Research Energy efficient lighting and migraine Sensitivity to light is a feature of some people’s migraine. New bulbs, available in shops across Europe, are being phased in. What is the impact of these on people with migraine? In March 2007, whilst still Chancellor of the Exchequer, Gordon Brown announced the intention to phase out the basic ‘A’ shaped GLS (General Lighting Service) or incandescent light bulbs for domestic use by 2011. This was re-iterated by Secretary of State for the Environment, Hilary Benn, in September 2007 as part of the drive for the UK to reduce its energy consumption and CO2 emissions. It is the result of a joint and voluntary initiative between the UK lighting industry, retailers and the Government. The ‘A’ shaped GLS will be replaced by Compact Fluorescent Integrated light bulbs (CFLi bulbs). These are designed to save 75% of the energy that is burnt with the GLS bulbs. What do CFLi bulbs mean for people with migraine? The flicker from some types of lighting, particularly the older fluorescent lighting can be a trigger for some people with migraine. The original energy saving lights operated at mains frequency which meant that when they were first introduced they caused problems for people particularly sensitive to flickering light. With this now resolved, the new type of lighting should benefit people with migraine who are affected by flicker although this initiative by no means covers all forms of lighting. Candle bulbs, golf ball and mini globe bulbs, decorative and other specialist light bulbs will not be included in this initiative. 6 Migraine News ISSUE 95 The Lighting Association has produced information which states that CFLi bulbs emit a constant, flicker free, nonstroboscopic light. They operate at a high frequency through their electronic controller at between 30,000 – 50,000 hertz. They have evolved and are now very similar in terms of function to the old bulbs. A small number of cases have been reported by people who react to certain types of linear fluorescent lamps. According to a statement from the European Lamp Companies Federation, the reactions are usually triggered by older technology which used a conventional ballast (electrical device required to operate electric-discharge lamp to obtain the necessary circuit conditions (voltage, current, and wave form) for starting and operating) with low frequency (less than 50Hz mains frequency). This should not happen with the new CFLi bulbs as they operate on high frequency drivers. DEFRA (Department for Environment, Food and Rural Affairs) commented that “all [new] energy saving bulbs operate at high frequency, reducing flicker to less than would be experienced by watching a computer monitor or TV”. Equally the amount of ultraviolet (UV) generated by CFLis is fractional compared to natural daylight. Special covers such as Plexiglas or special glass UV filters can be fitted to filter most of the UV light. When filters are not a practical option, switching to halogen can be considered. Light sources with a warm colour tone contain the lowest amount of blue light which is often the most problematic for people with light sensitivity. Good quality energy saving light bulbs emit a light quality which is close to that of the incandescent bulbs. The Colour Rendering Index (CRI) expresses the level to which colours are represented as if they were lit by natural sunlight. A GLS bulb has a CRI of 100 as compared to a good quality CFLi which has a CRI value of between 80 and 85. If a higher CRI is needed then it is possible to use halogen energy saving bulbs with a CRI of 100. The new bulbs do not produce as much heat as their GLS counterparts CFLi bulbs have evolved and are now very similar in terms of function to the ordinary bulbs… They have been developed and improved – some of the earlier criticisms no longer apply and so they are thought to be safer, particularly around children or in confined spaces. CFLi bulbs have been developed and improved and some of the early criticisms of these no longer apply. The earlier models of the energy saving bulbs did emit a greenish or blueish light but this should no longer be the case with products available now and they should emit the same warm light as GLS bulbs (between 2,600 and 2,800 degrees Kelvin). Equally, CFLi bulbs are now smaller and come in a variety of shapes, their life is not shortened by switching and new bulbs are available which can be used on an ordinary household dimmer switch. The availability of these newer products will increase as 2011 approaches. Again the availability of energy efficient light bulbs for use with dimmer switches should benefit people with migraine. Anecdotal reports were received that a small number of people with migraines may have experienced problems with the new bulbs. DEFRA stated that “This is a concern to us and we will ensure that there are no unintended consequences of the voluntary phase out [of existing light bulbs].” “The Government is working to consider how to avoid any unintended consequences from the phase out of inefficient light bulbs. The Government would consider the full range of impacts of any mandatory policy measure before it is introduced and will continue to work with stakeholders to avoid any unintended adverse impacts.” Buying CFLi bulbs There are of course, a huge range of CFLi products. The cheaper brands tend to start more slowly and so take several minutes to reach their full brightness. The bulbs with the ‘Energy Saving Recommended’ logo on the box, which means the bulb has met the Energy Savings Trust criteria and standards, are recommended by the Lighting Association and DEFRA as these should have a longer life and emit a proper light. Those bulbs with the logo should reach at least 60% of their full brightness within 60 seconds. They are expected to last between 6 and 15 years depending on the wattage and product type. As time goes on they will become less expensive, more efficient and smaller. Approaching 2011 DEFRA reminded the public earlier this year that “Energy efficient light bulbs are not a danger to the public. However, we are aware of anecdotal evidence that the use of these bulbs could have adverse effects on some people’s health and are working with the lighting industry and the Department of Health to resolve these issues.” Sources Department for Environment, Food and Rural Affairs www.defra.gov.uk Energy Saving Trust www.energysavingtrust.org.uk The Lighting Association www.lightingassociation.com/ The European Lamp Companies Federation http://www.elcfed.org Lighting Industry Federation www.lif.co.uk ISSUE 95 Migraine News 7
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