Is the infrasound of wind farms causing adverse health effects? Valtteri Hongisto senior research scientist group leader of indoor environment research group [email protected] +358 40 5851 888 Turku University of Applied Sciences - TUAS Vaasa 26 January 2017 1 Wind turbine related activities in TUAS Consultation services • Noise measurements indoors and outdoors • long-term and short-term Noise propagation modeling Questionnaire surveys Sound insulation measurement Professional role in various kinds of events • Etc. • Paid by: Companies, municipalities, etc. • • • • Education in TUAS • Envidonmental acoustics Independent public research • ANOJANSSI project investigates the how the environmental noise should be measured to reflect noise annoyance • WP2: Laboratory experiments to determine the penalty needed for specific noise features • tonality • amplitude modulation • spectrum / low frequency noise • impulsiveness • WP3: Socio-acoustic surveys in residential buildings exposed to • • • • • • • • wind turbine noise rock crushing noise road traffic noise power plant noise WP5: Sound insulation of facades under 200 Hz Infrasound is beyond the scope except in WP5 Project timetable: 2016-2018 Funding: Tekes (60%), University, 2 ministries, companies 2 Hongisto 2014 Finnish Institute of Occupational Health A B 8000 4000 2000 Taajuus [Hz] 1000 500 250 125 63 31.5 B 16 • Because of ISO 226, sounds under 20 Hz are defined as infrasounds. • This is probably the main reason for the false general apprehension that infrasounds are inaudible. • False information is continuously teached in all school levels, in Wikipedia, also in Universities. A 8 • 68% of population lie within ±6 dB from the median • People over 50 years have 7 dB higher hearing threshold below 200 Hz than young people 130 120 110 100 90 80 70 60 50 40 30 20 10 0 -10 4 • ISO 226 hearing threshold only down to 20 Hz. • However, many experiments have published hearing thresholds under 20 Hz. Kuulokynnystaso LpZ [dB] 2 What is infrasound Möller and Pedersen (2004) ISO 226:2003 Wanatabe and Möller (1990) 3 Inaudible infrasound? • The definition of infrasound is unfortunate: the definition should concern the area A – inaudible sounds under hearing threshold. • If the citizens believe that infrasounds might have adverse health effects, it is expected those effects appear irrespective of the dB level of infrasound because general apprehension is that infrasounds are always inaudible. Sound pressure level, LpZ [dB] 170 160 150 140 130 120 infrasound 110 limit 20 Hz 100 90 80 70 60 50 40 30 20 10 0 C B A Frequency [Hz] Threshold of hearing Threshold of pain A Non-audible sound B Audible sound C Pain 4 Amplitude modulation, AM Spectrum of sound 60 Momentary level Mean level Silent level Loudest level 46 Loudest level 50 Linear sound pressure level[dB] • pulsating nature • the frequency of AM is typically 0.7 Hz which belongs to the infrasound range 48 Mean level • Compare: back and forth movement of volume button • AM of wind turbines is often erroneously believed to be the infrasound source: Level as a function of time Silent level 44 Hearing threshold 40 30 20 A--weighted sound level [dB] • Wind turbine (WT) noise has AM nature, i.e. periodic variation of sound level 42 40 38 36 34 32 10 period 1.5 s frequency 0.67 Hz 30 Hongisto 2014 Finnish Institute of Occupational Health Frequency [Hz] 8000 4000 2000 1000 500 250 125 63 31.5 0 28 0 1 2 3 Time [s] 5 Sources of infrasound Inaudible (<100 dB) • Respiration, heart beat • Running, coughing • Swinging • Walking on the floor • Sling of washing machine • Large waterfalls • Sea waves • Pressure changes in the athmosphere • Air flow of ventilation • Fans and engines • Traffic • Many industrial processes, including wind turbines Audible (>100 dB) • Explosion • Thunder • Strong wind • up to 135 dB at 100 km/h; up to 110 dB at 25 km/h), • Idle sound of large diesel engines in trucks, busses and vessels • Opening the back window of the car in motorway • LEXUS 123 dB at 17 Hz (FFT) • Swimming Leventhall 2007 Progr Biophys Molecular Biol Crichton et al 2013 Front Publi Health 6 Infrasound levels of wind turbines, 1 • 29 wind farms were investigated • 164 points within 100 and 1000 m were measured • 5 days were measured in each point • 1-3 MW turbines Main outcomes: • Hearing threshold level was not exceeded below 31 Hz • Infrasound levels 20 dB below hearing threshold JAPANESE STUDY: Tachibana et al. 2014 Noise Con Eng J 7 Infrasound levels of wind turbines, 2 • Literature survey of 18 different turbines, 0.05-4.2 MW • Turbines with downwind oriented rotors produce 10-30 dB higher infrasound levels than upwind oriented rotors of the same output power. • Downwind turbines are very seldom used onshore nowadays. • Main outcome: Infrasound of upwind turbines could be neglegted at typical living distances because the levels are far below hearing threshold. DANISH STUDY: Jacobsen 2005 J Low Freq Noise Vibr Act Con 8 Infrasound levels of WTʼs - 3 • Report suggests that we are exposed to larger infrasound levels than those produced by WTʼs in our normal life. 9 Wind turbine syndrome WTS • Pierpont (2009) interviewed 38 persons from 10 families living nearby wind farm • The results were published in a book by herself • scientifically invaluable • no control group living far from the farm • selection bias is possible • Pierpont found similar symptoms among the persons and created the name WTS • Infrasound of WTʼs was said to cause the WTS • Scientific epidemiological evidence is lacking to prove a causal link between WTʼs infrasound and VAD. Therefore, CD-10 does not recognize WTS Some symptoms of WTS: • sleep disturbance, • headache • tinnitus (ringing in ears) • ear pressure • dizziness • vertigo • nausea • visual blurring • tachycardia (rapid • heart rate) • irritability • problems with concentration memory • panic episodes • International Statistical Classification of Diseases and Related Health Problems • The non-specific symptoms are typical among the whole population (non-specific symptoms) • Non-specific symtoms are typical to hypochondria. • The WTS has become a very popular reason to oppose WTʼs s after 2009 at least in Australia. Knopper & Ollson et al. 2011 Env Health 10 Vibroacoustic disease, VAD • VAD was originally suggested from a study involving aircraft technicians who were exposed to very loud low frequency noise in the long term (Castelo Branco&Alves Pereira) • Alves-Pereira and Castelo Branco (2007) suggested that living in the proximity of wind turbines could also lead to the development of VAD • However, ICD-10 does not recognize WTS Castelo Branco 1999 Aviat Space Environ Med Castelo Branco&Alves Pereira 2004 Noise Health • Chapman and George (2013) showed that VAD has become a real factoid , i.e. a false or spurious statement presented as a fact, perhaps because of a strong distribution of the hypothesis in scientific congresses and internet in free access form. • Internet search showed 36 papers dealing with VAD and wind turbines. Thirty-five (35) of them were authored either by Alves-Pereira or Castelo Branco. • 74% of citations to their papers were selfcitations. Median self-citation rate is 7%. Chapman and George (2013, Australian and New Zealand Journal of Public Health) 11 Health effects of wind turbine noise • A critical review of 1231 publications was done based on search keywords: • wind turbines or wind farms, health, noise, annoyance, tinnitus, vertigo, epilepsy, headache • 36 of them addressed specific healthrelated outcomes in relation to WT noise exposure • No evidence indicating an association between WT noise exposure and tinnitus, hearing loss, vertigo or headache. Schmidt and Klokker 2014 Plos One • It is well-known that traffic noise exposure may increase the risk of cardiovascular disease and diabetes. • The mechanism here could be increased stress and reduced quality of sleep, which can increase the risk of abovementioned diseases. • It has not been shown YET that wind turbines could result in identical health effects. • However, the possibility of effects cannot be ruled out ! • Thus, more research is needed in field settings. 12 Outer hair cells • Salt and Hullar (2010, Hear Res) suggested that cochlearʼs outer hair cells of the ear might have a higher sensitivity to infrasound • I.e. reactions to infrasound could be detected under the hearing threshold • The suggestion was based on animal studies (guinea pigs). • Confirming evidence has not been found with human data. 13 FMRI Dommes et al. 2009 Brain Res Bauer et al. 2015 ICSV Italy • Functional magnetic resonance imaging is increasingly used to reveal the brain responses to various kind of stimuli • Effects of infrasound have been studied recently. • The studies have not shown brain responses at levels under the hearing threshold. • Thus, the FMRI responses found with infrasounds may have occurred as a consequence of hearing response. • There is very little evidence that adverse brain responses could occur without simultaneous hearing perception. 14 Canadian study on stress effects of WTN • 1242 people living close to wind farms participated in a cross-sectional survey at various WT noise exposure levels • • • • • • LEVEL < 25 dB LAeq: 25-30 dB LAeq: 30-35 dB LAeq : 35-40 dB LAeq : 40-46 dB LAeq : N 84 95 304 521 234 • Subjective measures (N=1242) • Perceived stress • Various other control variables • Objective measures (N>600) • Blood pressures in rest • Heart rate in rest • Long-term accumulation of stress hormones (cortisol in hair) • The findings did not support an association between noise exposure level and stress of any kind • Noise exposure level is strongly associated with infrasound level because the attenuation is similar for noise and infrasound. • Because health effects were not increased closer to the turbines, infrasounds or any other factor, might not cause health effects according to this study. Michaud et al 2016 J Acoust Soc Am 15 %HA inside 100 Concern about health effects Janssen et al. 2011 80 Hongisto et al 2015 70 • We investigated residentsʼ reactions living within 2 km of a wind farm (Ii Olhava, Pori Peittoo) 60 50 40 30 • Noise annoyance increased clearly above 40 dB LAeq. 20 10 • %HA is percentage of people reporting high annoyance of WT noise • Concerns about health effects of WT noise were strong among 15% of population. 90 0 30 35 40 45 Noise level outside LAeq [dB] Concerns about possible health effects of wind turbine noise • The concerns were stronger associated with noise annoyance (R=0.50) than the noise level (R=0.32). Not at all Only a little To some extent Very much Hongisto et al 2015 Ympäristö & Terveys (in Finnish) 0% 20 % 40 % 60 % 80 % 100 % % of responses Extremely much 16 Nocebo effect • So far, not a single scientific study provides data which indicates a causal link between infrasound of WTs and adverse health effects. • Negative expectations and factoids related to health effects of WTʼs infrasound are increasingly distributed in the internet. • Numerous high quality studies have shown that negative expectations and beliefs towards an environmental stressor can produce new symptoms or strenghten the existing ones. Placebo effect: positive expectations can result in positive outcomes. Nocebo effect: negative expectations can result in negative outcomes. • NOCEBO effect Crichton et al 2014 Frontiers Publ Health Salminen 2013 Lääkärilehti 17 Individuals have non‐specific symptoms Possible mechanism of nocebo Turbines are built Non‐specific symptoms continue False information that infrasound of WT’s impairs health Sensitive individuals* Anxious ness * Factors affecting individual sensitivity • Higher noise sensitivity • More sensible hearing • Negative attitudes towards QTs • Stress in life • Visibility and audibility of WTs • Low background level • Certain personality factors (Taylor et al. 2013) Turbines are audible & visible Non‐sensitive individuals Non‐specific symptoms continue Nothing happens Annoyance of noise & flicker Sleep disturbance Health concerns Increase of symptoms PUBLIC REACTIONS Complalnts Real illnesses Acts against WT’s CONCLUSIONS • Humans hear infrasounds, i.e. sounds under 20 Hz if the level exceeds 90-120 dB. • The infrasound level of wind turbines seems not to exceed the hearing threshold. • Infrasound of WTʼs is not particularly high compared to other infrasound sources we are exposed to. • Present evidence supports that • hearing sensation precedes other health effects of noise. • it is very improbable that infrasound of wind turbines could have adverse health effects in living environments. • Several scientific studies suggest that concerns and fears based on false information may produce symptoms and adverse health effects. • Concern and stress caused by false information related to adverse health effects of WT infrasounds can produce health symptoms although the infrasound would not. • Popular fact-based information should be distributed in free access form in the internet by independent parties so that the amount of fact documents exceeds the amount of factoid information. 19
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