Biological effects on flight personnel from occupational exposure to electromagnetic fields – epidemiologic, clinical, and morphofunctional assessment Scherbatykh I., M.D.1,2, Dolzhanov A., M.D., PhD 2, Goev D., M.D., Dr. Med. Sci.3 School of Public Health, State University of New York at Albany, Institute for Health and the Environment, USA; 2 State Medical Academy, Center of Experimental Medicine and Life Security of Voronezh section IAELPS, Russia; 3 Moscow State Scientific Research Institute, Russia. 1 Context: The problems of safety for air and space professionals are often determined by protection of a human organism against the negative effects of the professional activity and/or environment. For the last four decades biological effects of electromagnetic radiation on humans have been systematically investigated; however possible harmful effects of occupational exposure to electromagnetic fields (EMF) on the health status of flight crew have rarely been studied, especially in chronic conditions and at different field strengths. Objective: To ascertain and analyze the relationship between health outcomes and exposure to electromagnetic fields using clinical, morphological, and epidemiologic data, obtained from a sample of military pilots and supporting personnel. Design, setting, and participants: The study consisted of two parts: epidemiological/clinical assessment and biological modeling. The first step included complex clinical estimation of the health conditions of an exposed group (600 pilots) and a nonexposed group (270 technical workers), accomplished by subjective estimation of health status via anonymous mail surveys and computer testing, retrospective analysis of morbidity and mortality, physiological reactions, hematological tests, neurological and physical examinations. The second part was based on biological modeling of occupational exposure to EMF on laboratory animals (whose age and timing parameters of exposure were mathematically adjusted). Morphological and biochemical analysis was primarily focused on reactions of central nervous (CNS) and haematogenic (HS) systems. Results: Retrospective analysis of morbidity and mortality showed an elevated incidence of chronic conditions (mainly of respiratory and nervous systems) and increased mortality from aircraft accidents among the exposed population. Some physiological findings included alterations in sensory perception and cognitive changes. Altered plasticity was observed in cell populations of the HS, while analysis of the CNS showed development of integrative changes including reactive, compensatory, and destructive processes, the severity of which were dependent on the duration of exposure and energy density of EMF. Conclusions: The health of flight personnel appears to be at increased risk for certain diseases and conditions. Occupational EMF exerts both stimulatory and inhibitory doserelated effects on different physiological and morphological cellular parameters. However, both occupational exposures and well-established non-occupational risk factors may contribute to this increased risk. To better control for confounding factors future studies should compare risks within cohorts by flight routes, work history, and exposure to other flight factors (such as circadian dysrhythmia, reduced atmospheric pressure, hypoxia, etc.). Ethical Issue: Since the cohort was composed of military personnel on active service, the primary ethical issues raised in the study were assuring voluntary participation and confidentiality of information. Discussion and solutions to these problems will be presented during the poster presentation.