Personal Exposure to Radio Frequency Electromagnetic Fields among Australian Adults

The measurement of personal exposure to radiofrequency electromagnetic fields (RF-EMFs) is important for epidemiological studies. RF-EMF exposure can be measured using personal exposimeters that register RF-EMFs over a wide range of frequency bands. This study aimed to measure and describe personal RF-EMF exposure levels from a wide range of frequency bands. Measurements were recorded from 63 participants over an average of 27.4 (±4.5) hours. RF-EMF exposure levels were computed for each frequency band, as well as from downlink (RF from mobile phone base station), uplink (RF from mobile phone handsets), broadcast, and Wi-Fi. Participants had a mean (±SD) age of 36.9 ± 12.5 years; 66.7% were women; and almost all (98.2%) from urban areas. A Wi-Fi router at home was reported by 61 participants (96.8%), with 38 (61.2%) having a Wi-Fi enabled smart TV. Overall, 26 (41.3%) participants had noticed the existence of a mobile phone base station in their neighborhood. On average, participants estimated the distance between the base station and their usual residence to be about 500 m. The median personal RF-EMF exposure was 208 mV/m. Downlink contributed 40.4% of the total RF-EMF exposure, followed by broadcast (22.4%), uplink (17.3%), and Wi-Fi (15.9%). RF-EMF exposure levels on weekdays were higher than weekends (p < 0.05). Downlink and broadcast are the main contributors to total RF-EMF personal exposure. Personal RF-EMF exposure levels vary according to day of the week and time of day.


Introduction
In recent decades, people are being increasingly exposed to man-made radiofrequencyelectromagnetic fields (RF-EMFs). These fields range between 0.1 and 6 GHz frequency bands and are classified into two broad categories: near-field (mobile phones, iPads, tablets, laptops, and so on),

Study Design and Participant Recruitment
This was part of a study investigating the effect of providing objectively measured RF-EMF exposure levels on the risk perception of people towards the potential health effects of RF-EMF exposure from mobile phone base stations and Wi-Fi routers. Between June and November 2017, participants were invited to participate in an experimental study via advertisements posted on notice boards at public libraries, sporting clubs, universities, and hospitals across Melbourne, Australia. Participants were then given a plain language information pack detailing the study procedures, and consent forms. After written informed consent was obtained, participants allocated to the measurement group were then provided with personal RF-EMF measurement devices. This paper reports the detailed findings from the personal measurement group of the experimental study. The study was approved by the Monash University Human Research Ethics Committee (MUHREC 8965, 22 May 2017).

Personal Exposure Measurement Devices
Personal RF-EMF exposure measurements were performed between June and November 2017, using ExpoM-RF devices (Zürich, Switzerland) (Fields At Work [16]. Each participant carried an exposimeter (approximate weight 320 g and dimensions 16 × 8 × 4 cm, see Figure 1) in a small hip bag for approximately 24 consecutive hours. When receiving the device, participants were also given detailed written instructions regarding personal measurements. Participants were instructed in person and in detail about how to handle the exposimeter during the measurements. Participants were asked to continue their usual daily activities while wearing the ExpoM-RF, but to place it on their bedside table or close to their bed when asleep. The ExpoM-RF measures electric field strengths between 0.005 and 5 V/m in 16 different RF-EMF frequency bands. Measurement intervals were adjusted to 10 s.
The exposure levels in root mean square (RMS in V/m units) were collected from the 16 different RF-EMF frequency bands (87.5 MHz-5.8 GHz). Total RF-EMF referred to the sum of all measured frequency bands except, WiMax 3.5 GHz and ISM 5.8 GHz. We excluded these frequencies from further analysis because of crosstalk concerns with other bands and their inclusion would overestimate the total exposure [1]. All other frequency bands were further computed and summarized into five main groups: (i) downlink (DL; RF-EMF exposure from mobile phone base station exposure) exposure-RMS sum of all downlink frequency bands ( The exposure levels in root mean square (RMS in V/m units) were collected from the 16 different RF-EMF frequency bands (87.5 MHz-5.8 GHz). Total RF-EMF referred to the sum of all measured frequency bands except, WiMax 3.5 GHz and ISM 5.8 GHz. We excluded these frequencies from further analysis because of crosstalk concerns with other bands and their inclusion would overestimate the total exposure [1]. All other frequency bands were further computed and summarized into five main groups: (i) downlink (DL; RF-EMF exposure from mobile phone base station exposure) exposure-RMS sum of all downlink frequency bands (LTE 800 MHz, GSM 900 MHz, GSM 1800 MHz, UMTS 2100 MHz and LTE 2600 MHz), (ii) uplink (UL; RF-EMF exposure from mobile phone handsets) exposure-RMS sum of all uplinks (LTE 800 MHz, GSM 900 MHz, GSM 1800 MHz, UMTS 2100 MHz, and LTE 2600 MHz), (iii) Wi-Fi (ISM 2.4 GHz), (iv) digital enhanced cordless telecommunications (DECT), and (v) broadcast-sum of FM Radio and DVB-T (TV) frequencies. Exposure levels from all broadband and narrow frequency bands were summed and expressed as a percentage of the total RF-EMF personal exposure levels. However, the devices we used do not specify if the measured RF-EMF exposure was from the participant's own cell phone or from other people's mobile phone use. We report electric field strength values (in mV/m) in the results section, since that is most commonly reported in the literature [2,7,17,18]. We also compared the exposures with the International Commission on Non-Ionizing Radiation Protection (ICNIRP) reference levels for common frequency bands [19].

Statistical Analysis
To describe RF-EMF exposure from each frequency band over the whole measurement period as a function of time of the day, day of the week and occupation group, we calculated mean and median exposures, as well as other summary statistics. Each 24-h period was divided into 4 × 6-h intervals (from 00:00-06:00, 06:00-12:00, 12:00-18:00 and 18:00-00:00); and 2 intervals each for daytime (06:00-18:00) and night-time (18:00-06:00). The days of the week on which measurements were performed were summarized into two groups (weekday or weekend). Exposure values for each participant were averaged for each of the time slots, as well as, day-and night-time intervals separately.
We also calculated the percentage contributions of each main group of bands: downlink (exposure from mobile phone base stations), uplink (exposure from mobile phone handsets), broadcast (exposure from FM radio and TV), and Wi-Fi to the total RF-EMF exposure (sum of downlink, uplink, broadcast and Wi-Fi) as a function of time slots of the day, and days of the week (weekday vs weekend).
Normality was tested for each main frequency band. We present the median values since the exposure distributions were not normal. Kruskal-Wallis tests were performed to compare median RF-EMF levels by predefined variables such as gender, occupation, days of the week (weekend vs. Exposure levels from all broadband and narrow frequency bands were summed and expressed as a percentage of the total RF-EMF personal exposure levels. However, the devices we used do not specify if the measured RF-EMF exposure was from the participant's own cell phone or from other people's mobile phone use. We report electric field strength values (in mV/m) in the results section, since that is most commonly reported in the literature [2,7,17,18]. We also compared the exposures with the International Commission on Non-Ionizing Radiation Protection (ICNIRP) reference levels for common frequency bands [19].

Statistical Analysis
To describe RF-EMF exposure from each frequency band over the whole measurement period as a function of time of the day, day of the week and occupation group, we calculated mean and median exposures, as well as other summary statistics. Each 24-h period was divided into 4 × 6-h intervals (from 00:00-06:00, 06:00-12:00, 12:00-18:00 and 18:00-00:00); and 2 intervals each for daytime (06:00-18:00) and night-time (18:00-06:00). The days of the week on which measurements were performed were summarized into two groups (weekday or weekend). Exposure values for each participant were averaged for each of the time slots, as well as, day-and night-time intervals separately.
We also calculated the percentage contributions of each main group of bands: downlink (exposure from mobile phone base stations), uplink (exposure from mobile phone handsets), broadcast (exposure from FM radio and TV), and Wi-Fi to the total RF-EMF exposure (sum of downlink, uplink, broadcast and Wi-Fi) as a function of time slots of the day, and days of the week (weekday vs weekend).
Normality was tested for each main frequency band. We present the median values since the exposure distributions were not normal. Kruskal-Wallis tests were performed to compare median RF-EMF levels by predefined variables such as gender, occupation, days of the week (weekend vs. weekday) and time of the day. For all statistical tests performed, p-values < 0.05 were considered statistically significant. All statistical analyses were carried out using STATA (version 14, StataCorp, College Station, TX, USA).

Participant Profile
Personal RF-EMF exposure measurements were conducted of 63 adults, aged between 18 and 72 years (mean ± SD age of 36.9 ± 12.5 years and 66.7% women). Almost all (98.2%) lived in metropolitan areas. A Wi-Fi router at home was reported by 61 participants (96.8%), with 38 (61.2%) having a Wi-Fi enabled smart TV. A mobile phone base station in the neighborhood was noticed by 26 (41.3%) participants. The average estimated distance of the closest mobile phone tower of which the participant was aware of was 500 m.
Overall, 17 (27%) were working in the healthcare sector, 16 (25.4%) in office support and administration, 10 (15.9%) were researchers or university teachers, 10 (15.9%) were working in the education sector or studying (school teacher, primary/childcare educator or student), while the rest (n = 10; 15.9%) were from other sectors such as engineering, food and hospitality services (Table 1).

RF-EMF Exposure Levels
On average, 9764 (range: 7236-13,536) single measurements per participant were recorded over an average measurement time of 27.4 ± 4.5 h (range: 20.1-37.6). Participants carried the ExpoM-RF including time spent inside and outside the home, both during day-and night-time. Measurements for 45 (71.4%) participants were performed over weekdays and on weekends for the remaining 18 (28.6%). Table 2 presents the summary statistics (mean, median, 25th, 75th, and 99th percentiles) of personal RF-EMF exposures for each frequency band. The three highest personal RF-EMF exposures and their contributing sources were: GSM 1800 MHz DL (29 mV/m); GSM 900 MHz UL (24 mV/m); and DVB-T (24 mV/m). The median personal RF-EMF exposure of all participants was total 208 mV/m, downlink 87 mV/m, uplink 37 mV/m, broadcast 48 mV/m, and Wi-Fi 2.4 GHz 23 mV/m ( Table 2). The overall percentage contribution of RF-EMF sources of exposure to the total RF-EMF is presented in Figure 2. Downlink was the largest contributor to total RF-EMF exposure (40.4%) followed by broadcast (22.3%), uplink (17.4%), and Wi-Fi (15.9%). Overall, median RF-EMF exposure levels were in order of less than one-percent of the International Commission on Non-Ionizing Radiation Protection (ICNIRP) guideline limits for the general population.
The median total RF-EMF exposure was higher on weekdays than weekends (233 vs. 162 mV/m; p = 0.003). Similarly, median RF-EMF exposures from downlink (93 vs. 56 mV/m; p = 0.025), uplink (50 vs. 28 mV/m; p = 0.006), and broadcast (50 vs. 33 mV/m; p = 0.002) were significantly higher during weekdays compared to that of weekends ( Figure 3). Although the RF-EMF exposure from Wi-Fi was higher on weekdays compared with that for weekends, this difference was not significantly significant (p = 0.194). Comparing the medians for each of the time slots in the day demonstrated that exposures from downlink, uplink, as well as total RF-EMF showed an increasing trend in the first three time slots (from 00:00-06:00, 06:00-12:00, and 12:00-18:00) and then decreased in the evening (18:00-00:00). Subsequently, the median RF-EMF exposures levels from downlink and uplink sources were higher than that of night-time (p < 0.0001). No such trend was observed for Wi-Fi or broadcasting ( Figure 4).
Overall, adjusting for other factors including age, sex, and occupational category of participants did not show any significant effects. three time slots (from 00:00-06:00, 06:00-12:00, and 12:00-18:00) and then decreased in the evening (18:00-00:00). Subsequently, the median RF-EMF exposures levels from downlink and uplink sources were higher than that of night-time (p < 0.0001). No such trend was observed for Wi-Fi or broadcasting ( Figure 4). Overall, adjusting for other factors including age, sex, and occupational category of participants did not show any significant effects.   three time slots (from 00:00-06:00, 06:00-12:00, and 12:00-18:00) and then decreased in the evening (18:00-00:00). Subsequently, the median RF-EMF exposures levels from downlink and uplink sources were higher than that of night-time (p < 0.0001). No such trend was observed for Wi-Fi or broadcasting ( Figure 4). Overall, adjusting for other factors including age, sex, and occupational category of participants did not show any significant effects.

Discussion
This RF-EMF personal exposure assessment study among Australian adults (aged 18 to 72 years) performed measurements over a routine 24 h period from all sources of RF-EMF without limitation to specific micro-environments. Our study provided comprehensive personal exposure measurements and compared RF-EMF exposure contributions of different sources as a function of time of day, and day of the week. This study was not limited to only mobile phone downlink signals, but presented detailed measurements for all frequency bands ranging between 87.5 MHz-5.8GHz that also included frequencies from Wi-Fi routers and broadcasting.
RF-EMF personal exposures from downlink and broadcast sources, followed by uplink and Wi-Fi, contributed the largest proportion to the total RF-EMF personal exposures. This was consistent with previous studies that identified downlink (from mobile phone base stations) and broadcast to be major sources of RF-EMF exposure [2,17,20] more than that from Wi-Fi routers [5,21]. RF-EMF exposure data from Australian children and adolescents also showed that typical RF-EMF levels were higher for broadcast and mobile phone base stations than Wi-Fi and DECT [1,22,23]. We also noted that the total RF-EMF personal exposure was higher on weekdays compared to weekends. Similarly, previous studies of RF-EMF exposure levels measured from various sources in different urban settings also reported higher RF-EMF exposure on weekdays compared to weekends [5,21].
Personal measurements are likely to more closely represent true exposure by investigating the exposure during all activities of everyday life of individuals. The measurement of RF-EMF exposures in the daily lives of people without restriction to specific micro-environments or specific time of the day enabled us to describe variations in RF exposure over a 24 h period and patterns that were slightly different over the days of the week and time of day. In addition, the RF-EMF exposimeters used are one of the best current tools for personal RF-EMF exposure [1].
Similar studies performed previously also reported a workday-weekday contrast and also difference between days of the week [14,24,25]. A more recent study in Melbourne performed microenvironment measurements for a duration of 15-20 min during the daytime and revealed variations of personal RF-EMF exposure depending on the time of the day, in which the morning resulted in lower exposure values in all studied exposure groups, except broadcasting [13].
Previous research [8,13] demonstrated high variability across the same micro-environment on different days and hours of the day in Australia. Nonetheless, the relatively smaller number of measurements for each day of the week and the lack of repeated measurements made it difficult to appreciate daily variations in the current study. Measured RF-EMF values depend highly on the distance between the emitting source and the measurement device, which is not necessarily the same as the distance between the emitting source and the body [4,9,15,26]. In the current study, distance from mobile phone base stations in the participant's neighborhood was only a subjective estimation

Discussion
This RF-EMF personal exposure assessment study among Australian adults (aged 18 to 72 years) performed measurements over a routine 24 h period from all sources of RF-EMF without limitation to specific micro-environments. Our study provided comprehensive personal exposure measurements and compared RF-EMF exposure contributions of different sources as a function of time of day, and day of the week. This study was not limited to only mobile phone downlink signals, but presented detailed measurements for all frequency bands ranging between 87.5 MHz-5.8GHz that also included frequencies from Wi-Fi routers and broadcasting.
RF-EMF personal exposures from downlink and broadcast sources, followed by uplink and Wi-Fi, contributed the largest proportion to the total RF-EMF personal exposures. This was consistent with previous studies that identified downlink (from mobile phone base stations) and broadcast to be major sources of RF-EMF exposure [2,17,20] more than that from Wi-Fi routers [5,21]. RF-EMF exposure data from Australian children and adolescents also showed that typical RF-EMF levels were higher for broadcast and mobile phone base stations than Wi-Fi and DECT [1,22,23]. We also noted that the total RF-EMF personal exposure was higher on weekdays compared to weekends. Similarly, previous studies of RF-EMF exposure levels measured from various sources in different urban settings also reported higher RF-EMF exposure on weekdays compared to weekends [5,21].
Personal measurements are likely to more closely represent true exposure by investigating the exposure during all activities of everyday life of individuals. The measurement of RF-EMF exposures in the daily lives of people without restriction to specific micro-environments or specific time of the day enabled us to describe variations in RF exposure over a 24 h period and patterns that were slightly different over the days of the week and time of day. In addition, the RF-EMF exposimeters used are one of the best current tools for personal RF-EMF exposure [1].
Similar studies performed previously also reported a workday-weekday contrast and also difference between days of the week [14,24,25]. A more recent study in Melbourne performed micro-environment measurements for a duration of 15-20 min during the daytime and revealed variations of personal RF-EMF exposure depending on the time of the day, in which the morning resulted in lower exposure values in all studied exposure groups, except broadcasting [13].
Previous research [8,13] demonstrated high variability across the same micro-environment on different days and hours of the day in Australia. Nonetheless, the relatively smaller number of measurements for each day of the week and the lack of repeated measurements made it difficult to appreciate daily variations in the current study. Measured RF-EMF values depend highly on the distance between the emitting source and the measurement device, which is not necessarily the same as the distance between the emitting source and the body [4,9,15,26]. In the current study, distance from mobile phone base stations in the participant's neighborhood was only a subjective estimation and did not assess the position of the mobile telephony antenna relative to the participant's usual residence. Therefore, results are not directly comparable to previous studies that objectively assessed the height, distance, and direction of the closest mobile telephony antenna [26]. Although we instructed the participants in person and in detail about how to handle the exposimeter during the measurements, we were not able to control the positioning of the exposimeters during the personal measurements.
In addition, limitations linked to personal measurements such as inability to control for day-to-day variations in personal RF-EMF exposure [27], being a single measurement (cross-sectional nature), and inability to account for dependency in positioning/carrying of dosimeters were not accounted in this study.
Likewise, interference of measurements by the body (body shielding) may also contribute to potential underestimation depending on the frequency band of the RF-EMF source [19]. The effect of body shielding has previously been reported to give rise to measurement uncertainties as different positions and measurement environments give different responses to the same exposure [4,[28][29][30]. Measurements were performed without limiting them to either indoor or outdoor environments although human RF-EMF exposure is known to vary due to multipath rays mainly in outdoor environments [31]. Furthermore, the inability to detect signals below the lower detection limits [2,8,20], and the exclusion of frequencies bands known to have crosstalk between neighboring frequencies (where power emitted in one frequency band is measured and reported in another band) may underestimate the total RF-EMF exposure [1,2]. Although we are aware that the use of one's own cell phone is a large contributor to personal RF-EMF exposures, the exposimeters used in this study were not able to differentiate between RF exposure from one's own mobile phones use and other people's mobile phone use [10,32]. Since we did not collect data about mobile phone use patterns during the measurement periods, estimation of the contribution of uplink exposure from other people's mobile phones was not possible in this study. Body calibration of the ExpoM-RF were not performed in this study, since we were interested in comparing our results to other studies where such calibrations were not usually conducted.

Conclusions
Downlink and broadcast, followed by uplink and Wi-Fi, were the main sources of RF-EMF personal exposure in this sample. Furthermore, personal RF-EMF exposure varied by days of the week and time slots over the day. However, reassuringly, the measurements suggested that all personal RF-EMF exposure levels were substantially below the ICNIRP guideline limits for the general population for RF frequency bands between 3 kHz and 300 GHz.