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Acute Flaccid Myelitis-Possible Link with Electro-Magnetism? A Hypothesis Stimulating Study

Article Information

Colin Pritchard1 *, Anne Silk1, Harpal Panesar2

1Faculty of Health and Social Sciences. Bournemouth University, Bournemouth Gate Building, 10 St. Paul’s Street, Bournemouth BH 88AJ, United Kingdom

2Dorset Health Care University NHS Foundation Trust United Kingdom

*Corresponding Author: Professor Colin Pritchard, Faculty of Health and Social Sciences. Bournemouth University, Bournemouth Gate Building, 10 St. Paul’s Street, Bournemouth BH 88AJ, United Kingdom

Received: 04 May 2021; Accepted: 12 May 2021; Published: 20 May 2021

Citation: Colin Pritchard. Acute Flaccid Myelitis-Possible Link with Electro-Magnetism? A Hypothesis Stimulating Study. Journal of Environmental Science and Public Health 5 (2021): 317-330.

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“Wonder grows when knowledge fails” (Francis Bacon 1561-1626) A new polio-like condition mainly affecting children (mean 5 years old) is being observed, starting with viral and respiratory symptoms, followed by a demyelination paralysis. Known as Acute Flaccid Myelitis, first identified in 2010 in America, 28% to 95% of cases are associated with Enterovirus EVD68. Yet EVD68 itself was identified decades previously in China and the Netherlands. Prior to hospitalisation some children had no evidence of neurological symptoms, hinting a possible environmental trigger. Acute hospitals have multiple sources of background Electro-Magnetic-Field (EMF), some above recommended safety levels. Hence the hypothesis “Are critical rises in human background electromagnetism, interacting with other environmental factors, possibly a casual factor, in Acute Flaccid Myelitis? “There is evidence that low frequency EFM creates cellular oxidative stress leading to neurodegeneration. Mechanisms are unclear but could ubiquitous background EMF play a role in children’s vulnerability to EVD68? The context of the hypothesis is the evidence of accelerating rates of neurological morbidity in the 21st Century and whether the range and multiplicity of environmental factors are impacting upon an immune-compromised child’s neurology. As health environmental factors were ignored in the past, e.g. smoking and asbestos, another possible environmental linked anomaly is feared, though we note the recent establishment of the UK Acute Flaccid Paralysis Task Force in 2019. This hypothesis, whilst remaining speculative, needs to be refuted through independent research to ensure that AFM is not another children’s neurological condition, which once were rare but now becoming more commonplace.


Acute Flaccid Myelitis Environmental Aetiology

Acute Flaccid Myelitis Environmental Aetiology articles

Article Details

1. Introduction

Can background electro-magnetism, like excess Oxygen, become pathological?

1.1 A New paediatric disease

In 2012 the first recorded paper on an apparently new paediatric disorder of children, Acute Flaccid Myelitis (AFM), was identified in America in 2010 [1] The condition begins with simple viral symptoms, increasing respiratory problems and slowly emerging neurological symptoms of weakness in the limbs. MRI demonstrates spinal lesions to confirm the diagnosis [1, 2]. Incidence of AFM has been subsequently confirmed not only in Western countries but across the continents and is mainly associated with Enterovirus D68 infection [1, 3-8].

The condition is reminiscent of poliomyelitis, which ravaged Western countries until the first half of the 20th century when JE Salk’s vaccine in 1955 virtually eradicated the condition.  Indeed, it is the current surveillance tracking for poliomyelitis in a number of developing countries, that has identified cases of AFM [4, 7, 9, 10]. Although AFM has been associated with Enterovirus D68, this is not exclusively so, as the presence of confirmed EV-D68 cases ranged from 28% to 95% [1, 2, 10, 11], with one relatively large cohort only 50% of cases had confirmed EVD68 [12]. Therefore how to account for the missing variance?

The condition has appeared in two-year cycles, almost doubling in the United States, rising from to 80 cases in 2014, two years later to 153 and by 2018 there were 236 patients, mainly children [1, 2, 10].  In the USA Ayes reported that of all subsequent 336 cases 305 were children, median age 6years [13]. Thus, from an American population of  27.946 million children aged 0-6years, this would yield an AFM rate of just 8 per million (pm) in the peak year 2018. Such a rate, whilst low, is nonetheless more than the highest mortality rate for UK New Variant Creuzfeld-Jacob’s Disease in the 1990’s , the so-called `mad cow disease’ epidemic [14].

With such relatively small numbers there is still much to be learned about AFM but it appears amongst a number of other relatively `new’ syndromes related to neurological disorders. For example, autism was once uncommon but is now world-wide, with 700,000 cases in Britain. Similarly, Attention Deficit Hyperactive Disorder (ADHD) and Chronic Fatigue Syndrome (CFS), once both relatively rare but now quite common [14, 15].

These changes have occurred within the context of major rises of neurological conditions, controlled for age and population, which have increased in the twenty-one Western countries [14], with significant rises in earlier morbidity and early-onset-dementia [16-20] . For example, in 1989-91 America was fourteenth highest for neurological deaths, with an Age-Standardised-Death-Rate (ASDR) at 182 per million (pm), rising to 539pm by 2015, becoming second highest, even though every other country had substantial increases over the period [14].

1.2 Possible EMF links?

We became interested in AFM when approached by a non-medical scientist whose child had entered hospital with a typical enterovirus respiratory illness. After a short period in intensive care, the child developed neurological symptoms later diagnosed as AFM. The mother noted that there was extensive electrical equipment in the ward and noted that close to hospital were three other large sources of Electro-Magnetic-Field (EMF) transmissions. Because of earlier work on electromagnetism and neurological disease [15], she asked whether background electro-magnetism could be a factor in her child’s AFM? This led to this study hypothesis.

Considering the interactive multiple-environmental pollutants, plus the relatively recent upsurges in background electro-magnetism, we hypothesised that increased `background electro-magnetism MAY be a contributory trigger in immune-compromised children in the development of Acute Flaccid Myelitis (AFM).

1.3 Evaluation of the hypothesis

We do not know of any research linking AFM and electro-magnetism. Nonetheless, over recent years a number of studies have noted the `boom’ in electrical appliances in hospitals, which sometimes interferes with other electrical equipment and questions have been raised whether EMF safety levels exceeded acceptable levels, especially for children [21-27].  Kohani’s study exemplified the problem in their title `electrostatic charging of the human body caused by activities and material combinations in hospitals’ [27]. Besset and colleagues also argued for greater caution in intensive children’s and neonatal units, especially with EMF spikes, with some miniscule surges at different times of the day [21]. Afterall, the brain is an electro-biochemical organ and the spinal column a natural antenna [28, 29] and recent military research showed that the brain is the organ most affected by electro-magnetism [30]. Whilst low level but prolonged exposure to micro radiation can affect the dendritic spines [30-38], the spinal cord acts as a monopole antenna with resonance between 10-100MHz(peak) – 2400MHz Height x 2 in metres = wavelength. The possible mechanism of the problematic link between EMF exposure, oxidative stress and neuro-degeneration may be unpaired electrons from magnetic fields which generate ‘spin’ known in physics as the Magnetic Moment with Reactive Oxygen Species (ROS).  Increased ROS means greater magnetic susceptibility that stores charge and energy [28-38].

As a natural antenna, a supine body will undergo maximum effect parallel to the long axis of the body, which can be problematic [24-28]. Indeed, the Kohani study noted that using anti-static slide protection to counter-act the electrical discharges, more than halved the level of charge to which the average patient was exposed [27]. Whilst others cautioned that levels of non-ionizing radiation on children exceeded safety levels recommended for normal adults [23-25] and there is increasing concern about background electro-magnetism upon children [21-23].

 Furthermore,  background EMF can lead to oxidative stress associated with neuro-degeneration. A  series of meta analyses on motor neurone disease –(amyotrophic lateral sclerosis in the USA) have been conducted,  one concluded there is no convincing evidence of occupational link [37], another only mild association, possibly 10% contribution [38] but three other studies had little doubts about negative impacts upon health [39-41]. Furthermore, Belyaev’s report on the European Union’s EMF guidelines, unequivocally acknowledged there was growing evidence of health related problems, arguing that manufactories were proceeding ahead without considering possible health side effects, which included neurological outcomes [42].

Conversely,  there are studiers which show that there are therapeutic benefits from low level EMF exposure, some in improvements in energy and memory of Alzheimer patients, others related to beneficial treatments for wound and stroke patients [43-46]. Whilst a number of researchers have reported that their studies found NO statistically confirmed adverse effects from background exposure to non-ionising radiation [37, 47-49]. Nonetheless, given the relative newness of the digital world and its near ubiquitous presence in the last decade, we wonder if this may be a trigger or crucial additional factor in the development of AFM in already immune-compromised children? Or conversely, might levels of prolonged EMF exposure enhance the virus? AFM’s initial symptoms are not dissimilar to early Multiple Sclerosis (MS), which are often linked to viral infection, with MS cases recently doubling in the USA and increases  have been reported around the Western world [50-55]. Interestingly there are studies beginning to associate multiple sclerosis with electromagnetic damage created by oxidative stress [36, 54-55], might there be a parallel here with AFM in children?.

The findings of the early AFM cases by American researchers assumed that EV-D68 was a new virus, whereas it was noted in China as early 1962 [7], whilst Karelehtop and colleagues reported the presence  of EV-D68 in the Netherlands in the late 20th century [56]. Moreover, Uprety reported that they had found a wide-spread EV-D68 in circulation in Philadelphia in 2009 before the first case of AFM was reported. However, one authority asked had possible AFM cases gone un-noticed in Australia [57]. Moreover, a recent study of EVD68 infections in a Northern province of China but found no AFM and another AFM study only had 50% associated with EVBD68 or other viral infections [12].

1.4 AMF: Greater than reported?

Of possible significance is a very similar respiratory- neurological syndrome to AFM which is described as Acute Flaccid Paralysis (AFP), indeed one of the leading researchers on (AFM) the American Massacar, has also reported rises in AFP [58] and some believe that AFM is a variation of AFP and not a distinct disorder [59, 60]. This suggests that there might be more cases of respiratory onsets followed by neurological disorders before AFM was first `discovered’. The worry being that the incidence of Acute Flaccid Paralysis (AFP) is increasing around the world [60-71].  Indeed, of singular importance is that in the UK, in addition to small increases in cases of AFM, since 2019 a new `Acute Flaccid Paralysis Task’ force has been established [67]. Whilst in Italy, in response to AFM , there is a call for a National Surveillance system in response to rising cases of post-viral infection and emerging neurological pathology  [69]  This really poses the question of whether AFM and AFP are really different diseases but more importantly, what is accounting for these changes?

1.5 Increased neurological morbidity

What needs to be grasped is that a range of para-neurological conditions  are more prevalent and there have been substantial rises in earlier onset and neurological deaths in every Western country, [14]. Other unusual conditions, which had been assumed to be functional of `hysterical’ nature, such as electro-sensitivity, chemo-sensitivity, are now attracting the attention of serious neurological researchers [72, 73]. Then there are the undoubted increases in the major neurological disorders such as Motor Neurone Disease, Parkinson’s Disease, Alzheimer’s, which are starting earlier, and conditions that were barely recognised thirty years ago such as Progressive Supranuclear Palsy, Multiple System Atrophy etc [14, 74]. As if to emphasise the changes in brain disease, are the marked increase of Early-Onset-Dementia across all continents [17-20]. 

Whilst from Wuhan the origin of covid-19, a small proportion of patients in intensive care are showing serious neurological symptoms and not just amongst the elderly [75]. Moreover, despite earlier denials there is now no dispute that over exposure to organophosphates are related to neurodegenerative disease [76, 77]. Most disease processes have many inter-related background factors, with increases in agricultural, domestic, industrial; chemicals, air, plastics, heavy metals in water and breast milk, all containing neurological affecting particulates [78-83] to mention just a few other possible over-lapping factors. Thus, to what extent might these be linked to the increasing rates of brain pathology? Adding emphasis to our assertion that the EMF element is but one of a group of coincident but increasing environmental factors linked to the aetiology of neurological disease.

The unavoidable side lobes from high masts are of major significance as reported by industry, as in the current court case between the USA Health Protection Agency and the Federal Communications Commission, that argued the FCC were ignoring research from the last ten years and therefore failing to explain that the American public now live in a permanent state of very low radiation exposure (Environmental Health Trust, 2020). Might this possibly disturb our hitherto `Goldilocks’ balanced world? The speed and increasing ability to accumulate sources of background electro-magnetism raises the question is there a cut-off point when EMF impacts on human physiology but in a non-linear way, reflecting individual bio-psycho-social and epigenetic circumstances.

1.6 Possible consequence of hypothesis

Of course, most Western governments have a range of Health and Safety regulations to cover possible negative environmental factors impacting upon human health. For example, the British M.o.D. Leaflet 35 in 2014 outlined the requirements for keeping and using equipment emitting radio frequencies. They note that “at present no statutory UK legislation specially concerns exposure to radiofrequency radiation”- arising from equipment such as transmitter, microwave links, `communication’ apparatus  etc-“ However, almost casually Leaflet 35 stated “EMF can produce both acute and chronic effects…. These generally only occur if exposure is above the permitted levels. However, low level chronic effects have been postulated … but as yet no conclusive proof”. Yet non-ionising radiation is extremely common, with constant low frequency but prolonged exposure, which can easily be tested by taking a compass around one’s home or office (EHT, 2020).

Even the ultra-cautious Health Protection Agency report (2012) on health effects of non-ionising Radiofrequency reported that “exposure of the general public to low level RF fields…. Is now almost universal and continuous” (our italics) (p3). They acknowledged the multiple sources, personal, occupational and industrial, yet concluded at the time there was  “no convincing evidence that RF fields causes genetic damage… no evidence  of health effects… no consistent evidence of the effects on the brain, nervous system or the blood brain barrier… etc.” We are cautious in being critical of a report carried out by a very distinguished group but they lacked an accumulative historical focus, as in effect their research had ended by 2010.

However, with more modern results there can be no doubt that EMF does impact on cells creating oxidative stress [30-36]. Indeed, the USA Federal Communications Commission, whose role is to monitor radiation safety has been strongly criticised by a group of independent scientists- the Planetary Health Alliance and sued by another NGO, the Environmental Health Agency, for using old research evidence to reassure the general public. Implicitly inferring the FCC is under-playing legitimate concerns evolving from more current research.

Of special significance is an early European Union report on the potential hazards from low frequency EMF, who had no doubts whatsoever! They strongly urged an investigatory proactive precautionary approach. Their method was to look at cell change invitro and reminded critics that the review needed to be over decades to account for the slow and accumulative change (REFLEX,2004). More recently and significantly the 2016 EUORPAEM EMF Guideline, clearly stated that to some extent EMF does negatively impact on human health, especially for cancers, falling male sperm counts but also neurological disease [42]. They complained that new wireless technologies have been introduced without any certainty about their health effects. They affirmed that there is no longer doubt about electro-magnetism and oxidative stress, though recognised that EMF exposures affects individual’s differently [42]. If EMF was water, most of us live is a continual faint mist, some in a light drizzle and others in various occupations, in occasional light showers.

Considering a series of meta analyses on MND, the epitome of neurodegenerative diseases. with varying degree of confidence of EMF association, though Gunnarson notes stronger association with exposure to occupational pesticides [32]. Whereas Riancho 2021 is somewhat uncertain and feels EMF impacts upon the genetically predisposed [43], whereas others have confirmed the EMF link [33-36]. What most of studies of electromagnetism perhaps fail to appreciate, is the considerable increases in background EMF over a little more than two decades but at the same time people, and especially children, all are also exposed to other pollutants at unprecedented levels both air, water, breast milk, possible creating a significant interactive affect.

Hence our hypothesis that increased background EMF exposure might well be the tipping point into neurological pathology, interacting with other environmental pathogens, for the increases in both Acute Flaccid Myelitis and Paralysis. Sadly previous `official’ responses to possible environmental threats have had a mixed history, for example with asbestosis. This was recognised in the late 1960’s as dangerous but it was not until the 1980’s it was effectively banned and even then its earlier commercial use was so spasmodic that currently there is an `epidemic’ of asbestos related deaths going through current age cohorts [85, 86]. We fear that there may be another environmentally linked disorder that is not being recognised. But it is vitally important to `think outside the box’ and recognise the degree of a range of environmental pathogens, which might then be compounded by “unprecedented human exposure to radiofrequency and EMF from conception until death has been occurring in the past two decades” (Planetary Health Alliance, 2019).

2. Discussion

2.1 Need for precautionary approach

Hypotheses without evidence can be dangerous and misleading and it is acknowledged that “wonder grows when knowledge fails” (Francis Bacon 1561-1626). Moreover, it is recognised that in the continued expansion of the digital world, there may be possible vested interests that might find precautionary ideas unwelcome and describe them as `conspiracy theories’. Yet we recall the adage “what’s the reason that treason never prospers, for if it prospers, who dares call it treason” (Pope 1688-1744). Thus, if a hypothesis proves not to be an eccentric `conspiracy’ theory, then it might be recognised as a new Public Health environmental health alert.

A key feature in our approach is the understanding of recent historical time. Crucially we are not attributing the recent rises of neurological pathology to just one major cause, background EMF, but rather question its importance in the presence of OTHER potentially pathological stimulating or enhancing interactive environmental factors, from air, water, food to breast milk pollution that can impact on human health. The question remains, can the substantial increase in background EMF over little more than 30 years have contributed to rises in viral affected neurological disease? Possibly in the case of Acute Flaccid Myelitis / Paralysis in the 21st Century, interacting with a virus previously recognised since the 1970’s? To us, it is the increases in AFM/ AFP in this century, coinciding with major rises in other neurological conditions, leads us to ask the precautionary question. Can new levels of prolonged EMF exposure trigger polio like neurological disease in immune-compromised children experiencing a viral infection? This might be from gentle low but prolong exposure or the sudden exposure of EMF on hospital wards [21-27]. This should be a serious consideration for governments and the appropriate research instituted to ensure we are not entering a new `epidemic’ that might be human enhanced, either affecting the immune-vulnerable child or the virulence of the virus.

As more is known about AFM, whilst most studies see the origins of AFM as mainly viral associated, some recent research hints at other possible non-linear interactive features, as with increases in Multiple Sclerosis in this century [50-55]. Moreover, for the first time there now have been reports of adult AFM cases [70, 71]. Bearing in mind the END68 is the virus associated with AFM, in covid-19 patients there appears to be a sub-set with spinal-cord myelitis [58]. A Japanese study examined all cases of respiratory viral disease and cases of AFM, expecting to find a correlation between the two but failed to do so. However, they commented that there was an increased number of cases admitted to ICU and conjected whether this might be a factor [5] not forgetting of course the importance of the individual’s genetic predisposition and proclivity for different conditions.

The growing seriousness of AFM is evidenced by a December 2020 paper from the University of Texas that states that Acute Flaccid Myelitis is a subset of Acute Flaccid Paralysis [87], whilst a 2021 Lancet paper from eighteen different American Universities plus contributions from eight other countries, expressed concerns about prevalence of AFM, hence the call for vigilance [88, 89], confirming our fear that AFM might be a bigger problem than was first reported. We appreciate that we have covered a very wide research area but consciously have excluded discussions of increases in heavy metals and plastic particulates in human breast milk, water and endocrine disruptive chemicals and the impact upon children’s development, which are further additions to the changing human environment [77-82] hence it is reiterated that any negative impact of electro-magnetism, is but one of many possibly interacting environmental influences.

This remains essentially speculative but with the uncertain aetiology of AFM there needs to be urgent and independent research to disprove our hypothesis. For it is the changing range of factors in the human environment that may be inter-actively impacting upon an immune compromised child’s developing neurology. The worry is that can increased background electro-magnetism, like life-essential Oxygen, become pathological?


  1. Messacar K, Asturias EJ, Hixon AM, et al. Enterovirus D68 and acute flaccid myelitis-evaluating the evidence for causality. Lancet Infect Dis 18 (2018): e239-e247.
  2. Washington State Dept of Health. Acute Flaccid Myelitis: 2919.
  3. Dyda A, Stelzer-Braid S, Adam D, et al. The association between acute flaccid myelitis (AFM) and Enterovirus D68 (EV-D68) - what is the evidence for causation? Euro Surveill 23 (2018): 17-00310.
  4. Carballo CM, Erro MG, Sordelli N, et al. Acute Flaccid Myelitis Associated with Enterovirus D68 in Children, Argentina, 2016. Emerg Infect Dis 25 (2019): 573-576.
  5. Okumura A, Numoto S, Iwayama H, et al. Respiratory illness and acute flaccid myelitis in the Tokai district in 2018. Pediatr Int 62 (2020): 337-340.
  6. Kramer R, Lina B, Shetty J. Acute flaccid myelitis caused by enterovirus D68: Case definitions for use in clinical practice. Eur J Paediatr Neurol 23 (2019): 235-239.
  7. Wang Q, Ji F, Wang S, et al. Complete genome characterization of three enterovirus C96 isolates in China. Arch Virol 164 (2019): 2183-2186.
  8. Midgley SE, Benschop K, Dyrdak R, et al. Co-circulation of multiple enterovirus D68 subclades, including a novel B3 cluster, across Europe in a season of expected low prevalence, 2019/20. Euro Surveill 25 (2020): 1900749.
  9. Funakoshi Y, Ito K, Morino S, et al. Enterovirus D68 respiratory infection in a children's hospital in Japan in 2015. Pediatr Int 61 (2019): 768e-776e.
  10. van der Pijl J, Wilmshurst JM, van Dijk M, et al. Acute flaccid paralysis in South African children: Causes, respiratory complications and neurological outcome. J Paediatr Child Health 54 (2018): 247-253.
  11. Bjerin O, Martín-Muñoz D, Gerald C, et al. Acute flaccid myelitis amongst Swedish children with a possible link to an outbreak of enterovirus D68. Lakartidningen 30 (2017): ETDZ.
  12. Gong L, Wang Y, Zhang W, et al. Acute Flaccid Myelitis in Children in Zhejiang Province, China. Front Neurol 22 (2020): 360.
  13. Ayers T, Lopez A, Lee A, et al. Acute Flaccid Myelitis in the United States: 2015-2017. Pediatrics 144 (2019): e20191619.
  14. Pritchard C, Rosenorn-Lanng E, Silk A, et al. International and USA Population-Based Study Comparing Adult [55-74] Neurological Deaths with Control Cancer and Circulatory Disease Deaths 1989-2014. Acta Neurologica Scandinavia 136 (2017): 698-707.
  15. Pritchard C, Silk A, Hansen L. Are Rises in Electro-Magnetic Field in the Human Environment, interacting with Multiple Environmental Pollutions, the Tripping Point for Increases in Neurological Deaths in the Western World? Medical Hypothesis 127 (2019): 76-83.
  16. Batla A, De Pablo-Fernandez E, Erro R, et al. Young-onset multiple system atrophy: Clinical and pathological features. Mov Disord 33 (2018): 1099-1107.
  17. Sabatelli M, Madia F, Conte A, et al. Natural history of young-adult amyotrophic lateral sclerosis. Neurology 71 (2008): 876-881.
  18. Panegyres PK, Chen HY. Early- onset Alzheimer’s disease: a global cross- sectional analysis. Eur J Neurol 21 (2014): 1149-1154.
  19. Li J, Wu L, Tang Y, et al. Differentiation of neuropsychological features between posterior cortical atrophy and early onset Alzheimer's disease. BMC Neurol 18 (2018): 65.
  20. Sanchez AM, Scharovsky D, Romano LM, et al. Incidence of early- onset dementia in Mar del Plata. Neurologia 30 (2015): 77-82.
  21. Besset D, Selmaoui B, Tourneux P, et al. Environmental radiofrequency electromagnetic field levels in a department of pediatrics. Environ Res 181 (2020): 108894.
  22. Bhatt CR, Redmayne M, Billah B, et al. Radiofrequency-electromagnetic field exposures in kindergarten children. J Expo Sci Environ Epidemiol 27 (2017): 497-504.
  23. Redmayne M, Johansson O Redmayne M, et al. Could myelin damage from radiofrequency electromagnetic field exposure help explain the functional impairment electro hypersensitivity ? A review of the evidence. J Toxicol Environ Health B Crit Rev 17 (2014): 247-258.
  24. Hanada E. The electromagnetic environment of hospitals: How is it affected by the strength of the electromagnetic fields generated both inside and outside the hospital. Annali dell Institio Superiore de Santa 43 (2007): 208-217.
  25. Hardell L, Sage C. Biological effects from electromagnetic field exposure and public exposure standards. Biomed Pharmacother 62 (2008): 104-109.
  26. Buzdugan MI, Balan H. Some Power Quality Issues in Hospital Facilities. Int Conf Renewable Energies and Power Quality. Spain (2012).
  27. Kohani M, Pommererenki D, Kinslow L, et al. Electrostatic Charging of the Human Body Caused by Activities and Material Combinations in Hospitals. Transactions on Electromagnetism 62: 315-323.
  28. Balaguru S, Uppa Rl,  Vaid RP, et al. Investigation of the spinal cord as a natural receptor antenna for incident electromagnetic waves and possible impact on the central nervous system. Electromagn Biol Med 31 (2012): 101-111.
  29. Harrow-Mortelliti M, Reddy V, Jimsheleishvili G. Phisiology- the Spinal Cord. New York, Stat Pearls Publishing (2020).
  30. Zhi WJ, Wang LF, Hu XJ. Recent advances in the effects of microwave radiation on brains. Mil Med Res 4 (2017): 29.
  31. Terzi M, Ozberk B, Deniz OG, et al. The role of electromagnetic fields in neurological disorders. J Chem Neuroanat 75 (2016): 77-84.
  32. Gunnarsson LG, Bodin L. Occupational Exposures and Neurodegenerative Diseases-A Systematic Literature Review and Meta-Analyses. Int J Environ Res Public Health 16 (2019): 337.
  33. Foolad F, Fariba F, Khodagholi F,  et al. Sirtuins in Multiple Sclerosis: The crossroad of neurodegeneration, autoimmunity and metabolism. Mult Scler Relat Disord 34 (2019): 47-58.
  34. Reale M, Kamal MA, Patruno A, et al. Neuronal cellular responses to extremely low frequency electromagnetic field exposure: implications regarding oxidative stress and neurodegeneration. PLoS One 9 (2014): e104973.
  35. Belpomme D, Hardell L, Belyaev I, et al. Thermal and non-thermal health effects of low intensity non-ionizing radiation: An international perspective. Environ Pollut 242 (2018): 643-658.
  36. Kivrak EG, Yurt KK, Kaplan AA, et al. Effects of electromagnetic fields exposure on the antioxidant defence system. J Microsc Ultrastruct 5 (2017): 167-176.
  37. Zielinski J, Ducray AD, Moeller AM, et al. Effects of pulse-modulated radiofrequency magnetic field (RF-      EMF) exposure on apoptosis, autophagy, oxidative stress and electron chain transport function in human   neuroblastoma and murine microglial cells. Toxicol In Vitro 68 (2020): 104963.
  38. Deh K, Ponath GD, Molvi Z, et al. Magnetic susceptibility increases as diamagnetic molecules breakdown: Myelin digestion during multiple sclerosis lesion formation contributes to increase on QSM. J Magn Reson Imaging 48 (2018): 1281-1287.
  39. Jalilian H, Najafi K, Khosravi Y, et al. Amyotrophic lateral sclerosis, occupational exposure to extremely low frequency magnetic fields and electric shocks: a systematic review and meta-analysis.  Rev Environ Health 36 (2020): 129-142.
  40. Koeman T, Slottje P, Schouten LJ, et al. Occupational exposure and amyotrophic lateral sclerosis in a prospective cohort. Occup Environ Med 74 (2017): 578-585.
  41. Luna J, Leleu JP, Preux PM, et al. Residential exposure to ultra high frequency electromagnetic fields emitted by Global System for Mobile (GSM) antennas and amyotrophic lateral sclerosis incidence: A geo-epidemiological population-based study. Environ Res 176 (2019): 108525.
  42. Belyaev I, Dean A, Eger H, et al. EUROPAEM EMF Guideline 2016 for the prevention, diagnosis and treatment of EMF-related health problems and illnesses. Rev Environ Health 31 (2016): 363-397.
  43. Riancho J, Sanchez de la Torre JR, Paz-Fajardo L, et al. The role of magnetic fields in neurodegenerative diseases. Int J Biometeorol 65 (2021): 107-117.
  44. Cichon N, Rzeznicka P, Bijak M, et al. Extremely low frequency electromagnetic field reduces oxidative stress during the rehabilitation of post-acute stroke patients. Adv Clin Exp Med (2018).
  45. Guerriero F, Ricevuti G. Extremly low frequency electromagnetic fields stimulation modulates autoimmunity and immune responses: A possible immune-modulatory therapeutic effect in neurodegenerative diseases. Neural Regen Res 11 (2016): 1888-1895. 
  46. Liu R, Cao WH, Liu HL, et al. Effects of hydrotherapy with traditional Chinese medicine and magnetotherapy on treatment of scars after healing of deep partial-thickness burn wounds in children. Zhonghua Shao Shang Za Zhi 34 (2018): 516-521.
  47. Saliev T, Mustapova Z, Kulsharova G, et al. Therapeutic potential of EMF for tissue engineering and wound healing. Cell Prolif 47 (2014): 485-493.
  48. Johnansen C. Electromagnetic fields and health effects – epidemiological studies of cancer, diseases of the central nervous system and arrhythmia related heart disease. Scand J Work Environ Health 1 (2004): 1-80.
  49. Villarini M, Gambelunghe A, Giustarini D, et al. No evidence of DNA damage by co-exposure to extremely low frequency magnetic fields and aluminium on neuroblastoma cell lines. Mutat Res 823 (2017): 11-21.
  50. Zubko O, Gould RL, Gay HC, et al. Effects of Electromagnetic field emitted by GSM phones on working memories: a meta-analysis. Int J Gerait Psychiatry 32 (2017): 125-135.
  51. Dobson R, Giovannoni G. Multiple sclerosis - a review. Eur J Neurol 26 (2019): 27-40.
  52. Daltrozzo T, Hapfelmeier A, Donnachie E, et al. A Systematic Assessment of Prevalence, Incidence and Regional Distribution of Multiple Sclerosis in Bavaria from 2006 to 2015. Front Neurol 9 (2018): 871.
  53. Rotstein DL, Chen H, Wilton AS, et al. Temporal trends in multiple sclerosis prevalence and incidence in a large population. Neurology 90 (2018): e1435-e1441.
  54. Sajedi SA. Incidence of MS has increased markedly over 6 decades in Denmark particularly with late onset and in women.  Neurology 92 (2019): 397.
  55. Sajedi SA, Abdollahi F. Geomagnetic disturbances may be environmental risk factor for multiple sclerosis: an ecological study of 111 locations in 24 countries. BMC Neurol 12 (2012): 100.
  56. Hametner S, Dal Bianco A, Trattnig S, et al. Iron related changes in MS lesions and their validity to characterize MS lesion types and dynamics with Ultra-high field magnetic resonance imaging. Brain Pathol 28 (2018): 743-749.
  57. Karelehto E, Koen G, Benschop K, et al. Enterovirus D68 sero-survey: evidence for endemic circulation in the Netherlands, 2006 to 2016. Euro Surveill 24 (2019): 1800671.
  58. Uprety P, Curtis D, Elkan M, et al. Association of Enterovirus D68 with Acute Flaccid Myelitis, Philadelphia, Pennsylvania, USA, 2009-2018. Emerg Infect Dis 25 (2019): 1676-1682.
  59. Messacar K, Abzug MJ, Dominguez SR. The changing epidemiology of acute flaccid paralysis warrants a paradigm shift in surveillance. J Med Virol 90 (2018): 1-2.
  60. Hardy D, Hopkins S. Update on acute flaccid myelitis: recognition, reporting, aetiology and outcomes. Arch Dis Child 105 (2020): 842-847.
  61. Patel R, Gombolay GY, Peljovich AE, et al. Acute Flaccid Myelitis: A Single Pediatric Center Experience from 2014 to 2019. J Child Neurol 35 (2020): 912-917.
  62. LamRMK, Tsang THF, Chan KY, et al. Surveillance of acute flaccid paralysis in Hong Kong: 1997 to 2002 . Hong Kong Med J 11 (2005): 164-173.
  63. Momen AA, Shakurnia A, Momen M. Eleven-year surveillance of acute flaccid paralysis in southwestern Iran. Turk J Pediatr 61 (2019): 544-551.
  64. Dhiman R, Prakash SC, Sreenivas V, et al. Correlation between Non-Polio Acute Flaccid Paralysis Rates with Pulse Polio Frequency in India. Int J Environ Res Public Health 15 (2018): 1755.
  65. Sousa IP, Fernanda M, Burlandy I, et al. Acute flaccid paralysis laboratorial surveillance in a polio-free country: Brazil, 2005-2014. Muscle Hypotonia 13 (2017): 717-723.
  66. Stefanelli P, Bellino S, Fiore S, et al. Regional Reference Centres of the National Surveillance System for Acute flaccid paralysis. Hospital discharges-based search of acute flaccid paralysis cases 2007-2016 in Italy and comparison with the National Surveillance System for monitoring the risk of polio reintroduction. BMC Public Health 19 (2019): 1532.
  67. Ramsay M, Dunning J, Foukes S, et al. The United Kingdom Acute Flaccid Paralysis Afp Task Force. Euro Surveill 24 (2019): 1900093.
  68. van Dissel , j JT t. 1 , A Meijer. Enterovirus type D68 and acute flaccid paralysis: a new duo? Ned Tijdschr Geneeskd 161 (2017): D1825.
  69. Piralla A, Pellegrinelli L, Giardina F, et al. Contribution of Enteroviruses to Acute Central Nervous System or Systemic Infections in Northern Italy (2015-2017): Is It Time to Establish a National Laboratory-Based Surveillance System? Biomed Res Int 2020 (2020): 9393264.
  70. Kim Acute Flaccid Myelitis in a Korean Adult. J Korean Med Sci 34 (2019).
  71. KaziS, Lommen M,  Pearson, J. Acute Flaccid Myelitis in an Adult. Neurologist (2020).
  72. Sage C. The implications of non-linear biological oscillations on human electrophysiology for electro-hypersensitivity (EHS) and multiple chemical sensitivity (MCS). Rev Environ Health 30 (2015): 293-303.
  73. Pritchard C, Silk A. Patient’s occupation, electric and head trauma in a cohort of 88 Multiple System Atrophy patients compared with the general population: a hypothesis stimulating pilot study. Journal Neurology and Stroke 8 (2018): 178-183.
  74. Stein Y, Udasin IG. Electromagnetic hypersensitivity (EHS, microwave syndrome) - Review of mechanisms. Environ Res 186 (2020): 109445.
  75. Mao L, Jin H, Wang M, et al. Neurologic Manifestations of Hospitalized Patients With Coronavirus Disease 2019 in Wuhan, China. JAMA Neurol (2020): e201127.
  76. Ross SM, McManus IC, Harrison V, et al. Neurobehavioral problems following low-level exposure to organophosphate pesticides: a systematic and meta-analytic review. Crit Rev Toxicol 43 (2013): 21-44.
  77. Naughton SX, Terry AV Jr. Neurotoxicity in acute and repeated organophosphate exposure. Toxicology 408 (2018): 101-112.
  78. Melnyk LJ, Donohue MJ, Pham M, et al. Absorption of strontium by foods prepared in drinking water. J Trace Elem Med Biol 53 (2019): 22-26.
  79. Yoon M, Ring C, Van Landingham CB, et al. Assessing children's exposure to manganese in drinking water using a PBPK model. Toxicol Appl Pharmacol 380 (2019): 114695.
  80. Sansom G, Cizmas L, Aarvig K, et al. Vulnerable Populations Exposed to Lead-Contaminated Drinking Water within Houston Ship Channel Communities.  Int J Environ Res Public Health 16 (2019): 2745.
  81. Lehmann GM, LaKind JS, Davis MH, et al. Environmental Chemicals in Breast Milk and Formula: Exposure and Risk Assessment Implications. Environ Health Perspect 126 (2018): 96001.
  82. Vollset M, Iszatt N, Enger Ø, et al. Concentration of mercury, cadmium, and lead in breast milk from Norwegian mothers: Association with dietary habits, amalgam and other factors. Sci Total Environ 677 (2019): 466-473.
  83. Aerts R, Van Overmeire I, Colles A, et al. Determinants of persistent organic pollutant (POP) concentrations in human breast milk of a cross-sectional sample of primiparous mothers in Belgium. Environ Int 131 (2019): 104979
  84. Kwak K, Paek D, Zoh KE. Exposure to asbestos and the risk of colorectal cancer mortality: a systematic review and meta-analysis. Occup Environ Med 76 (2019): 861-871.
  85. Loomis D, Richardson DB, Elliott L. Quantitative relationships of exposure to chrysotile asbestos and mesothelioma mortality. Am J Ind Med 62 (2019): 471-477.
  86. Luberto F, Ferrante D, Silvestri S, et al. Cumulative asbestos exposure and mortality from asbestos related diseases in a pooled analysis of 21 asbestos cement cohorts in Italy. Environ Health 18 (2019): 71.
  87. Fang X, Huda R. Acute Flaccid Myelitis: Current status and diagnostic challenge. J Clin Neurol 16 (2020): 376-382.
  88. Murphy OC, Messacr K, Benson L, et al. Acute Flaccid Myelitis: Cause, diagnosis and management. Lancet 397 (2021): 334-346.
  89. Hopkins SE, Jay Desai J, Benson L. Acute Flaccid Myelitis: A Call for Vigilance and an Update on Management. Pediatr Neurol 114 (2021): 26-28.

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