A large number of epidemiologic studies examining the potential effect of residential exposure to extremely-low frequency (ELF) magnetic fields and childhood leukemia have been published. Two pooled analyses [Ahlbom A, Day N, Feychting M, Roman E, Skinner J, Dockerty J, Linet M, et al. (2000). A pooled analysis of magnetic fields and childhood leukaemia. Br J Cancer. 83(5):692-698; Greenland S, Sheppard AR, Kaune WT, Poole C, Kelsh AM (2000). A pooled analysis of magnetic fields, wire codes, and childhood leukemia. Epidemiology. 11(6):624-634], which included the major epidemiologic studies on ELF magnetic fields and childhood leukemia showed twofold increase in childhood leukemia risk in association with residential ELF exposure above 0.3-0.4 μT. Based on "limited" epidemiologic evidence linking ELF exposure to childhood leukemia and "inadequate evidence" for carcinogenicity of ELF in rodent bioassays, the International Agency for Research on Cancer (IARC) classified ELF magnetic fields as a possible human carcinogen (2B classification) [International Agency for Research on Cancer (IARC) (2002). Non-ionizing radiation, Part 1: Static and extremely low-frequency (ELF) electric and magnetic fields. IARC monographs on the evaluation of carcinogenic risks to humans. Vol. 80. IARC Press: Lyon], confirmed by WHO on the basis of studies published after 2000 [World Health Organization. Extremely low frequency fields. In: 238 Environmental health criteria, Geneva: WHO; 2007]. The analysis of more recent studies of ELF magnetic fields and childhood leukemia had small findings and propose methodological improvements concerning the uncertainties in epidemiological approaches and exposure assessment, bias in selection of controls [Kheifets L, Oksuzyan S (2008). Exposure assessment and other challenges in non-ionizing radiation studies of childhood leukaemia. Radiat Prot Dosimetry. 132(2):139-147]. By the end of 2010, 37 countries had been identified for possible participation in the International study TRANSEXPO. The pilot work has been completed in five countries (Finland, Hungary, Israel, Switzerland and Bulgaria). In 2008, Bulgaria through the National Centre of Public Health Protection joined with pilot study in TRANSEXPO Project. At this first stage of the project our investigation was directed to performing measurements in dwellings with built-in transformer stations, collecting data of population and cancer registry and choosing the epidemiology design feasible for continuing the project. Taking into account the available sources of information in Bulgaria (different registers of the population) needed for epidemiological approach, it was found that the most appropriate epidemiology design would be the nested case-control study. Control group could be collected in accordance with the international requirements for such epidemiological studies. This approach could be modified in the course of the further study in order to ensure achievement of the purposes of the main international requirements of the study.

Workers in occupational settings are usually exposed to numerous sources of electromagnetic fields (EMF) and to different physical agents. Risk assessment for industrial workplaces concerning EMF is not only relevant to operators of devices or machinery emitting EMF, but also to support-workers, bystanders, service and maintenance personnel, and even visitors. Radiofrequency EMF guidelines published in 2020 by the International Commission on Non-Ionizing Radiation Protection (ICNIRP) may also be indirectly applied to assess risks emerging from EMF sources at workplaces by technical standards or legislation. To review the applicability and adequacy to assess exposure to EMF in occupational settings in the European Union, the most current ICNIRP guidelines on radiofrequency EMF are reviewed. Relevant ICNIRP fundamentals and principles are introduced, followed by practical aspects of exposure assessment. To conclude, open questions are formulated pointing out gaps between the guidelines' principles and occupational practice, such as the impact of hot and humid environments and physical activity or controversies around ICNIRPS's reduction factors in view of assessment uncertainty in general. Thus, the article aims to provide scientific policy advisors, labor inspectors, or experts developing standards with a profound understanding about ICNIRP guidelines' applicability to assess hazards related to radiofrequency EMF in occupational settings.

An exposure assessment study was performed within a sample of apartment buildings with built-in transformer rooms located throughout the Sofia city. This study was a part of the International project TRANSEXPO which goal was to find the epidemiologic association between extremely low frequency magnetic fields (ELF-MF) and childhood leukemia. The exposure assessment part was directed to estimation of magnetic field exposures in residences that are both near to and distant from the transformer room, based upon their location relative to the transformer station. Measurements of 50 Hz magnetic field (MF) were performed in 65 apartments, 21 buildings, with built-in transformer stations. In each building, measurements were made in the following types of apartments: 1. apartments that have rooms directly above and next to the transformer; 2. apartments selected on the same floor as the one directly above and next to the transformer; 3. apartments on the upper floors randomly selected among all the other apartments of the building; The measurement results show clear difference among the magnetic field values measured of the three categories of apartments, respectively 0,4 µT for the "exposed" apartments 0,23 µT on the same floor, and 0,1 µT on other floors. These results confirm that classification of magnetic field exposure based on apartment location is possible with specificity 0,91 and sensitivity 0,95 for cut-off point 0,4 µT. Values of 0,4 µT and above were measured in 18 out of 19 apartments that have rooms directly above and next to the transformer. The exposure assessment in the buildings with built-in transformer station shows that the apartments can be reliably categorized as an exposed, low exposed or unexposed based on their location to the transformer stations.

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Electromagnetic field sources used for communication always have been subject of serious interest. There are many publications concerning exposure and risk assessment of the working in such environment. Results of epidemiological study performed in Bulgaria in the 1990's show exceeding of the maximal permissible values especially in radio stations for the personnel in 24 h working shift [Israel et al. (1992).