 V m<sup>&#x2212;1</sup> was encountered on the 8th floor balcony, located at the same elevation and only 6.16 m away from the base station antennas. Outdoor areas i.e. balconies have notably higher exposure, indicated by the darker color.</p>
<p>High exposure levels were encountered also on the 6th floor balcony with a direct line of sight to the mobile phone base station antenna at 11.87 m distance. Since the base station antenna was not aimed at the aforementioned area, hence even higher exposure conditions are avoided. The lowest exposure area is in the middle of the apartment (0.30 V m<sup>&#x2212;1</sup>), which is still twice as high as the mean exposure level of the low exposure apartment (0.16 V m<sup>&#x2212;1</sup>).</p>
</sec>
<sec>
<title>Low exposure apartment</title>
<p>RF field in the low exposure apartment is illustrated in <xref rid="f7-ol-0-0-10899" ref-type="fig">Fig. 7</xref>. The field distribution in low exposure apartment shows much less variation in amplitude, as the field is several times lower when compared to the high exposure apartment. The maximum indoor field (0.52 V m<sup>&#x2212;1</sup>) was measured at the corner window, with direct line of sight to the neighboring house with mobile phone base station antennas. Maximum outdoor field of 0.75 V m<sup>&#x2212;1</sup> was measured at the balcony facing the same next-door building with mobile phone base station antennas. The minimum field of 0.10 V m<sup>&#x2212;1</sup> was registered on the apartment area closest to the center of the building, hence demonstrating the shielding effects of the indoor walls.</p>
<p>Spot measurements resulted both in time averaged and maximum RF field levels. Pearson&#x0027;s product-moment correlation coefficient shows high correlation between the two sets of values: r=0.95 in the high exposure apartment, and r=0.97 in the low exposure apartment. In average, maximum values were 58&#x0025; higher than time averaged values in the high exposure apartment, and 87&#x0025; higher in the low exposure apartment.</p>
<p>In <xref rid="f8-ol-0-0-10899" ref-type="fig">Fig. 8</xref> a boxplot is presented comparing the high exposure apartment to the low exposure apartment (indoor areas) based on 1-min spot measurements maximum reading.</p>
</sec>
<sec>
<title>Field increase from indoor to outdoor</title>
<p>Comparison was also made in both apartments between the outdoor area (staying at the balcony) and the corresponding adjacent room area, which had access to the balcony. There was about a five-fold difference in mean indoor exposure levels and about a six-fold difference in mean outdoor exposure levels between the apartments. Considering maximum readings, the outdoor exposure difference was eight-fold.</p>
<p><xref rid="tII-ol-0-0-10899" ref-type="table">Tables II</xref> and <xref rid="tIII-ol-0-0-10899" ref-type="table">III</xref> presents the main statistics for the low exposure and high exposure apartment, expressed in V m<sup>&#x2212;1</sup> (<xref rid="tII-ol-0-0-10899" ref-type="table">Table II</xref>) and &#x00B5;W/m<sup>2</sup> (<xref rid="tIII-ol-0-0-10899" ref-type="table">Table III</xref>). <xref rid="tII-ol-0-0-10899" ref-type="table">Tables II</xref> and <xref rid="tIII-ol-0-0-10899" ref-type="table">III</xref> statistics are based on 1-min averaged spot measurements. The maximum indoor RF field was 0.52 V m<sup>&#x2212;1</sup> and 3.00 V m<sup>&#x2212;1</sup> respectively. Maximum reading at the balcony outside the low exposure apartment was 0.75 V m<sup>&#x2212;1</sup> compared with 6.00 V m<sup>&#x2212;1</sup> outside the high exposure apartment.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>There are a limited number of studies of RF exposure levels in Sweden. A car mounted measurement system was used to map spatially some of rural, urban and city areas published in 2014 (<xref rid="b12-ol-0-0-10899" ref-type="bibr">12</xref>). Mean power density levels showed highest exposure levels at Stockholm city (6,700 &#x00B5;W/m<sup>2</sup>), followed by city of Solna (3,278 &#x00B5;W/m<sup>2</sup>) and then urban areas as represented by G&#x00F6;teborg, Helsingborg, J&#x00F6;nk&#x00F6;ping and Ljungby (1,500 &#x00B5;W/m<sup>2</sup>) and rural areas represented by Ryssby and Eker&#x00F6; (230 &#x00B5;W/m<sup>2</sup>). Their study clearly indicated that higher population density results in higher RF exposure (<xref rid="b12-ol-0-0-10899" ref-type="bibr">12</xref>). They also noted that power density can vary by &#x003E;50 dB (100,000 times) over a driving distance of 10 km, which supports the finding in our study-high RF exposure is not required to have a good mobile telephony service reception. Note that these measurements do not represent current RF radiation due to the rapid increase of deployment of the wireless communication (<xref rid="b8-ol-0-0-10899" ref-type="bibr">8</xref>).</p>
<p>A RF survey in Greece, found median urban electric field (median 1.1 V m<sup>&#x2212;1</sup>) to be significantly higher than rural levels (median 0.3 V m<sup>&#x2212;1</sup>). As the study utilized temporal measurements with 6-min averaging from 90 installed measurements stations, the data showed large diurnal variation for stations positioned close to mobile phone base stations, with median diurnal variation of 33.8&#x0025; (<xref rid="b13-ol-0-0-10899" ref-type="bibr">13</xref>). These measurements are also old.</p>
<p>Baltr&#x0117;nas <italic>et al</italic> (<xref rid="b4-ol-0-0-10899" ref-type="bibr">4</xref>) investigated a 10-story building neighboring a mobile phone base station antenna, where the height of the building was 30 m distanced 35 m from the base station. These conditions are similar to our study. The base station antenna was approximately on the same height as floor 6. Consequently, the highest exposed floors were 5&#x2013;7, with floors where the power density at the balcony was about three times higher at 6th floor as compared to the 3rd floor. The difference was about 15-times when comparing the RF power density at the 1st floor to the 6th floor (<xref rid="b4-ol-0-0-10899" ref-type="bibr">4</xref>).</p>
<p>The present measurements with means of RF radiation up to 1.3 V/m (4,485 &#x00B5;W/m<sup>2</sup>) at the windows in the bedrooms in the high exposure apartment imply that this exposure may almost be compared to the exposure from a mobile phone in calling mode for many hours per day. A cohort study on Swiss adolescents showed that there was an association between whole body cumulative RF radiation dose from mobile phone talk, internet use and sent SMS and symptoms like headache and exhaustibility and also a decrease in figural memory (<xref rid="b14-ol-0-0-10899" ref-type="bibr">14</xref>,<xref rid="b15-ol-0-0-10899" ref-type="bibr">15</xref>).</p>
<p>Many research studies have shown effects from RF radiation exposure on animals below current safety levels with opened blood brain barrier and neuronal damage (<xref rid="b16-ol-0-0-10899" ref-type="bibr">16</xref>,<xref rid="b17-ol-0-0-10899" ref-type="bibr">17</xref>), oxidative stress with increased production of reactive oxygen species (<xref rid="b18-ol-0-0-10899" ref-type="bibr">18</xref>,<xref rid="b19-ol-0-0-10899" ref-type="bibr">19</xref>), DNA-damage especially in the memory center hippocampus in the brain and increase in pro-inflammatory cytokines (<xref rid="b20-ol-0-0-10899" ref-type="bibr">20</xref>).</p>
<p>Apart from animal studies research studies on people living near mobile phone base station show augmented indications on health risks. Adverse effects have been seen on neurotransmitters in the brain (<xref rid="b21-ol-0-0-10899" ref-type="bibr">21</xref>), on hormones like cortisol, ACTH and from the thyroid, decreased levels of testosterone in men and prolactin in young women and also increase in salivary cortisol (<xref rid="b22-ol-0-0-10899" ref-type="bibr">22</xref>,<xref rid="b23-ol-0-0-10899" ref-type="bibr">23</xref>). Other studies have shown lowered antioxidant levels and induced DNA damage in blood lymphocytes (<xref rid="b10-ol-0-0-10899" ref-type="bibr">10</xref>,<xref rid="b24-ol-0-0-10899" ref-type="bibr">24</xref>) as well as health complaints. Symptoms like sleep disturbances, headache, fatigue, dizziness, cardiovascular symptoms depression and difficulties with memory and concentration have been reported from people living near mobile phone base stations (<xref rid="b25-ol-0-0-10899" ref-type="bibr">25</xref>,<xref rid="b26-ol-0-0-10899" ref-type="bibr">26</xref>).</p>
<p>Human exposure has increased rapidly in recent years and will increase substantially with the introduction of the fifth generation (5G) for wireless communication (<uri xlink:href="http://www.5gappeal.eu">www.5gappeal.eu</uri>) (<xref rid="b27-ol-0-0-10899" ref-type="bibr">27</xref>,<xref rid="b28-ol-0-0-10899" ref-type="bibr">28</xref>) and should now be regarded as an environmental pollutant. Of special concern is that RF radiation in the frequency range 30 kHz to 300 GHz was in 2011 classified as a &#x2018;possible human carcinogen&#x2019; Group 2B by the International Agency for Research on Cancer (IARC) (<xref rid="b29-ol-0-0-10899" ref-type="bibr">29</xref>,<xref rid="b30-ol-0-0-10899" ref-type="bibr">30</xref>). The carcinogenic evidence has by now strengthened and RF radiation should be reclassified as a known human carcinogen, Group 1 (<xref rid="b27-ol-0-0-10899" ref-type="bibr">27</xref>,<xref rid="b28-ol-0-0-10899" ref-type="bibr">28</xref>). Environmental RF radiation is often involuntary with little possibilities to avoid, especially since mostly nothing has been done to inform and protect people from RF radiation (<xref rid="b31-ol-0-0-10899" ref-type="bibr">31</xref>,<xref rid="b32-ol-0-0-10899" ref-type="bibr">32</xref>).</p>
<p>Especially the two bedrooms for the children in this apartment were exposed to high RF radiation, (mean 2,531 and 1,471 &#x00B5;W/m<sup>2</sup>) (<xref rid="b9-ol-0-0-10899" ref-type="bibr">9</xref>). Children will probably be exposed for a whole lifetime in contrast to the present generation. They also seem to be more sensitive for RF radiation with more immature cells in their growing bodies (<xref rid="b33-ol-0-0-10899" ref-type="bibr">33</xref>,<xref rid="b34-ol-0-0-10899" ref-type="bibr">34</xref>).</p>
<p>A study from Taiwan calculated annual power density in watt-year/km<sup>2</sup> to each township from all 71,185 mobile phone base stations in service between 1998&#x2013;2007. They found a statistically significantly increased risk for all neoplasms in children with higher-than-median exposure of RF radiation from base stations during five years prior to their neoplams (<xref rid="b35-ol-0-0-10899" ref-type="bibr">35</xref>). The Interphone study group calculated the estimated RF dose from mobile phones in five of the participating countries. The RF radiation dose was estimated as total cumulative specific energy (TCSE) in J/kg absorbed at the tumor&#x0027;s estimated centre. The risk for a glioma increased with increasing TSCE 7&#x002B; years before diagnoses (<xref rid="b36-ol-0-0-10899" ref-type="bibr">36</xref>). Several studies have shown increasing risks for brain tumors, especially glioblastoma multiforme, with increasing years of mobile phone use, amount of calls and calling time (<xref rid="b29-ol-0-0-10899" ref-type="bibr">29</xref>,<xref rid="b30-ol-0-0-10899" ref-type="bibr">30</xref>,<xref rid="b37-ol-0-0-10899" ref-type="bibr">37</xref>,<xref rid="b38-ol-0-0-10899" ref-type="bibr">38</xref>).</p>
<p>In comparing two Stockholm apartments, several factors and exposure determinant could be pointed out. Both apartments were located in the vicinity of the mobile phone base station antenna, which allowed good mobile services reception indoor. Measured RF field levels in the low exposure apartment demonstrate that high exposure is not needed to provide good mobile phone reception.</p>
<p>Two mobile phone base stations placed very near, less than 20 m to an apartment may imply health risks for the inhabitants.</p>
<p>The low exposure apartment exposure levels were lower since the mobile phone base station was installed on top of the neighboring building, whereas on the high exposure apartment the base station was on top of the same building.</p>
<p>The high exposure apartment was on the top floor, with the mobile phone base station antennas situated on the roof above. The low exposure apartment was positioned seven floors lower from the roof where the base station antennas were located.</p>
<p>The low exposure apartment was located on the opposite side of the building from the mobile phone base station, hence the building itself provided cover (<xref rid="f9-ol-0-0-10899" ref-type="fig">Fig. 9</xref>). Building materials, such as concrete and metal structures provide partial shielding effect against inbound radio waves.</p>
<p>In both apartments, indoor RF levels were several folds lower than outdoor levels of the corresponding room. Lower levels were detected also in the vicinity of the windows. This indicates a notable screening effect by the contemporary heat-reflecting windows.</p>
<p>In both apartments the lowest exposure levels were registered within the center of the building, far away from the windows, shielded by the concrete or brick walls.</p>
<p>Although the tin roof of the high exposure apartment shields it from the majority of the inbound radio waves, countless reflections and diffraction from the structures on the roof and balconies provide the pathway to indoor. The RF field penetrated the building&#x0027;s constructions, including the windows and resulted in notably high exposure levels indoor.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The authors would like to thank Dr Jolanta Karpowicz, Head of Department of Bioelectromagnetics, Central Institute for Labour Protection-National Research Institute (CIOP-PIB) for the discussion regarding exposure analysis.</p>
</ack>
<sec>
<title>Funding</title>
<p>The present study was supported by grants from Mr. Brian Stein and Cancerhj&#x00E4;lpen.</p>
</sec>
<sec>
<title>Availability of data and materials</title>
<p>The datasets generated and/or analyzed during the present study are available from the corresponding author on reasonable request.</p>
</sec>
<sec>
<title>Authors&#x0027; contributions</title>
<p>All authors participated in the conception, design and writing of the manuscript and have read and approved the final version. TK, LH and MA conducted the measurements. MC and TK performed the statistical analysis. MC checked the statistical methods and results. LKH wrote the medical sections, contributed to the conclusions and conversion tables.</p>
</sec>
<sec>
<title>Ethics approval and consent to participate</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Patient consent for publication</title>
<p>Not applicable.</p>
</sec>
<sec>
<title>Competing interests</title>
<p>The authors declare that they have no competing interests.</p>
</sec>
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</back>
<floats-group>
<fig id="f1-ol-0-0-10899" position="float">
<label>Figure 1.</label>
<caption><p>A view from the high exposure apartment&#x0027;s balcony, this was one of the highest exposure areas in the apartment&#x0027;s main floor with the RF field topping at 5.1 V m<sup>&#x2212;1</sup>, base station antenna as 11.87 m away from the fence. RF, radiofrequency.</p></caption>
<graphic xlink:href="ol-18-05-5383-g00.tif"/>
</fig>
<fig id="f2-ol-0-0-10899" position="float">
<label>Figure 2.</label>
<caption><p>A view from the high exposure apartment&#x0027;s balcony, a set of mobile phone base station antennas are 6 m away from the fence; this was the highest radiation area, with the RF exposure topping at 6 V m<sup>&#x2212;1</sup>, even though the antennas sector was positioned away from the balcony. RF, radiofrequency.</p></caption>
<graphic xlink:href="ol-18-05-5383-g01.tif"/>
</fig>
<fig id="f3-ol-0-0-10899" position="float">
<label>Figure 3.</label>
<caption><p>View to the low exposure apartment (rectangle). Mobile phone base station antennas are visible on the neighboring building (circled); the highest RF exposure level was on the balcony, which had the line of sight to both of the antennas. However due to the elevation difference, the balcony had highest electric field only 0.75 V m<sup>&#x2212;1</sup>; based on spot measurements maximum readings over 1-min period; base station antennas&#x0027; sector include the investigated building. Rectangle, low exposure apartment; circle, neighboring building. RF, radiofrequency.</p></caption>
<graphic xlink:href="ol-18-05-5383-g02.tif"/>
</fig>
<fig id="f4-ol-0-0-10899" position="float">
<label>Figure 4.</label>
<caption><p>Spatial field distribution map of the high exposure apartment on the 6th floor; time-averaged RF electric field (V m<sup>&#x2212;1</sup>). RF, radiofrequency.</p></caption>
<graphic xlink:href="ol-18-05-5383-g03.tif"/>
</fig>
<fig id="f5-ol-0-0-10899" position="float">
<label>Figure 5.</label>
<caption><p>Spatial field distribution map of the high exposure apartment, a bedroom on the 7th floor; time-averaged RF electric field (V m<sup>&#x2212;1</sup>). RF, radiofrequency.</p></caption>
<graphic xlink:href="ol-18-05-5383-g04.tif"/>
</fig>
<fig id="f6-ol-0-0-10899" position="float">
<label>Figure 6.</label>
<caption><p>Spatial field distribution map of the high exposure apartment, a room on the 8th floor and on the same elevation with mobile phone base station antennas; RF radiation from base station antennas indicated with arrows; time-averaged RF electric field (V m<sup>&#x2212;1</sup>). RF, radiofrequency.</p></caption>
<graphic xlink:href="ol-18-05-5383-g05.tif"/>
</fig>
<fig id="f7-ol-0-0-10899" position="float">
<label>Figure 7.</label>
<caption><p>Spatial field distribution map of the low exposure apartment; time-averaged RF electric field (V m<sup>&#x2212;1</sup>). RF, radiofrequency.</p></caption>
<graphic xlink:href="ol-18-05-5383-g06.tif"/>
</fig>
<fig id="f8-ol-0-0-10899" position="float">
<label>Figure 8.</label>
<caption><p>Box plot comparing indoor areas of the low exposure apartment to the high exposure apartment (V m<sup>&#x2212;1</sup>). For median RF electric field the difference is more than four times; based on spot measurements maximum readings over 1-min period. Whiskers plot depicts (from bottom up) minimum, first quartile, median, third quartile and maximum of the sample containing all the spot measurement values in the area. RF, radiofrequency.</p></caption>
<graphic xlink:href="ol-18-05-5383-g07.tif"/>
</fig>
<fig id="f9-ol-0-0-10899" position="float">
<label>Figure 9.</label>
<caption><p>Mobile phone base station antenna neighboring the low exposure apartment; the buildings hinder the propagation of the RF field, especially shielding the sides facing away from the radiofrequency source; mobile phone base station antennas are sector antennas and radiate the microwaves into a direction (sector) these are aimed at. Rectangles, low exposure apartment.</p></caption>
<graphic xlink:href="ol-18-05-5383-g08.tif"/>
</fig>
<table-wrap id="tI-ol-0-0-10899" position="float">
<label>Table I.</label>
<caption><p>Conversion table from E, Electric field strength in V m<sup>&#x2212;1</sup> to S, power flux density in &#x00B5;W/m<sup>2</sup>.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">E in V m<sup>&#x2212;1</sup></th>
<th align="center" valign="bottom">S in &#x00B5;W/m<sup>2</sup></th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">3.3</td>
<td align="center" valign="top">28,902</td>
</tr>
<tr>
<td align="left" valign="top">3.0</td>
<td align="center" valign="top">23,886</td>
</tr>
<tr>
<td align="left" valign="top">2.7</td>
<td align="center" valign="top">19,348</td>
</tr>
<tr>
<td align="left" valign="top">2.4</td>
<td align="center" valign="top">15,287</td>
</tr>
<tr>
<td align="left" valign="top">2.1</td>
<td align="center" valign="top">11,704</td>
</tr>
<tr>
<td align="left" valign="top">1.8</td>
<td align="center" valign="top">8,599</td>
</tr>
<tr>
<td align="left" valign="top">1.7</td>
<td align="center" valign="top">7,670</td>
</tr>
<tr>
<td align="left" valign="top">1.6</td>
<td align="center" valign="top">6,794</td>
</tr>
<tr>
<td align="left" valign="top">1.5</td>
<td align="center" valign="top">5,971</td>
</tr>
<tr>
<td align="left" valign="top">1.4</td>
<td align="center" valign="top">5,202</td>
</tr>
<tr>
<td align="left" valign="top">1.3</td>
<td align="center" valign="top">4,485</td>
</tr>
<tr>
<td align="left" valign="top">1.2</td>
<td align="center" valign="top">3,822</td>
</tr>
<tr>
<td align="left" valign="top">1.1</td>
<td align="center" valign="top">3,211</td>
</tr>
<tr>
<td align="left" valign="top">1.0</td>
<td align="center" valign="top">2,654</td>
</tr>
<tr>
<td align="left" valign="top">0.9</td>
<td align="center" valign="top">2,150</td>
</tr>
<tr>
<td align="left" valign="top">0.8</td>
<td align="center" valign="top">1,698</td>
</tr>
<tr>
<td align="left" valign="top">0.7</td>
<td align="center" valign="top">1,300</td>
</tr>
<tr>
<td align="left" valign="top">0.6</td>
<td align="center" valign="top">955</td>
</tr>
<tr>
<td align="left" valign="top">0.5</td>
<td align="center" valign="top">663</td>
</tr>
<tr>
<td align="left" valign="top">0.4</td>
<td align="center" valign="top">425</td>
</tr>
<tr>
<td align="left" valign="top">0.3</td>
<td align="center" valign="top">239</td>
</tr>
<tr>
<td align="left" valign="top">0.2</td>
<td align="center" valign="top">106</td>
</tr>
<tr>
<td align="left" valign="top">0.1</td>
<td align="center" valign="top">26</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="tII-ol-0-0-10899" position="float">
<label>Table II.</label>
<caption><p>Statistics for the low and high exposure apartment. Radiofrequency field (V m<sup>&#x2212;1</sup>). Mean, median and minimum values are based on the average of 1 min spot measurements (calculated based on 1 min temporal monitoring sample). The maximum is based on the same spot measurements maximum registered RF level.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Apartment</th>
<th align="center" valign="bottom">Area</th>
<th align="center" valign="bottom">Number of measured spots</th>
<th align="center" valign="bottom">Mean (x&#x0304;) V m<sup>&#x2212;1</sup></th>
<th align="center" valign="bottom">Median (V m<sup>&#x2212;1</sup>)</th>
<th align="center" valign="bottom">Minimum (V m<sup>&#x2212;1</sup>)</th>
<th align="center" valign="bottom">Maximum (V m<sup>&#x2212;1</sup>)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Low exposure</td>
<td align="left" valign="top">Indoor area</td>
<td align="center" valign="top">20</td>
<td align="center" valign="top">0.16</td>
<td align="center" valign="top">0.15</td>
<td align="center" valign="top">0.10</td>
<td align="center" valign="top">0.52</td>
</tr>
<tr>
<td align="left" valign="top">High exposure</td>
<td align="left" valign="top">Indoor area</td>
<td align="center" valign="top">72</td>
<td align="center" valign="top">0.77</td>
<td align="center" valign="top">0.60</td>
<td align="center" valign="top">0.30</td>
<td align="center" valign="top">3.00</td>
</tr>
<tr>
<td align="left" valign="top">Low exposure</td>
<td align="left" valign="top">Outdoor area (balcony)</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">0.40</td>
<td align="center" valign="top">0.40</td>
<td align="center" valign="top">0.39</td>
<td align="center" valign="top">0.75</td>
</tr>
<tr>
<td align="left" valign="top">High exposure</td>
<td align="left" valign="top">Outdoor area (balcony)</td>
<td align="center" valign="top">10</td>
<td align="center" valign="top">2.46</td>
<td align="center" valign="top">2.65</td>
<td align="center" valign="top">1.00</td>
<td align="center" valign="top">6.00</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn1-ol-0-0-10899"><p>RF, radiofrequency.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="tIII-ol-0-0-10899" position="float">
<label>Table III.</label>
<caption><p>Statistics for the low and high exposure apartment. The radiofrequency field in power flow density in &#x00B5;W/m<sup>2</sup>. Mean, median and minimum values are based on the average of 1 min spot measurements (calculated based on 1 min temporal sample monitoring). Maximum is based on the same spot measurements maximum registered RF level.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="bottom">Apartment</th>
<th align="center" valign="bottom">Area</th>
<th align="center" valign="bottom">Number of measured spots</th>
<th align="center" valign="bottom">Mean (x&#x0304;) in &#x00B5;W/m<sup>2</sup></th>
<th align="center" valign="bottom">Median (&#x00B5;W/m<sup>2</sup>)</th>
<th align="center" valign="bottom">Minimum (&#x00B5;W/m<sup>2</sup>)</th>
<th align="center" valign="bottom">Maximum (&#x00B5;W/m<sup>2</sup>)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top">Low exposure</td>
<td align="center" valign="top">Indoor area</td>
<td align="center" valign="top">20</td>
<td align="center" valign="top">68</td>
<td align="center" valign="top">60</td>
<td align="center" valign="top">26</td>
<td align="center" valign="top">718</td>
</tr>
<tr>
<td align="left" valign="top">High exposure</td>
<td align="center" valign="top">Indoor area</td>
<td align="center" valign="top">72</td>
<td align="center" valign="top">1,573</td>
<td align="center" valign="top">955</td>
<td align="center" valign="top">239</td>
<td align="center" valign="top">23,886</td>
</tr>
<tr>
<td align="left" valign="top">Low exposure</td>
<td align="center" valign="top">Outdoor area (balcony)</td>
<td align="center" valign="top">2</td>
<td align="center" valign="top">424</td>
<td align="center" valign="top">424</td>
<td align="center" valign="top">404</td>
<td align="center" valign="top">1,492</td>
</tr>
<tr>
<td align="left" valign="top">High exposure</td>
<td align="center" valign="top">Outdoor area (balcony)</td>
<td align="center" valign="top">10</td>
<td align="center" valign="top">16,061</td>
<td align="center" valign="top">18,638</td>
<td align="center" valign="top">2,654</td>
<td align="center" valign="top">95,544</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="tfn2-ol-0-0-10899"><p>RF, radiofrequency.</p></fn>
</table-wrap-foot>
</table-wrap>
</floats-group>
</article>
