Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
20240201Agency Record.pdf
IN THE SUPREME COURT OF THE STATE OF IDAHO ) APPEAL FROM THE IDAHO PUBLIC UTILITIES COMMISSION ______________________________________________ Appeal from Idaho Public Utilities Commission Commissioner Eric Anderson, Presiding ________________________________________ Attorney for Respondent Idaho PUC RAÚL R. LABRADOR Idaho Attorney General Adam Triplett, ISB #10221 Idaho Public Utilities Commission 11331 W. Chinden Blvd. Building 8, Suite 201-A Boise, ID 83704 Appellants, pro se Samuel Z. and Peggy M.B. Edwards 333 Shoshone Ave. Rexburg, ID 83440 Attorneys for Respondent PacifiCorp d/b/a Rocky Mountain Power Company Joe Dallas Senior Attorney Rocky Mountain Power 825 NE Multnomah, Ste. 2000 IN THE MATTER OF SAMUEL and PEGGY EDWARD’S FORMAL COMPLAINT AGAINST PACIFICORP, d/b/a ROCKY MOUNTAIN POWER COMPANY ) ) ) ) ) Supreme Court Docket No. 51238-2023 Complainants-Appellants, v. IDAHO PUBLIC UTILITIES COMMISSION and PACIFICORP, d/b/a ROCKY MOUNTAIN POWER COMPANY, Respondents. ) ) ) ) ) ) ) ) ) ) No. PAC-E-23-05 AGENCY RECORD ON APPEAL Table of Contents (Chronological Index) i DOCKET NO. 51238 TABLE OF CONTENTS (Chronological Index) SAMUEL AND PEGGY EDWARDS’ FORMAL COMPLAINT dated March 23, 2023 .......................................................................................................5 IPUC STAFF DECISION MEMORANDUM dated April 10, 2023 .......................................................................................................40 IPUC SUMMONS & COMPLAINT TO PACIFICORP d/b/a Rocky Mountain Power dated April 19, 2023 ...................................................................................................... 41 ROCKY MOUNTAIN POWER’S ANSWER AND MOTION TO DISMISS dated May 10, 2023 ...................................................................................................... 141 SAMUEL AND PEGGY EDWARDS’ OBJECTION TO ROCKY MOUNTAIN POWER’S ANSWER AND MOTION TO DISMISS dated May 22, 2023 ...................................................................................................... 162 IPUC ORDER NO. 35849_FINAL dated July 11, 2023 ....................................................................................................... 164 SAMUEL AND PEGGY EDWARDS’ PETITION FOR RECONSIDERATION dated July 31, 2023 ....................................................................................................... 172 ROCKY MOUNTAIN POWER’S ANSWER TO SAMUEL AND PEGGY EDWARDS’ PETITION FOR RECONSIDERATION dated August 4, 2023 .................................................................................................... 381 SAMUEL AND PEGGY EDWARDS’ OBJECTION TO ROCKY MOUNTAIN POWER’S ANSWER TO PETITION FOR RECONSIDERATION dated August 8, 2023 .................................................................................................... 385 IPUC FINAL NO. 35904_FINAL ON RECONSIDERATION dated August 25, 2023 .................................................................................................. 386 11 Table of Contents (Chronological Index) i SAMUEL AND PEGGY EDWARDS’ EMAIL FILED VERSION OF AMICUS CURIAE BRIEFING dated September 27, 2023 ............................................................................................. 392 SAMUEL AND PEGGY EDWARDS’ NOTICE OF APPEAL dated September 28, 2023 ............................................................................................. 600 SAMUEL AND PEGGY EDWARDS’ AMENDED NOTICE OF APPEAL dated October 9, 2023 ................................................................................................... 620 SAMUEL AND PEGGY EDWARDS’ ANSWER TO MOTION dated October 9, 2023 ................................................................................................... 625 IPUC STAFF DECISION MEMORANDUM dated October 10, 2023 ................................................................................................. 629 CLERK’S CERTIFICATE OF APPEAL dated October 16, 2023 ................................................................................................. 631 IPUC ORDER NO. 35972_AMENDING TITLE OF APPEAL dated October 27, 2023 ................................................................................................. 674 CLERK’S CERTIFICATE OF SERVICE OF PROPOSED AGENCY RECORD dated November 20, 2023 ............................................................................................. 676 22 Table of Contents (Alphabetical Index) ii DOCKET NO. 51238 TABLE OF CONTENTS (Alphabetical Index) CLERK’S CERTIFICATE OF APPEAL dated October 16, 2023 ................................................................................................. 631 CLERK’S CERTIFICATE OF SERVICE OF PROPOSED AGENCY RECORD dated November 20, 2023 ............................................................................................. 676 IPUC ORDER NO. 35849_FINAL dated July 11, 2023 ...................................................................................................... 164 IPUC ORDER NO. 35904_FINAL ON RECONSIDERATION dated August 25, 2023 ................................................................................................. 386 IPUC ORDER NO. 35972_AMENDING TITLE OF APPEAL dated October 27, 2023 ................................................................................................ 674 IPUC STAFF DECISION MEMORANDUM dated April 10, 2023 .......................................................................................................40 IPUC STAFF DECISION MEMORANDUM dated October 10, 2023 ................................................................................................. 629 IPUC SUMMONS & COMPLAINT TO PACIFICORP d/b/a Rocky Mountain Power dated April 19, 2023 ...................................................................................................... 41 ROCKY MOUNTAIN POWER’S ANSWER AND MOTION TO DISMISS dated May 10, 2023 ...................................................................................................... 141 ROCKY MOUNTAIN POWER’S ANSWER TO SAMUEL AND PEGGY EDWARDS’ PETITION FOR RECONSIDERATION dated August 4, 2023 .................................................................................................... 381 SAMUEL AND PEGGY EDWARDS’ AMENDED NOTICE OF APPEAL dated October 9, 2023 ................................................................................................... 620 SAMUEL AND PEGGY EDWARDS’ ANSWER TO MOTION dated October 9, 2023 ................................................................................................... 625 33 Table of Contents (Alphabetical Index) ii SAMUEL AND PEGGY EDWARDS’ EMAIL FILED VERSION OF AMICUS CURIAE BRIEFING dated September 27, 2023 ............................................................................................. 392 SAMUEL AND PEGGY EDWARDS’ FORMAL COMPLAINT dated March 23, 2023 ....................................................................................................... 5 SAMUEL AND PEGGY EDWARDS’ NOTICE OF APPEAL dated September 28, 2023 ............................................................................................ 600 SAMUEL AND PEGGY EDWARDS’ OBJECTION TO ROCKY MOUNTAIN POWER’S ANSWER AND MOTION TO DISMISS dated May 22, 2023 ...................................................................................................... 162 SAMUEL AND PEGGY EDWARDS’ OBJECTION TO ROCKY MOUNTAIN POWER’S ANSWER TO PETITION FOR RECONSIDERATION dated August 8, 2023 .................................................................................................... 385 SAMUEL AND PEGGY EDWARDS’ PETITION FOR RECONSIDERATION dated July 31, 2023 ....................................................................................................... 172 44 COMPLAINT 20 To:Jan Noriyuki,Commission Secretary Idaho Public Utilities Commission PO Box 83720 Boise, ID 83720-0074 Date:March 18,2023 From:Samuel and Peggy Edwards 333 Shoshone Ave Rexburg, Idaho 83440 RE:Installation of "Smart"Meter and threat of service disconnection Dear Ma'am, This COMPLAINT is a follow-upto an initial complaint which Peggy submitted to Idaho Public Utility Commission in December 2022.Our complaint is still the same:there should be an "opt-out"option for customers of ROCKY MOUNTAIN POWER/PACIFICORP who do not want to upgrade their electric meter. At this time,our case has become critical,and we ask for your intervention to immediately stop the termination of our electric service by ROCKY MOUNTAIN POWER/PACIFICORP scheduled for March 28, 2023. Our COMPLAINT arises over matters concerning myself, Samuel, and my wife,Peggy,and ROCKY MOUNTAIN POWER/PACIFICORP in regard to their intention to install a Trespassing Technology known as a "Smart"type meter on our home, located at 333 Shoshone Ave;Rexburg, ID 83440 contrary to our existing and long-standing contractual agreement, as well as our will and consent. We further request that a traditional meter replace our existing electronic meter,even if a reasonable surcharge for regularly checking the meter were added to our bill or if we were responsible to report the meter reading (e.g.-text/email a picture)on a regular basis. Please find attached our DECLARATION in the form of an AFFIDAVIT in support of this letter of COMPLAINT,along with supporting Exhibits A,B, and C. We,along with our 16-year old special-needs daughter and two other children,are currently faced with the real possibility of havingour power/electrical service disconnected on 28 March 2023 (please see disconnect letter, Exhibit A).We have attempted over and over again,in good faith to resolve all issues with ROCKY MOUNTAIN POWER/PACIFICORP which have led up to this point where they are now threatening to shut our power off,in spite of the fact that access to the meter has never been impeded for service and that we have always paid our power bill each month and are currently not late with payment.They,in turn,are the aggressor operating in bad faith, using strong-arm intimidation tactics,threat,duress, and coercion in order to upgrade the meter without consideration for the will,privacy or medical effects which this upgrade would have upon us,the property owners. Last year,we received an undated and unsigned letter from ROCKY MOUNTAIN POWER/PACIFICORP on or around November 22,2022 instructing us to call their 800 number within 15 days to resolve any "access"issues and set an appointment to have our meter updated with their (Trespassing Technology). In response to this letter, Peggy called ROCKY MOUNTAIN POWER/PACIFICORP multiple times,including talking with an employee Christian #36743 CASE NO. PAC-E-23-05 55 twice.During these calls, Peggy explained that a power company technician (sub-contractor)had come to our door in October requesting to install a smart meter,and we informed her that we were contesting the unilateral insistence to replace our current power meter with a 5G Smart Meter.Shepolitelysaidthatsheunderstoodandwouldinform ROCKY MOUNTAIN POWER/PACIFICORPofourresponse.Peggy also informed Christian #36743 that we have a special needs child who currently sleeps about 8 feet from the location of the power meter and we are concerned about the radio frequency waves to which she would be exposed by the 5G Smart Meter. As detailed in Exhibit C and available in other documented medical research,non-ionizing electromagnetic radiation (e.g. wireless technologies including smart meters)can lead to electro-sensitivity requiring accommodation'.Peggy asked for an appropriate address to send a letter responding to the unsigned, undated letter,so that we could formallycontest the assertion that the "installer couldn't access the meter base".Delays with verifyingthe appropriate address to send our letter resulted in the letter being sent in late February,arriving on 2 March 2023 at ROCKY MOUNTAIN POWER/PACIFICORP's CEO Gary Hoogeveen's office in Portland, OR according to UPS Ground tracking #1ZX048R30397898301.(see Exhibit C) On March 3, we received ROCKY MOUNTAIN POWER/PACIFICORP's 22 February 2023 letter,subject "SECOND NOTICE:Required Access for Meter Upgrade at 333 ShoshoneAve Rexburg, ID 83440"(Exhibit B),and that their contractor was refused "access"to perform a meter (Trespassing Technology)exchange.This new letter also states that they have also attempted to reach us by telephone,and that we are to call their 800 number to resolve this issue within 15 days, or they will refer our account to their service disconnection process.In this same letter they also claim that we are "contractually obligated to allow"ROCKY MOUNTAIN POWER/PACIFICORP "safe and unencumbered access to our equipment.Meter service is a condition of electric service,as expressed in the Idaho Public Utilities Commission's Customer Relations Rules, namely Electric Service Regulation No.6,..."Be noticed that the word/term "access"in ROCKY MOUNTAINPOWER/PACIFICORP's letters to us is being improperly applied to mean something other than what it really is (see explanationbelow). On March 17, we received ROCKY MOUNTAIN POWER/PACIFICORP's 14 March 2023, subject "FINAL NOTICE:Required Access for Meter Upgrade at 333 Shoshone Ave,Rexburg,Idaho"(Exhibit A).We are informed in this letter that our service will be terminated on 28 March, 2023. INTRODUCTION [BRIEF HISTORY] As it stands now, there has been in place for the past 3.5 or so years a relationship of a "contractual"nature between us and ROCKY MOUNTAIN POWER/PACIFICORP (formally UTAH POWER AND LIGHT),who currently provides us with electrical power to our home.I,in turn naturally,have agreed to allow ROCKY MOUNTAIN POWER/PACIFICORP's (formerly UTAH POWER AND LIGHT)meter reader(s)"access"of a "specified and limited"nature,not a general unspecified and unlimited nature,to our private property each month specifically for them to read our electrical power meter ONLY.No other access to our private property,implied or otherwise was ever granted to ROCKY MOUNTAIN POWER/PACIFICORP (formerly UTAH POWER AND LIGHT)at any time.Any other necessary "access",including troubleshootingpower outages and making necessary repairs to electrical equipment located on our private property is considered "special"in nature and would only be granted at the time,we,the private property owners reported a power outage and or requested them to troubleshoot an electrical problem and make necessary repairs ONLY.Therefore,ROCKY MOUNTAIN POWER/PACIFICORP (formally UTAH POWER AND LIGHT)does not have autonomous authority in and of itself to access our private property to troubleshoot and or make necessary repairs to electrical equipment or for any I https://childrenshealthdefense.org/wp-content/uploads/Brief and-Addendum-Submitted-9-14.pdf accessed3/18/2023 2 66 other reason at any time, day or night until they receive notification from us authorizingand granting them permission at that time,on a one-time basis only for them to proceed to do the specified request.Anythingother than this is a trespass,invasion of our privacy,security, unalienable Rights,including our private property rights which cannot be diminished,as well as a violation of our existing contractual agreement. Let us be clear on this issue of "access" which ROCKY MOUNTAIN POWER/PACIFICORPclaims that we are denying them.We and no one else in our home have ever denied "access"to any of ROCKY MOUNTAIN POWER/PACIFICORP's meter readers or their company repair personnel as per our previously agreed upon terms of our long-standing contractual agreement over the years.However, there has never been in place any agreement for personnel from any third-party company to trespass on my private property and tamper with our,in this case electrical meter at any time, whether we are at home or if no one is at home,neither has there ever been in place any agreement with ROCKY MOUNTAIN POWER/PACIFICORP to "access"our private property to make a non-repair (or install a Trespassing Technology) when no request for such type of service was ever made,and no defective electrical equipment on my private property exists. So,if no defective electrical equipment exists on our private property and we did not call ROCKY MOUNTAIN POWER/PACIFICORPto report any troubles/problems with our electrical service and thus no electrical repairs were/are needed, what are there personnel doing on our private property and or attempting to access our private property without our consent contrary to our existing contractual agreement? Understand that this whole issue surrounds a matter of an existing "contract" which ROCKYMOUNTAINPOWER/PACIFICORP are attempting to impair our obligation to.This contractual relationship,as I said before has been in place since we moved in our home about 3.5 years ago when we requested ROCKY MOUNTAIN POWER/PACIFICORP(formerly UTAH POWER AND LIGHT)supply our home with electrical power,to which they agreed. This has worked smoothlywithoutanyproblemsordisputesuntillastyear,when ROCKY MOUNTAIN POWER/PACIFICORP attempted to change the terms of our previously agreed upon and long standing "contract" without consideration of individual customers'desires or full disclosure that they were attempting to change said terms of or initiate a new contract without my knowledge and consent in order for them to bullytheir way onto our private property to make a non-repair (or install a Trespassing Technology)which is not part of our existing contractual agreement. As you well know,for any changes to be made to a contract, both parties must be, in agreement,and both parties must have a clear understanding of any and all terms and changes in terms of said contract to be valid and binding.This is simply not the case in this matter.To allow this abuse to continue would be a travesty of justice.ROCKY MOUNTAIN POWER/PACIFICORP acknowledges the existence of our contractual relationship (see Exhibit A)but in a skewed and twisted fashion,not relating the matter truthfully.They spreadpropaganda that smart meters are safe without considering contrary evidence and portray objecting homeowners as the antagonist and an uncooperative party for not wanting their smart meter Trespassing Technology, making us the "bad guy".What is the marginal benefit of pressuring 100%of customers to adopt upgraded meters?If 90%of customers have already upgraded,isn't network awareness sufficiently improved to inform outage restorations?Threatening service disconnection appears to be an overly coercive tactic to achieve complete compliance and ignore alternatives (e.g.-self-reporting or a surcharge for meter reading).Why does the IDAHO PUBLIC UTILITIES COMMISSION/Legislature support or sanction this coercion which has become criminal (felonious)behavior? Other states offer "opt-out" alternatives,so that 100% compliance is demonstrably unnecessary. There is no one person or agency in the Idaho government advocating for the people/inhabitants in their plight with ROCKY MOUNTAIN POWER/PACIFICORP,but there is a government agency advocating for ROCKY MOUNTAIN POWER/PACIFICORP's position -the IDAHO PUBLIC UTILITIES COMMISSION under the thumb of the state legislature.However, the interpretationof the Commission on this matter so far does not honor the rights of the people of 3 77 Idaho to make decisions affecting their privacy or medical freedom.Where there is risk,there must remain choice.So far as smart meter upgrades are concerned,IDAHO PUBLIC UTILITIES COMMISSION appears only to consider the best interests of the utility company,and not the public trust. Understand,we have committed no wrong in this instant matter and have done our due diligence in an attempt to resolve all issues in order to keep the peace and our electric power on. ROCKY MOUNTAIN POWER/PACIFICORPhas been acting in bad faith and continue to walk in dishonor.They are a huge corporate giant with endless fmancial resources coming against this small single family who only desires to live in peace.This huge corporate giant seems to think that because they operate as a government sanctioned monopoly,knowing that customers have no other option or choice in power companies,they can just run roughshod over their perceived disobedient customers to force their unlawful will (Trespassing Technology)upon them by use of deception, lies,strong-arm intimidation tactics,threat,duress, and coercion (criminal acts) in order to covertly alter a previously agreed upon "contract"without my knowledge and consent -HOLDING OUR ELECTRICAL POWER SERVICE AS RANSOM. This is a matter of the big bully on the block going around breaching the peace,terrorizing and strong-arming the inhabitants in the neighborhood and bullyingtheir way onto their customer's private property and into their private lives.This is criminal behavior and it must be stopped. FACTUAL ALLEGATIONS We,Samuel &Peggy Edwards,hereinafter referred to as complainant,in complaint of ROCKY MOUNTAIN POWER/PACIFICORP and their Trespassing Technology, hereinafter referred to as "violator",respectfully alleging various felonious acts being perpetrated upon complainant as follows: COUNT 1:Breach of the peace.ROCKY MOUNTAIN POWER/PACIFICORP's attempted unlawful intrusion onto complainant's private property and into complainant's home resulting in a breach of complainant's and other household members peace causing undue fear,emotional and physical stress of complainant and other household members. COUNT 2:Attempted extortion of complainant's will,consent, and rights through use of threat, duress, and coercion in order to induce complainant to capitulate,by wrongful use of fear and under color of official right to ROCKY MOUNTAIN POWER/PACIFICORP's unlawful compulsion to accept their smart meter (Trespassing Technology)while holding the threat of electrical service disconnection over complainant's head. COUNT 3:Impairment of complainant's obligation of an existing contract between ROCKY MOUNTAIN POWER/PACIFICORP and complainant by use of threat,deception,strong-arm intimidation tactics,trickery,duress,and coercion. Violators are attempting to change terms of an existing contract and or create a new contract with complainant in order to install a "smart"meter (Trespassing Technology)without the authorization/consent of complainant by wrongful use of fear and under color of official right,hoping complainant will grant coerced or tacit agreement for such contract changes by either omitting to perform a particular act or through the performance of a particular act induced under compulsion in order to get their smart meter (Trespassing Technology) installed on complainant's home. COUNT 4:Attempted extortion and takeover of complainant's private property for commercial use.Violators,by wrongful use of fear and under color of official right are attempting to commandeer complainant's private property in order to install a smart Meter "relay station" 4 88 (Trespassing Technology)on complainant's property for the sole benefit of ROCKY MOUNTAIN POWER/PACIFICORP and outside third-party entities without any just authorization and compensation to complainant for such.This would amount to theft,unlawful conversion of private property, unjust enrichment, and violation of the complainant's FIFTH AMENDMENT right to not "be deprived of life,liberty,or property,without due process of law". COUNT 5:Attempted illegal wiretapping and extraction of personal and private information without a lawfully issued and or executed search warrant, through the installationof an unlawful (as no consent is given)surveillance/buggingdevice known as a smart meter (Trespassing Technology). Smart meter capabilities include, but not limited to monitoring,logging,storing, transferring,and sharing of daily personal and private habits and routines of occupants of private homes and then giving said information to unauthorized third-parties for profit,including police and federal government snoop agents,all without the homeowner's or other occupants consent to do so.This would amount to gross violation of complainant's FOURTH AMENDMENT right to be "secure in their person,houses,papers,and effects,against unreasonable searches and seizures", as well as complainant's FIFTH AMENDMENT right to not "be deprived of life, liberty,or property,without due process of law". COUNT 6:Threat with intent to commit harm to complainant and other household members by threatening to shut off electrical power to complainant's property/house if complainant does not allow ROCKY MOUNTAIN POWER/PACIFICORP to install a smart meter (Trespassing Technology)on complainant's house.Terminationof electrical power will cause severe hardship, stress,and duress,as well as severe physical and emotional harm to the complainant and other members of this household,including family members with special medical needs.ROCKY MOUNTAIN POWER/PACIFICORP, having foreknowledge of the complainant's special needs daughter's age and physical condition,continues to acknowledge their intent to harm complainant and complainant's child, which makes this a criminal act. COUNT 7:Gross Negligence; Hazardous Negligence. The "gross negligence",or reckless and wanton behavior of ROCKY MOUNTAIN POWER/PACIFICORP is manifest in their failure to exercise even slight care,and evidences a reckless disregard of complainant's life and safety,as well as of others in complainant's household,by attempting to expose us to the dangerous/ hazardous health effects of a smart meter (Trespassing Technology)which they are attempting to install on complainant's private property against complainant's will and consent.There intentional failure to perform a manifest duty to truthfullyinform complainant of the actual dangers of a smart meter is in reckless disregard of the consequences as affecting complainant's life and property, including a gross want of care and regard for complainant's rights and the rights of others in complainant's household. Their behavior is also "hazardous negligence"due to ROCKY MOUNTAIN POWER/ PACIFICORP's careless or reckless conduct by attempting to expose complainant and other members of complainant's household to the very great danger of injury and imminent peril should the installation of their smart meter (Trespassing Technology)on complainant's home take place. COUNT 8:Actionable Fraud. ROCKY MOUNTAIN POWER/ PACIFICORP has committed an "actionablefraud"against complainant by use of deceptive practices in an attempt to induce complainant to part with complainant's legal right(s),to include complainant's long-standing existing contractual agreement with ROCKY MOUNTAIN POWER/PACIFICORP,as well asunlawfullyattemptingtocommandeer complainant's private property for commercial use by installing a "relay station" (smart meter Trespassing Technology)without complainant's consent by making false representations with the intentionto deceive.Further,it appearsthat ROCKY MOUNTAIN POWER/PACIFICORP makes a material representation which is knowingly false 5 99 concerning their smart meter (Trespassing Technology),making such representation without any knowledge of its truth and as a positive assertion that smart meters are safe,and made it with the intention that it should be acted on by complainant.If complainant acts and complies with this false representation, complainant fears and believes an impending injurywill be suffered by complainant and possibly others in complainant's household as well. Note: If attempted murder is prosecutable,then attempted extortion and piracy is also prosecutable. DEFINITIONS From:Black's Law Dictionary,Fourth Edition EXTORT.To compel or coerce,as a confession or information by any means serving to overcome one's power of resistance,or making the confession or admission involuntary.Sutton v. Commonwealth,207 Ky.597, 269 S.W.754, 757. To gain by wrongful methods,to obtain in an unlawful manner, to compel payments by means of threats of injuryto person, property,or reputation.McKenzie v.State,l13 Neb.576,204 N.W.60, 61; State v.Richards,97 Wash.587,167 P.47,48.To take from unlawfully;to exact something wrongfullyby threats or putting in fear. State v.Adams,Del.,106 A. 287, 288,7 Boyce, 335.See Extortion. The natural meaning of the word "extort"is to obtain money or other valuable thing either by compulsion,by actual force,or by the force of motives applied to the will,and often more overpowering and irresistible than physical force.Com.v.O'Brien,12 Cush.,Mass.,90. EXTORTION.Unlawful obtaining of money from another.People v.Parkinson,181 Misc. 603,41 N.Y.S.2d 331, 334. Obtaining of property from another,with his consent,induced by wrongful use of force or fear,or under color of official right.And see State v.Logan,104 La. 760, 29 So.336;In re Rempfer,51 S.D.393,216 N.W.355, 359,55 A.L.R.1346;Lee v.State,16 Ariz.291,145 P.244, 246, Ann.Cas.1917B,131.Obtaining of property of another by threats to injure him and to destroy his property,State v.Phillips,62 Idaho 656,l 15 P.2d 418,420.Taking or obtaining of anything from another by means of illegal compulsion or oppressive exaction, Daniels v.U.S.,C.C.A.Cal.,17 F.2d 339,342;whether by an officer or otherwise,United States v.Dunkley,D.C.Cal., 235 F.1000, 1001. A taking under color of office is of essence of offense. La Tour v.Stone,139 Fla. 681,190 So.704, 709, 710. At common law, any oppression by color or pretense of right,and particularly and technically the exaction or unlawful taking by an officer of money or thing of value,by color of his office,either when none at all is due,or not so much is due,or when it is not yet due.Preston v.Bacon,4 Conn. 480.See People v.Barondess,16 N.Y.S.436,61 Hun, 571;Murray v.State,125 Tex.Cr.R. 252, 67 S.W.2d 274,275; State v.Anderson,66 N.D.522,267 N.W.121,123;Whart.Cr.L. 833. Term in comprehensive or general sense signifies any oppression under color of right,and in strict or technical sense signifies unlawful taking by any officer,under color of office, of any money or thing of value not due him,more than is due,or before it is due.State v.Barts,132 N.J.L.74,38 A.2d 838,843, 844, 848; State v.Vallee,136 Me. 432,12 A.2d 421. To constitute "extortion,"money or other thing of value must have been willfully and corruptly received. La Tour v.Stone,139 Fla.681,190 So.709, 710. 6 1010 To constitute "extortion," the wrongful use of fear must be the operating cause producing consent. People v. Biggs, 178 Cal. 79, 172 P. 152, 153. GROSS NEGLIGENCE. The Intentional failure to perform a manifest duty in reckless disregard of the consequences as affecting the life or property of another; such a gross want of care and regard for the rights of others as to justify the presumption of willfulness and wantonness. Seelig v. First Nat. Bank, D.C.IIL, 20 F.Supp. 61, 68. The failure to exercise slight care. Jones v. Atchison, T. & S. F. Ry. Co., 98 Kan. 133, 157 P. 399, 400; Burton Const. Co. v. Metcalfe, 162 Ky. 366, 172 S.W. 698, 701. In the law of torts (and especially with reference to personal injury cases), the term means such negligence as evidences a reckless disregard of human life, or of the safety of persons exposed to its dangerous effects, or that entire want of care which would raise the presumption of a conscious indifference to the rights of others which is equivalent to an intentional violation of them. McDonald v.Railroad Co., Tex.Civ.App,, 21 S.W. 775; Railroad Co. v. Bodemer, 139 Ill. 596, 29 N.E. 692,32 Am.St.Rep. 218; Coitv. Western Union Tel. Co., 130 Cal. 657, 63 P. 83, 53 LR.A. 678; Bremerv.Lake Erie & W.R. Co., 318 Ill. 11, 148 N. E. 862, 866, 41 A.LR. 1345. Indifference to present legal duty and utter forgetfulness of legal obligations, so far as other persons may be affected, and a manifestly smaller amount of watchfulness and circumspection than the circumstances require of a person of ordinary prudence. Burke v. Cook, 246 Mass. 518, 141 N .E. 585,586. Negligence bordering on recklessness. People v. Adams, 289 Ill. 339, 124 N.E. 575, 577. Words "gross negligence," are equivalent to words "reckless and wanton." Jones v. Commonwealth, 213 Ky. 356,281 S. W. 164, 167. HAZARDOUS NEGLIGENCE. Such careless or reckless conduct as exposes one to very great danger of injury or to imminent peril. Riggs v. Standard Oil Co., C.C.Minn., 130 F. 204. Y ACTIONABLE. That for which an action will lie, furnishing legal ground for an action. ACTIONABLE FRAUD. Deception practiced in order to induce another to part with property or surrender some legal right; a false representation made with an intention to deceive; may be committed by stating what is known to be false or by professing knowledge of the truth of a statement which is false, but in either case, the essential ingredient is a falsehood uttered with intent to deceive. Sawyer v. Prickett, 19 Wall. 146, 22 L Ed. 105. To constitute "actionable fraud," it must appear that defendant made a material representation; that it was false; that when he made it he knew it was false,-or made it recklessly without any knowledge of its truth and as a positive assertion; that he made it with intention that it should be acted on by plaintiff; that plaintiff acted in reliance on it; and that plaintiff thereby suffered injury. Blair v. McCool, 136 Or. 139, 295 P. 950, 952. Essential elements are representation, falsity, scienter, deception, and injury. Cobb v. Cobb, 211 N.C. 146, 189 S.E. 479,482. CONCLUSION We respectfully request that the Commissioners for the Idaho Public Utility Commission investigate this entire matter concerning this criminal and wanton behavior and the strong-arm intimidation tactics of RO CKY MOUNTAIN PO W ER/PAC IF I CO RP and why they are permitted 7 1111 to continue tu violate and interfere with my, as well as many other ROCKY MOUNTAIN POWER,1f't\CIFICORP customer's existing valid contractual agreements against their will and free consent. and their FOURTH and FIFTH AMENDMENT Rights, and other violations mentioned above, and also why the IDAHO PUC/State Legislature permits/sanctions this type of criminal behavior. As time is of the essence, we respectfully request that this matter be given priority status and a timely remedy sought in order to avoid the apparent upcoming electrical service diswnncctin11 in just a matter of days, not just for ourselves but for many other ROCKY MOUN IAIN l'U\VER/PAClflCORP customers similarly situated. Thank you in advance for your time and consideration in remedying this matter as soon as possibk in order that justice may be done. Vc-ry truly. �Ji�su; Juds 8 1212 DECLARATION OF SAMUEL Z. EDWARDS IN THE FORM OF AN AFFIDAVIT I.Samuel Fd,,ards. being of sound mind and body do make this Declaration of my own free will 11·ithout an) undue outside influence. I declare the following: I. On l)cccmber 17, 2021, I did receive an unsigned letter from ROCKY MOUNTAIN PO\VI :l·V PACIFICORP staling that new digital smart meters would be installed in our neighborhood bcgi11ning in January 2022. 2.Both my ,rife and l have grave concerns over the health affects of a sma1i meter as our 16 year old daughter has a complex medical history including Autism Spectrum Disorder. is Wheelchair Bound and completely dependent for care. She is cognitively between 4-6 years old with spet·ch. hearing and physical impairments. Her sleeping space is located approximately 8 fcl't l1·orn tile i;:·.,isti ng 111etcr base for our home ·s electric service. During 2020-2021. we renovated this sleeping space to be suitable for our daughter's care and need to remain in our home i ndcfinitely vvhich includes an electric ceiling lift system, electric feeding pump station. roll under sink and roll-in shower. (Doctors' notes available upon request.) 3.On February 11. 2022. we were notified that the upgrade was happening in our neighborhood with no option of' opting out. My wife, Peggy Edwards, communicated with ROCKY MOI jNTt\!N POWER/ PACIFICORP and informed their representative, Alison. of our daughter·s complex medical history, autism and the proximity of the meter base close to her sleeping space. Peggy further told ROCKY MOUNTAIN POWER/ PACIFICORP that we do not consent to tit(· met.er upgrade at our home. Alison informed Peggy that we cannot "opt-uut .. \11" tile meter upgradl' and stated that we must move the sleeping space or move the meter bas\.'.. 4.011 1-cbrumy 13. 2022, Peggy emailed our state legislator (Representative Ron Nate) and i11t'ormcd him of the conversation that she'd had with ROCKY MOUNTAIN POWER/ PACIFICORP. In subsequent days, we also reached out to Representatives Karey Hanks . .Ion Weber and Senator Doug Ricks. complaining about the lack of an "opt out'' option. 5.During February and March 2022, we consulted with ROCKY MOUNTAIN POWER/ PACI FI CORP representatives about moving the existing meter base. On March 3. 2022. Peggy called Russell Westerberg at ROCKY MOUNTAIN POWER/ PACIFICORP, who put us in cuntact with Tim Solomon to discuss moving the existing meter base. We obtained a quote from a local ekctrician (Leroy Edwards) of about $5000 to move it, but this was too expensive for us at that time. 6.During Summer of 2022, a ROCKY MOUNTAIN POWER/ PACJFICORP subcontractor came lo request lo S\I itch out our current meter base for the new digital smart meter. We declined the upgrade because of concerns that the new digital smart meter would have a deleterious affect upon our daughter's health. 7.On 10 Noveinber 2022, we received an undated and unsigned letter from ROCKY MOUNTAIN POWER/ P/\CIFlCORP claiming that their "installer couldn't access the meter base'" located at our home (333 Shoshone Ave; Rexburg, ID). In response to this letter. Peggy called ROCKY 1313 I\IUUN l'AJN POWERIPACIFICORP multiple times, including talking with an ernplo)CC Christian #36743 twice and informing him of the details of our conversation with the subcontractur. Peggy requested a mailing address to formally dispute the claim that their •'instal.ler couldn't access the meter base". 8. 'Ne did 1101 receive a mailing address from ROCKY MOUNTAIN POWER/ PACIFJCORP to submit our dispute. so we found an address for their corporate offices online and mailed our disputation in btc February 2023. According to UPS Ground tracking ( # l ZX048 RJ(J397898301 ), our disputation was delivered to the office of CEO Gary I !oogen:cn in Portland, OR on March 2, 2023. 9.On March 3. vvc received ROCKY MOUNTAIN POWER/PACIFICORP's 22 February 2023 letter. subject --SECOND NOTICE: Required Access for Meter Upgrade at 333 Shoshone Ave Rexburg .. ID 83440'' (Exhibit B), and that their contractor was refused "access'" to perform a meter (Trespassing Technology) exchange. I 0. On l'v1mch 17. we received ROCKY MOUNTAIN POWER/PACIFICORP's 14 1'-larch 2023. subject ··FIN1\L NOTICE: Required Access for Meter Upgrade at 333 Shoshone Ave, Re:--;burg. Idaho .. (l·:xhihit A). We are informed in this letter that our service will be terminated on 28 rvtarch. 2023. I.S:irnucl /. hlw:mls, affirm and certify on my own unlimited commercial liability that I lia,e rt·ad I.he abo,·e alTida, it and do know the contents to be the truth, the whole truth, conect and complete 10 lhe best of' my knowledge, and willing to testify to this. --�-�, Sui Juris Date V, i tness t(½ignature 1414 CREDIBLE-WITNESS ACKNOWLEDGMENT State/Commonwealth of i c_{ee:,Cd:, County of (1/lf't t:li :>'?:---t- On this the I y)t1 Day day of �Jv�i?v_· _'-_L'.'.S,�--Month --�-A��-"_,_._7_3 ___ , before me, the undersigned NotaryYear Public, personally appeared -�/_U-_i:.:...,.'.7_' �.,..�<-'",..../ __ ?_.:/._✓_-�,::-c�:..,,:-"t�..,...,_�-_c1:_' �'.'>�----------------? / I Nome(s) of Document Signer(s) Place Notary Seal/Stamp Above proved to me on the basis of satisfactory evidence, upon the oath or affirmation of {/,n' yl-r;:-icv ··i }\(� Name of Credible Witness to be the person(s) whose name(s) is/are subscribedto the within instrument, and acknowledged to me that he/she/they executed the same for the purposes therein contained. Witness my hand and official seal. ,._,.- Si natw e of Notary Public {)/;/ ,� _7/4,,.. � j \d./.�""L Printed Norrie of Nota,y Public 12--/-9 /zc-c.-0✓ AnyOtherRequired Information (Commission Expiration Date, etc.) �-----------------OPTIONAL -----------------� This section is required for notarizations performed in Arizona but it optional in other states. Completing this information con cleter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: .M-"--'-,/-'-6 -',-...=.C....,\c', ._,,,__{ .,_): -_._\ _\-__,,o=· _e_· ---�=---+f-)_\_ce.::..·· '-'""'-'--• .c._l-________ _ Document Date: __ )+_l....,/_z,_,_/..,.Z,.""--3...,__ _________ Number of Pages: _...._( ___ 6_· ___ _ Signer(s) Other Than Named Above: _5i_.,_J�:Z�?�'t--(._t-',/ __ • �£.�C"�·�:/4:_?'.�£ri�Y<'�./_:_s_· ________ _ �':2017 National Notary Association 1515 CREDIBLE-WITNESS ACKNOWLEDGMENT State/Commonwealth of __,_J _i::::-;_,_(=c-l-'--'--l\-'-'C�1 ____ _ County of /L·/lc(C{/ Jt:!:3 On this the /<f,/4 \ day of AA£t v'GhDay Month before me, the undersigned Notary Year Public, personally appeared �'-�S�0-�_�t-l4�·-,.(_,._"'z�.t:_d,_?C/�""-vr:;J __ _s_· ______________ _ Place Notary Seal/Stamp Above Nome(s) of Document Signer(s) proved to me on the basis of satisfactory evidence, upon the oath or affirmation of . jl1-.C lu:2-:) }!i',5; ,:,c.. Name of Credibie Witness to be the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged to me that he/she/they executed the sc1me for the purposes therein contained. Witness my hand and official seal. /d{,Ld'./4fe- Printed Nome of Notary Public /Z/9@,z-� An� Oth�r Required Information (Commission Expiration Date, etc.) ,------------------OPTIONAL--- - - - -------- ----, This section is required for notarizations performed in Arizona but it optional in other states. Completing this information con deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document 11/1 ,. Title or Type of Document: 'r-1-\'�e_�c�-u..,=·�·\�_=c:,r_t..._: __ C_'e,_·1_"-+/-'"Y_{_a.._· -�_n_-l-_________ _ Document Date: __ :;_,) /�/_.,._.f..,./_z_s ___________ Number of Pages: __ /_O ___ _I Signer(s) Other Than Named Above: --+p_..?_. ·F-,-+-L=L-"-f-1 __ ,..,.2='-_.?i_·;/,;_k�_.::K.,.r-r1>_{�S,_· ___________ _} ) I e2017 National Notary Association 1616 .. �ROCKY MOUNTAIN� POWER A OMSION OF PACIFICORP SAMUEL Z EDWARDS 333 SHOSHONE AVE REXBURG ID 83440 March 14, 2023 l407West North Temple Salt Lake City, Utah 8◄ 116 RE: FINAL NOTICE: Required Access for Meter Upgrade at 333 Shoshone Avenue, Rexburg, Idaho Dear Samuel Z Edwards: Thank you for your immediate attention to this matter. If you are not responsible for the electric service at the site, please pass this request to the property manager or owner as soon as possible. As required by 31.21.01-Customer Relations Rules for Gas, Electric, and Water Public Utilities ("Utility Customer Relations Rules") -Rule 304 (Requirements for Notice to Customers Before Termination of Service). This letter will serve as final notice of termination of electric service, which will occur on March 28, 2023 for failure to provide access as required under Utility Customer Relations Rules-Rule 302(e). If access to property is acquired prior to this date to enable Rocky Mountain Power to install an upgraded meter at the site, termination will be canceled. Please contact us at 1-800-895-0631 if you wish to resolve this issue. Kind Regards, Rocky Mountain Power 1717 REQUIRED DISCLOSURES: IDAHO ADMINISTRATIVE CODE IDAPA 31.21.01 Public Utilities Commission Utility Customer Relations Rules 305. CONTENTS Of NOTICE OF INTENT TO TERMINATE SERVICE (RULE 305). 01.Contents of Notice. The written or oral notice of intent to terminate service required by Rule 304 willstate: a. The reason(s), citing these rules, why service will be terminated and the proposed date oftermination.b.Actions the customer may take to avoid termination of service.c.That a certificate notifying the utility of a serious illness or medical emergency in the household maydelay tennination as prescribed by Rule 308.d.That an infonnal or formal complaint concerning termination may be filed with the utility or theCommission, and that service will not be terminated on the ground relating to the dispute between thecustomer and the utility before resolution of the complaint. The Idaho Public Utility Commission can be reached at 208-334-0369, or 1-800-432-0369, or online at puc.idaho.gov/fonn/consumerassistance, or by mail at Idaho Public Utilities Commission, P.O. Box 83720, Boise, ID 83720-0074. A copy of the Utility Customer Relation Rules can be found at l1ltn:-.:/';idn11mu le�. idaho.gov/rules/current/31/31210 l .pdf Para mas informaci6n, flame al 1-888-225-2611 para hablar con un especia/ista en espafiol. 1818 Samuel Z Edwards 333 Shoshone Ave Rexburg, ID 83440 2229 1407 West North Temple Salt Lake City, Utah 84 116 February 22, 2023 RE: SECOND NOTICE: Required Access for Meter Upgrade at 333 Shoshone Ave Rexburg, ID 83440 Dear Samuel Z Edwards: Thank you for your immediate attention to this matter. If you are not responsible for the electric service at the site listed above, please pass this request to the property manager or owner as soon as possible. Our contractor was refused access to perform a meter exchange at the address listed above. This is our second written notice. We have also attempted to reach you by telephone. To avoid termination of electric service at this address, you must contact us at the number provided below. You are contractually obligated to allow us safe and unencumbered access to our equipment. Meter access is a condition of electric service, as expressed in the Idaho Public Utilities Commission's Customer Relation Rules, namely Electric Service Regulation No. 6, a copy of which is enclosed for your convenience. Moreover, to the extent that access was denied because of the type of meter being installed, please be aware that the Idaho Public Utilities Commission has reviewed smart meter technology, including the prevailing scientific research on consumer safety, and concluded that smart meters are safe and allowed for all customers in Idaho. If you would like additional information regarding the electric regulations that governs Rocky Mountain Power's operations, review them at the Idaho Commission's website at puc.idaho.gov. Our new meters bring with them a host of benefits, enabling our customers to securely - •View DailyjHourly/15-Minute interval usage data through your Rocky Mountain Power account •Set billing thresholds and alerts through our website and mobile application •Automatically send notifications whenever your power is interrupted and subsequently restored Rocky Mountain Power will also be able to troubleshoot abnormal electric voltage or current issues on our lines that could impact the quality of your service. Our meters deliver whole home usage data through a secure LTE network and do not connect with any additional smart devices installed at your site or external networks. Your data is safe and no personal information is ever shared with outside parties. {Continued on reverse side) 1919 Page 2 Please contact us at 1-800-895-0631immediatelyto resolve access issues and to set an appointment to have your meter updated.We are happy to answer any additional questions you may have regarding the new meter and look forward to working with you. If we do not hear from you within 15 days from the date of this letter to resolve this issue,we will refer your account to our service disconnection process.We look forward to hearing from you and will always consider it a privilege to serve you, Kind Regards, Rocky Mountain Power Para más información, llame al 1-888-225-2611 para hablar con un especialista en español. 2020 ROCKY MOUNTAIN POWER 1<-.:,o;o,� I.P.ll.C. No. 1 Sttoad RttmN orStim No. 6R.I Caacaag F"snt Rnilioe or Slam No. 6R 1 ELEC.TRIC SER\IICE REGULATION NO. 6 STATE OF IDAHO Compa■y'1 lutaDatioa I.COMPAN\''S INSTALLATION E)lccpt .u othcnl·isc provided in these Regulations, an Electric Service: Agrccmcnt, or the ElectricSm·icc Schedules, the Company will install and maintain its lines and equipment on its side of the Pom1 of Delivery. but shall not be n:quin:d to install or maintain any Im or equipment cxttptmeters and aoc:cssorics beyond that point Only the Company is authorized to make the connect.ions al tk Point of Ddivc:ry. Electric sc:n-ice furnished under this tariff will be altc:maring current. 60 h<:rt.r_ single or thm:-phase. Primary service voltage "ill be at one of the nonunal standiird voltnscsavailable from the Company at or near the C.ustomcr's location. Scc-OOdary sctVlCC ,-oltagc will be hmi:cd to: Singk-phuc:, 120 wits, 2-win; grounded Sin3le-pbuc, l2Q/240 volts., 3-•irc. grounded Singlc-pbuc:, 240/480 volts., 3-•-ue, grounded Thrcc-pbasc. 208Y/l20 ,.'Olts. 4-wirc. grounded. wyc Thn:e-ph&K, 480Y /277 \'Olts. 4-wirc, grounded. wye 2.< ·o.\U> AN\' t'ACILITIES ON CUSTOMER'S PREMISES (111)All materials furnished and installed by the Company on the Cwtomct'l premises, shall be. 1111d remain_ the property of the Company. The CustOfflCS' shall not break the Company's meta' seals. In the event of loss Of �e to the C-0mpany's property. arising from neglcet. ,-an:lasneu, or misuse by the: Customer. the cost of DCCll::SS4I)' repairs or rq,laccmcnt ,;hallhc 1>aid by the: Customer. (h) (C} (d) Customer without c:itpensc: to the: Company lihall make or procure c,oovcyancc to the ComP4ny of satisfact«y Rights-of-Way Easements l:IC"'5.s the property ovmcd 01' controlledby the Customer for the Company's lines or c::xlcnsions thcn:of ncceuary or incidental 10 thefurnishing of ICTVice to the: Customer. The Customer shall permit safe. aoccss to Company's n:prcsc:nmtives al all hours to maintainthe Company's cloctric distribution facilities. The Ciutoma wll abo pamit the Companylo trim trees and other wgc111tion lo the extent 11CCC'S5&1)' to noi.d intCJfercncc with the Company's lines and to protect public safety. The Customer shall provide � � accca to Company's n:prcscnllllivcs at rca.soublc •.bl'Dcs, for the purpose:. of mtding mc:tms. .impcx.-tina. rqN.W1Di or rcmovmg mdl::rina dcvic:ea aad wirins or die Compaoy. Submitt«l Under Cue No. PAC-E-19-12 ISSl!U>: Scph:mbtr 13. 2019 EFFECTIVE: January 8. 2020 2121 16 February 2023 Peggy and Samuel Edwards 333 Shoshone Ave Rexburg Idaho 83440 Gary Hoogeveen Chief Executive Officer Rocky Mountain Power 825 NE Multnomah St Suite 1800 Portland OR 97232 Re: Rocky Mountain Power Work Order #8314953 Dear Mr Hoogeveen, We are responding to the undated and unsigned letter sent by Rocky Mountain Power (copy attached) received 10 November 2022. We are giving notice to dispute your claim that your "installer couldn't access the meter base" located at 333 Shoshone Ave, Rexburg Idaho, 83440. We contest your claim and state the basis of our objection to your claim to be that there has always been unimpeded physical access to the meter base since taking possession of this property in October 2019. As evidence, we present with this letter: •Photographic evidence of clear, unimpeded physical access to the power meter•Google Maps aerial view of 333 Shoshone Ave, Rexburg Idaho 83440 •Notarized statement by Jeanne Grimmett who resides at 330 Shoshone Ave,Rexburg Idaho, 83440 •Notarized statement by Kristine Bennion, who resides at 295 Shoshone Ave,Rexburg Idaho 83440 We have spoken with Rocky Mountain Power representatives multiple times, and each time they have threatened to terminate service. According to the Idaho Public Utility Cornmission's"ldaho Residential Utility Disconnection" (copy attached), the grounds to make these threats credible is "you tamper with or prevent access to your meter." These phone calls occurred: •initiated by RMP between Sam and a RMP Rep on or around Nov 10th•initiated by Peggy between Peggy and Christian #36743 on Nov 30th at1 :59pm for 25 minutes 2222 •initiated by Peggy between Peggy, Sam and Christian #367 43 on Dec 6th at1 :31 pm for 20 minutes In consideration of the seriousness of these threats, especially in the sub-zero winter weather of Southeastern Idaho (initially weeks before Christmas, and still persisting into February of temperatures going 20-30 degrees below zero), we demand evidence of your claim that "the installer couldn't access the meter base.'' We contest your claim and object to threats to disconnect our power. We further object to your claim of "the prevailing scientific research on consumer safety'' and conclusion "that smart meters are allowed in Idaho without any alternative metering options." It is common knowledge and fully supported by evidence, peer reviewed and published research1, science and facts that "Advanced" utility meters including all electronic utility meters and all utility mete1·s wl1ich contain any digital or electronic components whatsoever: l.Emit frequencies that contribute to pathophysiological and biologically disruptive effects on those with Autism Spectrum Conditions (ASC) which are defined behaviorally and also involve multileveled disturbances of underlying biology that find striking parallels in the physiological impacts ofelectromagnetic frequency and radio-frequency exposures (EMF/RFR).2 3 2.Are fire hazards due to lack of surge protectors in violation of necessary standards for utility meters. 3.Cannot withstand typical grid surges. 4.Cause damage to, or destroy, homes, lives and structures when damaged by grid surges. Dr. Magda Havas, Associate Professor of Environmental &f�esource Studies at Trent University in Peterborough, Ontario, Canada has received emails and phone calls from occupants of properties wheresmari meters were recently installed. They complain of ill health, including new symptoms such as headaches, insomnia, anxiety, skin rashes,tinnitus, heart palpitations, depression, fatigue, and short-term memory loss. Many are unable to use the room closest to the smart meter.4 _). Emit biologically harmful "pulsed" EMF radiation continually (whether transmitting data or not). In May 2011, the World Health Organization's International Agency for Research on Cancer (!ARC) classified radio- 1https://bit.!y/EfV1F221205 via www.saferemr.com and Joel M Moskowitz Ph.D. Director, Center for Falllily and Community Health, School of Public Health, University of California, Berkeley 2 https://pubrned,ncbi.nlm.nih.gov/24095003/ 3 Toby Rogers, The Political Economy of Autism, Doctoral Thesis, University of Sydney, 2019, 37 -38 or Q)JJy_/tobythesis 4:http://emfsafetynetwork.org/?page_id=2292 2323 frequency electromagnetic fields (RF-EMF) as a possible human carcinogen (Group 2B) in the same classification as lead, DDT, and chloroform.5 We do not want additional layers of pulsed radio-frequency electromagnetic fields in our home. 6.Create and collect personal data of private activities in the home in violation of law. Smart meters identify electrical devices inside the home and record when and for how long they are operated, resulting in an invasion of my privacy. Smart meters monitor household activity and occupancy in violation of my right fo privacy in my home. According to a February 2012 Congressional Research Service Report entitled SmartMeter: Privacy and Cybersecurity, the Department of Energy reporied that by matching data with known appliance load signatures, smart meters will be able to reveal people's daily schedules, their appliances and electronic equipment, and whether they use certain types of medical equipment.6 7.Allow sharing of data of personal living habits with utility personnel andothers without authorization of the property owner and occupants. Smart meters tr·ansmit information-carrying radio waves which can be intercepted by unauthorized and unknown parties. The signals can be used to monitor behavior and occupancy, and they can be used by criminals to aid criminalactivity against the occupants. Former CIA Director James Woolsey accounted the wireless security threat on EnergyNews.com.7s.Fatally disrupt and disable medical devices such as Pacemakers.9.Cause wasted electricity and health-damaging transients by the improperplacement and use of a of a switch mode power supply within the utility meter. Utilities claim that smart meters will cause customers to monitort11eir electrical usage to conserve more electricity. However, a British study reported on Sept. 2, 2011 that thousands of citizens with a smart meter on their home over the course of one year experienced little to no change inelectrical usage. We do not know if energy will be conserved with smart meters, and it is inaccurate to assume that the use of a smart meter causes customers to conserve energy.8 1 o. Cause heating and antenna effects upon any metal body implants which damage body tissues. 11.Cause damage to health and life by placing high-energy radio transmittersin close proximity to human living spaces. Medical research has 5https://www.iarc.who.int/wp-content/uploads/2018/07 /pr208_E.pdf 6htt ps :/ /sgp. fas. org/crs/misc/R42338. pdf 7htt ps://bit.ly/ja111eswool seygridsecurity ri Tolll HnrrJreaves, Michael Nye, Jacquelin Burgess, Making energy visible: A qualitative field study of how householders interact with feedback from smart energy monitors, Energy Policy, Volume 38, Issue 10, 2010, Pages 6111-6119 or https://doi.org/10.1016/j.enpol.20·10.05.06B 2424 documented that smart meters can negatively impact health. In April 2012, the American Academy of Environmental Medicine (AAEM) issued a position paper entitled, Electromagnetic and Radiofrequency Fields Effect on Human Health.9 According to the report, "Multiple studies correlate RF exposure with diseases such as cancer, neurological disease, reproductive disorders, immune dysfunction, and electromagnetic hypersensitivity ..... many in vitro, in vivo and epidemiological studies demonstrate that significant harmful biological effects occur from non-thermal RF exposure ... Genetic damage, reproductive defects, cancer, neurological degeneration and nervous system dysfunction, immune system dysfunction, cognitive effects, protein and peptide damage, kidney damage, and developmental effects have all been reported in the peerreviewed scientific literature." In a press release, the AAEM calls for immediate caution regarding smart meter installations due to potentially harmful exposure to pulsed radiofrequency radiation.10 12.Represent excess equipment costs with more expensive meters and represent more frequent replacement of the more expensive meters, all of which costs will be passed on to ratepayers via excess and unnecessary charges when this alternate "advanced" metering is unnecessary. 13.Represent unnecessary higher service costs in the processing and storingof data collected and general maintenance of the wireless grid network. J ,J. Represent unlawful invasion of privacy by the harvest and exploitation of databases of information about the personal and private activities inside the t1orne without the consent of the owners, occupants and guests11. Data about residents' daily routines and activities are collected, recorded, and stored in the utility's databases, which are accessed by parties not authorized by occupants to know and share that private data. Those databases may be handed off to criminals, blackmailers, corrupt law enforcement, private hackers, power company employees, and anyone who may act against the interests of the occupants who are unde1· metered su1·veillance. The above violations and abuses cannot be authorized by any lawful easement contract and represents unlawful and highly dangerous trespass on our property for which major liabilities will arise for which you are fully and personally responsible as authorizing and administering the policies which brought about 9 https://www.aaemonline.org/electromagnetic-and-radiofrequency-fields-effect-on-humanhealth/ 10 l1ttps://ww1,v.aaemonline.org/aaem-calls-for-immediate-caution-regarding-smart-meterinstallation/ 11 U.S. Const Amend. IV 2525 and/or rnaintain the trespass and hazards. We, as utility customers, hereby do not consent to assume such hazards and damages as a condition of receiving electric service or as a means of extortion of additional service payments from us in return for safe, lawful and reliable metering. NOTICE OF TERMS AND CONDITIONS Your service mus� be safe and lawful, and is not safe and lawful if you are putting electronic utility meters on homes. We invoke our right to self-defense, that in the face of this immediate bodily injury, this is a God-given right, protected by the Law and Constitution of the United States of America12. The laws you are violating by installing electronic utility meters on private homes and businesses without consent and full disclosure are, in general, Public Endangerment, Trespass, Extortion, Fraud, Assault, Arson and FCC regulations requiring consent of property owners for installation of radio transmitters.13 In light of those violations and the hazards and harm they cause, you must provide, within 21 days of this delivery, record of insurance naming me, your account holder, as beneficiary in order to provide full and speedy remedy, reimbursement and penalties for all hazards and harm listed above and any others that may arise. Absent such insurance, you are agreeing by the installation of any electronic utility meter to personally and promptly pay all claims and satisfy all demands which may arise from the dangers, nuisances, damages and harm that may be caused by any such electronic utility meter and you are agreeing that the the above list is generally true and represents intentional hazard and harm perpetrated upon any utility customer who receives an installed electronic utility meter. You may avoid this liability by permanently installing, at no charge, penalty or assessrnent, a safe and lawful fully electromechanical meter to record our utility service usage on a coarse monthly basis. Any claim that electromechanical meters are "not available" is false. The simple issue of a purchase order to a meter manufacturer will provide unlimited supply. If you refuse or fail to provide or allow safe, reliable and lawful electromechanical metering timely, we require full bonding, insurance and assurance of liability for all hazards listed above and any hazards not yet anticipated caused by electronic metering. That insurance or assumption of liability and responsibility must include your providing a name and address of a fully responsible and liable party where our claims may be filed and paid WITHOUT HESITATION OR QUESTION to remedy any real or perceived harm, injury, loss, damage or violation of rights caused by the above described electronic utility metering hazards, defects and offensive features and functions. 12 U.S Const. /\mend II and IV 13 Electronics Communications Privacy Act (Title 18, USC, Sec. 2511, 2512, 2518) 2626 If you do not provide that timely, then you and all other top policy-making officers of your organization are fully liable for all risks, violations, hazards and harm described above. In summary: YOU ARE HEREBY NOTICED THAT YOU ARE PERSONALLY CAUSING HARM AND DAMAGE WITH YOUR NON-CONSENSUAL METERING DEVICES AND PROGRAMS, AND YOU ARE FULLY AND PERSONALLY LIABLE FOR ALL CONSEQUENCES OF THAT METERING POLICY IF YOU FAIL TO CEASE AND DESIST THE ABOVE HAZARDS AND VIOLATIONS IMMEDIATELY. If, having failed to provide the safe and lawful metering described above, you additionally fail or refuse to provide the above assurance of liability and responsibility requested herein timely you will be in default and fully and personally accountable, liable and responsible for all consequences, damages, harm, injuries, losses, violations of rights, trespass, bad faith, negiigence. nuisance, and malice. Your failure to timely provide insurance, bonding and claim information described above is your agreement to personally pay for all claims as described above. You will also, by any failure or refusal to provide insurance and claim contacts described above, be putting up and offering you and your company's resources for prompt and uncontested settlement of our claims whenever they may be submitted for any incident where damages occur. Any failure to pay any our claim/s within 30 days of delivery will obligate you to pay all collection costs, legal costs and expenses, court fees and all incidental costs and expenses we may find necessary to secure settlement and collection of our clairns. We recommend providing contacts to us of your insurance carrier and providing the wording of your policy/s immediately. Any policy that is not provided and/or does not clearly provide the protection requested will be default of this notice and obligation. Because electronic meters represent numerous hazards, violations and potential damages, you are liable for major penalties claims for simply installing a working electronic utility on our property regardless of any tangible damage caused. This notice and all terms, conditions, declarations and representations herein are superior to and supplant any and all content in easement contracts that may have been established, proposed or presumed. Herein are the terms under which your company may lawfully provide electric service. Any contrary terms are unlawful and unenforceable and will cause you personally and your company major penalty. We have made no unreasonable demand and may not be refused 2727 or penalized for requiring safe and lawful entry and occupation of our property. This notice does not, and may not be construed to be a refusal of any kind of metering or violation of any easement or terms of service. It is simply requirement for the necessary insurance to mitigate the risks and harm you are causin£J. All terms and conditions above automatically take effect upon your default on the above conditions and terms. However, a simple denial of this requirement and notice is insufficient because the hazards are serious, real and confirmed by overwhelming evidence and you are responsible for causing those hazards and violations. If you do not timely rebut, with fact, law and evidence, our allegations of unlawful trespass of fire hazard, radiation emission, transient causation and unlawful surveillance, all representations, claims, declarations, terms and conditions put forth herein will be effective as contract and obligation against you. Bullying and threats of denial of service, penalties and "consequences" are not valid rebuttal to our allegations and serve only to expose your malfeasance and failure of responsibility. Any rebuttal to this notice must be submitted to us timely. Timely means prior to installation of electronic metering or, if electronic metering is installed, within 2·1 days of delivery of this notice. Urgency dictates that no "grace" period will be allowed beyond 21 days from this delivery other than reasonable time for mail deiivery. Failure to respond in writing and with supported rebuttal within 21 days constitutes full and final default by you, agreement to all terms, conditions and representations herein by you, your company and agents. If you require up to 15 additional days to respond you may request that in writing prior to default. We will determine if your metering activities and policies will allow the extension and we will notify you in writing if extension is granted. This Notice supersedes and replaces all prior agreements, clauses, contracts and easements which conflict with any point herein. Notice to principal is notice to agent and notice to agent is notice to principal. This is an adhesion contract with full effective power and effect by default. Sincerely, Peggy M. B. Edwards 2828 t-'1 Gmail Information You Requested t ·r',._.:,· -------------·-··-·--·--··---------------------------------------------------------- Solomon, Timnthy (PacifiCorp) <Timothy.Solomon@pacificorp.com> To: "pegandsam@gmail.com" <pegandsam@gmail.com> Cc: "Hoopiiaina, l<even (PacifiCorp)" <Keven.Hoopiiaina@pacificorp.com> Hello, Mrs. Edwards. Fri, Mar 4, 2022 at 11 :55 AM Thank you again for taking time with me today on the telephone. Along with the attachments, here are several links that relate to our conversation: 1.This link vvill take you to information on the meter currently installed in your meter base: CENTRON® (itron.com)2.This link will take you to details on the upgraded meter we are installing in Idaho. Please note that, despite the name, our system does not operate on 5G: Gen5 Riva Meter (itron.com)3.ltron's radio frequency (RF) information can be found here: Radio Frequency Resource Center I Itron For your information. I have also followed up with Greg Andrus, the planner who will be calling you, as well as his manager. Aaron Hancock. I·ve also copied Keven Hoopiiaina into this email. Keven is the project manager for the meter upgrades Please let me know if you have any other questions. I'll keep in touch with the Rexburg operations group to make SLffe they have connected witl, you. Again, thank you for your time this morning. Tim Timothy L Solomon Regional Business Manager Rocky Mountain Powc,r/PacifiCorp ;208-252-2446 2929 Samuel Z Edwards 333 Shoshone Ave Rexburg ID 83440 2229 Dear Samuel Z Edwards: 1407 West North Temple Salt Lake City, Utah 84116 You can count on us to provide the affordable and consistent power you need. We're using state-of-the-art technology to deliver dependable power as we plan for the future. We were recently in your area to upgrade your existing electric meter, but our installer couldn't access the meter base at 333 Shoshone Ave, Rexburg, Idaho. As required by the Idaho Public Service Commission, clear and safe access must be available to electric meters for inspection, maintenance, meter upgrades, and to enable us to respond to any emergencies. The Idaho Public Utilities Commission has reviewed smart meter technology, and the prevailing scientific research on consumer safety, and concluded that smart meters are allowed in Idaho without any alternative metering options. Please call 1-800-895-0631 within 15 days of receiving this letter to resolve any access issues and set an appointment to have your meter updated. We are happy to answer any questions you may have regarding the new meter and look forward to working with you. Kind Regards, Rocky Mountain Power Paro mas informaci6n, /lame al 1-888-225-2611 para hablar con un especiafista en espar1ol. 3030 i Gmail (no subject) P & S Edwards <pegandsam@gmail.com> To peggy6e@gmail.com 6 attachments IMG-3971.jpg 3219K IMG-3972.jpg 2857K IMG-3973.jpg 3182K Fri, Dec 9, 2022 at 9 59 MJl 3131 IMG-3974.jpg 2536K IMG-3975.jpg 3136K IMG-3976.jpg 3018K 3232 To Whom It May Concern, I, Kristine Bennion, do testify that The Edwards property at 333 Shoshone Ave, is unimpeded by any gates, fences, or obstacles that would inhibit access to the power meter. I was here in the summer of 2022 wllen the new smart rncters were set to be installed and the installation crew easily entered, wit11out issue, on to my property as well as the neighbor's property for installation-we both refused the new meters at tl,at time. Sincerely, Krist!rH? t5(·)nninn l // 1 -----l-��J:J\·N {;:(vl��ci� d�✓,1/1•Y~ .-� y· .I z;✓;;/-1/-- ;\t i-91 P�.LL ,c_ 3333 2 November 2020 To Whom it May· Concern, I, Jeanne Grimmett, of 330 Shoshone Ave Rexburg Idaho, 83440, do attest that the property of Samuel and Peggy Edwards at 330 Shoshone Ave, Rexburg Idaho, 83440 is open and unfenced from the street. r have their permission to access their property including their backyard vvhere the meter base is located. I ;1ttest that there are no physical barriers to the meter base and there have never been any physical barriers there since they moved into that home in October 201.9. 3434 INDIVIDUAL ACKNOWLEDGMENT Slcltf::/Con1111011wc:!dlth of I qfqlur I ! , • "' County of /V(Ac-{1 s(1/.>'"' Doy Month Year ___________ {!._0__,__-....,,_-_1_�---¥--·_._-_-_1 __ �-i-fl--"·..s,=-_._·L"'---------• the undersigned Nota1·y Public, Nome of Notary Public personally oppeared ______ ..... Jkr,_..._,...#'��,__-__ �����-�--S ____________ _ r=--rr Name(s) of Signer(s) '1%-JJersonally known to me -OR -D proved to me on the basis of satisfactory evidence 1"5�t;'°::�, ...... _.k-,�,t:�-:f;a,,6, ... -�., 1 cw::S,Gf"HER J DYSON f.i ,_,.. :,,,-.• ,,c - St,;te of Idaho ;'. ,0, ·,u"1bo"r 20204829 to be the person(s) whose name(s) is/are subsu-ibed to the within instrument, and acknowledged to me that he/she/they executed the same for the purposes therein stated. .''.: r ,_.,·.-.,�·.::,•1•)n Ex;:,ires Dec 9, 2026 Place Notary Seal/Stamp Above WITNESS my hand and official seal. �/,�-Signature '6rNotryPub!ic e1;..l f-4::;etu:J o/ot"' Any Other Required Information (Printed Name of Notary. Expiration Date, etc.) ----------··-······-·-·------------OPTIONAL ------------------,!This secilon is required for notarizations performed in Arizona but is optional in other states. Comr,teting this information can deter alteration of the document or fraudulent reaHachment of this form to an unintended document. Description of Attacl1ed Document � Tille or Type of Document: ---�"Fon--�--�-�--�-.... \+Cl�f&�i�t __________ _ Dcc.umr:-nt Date: ______ /_2._-�z___-_Z-._2-_______ Number of Pages: ______ _ L .. Si9ner(s) Ot11er Ti1an Named Above: _,_f:'.:v__,_"'1___,,-,)..cc...l�_· __ �_--'-..,_,'-"""-'C<A._-+!-�0-'---'=e?�c.,,,,�fl_e__�_Gn_,_·-_' -:�-""'-_l. __ �---�-- t;2020 National f\Jotary Association .J 3535 INDIVIDUAL ACKNOWLEDGMENT State/Cornm()11wec1ith of County of �:(k,, ,r(.�-"---L...L.----------- ·-;, �- ·rel •"" -, On this t1v2 _(,,,, ___ day of ___ U,.__,_.,,R,,e.g,==<----.:.:'c..��'-------� ___ z..c.c;.._z.._�---� before me, Day Month Year C/��'.s /4..-rzh y__) l?-fJ0-:. the undersigned Notary Public. Nome of Noto,y Public porsonal1y i'lppccned _____ ·f:��r;-�_")�\.���('�•-\$=_Q..,_-v_,_.---_�_, ________________ _ Nome(s) of Signer(s) µs-personally known to me -OR -D proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged to me that he/she/they executed the same for t11e puq'.loscs therein stated. Pince Notary Seal/Stomp Above WITNESS my hand and official seal. ��� Signatf.trerNotary Public C/1;s4-;1li.rJ �-SCt.-A Any Other Required Information (Printed Nome of Notary, Expiration Date, etc) ------------OPTIONAL--------------------- This '.;ection is required for notarizations performed in Arizona but is optional in other stoles. Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attacl1ed Document Title or Type of Document: --�Q;_· =2?._'l�---;� ____ a_�-..,'"'-"'--r.tth __ •/-_________ _ Document Date: -----+14'2�------"'2'----=2-'--2-______ Number of Pages: ______ _ Signe1 (s) Otiw1 Tl1a11 Named Above: _ _.\'--'�='--'--"M,/'-""---�---1--<-.e.'_v�--'-v-\-\.---'-'L�i--i..---1ic---\��----�,_�1---/-<_�_--_,,_,.._�-· �-�.c_;<��=-�--- �---··-�··-------•· ·-------------------------------------� ·�·2020 I\Jvtiu11vl Nota1y Association 3636 INDIVIDUAL ACKNOWLEDGMENT Stntc/Comrno11weatt11 of 7 ,,., ✓ ,,,.,,, •J,?_ -- / - ,..-.,. On this U1e __ ,,::_: ____ ' _________ day of __ ���"--�_,.....,__,•�"--'--------�"2..l=v-·_2.._, ___ , befor,� me. Day Month Year -�{_Jh_r_r_1_-s_�-+7'.'-½�·""_0_· _C"Y_-¥�c=--�-------· the undersigned f'-Jotary Public.Nome of Notary Publ;='t personally appeared ___ ,j d-"'fd��t�11"-'2�<'.--C�r�-'n.'-'-'---'-'t,.t-J\---'--=--f""\.-�_..i._A-____________ _ Pfoce Notory Seal/Stamp Above Nome(s) of Signer(s) ,;ipersonally known to me -OR - D proved to me on the basis of satisfactory evidence, to be the person(s) whose name(s) is/are subscritiecl to the within instrument, and acknowledged to me that he/she/they executed the same for the purposes therein stated. WITNESS my hand and official seal. �� SignatureofNo �ublic Cf-,f0;A--1c:..j �;s�--- Any Other Required Information (Printed Name of Notary. Expiration Date, etc.) ----------OPTIONAL ----------------� This section ,s required for notarizations performed in Arizona but is optional in other states. Con1pl<cting this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. 1 Dec,cript:on of Attached Document Title or ·rype of Document: __.,_tf_e1_,-:,_rn:z./ ___ 0 __ � _ __,'-----"---"==·""·_,_(;.c..;_.,.£--_· _____________ _ Ducurnent D2.t12: _____ /.�'2�--2_-_2_2-_________ Number of Pages: _______ _ '.':,\p1(:f[s) Othu Tnan Named Above: C-i·')'--S+,-1'1.tL ___ ---------··-----, ·(:,2020 National f'Jota1y Association (�;-1�1 1J'f'W' Zq0t-cf.s. ___ __I 3737 Idaho Residential Utility Disconnection In Idaho, investor-owned utilities providing basic services such as electricity, gas, water and telecon1n1unications services must follow rules that protect consumers. The rules are established and enforced by the Idaho Public Utilities Commission (IPUC). The IPUC is a state �gency charged with re8uiating investor-owned utilities. (City-owned or cooperative utilities are not regulated by the IPUC). The rules say when a utility can and cannot disconnect service to a customer. They ;:ilso r,?quire utilities to inform customers before service is actually shut off, so that payment pians can be· attempted and disconnection avoided. This fact sheet answers common questions about your rights and responsibilities as a customer of ;:1 rcgu!dtcd g.=1'.,, eiectric, or water utility. When can a cornpany shut off my service? Your electric, gas, or water company may begin taking steps to shut off your service if: o You do not pay your bill by the due date. •You pay your bill with a dishonored check or make an electronic payment from an account that hc1s insufficient funds. Q You do not pay a required deposit. •You use a false name or misrepresent yourself to get service. •You do not pay according to an arrangement you made with the utility. " You are wasting service through improper equipment or otherwise. " The custorner is a minor not competent to contract (an un-emancipated minor). .. \\Ju i,llllfJ(:>r with or prevent access to your meter. How much notice will I get? If the utility has grounds to shut off your service, the company must: ,.. Serid you a written notice telling you of its intention to shut off service at least SEVEI\J DAYS before the planned date. 111 The utility may send you a final notice at least THREE DAYS before the planned date. It must give you a final notice at least 24 HOURS before it plans to actually shut off service. The utility rnust attempt to contact you or an adult member of your household before shutting off service. •The utility must shut off service within 21 DAYS after the planned date or begin the notification process again.,.. No additional notice is required if a payment arrangement made after receiving written notice i.s not kept, or you pay your bill with a dishonored check or make an electronic payrncnt from an account that has insufficient funds. () If you receive your bill electronically, you may separately consent, in writing, to receive clect1 onic notifications. 1 of 3 Updated 3/19/2020 3838 Can I be shut off without notice? There arr tim<?s when a utility can shut off service without notifying you first. For example, no advance notice is required if a dangerous condition exists or meter tampering is discovered. Do I have to pay my bill in winter? Yes. However, if you are having trouble paying the gas or electric bill, you should notify the company and try to make special arrangements. Payment plans are available, inc!ucling a special Winter Payment Plan. What if I have children, elderly, or seriously ill people at home? You are still required to make payments if possible. A special Winter Payment Plan is available if you are unable to pay your bill in full during the winter. But if you are not able to pay AND have childi-en. elderly, or ill people in your home, your gas or electric heat cannot be shut off during th� months of December, January, and February. You must let the utility know you cannot pay your bill and how you qualify. The winter disconnection moratorium, however, does not apply to customers who don't apply for service or obtain service dishonestly. What if I'm seriously ill? No utility can shut off service if you provide the utility with a certificate from your doctor or a public hc2lth official with medical training, stating that a serious illness or a medical emergency exists or could be created for any permanent member of your household if your service is shut off. This certificate will postpone a shut-off for 30 days. If your service is already shut--off, the utility must turn it back on. Within the 30-day period, you must make arrangements with the utility to pay the bili. l"he utility may agree to renew a medical certificate for an additional 30 days if ·you are still unable to pay the bill. Can I get disconnected at night or on the weekends? Even if the utility has grounds to shut off service, it may not do so at these times: " Before 8 a.m. or after 5 p.m. Service may be shut off between 5 p.m. and 9 p. m. Monday through Thursday if the utility is unable to gain access to the customer's meter during normal business hours. c Friday, Saturday, Sunday or any legal holiday recognized by the State of Idaho (New Year's Day, Martin Luther King Day, President's Day, Memorial Day, July 4th, Labor Day, Columbus Day, Veteran1s Day, Thanksgiving·oay, and Christmas Day). $ The day before a legal holiday recognized by the State of Idaho. 0 Any time the utility's business offices are closed. 2 of 3 Updated 3/19/202.0 3939 DECISION MEMORANDUM 1 DECISION MEMORANDUM TO: COMMISSIONER ANDERSON COMMISSIONER HAMMOND COMMISSIONER LODGE COMMISSION SECRETARY COMMISSION STAFF LEGAL FROM: DAYN HARDIE DEPUTY ATTORNEY GENERAL DATE: APRIL 10, 2023 SUBJECT: IN THE MATTER OF SIX FORMAL COMPLAINTS FILED AGAINST ROCKY MOUNTAIN POWER REGARDING SMART METER INSTALLATIONS; CASE NOS. PAC-E-23-04; PAC-E-23-05; PAC-E-23-06; PAC-E-23-07; PAC-E-23-08; AND PAC-E-23-11 Between March 22, 2023 and March 27, 2023, the Commission received six formal complaints (collectively referred to as the “Complaints”) filed against PacifiCorp dba Rocky Mountain Power (“Company”). The Complaints all regard the Company’s threat to disconnect service if customers refuse to allow the Company to install smart meters. The central theme of the Complaints focused on customers who did not want to have smart meters installed at their homes. Reasons cited for not wanting smart meters included age and health of the complainants, a child with special needs proximity to the home’s meter, lack of legal authority allowing the Company to install the smart meters, data privacy, and a request for an opt- out provision. STAFF RECOMMENDATION Staff recommends the Commission issue a Summons to the Company directing it to answer or otherwise respond to the Complaints within 21 days. Staff recommends that because of the similarity of each complaint, the Company be allowed to file a single response that addresses the various issues referenced in the Complaints in addition to the installation of smart meters and associated threat of disconnection. COMMISSION DECISION Does the Commission wish to issue a Summons to the Company directing it to answer or otherwise respond to the Complaints within 21 days? Dayn Hardie Deputy Attorney General I:\Legal\ELECTRIC\PAC_RMP Smart Meter Complaints\PAC_RMP_dec1_dh.docx 4040 Idaho Public Utilities Commission Brad Little, Governor P.O. Box 83720, Boise, ID 83720-0074 Eric Anderson, President John R. Hammond, Jr., Commissioner Edward Lodge, Commissioner April 19, 2023 Via Certified Mail PacifiCorp d/b/a Rocky Mountain Power 1407 West North Temple, Suite 330 Salt Lake City, UT 84116 Re: Jacoba H. van Mastrigt, et al., vs. PacifiCorp d/b/a Rocky Mountain Power Case Nos. PAC-E-23-04; PAC-E-23-05; PAC-E-23-06; PAC-E-23-07; PAC-E-23-08;PAC-E-23-11 To Whom It May Concern, Enclosed please find a Summons and six Complaints issued against Rocky Mountain Power in the above-mentioned cases. As directed in the Summons, you are to file a written answer or motion indefense of said Complaints with this Commission within twenty-one (21) days of the service dateof the Summons. The answer or motion in defense should address all unique grievances againstthe Company regarding smart meter installations and the threat of disconnections described in the complaints. Enclosure( s)l :\Legal\ELECTRICIPAC_ RMP Smart Meter Cornplaints\Summons_ CvrLtr _dh.docx Sincerely,��iy� Commission Secretary P.O. Box 83720, Boise, Idaho 83720-0074 Telephone: (208) 334-0300, Fax: (208) 334-3762 11331 W. Chinden Blvd., Bldg. 8, Suite 201-A, Boise, Idaho 83714 4141 BEFORE THE IDAHO PUBLIC UTILITIES COMMISSION JACOBA H. VAN MASTRIGT, et al. COMPLAINANTS, vs. PACIFICORP, d/b/a ROCKY MOUNTAIN POWER, RESPONDENT. ) ) ) SUMMONS ) ) CASE NOS. PAC-E-23-04 ) PAC-E-23-05; PAC-E-23-06; ) PAC-E-23-07; PAC-E-23-08; ) PAC-E-23-11 ) ) -------------------) PacifiCorp d/b/a Rocky Mountain Power 1407 West North Temple, Suite 330 Salt Lake City, UT 84116 THE STATE OF IDAHO SENDS GREETINGS TO THE ABOVE-NAMED RESPONDENT. YOU ARE HEREBY NOTIFIED that six formal Complaints have been filed with the Idaho Public Utilities Commission by the above-named Complainants; and YOU ARE HEREBY DIRECTED to file a written answer or written motion in defense of the Complaints within twenty-one (21) days of the service date of this Summons; and YOU ARE HEREBY NOTIFIED that unless you do so within the time herein specified, the Idaho Public Utilities Commission may take such action against you as is prayed for in the Complaints or as it deems appropriate under Title 61 of the Idaho Code. WITNESS my hand and the seal of the Idaho Public Utilities Commission this 19th day of April 2023. �,i;S, (SEAL) Commission Secretary l:\Legal\ELECTRICIPAC_RMP Smart Meter Complaints\Summons to PAC_clh.docx SUMMONS 1 4242 COMPLAINT To: Jan Noriyuki Commission Secretary Idaho Public Utilities Commission PO Box 83720 Boise,ID 83720-0074 Date:March 20, 2023 From: Jacoba H.van Mastrigt 5447 E Hacienda Dr. Idaho Falls,Idaho [83406] RE:Installation of "Smart" Meter and threat of service disconnection Dear Sir, This COMPLAINT was originally submitted by me to ATTORNEY GENERAL Raúl R. Labrador at the suggestion of Peggy Edwards of Rexburg,Idaho.Peggy mentioned that she spoke briefly with Raúl R.Labrador in Boise on January 17,2023 about her challenges with ROCKY MOUNTAIN POWER/PACIFICORP and their attempt to force the installation of a smart meter on her home against her will and consent.He encouraged her at that time to submit her COMPLAINT to his OFFICE of the ATTORNEY GENERAL. I felt it important to submit this same COMPLAINT to you as well for your own investigation.Thank you for your attention to this matter. I am a 99-year old widow,legally blind,deaf,and hyper-electro sensitive,currentlyfaced with the real possibility of having my power/electrical service disconnected in less than 15 days (see disconnect letter, dated March 1,2023,Exhibit A).I have attempted over and over again,in good faith to resolve all issues with ROCKY MOUNTAIN POWER/PACIFICORP which have led up to this point where they are now threatening to shut my power off,in spite of the fact that I have always paid my power bill each month and am currently not late with payment.They, in turn are the aggressor operating in bad faith,using strong-arm intimidation tactics,threat, duress,and coercion in order to unlawfullyforce their will upon me and my private property while silencing my legitimate claim(s)against them.It is important for you to understand that ROCKY MOUNTAIN POWER/PACIFICORP has not responded to any of my timely correspondence,which includes a conditional offer to resolve the issues between us.They have arrogantly and contemptuously remained silent on all my documents,documents to which they have a legal and moral obligation to speak. Silence,as you well know is indicative of fraud and bad faith. This COMPLAINT arises over matters concerning myself and ROCKY MOUNTAIN POWER/PACIFICORP in regards to their intention to install a "Trespassing Technology"known as a "Smart" type meter on my home, located at 5447 E Hacienda Dr., Idaho Falls,Idaho, contrary to my existing and long-standing contractual agreement with them,as well as my will and consent. Please find attached my DECLARATION in the form of an AFFIDAVIT in support of this letter of COMPLAINT,along with supporting Exhibits A,B, C, D,E,F,G,and H. Last year,I received an undated and unsigned letter from ROCKY MOUNTAIN POWER/PACIFICORP (see Exhibit B)on or around November 22,2022 instructing me to call their 800 number within 15 days to resolve any "access"issues and set an appointment to have my electric CASE NO. PAC-E-23-04 4343 meter updated with their smart meter (Trespassing Technology). Instead of calling the 800 number I decided to write them a letter (see Exhibit C) along with my attached CONDITIONAL ACCEPTANCE dated December 1, 2022 (see Exhibit D), conditionally accepting their offer to install a smart meter (Trespassing Technology) on my home, giving them 15 days to respond to said CONDITIONAL ACCEPTANCE and other documents (see COURTESY NOTICE, Exhibit E; NOTICE OF FAULT, Exhibit F; NOTICE OF DEFAULT, Exhibit G; and NOTICE OF ESTOPPEL, Exhibit H) which followed, all of which they have failed to answer as required, putting them in DEFAULT. Also included with my letter was their original letter, which I returned to them with my "Returned for Cause" statement (see Exhibit B) written on it. Please note that one set of original documents was sent to the return address on their mailing envelope at P.O. Box 400, Portland, Oregon 97207, and the other set of original documents to the address on the letterhead inside their mailing envelop at 1407 West North Temple, Salt Lake City, Utah 84126. On March 12, 2023, I received another unsigned letter (see Exhibit A) stating that this is a "SECOND NOTICE: Required Access for Meter Upgrade at 5447 E Hacienda Dr Idaho Falls, ID", and that their contractor was refused "access" to perform a meter (Trespassing Technology) exchange, knowing full well that they are already in DEFAULT by tacit acquiescence, therefore having no standing to proceed. This new letter also states that I am to call their 800 number to resolve this issue within 15 days, or they will refer my account to their service disconnection process. Be advised that this issue/matter has already been resolved as a result of ROCKY MOUNTAIN POWER/P ACIFICORP' s tacit acquiescence due to their silence on all my series of documents which they received. In this letter they also claim that I am "contractually obligated to allow" ROCKY MOUNTAIN POWER/PACIFICORP "safe and unencumbered access to our equipment. Meter service is a condition of electric service, as expressed in the Idaho Public Utilities Commission's Customer Relations Rules, namely Electric Service Regulation No.6, ... " Please be aware that the word/term "access" in ROCKY MOUNTAIN POWER/PACIFICORP's letters to me is being improperly applied to mean something other than what it really is (see explanation below). INTRODUCTION [BRIEF IDSTORY] As it stands now, there has been in place for the past 37 or so years a relationship of a "contractual" nature between myself and ROCKY MOUNTAIN POWER/P ACIFICORP (formally UT AH POWER AND LIGHT), who currently provides me with electrical power to my home. I, in turn naturally, have agreed to allow ROCKY MOUNTAIN POWER/PACIFICORP's (formerly UT AH POWER AND LIGHT) meter reader(s) "access" of a "specified and limited" nature, not a general unspecified and unlimited nature, to my private property each month specifically for them to read my electrical power meter ONLY. No other access to my private property, implied or otherwise was ever granted to ROCKY MOUNTAIN POWER/P ACIFICORP (formerly UT AH POWER AND LIGHT) at any time. Any other necessary "access", including troubleshooting power outages and making necessary repairs to electrical equipment located on my private property is considered "special" in nature and would only be granted at the time, I, the private property owner reported a power outage and or requested them to troubleshoot an electrical problem and make necessary repairs ONLY. Therefore, ROCKY MOUNTAIN POWER/P ACIFICORP (formally UT AH POWER AND LIGHT) does not have autonomous authority in and of itself to access my private property to troubleshoot and or make necessary repairs to electrical equipment or for any other reason at any time, day or night until they receive notification from me authorizing and granting them permission at that time, on a one-time case-by-case basis only for them to proceed to do the specified request. Anything other than this is a trespass, invasion of my privacy, security, unalienable Rights, including my private property rights which cannot be diminished, as well as a violation of our long-standing and existing contractual agreement. Let me be clear on this issue of "access" which ROCKY MOUNTAIN POWER/P ACIFICORP claims that I am denying them. I and no one else in my home has ever denied COMPLAINT 2 4444 "access" to any of ROCKY MOUNTAIN POWER/PACIFICORP's meter readers or their company repair personnel as per our previously agreed upon terms of our long-standing contractual agreement over the years. However, there has never been in place any agreement for personnel from any third party company to trespass on my private property and tamper with my, in this case electrical meter at any time, whether I am at home or if no one is at home, neither has there ever been in place any agreement with ROCKY MOUNTAIN POWER/P ACIFICORP to "access" my private property to make a non-repair (or install a Trespassing Technology) when no request for such type of service was ever made, and no defective electrical equipment on my private property exists. So, if no defective electrical equipment exists on my private property and I did not call ROCKY MOUNTAIN POWER/PACIFICORP to report any troubles/problems with my electrical service and thus no electrical repairs were/are needed, what are there personnel doing on my private property and or attempting to access my private property without my consent, which they know is contrary to our existing contractual agreement? Understand that this whole issue surrounds a matter of an existing "contract" which ROCKY MOUNTAIN POWER/PACIFICORP are attempting to impair my obligation to. This contractual relationship, as I said before has been in place since we built our home about 37 years ago when we requested ROCKY MOUNTAIN POWER/P ACIFICORP (previously UT AH POWER AND LIGHT) to install an analog electric meter (not a Trespassing Technology) and supply our home with electrical power, to which they agreed. This has worked smoothly without any problems or disputes until last year, when ROCKY MOUNTAIN POWER/PACIFICORP attempted to change the terms of our previously agreed upon and long standing "contract" without any prior proper notification or full disclosure that they were attempting to change said terms of or initiate a new contract without my knowledge and consent in order for them to bully their way onto my private property to make a non-repair ( or install a Trespassing Technology) which is not part of our existing contractual agreement. As you well know, for any changes to be made to a contract, both parties must be, in agreement, and both parties must have clear understanding of any and all terms and changes in terms of said contract to be valid and binding. This is simply not the case in this matter. To allow this abuse to continue would be a travesty of justice. ROCKY MOUNTAIN POWER/P ACIFICORP acknowledges the existence of our contractual relationship (see Exhibit A) but in a skewed and twisted fashion, not relating the matter truthfully. They propagate deceptions and lies that the smart meter is safe and the homeowner is the antagonist and an uncooperative party for not wanting their smart meter (Trespassing Technology), making us the "bad guy". This is like thugs attempting to break into your home and you resisting them, and then having them go to the authorities complaining that the homeowner is being uncooperative by not letting them into their home. This is indeed a criminal mentality to which the PUC/Legislature just turns a blind eye to. Why is it that the IDAHO PUBLIC UTILITIES COMMISSION/Legislature supports/sanctions this type of criminal behavior and never comes to the aide of the customers? This seems to be a common practice from state to state and the people/inhabitants nearly always ends up with the short end of the stick. There is no one or agency in the Idaho government advocating for the people/inhabitants in their plight with ROCKY MOUNTAIN POWER/PACIFICORP, but there is a government agency advocating for ROCKY MOUNTAIN POWER/P ACIFICORP' s position -the IDAHO PUBLIC UTILITIES COMMISSION. It is clear that this agency does not operate in the best interest of the people/inhabitants of Idaho primarily because their hands are tied by the legislature. This whole picture is a one-sided equation not in my favor or other customers. ROCKY MOUNTAIN POWER/PACIFICORP is now assuming and presuming that they have the right to alter our existing long-standing contractual relationship without our knowledge and consent anytime they please implying that they can come onto my private property anytime they please to do whatever they wish, which they cannot. Understand, I have committed no wrong in this instant matter and have done my due diligence in an attempt to resolve all issues in order to keep the peace and my electric power on. COMPLAINT 3 4545 ROCKY MOUNTAIN POWER/P ACIFICORP on the other hand have completely ignored my timely CONDITIONAL ACCEPTANCE and follow-up documents, choosing to stand mute. They have acted in bad faith and continue to walk in dishonor. Their silence is palpable and unacceptable. ROCKY MOUNTAIN POWER/PACIFICORP is a huge corporate giant with endless financial resources coming against this small single family who only desires to live in peace. This huge corporate giant seems to think that because they operate as a government sanctioned monopoly, knowing that customers have no other option or choice in power companies, they can just run rough shod over their perceived disobedient customers to force their unlawful will (Trespassing Technology) upon them by use of deception, lies, strong-arm intimidation tactics, threat, duress, and coercion (all criminal acts) in order to covertly alter a previously agreed upon "contract" without my knowledge and consent -HOLDING MY ELECTRICAL POWER SERVICE AS RANSOM. This is a matter of the big bully on the block going around breaching the peace, terrorizing and strong-arming the inhabitants in the neighborhoods and bullying their way onto their customer's private property and into their private lives. This is criminal behavior and it must be stopped. FACTUAL COUNTS I, Jacoba H. van Mastrigt, hereinafter referred to as complainant, in pro per, complaining of ROCKY MOUNTAIN POWER/PACIFICORP and their Trespassing Technology, respectfully alleging various felonious acts being perpetrated upon complainant as follows: COUNT 1: Breach of the Peace. ROCKY MOUNTAIN POWER/PACIFICORP's attempted unlawful intrusion onto complainant's private property and into complainant's home by way of a smart meter (Trespassing Technology) wire-tapping device, resulting in a breach of complainant's peace causing undue fear, severe anxiety, mental fatigue, as well as physical and emotional stress. COUNT 2: Attempted Extortion of complainant's will, consent, and rights through use of threat, duress, and coercion in order to induce complainant to capitulate, by wrongful use of fear and under color of official right to ROCKY MOUNTAIN POWER/P ACIFICORP' s unlawful compulsion to accept their smart meter (Trespassing Technology) while holding the threat of electrical service disconnection over complainant's head. COUNT 3: Impairment of Contract. Impairment of complainant's obligation of an existing contract between ROCKY MOUNTAIN POWER/P ACIFICORP and complainant by use of threat, deception, strong-arm intimidation tactics, trickery, duress, and coercion. Violators are attempting to change terms of an existing contract and or create a new contract with complainant in order to install a "smart" meter (Trespassing Technology) without the authorization/consent of complainant by wrongful use of fear and under color of official right, hoping complainant will grant coerced or tacit agreement for such contract changes by either omitting to perform a particular act or through the performance of a particular act induced under compulsion in order to get their smart meter (Trespassing Technology) installed on complainant's home. COUNT 4: Attempted Extortion. Attempted extortion and takeover of complainant's private property for commercial use. Violators, by wrongful use of fear and under color of official right are attempting to commandeer complainant's private property in order to install a smart Meter "relay station" (Trespassing Technology) on complainant's property for the sole benefit of ROCKY MOUNTAIN POWER/P ACIFICORP and outside third-party entities without any just authorization and compensation to complainant for such. This would amount to theft, unlawful conversion of private property, unjust enrichment, and violation of complainant's FIFTH AMENDMENT right to not be deprived of complainant's right to life, liberty, or property, without due process of law. COMPLAINT 4 4646 Note: If attempted murder is prosecutable, then attempted extortion by use of threat, duress, and coercion is also prosecutable. COUNT 5: Attempted Illegal Wiretapping. ROCKY MOUNTAIN POWER/PACIFICORP is attempting to illegally wiretap complainant's home and extract personal and private information without a lawfully issued and or executed search warrant, through the installation of an unlawful (as no consent is given) surveillance/bugging device known as a smart meter (Trespassing Technology). Smart meter capabilities include, but not limited to monitoring, logging, storing, transferring, and sharing of daily personal and private habits and routines of occupants of private homes and then giving said information to unauthorized third-parties for profit, including police and federal government snoop agents, all without the homeowner's or other occupants consent to do so. This would amount to gross violation of complainant's FOURTH AMENDMENT right to be secure in complainant's person, houses, papers, and effects, against unreasonable searches and seizures, as well as complainant's FIFTH AMENDMENT right to not be deprived of complainant's right to life, liberty, or property, without due process of law. COUNT 6: Threat with Intent to Commit Harm to complainant and other household members by threatening to shut off electrical power to complainant's property/house if complainant does not allow ROCKY MOUNTAIN POWER/ PACIFICORP to install a smart meter (Trespassing Technology) on complainant's house. Termination of electrical power will cause severe hardship, stress, and duress, as well as severe physical and emotional harm to this already frail 99-year-old complainant. COUNT 7: Gross Negligence; Hazardous Negligence. The "gross negligence", or reckless and wanton behavior of ROCKY MOUNTAIN POWER/P ACIFICORP is manifest in their failure to exercise even slight care, and evidences a reckless disregard of complainant's life and safety, as well as of others in complainant's household, by attempting to expose us to the dangerous/ hazardous health effects of a smart meter (Trespassing Technology) which they are attempting to install on complainant's private property against complainant's will and consent. There intentional failure to perform a manifest duty to truthfully inform complainant of the actual dangers of a smart meter is in reckless disregard of the consequences as affecting complainant's life and property, including a gross want of care and regard for complainant's rights and the rights of others in complainant's household. Their behavior is also "hazardous negligence" due to ROCKY MOUNTAIN POWER/ P ACIFICORP' s careless or reckless conduct by attempting to expose complainant and other members of complainant's household to the very great danger of injury and imminent peril should the installation of their smart meter (Trespassing Technology) on complainant's home take place. COUNT 8: Actionable Fraud. ROCKY MOUNTAIN POWER/ P ACIFICORP has committed an "actionable fraud" against complainant by use of deceptive practices in an attempt to induce complainant to part with complainant's legal right(s), to include complainant's long-standing existing contractual agreement with ROCKY MOUNTAIN POWER/ P ACIFICORP, as well as unlawfully attempting to commandeer complainant's private property for commercial use by installing a "relay station" (smart meter Trespassing Technology) without complainant's consent by making false representations with the intention to deceive. Further, it appears that ROCKY MOUNTAIN POWER/ PACIFICORP makes a material representation which is knowingly false concerning their smart meter (Trespassing Technology), making such representation without any knowledge of its truth and as a positive assertion that smart meters are safe, and made it with the intention that it should be acted on by complainant. If complainant acts and complies with this false representation, complainant fears and believes an impending injury will be suffered by complainant and possibly others in complainant's household as well. COMPLAINT 5 4747 COUNT 9: Elder Abuse. This amounts to knowingly and willfully doing something that a reasonable person would not do which inflicts physical and emotional pain and mental injury to an elderly person. ROCKY MOUNTAIN POWER/PACIFICORP, having foreknowledge of complainant's age (99-years-old) and physical conditions, continues to acknowledge their intent to abuse complainant by negligent infliction of physical pain and mental injury by continuing their strong-arm intimidation tactics, threats, duress, and coercion against complainant in their attempt to install a dangerous and health-hazardous smart meter against complainants will, which makes this a criminal act as per, TITLE 18-1505, subsection 2 & 4 of the Idaho Statutes. DEFINITIONS From: Black's Law Dictionary, Fourth Edition EXTORT. To compel or coerce, as a confession or information by any means serving to overcome one's power of resistance, or making the confession or admission involuntary. Sutton v. Commonwealth, 207 Ky. 597, 269 S.W. 754, 757. To gain by wrongful methods, to obtain In am unlawful manner, to compel payments by means of threats of injury to person, property, or reputation. McKenzie v. State, 113 Neb. 576, 204 N.W. 60, 61; State v. Richards, 97 Wash. 587, 167 P. 47, 48. To take from unlawfully; to exact something wrongfully by threats or putting in fear. State v. Adams, Del., 106 A. 287, 288, 7 Boyce, 335. See Extortion. The natural meaning of the word "extort" is to obtain money or other valuable thing either by compulsion, by actual force, or by the force of motives apP.lied to the will, and often more ove owering and irresistible than P.hysical force. Com. v. O'Brien, 12 Cush., Mass., 90. EXTORTION. Unlawful obtaining of money from another. People v. Parkinson, 181 Misc. 603, 41 N.Y.S.2d 331, 334. Obtaining of property from another, with his consent, induced by wrongful use of force or fear, or under color of official right. And see State v. Logan, 104 La. 760, 29 So. 336; In re Rem pf er, 51 S.D. 393, 216 N.W. 355, 359 55 A.L.R. 1346; Lee v. State, 16 Ariz. 2� 145 P. 244, 246,Ann.Cas.1917B, 131. Obtaining of property of another by threats to injure him and to destroy hisproperty, State v. Phillips, 62 Idaho 656, 115 P.2d 418, 420. Taking or obtaining of anything fromanother by means of illegal compulsion or o pressive exaction, Daniels v. U.S., C.C.A.Cal., 17 F.2d 339, 342; whether by an officer or otherwise, United States v. Dunkley, D.C.Cal., 235 F. 1000,1001. A taking under color of office is of essence of offense. La Tour v. Stone, 139 Fla. 681, 190 So. 704, 709, 710. At common law, any oppression by color or pretense of right, and particularly and technically the exaction or unlawful taking by an officer of money or thing of value, by color of his office, either when none at all is due or not so much is due, or when it is not yet due. Preston v. Bacon, 4 Conn. 480.See People v. Barondess, 16 N.Y.S. 436, 61 Hun, 571; Murray v. State, 125 Tex.Cr.R. 252,67 S.W.2d 274, 275; State v. Anderson, 66 N.D. 522, 267 N.W. 121, 123; Whart.Cr.L. 833. Term in comprehensive or general sense signifies any oppression under color of right, and in strict or technical sense signifies unlawful taking by any officer, under color of office, of any money or thing of value not due hi..m, more than is due, or before it is due. State v. Barts, 132 N.J.L. 74, 38 A.2d 838, 843, 844, 848; State v. Vallee, 136 Me. 432, 12 A.2d 421. To constitute "extortion " money or other thing of value must have been willfully and corruptly received. La Tourv. Stone, 139 Fla. 681,190 So. 709,710. ff o constitute "extortion " the wrongful use of fear must be the operating cause producing consent. People v. Biggs, 178 Cal. 79, 172 P. 152, 153. COMPLAINT 6 4848 GROSS NEGLIGENCE. The Intentional failure to perform a manifest duty in reckless disregard of the consequences as affecting the life or property of another; such a gross want of care and regard for the rights of others as to justify the resum tion of willfulness and wantonness. Seelig v. First Nat. Bank, D.C.IlL, 20 F.Supp. 61, 68. The failure to exercise slight care. Jones v. Atchison, T. & S. F. Ry. Co., 98 Kan. 133, 157 P. 399, 400; Burton Const Co. v. Metcalfe, 162 Ky. 366, 172 S.W. 698, 701. In the law of torts (and especially with reference to personal injury cases), the term means such negligence as evidences a reckless disregard of human life, or of the safety of persons exposed to its dangerous effects, or that entire want of care which would raise the presumption of a conscious indifference to the rights of others which is equivalent to an intentional violation of them. McDonald v. Railroad Co., Tex.Civ.App., 21 S.W. 775; Railroad Co. v. Bodemer, 139 Ill. 596, 29 N.E. 692,32 Arn.St.Rep. 218; Coit v. Western Union Tel. Co., 130 Cal. 657, 63 P. 83, 53 LR.A. 678; Bremerv. Lake Erie & W.R. Co., 318 Ill. 11, 148 N. E. 862, 866, 41 A.LR. 1345. ndifference to present legal duty and utter forgetfulness of legal obligations, so far as other persons may be affected, and a manifestly smaller amount of watchfulness and circumspection than the circumstances require of a person of ordinary prudence. Burke v. Cook, 246 Mass. 518, 141 N.E. 585, 586. Negligence bordering on recklessness. People v. Adams, 289 Ill. 339, 124 N.E. 575, 577. Words "gross negligence," are equivalent to words "reckless and wanton." Jones v. Commonwealth, 213 Ky. 356,281 S. W. 164, 167. HAZARDOUS NEGLIGENCE. Such careless or reckless conduct as exposes one to very great danger of injury or to imminent P-eril. Riggs v. Standard Oil Co., C.C.Minn., 130 F. 204. •ACTIONABLE. ACTIONABLE FRAUD. Deception practiced in order to induce another to part with property or surrender some legal right; a false re resentation made with an intention to deceive; may be committed by stating what is known to be false or by professing knowledge of the truth of a statement which is false, but in either case, the essential ingredient is a falsehood uttered with intent to deceive. Sawyer v. Prickett, 19 Wall. 146, 22 L Ed. 105. To constitute "actionable fraud," it must appear that defendant made a material representation; that it was false; that when he made it he knew it was false,-or made it recklessly without any knowledge of its truth and as a positive assertion; that he made it with intention that it should be acted on by laintiff; that laintiff acted in reliance on it; and that plaintiff thereby suffered injury. Blair v. McCool , 136 Or. 139, 295 P. 950, 952. Essential elements are representation, falsity, scienter, deception, and injury. Cobb v. Cobb, 211 N.C. 146, 189 S.E. 479,482. CONCLUSION It is my sincere wish that you and your OFFICE of the ATTORNEY GENERAL investigate this entire matter concerning this wicked and wanton behavior and the strong-arm intimidation tactics of ROCKY MOUNTAIN POWER/P ACIFICORP and why they are permitted to continue to violate and interfere with my, as well as many other ROCKY MOUNTAIN POWER/P ACIFICORP customer's existing valid contractual agreements against their will and consent, FOURTH and FIFTH AMENDMENT Rights, and other violations as mentioned above, and also why the IDAHO PUC/State Legislature permits/sanctions this type of criminal behavior. COMPLAINT 7 4949 As time is of the essence, I respectfully request that this matter be given priority status and a timely remedy sought in order to avoid the apparent upcoming electrical service disconnection in just a matter of days, not just for myself but for many other ROCKY MOUNTAIN POWER/P ACIFICORP customers similarly situated. Thank you in advance for your time and consideration in remedying this matter as soon as possible in order that justice may be done. Very truly, Date COMPLAINT 8 5050 DECLARATION OF Jacoba H.van Mastrigt IN THE FORM OF AN AFFIDAVIT I,Jacoba H.van Mastrigt,being of sound mind do make this Declaration of my own free will with- out any undue outside influence. I declare the following: 1.On November 22,2022,I did receive an undated and unsigned letter from ROCKY MOUNTAIN POWER/PACIFICORP stating that their installer couldn't "access" the meter base at 5447 E Hacienda Dr.,Idaho Falls,Idaho in order to install a smart meter. This latter also instructed me to call their 800 number to resolve any access issues and set an appointment to have my meter updated. 2.On December 1,2022,I sent/served by Registered mail to ROCKY MOUNTAIN POWER & GARY W.HOOGEVEEN,PRESIDENT PACIFICORP at 1407 West North Temple,Salt Lake City and the same by Certified mail to P.O.Box 400,Portland,Oregon,a CONDITIONAL ACCEPTANCE with a cover letter addressing the letter that they sent to me.In this mailing I also included their original letter with my "Returned for Cause" statement on it.ROCKY MOUNTAIN POWER & GARY W.HOOGEVEEN,PRESIDENT PACIFICORP did not respond to this CONDITIONAL ACCEPTANCE. 3.On January 6,2023,I sent/served Certified mail to ROCKY MOUNTAIN POWER &GARY W. HOOGEVEEN, PRESIDENT PACIFICORP a COURTESY NOTICE to both addresses noted in number 2 above giving them 3 more days to respond to my CONDITIONAL ACCEPTANCE of December 1,2022.They did not respond to this COURTESY NOTICE. 4.On January 26, 2023,I sent/served Certified mail to ROCKY MOUNTAIN POWER &GARY W.HOOGEVEEN,PRESIDENT PACIFICORP a NOTICE OF FAULT to both addresses noted in number 2 above giving them 5 more days to cure their error and respond to my CONDITIONAL ACCEPTANCE of December 1,2022.They did not respond to this NOTICE OF FAULT which put them in DEFAULT. 5.On February 15,2023, I sent/served Certified mail to ROCKY MOUNTAIN POWER & GARY W.HOOGEVEEN, PRESIDENT PACIFICORP a NOTICE OF DEFAULT informingthem of their DEFAULT and tacit acquiescence to and agreement with my position as enumerated in my CONDITIONAL ACCEPTANCE of December 1,2022,as well as my cover letter of same date, along with a NOTICE OF ESTOPPEL to both addresses noted in number 2 above.This NOTICE OF ESTOPPEL notifies ROCKY MOUNTAIN POWER &GARY W.HOOGEVEEN, PRESIDENT PACIFICORP that they are estopped from any and all further action(s), claims, counterclaims,demands,and or suits against me,concerning the matter of their attempted installation of a smart meter on my property located at 5447 E Hacienda Dr.,Idaho Falls,Idaho. 6.My NOTICE OF ESTOPPEL of February 15,2023 includes a notice of an implied contract with specified terms due to their tacit acquiescence agreement and subsequent DEFAULT informing ROCKY MOUNTAIN POWER & GARY W.HOOGEVEEN,PRESIDENT PACIFICORP that DECLARATION IN THE FORMOF AN AFFIDAVIT RECEIVED 2023 March, 22 7:58AM IDAHO PUBLIC UTILITIES COMMISSION 5151 violation of said terms of this ESTOPPEL will be construed as an offense against me making them liable to me for damages in the amount of $1,000,000.00 U.S. (One Million Dollars) due and payable upon demand within 30 days of such demand. This ESSTOPPEL also informs them that this is an implied contract and self-executing contract enforceable in court and that violating this ESTOPPEL signifies "performance" on their part constituting their acceptance of the terms of said ESTOPPEL. 7.On or around March 12, 2023, I received an unsigned threatening letter from ROCKY MOUNTAIN POWER/P ACIFICORP stating that their contractor was refused access to perform a meter exchange at my home at 5447 E Hacienda Dr., Idaho Falls, Idaho and that this was their second written notice. This letter also instructed me to contact them at their 800 number to resolve access issues and set an appointment to have my meter updated and then given 15 days from date of said letter (March I, 2023) to comply or they will refer my account to their service disconnection process, holding my electrical service hostage and threatening to shut off my electrical power. 8.Point 7 above verifies ROCKY MOUNTAIN POWER & GARY W. HOOGEVEEN, PRESIDENT PACIFICORP's violation of my ESTOPPEL signifying "performance" on their part, indicating acceptance of the terms of said ESTOPPEL, initiating their liability to me for damages in the amount of $1,000,000.00 U.S. (One Million Dollars). 9.At no time, past or present have I or anyone else in my household ever denied "access" toROCKY MOUNTAIN POWER to come onto my private property to read the electric meter. 10.I am a 99-year-old widow living on a fixed income who is legally blind, deaf, and hyper-electro sensitive. ROCKY MOUNTAIN POWER' s threats and strong-arm intimidation tactics, has causedme a great deal of endless, anxiety, fatigue, emotional and mental distress, headaches, insomnia,and severe stomach upset. I consider ROCKY MOUNTAIN POWER' s use of abusive threats, duress, and coercion in an attempt to get me to consent to accepting a smart meter on my home, tobe negligent infliction of physical pain and mental injury as per TITLE 18-1505, subsection 2 & 4 of the Idaho Statutes. I, Jacoba H. van Mastrigt, affirm and certify on my own unlimited commercial liability that I have read the above affidavit and do know the contents to be the truth, the whole truth, correct and complete to the best of my knowledge, and willing to testify to this. DECLARATION IN TIIE FORM OF AN AFFIDAVIT 2 5252 March 1, 2023 Jacoba Van Mastrigt 5447 E Hacienda Dr Idaho Falls, ID 83406 8228 1407 West North Temple Salt Lake City, Utah 84 116 RE: SECOND NOTICE: Required Access for Meter Upgrade at 5447 E Hacienda Dr Idaho Falls, ID Dear Jacoba Van Mastrigt: Thank you for your immediate attention to this matter. If you are not responsible for the electric service at the site listed above, please pass this request to the property manager or owner as soon as possible. Our contractor was refused access to perform a meter exchange at the address listed above. This is our second written notice. We have also attempted to reach you by telephone. To avoid termination of electric service at this address, you must contact us at the number provided below. You are contractual! obligated to allow us safe and unencumbered access to our equipment. Meter access is a condition of electric service, as expressed in the Idaho Public Utilities Commission's Customer Relation Rules, namely Electric Service Regulation No. 6, a copy of which is enclosed for your convenience. Moreover, to the extent that access was denied because of the type of meter being installed, please be aware that the Idaho Public Utilities Commission has reviewed smart meter technology, including the prevailing scientific research on consumer safety, and concluded that smart meters are safe and allowed for all customers in Idaho. If you would like additional information regarding the electric regulations that governs Rocky Mountain Power's operations, review them at the Idaho Commission's website at puc.idaho.gov. Our new meters bring with them a host of benefits, enabling our customers to securely - •View Daily/Hourly/15-Minute interval usage data through your Rocky Mountain Power account •Set billing thresholds and alerts through our website and mobile application 5353 •Automatically send notifications whenever your power is interrupted and subsequently restored Rocky Mountain Power will also be able to troubleshoot abnormal electric voltage or current issues on our lines that could impact the quality of your service. Our meters deliver whole home usage data through a secure LTE network and do not connect with any additional smart devices installed at your site or external networks. Your data is safe and no personal information is ever shared with outside parties. (Continued on reverse side) 5454 ... ROCKY MOUNTAIN �����. 1.1'.l .( •. :'\o. J St'cond Ht',·hion ofShl't'I i\o. 6K.I C"ancclinl! Finl Hc,·i,ion of She-cl :--io. 61U EU:cnuc SEH\'ICt-: JU:(;t l.A'I 10:--i \0. 6 ST:\ n: 0� llJ:\110 Compnn�·•� ln�lall:ition I.C ·o,1t1A:\ \''S l:\S'l .-\1.l .. \'I 10�b .. cc-pt J� ,,the:'\, :�c pr,widcd m thcl,C lk;:ulJtwm .. m l:lcctn..: Scrvtec :\,!rccrncnt. or the 1.kx:tr:cScrvn:e Schcduk,. the C,,mp:my ,, 111 Jn'>tall and mamtam it,-lm::l, an l e'iuipm-.--nt on 1b !.Jd • of thePoint ,)f Delivery. but ,-h.JJI n,,1 r,c rc-:iuircd t,, ms1.1ll t>r m.Ji111.1in any lmc, or cqu1pmc:nt n..:cp1mc:cr� and a,·..:;:,,oric, !>cy,�nd th:.it P1,1in1 Only the Comp:my i, authonn<l to make the .:<>nn..-..:tion,.it the: P,,mt ,,t' lkll\cry. l.b:tn.: ,-crncc fum1sl-.-;.-d un<lcr 1h1s t:mff ,, ill b,c a!ternatm;: current. 60heru. �m1k or tlm:c-ph:1,c. Primary ,-cn·i,.:, 0lta;:c wili Ix .11 L'nc or' the n,�mmal ,1.mdard n,lt.1;:..-,:i,·�111.Jbk fr,,m the Comp.1ny a: L'r n.:.:ir the Customer"� ln..:.11ion. Sen>nJ.uy ,-er. i.:c , oh.1;:e ,, 111 heimulcd lo:Sm;:k-plu!>c. I '.;O ,,,It,.'.;-\\ ire. ;:ruundeJ Smi,:k·-ph.:i,c. I '.;O ::!4ll rnlt,-.. ,-wire. ),:f0UnJcd Smi,:k-ph.:1�,. 240 4SU, oil,-. 3-,, ire. J.!r,,undcJ I hr.::e-pha,c. 20SY 120 wit,.➔·\\ ire. i:wunJcd. wyc I hr.:e-pha,c. 4�0Y 27: n>lt,. 4-,, irc. ;:wunJcd. wyc 2.C0:\111.-\:'\ \ I-".\( 'IIJ'I !ES 0:\ ('l S'Hn1EH'S l'KE\tlSE�(a),\I! m:itenab furni,-hcd and m,1:1lled by th;:: Comp.my ,,n the Cu,-1,,mcr\ premise,. ,hJll be.and rcnum. the propcny of the Comp:iny. l hc Cu,tomcr ,hall no! brc.:ik the Comp:iny·,meter H'Jb. In the C\ cnt of le,-,- ,,r t.hmJ,!C t.1 the CompJny\ rr,,r,c::rt�. Jn,m" frum nq.:lc..:1.c.:irc.,...,,nc,,. or m1>u,e I:>: thc Cu :,,m.:r. the ..:,,,t 0f nc,:,;::,,-.irY rcp.11r, ,,r rcpt:.:cmcnt ,h:illIx: p.1:J b: th, l'u,t.•mcr.(h) (.'u<;tomcr with0ut e:1.pcn,;c w the Company ,hall make or procure com·eyan,e to theC:omp..in: uf ,-.:itist.1,k>ry Rifhh-of-Way l:a,cmcnt, :1.:rn,, th.: pr,1rcrty owned or contrvllcJby the Cu,tomcr for the (.',,mp:iny\ lmc:-;. or C'\ten,ion, thereof necc,,.:it;. N m,1dcnt:1I to thefurm,hm;: of ,-en 1cc It> the ( ·u,tt1111er.(r)I he Cu,tomcr ,h.111 r,cmut ,.itc. a.:cc�, to (.'omp.:my\ repr,·,::n!.Jll\ c, at :1ll h0ur, t,, m:11m.1mthe C \m1p.1ny\ ek'-=lri.: d1,?ribu11L,n IJc1h1ic�. ·1 he(. ·u,tomc-r ,h;.1II .:ii,,, pcrmll the (\,mpJJ1:t,1 trim tree, anJ ,llh;::r ,·c:?cl:itwn 1,, the c:1.1.-n1 nccc,-...iry to a, ,,iJ 1111crfcrcn.:c w11h th,·C,m1pany", lme� :ind to pr0te,:1 pubh.: ,aic:t:.(d)I he Cu�tomcr ,-h.Jll pr,wHk �le. uncncumbcrcJ ac..:c,� to Ctlmpany·� rcprc,-cnta11, c� alrc.1,-(lnJblc lime,. for the purpol,c ,,f rcJdmg meter�. 1mpcctm;;. n::plmnf-or ren>o\'ill,!!metering device; anJ w1rinf of the C."tm1pony.l�st 1-.1>: S;::p:cmhcr U . .'.O i'J 5555 Page 2 Please contact us at 1-800-895-0631 immediately to resolve access issues and to set an appointment to have your meter updated. We are happy to answer any additional questions you may have regarding the new meter and look forward to working with you. --►.:tB� If we do not hear from you within 15 days from the date of this letter to resolve this issue, we will refer your account to our service disconnection process. We look forward to hearing from you and will always consider it a privilege to serve you. Kind Regards, Rocky Mountain Power Para mas informaci6n, /lame al 1-888-225-2611 para hablar con un especialista en espafio/. 5656 ;i=d oJacoba Van Mastrigt �5447 E Hacienda Dr . V\o Idaho Falls ID 83406 8228 'J:. d 0 Dear Jacoba Van Mastrigt: 1407 West North Temple Salt Lake City, Utah 84116 Co\A ,\-Jo..J You can count on us to provide the affordable and consistent power you need. We're using state-of-the-art technology to deliver dependable power as we plan for the future. We were recently in your area to upgradevour existing electric meter, but our installer couldn't access the meter base at 5447 E Hacienda Dr, Idaho Falls, Idaho. As required by the Idaho Public Service Commission, clear and safe access must be available to electric meters for inspection, maintenance, meter upgrades, and to enable us to respond to any emergencies. The Idaho Public Utilities Commission has reviewed smart meter technology, and the prevailing scientific research on consumer safety, and concluded that smart meters are allowed in Idaho without any alternative metering options. Please call 1-800-895-0631 within 15 days of receiving this letter to resolve any access issues and set an appointment to have your meter updated. We are happy to answer any questions you may have regarding the new meter and look forward to working with you. Kind Regards, Rocky Mountain Power Para mas informaci6n, /lame al 1-888-225-2611 para hablar con un especialista en espanol. 5757 &h.��1+ C-• To: Whom it may concern Rocky Mountain Power 1407 West North Temple Salt Lake City, UT 84116From: Jacoba H. van Mastrigt5447 E. Hacienda Dr.Idaho Falls, IdahoRE: Smart Meter InstallationDear Sir or Mam,SL-; UT. Date: December 1, 2022This is in reply to your undated and unsigned letter I received on November 21, 2022 instructingme to call your 800 number to resolve any access issues and set an appointment to have myexisting meter updated with your "smart" of "advanced" digital utility meter. Please find attached my CONDITIONAL ACCEPTANCE and your original undated andunsigned letter with my "Returned for Cause" statement printed thereon. Be advised that I never requested a "smart" or "advanced" digital utility meter to be installed on my private property/home and will not do so in the future. My current meter hasbeen serving me well all these years so I see no need to have it replaced. For some strange reason Rocky Mountain Power Co. wants to change terms of a longstanding agreement/contract without providing me with "full disclosure" of not only the terms ofthe proposed changes, but the truth of everything a customer has a right to know about the prosand cons of the "smart" or "advanced" digital utility meters and smart grid. Also, be advised that my private property is posted with No Trespassing signs and Lawful Notice of severe civil penalties to any would-be installers and unauthorized intruders who enter without my express written permission to come onto my private property. Further, I donot authorize any of your installers or your third-party contract installers to come upon myprivate property at any time for any reason. Please note that, YOUR METER READER(S) ONLY HOWEVER, ARE STILL WELCOME TO COME ONTO MY PRIVATE PROPERTY AS BEFORE TO READ THEEXISTING ELECTRIC METER ONLY, JUST AS IT HAS BEEN DONE OVER THE LAST 35 OR SO YEARS. Note that I have not previously requested to change any aspect ofour long-standing relationship. It is your company that is making all the fuss here! It is my desire for you to Cease and Desist in all your unlawful and unnecessary action against me immediately, including trying to sell me a stupid smart meter. You are causing me agreat deal of unnecessary stress and anxiety at my old age of 99 over something which won'tbenefit me any way. Please NO NOT TRESPASS!Very truly,a, i1 � (((L� �u:1 acoba H. van Mastrigt ()-......5858 , To: Whom it may concern Rocky Mountain Power P.O. Box400 Portland, OR 97207 From: Jacoba H. van Mastrigt 5447 E. Hacienda Dr. Idaho Falls, Idaho RE: Smart Meter Installation Dear Sir or Mam, Date: December 1, 2022 This is in reply to your undated and unsigned letter I received on November 21, 2022 instructing me to call your 800 number to resolve any access issues and set an appointment to have my existing meter updated with your "smart" of "advanced" digital utility meter. Please find attached my CONDITIONAL ACCEPTANCE and your original undated and unsigned letter with my "Returned for Cause" statement printed thereon. Be advised that I never requested a "smart" or "advanced" digital utility meter to be installed on my private property/home and will not do so in the future. My current meter has been serving me well all these years so I see no need to have it replaced. For some strange reason Rocky Mountain Power Co. wants to change terms of a longstanding agreement/contract without providing me with "full disclosure" of not only the terms of the proposed changes, but the truth of everything a customer has a right to know about the pros and cons of the "smart" or "advanced" digital utility meters and smart grid. Also, be advised that my private property is posted with No Trespassing signs and Lawful Notice of severe civil penalties to any would-be installers and unauthorized intruders who enter without my express written permission to come onto my private property. Further, I do not authorize any of your installers or your third-party contract installers to come upon my private property at any time for any reason. Please note that, YOUR METER READER(S) ONLY HOWEVER, ARE STILL WELCOME TO COME ONTO MY PRIVATE PROPERTY AS BEFORE TO READ THE EXISTING ELECTRIC METER ONLY, JUST AS IT HAS BEEN DONE OVER THE LAST 35 OR SO YEARS. Note that I have not previously requested to change any aspect of our long-standing relationship. It is your company that is making all the fuss here! It is my desire for you to Cease and Desist in all your unlawful and unnecessary action against me immediately, including trying to sell me a stupid smart meter. You are causing me a great deal of unnecessary stress and anxiety at my old age of 99 over something which won't benefit me any way. Please NO NOT TRESPASS! Very truly, d· JV.� /J?uuo 47A-dJacoba H. van Mastrigt • V v 5959 To: Whom it may concern ROCKY MOUNTAIN POWER& GARY W. HOOGEVEEN, PRESIDENT PACIFICORP 1407 West North Temple Salt Lake City, UT 84116 From: Jacoba H. van Mastrigt 5447 E. Hacienda Dr. Idaho Falls, Idaho RE: Smart Meter Installation Date: CONDITIONAL ACCEPTANCE READ CAREFULLY Notice to Agent is Notice to Principle -Notice to Principle is Notice Agent BE IT KNOWN, it is not my intention to harass, intimidate, offend, conspire, blackmail, coerce, or cause anxiety, alarm or distress. This document and attachments are presented with honorable and peaceful intentions. Regarding your undated and unsigned letter received on November 21, 2022 instructing me to call your 800 number within 15 days in order to resolve any access issues to my property and set an appointment to have my meter updated with a "smart" meter, I conditionally accept your offer to do so in order to update my electric power meter to a so named "smart" meter, upon proof of claim and satisfaction of the following points: 1.Upon proof of claim that Rocky Mountain Power is not making an offer to modify a contract withoutproviding full disclosure of the true facts and terms, and further; 2.Upon proof of claim that in order for Rocky Mountain Power to modify or change the terms of a contract with one of its customers, that they do not need to provide full disclosure and obtain consent, and further; 3.Upon proof of claim that it is not my position and wish to not have a "smart" or "advanced" digital utilitymeter installed on my private property/home at any time, and further; 4.Upon proof of claim that by you attempting to pressure me into accepting your unsafe and harmful"smart" or "advanced" digital utility meter contrary to my wishes and better judgment, is not causingthis 99-year old woman with health concerns, undue stress, worry, and a negative impact upon my health,and further; 5.Upon proof of claim that my deep concerns about the dangers and safety of"smart" or "advanced" digital utility meters are not valid concerns, and that there is not overwhelming evidence and testimony from credible sources from around the world confirming my concerns about the dangers and safety of suchmeters, which is completely contrary to the false, self-serving, and fraudulent information put out byRocky Mountain Power Co. that they are safe and non-harmful, and further; 6060 CONDITIONAL ACCEPTANCE. Cont' 6.Upon proof of claim that my current electric meter is not serving me well, and that it is not true that a"smart" meter would not benefit me in any way, and that any benefits of such a meter would however,benefit Rocky Mountain Power and their third-party organizations at my detriment, and further; 7.Upon proof of claim that the Rocky Mountain Power "smart" or "advanced" digital utility meter andgrid is not a disruptive and harmful "Trespassing Technology", and further; 8.Upon proof of claim that Rocky Mountain Power Co. and the Idaho PUC are not involved in collusiontogether against me to defraud me of my Rights by the forms and use of colorable law, and that theyare not in concert of action between them for fraudulent or deceitful purposes against me, and further; 9.Upon proof of claim that the Idaho PUC does not lack lawful authority or right to encourage and allowany public utility to use threat, duress, and or coercion to violate any contract(s) between the utility andcustomer or to allow a public utility to impose their unreasonable, arbitrary, capricious, and monopolistic will upon their customers without their consent knowing that there are no other options/utilities for the customers to choose from, and further; 10.Upon proof of claim that Rocky Mountain Power Co. can force me to purchase a product from themagainst my will and consent and hold me hostage for energy, knowing that there are no other providersor options available to customers, and further; 11.Upon proof of claim that it is not true that the PUC lacks lawful authority to mandate, order, or imposeanything upon free inhabitants and their private property, and that if they cannot do so then neither can a public/private corporation or business impose the same, and further; 12.Upon proof of claim that Rocky Mountain Power Co. and the Idaho PUC are not holding me hostage inorder to extort a Right(s) from me so that I may continue to receive the energy I need to power andheat my home, and further; 13.Upon proof of claim that my current power meter has not been paid for by my payments through mymonthly electric power bills for over 35 years, and that I do not actually own my current meter, andthat possession is not nine-tenths of the law, and further; 14.Upon proof of claim that the smart meter does not have sophisticated surveillance and control capabilitiesdesigned to gather information about me by monitoring my personal and private habits and routines byRocky Mountain Power, and that Rocky Mountain Power will not sometime in the near future use this information against me in some way to control my habits and routines by deciding when and how muchenergy I can use, as well as how and when I can use a particular appliance, or that I must pay a fine forusing more power than the power control gods deem necessary, and further; 15.Upon proof of claim that the smart meter does not have sophisticated capability of monitoring, logging,storing, sharing, and disseminating, my personal and private information about sensitive aspects of mypersonal and private life without my knowledge and consent, and further; 16.Upon proof of claim that any government agencies, police departments, and hackers will not have freeand unfettered access to my personal information and private habits and routines as collected by thesurveillance capability of the smart meter, and further; 17.Upon proof of claim that Rocky Mountain Power would not be unlawfully searching my house and ormy person, and effects and seizing such information about my personal and private habits and routines CONDITIONAL ACCEPTANCE 2 6161 CONDITIONAL ACCEPTANCE, Cont' via the smart meter without a lawful search warrant or my consent and that this would not be contrary to my Fourth Amendment Right and the law, and further; 18.Upon proof of claim that your smart meter, once installed, is not a "Trespassing Technology" whichwould not only be an invasion of my privacy, but a harmful life-disrupting technology as well, andfurther; 19.Upon proof of claim that if Rocky Mountain Power installs a smart meter on my private property withoutmy consent, the original service contract between the utility and the account holder myself would not be deemed to have been breached, and that I would not have lawful remedies for such breach of contract, and further; 20.Upon proof of claim that I would not have substantial lawful remedy for any and all harm or loss causedby Trespassing Technology, according to tort law, criminal law, strict liability, negligence, and ultra hazardous activity on the part of Rocky Mountain Power regarding the installation of a smart meter onmy private property, and further; 21.Upon proof of claim that the smart meter(s) that Rocky Mountain Powers installs does not unlawfullyemit high-energy density pulsed microwave frequencies harmful to biological organisms and or emit waste electricity in the form of voltage transients (aka "dirty electricity") also harmful to biologicalorganisms, and further; 22.Upon proof of claim that installed so named "smart" or "advanced" digital utility meters and relatednetwork technologies have not been demonstrated to cause fires, cause hacking vulnerability, andfacilitate erroneously high customer utility bills, and further; 23.Upon proof of claim that installed so named "smart" or "advanced" digital utility meters and relatednetwork technologies cannot and do not record and transmit data for the purpose of surveillance ofpersonal activities in the private dwellings and or workplaces of all utility customers without disclosure,without a lawful warrant, and without consent, and further; 24.Upon proof of claim that a U.S. Congressional Research report entitled "Smart Meter Data: Privacy and cybersecurity" (February 3, 2012) does not state, "With smart meters, police will have access to data that might be used to track residents' daily lives and routines while in their homes, including their eating, sleeping, and showering habits, what appliances they use and when, and whether they prefer the television to the treadmill, among a host of other details.", and all without a lawful searchwarrant issued, and further; 25.Upon proof of claim that in 2016, a major "smart" meter data aggregator, Onzo Ltd (UK), did not releasea marketing video stating, "We use this characterized profile to give the utility ... the ability to monetize their customer data by providing a direct link to appropriate third-party organizations based on the customer's identified character.", and further; 26.Upon proof of claim that Rocky Mountain Power will not monetize the data they would unlawfully mineby way of a "smart" meter, from my private activity and that they will not provide a direct link to "appropriate" third-party organizations based on my identified character, all without my knowledge,consent, of any lawful search warrant as required by law (The Fourth Amendment to the Constitution),and further; 27.Upon proof of claim that your Trespassing Technology (smart meter) and related infrastructure would CONDITIONAL ACCEPTANCE 3 6262 CONDITIONAL ACCEPTANCE, Cont' not be mounted on or adjacent to my private property, including but not limited to bodies of living men and women, without first acquiring their explicit consent, and further; 28.Upon proof of claim that it is not true that Rocky Mountain Power will not justly compensate me, norconsult with me, nor even inform me that my private property would be utilized as a relay station for thenetworks related to the Trespassing Technology once a smart meter is installed, and further; 29.Upon proof of claim that your Trespassing Technology does not create a previously non-existentvulnerability and diminish my private dwelling security by functioning as an unsecured wireless digital gateway into my private property/home, and further; 30.Upon proof of claim that I and any other inhabitants in my home would not become subject to whateverthe desires of Rocky Mountain Power, or government are, or hackers who wishes to remotely interruptor control the supply of energy to appliance(s) within my private dwelling or to my entire, dwelling, and further; 31.Upon proof of claim that there have not been any fires and deaths associated with the smart meter Trespassing Technology such as in Vacaville, CA, Dallas, TX, and Reno, NV, and further; 32.Upon proof of claim that due to safety risks, PECO ENERGY CO (Pennsylvania) did not announce in2012, the removal of 96,000 so named "smart meters"; and that the PROVINCE OF SASKATCHEWAN(Canada) did not announce the removal of all of their 105,000 so named "smart meters" in 2014; and thatPORTLAND GENERAL ELECTRIC (Oregon) did not announce removal of 70,000 so named "smart meters" in 2014; and that CITY OF LAKELAND (Florida) did not announce removal of more than 10,000 so named "smart meters" in 2014, all for safety reasons, and further; 33.Upon proof of claim that thousands of so named "smart meters" did not simultaneously explode in Stockton, California in 2015, and further; 34.Upon proof of claim that the "smart" meter Trespassing Technology has not caused disruptiveinterference that has resulted in injuries to living occupants, including but not limited to, men andwomen with medical implants, and that the interference has not yet been mitigated in any meaningful way, and further; 35.Upon proof of claim that it is not true that, according to a vast body of published science, microwaveradiation is proven to be harmful and damaging to all biological organisms, down to the cellular and molecular level, at relatively low power densities, and further; 36.Upon proof of claim that the "smart" meter Trespassing Technology has not been measured to emitpulsed radiation between hundreds and tens of thousands ohimes greater intensity than cell phones,and as a direct result, there are at least thousands of reports of individuals suffering functionalimpairment and or illness since the installation of Trespassing Technology where they live, and further; 37.Upon proof of claim that the industry claims that the "smart" meter Trespassing Technology is "safe"or "harmless" are not false and misleading; and are not based on training, propaganda techniques, andthe time-averaging of pulsed emissions, rather than the emission values of the pulses, and further; 38.Upon proof of claim that it is not true that several thousand scientific studies have concluded there are harmful biological effects from exposure to electromagnetic frequencies at power densities lower than CONDITIONAL ACCEPTANCE 4 6363 CONDITIONAL ACCEPTANCE, Cont' is emitted by the "smart" meter Trespassing Technology, and that the claims by power company and government employees that the Trespassing Technology is harmless, are self-serving and fraudulent, and further; 39.Upon proof of claim that a significant number of government agencies have not released statementsconfirming that agencies such as the US Federal Communications Commission (FCC), Health Canada and the International Commission on Non-Ionizing Radiation (ICNIRP) have "safety" guidelines formicrowave radiation exposure which are insufficient for functioning as a guideline, because they arebased solely on thermal effect, and do not take into account any of the body of several thousandpublished, peer-reviewed scientific studies showing harmful non-thermal effects, and further; 40.Upon proof of claim that the "smart" meter Trespassing Technology does not create measurable voltagetransients, also known as dirty electricity, on existing electrical wiring, at levels that are harmful anddamaging to all biological organisms, and further; 41.Upon proof of claim that the "smart" meter Trespassing Technology does not cause systemicinaccuracies in billing, resulting in electricity customers paying unjust amounts for unused, or wastedenergy, and further; 42.Upon proof of claim that as a result of wasted energy caused by voltage transients due to TrespassingTechnology, that ground voltage has also not been measure in areas where "smart" meter TrespassingTechnology is deployed, and that this is also not harmful and damaging to all biological organisms, andfurther; 43.Upon proof of claim that the gathering of information by Rocky Mountain Power via a smart meter aboutmy personal and private habits and routines without my knowledge and consent would not be unlawful,and further; 44.Upon proof of claim that I do not have and hold certain natural/unalienable Rights, as well asConstitutionally secured rights, privileges and immunities, and further; 45.Upon proof of claim that I do not have a lawful right to be secure in my person, houses, papers, andeffects, against unreasonable searches and seizures, and that these rights shall not be violated, as statedin the Fourth Amendment to the Constitution for the United States of America, and further; 46.Upon proof of claim that it is not true, that if tapping someone's telephone or entering their home/privateproperty without a lawful search warrant is unlawful and a crime, then it would equally be true thattapping my private electrical system by way of a "smart" or "advanced" utility meter for sensitivepersonal and private information without a lawful search warrant would also be unlawful and a crime, and that in law, there is no difference between the two scenarios, and further; 47.Upon proof of claim that the Fourth Amendment of the Bill of Rights does not apply to me, and further; 48.Upon proof of claim that it is not true that, I would no longer be "secure", which is my Fourth Amendment right, in my person, houses, and effects, once a smart meter is installed on my home, and further; 49.Upon proof of claim that Article V of the Bill of Rights does not say that I cannot "be deprived of life, liberty (right to privacy and freedom from coercion), or property (information on my personal and private habits and routines), without due process of law, and further; CONDITIONAL ACCEPTANCE 5 6464 CONDITIONAL ACCEPTANCE, Cont' 50.Upon proof of claim that Rocky Mountain Power would not be denying me my right to due process oflaw by gathering/taking personal and private information about my personal and private habits androutines via the smart meter, and then using, sharing, and disseminating said information all without alawful search warrant, and without my knowledge and consent, and further; 51.Upon proof of claim that it is not true that, I did not request a "smart" meter nor did I start thiscontroversy, when in fact it was Rocky Mountain Power Co. that did so. Your timely response (21 days) from your receipt of this Conditional Acceptance, must be in affidavit form, under your full commercial liability, rebutting each of the points of the undersigned, on a point-by-point basis, that the facts contained therein, are true, correct, complete and not misleading. Declarations are insufficient, as declarations permit lying by omission, which no honorable draft may contain. Any other response beyond the date of this CONDITIONAL ACCEPTANCE is unacceptable and invalid. You must provide me with a legitimate and lawful answer. Silence to this document is contempt and dishonorable. With explicit reservation of all of my God-given unalienable Rights, my Constitutionally secured Rights, privileges, and immunities, none waived, and without prejudice. Very Truly, In Proper Person, Special, with Assistance, ¢, i/rvr,,r-�r Jacoba H. van Mastrigt, Sui Juris T Witness to Signature W• s· 1tness to 1gnature CONDITIONAL ACCEPTANCE 6 / 7Date 7 Date Date 6565 To: Whom it may concern ROCKY MOUNTAIN POWER & GARY W. HOOGEVEEN, PRESIDENT PACIFICORP P.O. Box 400 Portland, Oregon 97207 From: Jacoba H. van Mastrigt 5447 E. Hacienda Dr. Idaho Falls, Idaho RE: Smart Meter Installation ���1: � I • " Date: December 1, 2022 CONDITIONAL ACCEPTANCE READ CAREFULLY Notice to Agent is Notice to Principle -Notice to Principle is Notice Agent BE IT KNOWN, it is not my intention to harass, intimidate, offend, conspire, blackmail, coerce, or cause anxiety, alarm or distress. This document and attachments are presented with honorable and peaceful intentions. Regarding your undated and unsigned letter received on November 21, 2022 instructing me to call your 800 number within 15 days in order to resolve any access issues to my property and set an appointment to have my meter updated with a "smart" meter, I conditionally accept your offer to do so in order to update my electric power meter to a so named "smart" meter, upon proof of claim and satisfaction of the following points: 1.Upon proof of claim that Rocky Mountain Power is not making an offer to modify a contract withoutproviding full disclosure of the true facts and terms, and further; 2.Upon proof of claim that in order for Rocky Mountain Power to modify or change the terms of a contract with one of its customers, that they do not need to provide full disclosure and obtain consent, and further; 3.Upon proof of claim that it is not my position and wish to not have a "smart" or "advanced" digital utility meter installed on my private property/home at any time, and further; 4.Upon proof of claim that by you attempting to pressure me into accepting your unsafe and harmful"smart" or "advanced" digital utility meter contrary to my wishes and better judgment, is not causingthis 99-year old woman with health concerns, undue stress, worry, and a negative impact upon my health,and further; 5.Upon proof of claim that my deep concerns about the dangers and safety of"smart" or "advanced" digitalutility meters are not valid concerns, and that there is not overwhelming evidence and testimony from credible sources from around the world confirming my concerns about the dangers and safety of suchmeters, which is completely contrary to the false, self-serving, and fraudulent information put out byRocky Mountain Power Co. that they are safe and non-harmful, and further; 6666 CONDITIONAL ACCEPTANCE. Cont' 6.Upon proof of claim that my current electric meter is not serving me well, and that it is not true that a"smart" meter would not benefit me in any way, and that any benefits of such a meter would however,benefit Rocky Mountain Power and their third-party organizations at my detriment, and further; 7.Upon proof of claim that the Rocky Mountain Power "smart" or "advanced" digital utility meter andgrid is not a disruptive and harmful "Trespassing Technology", and further; 8.Upon proof of claim that Rocky Mountain Power Co. and the Idaho PUC are not involved in collusiontogether against me to defraud me of my Rights by the forms and use of colorable law, and that theyare not in concert of action between them for fraudulent or deceitful purposes against me, and further; 9.Upon proof of claim that the Idaho PUC does not lack lawful authority or right to encourage and allowany public utility to use threat, duress, and or coercion to violate any contract(s) between the utility andcustomer or to allow a public utility to impose their unreasonable, arbitrary, capricious, and monopolistic will upon their customers without their consent knowing that there are no other options/ utilities for the customers to choose from, and further; 10.Upon proof of claim that Rocky Mountain Power Co. can force me to purchase a product from themagainst my will and consent and hold me hostage for energy, knowing that there are no other providersor options available to customers, and further; 11.Upon proof of claim that it is not true that the PUC lacks lawful authority to mandate, order, or imposeanything upon free inhabitants and their private property, and that if they cannot do so then neither cana public/private corporation or business impose the same, and further; 12.Upon proof of claim that Rocky Mountain Power Co. and the Idaho PUC are not holding me hostage inorder to extort a Right(s) from me so that I may continue to receive the energy I need to power andheat my home, and further; 13.Upon proof of claim that my current power meter has not been paid for by my payments through mymonthly electric power bills for over 35 years, and that I do not actually own my current meter, andthat possession is not nine-tenths of the law, and further; 14.Upon proof of claim that the smart meter does not have sophisticated surveillance and control capabilitiesdesigned to gather information about me by monitoring my personal and private habits and routines byRocky Mountain Power, and that Rocky Mountain Power will not sometime in the near future use this information against me in some way to control my habits and routines by deciding when and how muchenergy I can use, as well as how and when I can use a particular appliance, or that I must pay a fine forusing more power than the power control gods deem necessary, and further; 15.Upon proof of claim that the smart meter does not have sophisticated capability of monitoring, logging,storing, sharing, and disseminating, my personal and private information about sensitive aspects of mypersonal and private life without my knowledge and consent, and further; 16.Upon proof of claim that any government agencies, police departments, and hackers will not have freeand unfettered access to my personal information and private habits and routines as collected by thesurveillance capability of the smart meter, and further; 17.Upon proof of claim that Rocky Mountain Power would not be unlawfully searching my house and or my person, and effects and seizing such information about my personal and private habits and routines CONDITIONAL ACCEPTANCE 2 6767 CONDITIONAL ACCEPTANCE. Cont' via the smart meter without a lawful search warrant or my consent and that this would not be contrary to my Fourth Amendment Right and the law, and further; 18.Upon proof of claim that your smart meter, once installed, is not a "Trespassing Technology" which would not only be an invasion of my privacy, but a harmful life-disrupting technology as well, andfurther; 19.Upon proof of claim that if Rocky Mountain Power installs a smart meter on my private property withoutmy consent, the original service contract between the utility and the account holder myself would not bedeemed to have been breached, and that I would not have lawful remedies for such breach of contract, and further; 20.Upon proof of claim that I would not have substantial lawful remedy for any and all harm or loss causedby Trespassing Technology, according to tort law, criminal law, strict liability, negligence, and ultra hazardous activity on the part of Rocky Mountain Power regarding the installation of a smart meter onmy private property, and further; 21.Upon proof of claim that the smart meter(s) that Rocky Mountain Powers installs does not unlawfullyemit high-energy density pulsed microwave frequencies harmful to biological organisms and or emitwaste electricity in the form of voltage transients (aka "dirty electricity") also harmful to biologicalorganisms, and further; 22.Upon proof of claim that installed so named "smart" or "advanced" digital utility meters and relatednetwork technologies have not been demonstrated to cause fires, cause hacking vulnerability, andfacilitate erroneously high customer utility bills, and further; 23.Upon proof of claim that installed so named "smart" or "advanced" digital utility meters and relatednetwork technologies cannot and do not record and transmit data for the purpose of surveillance ofpersonal activities in the private dwellings and or workplaces of all utility customers without disclosure,without a lawful warrant, and without consent, and further; 24.Upon proof of claim that a U.S. Congressional Research report entitled "Smart Meter Data: Privacy and cybersecurity" (February 3, 2012) does not state, "With smart meters, police will have access to datathat might be used to track residents' daily lives and routines while in their homes, including their eating, sleeping, and showering habits, what appliances they use and when, and whether they prefer the television to the treadmill, among a host of other details.", and all without a lawful searchwarrant issued, and further; 25.Upon proof of claim that in 2016, a major "smart" meter data aggregator, Onzo Ltd (UK), did not release a marketing video stating, "We use this characterized profile to give the utility ... the ability tomonetize their customer data by providing a direct link to appropriate third-party organizations based on the customer's identified character.", and further; 26.Upon proof of claim that Rocky Mountain Power will not monetize the data they would unlawfully mineby way of a "smart" meter, from my private activity and that they will not provide a direct link to "appropriate" third-party organizations based on my identified character, all without my knowledge,consent, of any lawful search warrant as required by law (The Fourth Amendment to the Constitution),and further; 27.Upon proof of claim that your Trespassing Technology (smart meter) and related infrastructure would CONDITIONAL ACCEPTANCE 3 6868 CONDITIONAL ACCEPTANCE, Cont' not be mounted on or adjacent to my private property, including but not limited to bodies of living men and women, without first acquiring their explicit consent, and further; 28.Upon proof of claim that it is not true that Rocky Mountain Power will not justly compensate me, norconsult with me, nor even inform me that my private property would be utilized as a relay station for the networks related to the Trespassing Technology once a smart meter is installed, and further; 29.Upon proof of claim that your Trespassing Technology does not create a previously non-existentvulnerability and diminish my private dwelling security by functioning as an unsecured wireless digital gateway into my private property/home, and further; 30.Upon proof of claim that I and any other inhabitants in my home would not become subject to whateverthe desires of Rocky Mountain Power, or government are, or hackers who wishes to remotely interruptor control the supply of energy to appliance(s) within my private dwelling or to my entire, dwelling, andfurther; 31.Upon proof of claim that there have not been any fires and deaths associated with the smart meter Trespassing Technology such as in Vacaville, CA, Dallas, TX, and Reno, NV, and further; 32.Upon proof of claim that due to safety risks, PECO ENERGY CO (Pennsylvania) did not announce in2012, the removal of 96,000 so named "smart meters"; and that the PROVINCE OF SASKATCHEWAN(Canada) did not announce the removal of all of their 105,000 so named "smart meters" in 2014; and thatPORTLAND GENERAL ELECTRIC (Oregon) did not announce removal of 70,000 so named "smartmeters" in 2014; and that CITY OF LAKELAND (Florida) did not announce removal of more than 10,000 so named "smart meters" in 2014, all for safety reasons, and further; 33.Upon proof of claim that thousands of so named "smart meters" did not simultaneously explode inStockton, California in 2015, and further; 34.Upon proof of claim that the "smart" meter Trespassing Technology has not caused disruptiveinterference that has resulted in injuries to living occupants, including but not limited to, men andwomen with medical implants, and that the interference has not yet been mitigated in any meaningful way, and further; 35.Upon proof of claim that it is not true that, according to a vast body of published science, microwaveradiation is proven to be harmful and damaging to all biological organisms, down to the cellular andmolecular level, at relatively low power densities, and further; 36.Upon proof of claim that the "smart" meter Trespassing Technology has not been measured to emitpulsed radiation between hundreds and tens of thousands of times greater intensity than cell phones, and as a direct result, there are at least thousands of reports of individuals suffering functional impairment and or illness since the installation of Trespassing Technology where they live, and further; 37.Upon proof of claim that the industry claims that the "smart" meter Trespassing Technology is "safe" or "harmless" are not false and misleading; and are not based on training, propaganda techniques, andthe time-averaging of pulsed emissions, rather than the emission values of the pulses, and further; 38.Upon proof of claim that it is not true that several thousand scientific studies have concluded there areharmful biological effects from exposure to electromagnetic frequencies at power densities lower thanCONDITIONAL ACCEPTANCE 4 6969 CONDITIONAL ACCEPTANCE, Cont' is emitted by the "smart" meter Trespassing Technology, and that the claims by power company and government employees that the Trespassing Technology is harmless, are self-serving and fraudulent, and further; 39.Upon proof of claim that a significant number of government agencies have not released statementsconfirming that agencies such as the US Federal Communications Commission (FCC), Health Canadaand the International Commission on Non-Ionizing Radiation (ICNIRP) have "safety" guidelines formicrowave radiation exposure which are insufficient for functioning as a guideline, because they arebased solely on thermal effect, and do not take into account any of the body of several thousand published, peer-reviewed scientific studies showing harmful non-thermal effects, and further; 40.Upon proof of claim that the "smart" meter Trespassing Technology does not create measurable voltagetransients, also known as dirty electricity, on existing electrical wiring, at levels that are harmful and damaging to all biological organisms, and further; 41.Upon proof of claim that the "smart" meter Trespassing Technology does not cause systemicinaccuracies in billing, resulting in electricity customers paying unjust amounts for unused, or wastedenergy, and further; 42.Upon proof of claim that as a result of wasted energy caused by voltage transients due to TrespassingTechnology, that ground voltage has also not been measure in areas where "smart" meter TrespassingTechnology is deployed, and that this is also not harmful and damaging to all biological organisms, and further; 43.Upon proof of claim that the gathering of information by Rocky Mountain Power via a smart meter aboutmy personal and private habits and routines without my knowledge and consent would not be unlawful,and further; 44.Upon proof of claim that I do not have and hold certain natural/unalienable Rights, as well asConstitutionally secured rights, privileges and immunities, and further; 45.Upon proof of claim that I do not have a lawful right to be secure in my person, houses, papers, andeffects, against unreasonable searches and seizures, and that these rights shall not be violated, as statedin the Fourth Amendment to the Constitution for the United States of America, and further; 46.Upon proof of claim that it is not true, that if tapping someone's telephone or entering their home/privateproperty without a lawful search warrant is unlawful and a crime, then it would equally be true thattapping my private electrical system by way of a "smart" or "advanced" utility meter for sensitive personal and private information without a lawful search warrant would also be unlawful and a crime, and that in law, there is no difference between the two scenarios, and further; 47.Upon proof of claim that the Fourth Amendment of the Bill of Rights does not apply to me, and further; 48.Upon proof of claim that it is not true that, I would no longer be "secure", which is my Fourth Amendment right, in my person, houses, and effects, once a smart meter is installed on my home, and further; 49.Upon proof of claim that Article V of the Bill of Rights does not say that I cannot "be deprived of life,liberty (right to privacy and freedom from coercion), or property (information on my personal and private habits and routines), without due process of law, and further; CONDITIONAL ACCEPTANCE 5 7070 CONDITIONAL ACCEPTANCE, Cont' 50.Upon proof of claim that Rocky Mountain Power would not be denying me my right to due process oflaw by gathering/talcing personal and private information about my personal and private habits androutines via the smart meter, and then using, sharing, and disseminating said information all without alawful search warrant, and without my knowledge and consent, and further; 51.Upon proof of claim that it is not true that, I did not request a "smart" meter nor did I start thiscontroversy, when in fact it was Rocky Mountain Power Co. that did so. Your timely response (21 days) from your receipt of this Conditional Acceptance, must be in affidavit form, under your full commercial liability, rebutting each of the points of the undersigned, on a point-by-point basis, that the facts contained therein, are true, correct, complete and not misleading. Declarations are insufficient, as declarations permit lying by omission, which no honorable draft may contain. Any other response beyond the date of this CONDITIONAL ACCEPTANCE is unacceptable and invalid. You must provide me with a legitimate and lawful answer. Silence to this document is contempt and dishonorable. With explicit reservation of all of my God-given unalienable Rights, my Constitutionally secured Rights, privileges, and immunities, none waived, and without prejudice. Very Truly, In Proper Person, Special, with Assistance, !l;�:��7uf:!(f1 7 Witness to Signat , Witness to Signature CONDITIONAL ACCEPTANCE 6 Bate Date 7171 E 'i-�·� �·,·+ G c_J ur COURTESY NOTICE Notice to Agent is Notice to Principle -Notice to Principle is Notice Agent To: To whom it may Concern ROCKY MOUNTAIN POWER & GARY W. HOOGEVEEN, PRESIDENT PACIFICORP 1407 West North Temple Salt Lake City, UT 84116 From: Jacoba H. van Mastrigt 5447 E. Hacienda Dr. Idaho Falls, Idaho Dear Sir or Mam, Date: 1/03/23 Be it known, that on the P' day of December, 2022, I sent you a CONDITIONAL ACCEPTANCE dated December 1, 2022, giving you 21 days to respond. Thus far I have not received your response and consequently a fault has occurred. Perhaps this is an oversight on your part or perhaps the Holidays interfered with you being able to give a timely response. Therefore, please accept my offer of an additional three (3) days, from the date of your receipt of this COURTESY NOTICE, to respond to my CONDITIONAL ACCEPTANCE (copy attached) of December 1, 2022. Again, your response to me must be in "affidavit" form, under your full commercial liability, that the facts contained therein, are true, conect, complete and not misleading. Declarations are insufficient, as declarations permit lying by omission, which no honorable draft may contain. I look forward to your timely response. With explicit reservation of all my unalienable and Constitutionally secured Rights, Privileges and Immunities (Article 4:2: 1) with none waived, and without prejudice. 1N.oo. s '.J.Qu-D whnfss Signature #2 7272 COURTESY NOTICE Notice to Agent is Notice to Principle -Notice to Principle is Notice Agent To: To whom it may Concern ROCKY MOUNTAIN POWER & GARY W. HOOGEYEEN, PRESIDENT PACIFICORP P.O. Box 400 Portland, Oregon 97207 From: Jacoba H. van Mastrigt 544 7 E. Hacienda Dr. Idaho Falls, Idaho Dear Sir or Mam, Date: I /03/23 Be it known, that on the I st day of December, 2022, I sent you a CONDITIONAL ACCEPTANCE dated December I, 2022, giving you 21 days to respond. Thus far I have not received your response and consequently a fault has occurred. Perhaps this is an oversight on your part or perhaps the Holidays interfered with you being able to give a timely response. Therefore, please accept my offer of an additional three (3) days, from the date of your receipt of this COURTESY NOTICE, to respond to my CONDITIONAL ACCEPTANCE (copy attached) of December l, 2022. Again, your response to me must be in "affidavit" form, under your full commercial liability, that the facts contained therein, are true, correct, complete and not misleading. Declarations are insufficient, as declarations permit lying by omission, which no honorable draft may contain. I look forward to your timely response. With explicit reservation of all my unalienable and Constitutionally secured Rights, Privileges and Immunities (Article 4:2: I) with none waived, and without prejudice. Very; Truly, in Proper Person, Special, with Assistance, ;,_; j-\/ ./ ' I ! •. ., -l :, . .,, ") ·1 I �· , , ' j • ,' (.·<.-!"'-- ;' ; " <: ---· / / .r •-! I - • , r-t- � '"---�·.1-. ., Jacoba H. van Mastrigt, In Sui Juris 1tness Signature# I 7373 -NOTICE OF FAULT Notice to Agent is Notice to Principle -Notice to Principle is Notice Agent To: To whom it may Concern ROCKY MOUNTAIN POWER & GARY W. HOOGEVEEN, PRESIDENT PACIFICORP 1407 West North Temple Salt Lake City, UT 84116 From: Jacoba H. van Mastrigt 5447 E. Hacienda Dr. Idaho Falls, Idaho Dear Sir or Mam, Date: 1/25/23 Be it known, that a fault has occurred due to your silence and failure to answer my CONDITIONAL ACCEPTANCE of December 1, 2022, and my COURTESY NOTICE dated January 3, 2023, knowing that you have a legal and moral obligation to speak, as required by law, where an inquiry or offer left unanswered would be intentionally misleading, which can only be equated with fraud and contempt. "Silence can only be equated with.fraud when there is alegal and moral duty to speak or when an inquiry left unanswered would be intentionally misleading. " U.S. v PRUDDEN 424 F.2d 1021; U.S. v TWEEL 550 F.2d 297,299, 300 (1977) Further, your choosing to stand mute indicates probable bc1:_q_f�tb __ Q!l you_r part (see .. ''Definition�'). -Expecting rneto • --cooperate·and·th-en·remaiiiing silent arid unwiHing to reply in return is contempt, which is dishonorable. You seem tobe operating under a double standard of arrogance and contempt, which is unacceptable. DEFINITION: FAULT -In American Law -Negligence; an eJTor or defect of judgment or of conduct; any deviation from prudence, duty, or rectitude; any shortcoming, or neglect of care or pe1fo11nm1ce resulting ji-orn inattention, incapacity, or pe,versity; a wrong tendency, course, or act; bad faith or mismanagement; neglect of duty. In Civil Law, "Negligence; want of care. An improper act or omission, injurious to another, and transpiring through negligence, rashness, or ignorance." Black's Law Dictionary. Fourth Edition None the less, I give you the opportunity to cure your errors, and offer you 5 more days from date ofreceipt of this NOTICE to respond to said CONDITIONAL ACCEPTANCE of December 1, 2022. Again, your response is required. Failure to respond to this offer and my CONDITIONAL ACCEPTANCE of December 1, 2022 will constitute a default on your part signifying your tacit abandonment of your attempt to install a smart meter on my private property, and agreement to vacate this matter, forever barring you from any further action or attempts to install a smart meter on my private property located a 5447 E Hacienda Dr., Idaho Falls, Idaho. With explicit reservation of all my unalienable and Constitutionally protected Rights, Privileges and Immunities (Article 4:2: 1) with none waived, and without prejudice. Very Truly, in Proper Person, Special, with Assistance, J coba H. van Mashi.gt, -• ·m Juns_j , ' I I, Witneis.to s°ignature #2 ,1 1 I ii \) 7474 .. NOTICE OF FAULT G ){V\ ,\.:._', .·£ -9...:, r \c.\.._cJ Notice to Agent is Notice to Principle -Notice to Principle is Notice Agent To: To whom it may ConcernROCKY MOUNTAIN POWER & GARY W. HOOGEVEEN, PRESIDENT PACIFICORP P.O. Box 400 Portland, Oregon 97207 From: Jacoba H. van Mastrigt 5447 E. Hacienda Dr. Idaho Falls, Idaho Dear Sir or Mam, Date: 1/25/23 Be it known, that a fault has occurred due to your silence and failure to answer my CONDITIONAL ACCEPTANCE of December 1, 2022, and my COURTESY NOTICE dated January 3, 2023, knowing that you have a legal and moral obligation to speak, as required by law, where an inquiry or offer left unanswered would be intentionally misleading, which can only be equated with fraud and contempt. "Silence can only be equated with ji·aud when there is alegal and moral duty to speak or when an inqui1y le.ft unanswered would be intentionally misleading. " U.S. v PRUDDEN 424 F.2d 1021; U.S. v TWEEL 550 F.2d 297, 299, 300 (1977) Further, your choosing to stand mute indicates probable bad faith on your part (see "Definition"). Expecting me to cooperate and then remaining silent and unwilling to reply in return is contempt, which is dishonorable. You seem to be operating under a double standard of arrogance and contempt, which is unacceptable. DEFINJTION: F Al.TT., T -In American Law -Negligence; an en·or or defect of judgment or of conduct; any deviation from prudence, duty, or rectitude; any shortcoming, or neglect of care or pe1fo11nance resulting_fi·om inattention, incapacity, or perversity; a wrong tendency, course, or act; bad faith or mismanagement; neglect of duty. In Civil Law, "Negligence; want of care. An improper act or omission, injurious to another, and transpiring through negligence, rashness, or ignorance." Black's Law Dictionary. Fourth Edition None the less, I give you the opportunity to cure your errors, and offer you 5 more days from date of receipt of this NOTICE to respond to said CONDITIONAL ACCEPTANCE of December 1, 2022. Again, your response is required. Failure to respond to this offer and my CONDITIONAL ACCEPTANCE of December 1, 2022 will constitute a default on your part signifying your tacit abandonment of your attempt to install a smart meter on my private property, and agreement to vacate this matter, forever barring you from any further action or attempts to install a smart meter on my private property located a 5447 E Hacienda Dr., Idaho Falls, Idal10 With explicit reservation of all my unalienable and Constitutionally protected Rights, Privileges and Immunities (Article 4:2: 1) with none waived, and without prejudice. {J Witness; Slgnature #2 (Iv 7575 NOTICE OF DEFAULT Notice to Agent is Notice to Principle -Notice to Principle is Notice Agent To: To whom it may Concern ROCKY MOUNTAIN POWER & GARY W. HOOGEVEEN, PRESIDENT PACIFICORP 1407 West North Temple Salt Lake City, UT 84116 From: Jacoba H. van Mastrigt 5447 E. Hacienda Dr. Idaho Falls, Idaho Dear Sir or Mam, Date: February 15, 2023 Be it known, that due to your failure to respond to my CONDITIONAL ACCEPTANCE dated 12/01/22; my COURTESY NOTICE dated 1/03/23; and my NOTICE OF FAULT dated 1/25/23, you have shown to the world your indifference and contempt for me, which is not only dishonorable but a disgrace as well. Therefore, this NOTICE serves to inform you, ROCKY MOUNTAIN POWER; GARY W. HOOGEVEEN, PRESIDENT, PACIFICO RP that you are now in DEFAULT due to your repeated silence to my chain of documents and failure to perform a duty where you have a legal and moral obligation to speak, and this NOTICE serves as primafacie evidence of your silence, contempt, and dishonor in this matter. "A default is an omission of that which ought to be done, and more specifically, the omission or failure to pe,form a legal duty. The term also embraces the idea of dishonesty, or an act or omission discreditable to one's profession." Black's Law Dictionary. Fourth Edition "Silence can only be equated with ji-aud when there is a legal and moral duty to speak or when an inqui,y left unanswered would be intentionally misleading." U.S. v PRUDDEN 424 F.2d 1021; U.S. v TWEEL 550 F.2d 297,299,300 (1977) Further, your silence to all my documents and correspondence, is your tacit agreement and acquiescence to my position as enumerated in my CONDITIONAL ACCEPTANCE and letter of 12/01/22, and all subsequent documentation which you received from me, as well as your tacit acknowledgement and agreement that you have vacated this matter and that you have no further intention to and will not install a smart meter on my private property located at 5447 E. Hacienda Dr., Idaho Falls, Idaho. With explicit reservation of all my unalienable and Constitutionally protected Rights, Privileges and Immunities (Article 4:2: 1) with none waived, and without prejudice. Very Truly, in Proper Person, Special, with Assistance, Jacoba H. van Mastrigt, In Su(Juris Witness to signature #1 Witness to signatur� #2 7676 , --NOTICE OF DEFAULT Notice to Agent is Notice to Principle -Notice to Principle is Notice Agent To: To whom it may Concern ROCKY MOUNTAIN POWER & GARY W. HOOGEVEEN, PRESIDENT PACIFICORP P.O. Box400 Portland, Oregon 97207 From: JacobaH. van Mastrigf 5447 E. Hacienda Dr. Idaho Falls, Idaho Dear Sir or Mam, Date: February 15, 2023 Be it known, that due to your failure to respond to my CONDITIONAL ACCEPTANCE dated 12/01/22; my COURTESY NOTICE dated 1/03/23; and my NOTICE OF FAULT dated 1/25/23, you have shown to the world your indifference and contempt for me, which is not only dishonorable but a disgrace as well. ibi wt.MP Therefore, this NOTICE serves to inform you, ROCKY MOUNTAIN POWER; GARY W. HOOGEVEEN, PRESIDENT, PACIFICORP that you are now in DEFAULT due to your repeated silence to my chain of documents and failure to perfom1 a duty where you have a legal and moral obligation to speak, and this NOTICE serves as primafacie evidence of your silence, contempt, and dishonor in this matter. "A default is an omission of that which ought to be done, and more specifically, the omission or failure to perform a legal duty. The term also embraces the idea of dishonesty, or an act or omission discreditable to one's profession." Black's Law Dictionary, Fourth Edition "Silence can on(v be equated with ji-aud when there is a legal and moral duty to speak or when an inqui1:v left unanswered would be intentionally misleading." U.S. v PRUDDEN 424 F.2d 1021; U.S. v TWEEL 550 F.2d 297, 299, 300 (1977) Further, your silence to all my documents and correspondence, is your tacit agreement and acquiescence to my position as enumerated in my CONDITIONAL ACCEPTANCE and letter of 12/01/22, and all subsequent documentation which you received from me, as well as your tacit acknowledgement and agreement that you have vacated this matter and that you have no further intention to and will not install a smart meter on my private property located at 5447 E. Hacienda Dr., Idaho Falls, Idaho. With explicit reservation of all my unalienable and Constitutionally protected Rights, Privileges and Immunities (Article 4:2: 1) with none waived, and without prejudice. Very Truly, in Proper Person, Special, with Assistance, Jacoba H. van Mastrigt, {9' S�i Juris Witness to signature # 1 Witness to signature #2 7777 NOTICE OF ESTOPPEL BY ACQUIESCENCE NOTICE TO AGENT IS NOTICE TO PRINCIPLE -NOTICE TO PRINCIPLE IS NOTICE TO AGENT BE IT KNOWN, this 15th day of February, 2023, that you, ROCKY MOUNTAIN POWER and GARY W. HOOGEVEEN, PRESIDENT, PACIFICORP, by your "SILENCE" have tacitly acquiesced in the matter concerning my CONDITIONAL ACCEPTANCE dated December 1, 2022, in which you were given reasonable opportunity to respond timely to, and by your "SILENCE" to my COURTESY NOTICE, dated January 3, 2023, and your silence on my NOTICE OF FAULT dated January 25, 2023. You therefore, were found in DEFAULT, signifying that a fraud has been perpetrated upon Me, pursuant to U.S. v. Tweel, 550 F.2d 297,299 (1977), thereby initiating the DOCTRINE OF ESTOPPEL BY ACQUIESCENCE,pursuant to Carmine v. Bowen, 64 A 932 (1906), which is now in full force and effect upon you, ROCKY MOUNTAIN POWER and GARY W. HOOGEVEEN, PRESIDENT, PACIFICORP. BE IT FURTHER KNOWN, that you, ROCKY MOUNTAIN POWER and GARY W. HOOGEVEEN, PRESIDENT, PACIFICORP are hereby estopped from any and all further action(s), claims, counterclaims, demands, and or suits against me, concerning your matter involving your attempted installation of a smart meter on my private property located at 5447 E Hacienda Dr., Idaho Falls, Idaho and myself. NOW BE ADVISED, that you, ROCKY MOUNTAIN POWER and GARY W. HOOGEVEEN, PRESIDENT, PACIFICORP hereby agree and accept that any violation(s) of this ESTOPPLE will be construed, at the very least, a "tortious" offense against me making you liable for damages to me in the amount of $1,000,000.00 U.S. (One Million Dollars) due and payable upon demand within 30 days of such demand. Understand that this is an implied and self-executing contract enforceable in court and that violating this ESTOPPEL and moving against me and or my private property hereafter is "performance" on your part, and constitutes your acceptance of the terms of this ESTOPPEL. If you do not wish to become subject to this implied contract, then DO NOT TRESPASS upon me or my private property any further by VIOLATING this ESTOPPEL. THIS IS AN IMPLIED CONTRACT-PERFORMANCE 15 ACCEPTANCE With explicit reservation of all my unalienable and Constitutionally secured and protected Rights, Privileges and Immunities (Article 4:2: 1) with none waived, and without prejudice. Very Truly, in Proper Person, Special, with Assistance, Jacoba H. van Mastrigt, Sui Juris / Witness to signature #1 Witness to signatur� #2 7878 NOTICE OF ESTOPPEL I? �\�',{ H ? _, I � \ :• L 4/� BY ACQUIESCENCE NOTICE TO AGENT IS NOTICE TO PRINCIPLE -NOTICE TO PRINCIPLE IS NOTICE TO AGENT BE IT KNOWN, this 15th day of February, 2023, that you, ROCKY MOUNTAIN POWER and GARY W. HOOGEVEEN, PRESIDENT, PACIFICORP, by your "SILENCE" have tacitly acquiesced in the matter concerning my CONDITIONAL ACCEPTANCE dated December 1, 2022, in which you were given reasonable opportunity to respond timely to, and by your "SILENCE" to my COURTESY NOTICE, dated January 3, 2023, and your silence on my NOTICE OF FAULT dated January 25, 2023. You therefore, were found in DEFAULT, signifying that a fraud has been perpetrated upon Me, pursuant to U.S. v. Tweel, 550 F.2d 297,299 (1977), thereby initiating the DOCTRINE OF ESTOPPEL BY ACQUIESCENCE,pursuant to Carmine v. Bowen, 64 A. 932 (1906), which is now in full force and effect upon you, ROCKYMOUNTAIN POWER and GARY W. HOOGEVEEN, PRESIDENT, PACIFICORP. BE IT FURTHER KNOWN, that you, ROCKY MOUNTAIN POWER and GARY W. HOOGEVEEN, PRESIDENT, PACIFICORP are hereby estopped from any and all further action(s), claims, counterclaims, demands, and or suits against me, concerning your matter involving your attempted installation of a smart meter on my private property located at 5447 E Hacienda Dr., Idaho Falls, Idaho and myself NOW BE ADVISED, that you, ROCKY MOUNTAIN POWER and GARY W. HOOGEVEEN, PRESIDENT, PACIFICORP hereby agree and accept that any violation(s) of this ESTOPPLE will be construed, at the very least, a "tortious" offense against me making you liable for damages to me in the amount of $1,000,000.00 U.S. (One Million Dollars) due and payable upon demand within 30 days of such demand. Understand that this is an implied and self-executing contract enforceable in court and that violating this ESTOPPEL and moving against me and or my private property hereafter is "performance" on your part, and constitutes your acceptance of the terms of this ESTOPPEL. If you do not wish to become subject to this implied contract, then DO NOT TRESPASS upon me or my private property any further by VIOLATING this ESTOPPEL. THIS IS AN IMPLIED CONTRACT -PERFORMANCE IS ACCEPTANCE With explicit reservation of all my unalienable and Constitutionally secured and protected Rights, Privileges and Immunities (Article 4:2: 1) with none waived, and without prejudice. Very Truly, in Proper Person, Special, with Assistance, ., Jacoba H. van Mastrigt, Sui Juris Witness to signature #1 _ _,,.,.. { l.;;,c-l)-' , . .. . / r -.: ,, .;..\. -'"t v" Date itness to signature #2 7979 COMPLAINT 20 To:Jan Noriyuki,Commission Secretary Idaho Public Utilities Commission PO Box 83720 Boise, ID 83720-0074 Date:March 18,2023 From:Samuel and Peggy Edwards 333 Shoshone Ave Rexburg, Idaho 83440 RE:Installation of "Smart"Meter and threat of service disconnection Dear Ma'am, This COMPLAINT is a follow-upto an initial complaint which Peggy submitted to Idaho Public Utility Commission in December 2022.Our complaint is still the same:there should be an "opt-out"option for customers of ROCKY MOUNTAIN POWER/PACIFICORP who do not want to upgrade their electric meter. At this time,our case has become critical,and we ask for your intervention to immediately stop the termination of our electric service by ROCKY MOUNTAIN POWER/PACIFICORP scheduled for March 28, 2023. Our COMPLAINT arises over matters concerning myself, Samuel, and my wife,Peggy,and ROCKY MOUNTAIN POWER/PACIFICORP in regard to their intention to install a Trespassing Technology known as a "Smart"type meter on our home, located at 333 Shoshone Ave;Rexburg, ID 83440 contrary to our existing and long-standing contractual agreement, as well as our will and consent. We further request that a traditional meter replace our existing electronic meter,even if a reasonable surcharge for regularly checking the meter were added to our bill or if we were responsible to report the meter reading (e.g.-text/email a picture)on a regular basis. Please find attached our DECLARATION in the form of an AFFIDAVIT in support of this letter of COMPLAINT,along with supporting Exhibits A,B, and C. We,along with our 16-year old special-needs daughter and two other children,are currently faced with the real possibility of havingour power/electrical service disconnected on 28 March 2023 (please see disconnect letter, Exhibit A).We have attempted over and over again,in good faith to resolve all issues with ROCKY MOUNTAIN POWER/PACIFICORP which have led up to this point where they are now threatening to shut our power off,in spite of the fact that access to the meter has never been impeded for service and that we have always paid our power bill each month and are currently not late with payment.They,in turn,are the aggressor operating in bad faith, using strong-arm intimidation tactics,threat,duress, and coercion in order to upgrade the meter without consideration for the will,privacy or medical effects which this upgrade would have upon us,the property owners. Last year,we received an undated and unsigned letter from ROCKY MOUNTAIN POWER/PACIFICORP on or around November 22,2022 instructing us to call their 800 number within 15 days to resolve any "access"issues and set an appointment to have our meter updated with their (Trespassing Technology). In response to this letter, Peggy called ROCKY MOUNTAIN POWER/PACIFICORP multiple times,including talking with an employee Christian #36743 CASE NO. PAC-E-23-05 8080 twice. During these calls, Peggy explained that a power company technician (sub-contractor) had come to our door in October requesting to install a smart meter, and we informed her that we were contesting the unilateral insistence to replace our current power meter with a 5G Smart Meter. She politely said that she understood and would inform ROCKY MOUNTAIN POWER/PACIFICORP of our response. Peggy also informed Christian #36743 that we have a special needs child who currently sleeps about 8 feet from the location of the power meter and we are concerned about the radio frequency waves to which she would be exposed by the 5G Smart Meter. As detailed in Exhibit C and available in other documented medical research, non-ionizing electromagnetic radiation (e.g. wireless technologies including smart meters) can lead to electro-sensitivity requiring accommodation 1. Peggy asked for an appropriate address to send a letter responding to the unsigned,undated letter, so that we could formally contest the assertion that the "installer couldn't access the meter base". Delays with verifying the appropriate address to send our letter resulted in the letter being sent in late February, arriving on 2 March 2023 at ROCKY MOUNTAIN POWER/PACIFICORP's CEO Gary Hoogeveen's office in Portland, OR according to UPS Ground tracking #IZX048R30397898301. (see Exhibit C) On March 3, we received ROCKY MOUNTAIN POWER/PACIFICORP's 22 February 2023 letter, subject "SECOND NOTICE: Required Access for Meter Upgrade at 333 Shoshone Ave Rexburg, ID 83440" (Exhibit B), and that their contractor was refused "access" to perform a meter (Trespassing Technology) exchange. This new letter also states that they have also attempted to reach us by telephone, and that we are to call their 800 number to resolve this issue within 15 days, or they will refer our account to their service disconnection process. In this same letter they also claim that we are "contractually obligated to allow" ROCKY MOUNTAIN POWER/PACIFICORP "safe and unencumbered access to our equipment. Meter service is a condition of electric service, as expressed in the Idaho Public Utilities Commission's Customer Relations Rules, namely Electric Service Regulation No.6, ... " Be noticed that the word/term "access" in ROCKY MOUNTAIN POWER/PACIFICORP's letters to us is being improperly applied to mean something other than what it really is (see explanation below). On March 17, we received ROCKY MOUNTAIN POWER/PACIFICORP's 14 March 2023, subject "FINAL NOTICE: Required Access for Meter Upgrade at 333 Shoshone Ave, Rexburg, Idaho" (Exhibit A). We are informed in this letter that our service will be terminated on 28 March, 2023. INTRODUCTION [BRIEF HISTORY) As it stands now, there has been in place for the past 3.5 or so years a relationship of a "contractual" nature between us and ROCKY MOUNTAIN POWER/PACIFICORP (formally UT AH POWER AND LIGHT), who currently provides us with electrical power to our home. I, in turn naturally, have agreed to allow ROCKY MOUNTAIN POWER/PACIFICORP's (formerly UTAH POWER AND LIGHT) meter reader(s) "access" of a "specified and limited" nature, not a general unspecified and unlimited nature, to our private property each month specifically for them to read our electrical power meter ONLY. No other access to our private property, implied or otherwise was ever granted to ROCKY MOUNTAIN POWER/PACIFICORP (formerly UTAH POWER AND LIGHT) at any time. Any other necessary "access", including troubleshooting power outages and making necessary repairs to electrical equipment located on our private property is considered "special" in nature and would only be granted at the time, we, the private property owners reported a power outage and or requested them to troubleshoot an electrical problem and make necessary repairs ONLY. Therefore, ROCKY MOUNTAIN POWER/PACIFICORP (formally UTAH POWER AND LIGHT) does not have autonomous authority in and of itself to access our private property to troubleshoot and or make necessary repairs to electrical equipment or for any 1 https://childrenshealthdefense.org/wp-content/uploads/Brief-and-Addendum-Submitted-9-14.pdf, accessed 3/18/2023 2 8181 other reason at any time, day or night until they receive notification from us authorizing and granting them permission at that time, on a one-time basis only for them to proceed to do the specified request. Anything other than this is a trespass, invasion of our privacy, security, unalienable Rights, including our private property rights which cannot be diminished, as well as a violation of our existing contractual agreement. Let us be clear on this issue of "access" which ROCKY MOUNTAIN POWER/PACIFICORP claims that we are denying them. We and no one else in our home have ever denied "access" to any of ROCKY MOUNTAIN POWER/PACIFICORP's meter readers or their company repair personnel as per our previously agreed upon terms of our long-standing contractual agreement over the years. However, there has never been in place any agreement for personnel from any third-party company to trespass on my private property and tamper with our, in this case electrical meter at any time, whether we are at home or if no one is at home, neither has there ever been in place any agreement with ROCKY MOUNTAIN POWER/PACIFICORP to "access" our private property to make a non-repair (or install a Trespassing Technology) when no request for such type of service was ever made, and no defective electrical equipment on my private property exists. So, if no defective electrical equipment exists on our private property and we did not call ROCKY MOUNTAIN POWER/PACIFICORP to report any troubles/problems with our electrical service and thus no electrical repairs were/are needed, what are there personnel doing on our private property and or attempting to access our private property without our consent contrary to our existing contractual agreement? Understand that this whole issue surrounds a matter of an existing "contract" which ROCKY MOUNTAIN POWER/PACIFICORP are attempting to impair our obligation to. This contractual relationship, as I said before has been in place since we moved in our home about 3.5 years ago when we requested ROCKY MOUNTAIN POWER/PACIFICORP (formerly UTAH POWER AND LIGHT) supply our home with electrical power, to which they agreed. This has worked smoothly without any problems or disputes until last year, when ROCKY MOUNTAIN POWER/PACIFICORP attempted to change the terms of our previously agreed upon and long standing "contract" without consideration of individual customers' desires or full disclosure that they were attempting to change said terms of or initiate a new contract without my knowledge and consent in order for them to bully their way onto our private property to make a non-repair ( or install a Trespassing Technology) which is not part of our existing contractual agreement. As you well know, for any changes to be made to a contract, both parties must be, in agreement, and both parties must have a clear understanding of any and all terms and changes in terms of said contract to be valid and binding. This is simply not the case in this matter. To allow this abuse to continue would be a travesty of justice. ROCKY MOUNTAIN POWER/PACIFICORP acknowledges the existence of our contractual relationship (see Exhibit A) but in a skewed and twisted fashion, not relating the matter truthfully. They spread propaganda that smart meters are safe without considering contrary evidence and portray objecting homeowners as the antagonist and an uncooperative party for not wanting their smart meter Trespassing Technology, making us the "bad guy". What is the marginal benefit of pressuring 100% of customers to adopt upgraded meters? If 90% of customers have already upgraded, isn't network awareness sufficiently improved to inform outage restorations? Threatening service disconnection appears to be an overly coercive tactic to achieve complete compliance and ignore alternatives (e.g.-self-reporting or a surcharge for meter reading). Why does the IDAHO PUBLIC UTILITIES COMMISSION/Legislature support or sanction this coercion which has become criminal (felonious) behavior? Other states offer "opt-out" alternatives, so that 100% compliance is demonstrably unnecessary. There is no one person or agency in the Idaho government advocating for the people/inhabitants in their plight with ROCKY MOUNTAIN POWER/PACIFICORP, but there is a government agency advocating for ROCKY MOUNTAIN POWER/PACIFICORP's position -the IDAHO PUBLIC UTILITIES COMMISSION under the thumb of the state legislature. However, the interpretation of the Commission on this matter so far does not honor the rights of the people of 3 8282 Idaho to make decisions affecting their privacy or medical freedom. Where there is risk, there must remain choice. So far as smart meter upgrades are concerned, IDAHO PUBLIC UTILITIES COMMISSION appears only to consider the best interests of the utility company, and not the public trust. Understand, we have committed no wrong in this instant matter and have done our due diligence in an attempt to resolve all issues in order to keep the peace and our electric power on. ROCKY MOUNTAIN POWER/PACIFICORP has been acting in bad faith and continue to walk in dishonor. They are a huge corporate giant with endless financial resources coming against this small single family who only desires to live in peace. This huge corporate giant seems to think that because they operate as a government sanctioned monopoly, knowing that customers have no other option or choice in power companies, they can just run roughshod over their perceived disobedient customers to force their unlawful will (Trespassing Technology) upon them by use of deception, lies, strong-arm intimidation tactics, threat, duress, and coercion ( criminal acts) in order to covertly alter a previously agreed upon "contract" without my knowledge and consent -HOLDING OUR ELECTRICAL POWER SERVICE AS RANSOM. This is a matter of the big bully on the block going around breaching the peace, terrorizing and strong-arming the inhabitants in the neighborhood and bullying their way onto their customer's private property and into their private lives. This is criminal behavior and it must be stopped. Ill FACTUAL ALLEGATIONS We, Samuel & Peggy Edwards, hereinafter referred to as complainant, in complaint of ROCKY MOUNTAIN POWER/PACIFICORP and their Trespassing Technology, hereinafter referred to as "violator", respectfully alleging various felonious acts being perpetrated upon complainant as follows: COUNT 1: Breach of the peace. ROCKY MOUNTAIN POWER/PACIFICORP's attempted unlawful intrusion onto complainant's private property and into complainant's home resulting in a breach of complainant's and other household members peace causing undue fear, emotional and physical stress of complainant and other household members. COUNT 2: Attempted extortion of complainant's will, consent, and rights through use of threat, duress, and coercion in order to induce complainant to capitulate, by wrongful use of fear and under color of official right to ROCKY MOUNTAIN POWER/PACIFICORP's unlawful compulsion to accept their smart meter (Trespassing Technology) while holding the threat of electrical service disconnection over complainant's head. COUNT 3: Impairment of complainant's obligation of an existing contract between ROCKY MOUNTAIN POWER/PACIFICORP and complainant by use of threat, deception, strong-arm intimidation tactics, trickery, duress, and coercion. Violators are attempting to change terms of an existing contract and or create a new contract with complainant in order to install a "smart" meter (Trespassing Technology) without the authorization/consent of complainant by wrongful use of fear and under color of official right, hoping complainant will grant coerced or tacit agreement for such contract changes by either omitting to perform a particular act or through the performance of a particular act induced under compulsion in order to get their smart meter (Trespassing Technology) installed on complainant's home. COUNT 4: Attempted extortion and takeover of complainant's private property for commercial use. Violators, by wrongful use of fear and under color of official right are attempting to commandeer complainant's private property in order to install a smart Meter "relay station" 4 8383 (Trespassing Technology) on complainant's property for the sole benefit of ROCKY MOUNTAIN POWER/PACIFICORP and outside third-party entities without any just authorization and compensation to complainant for such. This would amount to theft, unlawful conversion of private property, unjust enrichment, and violation of the complainant's FIFTH AMENDMENT right to not "be deprived of life, liberty, or property, without due process of law". COUNT 5: Attempted illegal wiretapping and extraction of personal and private information without a lawfully issued and or executed search warrant, through the installation of an unlawful (as no consent is given) surveillance/bugging device known as a smart meter (Trespassing Technology). Smart meter capabilities include, but not limited to monitoring, logging, storing, transferring, and sharing of daily personal and private habits and routines of occupants of private homes and then giving said information to unauthorized third-parties for profit, including police and federal government snoop agents, all without the homeowner's or other occupants consent to do so. This would amount to gross violation of complainant's FOURTH AMENDMENT right to be "secure in their person, houses, papers, and effects, against unreasonable searches and seizures", as well as complainant's FIFTH AMENDMENT right to not "be deprived of life, liberty, or property, without due process of law". COUNT 6: Threat with intent to commit harm to complainant and other household members by threatening to shut off electrical power to complainant's property/house if complainant does not allow ROCKY MOUNTAJN POWER/PACIFICORP to install a smart meter (Trespassing Technology) on complainant's house. Termination of electrical power will cause severe hardship, stress, and duress, as well as severe physical and emotional harm to the complainant and other members of this household, including family members with special medical needs. ROCKY MOUNTAIN POWER/ PACIFICORP, having foreknowledge of the complainant's special needs daughter's age and physical condition, continues to acknowledge their intent to harm complainant and complainant's child, which makes this a criminal act. COUNT 7: Gross Negligence; Hazardous Negligence. The "gross negligence", or reckless and wanton behavior of ROCKY MOUNTAIN POWER/PACIFICORP is manifest in their failure to exercise even slight care, and evidences a reckless disregard of complainant's life and safety, as well as of others in complainant's household, by attempting to expose us to the dangerous/ hazardous health effects of a smart meter (Trespassing Technology) which they are attempting to install on complainant's private property against complainant's will and consent. There intentional failure to perform a manifest duty to truthfully inform complainant of the actual dangers of a smart meter is in reckless disregard of the consequences as affecting complainant's life and property, including a gross want of care and regard for complainant's rights and the rights of others in complainant's household. Their behavior is also "hazardous negligence" due to ROCKY MOUNTAIN POWER/ PACIFICORP's careless or reckless conduct by attempting to expose complainant and other members of complainant's household to the very great danger of injury and imminent peril should the installation of their smart meter (Trespassing Technology) on complainant's home take place. COUNT 8: Actionable Fraud. ROCKY MOUNTAIN POWER/ PACIFICORP has committed an "actionable fraud" against complainant by use of deceptive practices in an attempt to induce complainant to part with complainant's legal right(s), to include complainant's long-standing existing contractual agreement with ROCKY MOUNTAIN POWER/ PACIFICORP, as well as unlawfully attempting to commandeer complainant's private property for commercial use by installing a "relay station" (smart meter Trespassing Technology) without complainant's consent by making false representations with the intention to deceive. Further, it appears that ROCKY MOUNTAIN POWER/ PACIFICORP makes a material representation which is knowingly false 5 8484 concerning their smart meter (Trespassing Technology), making such representation without any knowledge of its truth and as a positive assertion that smart meters are safe, and made it with the intention that it should be acted on by complainant. If complainant acts and complies with this false representation, complainant fears and believes an impending injury will be suffered by complainant and possibly others in complainant's household as well. Note: If attempted murder is prosecutable, then attempted extortion and piracy is also prosecutable. DEFINITIONS From: Black's Law Dictionary, Fourth Edition EXTORT. To compel or coerce, as a confession or information by any means serving to overcome one's power of resistance, or making the confession or admission involuntary. Sutton v. Commonwealth, 207 Ky. 597, 269 S.W. 754, 757. To gain by wrongful methods, to obtain in an unlawful manner, to compel payments by means of threats of injury to person, property, or reputation. McKenzie v. State, 113 Neb. 576,204 N.W. 60, 61; State v. Richards, 97 Wash. 587, 167 P. 47, 48. To take from unlawfully; to exact something wrongfully by threats or putting in fear. State v. Adams, Del., 106 A. 287,288, 7 Boyce, 335. See Extortion. The natural meaning of the word "extort " is to obtain money or other valuable thing either by compulsion, by actual force, or by the force of motives applied to the will, and often more overpowering and irresistible than physical force. Com. v. O'Brien, 12 Cush., Mass., 90. EXTORTION. Unlawful obtaining of money from another. People v. Parkinson, 181 Misc. 603, 41 N.Y.S.2d 331, 334. Obtaining of property from another, with his consent, induced by wrongful use of force or fear, or under color of official right. And see State v. Logan, 104 La. 760, 29 So. 336; In re Rem pf er, 51 S.D. 393, 216 N.W. 355, 359, 55 A.L.R. 1346; Lee v. State, 16 Ariz. 291, 145 P. 244, 246,Ann.Cas.1917B, 131. Obtaining of property of another by threats to injure him and to destroy his property, State v. Phillips, 62 Idaho 656, 115 P.2d 418, 420. Taking or obtaining of anything from another by means of i lie gal compulsion or oppressive exaction, Daniels v. U. S., C.C.A.Cal., 17 F .2d339, 342; whether by an officer or otherwise, United States v. Dunkley, D.C.Cal., 235 F. 1000,1001. A taking under color of office is of essence of offense. La Tour v. Stone, 139 Fla. 681, 190 So. 704, 709,710. At common law, any oppression by color or pretense of right, and particularly and technically the exaction or unlawful taking by an officer of money or thing of value, by color of his office, either when none at all is due, or not so much is due, or when it is not yet due. Preston v. Bacon, 4 Conn. 480.See People v. Barondess, 16 N.Y.S. 436, 61 Hun, 571; Murray v. State, 125 Tex.Cr.R. 252,67 S.W.2d 274,275; State v. Anderson, 66 N.D. 522,267 N.W. 121, 123; Whart.Cr.L. 833. Term in comprehensive or general sense signifies any oppression under color of right, and in strict or technical sense signifies unlawful taking by any officer, under color of office, of any money or thing of value not due him, more than is due, or before it is due. State v. Barts, 132 N.J.L. 74, 38 A.2d 838,843,844,848; State v. Vallee, 136 Me. 432, 12 A.2d 421. To constitute "extortion," money or other thing of value must have been willfully and corruptly received. La Tourv. Stone, 139 Fla. 681, 190 So. 709,710. 6 8585 To constitute "extortion," the wrongful use of fear must be the operating cause producing consent. People v. Biggs, 178 Cal. 79, 172 P. 152, 153. GROSS NEGLIGENCE. The Intentional failure to perform a manifest duty in reckless disregard of the consequences as affecting the life or property of another; such a gross want of care and regard for the rights of others as to justify the presumption of willfulness and wantonness. Seelig v. First Nat. Bank, D.C.IIL, 20 F.Supp. 61, 68. The failure to exercise slight care. Jones v. Atchison, T. & S. F. Ry. Co., 98 Kan. 133, 157 P. 399, 400; Burton Const. Co. v. Metcalfe, 162 Ky. 366, 172 S.W. 698, 701. In the law of torts (and especially with reference to personal injury cases), the term means such negligence as evidences a reckless disregard of human life, or of the safety of persons exposed to its dangerous effects, or that entire want of care which would raise the presumption of a conscious indifference to the rights of others which is equivalent to an intentional violation of them. McDonald v.Railroad Co., Tex.Civ.App,, 21 S.W. 775; Railroad Co. v. Bodemer, 139 Ill. 596, 29 N.E. 692,32 Am.St.Rep. 218; Coitv. Western Union Tel. Co., 130 Cal. 657, 63 P. 83, 53 LR.A. 678; Bremerv.Lake Erie & W.R. Co., 318 Ill. 11, 148 N. E. 862, 866, 41 A.LR. 1345. Indifference to present legal duty and utter forgetfulness of legal obligations, so far as other persons may be affected, and a manifestly smaller amount of watchfulness and circumspection than the circumstances require of a person of ordinary prudence. Burke v. Cook, 246 Mass. 518, 141 N .E. 585,586. Negligence bordering on recklessness. People v. Adams, 289 Ill. 339, 124 N.E. 575, 577. Words "gross negligence," are equivalent to words "reckless and wanton." Jones v. Commonwealth, 213 Ky. 356,281 S. W. 164, 167. HAZARDOUS NEGLIGENCE. Such careless or reckless conduct as exposes one to very great danger of injury or to imminent peril. Riggs v. Standard Oil Co., C.C.Minn., 130 F. 204. Y ACTIONABLE. That for which an action will lie, furnishing legal ground for an action. ACTIONABLE FRAUD. Deception practiced in order to induce another to part with property or surrender some legal right; a false representation made with an intention to deceive; may be committed by stating what is known to be false or by professing knowledge of the truth of a statement which is false, but in either case, the essential ingredient is a falsehood uttered with intent to deceive. Sawyer v. Prickett, 19 Wall. 146, 22 L Ed. 105. To constitute "actionable fraud," it must appear that defendant made a material representation; that it was false; that when he made it he knew it was false,-or made it recklessly without any knowledge of its truth and as a positive assertion; that he made it with intention that it should be acted on by plaintiff; that plaintiff acted in reliance on it; and that plaintiff thereby suffered injury. Blair v. McCool, 136 Or. 139, 295 P. 950, 952. Essential elements are representation, falsity, scienter, deception, and injury. Cobb v. Cobb, 211 N.C. 146, 189 S.E. 479,482. CONCLUSION We respectfully request that the Commissioners for the Idaho Public Utility Commission investigate this entire matter concerning this criminal and wanton behavior and the strong-arm intimidation tactics of RO CKY MOUNTAIN PO W ER/PAC IF I CO RP and why they are permitted 7 8686 to continue tu violate and interfere with my, as well as many other ROCKY MOUNTAIN POWER,1f't\CIFICORP customer's existing valid contractual agreements against their will and free consent. and their FOURTH and FIFTH AMENDMENT Rights, and other violations mentioned above, and also why the IDAHO PUC/State Legislature permits/sanctions this type of criminal behavior. As time is of the essence, we respectfully request that this matter be given priority status and a timely remedy sought in order to avoid the apparent upcoming electrical service diswnncctin11 in just a matter of days, not just for ourselves but for many other ROCKY MOUN IAIN l'U\VER/PAClflCORP customers similarly situated. Thank you in advance for your time and consideration in remedying this matter as soon as possibk in order that justice may be done. Vc-ry truly. �Ji�su; Juds 8 8787 DECLARATION OF SAMUEL Z. EDWARDS IN THE FORM OF AN AFFIDAVIT I.Samuel Fd,,ards. being of sound mind and body do make this Declaration of my own free will 11·ithout an) undue outside influence. I declare the following: I. On l)cccmber 17, 2021, I did receive an unsigned letter from ROCKY MOUNTAIN PO\VI :l·V PACIFICORP staling that new digital smart meters would be installed in our neighborhood bcgi11ning in January 2022. 2.Both my ,rife and l have grave concerns over the health affects of a sma1i meter as our 16 year old daughter has a complex medical history including Autism Spectrum Disorder. is Wheelchair Bound and completely dependent for care. She is cognitively between 4-6 years old with spet·ch. hearing and physical impairments. Her sleeping space is located approximately 8 fcl't l1·orn tile i;:·.,isti ng 111etcr base for our home ·s electric service. During 2020-2021. we renovated this sleeping space to be suitable for our daughter's care and need to remain in our home i ndcfinitely vvhich includes an electric ceiling lift system, electric feeding pump station. roll under sink and roll-in shower. (Doctors' notes available upon request.) 3.On February 11. 2022. we were notified that the upgrade was happening in our neighborhood with no option of' opting out. My wife, Peggy Edwards, communicated with ROCKY MOI jNTt\!N POWER/ PACIFICORP and informed their representative, Alison. of our daughter·s complex medical history, autism and the proximity of the meter base close to her sleeping space. Peggy further told ROCKY MOUNTAIN POWER/ PACIFICORP that we do not consent to tit(· met.er upgrade at our home. Alison informed Peggy that we cannot "opt-uut .. \11" tile meter upgradl' and stated that we must move the sleeping space or move the meter bas\.'.. 4.011 1-cbrumy 13. 2022, Peggy emailed our state legislator (Representative Ron Nate) and i11t'ormcd him of the conversation that she'd had with ROCKY MOUNTAIN POWER/ PACIFICORP. In subsequent days, we also reached out to Representatives Karey Hanks . .Ion Weber and Senator Doug Ricks. complaining about the lack of an "opt out'' option. 5.During February and March 2022, we consulted with ROCKY MOUNTAIN POWER/ PACI FI CORP representatives about moving the existing meter base. On March 3. 2022. Peggy called Russell Westerberg at ROCKY MOUNTAIN POWER/ PACIFICORP, who put us in cuntact with Tim Solomon to discuss moving the existing meter base. We obtained a quote from a local ekctrician (Leroy Edwards) of about $5000 to move it, but this was too expensive for us at that time. 6.During Summer of 2022, a ROCKY MOUNTAIN POWER/ PACJFICORP subcontractor came lo request lo S\I itch out our current meter base for the new digital smart meter. We declined the upgrade because of concerns that the new digital smart meter would have a deleterious affect upon our daughter's health. 7.On 10 Noveinber 2022, we received an undated and unsigned letter from ROCKY MOUNTAIN POWER/ P/\CIFlCORP claiming that their "installer couldn't access the meter base'" located at our home (333 Shoshone Ave; Rexburg, ID). In response to this letter. Peggy called ROCKY 8888 I\IUUN l'AJN POWERIPACIFICORP multiple times, including talking with an ernplo)CC Christian #36743 twice and informing him of the details of our conversation with the subcontractur. Peggy requested a mailing address to formally dispute the claim that their •'instal.ler couldn't access the meter base". 8. 'Ne did 1101 receive a mailing address from ROCKY MOUNTAIN POWER/ PACIFJCORP to submit our dispute. so we found an address for their corporate offices online and mailed our disputation in btc February 2023. According to UPS Ground tracking ( # l ZX048 RJ(J397898301 ), our disputation was delivered to the office of CEO Gary I !oogen:cn in Portland, OR on March 2, 2023. 9.On March 3. vvc received ROCKY MOUNTAIN POWER/PACIFICORP's 22 February 2023 letter. subject --SECOND NOTICE: Required Access for Meter Upgrade at 333 Shoshone Ave Rexburg .. ID 83440'' (Exhibit B), and that their contractor was refused "access'" to perform a meter (Trespassing Technology) exchange. I 0. On l'v1mch 17. we received ROCKY MOUNTAIN POWER/PACIFICORP's 14 1'-larch 2023. subject ··FIN1\L NOTICE: Required Access for Meter Upgrade at 333 Shoshone Ave, Re:--;burg. Idaho .. (l·:xhihit A). We are informed in this letter that our service will be terminated on 28 rvtarch. 2023. I.S:irnucl /. hlw:mls, affirm and certify on my own unlimited commercial liability that I lia,e rt·ad I.he abo,·e alTida, it and do know the contents to be the truth, the whole truth, conect and complete 10 lhe best of' my knowledge, and willing to testify to this. --�-�, Sui Juris Date V, i tness t(½ignature 8989 CREDIBLE-WITNESS ACKNOWLEDGMENT State/Commonwealth of i c_{ee:,Cd:, County of (1/lf't t:li :>'?:---t- On this the I y)t1 Day day of �Jv�i?v_· _'-_L'.'.S,�--Month --�-A��-"_,_._7_3 ___ , before me, the undersigned NotaryYear Public, personally appeared -�/_U-_i:.:...,.'.7_' �.,..�<-'",..../ __ ?_.:/._✓_-�,::-c�:..,,:-"t�..,...,_�-_c1:_' �'.'>�----------------? / I Nome(s) of Document Signer(s) Place Notary Seal/Stamp Above proved to me on the basis of satisfactory evidence, upon the oath or affirmation of {/,n' yl-r;:-icv ··i }\(� Name of Credible Witness to be the person(s) whose name(s) is/are subscribedto the within instrument, and acknowledged to me that he/she/they executed the same for the purposes therein contained. Witness my hand and official seal. ,._,.- Si natw e of Notary Public {)/;/ ,� _7/4,,.. � j \d./.�""L Printed Norrie of Nota,y Public 12--/-9 /zc-c.-0✓ AnyOtherRequired Information (Commission Expiration Date, etc.) �-----------------OPTIONAL -----------------� This section is required for notarizations performed in Arizona but it optional in other states. Completing this information con cleter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: .M-"--'-,/-'-6 -',-...=.C....,\c', ._,,,__{ .,_): -_._\ _\-__,,o=· _e_· ---�=---+f-)_\_ce.::..·· '-'""'-'--• .c._l-________ _ Document Date: __ )+_l....,/_z,_,_/..,.Z,.""--3...,__ _________ Number of Pages: _...._( ___ 6_· ___ _ Signer(s) Other Than Named Above: _5i_.,_J�:Z�?�'t--(._t-',/ __ • �£.�C"�·�:/4:_?'.�£ri�Y<'�./_:_s_· ________ _ �':2017 National Notary Association 9090 CREDIBLE-WITNESS ACKNOWLEDGMENT State/Commonwealth of __,_J _i::::-;_,_(=c-l-'--'--l\-'-'C�1 ____ _ County of /L·/lc(C{/ Jt:!:3 On this the /<f,/4 \ day of AA£t v'GhDay Month before me, the undersigned Notary Year Public, personally appeared �'-�S�0-�_�t-l4�·-,.(_,._"'z�.t:_d,_?C/�""-vr:;J __ _s_· ______________ _ Place Notary Seal/Stamp Above Nome(s) of Document Signer(s) proved to me on the basis of satisfactory evidence, upon the oath or affirmation of . jl1-.C lu:2-:) }!i',5; ,:,c.. Name of Credibie Witness to be the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged to me that he/she/they executed the sc1me for the purposes therein contained. Witness my hand and official seal. /d{,Ld'./4fe- Printed Nome of Notary Public /Z/9@,z-� An� Oth�r Required Information (Commission Expiration Date, etc.) ,------------------OPTIONAL--- - - - -------- ----, This section is required for notarizations performed in Arizona but it optional in other states. Completing this information con deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document 11/1 ,. Title or Type of Document: 'r-1-\'�e_�c�-u..,=·�·\�_=c:,r_t..._: __ C_'e,_·1_"-+/-'"Y_{_a.._· -�_n_-l-_________ _ Document Date: __ :;_,) /�/_.,._.f..,./_z_s ___________ Number of Pages: __ /_O ___ _I Signer(s) Other Than Named Above: --+p_..?_. ·F-,-+-L=L-"-f-1 __ ,..,.2='-_.?i_·;/,;_k�_.::K.,.r-r1>_{�S,_· ___________ _} ) I e2017 National Notary Association 9191 .. �ROCKY MOUNTAIN� POWER A OMSION OF PACIFICORP SAMUEL Z EDWARDS 333 SHOSHONE AVE REXBURG ID 83440 March 14, 2023 l407West North Temple Salt Lake City, Utah 8◄ 116 RE: FINAL NOTICE: Required Access for Meter Upgrade at 333 Shoshone Avenue, Rexburg, Idaho Dear Samuel Z Edwards: Thank you for your immediate attention to this matter. If you are not responsible for the electric service at the site, please pass this request to the property manager or owner as soon as possible. As required by 31.21.01-Customer Relations Rules for Gas, Electric, and Water Public Utilities ("Utility Customer Relations Rules") -Rule 304 (Requirements for Notice to Customers Before Termination of Service). This letter will serve as final notice of termination of electric service, which will occur on March 28, 2023 for failure to provide access as required under Utility Customer Relations Rules-Rule 302(e). If access to property is acquired prior to this date to enable Rocky Mountain Power to install an upgraded meter at the site, termination will be canceled. Please contact us at 1-800-895-0631 if you wish to resolve this issue. Kind Regards, Rocky Mountain Power 9292 REQUIRED DISCLOSURES: IDAHO ADMINISTRATIVE CODE IDAPA 31.21.01 Public Utilities Commission Utility Customer Relations Rules 305. CONTENTS Of NOTICE OF INTENT TO TERMINATE SERVICE (RULE 305). 01.Contents of Notice. The written or oral notice of intent to terminate service required by Rule 304 willstate: a. The reason(s), citing these rules, why service will be terminated and the proposed date oftermination.b.Actions the customer may take to avoid termination of service.c.That a certificate notifying the utility of a serious illness or medical emergency in the household maydelay tennination as prescribed by Rule 308.d.That an infonnal or formal complaint concerning termination may be filed with the utility or theCommission, and that service will not be terminated on the ground relating to the dispute between thecustomer and the utility before resolution of the complaint. The Idaho Public Utility Commission can be reached at 208-334-0369, or 1-800-432-0369, or online at puc.idaho.gov/fonn/consumerassistance, or by mail at Idaho Public Utilities Commission, P.O. Box 83720, Boise, ID 83720-0074. A copy of the Utility Customer Relation Rules can be found at l1ltn:-.:/';idn11mu le�. idaho.gov/rules/current/31/31210 l .pdf Para mas informaci6n, flame al 1-888-225-2611 para hablar con un especia/ista en espafiol. 9393 Samuel Z Edwards 333 Shoshone Ave Rexburg, ID 83440 2229 1407 West North Temple Salt Lake City, Utah 84 116 February 22, 2023 RE: SECOND NOTICE: Required Access for Meter Upgrade at 333 Shoshone Ave Rexburg, ID 83440 Dear Samuel Z Edwards: Thank you for your immediate attention to this matter. If you are not responsible for the electric service at the site listed above, please pass this request to the property manager or owner as soon as possible. Our contractor was refused access to perform a meter exchange at the address listed above. This is our second written notice. We have also attempted to reach you by telephone. To avoid termination of electric service at this address, you must contact us at the number provided below. You are contractually obligated to allow us safe and unencumbered access to our equipment. Meter access is a condition of electric service, as expressed in the Idaho Public Utilities Commission's Customer Relation Rules, namely Electric Service Regulation No. 6, a copy of which is enclosed for your convenience. Moreover, to the extent that access was denied because of the type of meter being installed, please be aware that the Idaho Public Utilities Commission has reviewed smart meter technology, including the prevailing scientific research on consumer safety, and concluded that smart meters are safe and allowed for all customers in Idaho. If you would like additional information regarding the electric regulations that governs Rocky Mountain Power's operations, review them at the Idaho Commission's website at puc.idaho.gov. Our new meters bring with them a host of benefits, enabling our customers to securely - •View DailyjHourly/15-Minute interval usage data through your Rocky Mountain Power account •Set billing thresholds and alerts through our website and mobile application •Automatically send notifications whenever your power is interrupted and subsequently restored Rocky Mountain Power will also be able to troubleshoot abnormal electric voltage or current issues on our lines that could impact the quality of your service. Our meters deliver whole home usage data through a secure LTE network and do not connect with any additional smart devices installed at your site or external networks. Your data is safe and no personal information is ever shared with outside parties. {Continued on reverse side) 9494 Page 2 Please contact us at 1-800-895-0631 immediately to resolve access issues and to set an appointment to have your meter updated. We are happy to answer any additional questions you may have regarding the new meter and look forward to working with you. If we do not hear from you within 15 days from the date of this letter to resolve this issue, we will refer your account to our service disconnection process. We look forward to hearing from you and will always consider it a privilege to serve you. Kind Regards, Rocky Mountain Power Para mas informaci6n, J/ame al 1-888-225-2611 para hablar con un especialista en espanol. 9595 ROCKY MOUNTAIN POWER 1<-.:,o;o,� I.P.ll.C. No. 1 Sttoad RttmN orStim No. 6R.I Caacaag F"snt Rnilioe or Slam No. 6R 1 ELEC.TRIC SER\IICE REGULATION NO. 6 STATE OF IDAHO Compa■y'1 lutaDatioa I.COMPAN\''S INSTALLATION E)lccpt .u othcnl·isc provided in these Regulations, an Electric Service: Agrccmcnt, or the ElectricSm·icc Schedules, the Company will install and maintain its lines and equipment on its side of the Pom1 of Delivery. but shall not be n:quin:d to install or maintain any Im or equipment cxttptmeters and aoc:cssorics beyond that point Only the Company is authorized to make the connect.ions al tk Point of Ddivc:ry. Electric sc:n-ice furnished under this tariff will be altc:maring current. 60 h<:rt.r_ single or thm:-phase. Primary service voltage "ill be at one of the nonunal standiird voltnscsavailable from the Company at or near the C.ustomcr's location. Scc-OOdary sctVlCC ,-oltagc will be hmi:cd to: Singk-phuc:, 120 wits, 2-win; grounded Sin3le-pbuc, l2Q/240 volts., 3-•irc. grounded Singlc-pbuc:, 240/480 volts., 3-•-ue, grounded Thrcc-pbasc. 208Y/l20 ,.'Olts. 4-wirc. grounded. wyc Thn:e-ph&K, 480Y /277 \'Olts. 4-wirc, grounded. wye 2.< ·o.\U> AN\' t'ACILITIES ON CUSTOMER'S PREMISES (111)All materials furnished and installed by the Company on the Cwtomct'l premises, shall be. 1111d remain_ the property of the Company. The CustOfflCS' shall not break the Company's meta' seals. In the event of loss Of �e to the C-0mpany's property. arising from neglcet. ,-an:lasneu, or misuse by the: Customer. the cost of DCCll::SS4I)' repairs or rq,laccmcnt ,;hallhc 1>aid by the: Customer. (h) (C} (d) Customer without c:itpensc: to the: Company lihall make or procure c,oovcyancc to the ComP4ny of satisfact«y Rights-of-Way Easements l:IC"'5.s the property ovmcd 01' controlledby the Customer for the Company's lines or c::xlcnsions thcn:of ncceuary or incidental 10 thefurnishing of ICTVice to the: Customer. The Customer shall permit safe. aoccss to Company's n:prcsc:nmtives al all hours to maintainthe Company's cloctric distribution facilities. The Ciutoma wll abo pamit the Companylo trim trees and other wgc111tion lo the extent 11CCC'S5&1)' to noi.d intCJfercncc with the Company's lines and to protect public safety. The Customer shall provide � � accca to Company's n:prcscnllllivcs at rca.soublc •.bl'Dcs, for the purpose:. of mtding mc:tms. .impcx.-tina. rqN.W1Di or rcmovmg mdl::rina dcvic:ea aad wirins or die Compaoy. Submitt«l Under Cue No. PAC-E-19-12 ISSl!U>: Scph:mbtr 13. 2019 EFFECTIVE: January 8. 2020 9696 16 February 2023 Peggy and Samuel Edwards 333 Shoshone Ave Rexburg Idaho 83440 Gary Hoogeveen Chief Executive Officer Rocky Mountain Power 825 NE Multnomah St Suite 1800 Portland OR 97232 Re: Rocky Mountain Power Work Order #8314953 Dear Mr Hoogeveen, We are responding to the undated and unsigned letter sent by Rocky Mountain Power (copy attached) received 10 November 2022. We are giving notice to dispute your claim that your "installer couldn't access the meter base" located at 333 Shoshone Ave, Rexburg Idaho, 83440. We contest your claim and state the basis of our objection to your claim to be that there has always been unimpeded physical access to the meter base since taking possession of this property in October 2019. As evidence, we present with this letter: •Photographic evidence of clear, unimpeded physical access to the power meter•Google Maps aerial view of 333 Shoshone Ave, Rexburg Idaho 83440 •Notarized statement by Jeanne Grimmett who resides at 330 Shoshone Ave,Rexburg Idaho, 83440 •Notarized statement by Kristine Bennion, who resides at 295 Shoshone Ave,Rexburg Idaho 83440 We have spoken with Rocky Mountain Power representatives multiple times, and each time they have threatened to terminate service. According to the Idaho Public Utility Cornmission's"ldaho Residential Utility Disconnection" (copy attached), the grounds to make these threats credible is "you tamper with or prevent access to your meter." These phone calls occurred: •initiated by RMP between Sam and a RMP Rep on or around Nov 10th•initiated by Peggy between Peggy and Christian #36743 on Nov 30th at1 :59pm for 25 minutes 9797 •initiated by Peggy between Peggy, Sam and Christian #367 43 on Dec 6th at1 :31 pm for 20 minutes In consideration of the seriousness of these threats, especially in the sub-zero winter weather of Southeastern Idaho (initially weeks before Christmas, and still persisting into February of temperatures going 20-30 degrees below zero), we demand evidence of your claim that "the installer couldn't access the meter base.'' We contest your claim and object to threats to disconnect our power. We further object to your claim of "the prevailing scientific research on consumer safety'' and conclusion "that smart meters are allowed in Idaho without any alternative metering options." It is common knowledge and fully supported by evidence, peer reviewed and published research1, science and facts that "Advanced" utility meters including all electronic utility meters and all utility mete1·s wl1ich contain any digital or electronic components whatsoever: l.Emit frequencies that contribute to pathophysiological and biologically disruptive effects on those with Autism Spectrum Conditions (ASC) which are defined behaviorally and also involve multileveled disturbances of underlying biology that find striking parallels in the physiological impacts ofelectromagnetic frequency and radio-frequency exposures (EMF/RFR).2 3 2.Are fire hazards due to lack of surge protectors in violation of necessary standards for utility meters. 3.Cannot withstand typical grid surges. 4.Cause damage to, or destroy, homes, lives and structures when damaged by grid surges. Dr. Magda Havas, Associate Professor of Environmental &f�esource Studies at Trent University in Peterborough, Ontario, Canada has received emails and phone calls from occupants of properties wheresmari meters were recently installed. They complain of ill health, including new symptoms such as headaches, insomnia, anxiety, skin rashes,tinnitus, heart palpitations, depression, fatigue, and short-term memory loss. Many are unable to use the room closest to the smart meter.4 _). Emit biologically harmful "pulsed" EMF radiation continually (whether transmitting data or not). In May 2011, the World Health Organization's International Agency for Research on Cancer (!ARC) classified radio- 1https://bit.!y/EfV1F221205 via www.saferemr.com and Joel M Moskowitz Ph.D. Director, Center for Falllily and Community Health, School of Public Health, University of California, Berkeley 2 https://pubrned,ncbi.nlm.nih.gov/24095003/ 3 Toby Rogers, The Political Economy of Autism, Doctoral Thesis, University of Sydney, 2019, 37 -38 or Q)JJy_/tobythesis 4:http://emfsafetynetwork.org/?page_id=2292 9898 frequency electromagnetic fields (RF-EMF) as a possible human carcinogen (Group 2B) in the same classification as lead, DDT, and chloroform.5 We do not want additional layers of pulsed radio-frequency electromagnetic fields in our home. 6.Create and collect personal data of private activities in the home in violation of law. Smart meters identify electrical devices inside the home and record when and for how long they are operated, resulting in an invasion of my privacy. Smart meters monitor household activity and occupancy in violation of my right fo privacy in my home. According to a February 2012 Congressional Research Service Report entitled SmartMeter: Privacy and Cybersecurity, the Department of Energy reporied that by matching data with known appliance load signatures, smart meters will be able to reveal people's daily schedules, their appliances and electronic equipment, and whether they use certain types of medical equipment.6 7.Allow sharing of data of personal living habits with utility personnel andothers without authorization of the property owner and occupants. Smart meters tr·ansmit information-carrying radio waves which can be intercepted by unauthorized and unknown parties. The signals can be used to monitor behavior and occupancy, and they can be used by criminals to aid criminalactivity against the occupants. Former CIA Director James Woolsey accounted the wireless security threat on EnergyNews.com.7s.Fatally disrupt and disable medical devices such as Pacemakers.9.Cause wasted electricity and health-damaging transients by the improperplacement and use of a of a switch mode power supply within the utility meter. Utilities claim that smart meters will cause customers to monitort11eir electrical usage to conserve more electricity. However, a British study reported on Sept. 2, 2011 that thousands of citizens with a smart meter on their home over the course of one year experienced little to no change inelectrical usage. We do not know if energy will be conserved with smart meters, and it is inaccurate to assume that the use of a smart meter causes customers to conserve energy.8 1 o. Cause heating and antenna effects upon any metal body implants which damage body tissues. 11.Cause damage to health and life by placing high-energy radio transmittersin close proximity to human living spaces. Medical research has 5https://www.iarc.who.int/wp-content/uploads/2018/07 /pr208_E.pdf 6htt ps :/ /sgp. fas. org/crs/misc/R42338. pdf 7htt ps://bit.ly/ja111eswool seygridsecurity ri Tolll HnrrJreaves, Michael Nye, Jacquelin Burgess, Making energy visible: A qualitative field study of how householders interact with feedback from smart energy monitors, Energy Policy, Volume 38, Issue 10, 2010, Pages 6111-6119 or https://doi.org/10.1016/j.enpol.20·10.05.06B 9999 documented that smart meters can negatively impact health. In April 2012, the American Academy of Environmental Medicine (AAEM) issued a position paper entitled, Electromagnetic and Radiofrequency Fields Effect on Human Health.9 According to the report, "Multiple studies correlate RF exposure with diseases such as cancer, neurological disease, reproductive disorders, immune dysfunction, and electromagnetic hypersensitivity ..... many in vitro, in vivo and epidemiological studies demonstrate that significant harmful biological effects occur from non-thermal RF exposure ... Genetic damage, reproductive defects, cancer, neurological degeneration and nervous system dysfunction, immune system dysfunction, cognitive effects, protein and peptide damage, kidney damage, and developmental effects have all been reported in the peerreviewed scientific literature." In a press release, the AAEM calls for immediate caution regarding smart meter installations due to potentially harmful exposure to pulsed radiofrequency radiation.10 12.Represent excess equipment costs with more expensive meters and represent more frequent replacement of the more expensive meters, all of which costs will be passed on to ratepayers via excess and unnecessary charges when this alternate "advanced" metering is unnecessary. 13.Represent unnecessary higher service costs in the processing and storingof data collected and general maintenance of the wireless grid network. J ,J. Represent unlawful invasion of privacy by the harvest and exploitation of databases of information about the personal and private activities inside the t1orne without the consent of the owners, occupants and guests11. Data about residents' daily routines and activities are collected, recorded, and stored in the utility's databases, which are accessed by parties not authorized by occupants to know and share that private data. Those databases may be handed off to criminals, blackmailers, corrupt law enforcement, private hackers, power company employees, and anyone who may act against the interests of the occupants who are unde1· metered su1·veillance. The above violations and abuses cannot be authorized by any lawful easement contract and represents unlawful and highly dangerous trespass on our property for which major liabilities will arise for which you are fully and personally responsible as authorizing and administering the policies which brought about 9 https://www.aaemonline.org/electromagnetic-and-radiofrequency-fields-effect-on-humanhealth/ 10 l1ttps://ww1,v.aaemonline.org/aaem-calls-for-immediate-caution-regarding-smart-meterinstallation/ 11 U.S. Const Amend. IV 100100 and/or rnaintain the trespass and hazards. We, as utility customers, hereby do not consent to assume such hazards and damages as a condition of receiving electric service or as a means of extortion of additional service payments from us in return for safe, lawful and reliable metering. NOTICE OF TERMS AND CONDITIONS Your service mus� be safe and lawful, and is not safe and lawful if you are putting electronic utility meters on homes. We invoke our right to self-defense, that in the face of this immediate bodily injury, this is a God-given right, protected by the Law and Constitution of the United States of America12. The laws you are violating by installing electronic utility meters on private homes and businesses without consent and full disclosure are, in general, Public Endangerment, Trespass, Extortion, Fraud, Assault, Arson and FCC regulations requiring consent of property owners for installation of radio transmitters.13 In light of those violations and the hazards and harm they cause, you must provide, within 21 days of this delivery, record of insurance naming me, your account holder, as beneficiary in order to provide full and speedy remedy, reimbursement and penalties for all hazards and harm listed above and any others that may arise. Absent such insurance, you are agreeing by the installation of any electronic utility meter to personally and promptly pay all claims and satisfy all demands which may arise from the dangers, nuisances, damages and harm that may be caused by any such electronic utility meter and you are agreeing that the the above list is generally true and represents intentional hazard and harm perpetrated upon any utility customer who receives an installed electronic utility meter. You may avoid this liability by permanently installing, at no charge, penalty or assessrnent, a safe and lawful fully electromechanical meter to record our utility service usage on a coarse monthly basis. Any claim that electromechanical meters are "not available" is false. The simple issue of a purchase order to a meter manufacturer will provide unlimited supply. If you refuse or fail to provide or allow safe, reliable and lawful electromechanical metering timely, we require full bonding, insurance and assurance of liability for all hazards listed above and any hazards not yet anticipated caused by electronic metering. That insurance or assumption of liability and responsibility must include your providing a name and address of a fully responsible and liable party where our claims may be filed and paid WITHOUT HESITATION OR QUESTION to remedy any real or perceived harm, injury, loss, damage or violation of rights caused by the above described electronic utility metering hazards, defects and offensive features and functions. 12 U.S Const. /\mend II and IV 13 Electronics Communications Privacy Act (Title 18, USC, Sec. 2511, 2512, 2518) 101101 If you do not provide that timely, then you and all other top policy-making officers of your organization are fully liable for all risks, violations, hazards and harm described above. In summary: YOU ARE HEREBY NOTICED THAT YOU ARE PERSONALLY CAUSING HARM AND DAMAGE WITH YOUR NON-CONSENSUAL METERING DEVICES AND PROGRAMS, AND YOU ARE FULLY AND PERSONALLY LIABLE FOR ALL CONSEQUENCES OF THAT METERING POLICY IF YOU FAIL TO CEASE AND DESIST THE ABOVE HAZARDS AND VIOLATIONS IMMEDIATELY. If, having failed to provide the safe and lawful metering described above, you additionally fail or refuse to provide the above assurance of liability and responsibility requested herein timely you will be in default and fully and personally accountable, liable and responsible for all consequences, damages, harm, injuries, losses, violations of rights, trespass, bad faith, negiigence. nuisance, and malice. Your failure to timely provide insurance, bonding and claim information described above is your agreement to personally pay for all claims as described above. You will also, by any failure or refusal to provide insurance and claim contacts described above, be putting up and offering you and your company's resources for prompt and uncontested settlement of our claims whenever they may be submitted for any incident where damages occur. Any failure to pay any our claim/s within 30 days of delivery will obligate you to pay all collection costs, legal costs and expenses, court fees and all incidental costs and expenses we may find necessary to secure settlement and collection of our clairns. We recommend providing contacts to us of your insurance carrier and providing the wording of your policy/s immediately. Any policy that is not provided and/or does not clearly provide the protection requested will be default of this notice and obligation. Because electronic meters represent numerous hazards, violations and potential damages, you are liable for major penalties claims for simply installing a working electronic utility on our property regardless of any tangible damage caused. This notice and all terms, conditions, declarations and representations herein are superior to and supplant any and all content in easement contracts that may have been established, proposed or presumed. Herein are the terms under which your company may lawfully provide electric service. Any contrary terms are unlawful and unenforceable and will cause you personally and your company major penalty. We have made no unreasonable demand and may not be refused 102102 or penalized for requiring safe and lawful entry and occupation of our property. This notice does not, and may not be construed to be a refusal of any kind of metering or violation of any easement or terms of service. It is simply requirement for the necessary insurance to mitigate the risks and harm you are causin£J. All terms and conditions above automatically take effect upon your default on the above conditions and terms. However, a simple denial of this requirement and notice is insufficient because the hazards are serious, real and confirmed by overwhelming evidence and you are responsible for causing those hazards and violations. If you do not timely rebut, with fact, law and evidence, our allegations of unlawful trespass of fire hazard, radiation emission, transient causation and unlawful surveillance, all representations, claims, declarations, terms and conditions put forth herein will be effective as contract and obligation against you. Bullying and threats of denial of service, penalties and "consequences" are not valid rebuttal to our allegations and serve only to expose your malfeasance and failure of responsibility. Any rebuttal to this notice must be submitted to us timely. Timely means prior to installation of electronic metering or, if electronic metering is installed, within 2·1 days of delivery of this notice. Urgency dictates that no "grace" period will be allowed beyond 21 days from this delivery other than reasonable time for mail deiivery. Failure to respond in writing and with supported rebuttal within 21 days constitutes full and final default by you, agreement to all terms, conditions and representations herein by you, your company and agents. If you require up to 15 additional days to respond you may request that in writing prior to default. We will determine if your metering activities and policies will allow the extension and we will notify you in writing if extension is granted. This Notice supersedes and replaces all prior agreements, clauses, contracts and easements which conflict with any point herein. Notice to principal is notice to agent and notice to agent is notice to principal. This is an adhesion contract with full effective power and effect by default. Sincerely, Peggy M. B. Edwards 103103 t-'1 Gmail Information You Requested t ·r',._.:,· -------------·-··-·--·--··---------------------------------------------------------- Solomon, Timnthy (PacifiCorp) <Timothy.Solomon@pacificorp.com> To: "pegandsam@gmail.com" <pegandsam@gmail.com> Cc: "Hoopiiaina, l<even (PacifiCorp)" <Keven.Hoopiiaina@pacificorp.com> Hello, Mrs. Edwards. Fri, Mar 4, 2022 at 11 :55 AM Thank you again for taking time with me today on the telephone. Along with the attachments, here are several links that relate to our conversation: 1.This link vvill take you to information on the meter currently installed in your meter base: CENTRON® (itron.com)2.This link will take you to details on the upgraded meter we are installing in Idaho. Please note that, despite the name, our system does not operate on 5G: Gen5 Riva Meter (itron.com)3.ltron's radio frequency (RF) information can be found here: Radio Frequency Resource Center I Itron For your information. I have also followed up with Greg Andrus, the planner who will be calling you, as well as his manager. Aaron Hancock. I·ve also copied Keven Hoopiiaina into this email. Keven is the project manager for the meter upgrades Please let me know if you have any other questions. I'll keep in touch with the Rexburg operations group to make SLffe they have connected witl, you. Again, thank you for your time this morning. Tim Timothy L Solomon Regional Business Manager Rocky Mountain Powc,r/PacifiCorp ;208-252-2446 104104 Samuel Z Edwards 333 Shoshone Ave Rexburg ID 83440 2229 Dear Samuel Z Edwards: 1407 West North Temple Salt Lake City, Utah 84116 You can count on us to provide the affordable and consistent power you need. We're using state-of-the-art technology to deliver dependable power as we plan for the future. We were recently in your area to upgrade your existing electric meter, but our installer couldn't access the meter base at 333 Shoshone Ave, Rexburg, Idaho. As required by the Idaho Public Service Commission, clear and safe access must be available to electric meters for inspection, maintenance, meter upgrades, and to enable us to respond to any emergencies. The Idaho Public Utilities Commission has reviewed smart meter technology, and the prevailing scientific research on consumer safety, and concluded that smart meters are allowed in Idaho without any alternative metering options. Please call 1-800-895-0631 within 15 days of receiving this letter to resolve any access issues and set an appointment to have your meter updated. We are happy to answer any questions you may have regarding the new meter and look forward to working with you. Kind Regards, Rocky Mountain Power Paro mas informaci6n, /lame al 1-888-225-2611 para hablar con un especiafista en espar1ol. 105105 i Gmail (no subject) P & S Edwards <pegandsam@gmail.com> To peggy6e@gmail.com 6 attachments IMG-3971.jpg 3219K IMG-3972.jpg 2857K IMG-3973.jpg 3182K Fri, Dec 9, 2022 at 9 59 MJl 106106 IMG-3974.jpg 2536K IMG-3975.jpg 3136K IMG-3976.jpg 3018K 107107 To Whom It May Concern, I, Kristine Bennion, do testify that The Edwards property at 333 Shoshone Ave, is unimpeded by any gates, fences, or obstacles that would inhibit access to the power meter. I was here in the summer of 2022 wllen the new smart rncters were set to be installed and the installation crew easily entered, wit11out issue, on to my property as well as the neighbor's property for installation-we both refused the new meters at tl,at time. Sincerely, Krist!rH? t5(·)nninn l // 1 -----l-��J:J\·N {;:(vl��ci� d�✓,1/1•Y~ .-� y· .I z;✓;;/-1/-- ;\t i-91 P�.LL ,c_ 108108 2 November 2020 To Whom it May· Concern, I, Jeanne Grimmett, of 330 Shoshone Ave Rexburg Idaho, 83440, do attest that the property of Samuel and Peggy Edwards at 330 Shoshone Ave, Rexburg Idaho, 83440 is open and unfenced from the street. r have their permission to access their property including their backyard vvhere the meter base is located. I ;1ttest that there are no physical barriers to the meter base and there have never been any physical barriers there since they moved into that home in October 201.9. 109109 INDIVIDUAL ACKNOWLEDGMENT Slcltf::/Con1111011wc:!dlth of I qfqlur I ! , • "' County of /V(Ac-{1 s(1/.>'"' Doy Month Year ___________ {!._0__,__-....,,_-_1_�---¥--·_._-_-_1 __ �-i-fl--"·..s,=-_._·L"'---------• the undersigned Nota1·y Public, Nome of Notary Public personally oppeared ______ ..... Jkr,_..._,...#'��,__-__ �����-�--S ____________ _ r=--rr Name(s) of Signer(s) '1%-JJersonally known to me -OR -D proved to me on the basis of satisfactory evidence 1"5�t;'°::�, ...... _.k-,�,t:�-:f;a,,6, ... -�., 1 cw::S,Gf"HER J DYSON f.i ,_,.. :,,,-.• ,,c - St,;te of Idaho ;'. ,0, ·,u"1bo"r 20204829 to be the person(s) whose name(s) is/are subsu-ibed to the within instrument, and acknowledged to me that he/she/they executed the same for the purposes therein stated. .''.: r ,_.,·.-.,�·.::,•1•)n Ex;:,ires Dec 9, 2026 Place Notary Seal/Stamp Above WITNESS my hand and official seal. �/,�-Signature '6rNotryPub!ic e1;..l f-4::;etu:J o/ot"' Any Other Required Information (Printed Name of Notary. Expiration Date, etc.) ----------··-······-·-·------------OPTIONAL ------------------,!This secilon is required for notarizations performed in Arizona but is optional in other states. Comr,teting this information can deter alteration of the document or fraudulent reaHachment of this form to an unintended document. Description of Attacl1ed Document � Tille or Type of Document: ---�"Fon--�--�-�--�-.... \+Cl�f&�i�t __________ _ Dcc.umr:-nt Date: ______ /_2._-�z___-_Z-._2-_______ Number of Pages: ______ _ L .. Si9ner(s) Ot11er Ti1an Named Above: _,_f:'.:v__,_"'1___,,-,)..cc...l�_· __ �_--'-..,_,'-"""-'C<A._-+!-�0-'---'=e?�c.,,,,�fl_e__�_Gn_,_·-_' -:�-""'-_l. __ �---�-- t;2020 National f\Jotary Association .J 110110 INDIVIDUAL ACKNOWLEDGMENT State/Cornm()11wec1ith of County of �:(k,, ,r(.�-"---L...L.----------- ·-;, �- ·rel •"" -, On this t1v2 _(,,,, ___ day of ___ U,.__,_.,,R,,e.g,==<----.:.:'c..��'-------� ___ z..c.c;.._z.._�---� before me, Day Month Year C/��'.s /4..-rzh y__) l?-fJ0-:. the undersigned Notary Public. Nome of Noto,y Public porsonal1y i'lppccned _____ ·f:��r;-�_")�\.���('�•-\$=_Q..,_-v_,_.---_�_, ________________ _ Nome(s) of Signer(s) µs-personally known to me -OR -D proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged to me that he/she/they executed the same for t11e puq'.loscs therein stated. Pince Notary Seal/Stomp Above WITNESS my hand and official seal. ��� Signatf.trerNotary Public C/1;s4-;1li.rJ �-SCt.-A Any Other Required Information (Printed Nome of Notary, Expiration Date, etc) ------------OPTIONAL--------------------- This '.;ection is required for notarizations performed in Arizona but is optional in other stoles. Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attacl1ed Document Title or Type of Document: --�Q;_· =2?._'l�---;� ____ a_�-..,'"'-"'--r.tth __ •/-_________ _ Document Date: -----+14'2�------"'2'----=2-'--2-______ Number of Pages: ______ _ Signe1 (s) Otiw1 Tl1a11 Named Above: _ _.\'--'�='--'--"M,/'-""---�---1--<-.e.'_v�--'-v-\-\.---'-'L�i--i..---1ic---\��----�,_�1---/-<_�_--_,,_,.._�-· �-�.c_;<��=-�--- �---··-�··-------•· ·-------------------------------------� ·�·2020 I\Jvtiu11vl Nota1y Association 111111 INDIVIDUAL ACKNOWLEDGMENT Stntc/Comrno11weatt11 of 7 ,,., ✓ ,,,.,,, •J,?_ -- / - ,..-.,. On this U1e __ ,,::_: ____ ' _________ day of __ ���"--�_,.....,__,•�"--'--------�"2..l=v-·_2.._, ___ , befor,� me. Day Month Year -�{_Jh_r_r_1_-s_�-+7'.'-½�·""_0_· _C"Y_-¥�c=--�-------· the undersigned f'-Jotary Public.Nome of Notary Publ;='t personally appeared ___ ,j d-"'fd��t�11"-'2�<'.--C�r�-'n.'-'-'---'-'t,.t-J\---'--=--f""\.-�_..i._A-____________ _ Pfoce Notory Seal/Stamp Above Nome(s) of Signer(s) ,;ipersonally known to me -OR - D proved to me on the basis of satisfactory evidence, to be the person(s) whose name(s) is/are subscritiecl to the within instrument, and acknowledged to me that he/she/they executed the same for the purposes therein stated. WITNESS my hand and official seal. �� SignatureofNo �ublic Cf-,f0;A--1c:..j �;s�--- Any Other Required Information (Printed Name of Notary. Expiration Date, etc.) ----------OPTIONAL ----------------� This section ,s required for notarizations performed in Arizona but is optional in other states. Con1pl<cting this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. 1 Dec,cript:on of Attached Document Title or ·rype of Document: __.,_tf_e1_,-:,_rn:z./ ___ 0 __ � _ __,'-----"---"==·""·_,_(;.c..;_.,.£--_· _____________ _ Ducurnent D2.t12: _____ /.�'2�--2_-_2_2-_________ Number of Pages: _______ _ '.':,\p1(:f[s) Othu Tnan Named Above: C-i·')'--S+,-1'1.tL ___ ---------··-----, ·(:,2020 National f'Jota1y Association (�;-1�1 1J'f'W' Zq0t-cf.s. ___ __I 112112 Idaho Residential Utility Disconnection In Idaho, investor-owned utilities providing basic services such as electricity, gas, water and telecon1n1unications services must follow rules that protect consumers. The rules are established and enforced by the Idaho Public Utilities Commission (IPUC). The IPUC is a state �gency charged with re8uiating investor-owned utilities. (City-owned or cooperative utilities are not regulated by the IPUC). The rules say when a utility can and cannot disconnect service to a customer. They ;:ilso r,?quire utilities to inform customers before service is actually shut off, so that payment pians can be· attempted and disconnection avoided. This fact sheet answers common questions about your rights and responsibilities as a customer of ;:1 rcgu!dtcd g.=1'.,, eiectric, or water utility. When can a cornpany shut off my service? Your electric, gas, or water company may begin taking steps to shut off your service if: o You do not pay your bill by the due date. •You pay your bill with a dishonored check or make an electronic payment from an account that hc1s insufficient funds. Q You do not pay a required deposit. •You use a false name or misrepresent yourself to get service. •You do not pay according to an arrangement you made with the utility. " You are wasting service through improper equipment or otherwise. " The custorner is a minor not competent to contract (an un-emancipated minor). .. \\Ju i,llllfJ(:>r with or prevent access to your meter. How much notice will I get? If the utility has grounds to shut off your service, the company must: ,.. Serid you a written notice telling you of its intention to shut off service at least SEVEI\J DAYS before the planned date. 111 The utility may send you a final notice at least THREE DAYS before the planned date. It must give you a final notice at least 24 HOURS before it plans to actually shut off service. The utility rnust attempt to contact you or an adult member of your household before shutting off service. •The utility must shut off service within 21 DAYS after the planned date or begin the notification process again.,.. No additional notice is required if a payment arrangement made after receiving written notice i.s not kept, or you pay your bill with a dishonored check or make an electronic payrncnt from an account that has insufficient funds. () If you receive your bill electronically, you may separately consent, in writing, to receive clect1 onic notifications. 1 of 3 Updated 3/19/2020 113113 Can I be shut off without notice? There arr tim<?s when a utility can shut off service without notifying you first. For example, no advance notice is required if a dangerous condition exists or meter tampering is discovered. Do I have to pay my bill in winter? Yes. However, if you are having trouble paying the gas or electric bill, you should notify the company and try to make special arrangements. Payment plans are available, inc!ucling a special Winter Payment Plan. What if I have children, elderly, or seriously ill people at home? You are still required to make payments if possible. A special Winter Payment Plan is available if you are unable to pay your bill in full during the winter. But if you are not able to pay AND have childi-en. elderly, or ill people in your home, your gas or electric heat cannot be shut off during th� months of December, January, and February. You must let the utility know you cannot pay your bill and how you qualify. The winter disconnection moratorium, however, does not apply to customers who don't apply for service or obtain service dishonestly. What if I'm seriously ill? No utility can shut off service if you provide the utility with a certificate from your doctor or a public hc2lth official with medical training, stating that a serious illness or a medical emergency exists or could be created for any permanent member of your household if your service is shut off. This certificate will postpone a shut-off for 30 days. If your service is already shut--off, the utility must turn it back on. Within the 30-day period, you must make arrangements with the utility to pay the bili. l"he utility may agree to renew a medical certificate for an additional 30 days if ·you are still unable to pay the bill. Can I get disconnected at night or on the weekends? Even if the utility has grounds to shut off service, it may not do so at these times: " Before 8 a.m. or after 5 p.m. Service may be shut off between 5 p.m. and 9 p. m. Monday through Thursday if the utility is unable to gain access to the customer's meter during normal business hours. c Friday, Saturday, Sunday or any legal holiday recognized by the State of Idaho (New Year's Day, Martin Luther King Day, President's Day, Memorial Day, July 4th, Labor Day, Columbus Day, Veteran1s Day, Thanksgiving·oay, and Christmas Day). $ The day before a legal holiday recognized by the State of Idaho. 0 Any time the utility's business offices are closed. 2 of 3 Updated 3/19/202.0 114114 RECEIVED 2023 March, 24 2:02PM IDAHO PUBLIC UTILITIES COMMISSION CASE NO. PAC-E-23-06 COMPLAINT To: Jan Noriyuki, Commission Secretary Idaho Public Utilities Commission PO Box 83720 Boise, ID 83720-0074 Date: March 20, 2023 From: Judy Twede 1392 Newton Circle Idaho Falls, Idaho RE: Installation of "Smart" Meter and threat of service disconnection Dear Sir, This COMPLAINT was originally submitted by me to ATTORNEY GENERAL Raul R. Labrador at the suggestion of Peggy Edwards of Rexburg, Idaho. Peggy mentioned that she spoke briefly with Raul R. Labrador in Boise on January 17, 2023 about her challenges with ROCKY MOUNTAIN POWER/P ACIFICORP and their attempt to force the installation of a smart meter on her home against her will and consent. He encouraged her at that time to submit her COMPLAINT to his OFFICE of the ATTORNEY GENERAL. I felt it important to submit this same COMPLAINT to you as well for your own investigation. Thank you for your attention to this matter. I am an 82-year-old widow currently faced with the real possibility of having my power/electrical service disconnected in less than 15 days (please see disconnect letter, Exhibit A). I have attempted over and over again, in good faith to resolve all issues with ROCKY MOUNTAIN POWER/P ACIFICORP which have led up to this point where they are now threatening to shut my power off, in spite of the fact that I have always paid my power bill each month and am currently not late with payment. They, in turn are the aggressor operating in bad faith, using strong-arm intimidation tactics, threat, duress, and coercion in order to unlawfully force their will upon me and my private property. This COMPLAINT arises over matters concerning myself and ROCKY MOUNTAIN POWER/P ACIFICORP in regards to their intention to install a "Trespassing Technology" known as a "Smart" type meter on my home, located at 1392 Newton Circle, Idaho Falls, Idaho, contrary to my existing and long-standing contractual agreement, as well as my will and consent. Please find attached my DECLARATION in the form of an AFFIDAVIT in support of this letter of COMPLAINT, along with supporting Exhibits A & B. Last summer, I received an undated and unsigned letter from ROCKY MOUNTAIN POWER/P ACIFICORP on or around instructing me to call their 800 number within 15 days to resolve any "access" issues and set an appointment to have my meter updated with their (Trespassing Technology). A few days later I called the 800 number and spoke with a young man from Tacoma, Washington and I explained why I was refusing a smart meter to be installed on my home. He told me that smart meters were not harmful but I told him that's not true because I have been adversely affected by them previously. He was obviously was uneducated on the subject of smart meters and was just parroting what ROCKY MOUNTAIN POWER/P ACIFICORP instructed him to say to customers. 115115 Sometime after my conversation with the man in Tacoma, a man came to my property and told me that he was here to change out your meter. I pointed out the Notices on my existing meter to not install a smart meter here and why. He ended up not making the change out and told me that the power company would be contacting me after he notified them that I was refusing the smart meter. On or around March 4, 2023, I received another unsigned letter (see Exhibit A) stating that this is a "SECOND NOTICE: Required Access for Meter Upgrade at 1392 Newton Cir Idaho Falls, ID", and that their contractor was refused "access" to perform a meter (Trespassing Technology) exchange. This new letter also states that I am to call their 800 number to resolve this issue within 15 days, or they will refer my account to their service disconnection process. In this same letter they also claim that I am "contractually obligated to allow" ROCKY MOUNTAIN POWER/P ACIFICORP "safe and unencumbered access to our equipment. Meter service is a condition of electric service, as expressed in the Idaho Public Utilities Commission's Customer Relations Rules, namely Electric Service Regulation No. 6, ... " Be noticed that the word/term "access" in ROCKY MOUNTAIN POWER/P ACIFICORP' s letters to me is being improperly applied to mean something other than what it really is (see explanation below). On or around March 19, 2023 I received a FINAL NOTICE (please see Exhibit B) or "threat" from ROCKY MOUNTAIN POWER/PACIFICORP informing me that my power will be terminated on March 29, 2023 for "failure to_provide access" to install a smart meter_.. INTRODUCTION (BRIEF HISTORY) As it stands now, there has been in place for the past 15 or so years a relationship of a "contractual" nature between myself and ROCKY MOUNTAIN POWER/PACIFICORP, who currently provides me with electrical power to my home. I, in turn naturally, have agreed to allow ROCKY MOUNTAIN POWER/PACIFICORP's (meter reader(s) "access" of a "specified and limited" nature, not a general unspecified and unlimited nature, to my private property each month specifically for them to read my electrical power meter ONLY. No other access to my private property, implied or otherwise was ever granted to ROCKY MOUNTAIN POWER/PACIFICORP at any time. Any other necessary "access", including troubleshooting power outages and making necessary repairs to electrical equipment located on my private property is considered "special" in nature and would only be granted at the time, I, the private property owner reported a power outage and or requested them to troubleshoot an electrical problem and make necessary repairs ONLY. Therefore, ROCKY MOUNTAIN POWER/P ACIFICORP (formally UT AH POWER AND LIGHT) does not have autonomous authority in and of itself to access my private property to troubleshoot and or make necessary repairs to electrical equipment or for any other reason at any time, day or night until they receive notification from me authorizing and granting them permission at that time, on a one-time basis only for them to proceed to do the specified request. Anything other than this is a trespass, invasion of my privacy, security, unalienable Rights, including my private property rights which cannot be diminished, as well as a violation of our existing contractual agreement. Let me . be dear. on this _ issue oL '.'access" which ROCKY MOUNTAIN POWER/P ACIFICORP claims that I am denying them. I and no one else in my home has ever denied "access" to any of ROCKY MOUNTAIN POWER/P ACIFICORP' s meter readers or their company repair personnel as per our previously agreed upon terms of our long-standing contractual agreement over the years. However, there has never been in place any agreement for personnel from any third-party company to trespass on my private property and tamper with my, in this case electrical meter at any time, whether I am at home or if no one is at home, neither has there ever been in place any agreement with ROCKY MOUNTAIN POWER/P ACIFICORP to "access" my private property to make a non-repair (or install a Trespassing Technology) when no request for such type of service was ever made, and no defective electrical equipment on my private property 2 116116 exists. So, if no defective electrical equipment exists on my private property and I did not call ROCKY MOUNTAIN POWER/P ACIFICORP to report any troubles/problems with my electrical service and thus no electrical repairs were/are needed, what are there personnel doing on my private property and or attempting to access my private property without my consent contrary to our existing contractual agreement? Understand that this whole issue surrounds a matter of an existing "contract" which ROCKY MOUNTAIN POWER/P ACIFICORP are attempting to impair my obligation to. This contractual relationship, as I said before has been in place since we moved in our home about 15 years ago when we requested ROCKY MOUNTAIN POWER/P ACIFICORP to connect my home with electrical power, to which they agreed. This has worked smoothly without any problems or disputes until last year, when ROCKY MOUNTAIN POWER/P ACIFICORP attempted to change the terms of our previously agreed upon and long standing "contract" without any prior proper notification or full disclosure that they were attempting to change said terms of or initiate a new contract without my knowledge and consent in order for them to bully their way onto my private property to make a nonrepair ( or install a Trespassing Technology) which is not part of our existing contractual agreement. As you well know, for any changes to be made to a contract, both parties must be, in agreement, and both parties must have clear understanding of any and all terms and changes in terms of said contract to be valid and binding. This is simply not the case in this matter. To allow this abuse to continue would be a travesty of justice. ROCKY MOUNTAIN POWER/P ACIFICORP acknowledges the existence of our contractual relationship (see Exhibit A) but in a skewed and twisted fashion, not relating the matter truthfully. They propagate deceptions and lies that the smart meter is safe and the homeowner is the antagonist and an uncooperative party for not wanting their smart meter Trespassing Technology, making us the "bad guy". This is like thugs attempting to break into your home and you resisting them, and then having them go to the authorities complaining that the homeowner is being uncooperative by not letting them into their home. This is indeed a criminal mentality to which the PUC/Legislature just turns a blind eye to. Why is it that the IDAHO PUBLIC UTILITIES COMMISSION/Legislature supports/sanctions this type of criminal behavior? This seems to be a common practice from state to state and the people/inhabitants nearly always ends up with the short end of the stick. There is no one or agency in the Idaho government advocating for the people/inhabitants in their plight with ROCKY MOUNTAIN POWER/P ACIFICORP, but there is a government agency advocating for ROCKY MOUNTAIN POWER/PACIFICORP's position -the IDAHO PUBLIC UTILITIES COMMISSION under the thumb of the state legislature. It is clear that this agency does not operate in the best interest of the people/inhabitants of Idaho. This whole picture is a one-sided equation not in my favor or other customers. ROCKY MOUNTAIN POWER/P ACIFICORP is now assuming and presuming that they have the right to alter my existing long-standing contractual relationship without my knowledge and consent anytime they please implying that they can come onto my private property anytime they wish to do whatever they wish, which they cannot. Understand, I have committed no wrong in this instant matter and have done my due diligence in an attempt to resolve all issues in order to keep the peace and my electric power on. They have been acting in bad faith and continue to walk in dishonor. ROCKY MOUNTAIN POWER/P ACIFICORP is a huge corporate giant with endless financial resources coming against this small single family who only desires to live in peace. This huge corporate giant seems to think that because they operate as a government sanctioned monopoly, knowing that customers have no other option or choice in power companies, they can just run rough shod over their perceived disobedient customers to force their unlawful will (Trespassing Technology) upon them by use of deception, lies, strong-arm intimidation tactics, threat, duress, and coercion (criminal acts) in order to covertly alter a previously agreed upon "contract" without my knowledge and consent -HOLDING MY ELECTRICAL POWER SERVICE AS RANSOM. This is a matter of the big bully on the block going around breaching the peace, terrorizing 3 117117 and strong-arming the inhabitants in the neighborhood and bullying their way onto their customer's private property and into their private lives. This is criminal behavior and it must be stopped. FACTUAL COUNTS I, Judy Twede, hereinafter referred to as complainant, in pro per, complaining of ROCKY MOUNTAIN POWER/P ACIFICORP and their Trespassing Technology, hereinafter referred to as "violator", respectfully alleging various felonious acts being perpetrated upon complainant as follows: COUNT 1: Breach of the peace. ROCKY MOUNTAIN POWER/PACIFICORP's unreasonable and attempted unlawful intrusion onto my private property and into my home resulting in a breach of complainant's and other household members peace causing undue fear, emotional and physical stress of this 82-year-old complainant and other household members. COUNT 2: Attempted extortion of complainant's will, consent, and rights through use of threat, duress, and coercion in order to induce complainant to capitulate, by wrongful use of fear and under color of official right to ROCKY MOUNTAIN POWER/P ACIFICORP' s unlawful compulsion to accept their smart meter (Trespassing Technology) while holding the threat of electrical service disconnection over complainant's head. COUNT 3: Impairment of Contract. Impairment of complainant's obligation of an existing contract between ROCKY MOUNTAIN POWER/P ACIFICORP and complainant by use of threat, deception, strong-arm intimidation tactics, trickery, duress, and coercion. Violators are attempting to change terms of an existing contract and or create a new contract with complainant in order to install a "smart" meter (Trespassing Technology) without the authorization/consent of complainant by wrongful use of fear and under color of official right, hoping complainant will grant coerced or tacit agreement for such contract changes by either omitting to perform a particular act or through the performance of a particular act induced under compulsion in order to get their smart meter (Trespassing Technology) installed on complainant's home. COUNT 4: Attempted Extortion. Attempted extortion and takeover of complainant's private property for commercial use. Violators, by wrongful use of fear and under color of official right are attempting to commandeer complainant's private property in order to install a smart Meter "relay station" (Trespassing Technology) on complainant's property for the sole benefit of ROCKY MOUNTAIN POWER/P ACIFICORP and outside third-party entities without any just authorization and compensation to complainant for such. This would amount to theft, unlawful conversion of private property, unjust enrichment, and violation of complainant's FIFTH AMENDMENT right to not be deprived of complainant's right to life, liberty, or property, without due process of law. Note: If attempted murder is prosecutable, then attempted extortion by use of threat, duress, and coercion is also prosecutable. COUNT 5: Attempted Illegal Wiretapping. ROCKY MOUNTAIN POWER/P ACIFICORP is attempting to illegally wiretap complainant's home and extract personal and private information without a lawfully issued and or executed search warrant, through the installation of an unlawful (as no consent is given) surveillance/bugging device known as a smart meter (Trespassing Technology). Smart meter capabilities include, but not limited to monitoring, logging, storing, transferring, and sharing of daily personal and private habits and routines of occupants of private homes and then giving said information to unauthorized third-parties for profit, including police 4 118118 and federal government snoop agents, all without the homeowner' s or other occupants consent to do so. This would amount to gross violation of complainant's FOURTH AMENDMENT right to be secure in complainant's person, houses, papers, and effects, against unreasonable searches and seizures, as well as complainant's FIFTH AMENDMENT right to not be deprived of complainant's right to life, liberty, or property, without due process oflaw. COUNT 6: Threat with Intent to Commit Harm to complainant and other household members by threatening to shut off electrical power to 82-year old complainant's property/house if complainant does not allow ROCKY MOUNTAIN POWER/ PACIFICORP to install a smart meter (Trespassing Technology) on complainant's house. Termination of electrical power will cause severe hardship, stress, and duress, as well as severe physical and emotional harm to this already frail 82-year-old complainant. COUNT 7: Gross Negligence; Hazardous Negligence. The "gross negligence", or reckless and wanton behavior of ROCKY MOUNTAIN POWER/PACIFICORP is manifest in their failure to exercise even slight care, and evidences a reckless disregard of complainant's life and safety, as well as of others in complainant's household, by attempting to expose us to the dangerous/ hazardous health effects of a smart meter (Trespassing Technology) which they are attempting to install on complainant's private property against complainant's will and consent. There intentional failure to perform a manifest duty to truthfully inform complainant of the actual dangers of a smart meter is in reckless disregard of the consequences as affecting complainant's life and property, including a gross want of care and regard for complainant's rights and the rights of others in complainant's household. Their behavior is also "hazardous negligence" due to ROCKY MOUNTAIN POWER/ PACIFICORP' s careless or reckless conduct by attempting to expose complainant and other members of complainant's household to the very great danger of injury and imminent peril should the installation of their smart meter (Trespassing Technology) on complainant's home take place. COUNT 8: Actionable Fraud. ROCKY MOUNTAIN POWER/ PACIFICORP has committed an "actionable fraud" against complainant by use of deceptive practices in an attempt to induce complainant to part with complainant's legal right(s), to include complainant's long-standing existing contractual agreement with ROCKY MOUNTAIN POWER/ PACIFICORP, as well as unlawfully attempting to commandeer complainant's private property for commercial use by installing a "relay station" (smart meter Trespassing Technology) without complainant's consent by making false representations with the intention to deceive. Further, it appears that ROCKY MOUNTAIN POWER/ PACIFICORP makes a material representation which is knowingly false concerning their smart meter (Trespassing Technology), making such representation without any knowledge of its truth and as a positive assertion that smart meters are safe, and made it with the intention that it should be acted on by complainant. If complainant acts and complies with this false representation, complainant fears and believes an impending injury will be suffered by complainant and possibly others in complainant's household as well. COUNT 9: Elder Abuse. This amounts to knowingly and willfully doing something that a reasonable person would not do which inflicts physical and emotional pain and mental injury to an elderly person. ROCKY MOUNTAIN POWER/P ACIFICORP, having foreknowledge of complainant's age (82-years-old) and physical conditions, continues to acknowledge their intent to abuse complainant by negligent infliction of physical pain and mental injury by continuing their strong-arm intimidation tactics, threats, duress, and coercion against complainant in their attempt to install a dangerous and health-hazardous smart meter against complainants will, which makes this a criminal act as per, TITLE 18-1505, subsection 2 & 4 of the Idaho Statutes. 5 119119 DEFINITIONS From: Black's Law Dictionary, Fourth Edition EXTORT. To compel or coerce, as a confession or information by any means serving to overcome one's power of resistance, or making the confession or admission involuntary. Sutton v. Commonwealth, 207 Ky. 597, 269 S.W. 754, 757. To gain by wrongful methods, to obtain In am unlawful manner, to compel payments by means of threats of injury to person, property, or reputation. McKenzie v. State, 113 Neb. 576, 204 N.W. 60, 61; State v. Richards, 97 Wash. 587, 167 P. 47, 48. o take from unlawfully; to exact something wrongfully by threats or putting in fear. State v. Adams, Del., 106 A 287, 288, 7 Boyce, 335. See Extortion. The natural meaning of the word "extort" is to obtain money or other valuable thing either by compulsion, by actual force, or by the force of motives applied to the will, and often more overpowering and irresistible than physical force. Com. v. O'Brien, 12 Cush., Mass., 90. EXTORTION. Unlawful obtaining of money from another. People v. Parkinson, 181 Misc. 603, 41 N.Y.S.2d 331, 334. Obtaining of property from another, with his consent, induced by wrongful use of force or fear, or under color of official right. And see State v. Logan, 104 La. 760, 29 So. 336; In re Rempfer, 51 S.D. 393, 216 N.W. 355, 359, 55 A.L.R. 1346; Lee v. State, 16 Ariz. 291, 145 P. 244, 246, Ann.Cas.1917B, 131. Obtaining of P.ro erty of another by threats to injure him and to destroy his property, State v. Phillips, 62 Idaho 656, 115 P.2d 418, 420. ffaking or obtaining of anything from another by means of illegal compulsion or oppressive exaction, Daniels v. U. S., C.C.A.Cal., 17 F.2d 339, 342; whether by an officer or otherwise, United States v. Dunkley. D.C.Cal., 235 F.1000, 1001. A taking under color of office is of essence of offense. La Tour v. Stone, 139 Fla. 681, 190 So. 704, 709, 710. At common law, any oppression by color or retense of right, and particularly and technically the exaction or unlawful taking by an officer of money or thing of value, by color of his office either when none at all is due, or not so much is due, or when it is not yet due. Preston v. Bacon, 4 Conn. 480.See People v. Barondess, 16 N.Y.S. 436, 61 Hun, 571; Murray v. State, 125 Tex.Cr.R. 252,67 S.W.2d 274, 275; State v. Anderson, 66 N.D. 522, 267 N.W. 121, 123; Whart.Cr.L. 833. Term in comprehensive or general sense signifies any oppression under color of right, and in strict or technical sense signifies unlawful taking by any officer, under color of office, of any money or thing of value not due him, more than is due, or before it is due. State v. Barts, 132 N.J.L. 74, 38 A.2d 838, 843, 844, 848; State v. Vallee, 136 Me. 432, 12 A.2d 421. To constitute "extortion," money or other thing of value must have been willfully and corruptly received. La Tour v. Stone, 139 Fla. 681, 190 So. 709, 710. To constitute "extortion," the wrongful use of fear must be the operating cause reducing consent. People v. Biggs, 178 Cal. 79, 172 P. 152, 153. GROSS NEGLIGENCE. he Intentional failure to perform a manifest duty in reckless disregard of the consequences as affecting the life or property of another; such a gross want of care and regard for the rights of others as to justify the resumption of willfulness and wantonness. Seelig v. First Nat. Bank, D.C.IIL, 20 F.Supp. 61, 68. The failure to exercise slight care. Jones v. Atchison, T. & S. F. Ry. Co., 98 Kan. 133, 157 P. 399, 400; Burton Const. Co. v. Metcalfe, 162 Ky. 366, 172 S.W. 698, 701. 6 120120 In the law of torts (and especially with reference to personal injury cases), the term means such negligence as evidences a reckless disregard of human life, or of the safety of persons exposed to its dangerous effects, or that entire want of care which would raise the presumption of a conscious indifference to the rights of others which is equivalent to an intentional violation of them. McDonald v. Railroad Co., Tex.Civ.App., 21 S.W. 775; Railroad Co. v. Bodemer, 139 Ill. 596, 29 N.E. 692, 32 Am.St.Rep. 218; Coit v. Western Union Tel. Co., 130 Cal. 657, 63 P. 83, 53 L.R.A. 678; Bremer v. Lake Erie & W. R Co., 318 Ill. 11, 148 N. E. 862, 866, 41 A.L.R. 1345. Indifference to present legal duty and utter forgetfulness oflegal obligations, so far as other persons may be affected, and a manifestly smaller amount of watchfulness and circums ection than the circumstances require of a person of ordinary prudence. Burke v. Cook, 246 Mass. 518, 141 N.E. 585, 586. Negligence bordering on recklessness. People v. Adams, 289 Ill. 339, 124 N.E. 575, 577. Words "gross negligence," are e uivalent to words "reckless and wanton." Jones v. Commonwealth, 213 Ky. 356, 281 S. W. 164, 167. HAZARDOUS NEGLIGENCE. Such careless or reckless conduct as exposes one to very grea danger of injury or to imminent peril. Riggs v. Standard Oil Co., C.C.Minn., 130 F. 204. ACTIONABLE FRAUD. Deception practiced in order to induce another to part with property or surrender some legal right; a false representation made with an intention to deceive; may be committed by stating what is known to be false or by professing knowledge of the truth of a statement which is false, but in either case, the essential ingredient is a falsehood uttered with intent to deceive. Sawyer v. Prickett, 19 Wall. 146, 22 L. Ed. 105. To constitute "actionable fraud," it must appear that defendant made a material representation; that it was false; that when he made it he knew it was false,-or made it recklessly without any knowledge of its truth and as a positive assertion; that he made it with intention that it should be acted on by plaintiff; that laintiff acted in reliance on it; and that plaintiff thereby suffered injury. Blair v. McCool, 136 Or. 139, 295 P. 950, 952. Essential elements are representation, falsity, scienter, deception, and injury. Cobb v. Cobb, 211 N.C. 146, 189 S.E. 479, 482. CONCLUSION It is my sincere wish that you and your OFFICE of the ATTORNEY GENERAL investigate this entire matter concerning this wicked and wanton behavior and the strong-arm intimidation tactics of ROCKY MOUNTAIN POWER/P ACIFICORP and why they are permitted to continue to violate and interfere with my, as well as many other ROCKY MOUNTAIN POWER/P ACIFICORP customer's existing valid contractual agreements against their will and free consent, and their FOURTH and FIFTH AMENDMENT Rights, and other violations mentioned above, and also why the IDAHO PUC/State Legislature permits/sanctions this type of criminal behavior. Ill Ill Ill Ill 7 121121 As time is of the essence, I respectfully request that this matter be given priority status and a timely remedy sought in order to avoid the apparent upcoming electrical service disconnection in just a matter of days, not just for myself but for many other ROCKY MOUNTAIN POWER/PACIFICORP customers similarly situated. Ill Ill Thank you in advance for your time and consideration in remedying this matter as soon as possible in order that justice may be done. Very truly, �Tfu�Date Witness to signature #2 8 122122 DECLARATION OF JUDITH LYNN TWEDE IN THE FORM OF AN AFFIDAVIT I, Judith Lynn Twede, being of sound mind and body do make this Declaration ofmy own free will without any undue outside influence. Last fall, I received an undated and unsigned letter from ROCKY MOUNTAIN POWERJPACIFICORP STATING THAT their installer couldn't access my analog meter at my address at 1392 Newton Circle. Never at any time has my meter been unaccessible. It is mounted on the front side of my garage and can be seen from my front yard and has always been accessible since I moved into my home in 2008. From that time, I have had a sign posted to not install a smart meter since I am very EMF sensitive and can't be around wi fi, smart meters, cell towers, etc. My eye hemorrhages and bulges with blood as a result and my home has no wi fi and is hard wired. I have two doctors in Idaho Falls who can vouch for this and they said they could write a letter to verify my sensitivity if needed. Upon receiving the first letter, I called the phone number provided and talked to a young man from Tacoma and I explained why I was refusing a smart meter to be installed. He was uneducated and just told me smaii meters are not harmful. Last summer, I was in my front yard when a man walked up to say he was there to change out my meter. I pointed out the notices I've had on my analog meter to not install a smart meter and why, He said the company would be contacting me and he would tell them I was refusing a smart meter. When I purchased this home, I contracted with the power company to use the analog meter and I have no smart appliances and my microwave has not ever been in use and is not hooked up and is used for storage in my home. Because my neighbor received a smart meter on his home last summer, I have not been able to sleep in either of my two bedrooms across from his smart meter which is just over the fence on his garage. I am sleeping on the floor near my kitchen to be as far away as possible from his meter but when I test with a Safe and Sound Pro II Broadband RF meter meter, it is still pulsing and emitting EMF. At my age, it is very difficult and I don't ever get a good nights sleep since my neighbor's meter was installed last year. I have never been late in paying my bill and I request that I can have my analog meter as long as I'm able to live in this house. I am a 82-year-old widow living on a fixed income who is hyper-electro sensitive. ROCKY MOUNTAIN POWER's strong-arm intimidation tactics, has caused me a great deal of endless, anxiety, fatigue, insomnia, emotional and mental distress, headaches, and severe stomach upset. I consider ROCKY MOUNTAIN POWER's use of abusive 123123 threats, duress, and coercion in an attempt to get me to consent to accepting a smart meter on my home, to be a negligent infliction of physical pain and mental injury as per TITLE 18-1505, subsection 2 & 4 of the Idaho Statutes. I, Judith L. Twede affirm and certify on my own unlimited commercial liability that I have read the above affidavit and do know the contents to be the truth, the whole truth, correct and complete to the best of my knowledge, and I'm willing to testify to this. Date Witness to signature #2 124124 February 28, 2023 Judy Twede 1392 Newton Cir Idaho Falls, ID 834013790 £xlA� ¼t'-f A 1407West North Temple Salt Lake City, Utah 84i 16 RE: SECOND NOTICE: Required Access for Meter Upgrade at 1392 Newton Cir Idaho Falls, ID Dear Judy Twede: Thank you for your immediate attention to this matter, If you are not responsible for the electric service at the site listed above, please pass this request to the property manager or owner as soon as possible. Our contractor was refused access to perform a meter exchange at the address listed above. This is our second written notice. We have also attempted to reach you by telephone. To avoid termination of electric service at this address, you must contact us at the number provided below. You are contractually obligated to allow us safe and unencumbered access to our equipment. Meter access is a condition of electric service, as expressed in the Idaho Public Utilities Commission;s Customer Relation Rules, namely Electric Service Regulation No. 6, a copy of which is enclosed for your convenience. Moreover, to the extent that access was denied because of the type of meter being installed, please be aware that the Idaho Public Utilities Commission has reviewed smart meter technology, including the prevailing scientific research on consumer safety, and concluded that smart meters are safe and allowed for all customers in Idaho. If you wouicl iike additional information regarding the electric reguiations that governs Rocky Mountain Power's operations, review them at the Idaho Commission's website at puc.idaho.gov. Our new meters bring with them a host of benefits, enabling our customers to securely- •View Daily/Hourly/15-Minute interval usage data through your Rocky Mountain Power account •Set billing thresholds and alerts through our website and mobile application•Automatically send notifications whenever your power is interrupted and subsequently restored Rocky Mountain Power will also be able to troubleshoot abnormal electric voltage or current .issues on our lines that could impact the quality of your service. Our meters deliver whole home usage data through a secure LTE network and do not connect with any additional smart devices installed at your site or external networks. Your data is safe and no personal information is ever shared with outside parties. (Continued on reverse side) 125125 Page 2 Please contact us at 1-800-895-0631 immediately to resolve access issues and to set an appointment to have your meter updated. We are happy to answer any additional questions you may have regarding the new meter and look forward to working with you. If we do not hear from you within 15 days from the date of this letter to resolve this issue, we will refer your account to our service disconnection process. We look forward to hearing from you and will always consider it a privilege to serve you. Kind Regards, Rocky Mountain Power Para mas informacion, /lame al 1-888-225-2611 para habfar con un especiafista en espafiol. 126126 JudyTwede 1392 Newton Cir Idaho Falls, ID 83401 3790 Ex�1, � ,'t e 1407West North Temple Salt Lake City, Utah 84116 March 15, 2023 RE: FINAL NOTICE: Required Access for Meter Upgrade at 1392 Newton Cir Idaho Falls, ID Dear Judy Twede: Thank you for your immediate attention to this matter. If you are not responsible for the electric service at the site, please pass this request to the property manager or owner as soon as possible. As required by 31.21.01 -Customer Relations Rules for Gas, Electric, and Water Public Utilities ("Utility Customer Relations Rules") -Rule 304 (Requirements for Notice to Customers Before Termination of Service). This letter will serve as final notice of termination of electric service, which will occur on March 29, 2023 for failure to provide access as required under Utility Customer Relations Rules-Rule 302(e). If access to property is acquired prior to this date to enable Rocky Mountain Power to install an upgraded meter at the site, termination will be canceled. Please contact us at 1-800-895-0631 if you wish to resolve this issue. Kind Regards, Rocky Mountain Power 127127 REQUIRED DISCLOSURES: IDAHO ADMINISTRATIVE CODE IDAP A 31.21.01 Public Utilities Commission Utility Customer Relations Rules 305. CONTENTS OF NOTICE OF INTENT TO TERMINATE SERVICE (RULE 305). 01.Contents of Notice. The written or oral notice of intent to terminate service required by Rule 304 willstate: a. The reason(s), citing these rules, why service will be terminated and the proposed date oftermination.b.Actions the customer may take to avoid termination of service.c.That a certificate notifying the utility of a serious illness or medical emergency in the household maydelay termination as prescribed by Rule 308.d.That an informal or formal complaint concerning termination may be filed with the utility or theCommission, and that service will not be terminated on the ground relating to the dispute between thecustomer and the utility before resolution of the complaint. The Idaho Public Utility Commission can be reached at 208-334-0369, or 1-800-432-0369, or online at puc.idaho.gov/form/consumerassistance, or by mail at Idaho Public Utilities Commission, P.O. Box 83720, Boise, ID 83720-0074. A copy of the Utility Customer Relation Rules can be found at https://admimules.idaho.gov/rules/current/31/312101.pdf Para mas informaci6n, flame al 1-888-225-2611 para hablar con un especialista en espafio/. 128128 RECEIVED Tuesday, March 28, 2023 11:37:24 AM IDAHO PUBLIC UTILITIES COMMISSION CASE NO. PAC-E-23-07 Jan Noriyuki, Commission Secretary Idaho Public Utilities Commission PO Box 83720 Boise, ID 83720-0074 Date: March 24, 2023 From: Karen Lane PO Box 362 Rigby, ID 83442 FORMAL COMPLAINT RE: Installation of "Smart1' Meter and threat of service disconnection Dear Ma'am, This FORMAL COMPLAINT is a follow-up to an initial complaint which i, Karen Lane submitted to Idaho Public Utility Commission on March 20,2023. I have received from Rocky Mountain Power a FINAL NOTICE of intent to terminate service on March 27, 2023. Rocky Mountain's notice claims that we have refused access to the meter. On the contrary, we solemnly affirm that at no time has access to the meter been denied, and the claim by Rocky Mountain Power that we have is knowingly and intentionally false. To be clear: at no time have we prevented Rocky Mountain Power from accessing the existing meter attached to our home for any purpose, and our account is paid in full and up to date. What we have done is require that the meter--which is attached to our house--remain a meter that does not emit radio wave frequencies. We have concerns about such meters, on physical health grounds as well as legal privacy concerns. To date, Rocky Mountain has refused to address the issue or enter into a dialogue with us in good faith. Instead, Rocky Mountain Power has resorted to bullying and strong-arm techniques to try to force us to accept a so-called "smart meter" attached onto our private property without our consent. 129129 However, having objections to installation of a particular type of meter, a so-called "smart meter," is NOT legal grounds for disconnecting our current electrical service. This is crucial legal fact that has been ignored both by Rocky Mountain Power and by Idaho Public Utilities Commission's Utilities Compliance Investigator, Chris Hecht, who cited Electric Service Regulation No. 6 as Rocky Mountain Power's authority to threaten to terminate our electrical service. Electric Service Regulation No. 6 says, "The Customer shall provide safe, unencumbered access to Company's representatives at reasonable times, for the purpose of reading meters, inspecting, repairing, or removing metering devices and wiring of the Company." We have done precisely that. At no time have we denied access to the meter. As we have always provided the required access, neither Electric Service Regulation No. 6 nor IDAPA 31.21.01, Rule 302.01.e apply to our case, and Rocky Mountain Power does not have legal authority to terminate our electrical service on those grounds. If there is a law or regulation that specifically authorizes termination of electrical service for objecting to the installation of a smart meter in the place of an analog meter, we respectfully request that it be shown to us. Otherwise, because we have never denied access to the meter, we respectfully request that the Idaho Public Utilities Commission intervene to prevent Rocky Mountain Power from unlawfully disconnecting our electrical service and to require Rocky Mountain Power to engage in respectful, good faith dialogue with us about an acceptable solution that addresses our concerns. Respectfully, Karen Lane The foregoing instrument was acknowledged before me on this __ p""--+/-'--:;2._.....z__./4...;;;;2::,3J--"'------by DANIEL PECK COMMISSION NUMBER 62322 NOTARY PUBLIC STATE OF IDAHO Signature of Notary Publi� --� ? C...<:> .-,.r-c,'F'-- �r-�jl!...S. £.;x:p I� C> .--J � / 130130 RECEIVED 2023 March, 27 4:00PM IDAHO PUBLIC UTILITIES COMMISSION CASE NO. PAC-E-23-08 COMPLAINT To: Jao Noiiyuki, Com1nisslo11 Secretary ldaho Public Utilities Co1nmission PO Box 83720 Boise. ID 83720-0074 Dote: March 25. 2023 Fro1n: Christy Anubruster 3807 E 120 N Rigby. Idaho 83442 RE: bi$h\llalion of"Smart" Meter on n1y borne Dear Ms. Noriyuki. • Please Hnd attached my DEC:LARATlON in the foan of an AFFIDAVIT in support of this letter ofC'OMPLAfNT, along with supporting Exhibits A and 8. This COMPLAINT arises over matte1·s concerning myself and ROCKY MOlTNTAfN PO\VER/PAClFICORP in regards to the installation of a Trespassing Technology kno\vn aS a "Smart'' type meter on n1y home. located nt 3807 E 120 N. Rigby, Idaho 83442, contrary to the conrraorual agrco,ncnt 1 had prior to the. coerced installation of a smart 1ueter (Trespassing Technology). as well as against my will and conseol which were extorted fro1n me. Early in 2022, s01neone from ROCKY MOUNTAIN POWER/PACTFICORP came to my house to install a smart meter. After decliniog to have tbe meter changed because of my concen1 regarding the health risks. the 01an explah1ed that if [ did not allo,v the current meter to be changed. the po,ver company would send me a notice tl1at my po,ver n1ay be turned off if I did not have an appointme11l to change U1e metet within 15 days of the notice. On Novc111bcr 18. 2022 my husband received an email 1vithout the name of a person 1ve could contact about our concerns from ROCKY ~lOUNTAlN POWER/PAClFICORP (see £xhibtt AJ instructing, me,. Christy Annbruster, to call U1eir 800 nun1ber 1vitbin 15 days to reso lve any "access" issues aud set an appointment to have my electric meter updated with, 1vhat I cali their "T,-espassing Technology". My husband fonvarded the etnail to 1ue on November 22, 2022. Because ] fell threatened ,,~th loss of power. wh.iuh ,vould include loss of heating ru.id the loss ,vater in 111y hon1e for n1yself and my family; 1 relucl<Ultly called. During my conversation I agnin explained that I did not want to have a Sn1ar1 Meter on Dl.Y home but I ,vas told that if l did not have one. the po1ver could be turned o·JI An appo1nhnent ,¥as set dtu·ing the call. When the man i:an1e to change 1he meter. I tlxplained for a third time that I did not 1vno1 the Smart Meter. He agreed that be didn't ,vant one 011 his house but because of the laws in Idaho. ,ve are not pennitted to keep our old meter. Although [ did end llP accepting the installation of ROCKY MOUNTAIN POWER/ PACJ.rlCORP's smmi ineter (Trespassing Technology) on my home by giving thel:ll "conseor-. Lltls "consent'· was extracted ot extorted fron1 me lhl'ough the wrongful use of fear and under color of otliciaJ righr. Th.is fca.r ,vas precipitated by ROCKY lv!OUNTAIN POWER/PACJFICORP's rell"ntless strong-arm intimidation tactics, thre-at, duress, and coercic,>n, i111pressing 11pon me that my po~1er service ,vould be shut off/tern1ioated if consent 1vas not given the1n to install said smart 1neter (Trespassing Tel:lmology). lt was n1y original intent to not accept a sn1art n1eler due lo the safety and healtlt concerns surrounding smart meters. and it i$ still my 11/isb not lo bave one. ho1vever the overpo1vering aggression of ROCKY MOUNTAIN P0\\1ER/ PACIFJCORP and the 131131 threat of no electrical power compromised my position to my detriment. It has recently come to my attention that a crime or crimes may have been committed by ROCKY MOUNTAIN POWER/PACIFICORP in the manner by which and under the circumstances their smart meter was i nstal I ed on my home. INTRODUCTION Prior to the installation of a smart meter (Trespassing Technology) on my home, there ,vas in place for the past 1 year a re]ationship of a ucontractual" nature between myself and ROCKY MOUNTAIN POWER/PACIFICORP, who currently provides me with electrical power to my home. I., in turn naturally, agreed to allow ROCKY MOUNTAIN POWER/PAClFICORPts meter reader(s) "accessJ' of a "specified and limitedt' nature, not a general unspecified and unlimited nature, to my private property each month specifically for them to read my electrica] power meter ONLY. No other access to my private propeny, implied or otherwise was ever granted to ROCKY MOUNTAIN POWER/PACIFICORP at any time. Any other necessary "accesst\ • including troubleshooting power outages and making necessary repairs to e]ectrical equipment located on my private property is considered uspecialn in nature and would only be granted at the time, I, the private property owner reported a power outage and or requested them to troubleshoot an electricaJ problem and make necessary repairs ONLY. Therefore,. ROCKY MOUNTAlN POWER/PACIFICORP does not have autonomous authority in and of itself to access my private property to troubleshoot and or make necessary repairs to electrical equipment or for any other reason at any time, day or night until they receive notification from me authorizing and granting them permission at that time, on a one-time case-by-case basis only for them to proceed to do the specified request Anythjng other than this is a trespass, invasion of my privacy .. security, unalienable Rights.. including my private property rights which cannot be diminished� as wen as a violation of our existing contractual agreement. Let 1ne be clear on this issue of '�access'' which ROCKY MOUNTAIN POWER/PACIFICORP claims that I denying them. I and no one else in my home has ever denied .. access'� to any of ROCKY MOUNTAIN POWER/PACIFICORP's meter readers or their company repair personnel as per our previously agreed upon terms of our contractual agreement. However, there has never been in place any agreement for personnel from any third-party company to trespass on my private property and tamper with my electrical meter at any time� whether I am at home or if no one is at home, neither has there ever been in place any agreement with ROCKY MOUNTAIN POWER/PACIFICORP to ''access� my private property to make a non-repair (or install a Trespassing Technology) when no request for such type of service was ever made, and no defective electricaJ equipment on my private property existed. So� if no defective electrical equipment existed on my private property and I did not call ROCKY MOUNTAIN POWER/PACIFJCORP to report any troub]es/problems with my electrical servjce and thus no electrical repairs were needed, what were there personnel doing on my private property without my consent which was contrary to our then existing contractual agreement? Understand that this whole issue surrounds a matter of a then existing �'contract,, which ROCKY MOUNTAIN POWER/PACIFICORP impaired my ob1igation to. This contractual relationship has been in place since we moved in our home about 1 year ago when we requested ROCKY MOUNTAIN POWER/PACIFICORP to supply our home with electrical power, to whicb they agreed. This has worked smoothly without any problems or disputes until last year, when ROCKY MOUNTAIN POWER/PACIFICORP attempted to change the tenns of our previously agreed upon "'contract"' without any prior proper notification or full disclosure that they were attempting to change said terms of or initiate a new contract without my knowledge and consent in order for them to bully their way onto my private property to make a non-repair ( or insta1 l a Trespassing Technology) which was not part of my then existing contractual agreement with them. As you well know, for any changes to be made to a contract, both parties must be, in agreement, and both parties must have clear understanding of any and a11 terms and changes in 2 132132 terms of said contract to be valid and binding. This is simply not the case in this matter. To allow this abuse to continue would be a travesty of justice. ROCKY MOUNTAIN POWER/PACIFICORP acknowledges the existence of our contractual relationship (see Exhibit B) then and now but in a skewed and twisted fashion, not relating the matter truthfully. They propagate deceptions and lies that the smart meter is safe and the homeowner is the antagonist and an uncooperative party for not wanting their smart meter, making me the "bad guyn. This is like thugs attempting to break into your home and you resisting them't and then having them go to the authorities complaining that the homeowner is being uncooperative by not letting them into their home. This is indeed a criminal mentality+ ROCKY MOUNTAIN POWER/PACIFICORP is now assuming and preswning thnt they have the right to alter an existing long-standing contractual relationship without my knowledge and consent anytime they please implying that they can come onto my private property anytime they wish to do whatever they wish, \Vhich they cannot. ROCKY MOUNTAIN POWER/PACIFICORP is a huge corporate giant with endless financia1 resources coming against this smaU single family who only desires to live in peace. This huge corporate giant seems to think that because they operate as a government sanctioned monopoly. knowing that customers have no other option or choice in power companies, they can just run rough shod over their perceived disobedient customers to force their unlawful wi1 l (Trespassing Technology) upon them by use of deception, lies, strong-arm intimidation tactics, threat. duress., and coercion (criminal acts) in order to covertly alter a previously agreed upon '�contract'' without my knowledge and consent -HOLDING MY ELECTRICAL POWER SERVICE AS RANSOM. FACTUAL ALLEGATIONS I,. Christy Armbruster, hereinafter referred to as complainant, in pro per� comp1aining of ROCKY MOUNTAIN POWER/PACIFlCORP and their Trespassing Technology, hereinafter referred to as ''violator", respectfully alleging various felonious acts being perpetrated upon complainant as follows� COUNT 1: Breach of the peace+ ROCKY MOUNTAIN POWER/PACIFICORP!ls unlawfu1intrusion onto comp.lainant's private property and into complainant�s home has resulted in a breach of complainant"s and other household members peace causing undue fear, emotional and physical stress of complainant and other household members, as a result of the installation of the smart meter. COUNT 2: Extortion of compla.inant,s will, consent, and rights through use of threat, duress, and coercion which induced complainant to accept, by wrongful use off ear, and under color of official right ROCKY MOUNTAIN POWER/PACIFICORP's smart meter (frespassing Technology) while holding the threat of e]ectrical service disconnection over complainant's head. COUNT 3: Impairment of compi ainant 's obligation of a previously existing contract between ROCKY MOUNTAIN POWER/PAClFICORP and comp1ainant by use of threat, deceptiontstrong-amt intimidation tactics, trickery. duress, and coercion causing complainant to accept a change in the terms of complainant's existing contract in order to install a ''smart", meter (Trespassing Technology) which was induced by -wrongful use of fear and under color of officiaJ right against complainant ,s better judgment COUNT 4: Extortion and takeover of complainant's private property for commercial use. Violato� by wrongful use of fear and under color of official right,. utilizing deception, strong-arm intimidation tactics, threat, duress, and coercion,. did cause complainant to accept a smart meter to 3 133133 avoid termination of complainant ts electrical service for non-compliance. This resulted in ROCKY MOUNTAIN POWER/PACIFICORP ability to take over con1plmnantts private property in order to insta.11 a smart Meter "relay station', (Trespassing Technology) on complainant"s property, for the sole benefit of ROCKY MOUNTAIN POW R/PACIFICORP and outside third-party entities with out any just authorization and compensation to complainant for such. This amounts to the� unJ.awfuJ conversion of private property, unjust enrichment, and violation of complainant's FIFTH AMENDME T right to not be deprived of complainant's right to life,, liberty, or property, withoutdue process of Jaw. ' COUNTS: Illegal wiretapping and extraction of personal and private infonnation without a lawfully issued and or executed search warrant, through the installation of an unlawful (as no free consent was given) surveillance/wiretapping device known as a smart meter (Trespassing Technology)p Smart meter capabilities include but not limited to monitoring, Jogging, storing, transferring, and sharing of daily personal and priva1e ha bi ts and routines of occupants of private homes and then giving said infonnation to unauthorized third-parties for profit, including police and federal government snoop agents� a.1 l without the homeowner 's or other occupants consent (consent, in this case was g·ven through wrongful use of fear) to do so. This amounts to gross violation of complainant's FOURTH AMENDMENT right to be secure in complainant's perso� houses, paperst and effects, against unreasonable searches and seizures, as well as complainant's FIFTI-I AMENDMENT right to not be deprived of complainant's right to life, liberty� or property, with out due proce s of Jaw. CO NT 6: Threat with intent to commit harm to complainant and other household members by shutting off electrical power to complainant's home if complainant did not allow ROCKY MOUNTAIN POWER/PACIFICO RP to install a smart meter {Trespassing Technology) on complainanf1s house. This threat and intent to commit harm by ROCKY MOUNTA1N POWER/PACIFICORP constitutes wrongfi.d use of fear to induce consent, causing complainant to accept installation of said smart meter to avoid tennination of complainant"s power even though complainant did not want the smart meter. Termination of electrical power would have caused severe hardship stress, and duress, as ,vell as severe physical and emotional harm to complainant and other members of complainant's household. DEFINITIONS From: Black ts Law Oictiomu·¾.&!urth Edition EXTORT. To compel or coerce, as a confession or infonnation by any means serving to overcome one's po,ver of resistance� or making the confession or adm is: ion in voluntary� a • 207 Ky. 597, 269 S.W, 754t 757. To gain by wrongful methodsJ to obtain In am unlawful manner .. to compel payments by means of threats of injury to person, property, or reputation. McKenzie V� State, 113 Neb. 576. 204 N. W. 60,, 61 � State v. Richards, 97 Wash. 5871 167 P. 47, 48. To take from unlawfuJly; to exact something wrongfully by threats or putting in fear. State . Adams1 Del., l06 A. 287, 2881 7 Boyce,. 335. Sec Extortion. The natural meaning of the word 11extort� is to obtain money or other valuable thing either by compu]sion.,by actual force, or by the force of motives applied to the wil1, and often more overpowering and irresistibl than physical tbrce. Com. v. O'Brien, 12 Cush., Mass.1 90. EXTORTION. Unlawful obtaining of money from another .. People v. Parkinson, 181 Misc. 603,, 41 N.Y.S.2d 331, 334. Obtaining of property from anothert with his consent. induced by wrongful use of force or fear, or under color of official right. And see State v. Loean, 104 La ?60, 29 So. 336; In re Rem pf er, S l S.D. 393] 216 N.W. 35S, 359, 55 A.L.R. l 346; Lee vLState, I 6 Ariz. 291 ,. 145 P. 244, 246, Ann.Cas.1917B,13 I. Obtaining of property of another by threats to jnjure him and to destroy his property� State v. Phillips. 4 134134 62 Idaho 656, 115 P.2d 418, 420. Taking or obtaining of anything from another by means of illegal compulsion or oppressive exaction. Daniels v. U. S., C.C.A.CaJ . ., 17 J-:2d 3 39, 342; whether by an officer or otherwise, United States v. Dunkley. D.C.CaJ., 235 F. 1000, l0OL 'A taking under color of office is of essence of offense4 La Tour v. Stone, 1 :39 Fla. 681, 190 So. 704� 709, 710. At common Jaw, any oppression by color or pretense of righ� and particularly and techn • caHy the exaction or unlawful taking by an officer of money or thing ofvaJue� by color of his office either when none at all is due. or not so much is due or when it is not yet due. Preston v. Bacon. 4 Conn. 480. See People v. -..;..x.;;;y-.--16 N. Y.S. 43 6, 61 Hun, 571; r v. ----�. 125 Tex:.Cr. R. 252, 6 7 S. W.2d 274; 2 7 5; State v. Ande!r■sott, 66 N.D. S22, 267 N.W. 121. 123� Whart.Cr4L. 833. Term in comprehensive or general sense signifies ooy oppression under color of right, and in strict or technical sense signifies unlawful taking by any officert under color of office, of any money or thing of value not due him. more than is duet or before it is due. State y., Bara, 132 N.J.L. 74, JS A.2d 838t 843. 844, 848; State v. Vallee. 136 Me. 432, 12 A.2d 421 .. To constitute uextortio� H money or other thing of value must have been wiHfully and oomJptly received. La.Tourv. Stonet 139 Fla+ 681,. 190 So. 709, 710. To constitute "extortio� t1 the wrongful use of fear must be the operating cause producing consent. People v. Bless. 178 Cal. 79,. 172 P. 152, 153. ---------------------------------------------------�---------------------------------------------------------·-·----- CONCLUSION I respectfully request that your OFFICE of the Idaho Public Utilities Commission inves.tigate this entire matter concerning this wicked and wanton behavior and the stron,g-ann intimidation tactics of ROCKY MOUNTAI 0WER/PACIFICORP and why they are permitted to continue to vioJate and interfere with customer's va] id contractual agreements against their will and free consent, as well as violating their FOURTH and FIFTH AMENDMENT rughts, and other violations mentioned above. Thank you in advance for your time and consideration in remedy·ng this uiatter as soon as possible in order that justice may be done� Very truly1 Ch stv Armbruster 5 135135 Fw: Important information about your electric meter From: a rmbrujl@frontiernet.net (armbrujl@frontfemetnet) To: armbruca@yahoo.com Date: Tuesday, November 22, 2022 at 06:19 AM MST ---Forwarded Message ---From: Rocky Mountain Power <acoountservices@info.rockymountalnpower.net> To: "e.rmbrujl@frontiemet.ner <armbrujt@frontlemelnet> Sent: Friday1 November 18, 2022, 04: 10:21 PM MST SubJact: Important information about your electric meter Dear Christy Armbruster* You can count on us to provide the affordable and consistent power you need. We're using state-of-the-art technology to deliver dependable power as we plan for the future. We were recently in your area to upgrade your existing electric meterll but our installer couldn't access the meter base at 3807 E 120 N Rigby ID. As required by the Idaho Public Service Commission ! clear and safe access must be available to electric meters for inspecr on, maintenance, meter upgrades. and to enable us to respond to any emergencies. The Idaho Public Utilities Commission has reviewed smart meter technology, and the prevai1ing scientific research on consumer safety, and cone uded that smart meters are allowed in Idaho without any alternative metering options. Please call 1-800-895.0631 within 15 days of rece ·ving this letter to resolve any access Issues and set an appointment to have your meter updated. We are happy to answer any 136136 questions you may have regarding the new meter and look forward to working with you. Kind Regards, Rocky Mountain Power Para mas informaci6n. Ila me al 1-888-22S..2611 para hablar con un especialista en espanol. C 137137 Rocky Mountain Power has processed your request From: noreply@rockymountainpower.net To: armbruca@yahoo.com Date: 1Monday, October 18, 2021 at 06:51 PM MDT Dear Chrjsty Armbruster: Rocky Mountain Power completed your online request to start service at 3807 E 120 N RIGBY JD 83442 effective 10/25/2021. No further action is necessary. If you have questions, please send us a message at https://www.rockymountainpower.net/contact or call us at 1-888-221-7070. Any of our customer care specialists will be happy to assist you. Set up and ma1nage your account the way you like with these convenient solutions: Download our mobHe app Our mobile app makes it easy to pay your billsl track power outages and more. Simply use your existing online log in for our mobile app. Download the Rocky Mountain Power app today. Choose account alerts Let us provide you courtesy updates your way. right away. Customize text and emai1 alerts for your account at https://www.rockymountainpower.net/alerts Find ways to save Need helpful tips on energy savings or rebates? Visit https://www.rockymountainpower.net/save Register ,online account at https://csapps.rockymountainpower.net/idm/create-profUe or connect to an existing account at https://csapps.rockymountainpower.netlsecure/my-account/manage/addaccount Thank you for being our customer. Rocky Mountain Power 138138 March 26, 2023 Jan Noriyuki, Commission Secretary Idaho Public Utilities Commission PO Box 83720 Boise, ID 83720-0074 Dear Jan Noriyuki, I am writing to submit a formal complaint with the IPUC in regards to being forced/coerced to accept a “smart meter.” It is not in my or my family's best interest to have a smart meter installed. At this point we have been left with little choice as we are being threatened to have our power terminated on the 29th of March, 2023. We have children in the home and over twenty head of livestock (horses, cows, and goats) and numerous chickens that depend on daily water to live. Most of my waterers consist of automatic waterers that supply water on demand. If the power is off they are immediately out of water. Our house is heated with electricity with no other means to heat it. It is my understanding that the power cannot be shut off when temperatures are 32° or below. Most of the weather has been consistently below 32°. Much of my business is run from home. Without electricity I am unable to conduct my business. My daughter is homeschooled and without electricity she is unable to continue with her schooling. We have lived the past 23 years in this home with an analog meter. We have never missed or been late with a payment. Our past payments total somewhere in the neighborhood of $60,000. Our agreement with the power company never consisted of an agreement to allow “smart meters.” We do not own a cell phone, use a microwave oven and limit our exposure to EMFs as much as possible. And while we recognize EMF exposure comes in many forms and not all of it can be avoided, we certainly feel it is our right to be able to avoid adding additional exposure via technologies such as “smart meters.” There are numerous studies to support the fact that EMF’s may be carcinogenic and that caution is advised. I have been informed multiple times, including your office that Idaho does not offer any opt outs from “smart meters.” It would appear that is not an entirely true statement. It is my understanding that Idaho Falls Power customers are not required to have smart meters nor are customers of Fall River Rural Electric. So by this fact, there are opt outs. Why have they been allowed for only a select or rather elect group of people? This is neither fair nor equitable. There are many organizations and peoples that are cautioning of the dangers, health hazards, risks and loss of privacy from “smart meters.” It is reasonable and expected due to the lack of consensus of the safety and privacy of said meters that Idahoans should be granted the freedom to opt out. Our Idaho Public Utilities and Idaho Legislature have clearly not made any real effort to advocate for the citizenry of Idaho. At a minimum we should be granted the same privileges afforded Idaho Falls Power and Fall River Rural Electric. RECEIVED 2023 March, 27 9:16aM IDAHO PUBLIC UTILITIES COMMISSION CASE NO. PAC-E-23-11 139139 Our ultimate goal is to ensure that we can have the ability to opt out of a “smart meter” like other Idahoans who are not being forced to submit to the installation of a “smart meter” due to their affiliation to municipal and co-op sources of power. Regards, Diane Huskinson 12450 N 65th E Idaho Falls, ID 83401 (208) 557-0404 140140 May 10, 2023 VIA ELECTRONIC DELIVERY Jan Noriyuki Commission Secretary Idaho Public Utilities Commission 11331 W Chinden Blvd. Building 8 Suite 201A Boise, ID 83714 RE: CASE NOS. PAC-E-23-04; PAC-E-23-05; PAC-E-23-06; PAC-E-23-07; PAC-E-23-08; PAC-E-23-11 FORMAL COMPLAINT OF JACOBA H. VAN MASTRIGT ET AL Dear Ms. Noriyuki: Please find Rocky Mountain Power’s Answer in the above referenced matter. Informal inquiries may be directed to Mark Alder, Idaho Regulatory Manager at (801) 220-2313. Very truly yours, Joelle Steward Senior Vice President of Regulation and Customer Solutions RECEIVED Wednesday, May 10, 2023 11:12:35 AM IDAHO PUBLIC UTILITIES COMMISSION 141141 Joe Dallas (ISB# 10330) 825 NE Multnomah, Suite 2000 Portland, OR 97232 Telephone: (360) 560-1937 Email: joseph.dallas@pacificorp.com Attorney for Rocky Mountain Power BEFORE THE IDAHO PUBLIC UTILITIES COMMISSION FORMAL COMPLAINT OF JACOBA H. PACIFICORP ROCKY MOUNTAIN POWER NOS. PAC-E-23-04; PAC-E-23-05; -E-23-06; PAC-E-23-07; PAC-E-23-08; -E-23-11 ANSWER AND MOTION TO DISMISS 1. In accordance with Rule 57 of the Rules of Procedure of the Idaho Public Utilities Commission (“Commission”), Rocky Mountain Power, a division of PacifiCorp (“Rocky Mountain Power” or the “Company”) hereby provides its answer to the formal complaint (“Complaints”) filed by six (“Complainants”) described as: Name: Jacoba H. van Mastrigt Case No: PAC-E-23-04 Formal Complaint Date: March 22, 2023 Name: Samuel and Peggy Edwards Case No: PAC-E-23-05 Formal Complaint Date: March 23, 2023 Name: Judy Twede Case No: PAC-E-23-06 Formal Complaint Date: March 24, 2023 Name: Karen Lane Case No: PAC-E-23-07 Formal Complaint Date: March 28, 2023 Name: Christy Armbruster Case No: PAC-E-23-08 Formal Complaint Date: March 27, 2023 Name: Diane Huskinson 142142 Case No: PAC-E-23-11 Formal Complaint Date: March 30, 2023 2. The Company also moves to dismiss the Complaints in their entirety because Complainants have failed to state a claim upon which relief can be granted. As provided in more detail below, the Complaints do not identify any specific administrative rule, order, statute, or applicable provision of the Company’s tariff that Rocky Mountain Power violated. The Company has acted in compliance with the applicable rules and regulations in providing notice and seeking termination of service for customers who refuse access to the meter. Accordingly, the Company requests that the Commission dismiss the Complaints with prejudice. 3. Communications regarding this Case should be addressed to: By e-mail (preferred): datarequest@pacificorp.com joseph.dallas@pacificorp.com mark.alder@pacificorp.com By mail: Data Request Response Center Rocky Mountain Power 825 NE Multnomah St., Suite 2000 Portland, OR 97232 Mark Alder Idaho Regulatory Affairs Manager Rocky Mountain Power 1407 West North Temple, Suite 330 Salt Lake City, Utah 84116 Telephone: (801) 220-2313 Email: mark.alder@pacificorp.com Joe Dallas (ISB# 10330) Senior Attorney Rocky Mountain Power 825 NE Multnomah, Suite 2000 Portland, OR 97232 Telephone: (360) 560-1937 Email: joseph.dallas@pacificorp.com 143143 II.BACKGROUND 4.The Company has carefully planned and communicated its advanced metering infrastructure (“AMI”) rollout over the last several years and began formally communicating its plans to the Commission with a presentation on December 18, 2018. Formal presentations were also presented to the Commission on May 2019, March 2021, October 2022, and March 2023. In the presentations, the Company communicated to Commission staff that there would not be an opt- out option available to customers in the state of Idaho. The Commission has supported the Company’s no opt-out approach throughout this process. 5.AMI installations began in Idaho in October 2021 and the Company has completed 84,926 meter exchanges. The Company has communicated with customers throughout this process with letters, emails, and outbound phone calls informing customers of the Company’s AMI installation process. AMI allows for cost savings by reducing meter reading costs and provides improved customer service through enhanced information and billing options. 6.On August 16, 2022, the Commission issued Order No. 35504 dismissing the complaint of Tami Thatcher in Case No. PAC-E-22-09. This complaint requested the ability to opt-out of AMI installation based on safety claims. The Commission found that the allegations made against AMI safety went “against well-established evidence on smart meter safety” and that the Federal Communications Commission has approved smart meters as safe for consumers.1 As a result, the Commission dismissed the complaint and found that an opt-out option for AMI installation was not required in that proceeding.2 1 Tami Thatcher v. PacifiCorp d/b/a Rocky Mountain Power Company, Case No. PAC-E-22-09, Order No. 35504 at 3 (August 16, 2022). 2 Id. 144144 7.Over the course of the AMI installation project, approximately 160 customers refused AMI installations for various reasons – primarily due to fears of radio frequency or privacy of customer data. A team of trained customer service representatives fielded calls from customers and worked with customers to reach a resolution. The agents explained to customers that the Company was willing accommodate customers by relocating the meter to a different location of the property. However, any costs associated with doing so would be at the customer’s expense. Beginning in December 2022, PacifiCorp employees began working with utilities compliance investigators from the Commission to resolve issues raised by these customers. In those investigations, the Company clarified that customers were not allowing the Company to access the meter for the purposes of AMI installation and were asking the Company representatives to leave when attempting to exchange the meter. Additionally, the Company expressed a willingness to continue working directly with these customers to find a resolution. However, keeping their current meter is not an option for any of our customers in Idaho, and disconnection of service will only be used as a last resort after proper notice has been provided. 8.The Company successfully addressed the concerns of 110 customers and exchanged their meters. For the remaining 50 customers, the Company began the noticing requirements for termination of service under the Utility Customer Relations Rules (“UCRR”) of the Commission in February of 2023. The UCRR, which was approved by the Commission and reflected within the Company’s approved tariffs,3 “provide a set of fair, just, reasonable, and non- discriminatory rules with regard to … termination of service.” According to UCRR 302, the denial of access to the meter is a ground for termination of service. UCRR 304 and 305 specify the notice 3 Electric Service Regulation No. 10 – Termination of Service and Payment Arrangement. 145145 requirements that a utility must follow before termination of service for failure to grant utility access to the meter. 9. The Company initially sent a letter (“First Letter”) to the customers, notifying them of the Company’s inability to access the meter for the AMI installation. A second letter (“Second Letter”) was sent to explain the customer benefits of the AMI installation and the privacy protections in place for the meters. A final letter (“Final Letter”), which included the notice requirements in UCRR 304 and 305, was sent approximately 20-30 days from the date of the Second Letter. The Second and Third Letters were drafted with input from Commission staff. Following the delivery of the Final Letter, PacifiCorp employees began delivering doorhangers notices in person in a final attempt to resolve the customers’ issues before termination of service. 10.On April 21, 2023, the Company received by certified-mail Complainants’ Complaints from the Commission. Complainants’ formal complaints make several allegations: (a)The Company attempted unlawful intrusion onto Complainants’ property and into Complainants’ home by way of a wiretapping device. This is referred to as a “Breach of the Peace” in Case Nos. PAC-E-23-04, PAC-E-23-05, PAC-E-23-06, and PAC-E-23-08. (b)The Company used threats, duress, and coercion to induce Complainants to accept AMI installation with the threat of disconnection. This is referred to as “Attempted Extortion of complainant’s will” in Case Nos. PAC-E-23-04, PAC-E-23-05, PAC- E-23-06, and PAC-E-23-08. (c)The Company is violating its contract with the customer by unilaterally requiring AMI installation without the authorization of the customer. This is referred to as “Impairment of Contract” in Case No. PAC-E-23-04, PAC-E-23-05, PAC-E-23- 146146 06, and PAC-E-23-08. In Case No. PAC-E-23-07 the complainant argues that Electric Service Regulation No. 6 does not apply because the complainant will allow access to the property but will not allow AMI installation. (d)The Company is attempting a takeover of Complainants’ private property for commercial use in reference to AMI installation. This is referred to as “Attempted Extortion” in Case Nos. PAC-E-23-04, PAC-E-23-05, PAC-E-23-06, and PAC-E- 23-08. (e)The Company is attempting to illegally wiretap Complainants’ homes and extract personal and private information without a search warrant. This is referred to as “Attempted Illegal Wiretapping” in Case Nos. PAC-E-23-04, PAC-E-23-05, PAC- E-23-06, and PAC-E-23-08. (f)The Company is threatening with the intent to commit harm by threatening to shut off electrical power to Complainants’ house since termination could cause severe physical and emotional harm. This is referred to as “Threat with Intent to Commit Harm” in Case Nos. PAC-E-23-04, PAC-E-23-05, PAC-E-23-06, and PAC-E-23- 08. (g)The Company is being reckless by failing to inform Complainants of the actual dangers of AMI technology. Also, the Company’s behavior is “hazardous negligence” since the Company is attempting to expose Complainants to the “very great danger" of AMI technology. This is referred to as “Gross Negligence; Hazardous Negligence” in Case Nos. PAC-E-23-04, PAC-E-23-05, and PAC-E- 23-06. 147147 (h)The Company has made “a material representation which is knowingly false” about the safety of AMI. This is referred to as “Actionable Fraud” in Case Nos. PAC-E- 23-04, PAC-E-23-05, and PAC-E-23-06. (i)The Company “continues to acknowledge their intent to abuse complainant by negligent infliction of physical pain and mental injury by continuing their strong- arm intimidation tactics, threats” etc. This is referred to as “Elder Abuse” in Case Nos. PAC-E-23-04 and PAC-E-23-06. 11.In addition to the allegations listed above, the complainant in Case Nos. PAC-E- 23-11 requests the Company to allow an opt-out option for AMI installation because it is offered by Idaho Falls Power and Fall River Rural Electric. 12.As of April 27, 2023, no customer has yet to have their service terminated for refusing AMI installation, although the Company does still plan to pursue termination of service for customers that fail to allow an AMI meter on their site. III.ANSWER TO COMPLAINANT’S ALLEGATIONS 13.Rocky Mountain Power operates in compliance with the rules and regulations approved by the Commission. The Company has followed the applicable rules under the UCRR at all relevant times in providing notice and seeking to terminate service due to the failure to grant access to meters for AMI installation. The Company has also sought the input from Commission staff in the notices contained in the Second and Final Letters sent to customers. The First, Second and Final Letters are provided with this Answer as Attachment A. 14.Contrary to the allegations in the Complaints, the Company has not used threats, duress, or coercion to induce Complainants to accept AMI installation, which is the basis for the allegations of “Attempted Extortion of complainant’s will” and “Elder Abuse.” In the Second 148148 Letter, Rocky Mountain Power requested that customers contact the Company to allow access to their meters for AMI installation and informed customers that if access was not allowed, the Company would initiate the termination of service process for their account. The Final Letter also warned customers that their service would be terminated if the Company were not allowed access. Both the Final Letter and the Second Letter informed customers of the actions required to avoid termination of service. Additionally, the Final Letter also stated that “a certificate notifying the utility of a serious illness or medical emergency in the household may delay termination of service as prescribed by Rule 308.” 15. The Final Letter and the Second Letter were developed in accordance with the UCRRs approved by the Commission and were reviewed by Commission staff. These letters clearly informed customers of the possibility of termination of service if they refused access to the meter for AMI installation, without including any threats, duress, or coercion. The Complainants’ have failed to provide any evidence that the Company has violated any other rule or law. The Company is allowed to terminate service of customers who deny the Company access to the meter, and there is no opt-out option available for such customers in the State of Idaho.4 The Final Letter further explains that termination may be delayed with a certificate for those with a serious illness. In certain cases, the Company has discussed alternate options for the customers, such as relocating the meter to a different location on the property at the customer’s expense. These actions do not violate any rule or law and are not classified as elder abuse, a “threat with intent to commit harm,” or extortion as alleged by the Complainants. 4 See Tami Thatcher v. PacifiCorp d/b/a Rocky Mountain Power Company, Case No. PAC-E-22-09, Order No. 35504 at 3 (August 16, 2022). 149149 16.The Complaints allege unlawful entry, but customers who receive service from the Company agree to abide by the Company’s tariff, including Electric Service Regulation No. 6(2)(d) which states: The Customer shall provide safe, unencumbered access to Company’s representatives at reasonable times, for the purpose of reading meters, inspecting, repairing or removing metering devices and wiring of the Company. The Complainants further argue that the Company can access the meter, so they are not in violation of the tariff. However, the Complainants have also explained, despite physical access to the meter, that they do not want AMI installation. The Company believes that having a meter that is physically accessible but where the customer is refusing a meter upgrade is not safe and unencumbered access as defined in Electric Service Regulation No. 6. 17.Electric Service Regulation No. 7 allows for the Company to “furnish and maintain all meters and other metering equipment.” The rule does not prohibit the upgrade of any meters. Electric Service Regulation No. 6 and No. 7 allow for the Company to upgrade its meters and requires customers to provide physical and actual access to the meters for this process. The implementation of AMI is an upgrade that allows for cost savings by reducing meter reading costs and provides improved customer service through enhanced information and billing options. Therefore, the Company is operating consistent with its approved tariff by requiring access to meters for AMI installation. 18.Safety is Rocky Mountain Power’s first concern, for customers, the community, and our employees. The Complainants allege the Company’s behavior is “hazardous negligence” since the Company is attempting to expose Complainants to the “very great danger and imminent peril” of AMI technology and the Company has made “a material representation which is knowingly false” about the safety of AMI meters. While the Company respects our customers’ 150150 input and health concerns, we strongly disagree with Complainants’ claim that AMI meters are unsafe. 19.The Federal Communications Commission (“FCC”) has jurisdiction over the approval and use of radio frequency devices, including AMI meters. One of the FCC’s roles is to ensure the safety of equipment that produces radio frequencies. The FCC is required by the National Environmental Policy Act of 1969, among other laws, to evaluate the effect of emissions from FCC‐regulated transmitters on the quality of the human environment. 20.Industry research and standards agencies, such as the American National Standards Institute (“ANSI”) and the Institute of Electrical and Electronics Engineers, Inc. (“IEEE”) have compiled the research associated with human exposure of radio frequencies energy and created guidelines that the FCC and the federal Occupational Safety and Health Administration (“OSHA”) have adopted. 21.These standards incorporate frequency of the energy to define maximum permissible exposure levels (“MPE”) correlated to frequency. The standards are most conservative at frequencies where the wavelength of the energy is near humans. The FCC defined two categories: the occupational or controlled environment, intended for workers and other trained professionals that have the most potential for whole body exposure, and the general public or uncontrolled environment. The resulting MPE levels incorporated by the FCC into the safety requirements included a 10:1 safety ratio to account for variations in size, weight, and physical condition of the person. Therefore, exposure even at 100 percent of the MPE level authorized by the FCC for the occupational or controlled environment level will not cause physical harm. 151151 22.As a precautionary step for the general public or uncontrolled environment criteria, the FCC added an additional 5:1 safety factor over the occupational safety level. Thus, the FCC’s MPE limit for the general public is 50 times less than the level research shows could cause harm. 23.AMI meters emit 100 times less radio frequency density than a laptop computer, 300 times less than a cell phone, and 50,000 times less than standing next to your microwave oven while it’s in use. All of these devices have been approved by the FCC as safe for human use. In sum, and consistent with a prior finding of the Commission, the safety allegations in the Complaints go “against well-established evidence on smart meter safety.”5 24.Complainants also allege that the Company has attempted unlawful intrusion onto Complainants’ property and into Complainants’ home through the installation of a wiretapping device, and that Rocky Mountain Power is attempting to illegally wiretap their’ homes in order to extract personal and private information without a search warrant. The Complainants further allege the Company is attempting a takeover of Complainants’ private property for commercial use by installing an AMI meter. However, the Complainants have failed to provide any evidence to support these allegations. The Company denies these allegations, takes customer data privacy seriously, and does not engage in the sale of customer data. 25.The Company respectfully requests that the Commission dismiss the Complaints and not allow an opt-out option for several reasons. 26.First, the Company’s AMI project is not new to the state of Idaho as other public utilities, such as Idaho Power Company and Avista Corporation, have installed AMI. Instead of installing AMI meters almost two decades ago, when first available, the Company chose to wait 5 Tami Thatcher v. PacifiCorp d/b/a Rocky Mountain Power Company, Case No. PAC-E-22-09, Order No. 35504 at 3 (August 16, 2022). 152152 until it was confident that the technology had fully matured and that AMI meters would exceed all the Company’s safety and security standards. 27. Second, the Company provided five presentations6 regarding its AMI project to the Commission, noting in each presentation that there would not be an opt-out option available to customers in the state of Idaho. The Commission has supported the Company’s no opt-out approach throughout this process and the Company has already successfully completed 84,926 meter exchanges. 28.Third, previous Commission orders have dismissed complaints pertaining to AMI meters, and the Commission has upheld the utilities’ installation of AMI meters and disallowed the complainants’ ability to opt-out of AMI installation. See Thatcher v. Rocky Mountain Power Company, Case No. PAC-E-22-09, Order No. 35504 (August 16, 2022), Baenen v. Avista Corporation, Case No. AVU-E-17-11, Order No. 33979 (February 2, 2018), and Menth v. Idaho Power Company, Case No. IPC-E-12-04, Order No. 32500 (March 27, 2012). Despite previous complaints, at no time has the Commission ruled that a public utility’s AMI project, which does not include an opt-out option, violates an administrative rule, order, statute, or applicable provision of the Company’s tariff. 29.Finally, as noted previously industry research and standards agencies such as ANSI, IEEE, the FCC, and OSHA have all determined that AMI meters are safe and provide no threat or harm to the public. The Company has not threatened Complainants by following required noticing requirements, the Company has not and does not intend to wiretap Complainants’ homes, and the Company has not violated any contract, rule, or procedure by requiring AMI installations. 6 See Rocky Mountain Power Idaho Advanced Metering Infrastructure Project (December 2018, May 2019, March 2021, October 2022, and March 2023). 153153 30. The Company denies all factual allegations in the Complaint not specifically admitted herein. III.MOTION TO DISMISS 31.Rocky Mountain Power incorporates by reference paragraphs 4 through 30 as if set forth herein. 32.Based on the foregoing, Rocky Mountain Power moves to dismiss the Complaints under Rule 256 of the Rules of Procedure of the Idaho Public Utilities Commission for failure to state a claim. The Complaints do not identify any specific administrative rule, order, statute, or applicable provision of the Company’s tariff that Rocky Mountain Power violated. The Company has acted in compliance with the applicable rules and regulations in providing notice and seeking termination of service for customers who refuse access to the meter. Accordingly, the Company requests that the Commission dismiss the Complaint with prejudice. IV.CONCLUSION 33. The Company respectfully requests that the Commission deny the relief sought in the Complaints, dismiss the Complaint with prejudice, and not allow an opt-out option for AMI installation. In the event the Commission dismisses the Complaints, the Company also respectfully requests that the Commission waive the noticing requirements under Rule 304 and 305 of the Utility Customer Relations Rules, consistent with the principals of Rule of Procedure 13.7 Complainants have already received the required notices and restarting the process will result in unnecessary expenses for the Company. Moreover, Complainants may use the notices as a basis for additional complaints, which will further increase costs and create additional administrative burden for the Commission. 7 Rule of Procedure 13: (“Unless prohibited by statute, the Commission may permit deviation from these rules when it finds compliance with them is impracticable, unnecessary or not in the public interest.”). 154154 DATED this 10th day of May, 2023. Respectfully submitted, ROCKY MOUNTAIN POWER ______________________________ Joe Dallas (ISB# 10330) Senior Attorney Rocky Mountain Power 825 NE Multnomah, Suite 2000 Portland, OR 97232 Telephone: (360) 560-1937 Email: joseph.dallas@pacificorp.com Attorney for Rocky Mountain Power 155155 ATTACHMENT A 156156 (Customer Name) (Mailing Address) (City, State Zip) Dear (Customer Name): You can count on us to provide the affordable and consistent power you need. We’re using state-of-the-art technology to deliver dependable power as we plan for the future. We were recently in your area to upgrade your existing electric meter, but our installer couldn’t access the meter base at (Site Address). As required by the Idaho Public Service Commission, clear and safe access must be available to electric meters for inspection, maintenance, meter upgrades, and to enable us to respond to any emergencies. The Idaho Public Utilities Commission has reviewed smart meter technology, and the prevailing scientific research on consumer safety, and concluded that smart meters are allowed in Idaho without any alternative metering options. Please call 1-800-895-0631 within 15 days of receiving this letter to resolve any access issues and set an appointment to have your meter updated. We are happy to answer any questions you may have regarding the new meter and look forward to working with you. Kind Regards, Rocky Mountain Power Para más información, llame al 1-888-225-2611 para hablar con un especialista en español. 157157 DATE (Customer Name) (Mailing Address) (City, State Zip) RE: SECOND NOTICE: Required Access for Meter Upgrade at {SITE ADDRESS} Dear (Customer Name): Thank you for your immediate attention to this matter. If you are not responsible for the electric service at the site listed above, please pass this request to the property manager or owner as soon as possible. Our contractor was refused access to perform a meter exchange at the address listed above. This is our second written notice. We have also attempted to reach you by telephone. To avoid termination of electric service at this address, you must contact us at the number provided below. You are contractually obligated to allow us safe and unencumbered access to our equipment. Meter access is a condition of electric service, as expressed in the Idaho Public Utilities Commission’s Customer Relation Rules, namely Electric Service Regulation No. 6, a copy of which is enclosed for your convenience. Moreover, to the extent that access was denied because of the type of meter being installed, please be aware that the Idaho Public Utilities Commission has reviewed smart meter technology, including the prevailing scientific research on consumer safety, and concluded that smart meters are safe and allowed for all customers in Idaho. If you would like additional information regarding the electric regulations that governs Rocky Mountain Power’s operations, review them at the Idaho Commission’s website at puc.idaho.gov. Our new meters bring with them a host of benefits, enabling our customers to securely – •View Daily/Hourly/15-Minute interval usage data through your Rocky Mountain Power account •Set billing thresholds and alerts through our website and mobile application •Automatically send notifications whenever your power is interrupted and subsequently restored Rocky Mountain Power will also be able to troubleshoot abnormal electric voltage or current issues on our lines that could impact the quality of your service. Our meters deliver whole home usage data through a secure LTE network and do not connect with any additional smart devices installed at your site or external networks. Your data is safe and no personal information is ever shared with outside parties. (continued on reverse side) 158158 Page 2 Please contact us at 1-800-895-0631 immediately to resolve access issues and to set an appointment to have your meter updated. We are happy to answer any additional questions you may have regarding the new meter and look forward to working with you. If we do not hear from you within 15 days from the date of this letter to resolve this issue, we will refer your account to our service disconnection process. We look forward to hearing from you and will always consider it a privilege to serve you. Kind Regards, Rocky Mountain Power Para más información, llame al 1-888-225-2611 para hablar con un especialista en español. 159159 ROCKY MOUNTAIN POWER • OM$ION Ot-MQAC(W' I.P.U.C. No. I Second Rt'vision nfShttt No. 6R.I Cancclint fint Rt'vision ofShttt No. 6R.I ELECTRIC SERVICE REGULATION NO. 6 STAT£ Of lDAHO Company's Installation I.COMPANY'S INSTALLATIONExcepl as otherwise provided in these Regulations, an Elcc,tric Service Agreement, or the ElectricService Schedules, the Company will install and main lain its lines and equipment on its side of the Point of Delivery, but shall not be required to install or maintain any lines or equipment exceptmeters and accessories beyond that point Only the Company is authorized to make the connections at the Point ofDdivery. Electric service furnished under this tariff will be alternating current, 60 hertz. single or three-phase. Primary service voltage will be at one of the nominal standard "-ohagesavailable from the Company at or near the Customer's location. Secondary seivic.e voltage will be limited to: Single-phase, 120 \'Olts, 2-wire, grounded Single-phase, 120/240 \.-O)ts, 3-wire, grounded Single-phase, 240/480 \.-O)ts, 3-wire, grounded Three-phase, 208Y/120 \'Olts, 4-wire, grounded, wye Three-phase, 4WJY/277 \'Olts, 4-wire, grounded, wye 2.COMPANY FACILITIES ON CUSTOMER'S PREMISES (a)All materials furnished and installed by the Company on the Customer's premises, shall be, and remain, the property of the Company. The Customer-shall n04 break the Company'smeter seals. In the event of loss or damage to the Company's property, arising from neg.Ject,carelessness, or misuse by the Customer, the cost of necessary repairs or replacement shallbe pa.id by the Customer. (b)Customer without expense to the Company shall make or procure conveyance to the Company of satisfactory Rights-of-Way Easements across the property ov.Tied or controlled by the Customer for the Company's lines or extensions thereof necessary or incidental to thefurnishing of ser.,.ice to the Customer. (c)The Customer shall pennit safe, aocess to Company's representatives at all hours to mainlainthe Company's eloc,tric distribution facilities. The Customer shall also pennit the Companyto trim trees and other vegetation to the extent necessary to a\'oid interference with the Company's lines and to protoc,t public safety. ( d)1!1'<,,Cus om<u11iltp,<W,<IQ!f < ." J!n<n<umi><T<d.;a«osQ<>-£' ompo.•Y.Lrcpr<sentnljveQljffiBonntilClimes=--for thc purpose ofl'cooingmeters. 1nspcc mg. rcpamng or rcmcmnmctcnns. devices and w1rins. of the Company Submitted Under Case No. PAC-E-19-12 ISSUED: September 13, 2019 EFFECTIVE: January 8, 2020 160160 (Customer Name) DATE (Mailing Address) (City, State Zip) RE: FINAL NOTICE: Required Access for Meter Upgrade at (SITE ADDRESS) Dear (Customer Name): Thank you for your immediate attention to this matter. If you are not responsible for the electric service at the site, please pass this request to the property manager or owner as soon as possible. As required by 31.21.01 – Customer Relations Rules for Gas, Electric, and Water Public Utilities (“Utility Customer Relations Rules”) – Rule 304 (Requirements for Notice to Customers Before Termination of Service). This letter will serve as final notice of termination of electric service, which will occur on (DATE) for failure to provide access as required under Utility Customer Relations Rules- Rule 302(e). If access to property is acquired prior to this date to enable Rocky Mountain Power to install an upgraded meter at the site, termination will be canceled. Please contact us at 1-800-895-0631 if you wish to resolve this issue. Kind Regards, Rocky Mountain Power REQUIRED DISCLOSURES: IDAHO ADMINISTRATIVE CODE IDAPA 31.21.01 Public Utilities Commission Utility Customer Relations Rules 305. CONTENTS OF NOTICE OF INTENT TO TERMINATE SERVICE (RULE 305). 01. Contents of Notice. The written or oral notice of intent to terminate service required by Rule 304 will state: a. Thereason(s), citing these rules, why service will be terminated and the proposed date of termination.b. Actions the customer may take to avoid termination of service.c. That a certificate notifying the utility of a serious illness or medical emergency in the household may delay terminationas prescribed by Rule 308.d. That an informal or formal complaint concerning termination may be filed with the utility or the Commission, and that service will not be terminated on the ground relating to the dispute between the customer and the utility before resolutionof the complaint. The Idaho Public Utility Commission can be reached at 208-334-0369, or 1-800-432-0369, or online at puc.idaho.gov/form/consumerassistance, or by mail at Idaho Public Utilities Commission, P.O. Box 83720, Boise, ID 83720-0074. A copy of the Utility Customer Relation Rules can be found at https://adminrules.idaho.gov/rules/current/31/312101.pdf Para más información, llame al 1-888-225-2611 para hablar con un especialista en español. 161161 RECEIVED 2023 May 22, 8:00AM IDAHO PUBLIC UTILITIES COMMISSION 162162 As can be seen in Appendix A of the "Answer and Motion to Dismiss", ROCKY MOUNTAIN POWERIPACIFICORP's interpolation was communicated to customers: "as required by the Idaho Public Service Commission 1, clear and safe access must be available to electric meters for inspection, maintenance, meter upgrades, and to enable us to respond to any emergencies" (see first notice, emphasis added). Then, in ROCKY MOUNTAIN POWER/P ACIFICORP 's final notice, the interpolation reaches maturity as justification under UCRR 302.0l(e) to terminate customers' power for declining a meter upgrade, an assertion ungrounded in the company's tariff. According to paragraph 8 of the "Answer and Motion to Dismiss", about 50 customers who objected to smart meter upgrades have been strong-armed into receiving the meter against their will due to this interpolation of Electric Service Regulations No. 6 & 7. Our meter is not damaged, and we have provided company representatives with safe, unencumbered access for the purposes required in Electric Service Regulation No. 6. Yet, ROCKY MOUNTAIN POWERIPACIFICORP has threatened our family with service disconnection because we wish to decline ROCKY MOUNTAIN POWER/PACIFICORP's "Advanced Metering Infrastructure" (AMI) program. Termination of our family's service is not justified by UCRR 302. We seek relief by Idaho Public Utility Commission in the following ways: 1)Decline ROCKY MOUNTAIN POWERIPACIFICORP's motion to dismiss our case "withprejudice".2)Require ROCKY MOUNTAIN POWER/PACIFICORP to correct their interpolation by updating customers of the correct requirements for "safe, unencumbered access" to utility meters and wiring.3) Relieve ROCKY MOUNTAIN POWER/PACIFICORP and other public utility companiesserving Idaho of the unreasonable burden of 100% meter upgrades by allowing customers to opt-out and companies to negotiate alternative metering arrangements. Thank you in advance for your time and consideration in remedying this matter as soon as possible in fulfillment of public trust. In the case of pulsed radio frequencies, as used in electric metering (measuring/trespassing) devices, company profit motives cause a disregard for the health and privacy concerns of a minority of citizens2. We call upon Idaho Public Utility Commission to protect the minority of consumers from "one-size-fits-all" meter upgrades. Very truly, ��uris 1 Google search "Idaho Public Service Commission" (conducted 5/21/2023) raises top results as links of"Idaho Public Utilities Commission", including https://ballotpedia.org/Idaho Public Utilities Commission, where both terms used. 2 https://childrenshealthdefense.org/wp-content/uploads/Brief-and-Addendum-Submitted-9-14.pdf, accessed 5/20/2023 2 163163 ORDER NO. 35849 1 Office of the Secretary Service Date July 11, 2023 BEFORE THE IDAHO PUBLIC UTILITIES COMMISSION JACOBA H. VAN MASTRIGT, et al, COMPLAINANTS, vs. PACIFICORP, d/b/a ROCKY MOUNTAIN POWER, RESPONDENT. ) ) ) ) ) ) ) ) ) ) ) CASE NOS. PAC-E-23-04; PAC-E- 23-05; PAC-E-23-06; PAC-E-23-07; PAC-E-23-08; AND PAC-E-23-11 ORDER NO. 35849 Between March 22, 2023, and March 27, 2023, the Commission received six formal customer complaints (collectively the “Complaints”)1 filed against PacifiCorp dba Rocky Mountain Power (“Company”) by the Company’s customers (collectively the “Complainants”). The Complaints concern the Company’s notification to terminate electric service if customers refuse to allow the installation of advanced metering infrastructure meters (“AMI meter(s)”) at their residences. On April 19, 2023, the Commission issued a Summons directing the Company to file an answer to the Complaints within 21 days of service. On May 10, 2023, the Company filed an Answer and Motion to Dismiss (“Answer”) countering the issues cited in the Complaints and asking that the Complaints be dismissed with prejudice. On May 22, 2023, the Commission received five objections to the Company’s request for dismissal and two “AMENDED CRIMINAL COMPLAINT(s).”2 Having reviewed the record in these cases, we now issue this Final Order dismissing the Complaints. THE COMPLAINTS In their Complaints, the Complainants presented various reasons for not wanting an AMI meter installed on their property including the age and health of the complainants, a claimed lack of legal authority allowing the Company to install AMI meters, and concerns over data privacy. Some Complainants also requested the ability to opt-out of having an AMI meter. Five of the 1 The Complaints were filed by the Company’s electric service customers Jacoba H. van Mastright, Samuel and Peggy Edwards, Judy Twede, Karen Lane, Christy Armbruster, and Diane Huskinson. The Complainants all appeared pro se. 2 Jacoba H. van Mastrigt and Judy Twede filed the “AMENDED CRIMINAL COMPLAINT(s).” 164164 ORDER NO. 35849 2 Complainants refused to have an AMI meter installed on their residence, the sixth provided consent to allow an AMI meter to be installed but alleged that the consent was unlawfully obtained. Several of the Complainants presented almost identical “Factual Counts” that allege that the Company: (1) breached the peace by attempting to install AMI meters on their residence; (2) attempted extortion of Complainant’s will; (3) impaired contracts; (4) attempted extortion by trying to take over the Complainant’s private property for commercial use; (5) attempted illegal wiretapping; and (6) threatened the Complainant’s with intent to commit harm. Some of the complainants allege additional “Factual Counts” of (1) gross and hazardous negligence; and (2) “actionable fraud.” Two of the Complainants also alleged the Company was committing elder abuse.3 The Complainants all asserted that they have attempted in good faith to resolve their issues with the Company regarding the deployment of AMI meters, and the Complainants alleged the Company is operating in bad faith, and using strong-arm intimidation tactics, threat, duress, and coercion. See, e.g., Complaint of Jacoba H. van Mastrigt at 1. The Complainants also argued that they have paid their bills for electric service they receive from the Company on time. Several of the Complainants argued the Company only has the authority to enter their properties for specific reasons (i.e., meter reading) and that any other access must be authorized by the property owner for certain matters including troubleshooting and making repairs to electrical equipment. The Complainants further claim they do allow the Company to access their properties to read meters but are not granting the Company access to exchange meters. COMPANY ANSWER The Company responded to the Complaints by first describing the notification process it engaged in and its discussions of alternatives for customers who did not want an AMI meter on their residences. Then the Company described the allegations and requests made by the Complainants. Lastly, the Company answered the Complaints lodged against its AMI meter roll- out and moved to dismiss the Complaints with prejudice. Communication The Company represented that it started deploying AMI meters in Idaho in the fall of 2021 and has since completed over 84,000 exchanges. The Company stated that it communicated with customers during AMI meter deployment with “letters, emails, and outbound phone calls 3 Most of these claims are civil tort claims or criminal. The Commission is not the appropriate body to the extent the Complaints seek any damages or the imposition of criminal liability. 165165 ORDER NO. 35849 3 informing customers of the Company’s AMI installation process.” Company Answer at 3. The Company asserted that “AMI allows for cost savings by reducing meter reading costs and provides improved customer service through enhanced information and billing options.” Id. During the deployment of the AMI meters, the Company stated that about 160 customers objected to the installation of AMI meters, and the Company then worked with those customers to reach a resolution. The Company explained it “was willing accommodate customers by relocating the AMI [meter] to a different location of the property” at the customer’s expense. Id. at 4. The Company represented it “expressed a willingness to continue working directly with these customers to find a resolution. However, keeping their current meter is not an option for any of our customers in Idaho, and disconnection of service will only be used as a last resort after proper notice has been provided.” Id. The Company represented that it successfully resolved the concerns of 110 of the customers who had initially objected, and the Company exchanged those meters. Id. For the 50 remaining customers, the Company represented that it began to formally notify them that, pursuant to the Utility Customer Relations Rules (“UCRR”), their service would be terminated if they continued to refuse the installation of an AMI meter. Id. The Company cited UCRR 302, IDAPA 31.21.01.302, which allows for termination of service if meter access is denied, as the Company’s primary argument for its formal process to begin disconnection. Id. Along with UCRR 302, the Company cited UCRRs 304 and 305, IDAPA 31.21.01.304-.305, for the notification requirements to disconnect a customer under UCRR 302. Id. The Company asserted it sent an initial letter (“First Letter”) to the customers who refused the meter exchange informing them of the Company’s inability to access the meter for a meter exchange, and the Company followed that letter with additional correspondence (“Second Letter”) providing an explanation of the benefits and customer privacy protections afforded by AMI meters. Id. at 5 and 7-8. The Company then sent a final letter (“Final Letter”) notifying customers that their service would be terminated. The Company also stated that the Second and Final Letters informed customers, including the Complainants, how to avoid termination of service. Id. The Company represented that the Final Letter also stated that “a certificate notifying the utility of a serious illness or medical emergency in the household may delay termination of service as prescribed by Rule 308.” Id. Finally, the Company stated that its employees began delivering notices in person and attempting to resolve the issues customers cited regarding AMI meters before it planned on terminating service. Id. at 8. 166166 ORDER NO. 35849 4 Answer and Motion The Company: (1) denied all factual allegations in the Complaints that were not admitted in its Answer; (2) explained its belief that industry standards have determined AMI meters do not provide a threat of harm to customers; and (3) claimed that the required UCRR notices it sent to customers who refused access were not threats and the Company did not violate any contract, procedure, rule or law with its requirement for AMI meter installations. The Company asked the Commission to dismiss the Complaints with prejudice for failure to state a claim. The Company denied using “threats, duress, or coercion to induce Complainants to accept AMI [meter] installation.” Id. at 7. The Company discussed its communication efforts where it ultimately warned customers that without access to meters, the Company would initiate the termination process and terminate service if unable to resolve the issue of meter access. The Company noted that those communications were “developed in accordance with the UCRR’s approved by the Commission…” and merely warned customers of the possibilities if access was refused. Id at 8. The Company maintained that it is allowed to terminate customers’ service if not allowed to access the meters, and without an opt-out in Idaho, that is the only option available. The Company stated that it did discuss alternatives available to customers like relocating the new AMI meter on the customer’s property. The Company cited Electric Service Regulation (“ESR”) No. 6(2)(d), which provides that “[t]he Customer shall provide safe, unencumbered access to Company’s representatives at reasonable times, for the purpose of reading meters, inspecting, repairing or removing metering devices and wiring of the Company,” and which its customers agree to as a condition of service. Id. at 9 quoting ESR No. 6(2)(d). The Company disputed the assertion in the Complaints that the Company does have physical access to the meters stating that “refusing a meter upgrade is not safe and unencumbered access” under ESR 6(2)(d). Id. Further the Company stated that ESR No. 7 requires the Company “to furnish and maintain all meters and other metering equipment” and does not prohibit or proscribe a specific type of meter. Id. quoting ESR No. 7. The Company discussed the Federal Communication Commission’s (“FCC”) jurisdiction over devices emitting radio frequency, like AMI meters. The Company represents that the FCC ensures the safety of these devices pursuant to “the National Environmental Policy Act of 1969, among other laws.” Id. at 10. 167167 ORDER NO. 35849 5 The Company also asserted “[i]ndustry research and standards agencies, such as the American National Standards Institute (“ANSI”) and the Institute of Electrical and Electronics Engineers, Inc. (“IEEE”) have compiled the research” concerning exposure to radio frequencies energy and created guidelines that the FCC and federal Occupational Safety and Health Administration have adopted. Id. The Company stated those standards define the maximum permissible exposure (“MPE”) standards and the two categories they are assigned to, the controlled and uncontrolled environments. Id. The uncontrolled environment applies to the general public, like residential homes, and includes heightened safety requirements by FCC standards. The MPE for the controlled environment is 5:1, meaning the FCC’s MPE limit for the general public is 50X less than research shows can cause harm to humans. Id. at 11. The Company discussed the history of AMI meters in Idaho and represented that the Company is the last major electric utility to install this infrastructure. The Company noted that AMI meters first became available almost 20 years ago. The Company cited previous cases for Avista, Idaho Power, and itself where the Commission dismissed complaints about AMI and/or denied a request to require public utilities to provide an opt-out provision. Case Nos. PAC-E-22- 09, AVU-E-17-11, and IPC-E-12-04. The Company stated that the Commission has never “ruled that a public utility’s AMI project, which does not include an opt-out option, violates an administrative rule, order, statute, or applicable provision of the Company’s tariff.” Id. at 12. The Company stated the Complaints “do not identify any specific administrative rule, order, statute, or applicable provision of the Company’s tariff” violated by the Company. Id. at 13. Further, the Company claimed it acted in compliance with rules and regulations that apply to notice and termination for complainants’ refusal to grant access to meters. Objection and Amendments In their Objection and Opposition to Motion to Dismiss (“Objections”), van Mastrigt and Twede stated that until the Company produces a rule that specifically authorizes termination for refusing to accept an AMI meter, the Company cannot install the AMI meter or terminate service. The Objections reiterated several points first addressed in the original Complaints about access, safety, data acquisition, and trespassing technology. The Objections also argued matters raised in 168168 ORDER NO. 35849 6 the “AMENDED CRIMINAL COMPLAINT(s)” filed by each.4 The Objections also ask the Commission to address all criminal counts they allege have been committed by the Company. The Commission received various other documents in response to the Company’s Answer that essentially restated the same claims from the original Complaints and asked the Commission to reject the Company’s Motion. COMMISSION DISCUSSION AND FINDINGS The Commission has jurisdiction over this matter under Idaho Code Title 61 and IDAPA 31.01.01. The Commission is charged with determining all rules and regulations of a public utility are just and reasonable. Idaho Code § 61-303. The Commission is empowered to investigate rates, charges, rules, regulations, practices, and contracts of all public utilities and to determine whether they are just, reasonable, preferential, discriminatory, or in violation of any provisions of law, and to fix the same by order. Idaho Code §§ 61-501 through 503. The Commission addresses informal and formal complaints through the process outlined in its administrative rules and does not provide preferential treatment to any party participating in the process. IDAPA 31.01.01.054 and .057.02. The Commission has had previous opportunities to review AMI meter complaints and the prevailing scientific research on customer safety, and in each instance the Commission has concluded that AMI meters do not pose a risk to the safety and health of customers, comply with Idaho Code § 61-302, and should be allowed in Idaho. See Case Nos. IPC-E-12-04, AVU-E-17-11, and PAC-E-22-09. The Commission has also recognized that the FCC has jurisdiction over what constitutes a safe level of radio frequency radiation that is permitted by AMI meters, and that the FCC has found it to be safe. See Order No. 35544 at 2. The Commission has also never required a utility to offer an opt-out for AMI meters. The Complainants in these cases raise similar claims as those previously reviewed and decided by the Commission, claims that go against well-established evidence on AMI meter safety and seek an outcome that is not required under state or federal law. As we have stated previously, the FCC has jurisdiction over the approval of devices that use radio frequency, like AMI meters, and the FCC has approved AMI meters as safe for consumer use. The Commission is authorized to ensure that every public utility furnishes service, instrumentalities, equipment, and facilities as shall promote the safety, health, comfort, and 4 The “AMENDED CRIMINAL COMPLAINT(s)” generally allege the same facts and “FACTUAL COUNTS” as the Complaints. 169169 ORDER NO. 35849 7 convenience of its customers and the public. Idaho Code § 61-302. The Commission is once again asked to weigh the FCC’s safety approval of the use of AMI meters and similar devices and withhold the benefits and efficiencies that customers derive from the use of such devices, and the history of AMI meter use by electric utilities in Idaho, against the claims presented in the Complaints. Having reviewed the record, the arguments of the parties, and all submitted materials, the Commission finds that the Complainants have not provided evidence to support a finding that AMI meters present a legitimate safety concern, or that public utilities in Idaho should be required to provide an opt-out option for AMI meters. The Commission finds the record demonstrates that the Company and the Complainants have been in contact with each other about the issues surrounding the Company’s deployment of AMI meters. The record also shows that the Company intends to replace meters that it owns, and the Company has complied with the UCRR through its communications with the Complainants. We find that refusing to allow the Company’s representatives access to replace existing meters with AMI meters is a violation of the ESR agreed to as a condition of receiving the Company’s service. ESR No. 6(2)(d) requires Complainants to provide access to the Company representatives “for the purposes of . . . [among other things] repairing or removing metering devices . . . .” Under this ESR, the Company may remove the existing meter to replace it with an AMI meter. If Complainants refuse to allow the Company to remove the Company-owned meters, they are violating the ESR. Further, ESR No. 7(1) requires the Company to “furnish and maintain all meters and metering equipment.” When read together, ESR Nos. 6 and 7 require that the Company provide its customers with the meter and associated metering equipment and requires the customer to provide the Company with access to the meter to accomplish this. Based on the foregoing, the Company has the necessary authority to install an AMI meter on the Complainants’ property in its furnishing of electric service as a public utility. The Commission also finds that the Company has been clear about its willingness to relocate AMI meters to a different location on the Complainants’ property at the Complainants’ expense if requested to. ESR No. 12 provides information on the Company’s line extension and relocation policies. The Commission finds that the Complainants have been offered an opportunity to resolve this matter, and they have chosen not to do so. The Commission finds that the facts in 170170 ORDER NO. 35849 8 these cases do not justify ordering the Company to provide an option to opt-out of receiving an AMI meter. Accordingly, the Complainants’ Complaints are dismissed. ORDER IT IS HEREBY ORDERED that the Complaints filed in the above captioned cases are dismissed. THIS IS A FINAL ORDER. Any person interested in this Order may petition for reconsideration within twenty-one (21) days of the service date of this Order regarding any matter decided in this Order. Within seven (7) days after any person has petitioned for reconsideration, any other person may cross-petition for reconsideration. See Idaho Code § 61-626. DONE by Order of the Idaho Public Utilities Commission at Boise, Idaho this 11th day of July 2023. ERIC ANDERSON, PRESIDENT JOHN R. HAMMOND JR., COMMISSIONER EDWARD LODGE, COMMISSIONER ATTEST: Jan Noriyuki Commission Secretary I:\Legal\ELECTRIC\PAC_RMP Smart Meter Complaints\PAC_AMI meters_final_dh.docx 171171 RECEIVED 2023 JULY 31, 2023 8:00AM IDAHO PUBLIC UTILITIES COMMISSION PETITION FOR RECONSIDERATION To: Jan Noriyuki, Commission Secretary Idaho Public Utilities Commission PO Box 83720 Boise, ID 83720-0074 Date: July 28, 2023 From: Samuel and Peggy Edwards 333 Shoshone Ave Rexburg, Idaho 83440 RE : Petition to Reconsider Idaho Public Utilities Commission Final Order of Case JD "PAC-E-23- 05" issued on 11 July 2023 Dear Ma'am, We petition for reconsideration ofldaho Public Utilities Commission's Final Order dismissing our complaint (case ID "PAC-E-23-05"). Since the Commission packaged six different complaints submitted from six individual situations, a single Final Order has been issued which overlooks material substance of our Complaint. Did the Commission read the amicus brief referenced in my Complaint? This 2021 evidence was provided to the Pennsylvania Supreme Court to advocate for reasonable accommodation for those electro-sensitive persons who must otherwise suffer deleterious harm as with our special needs daughter or with the case of Judy Twede (ID PAC-E-23-06) or sell their house as with the case of Karen Lane (ID PAC-E-23-07). Legal Clarification: The Commission finds that "refusing to allow the Company 's representatives access to replace existing meters with advanced metering infrastructure (AMI) meters is a violation of [ESR No. 6(2)(d)] agreed to as a condition ofreceiving the Company's service." Is declining replacement of our meter with a meter of substantively different capability equivalent to denying access to the meter, per UCRR 302? Where is the law that authorizes ROCKY MOUNTAIN POWER/PACIFICORP to disconnect our electric power? We contest that the AMI meters represent a substantive change of metering capability to r,esidents' electric meters, and that changes of capability are different in nature from the activities of "furnish and maintain all meters and metering equipment". Whereas AMI advances certain advanced wireless and monitoring capabilities, smart meters lack surge protection and from this perspective must be recognized as a downgrade when compared to electromechanical metering. In our case, the AMI initiative would be a change of metering capability against our will, demonstrating that residents have no recognized voice in the metering technology that is attached to our home. By allowing no opt-outs in Idaho, AMI meters are not just an allowance, but a requirement for utility service. Qui bona: who benefits from requiring l 00% of Idahoans to receive their electric utilities through AMI meters? Why is 99.812% voluntary AMI upgrades (as reported in ROCKY MOUNTAIN POWER/PACIFICORP "Motion to Dismiss") not "just and reasonable" benefit to Company profit motives (efficiencies) and public infom1ation benefits so that the Commission must ignore the safety, health, comfort and convenience of a tiny minority of the 172172 public? By not allowing opt-out, the Commission has made disconnection the only option for a medically sensitive minority of the public, as emphasized by the Company. (see Final Order, pg 4) Evidence of a legitimate safety concern: "The Commission is once again asked to weigh ... the claims presented in the Complaints." Since the Commission has "reviewed the record, the arguments of the parties, and all submitted materials" and yet "finds that the Complainants have not provided evidence to support a finding that AMI meters present a legitimate safety concern," therefore we infer that the Commission does not read references and provides only summary consideration uf our Complaints: just under a page in the Final Order, as compared with three pages reviewing the Company's Answer. The aforementioned amicus brief is therefore enclosed as an addendum to this petition for reconsideration. It has been referenced (as a footnote) in multiple of our previous communications and expresses several salient facts and inferences regarding safety concerns which justify a reasonable accommodation from the AMI initiative. A more complete list of published research findings pertaining to AMI metering was included in our letter to Mr. Gary Hoogeveen (Rocky Mountain Power CEO) of 02/16/2023 which was included with our Complaint. •On August 13, 2021, a divided D.C. Circuit panel found that the FCC's decision notto revisit its 1996 limits on Radio Frequency (RF) exposure was "arbitrary andcapricious" because it did not adequately respond to evidence in the administrativerecord to determine whether the FCC's guidelines "adequately protect against theharmful effects of exposure to radiofrequency radiation unrelated to cancer."(USCA Case #20-1025, aka Guidelines Remand)•FCC guidelines cannot be a basis for any conclusions regarding RF safety includingfor smart meters. No proper review was conducted by any of the responsible federalagencies regarding non-cancer harm from exposure to radiation levels below theFCC's guidelines. (Amicus Brief, pg 11)•The human body responds to pulsed RF radiation, even at non-thermal levels.Doctors routinely use pulsed RF/EMF for medical treatment and chronic exposurecan lead to significant health problems, including oxidative stress. (ibid, pp 13-14)•FCC has also admitted there are neurological harms from RF exposures, at least inthe range of 3 Hz and 10 MHz, including adverse neural stimulation effects such asperception of tingling, shock, pain, or altered behavior. "These harms occurinstantaneously, which means the FCC's current method of averaging exposurelevels over 30 minutes -which completely obscures pulsation effects -is entirelyinappropriate." (ibid, pp 140-141)•Pulsed RF emissions from the smart meter's transmitting antenna not only enter thehouse wirelessly but also enter into and are conducted along the house's electricalwiring. Other RF frequencies besides the RFs from the transmitting antennas alsoenter the house electric system. These RFs are a byproduct of the AC/DCconversion process done in the Switch Mode Power Supply (SMPS). Pulses canoccur up to 150,000 times per second ( or 150 KHz), creating observed noise spikes imposed on the 60 Hz house electricity wave. These frequencies are present all thetime but are worse when less electricity is being used and when the smart meterneeds more power (e.g. during RF transmissions). Smart and digital meters createpulsed RF emissions transmitted through the entire home's electric system. (ibid, pp174-175)•"Unlike wireless smart meters and digital meters, analog meters do not contain anSMPS or other electronic components that create unintended RF frequencies. NoAC/DC conversion is necessary, and unlike smart and digital meters, analog meters 2 173173 (<$100 value) have a separate wired grounding rod that eliminates much of the "noise" that may come from the energy feed." (ibid, pp 176-177) •Over 90% of studies on RF and oxidative stress have established that indeed exposure to RF/EMFs (Electro-magnetic fields) induces an increase in free radicals,and chronic exposure causes oxidative stress which leads to several adverse health effects: disease, dysfunction, including electro-sensitivity, cancer, and DNA damage. (ibid, pg 145)•"Anyone who claims smart meters cannot produce the symptoms described by the customers is ignorant of the FCC's recent admission. They either do not understandor are misrepresenting the science on biological and adverse effects from pulsed RF/EMF. Many have reported getting ill following the installation of these smart meters. Considering the way smart meters operate and the multitude of complex emissions they create, it is no wonder. Forcing these meters on people who havebecome affected by RF/EMF is unconscionable. Those with Electro-sensitivity and others who are affected by RF /EMF must be allowed to secure analog metersbecause it is the only type of meter th'at does not cause or worsen their condition." (ibid, pg 160)•See also discussions covering "federal government recognizes electro-sensitivity;federal and state law requires effectiye accommodation" (ibid, pp 20-27) and that the "only reasonable and effecti_v'e accommodation is analog meter." (ibid, pp 31-33) Where there is danger1 there must be choice .. We call upon the Commission to offer a reasonable accommodation to objecting customers in the form of an electromechanical meter (value <$100). Specifically, we petition that ROCKY MOUNTAIN POWER/ PACIFICORP be ordered to replace our digital meter with an electromechanical meter. Thank you for granting some of the relief requested in our Objection by declining ROCKY MOUNTAIN POWER/PACIFICORP's motion to dismiss our case "with prejudice". We asked the other Complainants to not file a petition for reconsideration to reduce the confusion or generalization which has been caused while the Commission simultaneously considered multiple Complaints. Other Complainants with whom we've been able to speak are also interested in a clear response to a single Petition for Reconsideration. We hope that the Commission will now answer our Legal question and carefully review the evidence provided which supports "a finding that AMI meters present a legitimate safety concern, and that public utilities in Idaho should be required to provide an opt-out option for AMI reters." Very truly, Samuel Z. Edwards, Sui Juris Witness to signature #1 Witness to signature #2 3 174174 IN THE SUPREME COURT OF PENNSYLVANIA MIDDLE DISTRICT Appellee v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, : : : : : : Appellee v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, : : : : : : ALBRECHT, Appellees v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, : : : : : : v. PENNSYLVANIA PUBLIC UTILITY COMMISSION APPEAL OF: PECO ENERGY : : : : : : : 175175 LAURA SUNSTEIN MURPHY v. PENNSYLVANIA PUBLIC UTILITY COMMISSION APPEAL OF: PECO ENERGY : : : : : : : ALBRECHT v. PENNSYLVANIA PUBLIC UTILITY COMMISSION APPEAL OF: PECO ENERGY : : : : : : : : Cross-Appellant v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, Appellee : : : : : : : Cross-Appellant v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, : : : : : : 176176 CYNTHIA RANDALL AND PAUL ALBRECHT, Cross-Appellants v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, : : : : : : Cross-Appellant v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, PECO ENERGY COMPANY, : : : : : : Cross-Appellant v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, PECO ENERGY COMPANY, : : : : : : : ALBRECHT, Cross-Appellants v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, PECO ENERGY COMPANY, : : : : : : : : 177177 BRIEF OF CHILDREN’S HEALTH DEFENSE, AND BUILDING BIOLOGY INSTITUTE, ET AL AS AMICI CURIAE IN SUPPORT OF APPELLEES/CROSS-APPELLANTS “CUSTOMERS” Brief of Amicus Curiae Supporting the Appellees/Cross-Appellant “Customers” in the Appeals from the Commonwealth Court’s October 8, 2020 Order at Docket Nos. 492 C.D. 2019, 606 C.D. 2019, and 607 C.D. 2019, which affirmed in part, reversed and remanded in part, and vacated and remanded in part the Pennsylvania Public Utility Commission’s Opinion and Orders entered at Docket Nos. C-2015-2475023, C-2015-2475726, and C-2016-2537666 Andrea L. Shaw (ID 89333) Law Office of Andrew H. Shaw, P.C. -243-7135 -243-7872 Children’s Health Defense 48 Dewitt Mills Road 1227 North Peachtree Pkwy, Suite 202 Peachtree City, GA 30269 NY Bar No. 1999994 rfk.fcc@childrenshealthdefense.org TEL: 845.377.0211 W. Scott McCollough*McCollough Law Firm, P.C.2290 Gatlin Creek Rd.Dripping Springs, TX 78620Texas Bar No. 13434100 wsmc@dotlaw.biz TEL: 512.888.1112 FAX: 512.692.2522 *Pro hac vice motion pending 178178 TABLE OF CONTENTS Page TABLE OF CONTENTS ............................................................................................ i TABLE OF AUTHORITIES ................................................................................... iii I.IDENTIFICATION AND STATEMENT OF INTEREST OF AMICI CURIAE...................................................................................................................... 1 II.STATEMENT OF SCOPE AND STANDARD OF REVIEW ......................... 4 III.STATEMENT OF QUESTIONS PRESENTED ............................................... 8 IV.SUMMARY OF ARGUMENT ......................................................................... 8 V.ARGUMENT ...................................................................................................10 A.Guidelines Remand Decision ......................................................................10 B.Medical, Scientific and Engineering/Technical Information ......................11 C.FCC Admits Adverse Effects ......................................................................18 D.Pulsed RF Affects at Least Some People ....................................................19 E.The Federal Government Recognizes Electro-Sensitivity; Federaland State Law Requires Effective Accommodation ............................................20 1.CDC, U.S. Justice Department and Other Agencies Recognize Electro-sensitivity Can Lead to Major Life Impairments Requiring Accommodation ...............................................................................................21 2.ADA, FHA, Rehabilitation Act and PHRA Require Accommodations to Disabled/Handicapped Individuals Who Would beNegatively Affected by a Smart Meter ............................................................23 3.The PUC is Bound by ADA Title II, the FHA and PHRA; PECO isBound by the FHA and the Rehabilitation Act ................................................25 F.The PUC’s “Burden of Proof” is Inconsistent with the Disabilitylaws 28 1.PUC Applied Wrong Standard .................................................................28 2.Burden of Proof Inconsistent With Disabilities Laws .............................29 VI.Only Reasonable and Effective Accommodation is Analog Meter ...............31 A.Placement in Yard is Not Reasonable Accommodation .............................32 B.Placement in Yard Does Not Eliminate Harmful RF “Noise” in House....................................................................................................................32 179179 VII.CONCLUSION ..............................................................................................33 APPENDIX ..............................................................................................................36 LIST OF ADDITIONAL AMICI CURIAE ..........................................................36 CERTIFICATE OF COMPLIANCE .......................................................................59 CERTIFICATION OF CONFIDENTIAL INFORMATION ..................................60 CERTIFICATE OF SERVICE ................................................................................61 ADDENDUM .......................................................................................................... 62 Physicians Statement …………………………………………….. ................... 64 Scientists Statement ……………………………………………. .................... 136 Engineer Report ………………………………………………… ................... 168 Building Biologist Institute Report ……………………………. .................... 184 180180 TABLE OF AUTHORITIES Federal Cases Astralis Condo. Ass’n v. Sec’y, U.S. Dep’t of Housing & Urban Dev., 620 F.3d 62 (1st Cir. 2010) ......................................................................................... 29 Calero-Cerezo v. U.S. DOJ, 355 F.3d 6 (1st Cir. 2004) .......................................... 29 Crissman v. Dover Downs Entm’t Inc., 289 F.3d 231 (3d Cir. 2002) ..................... 24 Dodge v. Comptroller of the Currency, 744 F.3d 148 (D.C. Cir. 2014) ................... 8 Envtl. Health Tr., et al v. FCC, Nos. 20-1025, 20-1138, 2021 U.S. App. LEXIS 24138 (D.C. Cir. Aug. 13, 2021) ............................................................... 2 Friedman v. Cent. Me. Power Co., No. 2:20-cv-00237-JDL, 2021 U.S. Dist. LEXIS 62585 (D. Me. Mar. 31, 2021) ..................................................... 29, 31, 32 Jackson v. Metro. Edison Co., 419 U.S. 345 (1974) ............................................... 24 Kisor v. Wilkie, 139 S.Ct. 2400 (2019) ...................................................................... 7 Rendell-Baker v. Kohn, 457 U.S. 830 (1982) .......................................................... 24 Theriault v. Flynn, 162 F.3d 46 (1st Cir. 1998) ....................................................... 29 Federal Statutes 29 U.S.C. §794 ......................................................................................................... 25 42 U.S.C. §§3613 ..................................................................................................... 27 42 U.S.C. §12101 ..................................................................................................... 24 42 U.S.C. §12102 ..................................................................................................... 24 42 U.S.C. §12112 ..................................................................................................... 29 42 U.S.C. §3601 ....................................................................................................... 24 42 U.S.C. §3631 ....................................................................................................... 27 Federal Administrative Rules 24 C.F.R. §100.400 .................................................................................................. 25 28 C.F.R. §35.108 .................................................................................................... 29 28 C.F.R. §35.130 .................................................................................................... 24 28 C.F.R. §36.101 .................................................................................................... 29 28 C.F.R. §36.105 .................................................................................................... 24 28 CFR Appendix A to Part 36 - Guidance on Revisions to ADA Regulation on Nondiscrimination on the Basis of Disability by Public Accommodations and Commercial Facilities ...................................................... 30 Architectural Transportation Barriers Compliance Board, Final Rule, Americans With Disabilities Act (ADA) Accessibility Guidelines for Buildings and Facilities; Recreation Facilities, 67 Fed. Reg. 56352, 56353 (Sept. 3, 2002) ...................................................................................................... 21 181181 Part 36, Appendix C - Guidance to Revisions to ADA Title II and Title III Regulations Revising the Meaning and Interpretation of the Definition of “Disability” and Other Provisions in Order to Incorporate the Requirements of the ADA Amendments Act ...................................................... 30 State Cases Clay v. Advanced Comput. Applications, 522 Pa. 86, 559 A.2d 917 (1989) ........... 26 Crown Castle NG E. LLC v. Pa. PUC, 234 A.3d 665 (Pa. 2020) ............................. 4 Lazer Spot, Inc. v. Pa. Human Rels. Comm’n, 184 A.3d 200 (Pa. Commw. Ct. 2018) ............................................................................................................... 29 Phila. Elec. Co. v. Human Rels. Comm’n, 5 Pa. Commw. 329, 290 A.2d 699 (1972 .................................................................................................................... 26 Popowsky v. Pa. PUC, 910 A.2d 38 (Pa. 2006) ........................................................ 7 Povacz v. Pa. PUC, 241 A.3d 481, 491 & n13 (Pa. Commw. Ct. 2020) ................ 10 Federal Agency Decisions Proposed Changes in the Commission’s Rule Regarding Human Exposure to Radiofrequency Electromagnetic Fields, 34 FCC Rcd 11687 (2019) ........... 18, 19 State Statutes 1 Pa.C.S. §1921 .......................................................................................................... 9 1 Pa.C.S. §1922 ........................................................................................................ 10 43 Pa. Stat. Ann. §951.............................................................................................. 24 State Administrative Rules 16 Pa.Code §45.9 ..................................................................................................... 25 52 Pa. Code Chapter 57, Subchapter O ..................................................................... 7 6 Pa.Code §44.4 ....................................................................................................... 24 State Administrative Decisions Catherine J. Frompovich v. PECO Energy Company, Docket No. C-2015-2474602, 2018 Pa. PUC LEXIS 160 (Pa. P.U.C. May 3, 2018) ........................... 6 Catherine J. Frompovich v. PECO Energy Company, Docket No. C-2015- 2474602, Initial Decision (May 11, 2017), https://www.puc.pa.gov/pcdocs/1522025.pdf ....................................................... 6 Edward Lucey v. Metropolitan Edison Company, Docket No. C-2018-3003679, 2020 PA. PUC LEXIS 522 (Pa. P.U.C. October 8, 2020) ................... 26 182182 Letter of Notification of Philadelphia Electric Company Relative to the Reconstructing and Rebuilding of the Existing 138 kV Line to Operate as the Woodbourne-Heaton 230 kV Line in Montgomery and Bucks Counties 1992 Pa. PUC LEXIS 160 (Pa. P.U.C., No. A-110550F0055, filed Mar. 26, 1993) .............................................................................................................. 28 Negley v. Metropolitan Edison Company, Docket No. C-2010-2205305, 2010 Pa. PUC LEXIS 1919 (Pa. P.U.C. December 15, 2010) .............................. 5 Other Authorities 154 Cong. Rec. S8842 (daily ed. Sept. 16, 2008) (Statement of the Managers) ............................................................................................................. 29 FCC OET Bulletin 56 .............................................................................................. 13 International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), https://icd10cmtool.cdc.gov/ ................................. 21 National Institute of Building Sciences (NIBS), Indoor Environmental Quality (IEQ) Final Report (July 14, 2005) ......................................................... 22 The U.S. Department of Justice Civil Rights Division - Americans with Disabilities Act Title II Technical Assistance Manual Covering State and Local Government Programs and Services .......................................................... 27 183183 I.IDENTIFICATION AND STATEMENT OF INTEREST OF AMICICURIAE1 Children’s Health Defense (“CHD”) is a national non-profit 501(c)(3) organization. CHD has no parent corporation. No publicly-held company has a 10% or greater ownership interest. CHD’s mission is to end the epidemic of children’s chronic health conditions by working aggressively to eliminate harmful exposures to environmental toxins via education, to obtain justice for those already injured and to promote protective safeguards. The emissions from pulsed radio-frequency (RF) based wireless technologies including from Wi-Fi, cell towers and smart meters are a major contributory factor in the growing epidemic of sickness among adults and children. Many CHD members and their children are sick from wireless technology and are adversely affected by smart meters. For some, the exposure aggravates other conditions. We are approached daily by adults and children who have become sick and ask for our help. In May 2020, 6,231 people who declared that they and/or their children are sick from wireless joined a CHD submission to the FCC. 182 of them were from 1 No person or entity other than the named amici, their members or counsel has (i) paid in whole or in part for the preparation of this brief; or (ii) authored in whole or in part this brief. 184184 Pennsylvania.2 The decision in this case will directly affect CHD and its Pennsylvania members. The court’s decision will also affect nationwide policy and therefore, our members throughout the country. We also have taken legal action to protect the injured. Most recently, on August 13, 2021, the United States Court of Appeals for the District of Columbia Circuit ruled for CHD and other petitioners in a case challenging the FCC’s 2019 decision affirming the adequacy of its RF guidelines for public health purposes. Envtl. Health Tr., et al v. FCC, Nos. 20-1025, 20-1138, 2021 U.S. App. LEXIS 24138 (D.C. Cir. Aug. 13, 2021) (Guidelines Remand). The court held that the FCC decision denying non-cancer harm was arbitrary, capricious and not evidence based. This decision is highly relevant to the issues before the Court. See Part V.A. Building Biology Institute The Building Biology Institute (“BBI”) is a 501(c)(3) non-profit corporation now in its twenty-eighth operating year. BBI does not have a parent corporation. No publicly-held company has a 10% or greater ownership interest. BBI’s mission is to help meet the public demand for proven methods that secure homes, schools and workplaces from toxins including RF radiation (RFR). BBI’s experts work with doctors and patients to remediate exposures in patients’ homes. They are on the ground, seeing widespread sickness from RFR exposure. 2 https://www.fcc.gov/ecfs/filing/105191672708448. 185185 They have witnessed the effects of smart meters and the tremendous health improvements after these meters are removed. BBI’s experts are critical in addressing electro-sensitivity and RF related injuries.3 Seventy-nine (79) other health and environmental organizations promoting safe-tech, join in this Amicus. They are further described in the Appendix. All Amici have local, national and global experience and expertise relating to the underlying and broader legal, technical, scientific, medical issues before the Court. Even more important, Amici see – every day – the enormous difficulty faced by individuals who, for whatever reason, simply cannot tolerate the radiation emitted from pulsed radio-frequency based wireless technologies including smart meters. 3https://www.womenscollegehospital.ca/assets/pdf/environmental/Preliminary%20 Clinical%20Guidelines%20%20for%20EHS.pdf#page=8. 186186 II.STATEMENT OF SCOPE AND STANDARD OF REVIEW Amici adopt the “Customers” Statement of Scope and Standard of Review, but provide this supplement: “While this Court has never expressly adopted the federal Chevron approach, we have recognized that ‘[t]he Chevron approach to such cases at the federal level, however, is indistinguishable from our own approach to agency interpretations of Commonwealth statutes.’” Crown Castle NG E. LLC v. Pa. PUC, 234 A.3d 665, 679 n.11 (Pa. 2020). Chevron and this Court’s jurisprudence both require that the PUC’s interpretation be granted little to no deference, for several reasons. The first reason is simple: the statute is unambiguous4 and therefore no deference is due. Crown Castle, 234 A.3d at 677-78 (Pa. 2020). The Commonwealth Court correctly held (p.13) that “nothing in the language of Act 129 facially requires every customer to endure involuntary exposure to RF emissions from a smart meter.” Section 807(f)(2) could not be clearer: (f)Smart meter technology and time of use rates.…. (2)Electric distribution companies shall furnish smart meter technologyas follows: 4 PUC Br. pp. 8, 16-19 and Energy Association Amicus at pp. 13-15 so contend. 187187 (i)Upon request from a customer that agrees to pay the cost of the smartmeter at the time of the request.5 (ii)In new building construction.(iii)In accordance with a depreciation schedule not to exceed 15 years.”[emphasis added]. Smart Meter Implementation Order Para B.4 contains the PUC’s entire analysis: “The Commission believes that it was the intent of the General Assembly to require all covered EDCs to deploy smart meters system-wide when it included a requirement for smart meter deployment ‘in accordance with a depreciation schedule not to exceed 15 years.’” See also, Negley v. Metropolitan Edison Company, Docket No. C-2010-2205305 pg. 4-5, 2010 Pa. PUC LEXIS 1919, *6 (Pa. P.U.C. December 15, 2010). The PUC therefore contends that the legislature intended to mandate ubiquitous, non-optional deployment when it required a 15- year depreciation schedule in Section 807(f)(2)(iii). The conclusion does not follow. The statute’s provision requiring a 15-year depreciation schedule says (and implies) nothing about mandatory placement. It just means that whatever capital investment is required to obtain enough meters to satisfy customer demand must be depreciated over 15 years. Utilities routinely 5 The legislative history confirms that the legislation was not intended to require placement. House Bill 2200 as passed would have obtained that result. But the Senate deleted the relevant House language and substituted the current language. The House then concurred. The authors of the Senate changes stated that one of their specific intentions was to allow customers to choose whether to obtain a smart meter and make placement not mandatory. See Sen. Journal, Oct. 8, 2008 at 2626-27 (Remarks of Senators Tomlinson and Boscola). 188188 make capital investments for utility plant that does not directly affect every ratepayer. All such investments are recovered through depreciation expense until fully recovered. Depreciation concerns how overall rates are set and has nothing to do with the utility’s customer rules. See, e.g., Pa. Power & Light Co. v. Pa. Pub. Util. Com., 10 Pa. Commw. 328, 311 A.2d 151 (1973). The reliance on that part of Act 129 was misplaced. The PUC’s brief interpretive analysis in the Smart Meter Implementation Order did not address the far more relevant and truly unambiguous language in 807(f)(2)(i). This provision clearly contemplates an individual customer request and commitment to pay the cost. The PUC has admitted that “[a] plain reading of the statute may suggest that there is an ‘opt-in’ or ‘opt out’ available.” Catherine J. Frompovich v. PECO Energy Company, Docket No. C-2015-2474602, Initial Decision p. 24 (May 11, 2017), https://www.puc.pa.gov/pcdocs/1522025.pdf, adopted, Catherine J. Frompovich v. PECO Energy Company, Docket No. C- 2015-2474602, 2018 Pa. PUC LEXIS 160 (Pa. P.U.C. May 3, 2018), but it insists on not following the plain reading in favor of a strained interpretation of a different subsection that has nothing to do with the question. Second, the Commission’s interpretation of Act 129 has admittedly been officially held and consistent, but it did not arise from rulemaking procedures. The Commission first reached its conclusion that Act 129 contemplates mandatory 189189 deployment with no opt-out in Smart Meter Procurement and Installation, Docket No. M-2009-2092655, 2009 Pa. PUC LEXIS 265, 274 P.U.R.4th 238 (Order entered June 24, 2009) (Smart Meter Implementation Order). That proceeding did not employ formal rulemaking processes or conclude with a legislative rule or regulation.6 The PUC’s reading is an interpretive rule. Crown Castle, 234 A.3d at 667-678.7 The Commission’s reading of Act 129 is at best entitled to Skidmore- type deference (muddled as that federal doctrine may be) and resolution requires recourse to basic statutory construction tools. Crown Castle, 234 A.3d at 694 (Wecht, J. Concurring), citing Kisor v. Wilkie, 139 S.Ct. 2400, 2415-2416 (2019). Third, agencies do not receive Chevron-type deference when an agency claims its organic statute overrides other statutory provisions entirely outside the statute the Commission is charged with administering, especially when, as is the case with the ADA, FHA and PHRA, they are administered by several agencies. The court “must decide for [itself] the best reading.” Dodge v. Comptroller of the Currency, 744 F.3d 148, 155 (D.C. Cir. 2014). 6 This distinguishes Popowsky v. Pa. PUC, 910 A.2d 38 (Pa. 2006), which involved a legislative rule. 7 The only extant legislative rules or regulations on the topic of Advanced Metering Deployment clearly contemplate voluntary customer participation and customer-driven selection of the particular meter to be used. See 52 Pa. Code Chapter 57, Subchapter O. These legislative rules predate Act 129, but have not been repealed or amended. 190190 III.STATEMENT OF QUESTIONS PRESENTED Amici adopt the Statements of Questions Presented set forth in the “Customers’” Briefs. IV.SUMMARY OF ARGUMENT 1.Smart meter deployment has been allowed and considered safe because the meters comply with the Federal Communications Commission (“FCC”) radiofrequencies exposure guidelines. As a result of the Guidelines Remand ruling, the FCC guidelines can no longer be relied on for an assurance of safety as to non-cancer harm and harm to the environment. Further, the FCC has now admitted to an adverse neurological response and symptoms similar to those suffered by people with electro-sensitivity. 2.Knowledge has significantly advanced in the five years since 2016 when the administrative record below was created. It is now quite clear exposure can lead to negative health effects. Those who suffer an RF-related impairment must be afforded reasonable accommodation. 3.The PUC’s interpretation is wrong. First, the statute cannot be read to contain a universal mandate; it clearly envisions customer consent. Second, regardless of the legislature’s word choice the state cannot lawfully force a customer to accept a smart or digital meter when mandatory installation results in disability discrimination, exacerbates existing impairments or forces people to 191191 abandon their home. There must be effective accommodation. Third, neither the Commission nor the utility can or should second-guess an attending physician’s finding of impairment and the need for RFR avoidance. That too is prohibited by disability laws. 4.The impaired cannot be required to endure an interminable and expensive proceedings that requires them to meet an irrelevant and almost impossible evidentiary burden when the accommodation itself costs less than $100. Disability laws flatly prohibit imposing this burden. The rule is simple: accommodation in the form of an analog meter is required if a customer presents a professional assessment of impairment and a need for RF avoidance. 5.The Court can dispose of this case without directly wading into health effects. All that is required is a holding that Act 129 does not mandate smart meter placement absent customer consent. This outcome results from both the unambiguous terms in the legislation and proper application of statutory interpretation, including but not limited to “the consequences of a particular interpretation.” 1 Pa.C.S. §1921(6). 6.If it does reach the health issues, the Court should ensure that those with electro-sensitivity receive accommodation in the form of an analog meter. Any reading that requires an impaired customer to accept a smart or digital meter will conflict with other state and federal laws. 1 Pa.C.S. §1922(3) states that 192192 legislation should not be interpreted in a way that renders the provision unconstitutional. Thus, Act 129 cannot be interpreted to obtain a result that would conflict with the rights, remedies and venue provisions in other state or federal disability laws. These other laws require reasonable accommodation in the form of an analog meter. V. ARGUMENT A.Guidelines Remand Decision The Guidelines Remand is highly relevant to this case. The PUC decisions below extensively relied on the FCC’s guidelines as part the “safety” findings. Murphy Order, p. 68 and 84-85, R.197a and 213a-14a. The utility did so as well. PECO Br. 1, 4, 6, 26-28, 34.8 As the Guidelines Remand court noted, the FCC’s emissions limits do not satisfactorily consider electro-sensitivity9 or the effects of pulsation and modulation10 used by wireless technologies (like smart meters).11 The FCC 8 The Commonwealth Court disclaimed any such reliance, Povacz v. Pa. PUC, 241 A.3d 481, 491 & n13 (Pa. Commw. Ct. 2020), but the PUC and utilities’ briefseach rely on the FCC guidelines. 9 2021 U.S.App.LEXIS 24134 at *10-*14. 10 2021 U.S.App.LEXIS 24134 at *29-*30. 11 https://childrenshealthdefense.org/wp-content/uploads/Corrected-Brief-and- Hyperlinks-Table-Postable-pdf-A1.pdf#page=58. 193193 guidelines cannot be a basis for any conclusions regarding RF safety including for smart meters, yet that is a primary foundation for the PUC’s conclusions below. The case exposed that no proper review was conducted by any of the responsible federal agencies regarding non-cancer harm from exposure to radiation levels below the FCC’s guidelines.12 The petitioners in that case filed 11,000 pages of evidence of non-thermal harm including of electro-sensitivity; neurological effects; humans’ biological response to pulsation and modulation; and effects of smart meters.13 The court ruled the FCC erroneously dismissed this extensive evidence without adequate explanation14 and remanded the decision to the FCC to conduct a review and provide reasoned explanations.15 B.Medical, Scientific and Engineering/Technical Information To support their arguments, Amici are providing: (1) A Statement by 57 physicians who combined have over 3,000 patients suffering from electro-sensitivity like the “customers,” or other conditions aggravated by RF exposure. The physicians explain recent 12 2021 U.S.App.LEXIS 24134 at *14-*20. 13 https://childrenshealthdefense.org/wp-content/uploads/Corrected-Brief-and- Hyperlinks-Table-Postable-pdf-A1.pdf. 14 2021 U.S.App.LEXIS 24134 at *13-*14, *24-30. 15 2021 U.S.App.LEXIS 24134 at *43-*45. 194194 medical developments, diagnosis guidelines and the effects of smart meters on their patients.16 (2)A Statement by scientists with expert knowledge of pulsed RFR effects. Combined they published hundreds of studies on RF/EMF effects and reviewed thousands. They explain recent developments and the scientific evidence as it applies to smart meters. They emphasize that smart meters generated pulsed RF is a significant harm agent.17 (3)An expert engineer Report addressing smart meters’ operation. This report explains how smart meters generate constant RF pulses that are also conducted through electrical wiring, thereby creating a whole-home antenna.18 (4) A Report by the Building Biology Institute’s President. BBI’s experts work with the injured to mitigate their homes from RF exposure. They see the torture smart meters cause to those who are affected and the health transformations after the smart meter is removed. The Report also explains why it is impossible to sufficiently mitigate homes with smart or 16 Addendum Physicians Statement¶¶17-42. 17 Addendum Scientists Statement, ¶¶13-25. 18 Addendum Engineer Report, ¶¶9-17. 195195 digital meters and concludes that the only reasonable accommodation is a $100 analog meter.19 The Engineering and Science experts explain how pulsation injects RF “bursts” or turns the signal on/off.20 The FCC emissions guidelines protect only from emissions that are so high they create a heating or “thermal effect.”21 They do not protect or recognize biological responses to non-thermal pulsed and modulated RF emissions.22 The problem is that the factual premise – the non-existence of non-thermal biological and adverse effects – underlying the current RF guidelines is outdated and demonstrably false. This was one of the major drivers behind the Guidelines Remand decision. 2021 U.S.App.Lexis 24138 *10-*12, *30. Despite the claims by the utilities and the PUC, there is no doubt the human body responds to pulsed RF radiation, even at non-thermal levels. The FCC has now agreed. Doctors routinely use pulsed RF/EMF for medical treatment because they generate biological responses.23 With chronic exposure these biological 19 Addendum BBI Report at ¶¶27-34. 20 The utility’s witnesses assert the meters do not employ pulsation, but they do so by mischaracterizing what a “pulse” is. It is uncontested that the meters are not in constant communications mode, so they obviously turn on and off. That is “pulsation.” 21 FCC OET Bulletin 56, at 6-7 (August 1999), available at https://tinyurl.com/y5mbsymn. 22 See Scientists’ Statement for expiation of RF basics ¶¶1-4. 23 Scientists Statement ¶43. 196196 responses can lead to significant health problems.24 The mechanisms of harm from RF exposure that transforms these biological effects into adverse effects are also known and include oxidative stress.25, 26 These adverse effects can rise to the level of functional impairment. For some they are life-threatening.27 Since 2016, the scientific and medical consensus regarding non-thermal harms has become even more conclusive.28 In January 2021 the Swiss government’s expert advisory committee on EMF and non-ionizing radiation, BERENIS,29 concluded an evaluation of the scientific literature on non-thermal RF/EMF.30 The committee’s paper concludes that exposure could cause or worsens several chronic illnesses and acknowledged oxidative stress as the underlying causal harm mechanism. 24 Scientists Statement ¶¶7-11. 25 https://childrenshealthdefense.org/wp-content/uploads/rf-2018-golomb- diplomats-3.pdf. 26 https://childrenshealthdefense.org/wp-content/uploads/rf-2015-yakymenko-oxidative-stress.pdf; https://bioinitiative.org/wp-content/uploads/2020/09/3-RFR-Free-Radical-Oxidative-Damage-Abstracts-2020.pdf. 27 Physicians Statement ¶¶14, 26, 40. 28 Scientists Statement ¶¶13-31; Physicians Statement ¶¶16-20, 27-32. 29 https://www.bafu.admin.ch/bafu/en/home/topics/electrosmog/newsletter-of-the- swiss-expert-group-on-electromagnetic-fields-a/beratende-expertengruppe-nis- berenis.html. 30https://childrenshealthdefense.org/wp-content/uploads/rf-swiss-berenis-2021- report.pdf. 197197 In 2020, New-Hampshire’s legislative-appointed committee investigated 5G and wireless harms and published findings. It concluded that non-thermal harms are established, acknowledged electro-sensitivity and stressed the need for accommodations.31 Electro-sensitivity is a condition whereby the patients manifest a constellation of mainly neurological symptoms after RFR exposure. The scientific literature recites a host of symptoms, including headaches, memory and cognitive problems, sleep problems, heart palpitations and/or increased heart rate, ringing in the ears, exhaustion, skin rashes, tingling, nose bleeds, dizziness, and burning sensations.32 RF exposure has been directly connected to these symptoms in hundreds of studies.33 Official diagnosis guidelines have existed since 2011.34 31 New Hampshire is the only US state that has conducted an independent investigation as to the harms of these technologies. 32 Note the overlap with the FCC’s 2019 list of symptoms in FCC RF/EMF Proposed Changes, 34 FCC Rcd at 11744, ¶122, n.328. Part V.C. 33 https://childrenshealthdefense.org/wp-content/uploads/rf-2018-golomb- diplomats-3.pdf; https://childrenshealthdefense.org/wp-content/uploads/rf-2018- neurological-lai-book-chapter.pdf; https://childrenshealthdefense.org/wp- content/uploads/rf-2014-electrosensitivity-dr-blythe.pdf. 34 https://childrenshealthdefense.org/wp-content/uploads/rf-2011-austrian-medical- association-guidelines.pdf. 198198 They were updated in 2016,35 to include biomarkers36 and genetic predispositions37 found by studies on many hundreds of electro-sensitive patients. Additional biomarkers were identified in 2020.38 These studies establish that electro-sensitivity is not a sensitivity, nor is it “idiopathic.” It involves severe physiological injuries directly associated with pulsed RF exposure, including blood-brain barrier leakage; damage to the immune system; chronic inflammation; impaired melatonin production and impaired blood flow to the brain.39 A 2017 fMRI study shows clear evidence of impaired blood flow in 10 electro-sensitive subjects.40 Electro-sensitivity is a “spectrum condition.” Some experience discomfort while others are entirely debilitated. Those affected become progressively 35 https://childrenshealthdefense.org/wp-content/uploads/rf-2016-europaem- guidelines.pdf. 36 https://pubmed.ncbi.nlm.nih.gov/26613326/. 37 https://pubmed.ncbi.nlm.nih.gov/24812443/. 38 https://childrenshealthdefense.org/wp-content/uploads/rf-2020-Belpomme-guidelines.pdf. 39https://www.womenscollegehospital.ca/assets/pdf/environmental/Preliminary%2 0Clinical%20Guidelines%20%20for%20EHS.pdf; https://childrenshealthdefense.org/wp-content/uploads/rf-2018-golomb-diplomats- 3.pdf; https://childrenshealthdefense.org/wp-content/uploads/rf-2020-Belpomme- guidelines.pdf. 40 https://pubmed.ncbi.nlm.nih.gov/28678737/. 199199 intolerant to radiation levels they could previously tolerate. Exposure avoidance is the only effective treatment.41 In December 2020, the National Academy of Sciences, Engineering and Medicine (NAS) concluded that the diplomats’ “mystery illness” is likely caused by pulsed RF.42 Prof. Beatrice Golomb MD PhD,43 2018 paper44 was the first to analyze the science in detail and to show that pulsed RF is the likely cause of the symptoms suffered by some US diplomats in Cuba and China.45 She concluded that the diplomats essentially suffer from electro-sensitivity (which she refers to as “Microwave Illness”).46 Her analysis included case studies on people sickened by smart meters.47 She gave a detailed scientific analysis to each of the diplomats’ and 41 Physicians Statement ¶¶7, 38; https://childrenshealthdefense.org/wp-content/uploads/rf-2016-europaem-guidelines.pdf#page=24; https://childrenshealthdefense.org/wp-content/uploads/rf-2020-Belpomme- guidelines.pdf#page=14; https://childrenshealthdefense.org/wp-content/uploads/rf- 2018-golomb-diplomats-3.pdf#page=21; https://childrenshealthdefense.org/wp- content/uploads/rf-2014-electrosensitivity-dr-blythe.pdf#page=5. 42 https://www.nap.edu/read/25889/chapter/1. 43 Prof. Golomb signed the Scientists Statement. 44 https://childrenshealthdefense.org/wp-content/uploads/rf-2018-golomb-diplomats-3.pdf. 45 https://pubmed.ncbi.nlm.nih.gov/30183509/. 46 This Brief uses “Electro-sensitivity” but the syndrome is also called “Electromagnetic Hyper-Sensitivity” (“EHS”), “Microwave Sickness,” and “Radiation Sickness.” PECO calls it “Idiopathic Environmental Intolerance.” 47 Prof. Golomb signed the Scientists Statement. 47 https://childrenshealthdefense.org/wp-content/uploads/rf-2018-golomb- diplomats-3.pdf pages: 15, 18-22, 25, 37, 38. 200200 electro-sensitivity symptoms and showed how they can result from RF exposure. She was invited to present to the NAS committee.48 Smart meters can be the original cause or a subsequent aggravating cause. They are, however, undoubtedly harmful to anyone with electro-sensitivity.49 As the guidelines for diagnosis and the physicians’ statement emphasize, the only mitigation and treatment for those affected by RF is rigid, constant RF exposure avoidance, in every aspect of their lives. This is particularly so when it comes to peoples’ last refuge: their home. For all these reasons any regime that forces people to choose between a mandatory smart meter or not having electric (or water, or gas) utility service, is especially pernicious.50 C.FCC Admits Adverse Effects The FCC admitted in 2019 that at least some RFs can cause non-thermal adverse effects with RF frequencies ranging between 3 KHz and 10 MHz.51 Pulsed 48 https://childrenshealthdefense.org/rf-nas-agenda-golomb/; https://childrenshealthdefense.org/wp-content/uploads/rf-nas-golumb-email.pdf. 49 This is part of the problem with the PUC’s burden of proof requirements. The issue is not what caused the impairment; it is whether the smart or digital meter interferes in any manner with a person’s ability to engage in major life activities. See Part V.F. 50 Some people with electro-sensitivity also have other health issues and use medical treatment devices that require electricity. 51 Proposed Changes in the Commission’s Rule Regarding Human Exposure to Radiofrequency Electromagnetic Fields, 34 FCC Rcd 11687, 11743-11745, ¶¶122- 124 & nn. 322-335 (2019). It also noted that these harms occur instantaneously. The FCC currently averages exposure levels over 30 minutes, which completely 201201 RF created by the AC/DC conversion performed by smart and digital meters’ Switch Mode Power Supply (SMPS), generates frequencies between 2-50 KHz, which fall squarely in the range identified by the FCC as problematic.52 The FCC noted that “[a]dverse neural stimulation effects…include acute effects such as perception of tingling, shock, pain, or altered behavior due to excitation of tissue in the body’s peripheral nervous system.” 34 FCC Rcd at 11743-11744, ¶122 n.328. These are the same symptoms suffered by the “customers” and by others who report adverse health effects from smart meters. 34 FCC Rcd at 11742-11744, ¶¶119-122. D.Pulsed RF Affects at Least Some People The FCC guidelines can no longer be said to provide any assurance regarding the public’s health for non-cancer harms. The FCC has expressly acknowledged that RF emissions such as those from smart and digital meters can cause the very same symptoms reported by the Customer Petitioners and those who have developed electro-sensitivity or suffer from other conditions that are aggravated by RFR exposure. Those affected have a right to accommodation, regardless of what is “deemed safe” for the general population. obscures pulsation effects. It has admitted instantaneous effects for the RF frequency band involved in smart meter wire conduction. 52 Engineer Report ¶¶14-17. 202202 To analogize, the U.S. Agriculture Department and Food and Drug Administration each regulate peanut and peanut product quality. They ensure peanuts and peanut products are safe for most people. Additional protective steps are taken, to ensure those with nut allergies are not inadvertently (or purposefully) exposed to “deemed safe” nuts.53 Similarly, measures must be taken to allow those adversely affected by RF to avoid exposure from even general population “deemed safe” emissions. A state electric utility regulator certainly should not issue a mandate that someone with an impairment made worse by pulsed RFR must have a smart or digital meter as a condition of utility service unless they fund a costly lawsuit and satisfy a burden of proof that is inappropriate and almost impossible to meet given the nature of the condition. The regulator cannot base lawful findings on utility- funded “expert” doctors that never examined the customer. E.The Federal Government Recognizes Electro-Sensitivity; Federaland State Law Requires Effective Accommodation As noted above, the FCC has now agreed that RF can evoke a non-thermal adverse neural response to at least some RF emissions. The CDC has diagnosis and injury codes for exposure related injuries. Various federal agencies recognized the 53 See, e.g., U.S. Dept. of Justice, Civil Rights Division, Questions and Answers About the Lesley University Agreement and Potential Implications for Individuals with Food Allergies, available at https://www.ada.gov/q&a_lesley_university.htm. 203203 condition. Three federal laws and a state law directly require accommodations. The federal government has outlined the proof required for those who seek accommodation. 1.CDC, U.S. Justice Department and Other AgenciesRecognize Electro-sensitivity Can Lead to Major Life Impairments Requiring Accommodation The federal government recognizes RF/EMF radiation exposure related sickness. The Centers for Disease Control’s 2022 Classification of Diseases Codes Clinical Modification and Procedural Classification System implements the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) .54 The “diagnosis code” for Radiation Sickness” is “T66.” The “injury” code for “Exposure to Other Nonionizing Radiation” is “W90.” These codes cover Electro-sensitivity along with other RF exposure-related injuries and maladies. The “Access Board,” the federal agency responsible for publishing Accessibility Guidelines used by the Justice Department to enforce the ADA, has held that “electromagnetic sensitivities may be considered disabilities under the ADA.”55 The Access Board contracted with the National Institute of Building 54 Available at https://icd10cmtool.cdc.gov/. 55 Architectural Transportation Barriers Compliance Board, Final Rule, Americans With Disabilities Act (ADA) Accessibility Guidelines for Buildings and Facilities; Recreation Facilities, 67 Fed. Reg. 56352, 56353 (Sept. 3, 2002) (“The Board recognizes that multiple chemical sensitivities and electromagnetic sensitivities 204204 Sciences (NIBS) 2005 to recommend accommodations. NIBS concluded that RF could render buildings “inaccessible” to those “who are electromagnetically sensitive.”56 The US. Department of Labor’s Office of Disability Employment Policy issued guidelines for accommodations in 2015.57 They state: …the nature of electromagnetic sensitivity is such that even levels that are deemed safe for the general public can cause trigger symptoms for individuals who are hypersensitive...and therefore may need accommodation. … Individuals with electromagnetic sensitivity may experience … fatigue, weakness, neurological issues, immunological issues, gastrointestinal issues, increased irritability, lack of ability to think clearly and quickly, sleep disturbance, overall malaise, and anxiety…Common workplace issues involve exposure to Wi-Fi, cell phones. General considerations include: ...Relocate workplace away from areas where symptoms are triggered…limiting certain types of devices in the vicinity of the employee’s workstation... Provide wired telephones and network connections. The US Department of Education (“DOE”) agrees that people with other conditions may also develop intolerance to RF/EMF. In a memorandum regarding may be considered disabilities under the ADA if they so severely impair the neurological, respiratory or other functions of an individual that it substantially limits one or more of the individual’s major life activities.”). 56 National Institute of Building Sciences (NIBS), Indoor Environmental Quality (IEQ) Final Report (July 14, 2005), © 2005, National Institute of Building Sciences. A web-based version of the NIBS IEQ Final Report is available at https://www.access-board.gov/research/building/indoor-environmental-quality/. 57 https://childrenshealthdefense.org/wp-content/uploads/rf-accomodation- labor.pdfNetwork-EMS.pdf. 205205 accommodation of people with Multiple Chemical Sensitivities (“MCS”), they recommend minimizing exposure to electromagnetic fields and radiation because it may trigger MCS symptoms. The memo emphasizes the importance of their home as a refuge and sanctuary free of EMF. …[I]ndividuals affected by MCS have created “sanctuaries” relatively free from chemical emissions and electromagnetic fields in their homes. Because of the serious impact of even an accidental unavoidable exposure, people often spend as much time at home as possible and often cannot participate fully in society. As a result, they may experience intense isolation, loss of self-esteem, and depression from not being able to have an active work, family, or social life.58 2. ADA, FHA, Rehabilitation Act and PHRA RequireAccommodations to Disabled/Handicapped Individuals WhoWould be Negatively Affected by a Smart Meter Electricity is the “service” offered by PECO. The meter facilitates billing and demand response, but it is not the “service.” If PECO’s wireless smart meter cannot be tolerated due to a medical condition related to a disability or handicap, forced installation as a condition of utility service will discriminate against the customer who is “otherwise qualified” but will suffer disconnection and loss of utility service. 58 https://www2.ed.gov/policy/speced/guid/rsa/im/2002/im-02-04.pdf. A study published in 2020 on 2,000 people with electro-sensitivity and/or chemical sensitivity showed that once a person developed one of these conditions, they are highly likely to develop the other. https://childrenshealthdefense.org/wp- content/uploads/rf-2020-Belpomme-guidelines.pdf. 206206 The Fair Housing Act (“FHA”),59 Americans with Disabilities Act (“ADA”),60 and the Pennsylvania Human Relations Act (PHRA)61 require accommodations relating to a “physical or mental impairment” that “substantially limits one or more of the major life activities.” See, e.g., 42 U.S.C. §12102(1)(A); 28 C.F.R. §36.105; 16 Pa.Code §44.4. ADA Title II and the PHRA apply insofar as the PUC is establishing binding practices the utility must implement. 28 C.F.R. §35.130(a), (b)(1), (6), (7).62 State agency prescribed practices cannot discriminate against the disabled by denying access to essential electric utility service. Id. The PUC’s regulations must allow for “reasonable modifications in policies, practices, or procedures when the modifications are necessary to avoid discrimination on the basis of disability, unless the public entity can demonstrate that making the modifications would fundamentally alter the nature of the service, program, or activity.” 28 C.F.R. §35.130(b)(7). 59 42 U.S.C. §3601, et seq. 60 42 U.S.C. §12101, et seq. ADA Title II prohibits a state-level regulatory requirement that mandates discrimination. USDOJ Title II TAM, supra. 61 43 Pa. Stat. Ann. §951, et seq. 62 Amici are not asserting that the utility has become a state actor and subject to Title II. C.f. Rendell-Baker v. Kohn, 457 U.S. 830, 842 (1982); Jackson v. Metro. Edison Co., 419 U.S. 345, 350 (1974); Crissman v. Dover Downs Entm’t Inc., 289 F.3d 231, 243 (3d Cir. 2002). The PUC and the state – the ones allegedly imposing mandatory smart meters – are the state actors for purposes of ADA Title II. 207207 A mandatory smart meter program also fails muster under the FHA. It “objectively” interferes with the “exercise or enjoyment of rights granted or protected by” 42 U.S.C. §§3604 or 3605: it makes the occupants sick or sicker, and therefore violates 42 U.S.C. §3617. See 24 C.F.R. §100.400(b), (c)(1), (2). 42 U.S.C. §3604(f)(1) and 16 Pa.Code §45.9 make it unlawful to “make unavailable or deny, a dwelling” and that is exactly what a smart meter effectively does to those who cannot tolerate the radiation emitted from the device. They will be constructively evicted. The Rehabilitation Act, 29 U.S.C. §794 prohibits disability discrimination by any entity receiving federal financial assistance.63 PECO obtained a federal SmartGrid Investment Grant. PECO Principal Br. p. 18, n.39,64 so it is subject to the Rehabilitation Act nondiscrimination mandate. 3.The PUC is Bound by ADA Title II, the FHA and PHRA;PECO is Bound by the FHA and the Rehabilitation Act The PUC has consistently erred by refusing to consider the impact of federal and state disability/handicap laws. It is true the PUC “lacks jurisdiction to enforce” 63 “No otherwise qualified individual with a disability...shall, solely by reason of her or his disability, be excluded from the participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance….” 29 U.S.C. § 794(a). 64 Nothing in the grant requires a mandate that all customers accept smart meter installation. 208208 the ADA, FHA, Rehabilitation Act or PHRA as a general matter. See Edward Lucey v. Metropolitan Edison Company, Docket No. C-2018-3003679, 2020 PA. PUC LEXIS 522, *15 (Pa. P.U.C. October 8, 2020), citing Catherine J. Frompovich v. PECO Energy Company, Docket No. C-2015-2474602, 2018 Pa. PUC LEXIS 160 *69 (Pa. P.U.C. May 3, 2018)(emphasis added).65 But what everyone involved has missed is that the PUC is bound by ADA Title II and cannot impose practices or policies in derogation of ADA requirements. Act 129 should not be read to impose a regulatory mandate that would directly violate the ADA Title II prohibition on state-level policies and practices that lead to disability discrimination without reasonable and effective accommodation. 65 These orders state the complainant should go to state or federal court to raise the disability claim. The problem is that the Pennsylvania Human Relations Commission is a mandatory prerequisite to any state court action seeking a remedy for disability discrimination. Clay v. Advanced Comput. Applications, 522 Pa. 86, 559 A.2d 917 (1989). On the other hand, Phila. Elec. Co. v. Human Rels. Comm’n, 5 Pa. Commw. 329, 290 A.2d 699 (1972) holds the PHRC could not entertain any such complaint; the petitioner would be sent back to the PUC. The Commission’s interpretation therefore leads to an endless “no state jurisdiction” loop. Statutes should not be construed to lead to such absurd results. The answer to this seeming conundrum is simple, however. The Commission needs to merely acknowledge it cannot impose a practice or policy that violates the disabilities laws and ensure that the utilities offer reasonable and effective accommodations. 209209 The U.S. Department of Justice Civil Rights Division’s Americans with Disabilities Act Title II Technical Assistance Manual Covering State and Local Government Programs and Services66 makes this eminently clear: …a public entity may not establish requirements for the programs or activities of licensees that would result in discrimination against qualified individuals with disabilities If the PUC’s interpretation of Act 129 is upheld on appeal and becomes final, the Commission (the state) is subject to suit under ADA Title II. Similarly, under the FHA the state might be subject to damages under 42 U.S.C. §§3613(c), 3631(a), (a)(1), since a state regulatory mandate constitutes “color of law” under which handicapped individuals may suffer grievous harm. The statute should not be construed to impose a mandate because it would result in direct conflict with federal law and expose the state to liability. The Commission and the Court must consider the impact of the ADA, FHA, Rehabilitation Act and the PHRA on these issues as part of any interpretative analysis whether Act 129 can be reasonably interpreted as mandatory. The statute should not be read to compel a violation of other federal and state law. The PUC’s willful blindness to disability laws prohibiting its attempt to mandate smart meters, constitutes legal error that must be corrected. 66 Available at https://www.ada.gov/taman2.html#II-3.7200. 210210 F.The PUC’s “Burden of Proof” is Inconsistent with the Disabilitylaws The proper outcome does not depend on whether a smart meter “causes” someone to suffer “adverse health effects.” The applicable law turns on entirely different considerations. The only questions are whether someone has a functional “impairment” and then what accommodation is due. 1.PUC Applied Wrong Standard The utility and PUC each argue that the Petitioners failed to “demonstrate by a preponderance of the evidence that a ‘conclusive causal connection’ between the low-level RF exposure from a PECO smart meter and the alleged adverse human health effects.” 67 But the PUC/utility have consistently focused on the wrong type of “causal connection” and demanded too much by way of “alleged adverse human health effects.” The stated burden of proof is virtually impossible to meet for almost any Complainant because it would require resources no average person can amass, especially someone who is already sick and likely low-income or with limited means. A demand for rigorous scientific and medical support for the 67 This standard was first established in Letter of Notification of Philadelphia Electric Company Relative to the Reconstructing and Rebuilding of the Existing 138 kV Line to Operate as the Woodbourne-Heaton 230 kV Line in Montgomery and Bucks Counties 1992 Pa. PUC LEXIS 160, at *7-8 (Pa. P.U.C., No. A- 110550F0055, filed Mar. 26, 1993). This standard is inappropriate for those who are RF/EMF impaired since the disability laws require a different and much lower standard. 211211 proposition the Complainant has some generally-accepted disease and then direct causation from the smart meter is unlawful for many reasons. The determination of whether an individual is disabled is not necessarily based on a finding that matches a generally-accepted and named disease in a Diagnosis and Treatment Manual. The question is simply whether a person has an “impairment” and then the effect of that impairment on the life of the individual. 42 U.S.C. §12112(a)(5)(A); 28 C.F.R. §35.108(vii).68 2.Burden of Proof Inconsistent With Disabilities Laws Covered entities like the PUC cannot impose the level and burden of proof applied below. Congress rejected the idea that the disability determination should be “an onerous burden for those seeking accommodations or modifications” when it amended the ADA and FHA. 154 Cong. Rec. S8842 (daily ed. Sept. 16, 2008) (Statement of the Managers). The federal agencies overseeing these acts have implemented rules of construction that make this plain. 28 C.F.R. §36.101; Part 36, 68 The analysis for a disability or handicap is the same for each of the three ADA Titles, FHA handicap purposes and Rehabilitation Act claims. That is why courts routinely address discrimination claims together. Friedman v. Cent. Me. Power Co., No. 2:20-cv-00237-JDL, 2021 U.S. Dist. LEXIS 62585, at *5 n.2 (D. Me. Mar. 31, 2021), citing Astralis Condo. Ass’n v. Sec’y, U.S. Dep’t of Housing & Urban Dev., 620 F.3d 62, 66 (1st Cir. 2010), Calero-Cerezo v. U.S. DOJ, 355 F.3d 6, 19 (1st Cir. 2004) and Theriault v. Flynn, 162 F.3d 46, 53 n.10 (1st Cir. 1998) (Lipez, J., concurring). Pennsylvania generally uses the same tests and criteria for purposes of the PHRA. See Lazer Spot, Inc. v. Pa. Human Rels. Comm’n, 184 A.3d 200 (Pa. Commw. Ct. 2018). 212212 Appendix C - Guidance to Revisions to ADA Title II and Title III Regulations Revising the Meaning and Interpretation of the Definition of “Disability” and Other Provisions in Order to Incorporate the Requirements of the ADA Amendments Act. An individualized assessment is necessary,69 but the Guidance directly states that once there is an individualized professional assessment “there is no need for further inquiry into the nature of the disability:” …Reports from experts who have personal familiarity with the candidate should take precedence over those from, for example, reviewers for testing agencies, who have never personally met the candidate or conducted the requisite assessments for diagnosis and treatment.70 None of the utility’s expert witnesses performed an in-person individualized assessment of any of the Complainants before the Court. Doctor Israel did his “evaluation” remotely and merely compared reported symptoms to “databases” and “studies.” Murphy Order, p. 61 (R.190a). Thus, the PUC erred by giving the utility’s testimony overriding weight to that from the Complainants’ medical evidence. The PUC also erred in its evaluation of the Complainants’ evidence. The 69 See 28 CFR Appendix A to Part 36 - Guidance on Revisions to ADA Regulation on Nondiscrimination on the Basis of Disability by Public Accommodations and Commercial Facilities: “The question of whether an individual meets the definition of disability should not demand extensive analysis… determining whether an impairment substantially limits a major life activity requires an individualized assessment.” 70 AG Order No. 3181-2010, 75 FR 56258, Sept. 15, 2010; 76 FR 13287, Mar. 11, 2011. The block-quoted sentence appears at 75 FR 56297. 213213 Complainants clearly described an impairment that substantially limits major life activities and showed that installation of a smart meter would significantly interfere with their medically-affirmed need for avoidance. In other words, consistent with the NIBS report finding smart meters can render homes “inaccessible” to those who are electromagnetically-sensitive. VI.Only Reasonable and Effective Accommodation is Analog Meter Requiring a smart meter unlawfully discriminates against those who are exposure intolerant.71 The service here is electricity, and utilities were able to provide that service for many decades without smart or digital meters. Allowing opt-out for the disabled will not impose an impossible or even overly difficult burden. The RF-impaired cannot be required to sacrifice their health, worsen their impairments. and live in an intolerable home environment in order to have essential utility service. Once an “impairment” and its “limitations” are shown the question then turns to what “accommodations” are appropriate. Here, the PUC offers an “accommodation” in the form of moving the meter away from the home. This “accommodation” does not resolve the problem since it will not fully prevent RF exposure despite the additional distance from the wireless transmitting antenna. 71 Friedman v. Cent. Me. Power Co., supra held that the plaintiff had adequately plead discrimination when he had to pay a smart meter opt-out fee. An inability to opt-out at all is clearly worse. 214214 A.Placement in Yard is Not Reasonable Accommodation Moving the smart meter to a more distant location in the yard would reduce the wireless RF exposure level inside the home. There would, however, still be RF emissions in the house and on the property. Anyone with electro-sensitivity will have to stay far away from the meter. As a result, the person will not have full use and enjoyment of a significant part of their property. This is still unlawful discrimination under the FHA and Rehabilitation Act, because customers who are not electro-sensitive do have full use and enjoyment of all their property, including the part near the utility meter. Friedman v. Cent. Me. Power Co., supra. Thus, the proffered “accommodation” is not “reasonable” and neither the PUC nor PECO can impose that outcome. Further, installing the meter further away merely reduces but does not eliminate the emissions that will enter the house. The customers will still have to expend resources to shield the house from the radiation.72 B.Placement in Yard Does Not Eliminate Harmful RF “Noise” inHouse The smart meter’s AC/DC conversion process by the SMPS generates variable RF spikes that enter the house electric wiring, transforming the house into a whole house antenna. Installing the smart meter further away from the house 72 BBI Report ¶¶29-31. 215215 would not eliminate this problem. Digital meters also contain SMPS and therefore generate RF and cannot be considered a reasonable accommodation.73 The only reasonable and effective accommodation is an analog meter – the kind that has been used for many decades. It does not have a SMPS and will cost the utility less than $100.74 Accommodating the “customers” in this case and all the hundreds of people who requested accommodation would have been cheaper than this case. VII.CONCLUSION Act 129 does not compel smart meters absent customer consent; it clearly envisions affirmative customer request (Opt-In). Regardless of the legislature’s word choice the state cannot lawfully force a customer to accept a smart or digital meter when mandatory installation results in disability discrimination, exacerbates existing impairments or forces people to abandon their home. There must be effective accommodation. The rule is simple: accommodation in the form of an analog meter is required if a customer presents a professional assessment of impairment and a need for RF/EMF avoidance. 73 Engineer Report ¶¶18-19; BBI Report ¶¶27-34. 74 BBI Report ¶36. 216216 The Court can dispose of this case without directly wading into health effects or even disability by merely applying the statute according to its plain terms. If it does go farther the Court should ensure that those with electro- sensitivity can receive accommodation in the form of an analog meter. Any other outcome will be inhumane. No decent society purposefully punishes the innocent for conditions they cannot control. The Court cannot allow an outcome that will lead to even more sickness and homelessness for those who cannot tolerate a smart or digital meter. Respectfully Submitted, /s/ Andrea L. Shaw Andrea L. Shaw (I.D. No. 89333) Law Office of Andrew H. Shaw, P.C. 2011 W. Trindle Road Carlisle, PA 17013 Tel: (717) 243-7135 Fax: (717) 243-7872 andrea@ashawlaw.com Robert F. Kennedy, Jr.* Children’s Health Defense 48 Dewitt Mills Road 1227 North Peachtree Pkwy, Suite 202 Peachtree City, GA 30269 Tel: (845) 377-0211 Fax: (512) 692-2522 NY Bar No. 1999994 Rfk.fcc@childrenshealthdefense.org 217217 W. Scott McCollough*McCollough Law Firm, P.C.2290 Gatlin Creek Rd.Dripping Springs, TX 78620Tel: (512) 888-1112Fax: (512) 692-2522 Texas Bar No. 13434100 wsmc@dotlaw.biz *Pro hac vice motion pending 218218 APPENDIX LIST OF ADDITIONAL AMICI CURIAE PENNSYLVANIANS FOR SAFE TECHNOLOGY is a volunteer grassroots organization that seeks to educate and inform Pennsylvanians about ways to protect health and the environment through the safer, more secure use of technology, especially wired connections. PENNSYLVANIA SMART METER WORK GROUP is an organization in Pennsylvania which acts as a support group for utility customers with Formal Complaints entered with the PA Public Utilities Commission objecting to the installation of smart meters on their properties. Their members, pro-se litigants, help each other get through the legal and bureaucratic tangle of utility and administrative law. Their mission has broadened to include 5G and other wireless devices and systems as the ramifications of wireless extend beyond smart meters. NATIONAL ASSOCIATION OF ENVIRONMENTAL MEDICINE is a 501(c)(6) national medical organization based in Washington that provides clinical guidelines and specialization in environmental medicine for naturopathic physicians and allied primary care providers. 219219 MOMS ACROSS AMERICA is a 501(c)(3) nonprofit organization with national networks based in North Carolina which reaches millions of people every month. Its mission is to educate and empower mothers and others with actions and solutions to create healthy communities. NATIONAL ASSOCIATION FOR CHILDREN AND SAFE TECHNOLOGY is an organization whose mission statement is to advance policies regarding technology that protect children’s health and well-being in order to ensure a strong future for the United States of America. MASSACHUSETTS FOR SAFE TECHNOLOGY is a public interest advocacy group based in Massachusetts and is a project under the 501(c)(3) nonprofit Concerned Citizens for the Appropriate Placement of Telecommunications Facilities, Inc., which serves as its fiscal agent. Its mission is to educate citizens, public servants, lawmakers and health care professionals on the risks of wireless radiation exposure to children, adults and our environment and to promote the use of biologically safe and fiscally responsible technology in our homes, schools, communities, and workplaces. 220220 VIRGINIANS FOR SAFE TECHNOLOGY LLC is based in Virginia. Its mission is to advocate for safe, accessible, affordable, and ethical technology for all and provide information, education, resources, and support to empower consumers and lawmakers to make informed decisions and act as stewards of their communities. NEW YORK SAFE UTILITY METER ASSOCIATION is a nonprofit corporation whose mission is dedicated to the continued use of mechanical analog utility meters. NYSUMA educates the public about the hazards associated with electronic digital utility meters (aka: AMR, ERT, AMI, "smart," and "opt-out digital"). They are also very concerned about the unchecked privacy invasion of digital utility meters and skyrocketing utility rates. NYSUMA advocates for the rate payer’s right to choose the safest meter without penalties. NYSUMA also works to raise awareness about the dangers of other wireless radiation technologies, including Wi-Fi, cell phones, 3G, 4G, 5G cell towers and their negative impact on public health and the environment. RHODE ISLANDERS FOR SAFE TECHNOLOGY is an organization based in Rhode Island that envisions a world in which computer and telecommunications technology is safer. Its mission is to educate the public regarding wireless health risks and best practices. 221221 ARIZONANS FOR SAFE TECHNOLOGY is a group seeking to protect Arizona neighborhoods through better, safer technologies. UTILITY METER CHOICE FOR 4 MICHIGAN is an organization whose mission is to inform the public of the harm of wireless radiation from smart meters and pass legislation which will provide utility customers with the right to choose not to be exposed to the dangers caused by smart meters. MARYLAND SMART METER AWARENESS is a 501(c)(3) nonprofit corporation out of Baltimore, MD, whose mission includes education of the public regarding smart meters, wireless technology and the health impacts of radio frequency microwave radiation, as well as to provide and advocate for alternatives to wireless smart meters and to engage in litigation to protect Maryland residents from the harmful effects of smart meters. They have about 1,000 members. AUTISM AGE is a 501(c)(3) nonprofit corporation based in Connecticut that gives voice to those who believe autism is an environmentally-induced illness that is treatable, and that children can recover. They believe that autism is the defining disorder of our age, is man-made and therefore preventable. Smart meters are an environmental risk to health that is preventable. 222222 COLORADANS FOR SAFE TECHNOLOGY is an advocacy group based in Colorado whose mission is to educate the public and public representatives of the risks and downsides of wireless technology and to promote the implementation of safe, efficient alternatives. SAFE TECHNOLOGY MINNESOTA, a project of the 501(c)(3) nonprofit corporation Minnesota Natural Health Coalition, has as its mission to educate and support the public regarding the health and environmental hazards of electromagnetic radiation, especially from wireless technology. CONNECTICUT RESIDENTS FOR RESPONSIBLE TECHNOLOGY is a grassroots organization based in Connecticut consisting of 1,500 members, most of whom have suffered from radiofrequency radiation. Their mission is to increase community awareness of the negative health effects of macro cell towers in close proximity to homes, schools, health centers and workplaces, and to stop the irradiation of citizens. MICHIGAN FOR SAFE TECHNOLOGY is an organization in Michigan whose mission is to educate, inform, and advocate for the safe use of wireless technology. 223223 IDAHOANS FOR SAFE TECHNOLOGY FOUNDATION is a 501(c)(3) nonprofit corporation whose mission is to provide educational and financial support for statewide efforts toward deployment of responsible broadband technology to our communities and throughout the State of Idaho. MALIBU FOR SAFE TECH is an organization in California that consists of active local residents fighting to protect the community and environment from the threats of wireless telecommunication. Its mission is to raise awareness of these immediate issues and actively participate in local government to stop the spread of 5G before its effects become detrimental to residents. MANHATTAN NEIGHBORS FOR SAFER TELECOMMUNICATIONS is an educational initiative whose mission is to bring awareness to the harmful physical and mental health effects of cell phones, Wi-Fi, wireless computer equipment, portable phones, excessive screen time, too-early technology use, wireless utility equipment and neighborhood cell towers and antennas. ELECTROMAGNETIC SAFETY ALLIANCE, INC. is a 501(c)(3) nonprofit corporation based in Arizona whose mission is to advocate for and educate others about the health risks of electromagnetic fields. Their fiscal sponsor is Vitalyst Health Foundation. 224224 ALLIANCE FOR MICROWAVE RADIATION ACCOUNTABILITY, INC. (AMRA) is a nonprofit corporation based in New York that seeks to improve public health and safety through the advocacy of tougher standards and safer technology. AMRA works for greater awareness of Microwave Radiation Syndrome and the health impact on its victims. A VOICE FOR CHOICE ADVOCACY, INC. is a 501(c)(4) nonprofit corporation based in California that advocates for people’s rights to be fully informed about the composition, quality, and short- and long-term health effects of all products that go into people’s bodies, such as food, water, air, pharmaceuticals, cosmetics, as well devices such as smart meters. SAFE TECH FOR SANTA ROSA is an advocacy group in California whose mission is to post relevant information about current and planned wireless transmission facilities and "small" cell sites in Santa Rosa, California and provide resources on the biological effects of microwave radiation as supported by scientific studies. SAFE TECH SANTA BARBARA COUNTY is an unincorporated association and advocacy group whose mission is to educate the community about the adverse cumulative effects of invisible wireless Radio Frequency Radiation (RFR) and advocate for safe technology. 225225 SAFE TECH TUCSON is comprised of residents, business owners and respected members of the various communities within Pima County and the City of Tucson who are committed to working in partnership with elected officials to enact a telecommunications ordinance that protects public safety, privacy and property values. BEE HEROIC LLC is a nonprofit, limited liability company located in Colorado whose mission is to provide an information-to-action platform for initiating practices that will save and protect Earth's bees and other pollinators from near- term extinction. It is focused on agrochemical threats, telecommunication/5G/IoT, and other environmentally and biologically destructive industries that contribute to the mass extinction of a key indicator species. CALIFORNIA BRAIN TUMOR ASSOCIATION is a 501(c)(3) nonprofit organization whose mission is to educate the public about environmental health threats including those from exposure to electromagnetic radiation. CALIFORNIANS FOR RENEWABLE ENERGY (CARE) is a 501(c)(3) nonprofit corporation whose purpose is to offer legal advice and appear before administrative bodies to help enforce environmental laws through court actions. 226226 CENTERVILLE CONCERNED CITIZENS is a grassroots advocacy group in Massachusetts focused on advancing environmental health and protecting the community of Centerville. It was founded to stop the powering of a telecommunications cell tower in the historic village of Centerville. The initial group of nine neighbors has grown to hundreds of supporters who work to keep the community free of dangerous, untested wireless technology. “We have children and grandchildren that will one day look to us and be grateful we fought so strongly for their future health and well-being.” CLEAR WIDBY is an organization in Washington state. CLEAR (Citizen League Encouraging Awareness of Radiation) is dedicated to the safety from electronics of wildlife, flora, fauna, and insects that experience 24/7 radiation from towers, as well as from humans who carelessly install and use their electronics. They assist citizens with wireless issues: town and county ordinances, 5G developers, smart meter issues, wildlife protection from EMF excesses, helping the human population use wireless more safely, calling for increased protections for the electromagnetically sensitive, and encouraging fiber-optic hookups for broadband coverage for all. COALITION AGAINST SMART METERS AND 5G is an organization in the state of Washington whose purpose is first to prevent installation of smart meters 227227 in Snohomish County, Washington, and also to prevent installation of 5G small cell towers in Edmonds, Washington. FRIENDS OF MERRYMEETING BAY is a Maine-based 501(c)(3) nonprofit engaged in research, advocacy, education, and land conservation. Because of its inordinate proliferation and its biological effects on people and the environment, FOMB considers radiofrequency radiation (RFR) the most significant environmental toxin of our time. Smart meters dramatically increase rural presence and effects of RFR. FOMB filed an Amicus Curiae Brief with the Commonwealth Court in support of petitioners Povacz, Murphy, Randall and Albrecht (NO. 606 CD 2019). ECOLOGICAL OPTIONS NETWORK is a 501(c)(3) nonprofit organization in California. Since 1999 they have been actively organizing, informing, and producing media and to influence policy that protects people’s right to health in the midst of cell towers, cell phones, smart meters, and 5G. They organized in their county and region for a smart meter opt-out. They also served as official public intervenors in the smart meter proceeding at the California Public Utilities Commission. DAMS (Dental Amalgam Mercury Solutions), INC. is a 501(c)(3) nonprofit corporation based in Minnesota whose mission is to educate the public about 228228 biological dentistry and the dental-health connection. It is also concerned about the proliferation of wireless radiation causing biological harm. DAMS has about 2,000 members, and approximately half are health care professionals. EMF WELLNESS LLC is a 501(c)(3) nonprofit corporation in Arizona comprised of residents, business owners and members of the various communities within Pima County and the City of Tucson who are committed to working in partnership with elected officials to enact a telecommunications ordinance that protects public safety, privacy, and property values. DR. OLINDO FLORO PA is a clinical practice out of Minnesota that provides natural health care and education to their patients so that they can be happy, healthy and pain free. They educate and treat patients that have symptoms of wireless radiation exposure. EARTH PROTECTOR LICENSING CORPORATION is a 501(c)(3) nonprofit environmental and health organization based in Minnesota whose mission is to improve life and to be an earth protector. It is concerned about the proliferation of wireless technology, including smart meters, and the harmful effects of this radiation. 229229 ENVIRONMENTAL HEALTH COMMITTEE is a nonprofit organization in New York with a mission to educate the residents of the Butternut Valley on the dangers of, and ways to mitigate, environmental pollution from all sources, currently focusing on the dangers of wireless microwave radiation-emitting devices. 5G FREE CALIFORNIA is a 501(c)(3) nonprofit corporation based in California whose mission is to engage in education, outreach and advocacy on the health effects of wireless radiation and on support for safer technology; to enhance the vision that people have the right to be protected from harm and that those already injured are acknowledged, respected and supported; and that people have the right to make informed choices about exposure to radiation and health sovereignty. 5G FREE MARIN is a nonprofit coalition in California composed of local Marin-based groups fighting to stop unnecessary, unsafe and excessive wireless technologies from being imposed on local communities by the telecommunications industry. 5G FREE OREGON is a nonprofit volunteer organization based in Portland, Oregon, dedicated to raising awareness of the critical issue of radio and microwave radiation technologies and their adverse effects on health. 230230 5G FREE RHODE ISLAND is a group of private individuals with a common interest in protecting humans and the environment from the harms of wireless radiation. Its mission is to continue to actively educate communities and public officials at the city, state, and federal levels. It takes action in furtherance of the foregoing by holding their cities and towns accountable for protecting all residents and stopping the 5G rollout. FOUNDATION FOR ADVANCEMENT IN CANCER THERAPY is an educational 501(c)(3) nonprofit corporation. Their goal is to educate physicians and patients about a different concept of treatment and prevention of cancer and chronic degenerative conditions. They are concerned about the health impacts of electromagnetic radiation-producing devices such as smart meters. HANDS ACROSS THE RIVER COALITION is incorporated in the state of Massachusetts with about 600 members. Their primary focus is the health- conscious cleanup of the New Bedford Harbor Superfund site contaminated primarily with PCBs which can affect public health. Their fiscal sponsor is People Acting in Community Endeavors, PACE, in New Bedford, MA. They are concerned about smart meters and other emitters of harmful electromagnetic radiation. 231231 KEEP BALDY WILD is an organization based in California that is committed to projects and education that support the unique ecosystem of the San Antonio Canyon watershed for current and future generations. Their group distributed the summary of the BioInitiative Report of 2012 to community members and did educational outreach regarding smart meters, cell phones and cell towers. KEEP CELL ANTENNAS AWAY is an informal group of residents in California, united by a common goal of keeping cell antennas away from homes. Their mission is to influence 5G roll-out in their cities by building a large and active movement of residents. KEEP YOUR POWER is an advocacy group in Hawaii that consists of a coalition of educated, concerned citizens whose mission is to stop harmful wireless technologies from being deployed in the Hawaiian islands and to advocate for safe technology. KUNZE PRODUCTIONS, LLC is a for-profit company based in California which presents an investigative documentary called “Mobilize” that explores the potential long-term health effects from cell phone radiation, including cancer and infertility. 232232 LAST TREE LAWS is an informal group for advocacy based in Massachusetts and is also organized as a Massachusetts state ballot question committee, focusing on lobbying and ballot question work. Its mission is to lobby for environmental and social justice, as well as reducing wireless exposures. NATIONAL HEALTH FEDERATION (NHF) is a 501(c)(3) nonprofit organization whose mission is to educate consumers, producers, healthcare professionals, government and other leaders regarding freedom of choice and informed consent in healthcare, and to protect the health rights and freedom of individuals and healthcare practitioners regarding freedom of choice and true informed consent in all matters concerning healthcare. NATIONAL TOXIC ENCEPHALOPATHY FOUNDATION is a 501(c)(3) nonprofit organization whose mission is to provide education and services to the growing segment of the population who are adversely affected by everyday chemicals and toxins in our environment, and to provide education on cell phone safety that is showing a correlation with the increase of brain tumors and cancer. NEVADA CITY TELECOMMUNICATIONS ORDINANCE PUBLIC WORKING GROUP is a group of individuals in Nevada, California, whose mission is to amend the city's telecommunication ordinance and strengthen the City’s legal authority to protect residents and the quiet enjoyment of their streets. 233233 NEW YORKERS 4 WIRED TECH is a group of grassroots advocates in New York whose mission is to alert the public to the serious biological harm caused by wireless communications infrastructure’s pulsed-modulated microwave radiation, and support municipally-owned and controlled wireline solutions (fiber optic broadband direct to homes and businesses as a basic public infrastructure, a public necessity and a public good) in the public rights-of-way. It advocates for the preservation and maintenance of existing legacy copper, switched telephone landlines. NORTH CENTRAL WEST VIRGINIA FOR SAFE TECHNOLOGY is a nonprofit organization in West Virginia whose mission is to reflect the feelings and actions of like-minded people in West Virginia and around the world, to make our area on the planet one of the healthiest (low radiation) places to live in the USA. ONCE A FOREST is a community organization based in Santa Fe, NM, supporting living forests and community-inclusive decision-making about forest health with a mission to inform the public about forest service cut and burn plans. They are concerned about the impact of harmful electromagnetic radiation on the health of the forests. 234234 ORGANIC CONSUMERS ASSOCIATION is based in Minnesota and is an online and grassroots 501(c)(3) nonprofit public interest organization, and the only organization in the U.S. focused exclusively on promoting the views and interests of the nation's estimated 50 million consumers of organically and socially responsibly produced food and other products. Their mission statement is to protect and advocate for consumers' right to safe, healthful food and other consumer products, a just food and farming system and an environment rich in biodiversity and free of pollutants. PATRONS OF THE PLANET is an environmental group in Connecticut working to bring awareness and information to residents about the importance of protecting the lands, water, insects and air from the harmful effects of “small cells,” cell towers and smart meters. They advocated against a bill that would extend the rollout of “small cells.” PLUMAS WIRED! is an advocacy group of Plumas County residents in California, with hundreds of members, whose mission is to support safer, affordable, wired telecommunications for the public. SAINT CROIX APPRAISALS is an organization that offers appraisal services for residential homes and educates people about the destructive effects of Wi-Fi and electromagnetic energies in their homes. 235235 SANTA BARBARA PERMACULTURE NETWORK is a 501(c)(3) nonprofit organization in California that helps Santa Barbara design systems to reconcile human communities with the ecological imperatives of a living planet. SECOND LOOK is a nonprofit organization whose main goal is to facilitate full public and scientific examinations of public policy issues that have become obscured by media treatment (or lack thereof), or by political rhetoric, or because of the inaccessibility of accurate information to relevant constituencies. Their primary environmental health concerns are fluoride toxicity, fluoride poisoning in individuals, and electromagnetic field toxicity science. SOCIAL JUSTICE COMMITTEE is a faith-based committee of the Berkeley Fellowship of Universalist Unitarians, a 501(c)(3) nonprofit organization based in California, whose mission is to support inclusion and diversity, environmental stewardship, fair labor practices, and general peace, democracy, and human rights in the U.S. and abroad. SOUTH CAROLINA COALITION FOR WIRELESS SAFETY STANDARDS is a 501(c)(3) nonprofit corporation whose mission is to educate and advocate on the dangers that wireless technology poses to human health and the environment. The SCCWSS represents thousands of people across South Carolina. The Coalition embraces and supports getting safe, connected technology to every 236236 citizen in South Carolina while reducing the man-made electromagnetic pollutant of radio frequency, microwave and millimeter wave radiation. STOP 5G CARLSBAD is a grassroots movement of residents in Carlsbad, California who are deeply concerned about the pending construction of 5G “small cell” towers every 300-500 feet throughout their neighborhoods. They are also concerned with such harmful devices as smart meters. STOP 5G ENCINITAS is a California organization that envisions and seeks to ensure a world where 4G, 5G, 6G or any other "G" is implemented by safe technology standards that has undergone scrutiny to ensure the health and well- being of all life on the planet before being unleashed. They also envision and seek to ensure a world where the health and well-being of all life takes precedence over corporate self-gain. STOP 5G INTERNATIONAL is a voluntary association of individuals from around the world with about 5,000 members from multiple countries whose mission is to support the global effort to stop 5G because it poses an immediate threat to life on earth. They rely on evidence-based information and non-violent actions in keeping with the vision of Stop 5G International. Their financing is through Ecological Options Network, a 501(c)(3) organization. 237237 STOP 5G JAX is an activist group of citizens whose mission is education and opposition to 5G in Jacksonville, FL and in the rest of Florida. STOP SMART METERS! is based in California and their fiscal sponsor is California for Renewable Energy. It is an advocacy, media outreach and direct action network providing activism, consultation and advice to dozens of local groups who are opposing wireless smart utility meter deployments for health, privacy, safety and other reasons. STOP SMART METERS NEW YORK was created in 2013 as an information hub and help line for New York State residents who are concerned about the forced installation of digital utility meters in the state. This step was required due to the absence of any state-provided consumer protection for utility customers. Their mission is to secure a no-fee safe analog utility meter choice for all New York State residents. SWEETWATER COLLABORATIVE is a 501(c)(3) nonprofit from California whose mission is to demonstrate how to live in balance with their local watershed using regenerative, waterwise landscape practices. They provide education, workshops, and training for sustainable water management as well as consultations, design, and installations of greywater and rainwater harvesting systems, food forests and drought-tolerant and edible landscapes. They work 238238 with homeowners, organizations, businesses and neighborhoods in a variety of capacities. They are concerned about the impact of wireless radiation on landscapes and ecosystems. TOXICS INFORMATION PROJECT (TIP) is a 501(c)(3) nonprofit corporation based in Rhode Island which strongly opposes deployment of 5G systems and informs residents about the high radiation installations and their dangerous and unhealthy effects. VERMONTERS FOR A CLEAN ENVIRONMENT is an organization whose mission is fighting for the economic well-being of all Vermonters assuring appropriate use of their resources — our people, our land, our air and our water. They are united in the belief that Vermont’s future lies in conserving its clean, rural, small-town environment. They have joined together to pursue the common goals of encouraging economic development with minimal environmental impacts and preserving Vermont’s natural beauty. VCE is committed to providing facts and information so that people can make informed decisions. WINDHEIM EMF SOLUTIONS is an organization from California that believes that fewer electromagnetic fields lead to better health and longer life. 239239 WIRE AMERICA is a citizen journalist and advocacy organization in California, working to preserve local control over wired broadband and wireless telecommunications infrastructure. Local communities must retain the freedom to integrate the best broadband options for their residents. It has worked at the federal, state and local levels to tame the unnecessarily dense deployment of 4G/5G so-called “small” wireless telecommunications facilities (sWTFs) in residential neighborhoods. WiRED is an organization based in California that exists to educate the public about wireless radiation and to defend communities against it. They are the local embodiment of a state-wide, national and worldwide movement advocating for safer technology and resisting the corporate imposition of wireless and cellular technologies on the public without fully-informed consent. They seek to inform the public via independent, evidence-based, peer-reviewed scientific studies. They seek to awaken and empower ordinary folks to unite to take back the autonomy of our communities from the colonizing control of transnational telecommunications corporations. WIRED BROADBAND, INC. is a nonprofit corporation in New York whose mission is to educate the public and government officials about the dangers associated with radio frequency radiation from wireless facilities and to advocate 240240 for the use of fiber optics as a safer, faster and more secure solution to broadband deployment in New York City and throughout the United States. WIRELESS EDUCATION ACTION is an educational organization based in Oregon whose mission is education regarding the potential health effects of wireless technology and how to reduce exposure, education of local and federal representatives, and of health practitioners. They wish to build a greater and greater grass root movement to affect change in Oregon. WIRELESS RADIATION EDUCATION & DEFENSE is a grassroots nonprofit organization based in California composed of concerned scientists, educators, parents, and activists. This organization is a fiscal project of Ecological Options Network (EON), which is a 501(c)(3) nonprofit corporation. Its mission is to empower the public to regain autonomy and rights over adverse telecommunication company interests. 241241 CERTIFICATE OF COMPLIANCE Pursuant to Pa. R. App. P. 531(b)(3) and 2135(d), the undersigned certifies that this Brief complies with the type-volume limitations of Pa. R. App. P. 531(b)(3) because this Brief contains 6,985 words, excluding those parts exempted by Pa. R. App. P. 2135(b). /s/ Andrea L. Shaw Andrea L. Shaw (I.D. No. 89333) Law Office of Andrew H. Shaw, P.C. 2011 W. Trindle Road Carlisle, PA 17013 Tel: (717) 243-7135 Fax: (717) 243-7872 andrea@ashawlaw.com Counsel for Amici Curiae 242242 CERTIFICATION OF CONFIDENTIAL INFORMATION I hereby certify that this filing complies with the provisions of the Case Records Public Access Policy of the United Judicial System of Pennsylvania that require filing confidential information and documents differently than non- confidential information and documents. /s/ Andrea L. Shaw Andrea L. Shaw (I.D. No. 89333) Law Office of Andrew H. Shaw, P.C. 2011 W. Trindle Road Carlisle, PA 17013 Tel: (717) 243-7135 Fax: (717) 243-7872 andrea@ashawlaw.com Counsel for Amici Curiae 243243 CERTIFICATE OF SERVICE I hereby certify that on this 14th day of September 2021, I electronically filed the foregoing with the Clerk of Courts using the PACFile appellate court electronic filing system, which will send notice of such filing to all registered PACFile users. /s/ Andrea L. Shaw Andrea L. Shaw (I.D. No. 89333) Law Office of Andrew H. Shaw, P.C. 2011 W. Trindle Road Carlisle, PA 17013 Tel: (717) 243-7135 Fax: (717) 243-7872 andrea@ashawlaw.com Counsel for Amici Curiae 244244 ADDENDUM 245245 ADDENDUM TABLE OF CONTENTS Physicians Statement …………………………………………………... 64 Exhibit 1 ………………………………………………………….. 86 Exhibit 2 …………………………………………………………. 122 Scientists Statement ……………………………………………………. 136 Engineer Report ……………………………………………………….. 168 Building Biology Institute Report ……………………...……………… 184 246246 PHYSICIANS STATEMENT 247247 IN THE SUPREME COURT OF PENNSYLVANIA MIDDLE DISTRICT RE: No. 34 MAP 2021, Povacz, M, et al. v. PUC Associated Case(s): 35 MAP 2021 Consolidated 36 MAP 2021 Consolidated 37 MAP 2021 Consolidated 38 MAP 2021 Consolidated 39 MAP 2021 Consolidated 40 MAP 2021 Consolidated 41 MAP 2021 Consolidated 42 MAP 2021 Consolidated 43 MAP 2021 Consolidated 44 MAP 2021 Consolidated 45 MAP 2021 Consolidated PHYSICIANS STATEMENT SMART METER EFFECTS ON PATIENTS WHO ARE ADVERSELY AFFECTED BY EXPOSURE TO RADIOFREQUENCY AND ELECTROMAGNETIC EMISSIONS Purpose of Statement 1.The undersigned are physicians - medical doctors (MDs) and Doctor of Osteopathic Medicine (DOs). Our duty as physicians is to help our patients and protect our community’s public health. The American Medical Association’s Code of Medical Ethics also demands that we seek legal outcomes that are in the best interests of the patient. Code of Medical Ethics Opinion 8.1 states that “While a physician’s role tends to focus on diagnosing and treating illness once it occurs, physicians also have a professional commitment to prevent disease and promote 248248 health and well-being for their patients and the community.” Our Hippocratic Oath requires that we take all necessary steps to “prevent disease whenever we can.” Our professional ethics therefore demand that we participate in efforts to prevent patient harm. 2.We file this statement to share with the Court our knowledge of the scientific and medical literature and our experience working with those of our patients, adults and children, who are adversely affected by exposure to wireless- based technologies, including smart meters. Combined we have over 3,000 patients who suffer from electro-sensitivity and/or other conditions which are aggravated by exposure. We hope our statement will help the Court reach an informed and equitable decision in this extremely important case that may have widespread implications on the lives of those adults and children who are adversely affected across the country. 3.It is our unequivocal opinion that Smart meters must not be forced on patients who experience a negative response to RF/EMF, and the only reasonable and humane accommodation is analog meters, the same meters we have had for many decades. Introduction and Summary of Filing 4.Wireless-based technologies such as cell phones, Wi-Fi and smart meters use and emit pulsed electromagnetic fields (EMFs) and radiofrequency 249249 (RF) radiation (collectively RF/EMF). Exposure to RF/EMF can be harmful, at least to some people. It can directly injure; it can exacerbate pre-existing conditions; and it can interfere with treatment. 5.The undersigned doctors have patients who suffer adverse reactions to RF/EMF, and some of the undersigned doctors themselves are adversely affected and personally experience the painful and debilitating effects of exposure. 6.Adverse effects from RF/EMF are real, proven and a major threat to some people’s health. Human physiology has many bioelectric elements, and this is especially true of the heart, brain, nervous system, and intercellular communication. Pulsed and modulated RF/EMF are stressors that directly affect this physiology. Humans vary in their physiology and in their resilience to stressors. Some people lose the ability to cope at a lower level of exposure to toxins than others and some may never get sick. 7.The only treatment for those who suffer impairments worsened by RF/EMF exposure is avoidance. However, with the ever-growing ubiquitous, involuntary exposure to RF/EMF from wireless technology and infrastructure,1 their home environment is the only place they have some ability to control exposure. It is their last place of refuge. 1 https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(18)30221- 3/fulltext. 250250 8.Mandatory smart meter deployment in homes, without a meaningful accommodation for those adversely affected by RF/EMF, will frustrate our ability to maintain or improve our patients’ well-being; cause them intolerable harm; and take away from them their only possible refuge, the only place to which they have some control over exposure, and which must be a sanctuary. 9.For those who are adversely affected, having a wireless or digital smart meter is not an option. The only reasonable accommodation is an analog meter. It does not create the adverse elements on the electric system created by the operation of the digital/wireless “smart” meters that adversely affect them. Electro-Sensitivity 10.The most widespread sickness associated with exposure to pulsed RF/EMF is likely “electro-sensitivity.”2 The condition is also referred to in the scientific literature as “electromagnetic hypersensitivity” (EHS), “microwave sickness” and “radiation sickness.” 11.The condition is characterized by a constellation of mostly neurological symptoms that occur as a result of exposure to RF/EMF. Common symptoms include headaches, cognitive and memory problems, exhaustion, heart palpitations, anxiety-like symptoms, seizures, sleep issues, ringing in the ears, 2 https://www.aaemonline.org/wp- content/uploads/2020/12/AAEMEMFmedicalconditions.pdf. 251251 tingling, nausea, skin reactions, dizziness, noise sensitivity, digestive problems, and nosebleeds. 12.Electro-sensitivity is not truly a sensitivity; it is a sickness caused and/or aggravated by exposure to pulsed RF/EMF, with serious physiological complications. Many hundreds of studies have proven that RF/EMF exposure can cause and/or aggravate these symptoms3 and the underlying injuries4 and establish the causal mechanisms of harm.5 13.There are diagnosis guidelines and International Codes of Diseases classifications. Doctors and scientists warn that it is widespread, and the rates are growing. It is recognized as a disability by US agencies.6 3 Neurological effects: https://bioinitiative.org/wp-content/uploads/2020/09/6- RFR-Neurological-Effects-Abstracts-2020.pdf; https://bioinitiative.org/wp- content/uploads/2020/10/13-Neurological-Effects-Studies-Percent-Comparison- 2020.pdf. 4 https://direct.mit.edu/neco/article/30/11/2882/8424/Diplomats-Mystery-Illness- and-Pulsed. 5 Mechanism of harm: https://bioinitiative.org/wp-content/uploads/2020/09/3- RFR-Free-Radical-Oxidative-Damage-Abstracts-2020.pdf (oxidative stress); https://direct.mit.edu/neco/article/30/11/2882/8424/Diplomats-Mystery-Illness- and-Pulsed’; https://direct.mit.edu/neco/article/30/11/2882/8424/Diplomats- Mystery-Illness-and-Pulsed. 6 See further discussion in the Amicus Brief. Also: https://childrenshealthdefense.org/wp-content/uploads/rf-accomodation-nibs.pdf; Dept. of Education: https://childrenshealthdefense.org/wp-content/uploads/rf- accomodation-education.pdf; Dept. of Labor: https://childrenshealthdefense.org/wp-content/uploads/rf-accomodation-labor.pdf. 252252 14.For many of our patients, RF/EMF exposure adversely and severely affects their ability to physically and mentally function. Exposure can interfere with brain wave operation and impair blood flow to the brain. These effects can cause interference with various brain functions including sleep and cognitive functions. Exposure can also damage the blood-brain barrier (BBB) which can lead to brain damage and neurodegenerative conditions. RF/EMF interfere with the nervous system and bioelectric functions.7 15.Those affected react to RF/EMF exposures they were able to tolerate previously and at levels that may not evoke a negative response in others. With avoidance, the symptoms decrease and can even completely disappear. But with re- exposure they reappear. Continued exposure leads to increase in symptom frequency, severity and additional symptoms may appear. It can also worsen the underlying injuries. 16.The scientific evidence explaining causation and mechanisms of harm associated with RF/EMF injuries is now robust. Oxidative stress is an established 7 https://direct.mit.edu/neco/article/30/11/2882/8424/Diplomats-Mystery-Illness- and-Pulsed. 253253 mechanism of harm for RF/EMF-related injuries;8 known physiological biomarkers and genetic predispositions9 help us in our diagnoses. Diagnosis Guidelines 17.There are reliable diagnostic guidelines that we use and rely on in our practice. In 2016 the European Academy for Environmental Medicine’s (EUROPAEM) “EMF Working Group” developed official diagnosis guidelines: “EUROPAEM EMF Guideline 2016 for the prevention, diagnosis and treatment of EMF-related health problems and illnesses”10 (Exhibit 1). These guidelines were developed by the world leading experts; they were peer-reviewed and published and are used by doctors in the US and around the world. They provide a comprehensive review of the scientific evidence regarding the symptoms, the physiological damage, mechanisms of harm and biomarkers associated with RF/EMF-related health effects, and they reference 235 peer-reviewed studies. The guidelines are based on the Austrian Medical Association’s guidelines.11 18.When diagnosing the condition, we use the World Health Organization (WHO) International Classification of Diseases’ Code T-66 for a 8 https://direct.mit.edu/neco/article/30/11/2882/8424/Diplomats-Mystery-Illness- and-Pulsed. 9 https://www.hindawi.com/journals/mi/2014/924184/. 10 https://pubmed.ncbi.nlm.nih.gov/27454111/. 11 https://ecfsapi.fcc.gov/file/1092912632123/48-Attachment%2048- %20Austrian%20Medical%20Assoc%20Guideline%20EMF%20Disease.pdf. 254254 diagnosis of “Radiation Sickness” and Code W90 which recognizes that “Exposure to Other Nonionizing Radiation” can cause injury. 19.The knowledge regarding the etiology of the condition is constantly evolving. Professor Dominique Belpomme is a member of the EMF Working Group that developed the diagnosis guidelines. Since 2009, he and his team have been conducting extensive testing on people who suffer from electro-sensitivity to identify the underlining injuries and biomarkers. They have tested over 700 people. Some of the lab tests recommended by the EUROPAEM’s guidelines are based on his work.12 To keep doctors appraised of the newly identified biomarkers, in 2020 he published peer-reviewed guidelines13 to reflect the most current findings and biomarkers to help doctors diagnose, treat, and prevent this condition.14 20.We also consult with guidelines from clinics specializing in diagnosis of RF/EMF-related injuries such as those developed by Professor Riina Bray, MD, BASC, MSC, FFCP, MHSC. Prof. Bray leads the largest government hospital 12 https://pubmed.ncbi.nlm.nih.gov/26613326/. 13 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7139347/. 14 Belpomme’s studies provide clear evidence of physiological biomarkers indicating serious physiological injuries, and he concludes that these findings negate the hypothesis that electro-sensitivity could be psychosomatic or caused by a “nocebo” effect. These studies include objective tests that measure physiological reactions, not subjective perception, and prove that electro-sensitivity and exposure can lead to severe injuries. 255255 clinic specializing in diagnosing electro-sensitivity.15 Her diagnosis guidelines16 are based on the knowledge she and the seven doctors in the clinic accumulated over the past 23 years seeing many hundreds of patients with electro-sensitivity (Exhibit 2). Clinical Diagnosis 21.Those who suffer from electro-sensitivity develop symptoms from RF/EMF exposure. However, the underlying physical injury may be different from one patient to another, because pulsed RF/EMF can cause various physiological injuries. 22.For example, a peer-reviewed study on 675 subjects with electro- sensitivity17 showed that 28% had leakage of the blood-brain barrier; 40% had chronic inflammation indicating oxidative stress; 23% had autoimmune antibodies; and 100% had reduced melatonin levels. Substantive scientific evidence shows that each of these injuries can be caused by pulsed RF/EMF exposure. 23.For this reason, there is no one test for diagnosis and therefore, as with many other conditions, the diagnosis must be clinical, involve direct 15 https://www.womenscollegehospital.ca/care-programs/environmental-health- clinic/. 16https://www.womenscollegehospital.ca/assets/pdf/environmental/Preliminary%20 Clinical%20Guidelines%20%20for%20EHS.pdf. 17 https://pubmed.ncbi.nlm.nih.gov/26613326/. 256256 evaluation of the patient, and requires medical judgment. Diagnosis is based on identifying the underlying cause of the patient’s complaints based on symptoms and medical history rather than on one specific test. Not all ailments have classic signs from blood tests or imaging, and in lieu of these, a physician must use clinical judgment to draw a reasonable and sensible conclusion based on personal and direct observation and the scientific literature.18 24.When taking a patient’s medical history, we look for description of situations which would be the equivalent of a blinded test, i.e., situations in which the patient was unaware of the exposure and the appearance of symptoms was a clear result of the exposure; and vice versa, where the source of exposure was removed without the knowledge of the patient and the symptoms improved. We also look for evidence of physiological reactions which are not based on subjective perception and on “natural experiment”: if exposure elimination/reduction leads to diminished symptoms, then avoidance is the recommended treatment. 25.When relevant and possible, we support our clinical diagnosis with the lab tests suggested by the diagnosis guidelines. These lab tests are based on 18 We understand that the utility’s medical expert’s opinion was formed and expressed without any direct contact or personal evaluation of the Complainants below, whereas the Complainants’ medical evidence was based on personal knowledge, at least in part. Remote diagnostics are contra-indicated, especially in this area. The Commission’s decision to accept the utility’s medical evidence over that of an actual attending physician is highly questionable. We note that the federal disabilities rules expressly discount remote “records-only” evaluations. 257257 biomarkers that have been associated with exposure to RF/EMF. For example, we use blood tests for free radicals that indicate oxidative stress damage because oxidative stress is a well-recognized mechanism of harm of RF/EMF exposure.19 26.Our patients’ symptoms can be very severe and debilitating and for many, they significantly affect major life functions. This is so regardless of the name attached to the condition or its alleged controversial nature. Recognition 27.US agencies have recognized the condition as a disability entitled to accommodations including: the US Access Board;20 National Institute of Buildings Science;21 the Department of Labor;22 the Department of Education;23 and the 19 Many studies have shown that RF/EMF cause oxidative stress, and it is a recognized underlying mechanism for EMF-related sicknesses, including electro- sensitivity. https://bioinitiative.org/wp-content/uploads/2020/09/3-RFR-Free- Radical-Oxidative-Damage-Abstracts-2020.pdf; https://pubmed.ncbi.nlm.nih.gov/26151230/. 20 https://childrenshealthdefense.org/wp-content/uploads/rf-accomodation-access- board.pdf#page=3. 21 The report concludes that RF/EMF is an “access barrier” and can render buildings “inaccessible” to those with electro-sensitivity and provides accessibility guidelines. https://www.access-board.gov/research/building/indoor-environmental-quality/; https://childrenshealthdefense.org/wp-content/uploads/rf-accomodation-nibs.pdf. 22 https://childrenshealthdefense.org/wp-content/uploads/rf-accomodation- labor.pdf. 23 In 2011, DOE issued a memorandum regarding accommodation of people with Multiple Chemical Sensitivities (“MCS”). It included recommendations to minimize exposure to EMFs and to ensure the home environment is a “sanctuary,” free from 258258 Social Security Administration. In their publications some of these agencies explain that accommodation of those affected by RF/EMF should be removal/minimizing exposure and that their home should be a sanctuary free from EMF. 28.In the past couple of decades, and mainly in the past 10 years, the number of patients we see in our clinics who suffer greatly from RF/EMF has grown.24 This is not surprising given the exponential increase in wireless deployment and use. The general public faces constant saturation in all public places and in the workplace.25 29.This sickness has been recognized by courts and by many medical and official international organizations such as the Council of Europe26 and the EMFs because they may trigger symptoms. https://childrenshealthdefense.org/wp- content/uploads/rf-accomodation-education.pdf#page=5. 24 See statement from the American Academy of Environmental Medicine: https://www.aaemonline.org/wp- content/uploads/2020/12/AAEMEMFmedicalconditions.pdf. 25 https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(18)30221- 3/fulltext. 26 Resolution 1815 (2011) Section 8.1.4: “pay particular attention to “electrosensitive” people who suffer from a syndrome of intolerance to electromagnetic fields and introduce special measures to protect them, including the creation of wave-free areas not covered by the wireless network.” Available at http://assembly.coe.int/nw/xml/XRef/Xref-XML2HTML-en.asp?fileid=17994&. 259259 European Parliament which stated in a resolution that the rates of electro- sensitivity are growing “exponentially.”27 30.In 2019, the New-Hampshire legislature voted unanimously to establish a committee to study the effects of 5G and wireless radiation. The committee was comprised of scientists, public officials, and representatives of the wireless industry (through CTIA, the wireless industry lobby association). Following a year of hearing expert testimony and reviewing the science, the committee’s majority report, published in October 2020, concluded that wireless radiation can be harmful. The report acknowledged electro-sensitivity and the need to accommodate those who suffer from the condition. It emphasized the need to educate doctors.28 31.Indeed, doctors’ awareness of RF/EMFs harms is constantly growing. The California Medical Association passed a Resolution which highlighted RF/EMF effects consistent with electro-sensitivity. In 2021, close to 200 physicians participated in a medical conference about health effects associated 27 European Parliament Written declaration on the recognition of multiple chemical sensitivity and electrohypersensitivity in the International Statistical Classification of Diseases and Related Health Problems. Available at https://www.europarl.europa.eu/doceo/document/DCL-7-2012- 0014_EN.pdf?redirect. 28http://www.gencourt.state.nh.us/statstudcomm/committees/1474/reports/5G%20 final%20report.pdf. 260260 with RF/EMF exposure.29 Participants received continued medical education (CME) credits. 32.We have no doubt that for some of our patients, RF/EMF are the cause of their symptoms. Only those who have not had patients who are affected, have not performed direct evaluations or are ignorant of the scientific and medical literature and the operation of the human body, can doubt these patients and their suffering from pulsed RF/EMFs. Smart Meter Specific Issues 33.The problems with smart meters arise not only from the RF signal used to wirelessly transfer the data to the utility company. A major problem is that smart meters inject pulsed RF and extremely low-frequency (ELFs) EMFs over a house’s electric wiring, effectively turning the entire home into a radiating antenna. Locating the smart meter further away from the house is not an acceptable solution or reasonable accommodation because it does not eliminate this “antenna” effect.30 34.This problem is exacerbated because the RF/EMF that enter the electric system are intensely pulsed,31 and pulsation has consistently been 29 https://emfconference2021.com/. 30 See expert engineer Erik Anderson statement which is part of the amicus brief. 31 https://docs.cpuc.ca.gov/PublishedDocs/EFILE/BRIEF/171336.PDF. 261261 identified as a central element in RF/EMF related injuries.32 EMFs used for medical treatments are pulsed because the pulsation makes the signal more bioactive.33 35.Some of our patients reported symptom onset after a smart meter was installed on their homes. Many were not aware of the installation at the time, did not suffer from adverse effects from wireless devices and had no idea that these meters or any wireless device can cause harm. In many of the cases, the association between the meter installation and the appearance of symptoms is clear.34 36.However, the best evidence of the adverse effects of these meters is the changes we see almost immediately after a smart meter is removed and replaced with an analog meter. Our patients’ symptoms usually disappear or at least significantly lessen. 37.Adverse reactions which are not affected by subjective perception disappear and thus the evidence is indisputable and cannot be deemed a “nocebo” effect. It establishes clear and direct causation. For example, a common symptom we see in patients from smart meters is nosebleeds, including in children. When the 32https://ecfsapi.fcc.gov/file/10709642227609/Carlo%20paper%20%20Real%20vers us%20Simulated%20Mobile%20Phone%20Exposures%20in%20Experimental%20St udies.pdf. 33 https://ecfsapi.fcc.gov/file/7520940777.pdf. 34 https://ecfsapi.fcc.gov/file/7520958363.pdf. 262262 family has the smart meter removed, the nosebleeds usually disappear almost overnight. Studies have explained the mechanism behind pulsed RF/EMF exposure and nosebleeds.35 38.We must emphasize that the question of initial causation is irrelevant. The smart meter may or may not be the source that first generates symptom onset. What is relevant is that once a person begins to react to pulsed RF/EMFs, any and all exposure must be avoided, since avoidance is the primary and only truly effective treatment. People can turn off a cell phone, but they cannot turn off the smart meter or shield themselves from its effects. 39.People with major life function impairments require accommodation, without regard to initial cause. The accommodation requirement merely allows them to better function and have some chance of a tolerable life. 40.Forcing smart meters on our patients who are adversely affected by RF/EMF, in their homes, means exposing them 24/7 to a toxin that instigates dysfunction, tormenting pain and severe physiological injuries and reactions, some of which can be life-threatening. 41.Our patients and those like them cannot be required to endure exposure that is toxic and can be even deadly to them in their own home as a 35 https://ecfsapi.fcc.gov/file/1091442657471/Cuban%20Embassy- Beatrice%20Golomb%20PhD-Microwave%20Attack.pdf#page=20. 263263 condition of utility service. If they cannot have a safe environment in their homes, their condition will undoubtedly worsen and can result in death. Their home is their only refuge. 42.The main recommendation to our patients beyond avoidance is to contact professionals who specialize in EMF mitigation, to help them mitigate RF/EMF exposure and shield the home from outside exposure sources. However, no amount of shielding can protect those who are sick from the effects of smart meters, since they turn the home’s electric wiring into a transmitting antenna. This is the worst-case scenario for the electro-sensitive. Summary 43.Based on our knowledge and experience, we unequivocally determine that wireless and digital “smart” meters must not be forced on those who suffer adverse reactions from RF/EMF exposure. Those who are affected must have the choice of mechanical analog meters. Any other outcome will lead to immense suffering and even death. It would be unconscionable. 44.This accommodation is necessary, simple and reasonable. All that is required is to allow them to use the same mechanical analog utility meter that was installed for many decades on homes. Respectfully Submitted, 264264 Physicians Statement Signatories Prashanthi Atluri, MD, Cardiology, OH Tiffany Baer, MD, Internal Medicine, TX Sunil Bhat, DO, Family Medicine, PA Anthony Bianco, DO, Family Medicine, OH Michael Blahut, DO, Family Medicine, PA Mark Brody, MD, Primary Care, Integrative Medicine, RI Larry Burk, MD, Radiology, NC Maria Carrascal, MD, Pediatrics, Puerto Rico David Calderwood, MD, Family Medicine, AL Lora Chamberlain, DO, Family Medicine, IL Jaqueline Chan, DO, Family and Integrative Medicine, CA Barbara A. Crothers, DO, Pathology, MD Diane Culik, MD, Family Medicine, MI Paul Dart, MD, Family Practice Physician, OR 265265 Sandra Denton, MD, Family Medicine, Alternative Medicine, Emergency Medicine, AK Tim Dooley, MD, Integrative Medicine, CA Robyn Dreibelbis, DO, Family Medicine, OR Victoria Dunckley, MD, Psychiatry, CA Ben Edwards, MD, Functional Medicine, TX Erica Elliot, MD, Family and Environmental Medicine, NM Tracy Freeman, MD, Internal Medicine, MD Deborah Ginsburg, MD, Family Medicine, Special Needs, NJ Melanie Gisler, DO, Family Medicine, CA Sharon Goldberg, MD, Internal and Integrative Medicine, NM Stephen Grable, MD, Internal Medicine, FL Margaret Heinze, MD, Family Medicine, WI Martha Herbert, MD PhD, Pediatric Neurologist, MA Michael Hilts, MD, Family Medicine, NC Jeanne Hubbuch, MD, Family Medicine, MA Toril Jelter, MD, Pediatrics, CA 266266 Lyn Johnson, DO, Family Medicine, FL Bob Kaplan, MD, Diagnostic Radiology, AZ Stacy Kuhns, MD, Pediatrics, PA Christopher Lawinski, MD, Integrative Medicine, HI Janet Levatin, MD, Pediatrics, OH Stephanie McCarter, MD, Internal Medicine, TX Lawrence McKnight, MD, Internal Medicine, PA Jorge Moreno, DO, Family Medicine, CA Leah Morton, MD, Family Medicine, NM Gerald Natzke, DO, Assistant Clinical Professor, Michigan State University, Environmental Medicine, Allergies, MI Raymond Oenbrink, DO, Family Medicine, NC Kara Parker, MD, Family Medicine, Functional Medicine, and Integrative Health, MN Jessica Peatross, MD, Internal and Functional Medicine, NC Michelle Perro, MD, Pediatrics, Integrative Medicine, CA Diane Powell, MD, Psychiatry, OR 267267 Peter Prociuk, MD, Internal Medicine, PA Kirsten Reynolds, MD, Family Medicine, WI David G. Schwartz, MD, Family Medicine, VA Jennifer Shaw, MD, Obstetrics and Gynecology, AZ Pam Shervanick, DO, Psychiatry, ME Frank Sievert, MD, Family Medicine, OR Ana-Maria Temple, MD, Pediatrics, NC Robert Turner, MD, Neurology, SC Kevin Wand, DO, Family Medicine, MN Jane Williams, MD, General Surgery, CA Savely Yurkovsky, MD, Cardiology, Internal Medicine, Pediatrics, NY James Ziobron, DO, Family Medicine, MI 268268 PHYSICIANS STATEMENT – Exhibit 1 269269 Rev Environ Health 2015; 30(4): 337–371 European Academy for Environmental Medicine (EUROPAEM) – EMF working group:*Corresponding author: Gerd Oberfeld, Department of Public Health, Government of Land Salzburg, Austria, E-mail: gerd.oberfeld@salzburg.gv.atIgor Belyaev: Cancer Research Institute, Slovak Academy of Science, Bratislava, Slovak Republic; and Prokhorov General Physics Institute, Russian Academy of Science, Moscow, RussiaAmy Dean: American Academy of Environmental Medicine, Wichita, Kansas, USAHorst Eger: Association of Statutory Health Insurance Physicians of Bavaria, Medical Quality Circle “Electromagnetic Fields in Medicine – Diagnostic, Therapy, Environment”, Naila, GermanyGerhard Hubmann: Center for Holistic Medicine “MEDICUS”, Vienna, Austria; and Wiener Internationale Akademie für Ganzheitsmedizin (GAMED), Vienna, AustriaReinhold Jandrisovits: Medical Association Burgenland, Environmental Medicine Department, Eisenstadt, AustriaOlle Johansson: The Experimental Dermatology Unit, Department of Neuroscience, Karolinska Institute, Stockholm, Sweden Markus Kern: Medical Quality Circle “Electromagnetic Fields in Medicine – Diagnosis, Treatment and Environment”, Kempten, Germany; and Kompetenzinitiative zum Schutz von Mensch, Umwelt u. Demokratie e.V, Kempten, GermanyMichael Kundi and Hanns Moshammer: Institute of Environmental Health, Medical University Vienna, Vienna, AustriaPiero Lercher: Medical Association Vienna, Environmental Medicine Department, Vienna, AustriaWilhelm Mosgöller: Institute of Cancer Research Medical University Vienna, Vienna, AustriaKurt Müller: European Academy for Environmental Medicine, Kempten, GermanyPeter Ohnsorge: European Academy for Environmental Medicine, Würzburg, GermanyPeter Pelzmann: Department of electronics and computer science engineering, HTL Danube City, Vienna, AustriaClaus Scheingraber: Working Group Electro-Biology (AEB), Munich, Germany; and Association for Environmental- and Human-Toxicology (DGUHT), Würzburg, GermanyRoby Thill: Association for Environmental Medicine (ALMEN) Beaufort, Luxembourg Igor Belyaev, Amy Dean, Horst Eger, Gerhard Hubmann, Reinhold Jandrisovits, Olle Johansson, Markus Kern, Michael Kundi, Piero Lercher, Wilhelm Mosgöller, Hanns Moshammer, Kurt Müller, Gerd Oberfeld*, Peter Ohnsorge, Peter Pelzmann, Claus Scheingraber and Roby ThillEUROPAEM EMF Guideline 2015 for the prevention, diagnosis and treatment of EMF-related health problems and illnesses DOI 10.1515/reveh-2015-0033 Received October 1, 2015; accepted October 13, 2015 Abstract: Chronic diseases and illnesses associated with unspecific symptoms are on the rise. In addition to chronic stress in social and work environments, physi- cal and chemical exposures at home, at work, and during leisure activities are causal or contributing environmen- tal stressors that deserve attention by the general practi- tioner as well as by all other members of the health care community. It seems certainly necessary now to take “new exposures” like electromagnetic field (EMF) into account. Physicians are increasingly confronted with health prob- lems from unidentified causes. Studies, empirical obser- vations, and patient reports clearly indicate interactions between EMF exposure and health problems. Individual susceptibility and environmental factors are frequently neglected. New wireless technologies and applications have been introduced without any certainty about their health effects, raising new challenges for medicine and society. For instance, the issue of so-called non-thermal effects and potential long-term effects of low-dose expo- sure were scarcely investigated prior to the introduction of these technologies. Common EMF sources include Wi-Fi access points, routers and clients, cordless and mobile phones including their base stations, Bluetooth devices, ELF magnetic fields from net currents, ELF electric fields from electric lamps and wiring close to the bed and office desk. On the one hand, there is strong evidence that long- term-exposure to certain EMF exposures is a risk factor for diseases such as certain cancers, Alzheimer’s disease and male infertility. On the other hand, the emerging electromagnetic hypersensitivity (EHS) is more and more recognized by health authorities, disability administra- tors and case workers, politicians, as well as courts of law. We recommend treating EHS clinically as part of the group of chronic multisystem illnesses (CMI) leading to a functional impairment (EHS), but still recognizing that Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 270270 338 Belyaev et al.: EUROPAEM EMF Guideline 2015 the underlying cause remains the environment. In the beginning, EHS symptoms often occur only occasionally, but over time they may increase in frequency and severity. Common EHS symptoms include headaches, concentra- tion difficulties, sleeping problems, depression, lack of energy, fatigue and flu-like symptoms. A comprehensive medical history, which should include all symptoms and their occurrences in spatial and temporal terms and in the context of EMF exposures, is the key to the diagnosis. The EMF exposure can be assessed by asking for typical sources like Wi-Fi access points, routers and clients, cord- less and mobile phones and measurements at home and at work. It is very important to take the individual suscep- tibility into account. The primary method of treatment should mainly focus on the prevention or reduction of EMF exposure, that is, reducing or eliminating all sources of EMF at home and in the workplace. The reduction of EMF exposure should also be extended to public spaces such as schools, hospitals, public transport, and libraries to enable persons with EHS an unhindered use (accessi- bility measure). If a detrimental EMF exposure is reduced sufficiently, the body has a chance to recover and EHS symptoms will be reduced or even disappear. Many exam- ples have shown that such measures can prove effective. Also the survival rate of children with leukemia depends on ELF magnetic field exposure at home. To increase the effectiveness of the treatment, the broad range of other environmental factors that contribute to the total body burden should also be addressed. Anything that supports a balanced homeostasis will increase a person’s resilience against disease and thus against the adverse effects of EMF exposure. There is increasing evidence that EMF exposure has a major impact on the oxidative and nitrosative regu- lation capacity in affected individuals. This concept also may explain why the level of susceptibility to EMF can change and why the number of symptoms reported in the context of EMF exposures is so large. Based on our current understanding, a treatment approach that minimizes the adverse effects of peroxynitrite – as has been increasingly used in the treatment of multisystem disorders – works best. This EMF Guideline gives an overview of the current knowledge regarding EMF-related health risks and pro- vides concepts for the diagnosis and treatment and acces- sibility measures of EHS to improve and restore individual health outcomes as well as for the development of strate- gies for prevention. Keywords: accessability measures; alternating; Alzheimer’s; cancer; chronic multisystem illnesses (CMI); diagnosis; electric; electromagnetic field (EMF); electro- magnetic hypersensitivity (EHS); functional impairment; infertility; leukemia; magnetic; medical guideline; nitro- sative stress; nonionizing; oxidative stress; peroxynitrite; prevention; radiation; static; therapy; treatment. Current state of the scientific and political debate from a medical perspective Introduction The Environmental Burden of Disease Project assessed the influence of nine environmental stressors (benzene, dioxins including furans and dioxin-like PCBs, second- hand smoke, formaldehyde, lead, noise, ozone, particu- late matter and radon) on the health of the population of six countries (Belgium, Finland, France, Germany, Italy, and the Netherlands). Those nine environmental stressors caused 3%–7% of the annual burden of disease in the six European countries (1). The Bundespsychotherapeutenkammer (BPtK) study in Germany showed that mental disorders had increased further and especially burnout as a reason of inability to work escalated seven-fold from 2004 to 2011 (2). In Germany, 42% of early retirements in 2012 were caused by mental disorders, depression being the leading diagnosis (3). In Germany, psychotropic drugs are at third place for the prescriptions of all drugs (4). The consumption of methylphenidate (Ritalin, Medikinet, Concerta), a psychotropic drug prescribed as a treatment for attention deficit hyperactivity disorder (ADHD) especially for young children and adolescents, has increased alarmingly since the early 1990s. Accord- ing to statistics of the German Federal Institute for Drugs and Medical Devices (Bundesinstitut für Arzneimittel und Medizinprodukte), prescriptions have increased even more dramatically since 2000 and reached a climax in 2012. In 2013, only a slight decline in the number of prescriptions was observed (5). Interestingly the rapid increase in the use of methylphenidate coincides with the enormous expansion of mobile telecommunication and other related technologies, posing an open research question. In Germany, work disability cases and absence days due to mental health disorders more than doubled from 1994 to 2011 (6). In OECD countries, a huge variability in the prescription of antidepressants has occurred and generally an increasing trend has been observed. Socio- economic status and therapeutic standards cannot fully Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 271271 Belyaev et al.: EUROPAEM EMF Guideline 2015 339 explain these observations (7). Functional disturbances like chronic inflammation and changes of neurotransmit- ter functions caused by environmental influences are not investigated. A steady increase in the prevalence of allergic/asth- matic diseases globally has occurred, with about 30%– 40% of the world population now being affected by one or more allergic/asthmatic conditions (8). It is suspected that environmental conditions such as the increasing exposure of the population to electro- magnetic fields (EMFs) like radio-frequency radiation (RF), emanating from e.g. cordless phones (DECT), mobile phone base stations and cell phones (GSM, GPRS, UMTS, LTE) – especially smartphones, data cards for laptop and notebook computers, wireless LAN (Wi-Fi), wireless and powerline communication-based smart meters, but also exposure to extremely low frequency (ELF) electric and magnetic fields including “dirty electricity”, emanating from disturbances on the electric wiring, power lines, elec- tric devices, and other equipment, do play a causal role for EMF-related health effects (9–12). For the society and the medical community, all of this raises new challenges. Chronic diseases and illnesses associated with unspe- cific symptoms are on the rise. In addition to chronic stress in social and work environments, physical and chemical exposures at home, at work, and during leisure activities are causal or contributing environmental stressors that deserve attention by the general practitioner as well as by all other members of the health care community. It seems certainly necessary now to take “new exposures” like EMF into account. Worldwide statements of organizations regarding EMF The recommendations of the World Health Organization (WHO) regarding extremely low frequency (ELF) electric and magnetic fields and radio-frequency radiation, com- piled by the International Commission on Non-Ionizing Radiation Protection (ICNIRP) (13, 14), are based on induc- tions of currents in the body and thermal effects (SAR values). These recommendations were adopted by the EU in its Council Recommendation of 1999 without taking into account long-term nonthermal effects. However, it should be stressed that at an international EMF conference in London (2008), Professor Paolo Vecchia, head of ICNIRP, said about the exposure guidelines “What they are not”: “They are not mandatory prescriptions for safety”, “They are not the ‘last word’ on the issue”, and “They are not defensive walls for industry or others” (15). Even for short-term effects, the application of specific absorption rate (SAR) estimates seems to be not appropriate (16). In contrast to the WHO headquarter in Geneva, the International Agency for Research on Cancer (IARC) , a WHO-affiliated specialized agency in Lyon, classified extremely low frequency magnetic fields as possibly car- cinogenic to humans (Group 2B) in 2002 (17) and radio- frequency radiation in 2011 (18). In August 2007 and December 2012, the BioInitia- tive Working Group, an international group of experts, published comprehensive reports calling for preventive measures against EMF exposure based on the available scientific evidence (9, 10). Since it is mostly neglected as a health hazard, the European Environment Agency compared the risks of non- ionizing radiation (EMF) to other environmental hazards such as asbestos, benzene and tobacco, urgently recom- mending to implement a precautionary approach regarding EMF (19). This position was confirmed and elaborated more deeply in further publications in 2011 and 2013 (20, 21). In September 2008, a statement of the European Parliament called for a review of the EMF limits set out in the EU Council Recommendation of 1999, which was based on the ICNIRP guidelines, with reference to the BioInitiative Report (22). This was further strengthened in the European Parliament resolution of April 2009 (23). In November, 2009, a scientific panel met in Seletun, Norway, for 3 days of intensive discussion on existing scientific evidence and public health implications of the unprecedented global exposures to artificial electromag- netic fields. Such electromagnetic field exposures (static to 300 GHz) result from the use of electric power and from wireless telecommunications technologies for voice and data transmission, energy, security, military and radar use in weather and transportation. At the meeting, the Seletun Scientific Panel adopted a Consensus Agreement (24) that recommends preventative and precautionary actions that are warranted now, given the existing evidence for potential global health risks. It recognizes the duty of governments and their health agencies to educate and warn the public, to implement measures balanced in favor of the Precautionary Princi- ple (25), to monitor compliance with directives promoting alternatives to wireless, and to fund research and policy development geared toward prevention of exposures and development of new public safety measures. The Scientific Panel recognizes that the body of evi- dence on electromagnetic fields requires a new approach to protection of public health; the growth and develop- ment of the fetus, and of children; and argues for strong Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 272272 340 Belyaev et al.: EUROPAEM EMF Guideline 2015 preventative actions. These conclusions are built upon prior scientific and public health reports documenting the following: 1) Low-intensity (non-thermal) bioeffects and adverse health effects are demonstrated at levels significantly below existing exposure standards. 2)ICNIRP and IEEE/FCC public safety limits are inad- equate and obsolete with respect to prolonged, low- intensity exposures. 3) New, biologically-based public exposure stand- ards are urgently needed to protect public health world-wide. 4) It is not in the public interest to wait. The Panel also strongly recommends that persons with electromagnetic hypersensitivity symptoms (EHS) be clas- sified as functionally impaired in all countries rather than with “idiopathic environmental disease” or similar indis- tinct categories. This terminology will encourage govern- ments to make adjustments in the living environment to better address social and well-being needs of this subpop- ulation of highly sensitive members of society, and – as a consequence – protect everyone now as well as in the coming generations from toxic environmental exposures. It is important to note that numeric limits recom- mended by the Seletun Scientific Panel, as well as by other bodies of society, do not yet take into account sensi- tive populations (EHS, immune-compromised, the fetus, developing children, the elderly, people on medications, etc.). Another safety margin is, thus, likely justified further below the numeric limits for EMF exposure recommended by the Panel. In May 2011, the Parliamentary Assembly of the Council of Europe adopted the report “The potential dangers of electromagnetic fields and their effects on the environment” (26). The Assembly recommended many preventive measures for the member states of the Council of Europe with the aim to protect humans and the environment, especially from high-frequency electro- magnetic fields such as: “Take all reasonable measures to reduce exposure to electromagnetic fields, especially to radiofrequencies from mobile phones, and particularly the exposure of children and young people who seem to be most at risk from head tumors” or “Pay particular attention to “electrosensitive” people who suffer from a syndrome of intolerance to electromagnetic fields and introduce special measures to protect them, including the creation of wave-free areas not covered by the wire- less network.” Recognizing that patients are being adversely affected by EMF exposure, the American Academy of Environmental Medicine published recommendations regarding EMF exposure in July 2012. The AAEM called for physicians to consider electromagnetic exposure in diagnosis and treatment and recognize that EMF expo- sure “may be an underlying cause of the patient’s disease process” (27). Since 2014 the Belgium government has prohibited the advertising of cell phones for children under the age of seven and has required the specific absorption rate (SAR) of cell phones be listed. Furthermore, at the point of sale, well-marked warnings must be posted that instruct users to use headsets and to minimize their exposure (28). In January 2015, the French parliament adopted a comprehensive law that protects the general public from excessive exposure to electromagnetic waves. Among other things, it was passed to ban Wi-Fi in nurseries for children under the age of three and to enable Wi-Fi at primary schools with children under the age of 11 only when used specifically for lessons. Public places offer- ing Wi-Fi must clearly advertise this fact on a sign. At the point of sale of cell phones, the SAR value must be clearly shown. In the future, any cell phone advertise- ment must include recommendations on how users can reduce RF radiation exposure to the head such as the use of headsets. Data on local EMF exposure levels shall be made more easily accessible to the general public, among others, through country-wide transmitter maps. Also, the French government will have to submit a report on elec- tromagnetic hypersensitivity to the parliament within a year (29). In May 2015 almost 200 scientists directed an interna- tional appeal to United Nations (UN) and WHO and called for protection from nonionizing electromagnetic field exposure. In the appeal the scientifically proven effects on health and the hitherto inadequate international guidelines (ICNIRP) and their use by WHO had been addressed. In addition, various demands were made in nine points, such as that: “the public be fully informed about the potential health risks from electromagnetic energy and taught harm reduction strategies” and “that medical professionals be educated about the biological effects of electromagnetic energy and be provided train- ing on treatment of patients with electromagnetic sensi- tivity” (30). Finally, in 2015 Pall (12) published a comprehen- sive paper with the title “Scientific evidence contradicts findings and assumptions of Canadian Safety Panel 6: microwaves act through voltage-gated calcium channel activation to induce biological impacts at non-thermal levels, supporting a paradigm shift for microwave/lower frequency electromagnetic field action”. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 273273 Belyaev et al.: EUROPAEM EMF Guideline 2015 341 EMF and cancer Except for a few investigations in occupational settings, epidemiological research of EMF started in 1979 when Wertheimer and Leeper published their study about the relationship between the proximity to so-called power line poles with “service drop” wires and the occurrence of childhood cancer (specifically leukemia and brain tumors) (31). At the same time Robinette et al. studied mortality in a cohort of Korean War veterans having been trained on military radars in the early 1950s (32). Both studies found indications of increased risks and initiated a new era of studying health-relevant effects from exposure to EMFs. In the following years, a large number of investiga- tions about the relationship between childhood leuke- mia and extremely low frequency magnetic fields (ELF MF) have been published. However, the results seemed inconsistent until in 2000 two pooled analyses (33, 34) were conducted, providing little indication of inconsist- ency and demonstrating an increase of leukemia risk with increasing average exposure levels that was significant for levels above 0.3 or 0.4 µT relative to averages below 0.1 µT but without indication of a threshold. Based on these findings, the International Agency for Research on Cancer (IARC) classified ELF MF in 2002 as a Group 2B (possible) carcinogen (17). To this category belong e.g. lead, DDT, welding fumes, and carbon tetrachloride. Since then additional epidemiological studies have been conducted that gave essentially the same results (35, 36). In a review on childhood leukemia and ELF MF, Kundi concluded that there is sufficient evidence from epidemio- logical studies of an increased risk for childhood leuke- mia from exposure to power-frequency MF that cannot be attributed to chance, bias, or confounding. Therefore, according to the rules of IARC, such exposures ought to be classified as a Group 1 (definite) carcinogen (10). The prognosis of certain diseases can be influenced by EMF-reduction. For example, children who have leuke- mia and are in recovery have poorer survival rates if their ELF magnetic field exposure at home (or where they are recovering) is between 1 mG [0.1 µT] and 2 mG [0.2 µT] or above 2 mG [0.2 µT] in one study, over 3 mG [0.3 µT] in another study (9). Epidemiological studies of radio-frequency fields before the general rise in exposure to mobile telecom- munication networks was quite restricted and only a few studies had been conducted in the vicinity of radio trans- mitters, radar stations, other occupational exposures, a in radio amateurs. After the introduction of digital mobile telephony, the number of users of mobile phones increased dramatically and it was recommended in the 1990s to perform epidemiological studies with a focus on intrac- ranial tumors. Since the first publication in 1999 by the Swedish group around Prof. Lennart Hardell (37), about 40 studies have been published. The majority of these studies investigated brain tumors, but also salivary gland tumors, uveal melanoma, nerve sheath tumors, testicular cancer, and lymphoma. Many of these studies are incon- clusive because of too short exposure durations; however, two series of investigations, the international Interphone study conducted in 13 countries and the Swedish studies of the Hardell group, had a significant proportion of long- term mobile phone users and could in principle be used for risk assessment. In 2011, IARC classified radio-fre- quency electromagnetic fields (RF) as a Group 2B carcino- gen based on evidence from epidemiological studies and animal experiments (18). Since then, additional studies have corroborated the assumption of a causal relationship between mobile phone use and cancer (38–40). Hardell and Carlberg (41) concluded that RF-EMF ought to be clas- sified as a definitive human carcinogen (IARC Group 1). The evidence for a causal relationship between long-term mobile and cordless phone use and the risk for glioma has increased further in 2015 (42). In Italy, the Supreme Court upheld a ruling in October 2012 for an 80% disability rating and permanent disabil- ity pension due to a tumor, which was causally connected with the occupation-related heavy use of cell and cordless phones (43). EMF and neurodegeneration Neurological effects are caused by changes in the nervous system, including direct damage (neurodegeneration) to nerve cells and their processes, the axons and dendrites, as well as their terminal common functional entities, the syn- apses with their receptors, ion channels and comodulators. Factors that act directly or indirectly on the nervous system causing morphological, chemical, and/or electrical changes in the nervous system can lead to neurological alterations. The final manifestation of these effects can be seen in neu- rocognitive changes, e.g. memory, learning and perception, as well as in primary sensory and motor incapacities. The nervous system is an electrical organ based on a very complex chemistry. Thus, it should not be surprising that exposure to electromagnetic fields could lead to neu- rodegeneration and concomitant or consecutive neuro- logical changes. Morphological, chemical, electrical, and behavioral changes have been reported in animals, cells and tissues after exposure to electromagnetic fields across a range of frequencies. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 274274 342 Belyaev et al.: EUROPAEM EMF Guideline 2015 The consequences of physiological changes in the nervous system are very difficult to assess. We do not fully understand how the nervous system functions and reacts to external perturbations. The neuronal plastic- ity of the nervous system could compensate for external disturbances, at least to a certain degree. On the other hand, the consequence of neural perturbation is also situation-dependent. An EMF-induced severe change in brain performance, for instance, could lead to different consequences depending on whether a person is sitting in a sofa watching TV or driving a car. The latter could very well end dramatically, even fatally. It should be noted that analyses of the recent neuro- logical literature show that there are more publications showing effects than no effects. So the question is not if EMFs cause effects, but rather how serious they will be for a given person. Neurological effects of radio-frequency radiation (RFR) There are many studies on human subjects. Many of the published papers are on changes in brain electrical activi- ties, the EEG, as well as impacts on sleep, after acute expo- sure to cell phone radiation. Bak et al. (44) reported effects on event-related potentials. Maganioti et al. (45) further reported that RFR affected the gender-specific components of event-related potentials [see also Hountala et al. (46)]. Croft et al. (47) reported changes of the alpha wave power in the EEG. The same authors (48) further reported that effects dif- fered between various new cell phone transmission systems, which have different signaling characteristics. They observed effects after exposure to second genera- tion (2G), but not third generation (3G) radiation, whereas Leung et al. (49) found similar EEG effects with both 2G and 3G types of radiation. Lustenberger et al. (50) found increased slow-wave activity in humans during exposure to pulse-modulated RF EMF toward the end of the sleep period. Vecchio and associates reported that cell phone RFR affected EEG and the spread of neural synchroniza- tion conveyed by interhemispherical functional coupling of EEG rhythms (51) and enhanced human cortical neural efficiency (52). An interesting finding is that RFR could interact with the activity of brain epileptic foci in epilep- tic patients (53, 54). However, no significant effect on EEG was reported by Perentos et al. (55) or Trunk et al. (56). And Kleinlogel et al. (57, 58) also reported no significant effects on resting EEG and event-related potentials in humans after exposure to cell phone RFR. Furthermore, Krause et al. (59) reported no significant effect of cell phone radiation on brain oscillatory activity, and Inomata- Terada et al. (60) concluded that cell phone radiation does not affect the electrical activity of the motor cortex. There are studies on the interaction of cell phone radiation on EEG during sleep. Changes in sleep EEG have been reported by Hung et al. (61), Regel et al. (62), Lowden et al. (63), Schmid et al. (64, 65), and Loughran et al. (66), whereas no significant effect was reported by Fritzer et al. (67), Mohler et al. (68, 69) and Nakatani-Enomoto et al. (70). Loughran et al. (66) provided an interesting conclu- sion in their paper: “These results confirm previous find- ings of mobile phone-like emissions affecting the EEG during non-REM sleep”. Importantly, this low-level effect was also shown to be sensitive to individual variability. Fur- thermore, this indicates that “previous negative results are not strong evidence for a lack of an effect…” Increase in REM sleep was reported by Pelletier et al. (71) in developing rats after chronic exposure. Mohammed et al. (72) reported a disturbance in REM sleep EEG in the rat after long term exposure (1 h/day for 1 month) to a 900-MHz modulated RFR. A Swiss Study revealed that, under pulse-modulated radiofrequency electromagnetic field exposure, sleep slow- wave activity is increased and – fitting to that – the sleep- dependent performance improvement is decreased (50). Among the very many effects reported in the ever increasing number of scientific papers are also reduction in behavioral arousal, sleep latency alterations, effects on cognitive functions and EEG, on spatial working memory, on well-being, influences on overall behavioral problems in adolescents, alteration of thermal pain threshold and visual discrimination threshold, respectively, induced hyperactivity, hypoactivity and impaired memory, respec- tively, contextual emotional behavior deficit, olfactory and/or visual memory deficit, impact on food collection behavior (in ants), decreased motor activity, learning behavior deficit, induction of stress behavioral patterns, passive avoidance deficit, and reduced memory functions. Almost all the animal studies reported effects, whereas more human studies reported no effects than effects. This may be caused by several possible factors: (a) Humans are less susceptible to the effects of RFR than are rodents and other species. (b) Non-thermal effects of RFR depend on a number of physical and biological parameters (73). The same exposure can induce effects in certain biological species while being ineffective in others. IARC also admits that some of the discrepancies between RFR studies could be due to differences in species [(18), p. 416]. (c) It may be more difficult to do human than animal experiments, since, in general, it is easier to control the variables and confounding factors in an animal experiment. (d) In the animal studies, the cumulative exposure duration was Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 275275 Belyaev et al.: EUROPAEM EMF Guideline 2015 343 generally longer and studies were carried out after expo- sure, whereas in the human studies, the exposure was generally at one time and testing was done during expo- sure. This raises the question of whether the effects of RFR are cumulative. This consideration could have very important implications on real-life human exposure to EMF. However, it must be pointed out that neurophysi- ological and behavioral changes have been reported in both animals and humans after acute (one-time) exposure to RFR, and most of the EEG studies mentioned above are acute exposure experiments. Neurological effects of extremely low frequency electromagnetic fields (ELF-EMF) A number of authors have reported effects of ELF-EMF on various animal transmitter receptors in the brain such as NMDA receptors, dopamine and serotonin receptors, includ- ing the 5HT(2A) subtype of serotonin receptors. The latter is classically, particularly in the frontal cortex, believed to be related to the psychiatric syndromes of depression in humans. Kitaoka et al. (74) and Szemerszky et al. (75) did report depression-like behavior in both mice and rats, after chronic exposure to ELF magnetic fields. There are two reports on dopamine receptors. Shin et al. (76, 77) reported an increase in D-1 dopamine receptors and activity in the striatum of the rat after ELF magnetic field exposure. Dopa- mine in the striatum is, of course, involved in Parkinson’s disease. Wang et al. (78) reported that ELF magnetic fields potentiated morphine-induced decrease in D-2 dopamine receptors. Both D-1 and D-2 dopamine receptors in the brain are involved in depression and drug addiction. Ravera et al. (79) reported changes in the enzyme acetylcholinesterase in cell membrane isolated from the cerebellum after ELF magnetic field exposure. Interestingly, these researchers also reported “frequency window” effects in their experi- ment. Window effects, i.e. effects are observed at a certain range(s) of EMF frequencies or intensities, were first reported by Ross Adey, Susan Bawin, and Carl Blackman in the 1980s. A study by Fournier et al. (80) reported an ‘inten- sity window’ effect of ELF magnetic field on neurodevelop- ment in the rat. The cholinergic systems in the brain play a major role in learning and memory functions. Behavioral effects of ELF-EMF have been further sub- stantiated in recent research. These include: changes in locomotor activity (76, 77, 81–86), learning and memory functions (80, 87–95), anxiety (81, 93, 96–98), depression- like behavior (74, 75), perception (99), cognitive dysfunc- tion (100), emotional state (101), sleep onset (61), and comb building in hornets (102). As different behavioral effects have been observed in different exposure condi- tions, species of animals, and testing paradigms, they provide the strongest evidence that exposure to ELF-EMF can affect the nervous system. The possible medical applications of ELF-EMF should also be given more attention. Several studies indicate that ELF-EMF (however, mostly at high exposure levels) could enhance recovery of functions after nervous system damage and have protective effects against development of neurodegenerative diseases. The majority of the studies used magnetic fields above 0.1 mT (1 gauss; the highest was 8 mT). The intensities are much higher than those in the public environment. Thus, caution should be taken in extrapolating the high-intensity cell and animal studies to long-term environmental human exposure situations. In addition, however, there are studies at low or very low magnetic field exposure levels. Humans are sensi- tive to magnetic fields at levels <1 µT. A study by Ross et al. (99) showed “perception” alteration in human subjects exposed to a magnetic field at 10 nT (0.00001 mT), a study by Fournier et al. (80) showed an effect on brain development in the rat at 30 nT (0.00003 mT), and a study by Stevens (101) indicated changes in emotional states in humans exposed to 8–12 Hz magnetic fields at 5 µT (0.005 mT). These data do suggest magnetic fields at very low intensities could cause neurological effects in humans. In the 1990s, there was a series of more than 20 studies published by Reuven Sandyk, showing that pulsed magnetic fields at picotesla levels (1 pT = 0.000000001 mT) could have therapeutic effects on Parkinson’s disease and multiple sclerosis [see e.g. (103)]. However, Sandyk’s find- ings have never been independently confirmed. The above mentioned therapeutic applications of EMF elicit that different EMF-exposures have biological effects under certain conditions for short-term use. Alzheimer’s disease Amyloid beta (Aβ) protein is generally considered the primary neurotoxic agent causally associated with Alzhei- mer’s disease. Aβ is produced by both brain and periph- eral cells and can pass through the blood brain barrier. The BioInitiative review 2012 (10) summarized the evi- dence concerning Alzheimer’s disease as follows: 1) There is longitudinal epidemiologic evidence that high peripheral blood levels of Aβ, particularly Aβ1- 42, are a risk factor for Alzheimer’s disease. 2)There is epidemiologic evidence that extremely low frequency (ELF, 50–60 Hz) magnetic field (MF) expo- sure upregulates peripheral blood levels of Aβ. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 276276 344 Belyaev et al.: EUROPAEM EMF Guideline 2015 3) There is evidence that melatonin can inhibit the development of Alzheimer’s disease and, thus, low melatonin levels may increase the risk of Alzheimer’s disease. 4) There is strong epidemiologic evidence that signifi- cant (i.e. high), occupational ELF-MF exposure can lead to the downregulation of melatonin production. The precise components of the magnetic fields caus- ing this downregulation are unknown. Other factors which may influence the relationship between ELF- MF exposure and melatonin production are unknown, but certain medications may play a role. 5) There is strong epidemiologic evidence that high occupational ELF MF exposure is a risk factor for Alzheimer’s disease, based on case-control studies which used expert diagnoses and a restrictive classifi- cation of ELFMF exposure. 6) There are only single epidemiologic studies of Alzhei- mer’s disease and radio-frequency electromagnetic field exposure, and only one epidemiology study of non-acute radio-frequency electromagnetic field exposure and melatonin. So, no final conclusions concerning health consequences due to RF exposure and Alzheimer’s disease are currently possible. Hallberg and Johansson (104) demonstrated that the mor- tality in Alzheimer’s disease appears to be associated with mobile phone output power. Deeper studies in this complex area are still necessary. There is epidemiological evidence that also residen- tial exposure to ELF magnetic fields is associated with an increased risk for Alzheimer’s disease (105, 106). Earlier reviews of the association between exposure to ELF MF and neurodegenerative diseases came to different conclusions (107, 108). The discrepancy is mainly due to two aspects: the assessment of a possible publication bias and the selection and classification of exposed groups. Since most studies are about occupational exposure, it is manda- tory to avoid misclassification. If care is taken to avoid such ambiguity, there is a clear meta-analytical relationship and an increased risk for Alzheimer’s disease and amyotrophic lateral sclerosis (ALS). This association shows little het- erogeneity across studies if the different methodologies are considered and publication bias has been detected for studies relying on mortality registries only (109). EMF and infertility and reproduction Infertility and reproduction disorders are on the rise. The BioInitiative review 2012 (10) summarized the evidence concerning infertility and reproduction as follows – with small adaptations by the authors: Human sperm are damaged by cell phone radiation at very low intensities, in the low microwatt and nanowatt per cm2 range (0.00034–0.07 µW/cm2 = 3.4–700 µW/m2). There is a veritable flood of new studies reporting sperm damage in humans and animals, leading to substantial concerns for fertility, reproduction, and health of the off- spring (unrepaired de novo mutations in sperm). Expo- sure levels are similar to those resulting from wearing a cell phone on the belt or in a pants pocket, or from using a wireless laptop computer on the lap. Sperm lack the ability to repair DNA damage. Several international laboratories have replicated studies showing adverse effects on sperm quality, motil- ity, and pathology in men who use cell phones and partic- ularly those who wear a cell phone, PDA, or pager on their belt or in a pocket (110–115). Other studies conclude that the use of cell phones, exposure to cell phone radiation, or storage of a cell phone close to the testes of human males affect the sperm count, motility, viability, and structure (110, 116, 117). Animal studies have demonstrated oxida- tive and DNA damage, pathological changes in the testes of animals, decreased sperm mobility and viability, and other measures of deleterious damage to the male germ line (118–122). There are fewer animal studies that have studied effects of cell phone radiation on female fertility para- meters. Panagopoulos (123) report decreased ovarian development and size of ovaries, and premature cell death of ovarian follicles and nurse cells in Drosophila mela- nogaster. Gul et al. (124) report rats exposed to standby level RFR (phones on but not transmitting calls) caused decrease in the number of ovarian follicles in pups born to these exposed dams. Magras and Xenos (125) reported irreversible infertility in mice after five (5) generations of exposure to RFR at cell phone tower exposure levels of less than one microwatt per centimeter squared ( < 1 µW/ cm2 = < 10 mW/m2). Electromagnetic hypersensitivity (EHS) An increasing number of human beings are continuously exposed in their daily life to increasing levels of a com- bination of static, ELF and VLF electric and magnetic fields and RF electromagnetic fields. These exposures are of different signal patterns, intensities, and techni- cal applications for varying periods of time. All these fields are summarized as EMF, colloquially referred to as “electrosmog”. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 277277 Belyaev et al.: EUROPAEM EMF Guideline 2015 345 In a questionnaire survey in Switzerland in 2001, which was addressed to persons attributing specific health problems to EMF exposure, of the 394 respondents 58% suffered from sleep problems or disorders, 41% from headaches, 19% from nervousness, 18% from fatigue and 16% from difficulties with concentration. The respondents attributed their symptoms, e.g. to mobile phone base sta- tions (74%), cell phones (36%), cordless phones (29%), and high-voltage power lines (27%). Two thirds of the respondents had taken measures to reduce their symp- toms, the most frequent one being to avoid exposure (126). In a survey conducted 2009 in a Japanese EHS and multiple chemical sensitivity (MCS) self-help group (n = 75), 45% of the respondents had EHS as a medical diagnosis, 49% considered themselves EHS. Every second responder had medically diagnosed MCS (49%) and self-diagnosed MCS had 27%. The main EHS-related symptoms were fatigue (85%), headache (81%), concentration problems (81%), sleeping disorders (76%) and dizziness (64%). The most frequent causes include: base stations (71%), other persons mobile phones (64%), PC (63%), power lines (60%), television (56%), own mobile phone (56%), public transportation (55%) , cordless phones (52%), air condi- tioner (49%) and car (49%). Suspected EMF source of EHS onset were: mobile phone base stations (37%), PC (20%), electric home appliances (15%), medical equipment (15%), mobile phones (8%), power lines (7%) and induction cookers (7 %) (127). In 2001, 63 persons who attributed health prob- lems to environmental exposure were counseled in an interdisciplinary environmental medicine pilot project in Basel. An interdisciplinary expert team assessed the individual symptoms by a medical psychological-psychi- atric and environmental examination, including visits and environmental measurements at home. With respect to the 25 persons with EHS, the expert team attested that in one third of them, at least one symptom was plausi- bly related to electrosmog, although the EMF exposure was within the Swiss limits. They concluded that persons with EHS should be advised interdisciplinary, not only medically and psychologically but also environmentally (128, 129). A representative telephone survey (n = 2048; age > 14 years) carried out in 2004 in Switzerland yielded a fre- quency of 5% (95% CI 4%–6%) for having symptoms attributed to electrosmog, so-called electromagnetic hypersensitivity. Remarkably, only 13% consulted their family doctor. Individuals with a past history of symp- toms attributable to EMF gave “turned off the source” as the answer three times as often as the ones who still had symptoms (130). In a Swiss questionnaire study of GPs in 2005, two- thirds of the doctors were consulted at least once a year because of symptoms attributed to EMF. Fifty-four percent of the doctors assessed a relation as possible. The doctors in this questionnaire asked for more general information about EMF and health and instructions on how to deal with persons with EHS (131). In another questionnaire study, also mandated by the Swiss Federal Government and performed by the Univer- sity of Bern in 2004, Swiss doctors working with comple- mentary diagnostic and therapeutic tools reported that 71% of their consultations related to EMF. Remarkably, not only the patients, but even more so the doctors sus- pected a possible relation between illness and EMF. The reduction or elimination of environmental sources was the main therapeutic instrument in treating symptoms related to EMF (132). A questionnaire study of Austrian doctors yielded similar results. In this study, the discrepancy between the physicians’ opinions and established national and inter- national health risk assessments was remarkable, consid- ering that 96% of the physicians believed to some degree in or were totally convinced of a health-relevant role of environmental electromagnetic fields (133). The question, whether EHS is causally associated with EMF exposure remains controversial. On the one hand, physicians judge a causal association between EMF exposures as plausible based on case reports, on the other hand, national and international health risk assessments mostly claim that there is no such causal association, because provocation studies under controlled blinded conditions mostly failed to show effects. However, all these studies used a very limited number of exposure con- ditions, the exposure duration and the examined effects were short, and the recruitment of the persons with EHS was not medically assessed. The WHO, for example, does not consider EHS as a diagnosis and recommends to medical doctors that the treatment of affected individuals should focus on the health symptoms and the clinical picture, and not on a person’s perceived need for reducing or eliminating EMF in the workplace or home (134). The evaluation report about electromagnetic hyper- sensitivity mandated by the Swiss federal government assessed the evidence of a causal relationship between EMF exposure and biological and health effects. It took into account not only experimental, observational studies and meta-analyses, but also individual experiments and case reports. For the evaluation of the scientific evidence, the GRADE criteria were applied. Individual case reports were considered to be of great importance because it is Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 278278 346 Belyaev et al.: EUROPAEM EMF Guideline 2015 likely that, at the same exposure level, not all people react the same as rare cases may be misunderstood by otherwise statistically reliable scientific methods of investigation, and since habituation and sensitization processes of a person’s reaction can change during the time of exposure. The significance of case reports with regard to scientific evidence based on the strict GRADE criteria used in this evaluation, however, was considered to be limited, mainly because of the distortion due to methodological flaws. It was noted in the report that individual case experiments with repeated testing of an EHS person under double- blind conditions and controlled exposure would be more revealing than experimental studies with larger groups. Ideally, a test of the person concerned should be carried out in their familiar surroundings (e.g. at home) with a reliable and accurate measurement of exposure. With pos- itive test results, a re-evaluation would be required also from a scientific perspective (135). The paper “Electromagnetic hypersensitivity: fact or fiction” by Genius and Lipp (136) offers an instructive review of studies of the last decades concerning EHS, including historical milestones, reviews, pathogenesis, biochemical markers, therapeutic management, as well as the debate about the legitimacy of EHS. In Sweden, EHS is an officially fully recognized func- tional impairment (i.e. it is not regarded as a disease). Survey studies show that somewhere between 230,000 and 290,000 Swedish men and women out of a population of 9,000,000 – report a variety of symptoms when being in contact with EMF sources. With reference to UN Resolution 48/96, Annex, of 20 December 1993, the Swedish govern- ment grants support to individuals with EHS. Employees with EHS have a right to support from their employers so as to enable them to work despite this impairment. Some hospitals in Sweden provide rooms with low-EMF expo- sure (137). In Sweden, impairments are viewed from the point of the environment. No human being is in itself impaired; there are instead shortcomings in the environment that cause the impairment (as with the lack of ramps for the person in a wheelchair or rooms requiring low-EMF remediation for the person with EHS). Furthermore, this environment-related perspective of the impairment EHS means that – even though we do not have a complete scientific explanation, and, in contrast, to what many individuals involved in the EMF discourse at present think – any person with EHS shall always be met in a respectful way and with all necessary support required to eliminate the impairment. This implies that the person with EHS shall have the opportunity to live and work in a low-EMF environment (138). In Sweden, the City of Stockholm offers low-EMF housing on its outskirts to electrosensitive individuals. In France, the first low-EMF zone has been established at Drôme in July 2009 (139). In Austria, the construction of a multi-family house has been planned for 2015, which was designed by a team of architects, building biology professionals, and environmental medicine health care professionals to provide a sustainable healthy living envi- ronment. Both the outdoor and indoor environments were explicitly chosen and designed to meet low-EMF require- ments (140). The implementation of low-EMF zones for electrosensitive individuals is pursued in numerous coun- tries. The realization of such projects greatly depends on the understanding, knowledge, and tolerance of the members of the chosen community. In a human provocation study, Johansson (141), using a controlled, double-blind pilot setup, found one EHS person that correctly identified the presence of a mobile phone nine times out of nine provocations (p < 0.002), both in the “acute” phase as well as in the “chronic” phase (p < 0.001). In facial skin samples of electrohypersensitive persons, the most common finding has been a profound increase of mast cells (142). From this and other studies, it is clear that the number of mast cells in the upper dermis is increased in the EHS group. A different pattern of mast cell distribution also occurred in the EHS group. Finally, in the EHS group, the cytoplasmic granules were more densely distributed and more strongly stained than in the control group, and the size of the infiltrating mast cells was generally found to be larger in the EHS group as well. It should be noted that increases of similar nature later on were demonstrated in an experimental situation, employing normal healthy vol- unteers in front of cathode ray tube (CRT) monitors, includ- ing ordinary household television sets (143). In one of the early papers, Johansson et al. (144) made a sensational finding when they exposed two elec- trically sensitive individuals to a TV monitor situated at a distance of 40–50 cm away from them. The scientists used an open-field provocation in front of an ordinary TV set with persons regarding themselves as suffering from skin problems due to work at video display terminals. Employing fluorescence microscopy-based immunohisto- chemistry, in combination with a wide range of antisera directed towards cellular and neurochemical markers, they were able to show a high to very high number of somatostatin-immunoreactive dendritic cells as well as histamine-positive mast cells in skin biopsies from the anterior neck taken before the start of the provocation. At the end of the provocation, however the number of mast cells was unchanged and the somatostatin-positive cells had seemingly disappeared. The reason for this latter Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 279279 Belyaev et al.: EUROPAEM EMF Guideline 2015 347 finding could be discussed in terms of loss of immunore- activity, increase of breakdown, etc. The high number of mast cells present may explain the clinical symptoms of itch, pain, edema, and erythema. Against this background, it is interesting to see that the early Swedish findings from the 1980s and 1990s are supported by the latest work of Belpomme and Irigaray (145). Since 2009, Belpomme and Irigaray prospectively investigated clinically and biologically 1200 consecu- tive EHS and/or MCS-self reported cases in an attempt to establish objective diagnosis criteria and to elucidate the pathophysiological aspects of these two disorders. In their preliminary results, as presented at the Fifth Paris Appeal Congress in Belgium in 2015 – based on the analysis of 839 originally enrolled cases of which 810 met the inclusion criteria and 727 were evaluable – 521 were diagnosed with EHS, 52 with MCS, and 154 with both EHS and MCS. Concomitant multiple food intolerance was found in 28.5%, 41.9%, and 70.4% of the cases in the three groups, respectively. Histamine levels were ana- lyzed in the blood of patients, and 37%, 36.7% and 41.5% of the persons respectively in the three above individual- ized groups showed a significant increase in histamine- mia ( > 10 nmol/L), meaning that a chronic inflammatory response can be detected in these patients. They also measured nitrotyrosin (NTT), a marker of both peroxynitrite (ONOO.-) production and opening of the blood brain barrier (BBB). NTT was increased in the blood ( > 0.90 µg/mL) in 29.7%, 26%, and 28% of the cases in the three groups, respectively. Likewise protein S100B, another marker of BBB opening was found to be increased in the blood ( > 0.105 µg/L) in 14.7%, 19.7%, and 10.7% of their cases, respectively. Circulating antibodies against O-myelin, heat shock protein (Hsp) 27, and/or Hsp 70 protein were also found to be increased in 43.1%, 25%, and 52% of their cases, respectively, indicating that EHS and MCS are associated with some autoimmune response. Since most patients reported chronic insomnia and fatigue, they also determined the 24-h urine melatonin/ creatinine ratio and found it was decreased ( < 0.8) in all investigated cases. Finally, in order to gain further information about the underlying mechanisms of EHS and MCS, they serially measured the brain blood flow in the temporal lobes of each patient by using pulsed brain echodoppler. They found that both EHS and MCS were associated with a hypop- erfusion in the capsulo-thalamic area of the brain, sug- gesting that the inflammatory process may in fact involve the limbic system and the thalamus. Both EHS and MCS thus appear to paint a common picture of inflammation- related hyper-histaminemia, oxidative stress, autoimmune response, and BBB opening, and a deficit in melatonin excretion. According to Belpomme and Irigaray, EHS and MCS probably share a common pathological mechanism mainly involving the central nervous system (145). While a 2006 study by Regel et al. (146) described no exposure effects, two provocation studies on exposure of “electrosensitive” individuals and control subjects to mobile phone base station signals (GSM, UMTS or both) found a significant decline in well-being after UMTS expo- sure in the individuals reporting sensitivity (147, 148). Most so-called provocation studies with EHS show no effects. However, all these studies used a very limited number of exposure conditions. Taking in account the strong dependence of EMF effects on a variety of physical and biological variables (73), available provocation studies are scientifically difficult to interpret and, in fact, are not suit- able to disprove causality. There is increasing evidence in the scientific literature of various subjective and objective physiological altera- tions, e.g. heart-rate variability (HRV) as apparent in some persons with EHS claiming to suffer after exposure to certain frequencies of EMR like DECT or Wi-Fi (149–153). Analysis of the data available on the exposure of people living near mobile phone base stations has yielded clear indications of adverse health effects like fatigue, depression, difficulty in concentrating, headaches, dizzi- ness, etc. (154–158). The frequency spectrum between ELF and RF is referred as kHz range or intermediate frequency range. Residential exposures in this range are often due to “dirty power”/ “dirty electricity” originating from voltage and/or current perturbations from diverse sources like electronic power supplies for TVs, monitors, PCs, motor drives, inverters, dimmers, CFLs, phase-angle control devices, as well as sparking and arcing from switching operations and from electric motors with brushes. The kHz waves/ transients travel along the electric wiring and grounding systems (conducted emissions) and radiate electric and/ or magnetic fields into free space (radiated emissions), leading to human exposures in the vicinity. Epidemiological evidence links dirty electricity to most of the diseases of civilization including cancer, cardiovascular disease, diabetes, suicide, and attention deficit hyperactivity disorder in humans (159). When it comes to health effects of static magnetic fields, this type of EMF exposure is frequently underesti- mated. Blackman reports in the 2007 BioInitiative Report (9): “The magnetic field of the earth at any given location has a relatively constant intensity as a function of time. However, the intensity value, and the inclination of the field with respect to the gravity vector, varies considerable Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 280280 348 Belyaev et al.: EUROPAEM EMF Guideline 2015 over the face of the earth. More locally, these features of the earth’s magnetic field can also vary by more than 20% inside man-made structures, particularly those with steel support structures. There are many reports of EMF-caused effects being dependent on the static magnetic field intensity (cf. Blackman et al., 1985) and of its orientation, with respect to an oscillating magnetic field (Blackman et al., 1990; Blackman et al., 1996). One aspect common to many of these reports is that the location in the active frequency band is determined by the intensity of the static magnetic field. There have been many attempts to explain this phenomenon but none has been universally accepted. However, it is clear that if a biological response depends on the static magnetic field intensity, and even its orientation with respect to an oscillating field, then the conditions necessary to reproduce the phenomenon are very specific and might easily escape detection (cf. Black- man and Most, 1993). The consequences of these results are that there may be exposure situations that are truly detrimental (or beneficial) to organisms but that are insuf- ficiently common on a large scale that they would not be observed in epidemiological studies; they need to be studied under controlled laboratory conditions to deter- mine impact on health and wellbeing”. On July 8, 2015, a court in Toulouse, France, ruled in favor of a woman with the diagnosis “syndrome of hyper- sensitivity to electromagnetic radiation” and determined her disability to be 85% with substantial and lasting restrictions on access to employment (160). Possible mechanism of EHS Based on the scientific literature on interactions of EMF with biological systems, several mechanisms of interac- tion are possible. A plausible mechanism at the intracel- lular and intercellular level, for instance, is an interaction via the formation of free radicals or oxidative and nitrosa- tive stress (161–169). A review by Pall (12, 170, 171) provides substantial evidence for a direct interaction between static and time varying electric fields, static and time varying magnetic fields and electromagnetic radiation with volt- age-gated calcium channels (VGCCs). The increased intra- cellular Ca2+ produced by such VGCC activation may lead to multiple regulatory responses, including increased nitric oxide levels produced through the action of the two Ca2+/calmodulin-dependent nitric oxide synthases, nNOS and eNOS. In most pathophysiological contexts, nitric oxide reacts with superoxide to form peroxynitrite, a potent nonradical oxidant, which can produce radical products, including hydroxyl and NO2 radicals. Peroxynitrite is by far the most damaging molecule in our body. Although not a free radical in nature, peroxyni- trite is much more reactive than its parent molecules NO and O2-. The half-life of peroxynitrite is short (10–20 ms), but sufficiently long to cross biological membranes, diffuse one to two cell diameters, and allow significant interactions with most critical biomolecules and struc- tures (cell membranes, nucleus DNA, mitochondrial DNA, cell organelles), and a large number of essential metabolic processes (165). Elevated nitrogen monoxide, formation of peroxynitrite, and induction of oxidative stress can be associated with chronic inflammation, damage of mito- chondrial function and structure, as well as loss of energy, e.g. via the reduction of adenosine triphosphate (ATP). The importance of ATP has been shown for CFS (172) and for stress control (173). Those patients describe the same symptoms as those suffering from CMI. This could indicate similarities in the pathomechanisms. Similar disturbances in neurotransmitter expression had been described both with chronic exposure to EMF (174) and in CMI patients (163, 175). Redmayne and Johansson (176) published a review considering the evidence for an association between myelin integrity and exposure to low-intensity radiofre- quency electromagnetic fields (RF-EMFs) typical in the modern world, pointing to that RF-EMF-exposed animals/ humans show: 1) significant morphological lesions in the myelin sheath of rats; 2) a greater risk of multiple sclerosis in a study subgroup; 3) effects in proteins related to myelin production; and 4) physical symptoms in individuals with the functional impairment electrohypersensitivity, many of which are the same as if myelin were affected by RF-EMF exposure, giving rise to symptoms of demyelination. In the latter, there are exceptions; headache is common only in electrohypersensitivity, while ataxia is typical of demyeli- nation but infrequently found in the former group. Overall, evidence from in vivo and in vitro and epidemiological studies suggests an association between RF-EMF exposure and either myelin deterioration or a direct impact on neu- ronal conduction, which may account for many electrohy- persensitivity symptoms. The most vulnerable are likely to be those in utero through to at least mid-teen years, as well as ill and elderly individuals. Complaints in chronic fatigue syndrome (CFS), fibromyalgia (FM), multiple chemical sensitivity (MCS), posttraumatic stress disorder (PTSD) and Gulf War syn- drome (GWS) are almost the same. But the cardinal symp- toms are different. Meanwhile, they are summarized as chronic multisystem illnesses (CMI) (175). In all of them, various disturbances of functional cycles have been shown as activation of nitrogen oxide and peroxynitrite, Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 281281 Belyaev et al.: EUROPAEM EMF Guideline 2015 349 chronic inflammation by activation of NF-kB, IFN-y, IL-1, IL-6, and interaction with neurotransmitter expression (163, 175, 177). We recommend classifying EHS as part of CMI (170, 178) leading to a functional impairment (EHS), but still recognizing that the underlying cause remains only the environment (see Figure 1). Other diseases that require attention with respect to EMF There is some evidence that transient electromagnetic fields (dirty electricity), in the kilohertz range on electrical wiring, may be contributing to elevated blood sugar levels among diabetics and pre-diabetics. In an electromagneti- cally clean environment, Type 1 diabetics required less insulin and Type 2 diabetics had lower levels of plasma glucose. Dirty electricity, generated by electronic equip- ment and wireless devices, is ubiquitous in the environ- ment. Exercise on a treadmill, which produced dirty electricity, increased plasma glucose. These findings may explain why brittle diabetics have difficulty regulating blood sugar. Based on estimates of people who suffer from symptoms of electrohypersensitivity (3%–35%), as many as 5–60 million diabetics worldwide may be affected (179). The Bioinitiative Report 2012 (10) concluded: Fetal (in-utero) and early childhood exposures to cell phone radiation and wireless technologies in general may be a risk factor for hyperactivity, learning disorders and behav- ioral problems in school. Common sense measures to limit both ELF-EMF and RF EMF in these populations is needed, especially with respect to avoidable exposures like incubators that can be modified; and where educa- tion of the pregnant mother with respect to laptop com- puters, mobile phones and other sources of ELF-EMF and RF EMF are easily instituted. This section deserves special attention in order to respond timely to the rapid technological development leading to more and more complex EMF exposures. Recommendations for action EUROPAEM has developed guidelines for differential diagnosis and potential treatment of EMF-related health problems with the aim to improve/restore individual health outcomes and to propose strategies for prevention. Evidence of treatment strategies for EMF-related illness including EHS There are only a few studies assessing evidence-based therapeutic approaches to EHS. The interdisciplinary based assessing and counseling of EHS in the Swiss envi- ronmental pilot project performed in 2001 showed in an evaluation interview half a year after counseling, that 45% of persons with EHS had benefitted from realizing certain advice, for example, changing the bedroom (128, 129). In the 2005 Swiss questionnaire study of physi- cians working with complementary therapeutic tools, two-thirds chose exposure reduction as a principal tool, Figure 1: Pathogenesis of inflammation, mitochondriopathy, and nitrosative stress as a result of the exposure to trigger factors (177). Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER Bacteria Viruses Industrial pollutants Nitrosative Stress / Nitric i°Kide " Superoxid t Peroxynitrite t iNOS t l " Mitochondriopathy ATP j ~ Oxidative Stress / Solvents EMF Plastizisers Food Severe psycho-social Stress Impaired Inflammation -Immune -Tolerance TNF-o. lnterferon-y Histamine TH2 dominance Loss of T,09 cells 282282 350 Belyaev et al.: EUROPAEM EMF Guideline 2015 whereas complementary therapeutics were only chosen as a supplement (132). Since 2008, the Swiss Society of Doctors for the Envi- ronment has run a small interdisciplinary environmen- tal medicine counseling structure for persons with EHS, which is embedded in everyday practice with a central coordination and consultation office as well as a network of general practitioners interested in environmental medi- cine who perform environmental medical assessments and consultations based on a standard protocol. If nec- essary, environmental experts are consulted and home inspections are conducted. The aim of the assessments is to detect or rule out common diseases and to analyze the impact of suspected environmental burdens on the com- plaints in order to find individual therapeutic approaches. The main instrument of the assessment is an extensive medical and psycho-social history with an additional environmental history, including a systematic question- naire and environmental key questions. In the first years, the project was scientifically assessed. In a questionnaire one year after counseling, 70% of the persons recommended the interdisciplinary- based counseling structure and 32% of them considered the counseling as being helpful. Therefore, a model based on such an interdisciplinary concept, embedded in the family doctor’s holistic and lasting concept of treatment, seems to be promising for a better therapeutic approach to EHS, also including accessibility measures targeted at the actual environment (180). In Finland, psychotherapy is the officially recom- mended therapy of EHS. In a questionnaire study of EHS people in Finland, symptoms, perceived sources and treatments, the perceived efficacy of medical and comple- mentary alternative treatments (CAM) in regards to EHS were evaluated by multiple choice questions. According to 76% of the 157 respondents, the reduction or avoidance of EMF helped in their full or partial recovery. The best treat- ments for EHS were given as weighted effects: “dietary change” (69.4%), “nutritional supplements” (67.8%), and “increased physical exercise” (61.6%). The official treat- ment recommendations of psychotherapy (2.6%) were not significantly helpful, or for medication (–4.2%) even detrimental. The avoidance of electromagnetic radiation and fields effectively removed or lessened the symptoms in persons with EHS (181, 182). The prognosis of certain diseases can be influenced by EMF-reduction. For example, children who have leukemia and are in recovery have poorer survival rates if their ELF magnetic field exposure at home (or where they are recover- ing) is between 1 mG [0.1 µT] and 2 mG [0.2 µT] or above 2 mG [0.2 µT] in one study, over 3 mG [0.3 µT] in another study (9). Response of physicians to this development In cases of unspecific health problems (see Questionnaire) for which no clearly identifiable cause can be found – beside other factors like chemicals, nonphysiological metals, mold – EMF exposure should, in principle, be taken into consideration as a potential cause or cofactor, especially if the person presumes it. A central approach for a causal attribution of symp- toms is the assessment of variation in health problems depending on time and location and individual suscep- tibility, which is particularly relevant for environmental causes such as EMF exposure. Regarding such disorders as male infertility, mis- carriage, Alzheimer’s, ALS, blood sugar fluctuations, diabetes, cancer, hyperactivity, learning disorders and behavioral problems in school, it would be important to consider a possible link with EMF exposure. This offers an opportunity to causally influence the course of the disease. How to proceed if EMF-related health problems are suspected The recommended approach to diagnosis and treatment is intended as an aid and should, of course, be modified to meet the needs of each individual case (see Figure 2). 1.History of health problems and EMF exposure 2.Examination and findings 3.Measurement of EMF exposure 4.Prevention or reduction of EMF exposure 5.Diagnosis 6.Treatment History of health problems and EMF exposure In order to put later findings into a larger context, a general medical history is necessary. In the next steps, we focus only on EMF-related health effects. A questionnaire to take a systematic history of health problems and EMF exposure, compiled by the EUROPAEM EMF Working Group, is available in the Annex of this EMF Guideline. The questionnaire consists of three sections: a) List of symptoms b) Variation of health problems depending on time, location, and circumstances c) Assessment of certain EMF exposures that can be esti- mated by questionnaire Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 283283 Belyaev et al.: EUROPAEM EMF Guideline 2015 351 List of symptoms The list of symptoms in the questionnaire serves to systematically quantify health problems regardless of their causes. It also includes questions as to when the health problems first occurred. Most EMF-related symp- toms are nonspecific and fall within the scope of health problems due to inadequate regulation (decompensa- tion), e.g. sleep problems, fatigue, exhaustion, lack of energy, restlessness, heart palpitations, blood pressure problems, muscle and joint pain, headaches, increased risk for infections, depression, difficulty concentrating, disturbances of coordination, forgetfulness, anxiety, urinary urgency, anomia (difficulty finding words), diz- ziness, tinnitus, and sensations of pressure in the head and ears. The health problems may range in severity from benign, temporary symptoms, such as slight headaches or paresthesia around the ear, e.g. when using a cell phone, or flu-like symptoms after maybe some hours of whole body EMF exposure, to severe, debilitating symptoms that drastically impair physical and mental health. It has to be stressed that, depending on the individual state of Take special medical history, including the assessment of symptoms, diseases, and circumstances regarding the times and places of appearance of symptoms (see Annex Patient Questionnaire) Differential diagnosis including diagnostic tests Assessment of EMF exposure Reduction and prevention of EMF exposure EMF exposure presented by the patient / person or EMF exposure suspected by the physician Relevance and conclusion Possible association with EMF Association with other environmental factors Reduction and prevention of other environmental factors No relevant association with environmental factors Consultation of other disciplines Medical treatment Figure 2: Flowchart for the handling of EMF-related health problems Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER D D ~-I .______I _ D D D D ~l~I_II~ D D D ~I I II._______ D 284284 352 Belyaev et al.: EUROPAEM EMF Guideline 2015 susceptibility, EHS symptoms often occur only occasion- ally, but over time they may increase in frequency and severity. On the other hand, if a detrimental EMF exposure is sufficiently reduced, the body has a chance to recover and EHS symptoms will be reduced or will vanish. Variation of health problems depending on time, location, and circumstances The answers to questions of when and where the health problems occur or recede, and when and where the symptoms increase or are particularly evident, provide only indications. They must be interpreted by the inves- tigator (e.g. regarding the correct attribution between location/EMF sources and health problems). Special attention should be drawn to sleeping areas, because of the duration of influence and the vital role of sleep for regeneration. Assessment of certain EMF exposures that can be estimated by questionnaire The assessment of EMF exposure usually starts with certain questions of usual EMF sources. Regardless of whether or not the patient suspects EMF exposure as a cause, these questions should be used to assess the exist- ing exposure level, at least as a rough estimate. It is impor- tant to note that only certain types of EMF exposure can be assessed by means of questions, such as the use of compact fluorescent lamps (CFLs), cell phones, and cord- less phones. Detection of other types of EMF exposure, e.g. due to RF transmitter sites or the electric or magnetic fields from electric wiring, generally requires measure- ments. In principle, questions should be asked to assess EMF exposure at home and at work and when on holidays and so on, keeping in mind that the degree of EMF expo- sure may vary at different times. Examination and findings We do not have any clinical findings yet that are specific to EMF, which makes diagnosis and differential diagnosis a considerable challenge. A method that has proven useful is to use stress- associated findings for diagnosis and followup and to evaluate them synoptically. Basic diagnostic tests should be carried out as a first step, followed by measurements of EMF exposure as a second step. The core diagnosis should focus on investigations of nitric oxide production (nitrotyrosine), mitochondriopathy (intracellular ATP), oxidative stress-lipid peroxidation (MDA-LDL) and inflam- mation (TNF-alpha, INF-G (IP-10), IL-1b). Then additional diagnostic tests can be considered. Functional tests Basic diagnostic tests – Blood pressure and heart rate (in all cases resting heart rate in the morning while still in bed), including self-monitoring, possibly several times a day, e.g. at different locations and with journaling of subjective well-being for a week. Additional diagnostic tests – 24-h blood pressure monitoring (absence of nighttime decline) – 24-h ECG (heart rhythm diagnosis) – 24-h heart rate variability (HRV) (autonomous nerv- ous system diagnosis) – Ergometry under physical stress – Sleep EEG at home Laboratory tests Basic diagnostic tests – Blood – Bilirubin – Blood count and differential blood count – BUN – Cholesterol, LDL, HDL, triglycerides – Creatinine kinases (CK-MB, CK-MM) – CRP – Cystatin C (glomerular filtration rate) – Electrolytes – Fasting blood glucose – Ferritin – HBA1c – Histamine and diaminoxidase (DAO) – INF-G (IP-10) – Interleukin-1 (e.g. IL-1a, IL-1b) – Intracellular ATP – Liver enzymes (e.g. ALT, AST, GGT, LDH, AP ) – Magnesium (whole blood) – malondialdehyde-LDL – Nitrotyrosine – Potassium (whole blood) – Selenium (whole blood) – TSH – Tumor necrosis factor alpha (TNFα) – Vitamin D – Zinc (whole blood) Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 285285 Belyaev et al.: EUROPAEM EMF Guideline 2015 353 – Standard urine – Leucocytes, erythrocytes, albumin, urobilinogen, pH, bacteria, glucose, microalbumin – Second morning urine – 6-OH melatonin sulfate – Adrenaline – Dopamine – Noradrenaline – Noradrenaline/adrenaline quotient – Serotonin – Saliva – Cortisol (8 a.m., 12 a.m., and 8 p.m.) Additional diagnostic tests – Urine – Metals – Second morning urine – Gamma-aminobutyric acid (GABA) – Glutamate – Kryptopyrrole – Saliva –Dehydroepiandrosterone DHEA (8 a.m. and 8 p.m.) – Blood – 8-hydroxydeoxyguanosine (DNA oxidation) – Biotin – Differential lipid profile – Folate – Holotranscobolamin – Homocysteine – Interferon-gamma (IFNγ) – Interleukin-10 (IL-10) – Interleukin-17 (IL-17) – Interleukin-6 (IL-6) – Interleukin-8 (IL-8) – Intracellular glutathione (redox balance) – Lactate, pyruvate incl. ratio – Lipase – NF-kappa B – Ubiquinone (Q10) – Vitamin B6 (whole blood) Provocation tests Special facilities with the use of a variety of signals, e.g. DECT or Wi-Fi exposure (e.g. 20–60 min, depending on the individual regulation capacity, susceptibility, and observed response) – Heart rate variability (HRV) (autonomous nervous system diagnosis) – Microcirculation –Oxidative stress (lipid peroxidation, malondialdehyde- LDL) Individual susceptibility – Blood (genetic parameters and actual function) – Glutathione S transferase M1 (GSTM1) – detoxification – Glutathione S transferase T1 (GSTT1) – detoxification – Superoxide dismutase 2 (SOD2) – protection of mitochondria – Catechol-O-methyltransferase (COMT) – stress control Measurement of EMF exposure The evolutionary development of the human species took place under the presence of the natural electromagnetic spectrum (Earth’s magnetic field, Earth’s electric field, spherics, Schumann resonance). Those influences have been part of our biosphere like the oxygen content in the air or the visible light spectrum, and they have been inte- grated into the biological functions. By now, nearly all nonionizing parts of the electro- magnetic spectrum are filled with artificial, technical EMF sources due to electrification and (wireless) communica- tion technologies, but are very rarely found in nature (see Figure 3). EMF measurements and/or exposure damages are usually not covered by statutory health care insurance. In general, a wide variety of EMF exposure types should be considered: cordless phones (DECT), wireless Internet access (Wi-Fi), electrical wiring and electrical devices in buildings, compact fluorescent lamps (CFLs), mobile phone base stations, radio and TV transmitters, high-voltage power lines or transformer stations, and “dirty electricity”. In the sleeping area, the most important exposure point is the head and trunk region followed by all other points with chronic or high exposure. EMF measurements should be planned and carried out by specially trained and experienced testing special- ists and always in accordance with relevant standards, e.g. the VDB Guidelines of the German Association of Building Biology Professionals (184). In addition to the measurement results, the measurement report should also include suggestions on how to possibly reduce the EMF exposure. To clarify certain issues, personal dosimeters with a data logging function are available to measure ELF mag- netic fields and radio-frequency radiation. After the measurements have been commissioned by the person and carried out, the results should be dis- cussed with a physician familiar with the EMF issue. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 286286 354 Belyaev et al.: EUROPAEM EMF Guideline 2015 EMF guidance values In each case, the following aspects should be individually taken into account when evaluating EMF measurement results (73): – The person’s individual susceptibility – The person’s individual total body burden (e.g. expo- sure to noise, chemicals) – Duration of EMF exposure – EMF exposure during the night and day – Multiple exposure to different EMF sources – Signal intensity (W/m2, V/m, A/m) – Signal characteristics (was taken into account in the EMF guidance values – see Supplement 3) – Frequency – Risetime (∆T) of bursts, transients, etc. – Frequency and periodicity of bursts, e.g. cer- tain GSM base stations (8.3 Hz), Wi-Fi networks (10 Hz), DECT cordless phones (100 Hz) – Type of modulation (frequency modulation, amplitude modulation, phase modulation) Regardless of the ICNIRP recommendations for specific acute effects, the following guidance values apply to sensitive locations with long-term exposure of more than 20 h per week (185). They are based on epidemiological studies (9, 10, 73, 186–189), empirical observations, and measurements relevant in practice (190, 191) as well as recommendations by the Parliamentary Assembly of the Council of Europe (26). The proposed guidance values are based on scientific data including a preventive com- ponent and aim to help restore health and well-being in already compromised patients/functionally impaired persons. Basic measurementsELF magnetic fields (extremely low frequency) (ELF MF)Measurement specifications Frequency range:50/60 Hz mains electricity, up to 2 kHz 16.7 Hz railroad systems in Austria, Germany, Switzerland, Sweden, and Norway Type of measurement:Magnetic induction or flux density [T; mT; µT; nT] Field probe:Isotropic magnetic field probe (three orthogonal axes) Detector mode: RMS (root mean square) Measurement volume:Short-term: Bed: Complete sleeping area of bed Short-term: Workplace: Complete working space of workplace (e.g. sitting position) Long-term: e.g. point close to the head/trunk in bed or at workplace Electromagnetic spectrum Natural and artificial sources 1 Hz 100 10 Hz 101 100 Hz 102 1 kHz 103 10 kHz 104 100 kHz 105 1 MHz 106 10 MHz 107 100 MHz 108 1 GHz 109 10 GHz 1010 100 GHz 1011 1 THz 1012 10 THz 1013 100 THz 1014 1 PHz 1015 10 PHz 1016 100 PHz 1017 1 EHz 1018 10 EHz 1019 100 EHz 1020 1 ZHz 1021 10 ZHz 10220Hz20 Electromagnetic fields and radiation Ionizing radiationOptical radiation ELF RF / MW RadiationVLF Figure 3: Examples of natural (green) and artificial (red and blue) EMF sources along the electromagnetic spectrum (183). Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 287287 Belyaev et al.: EUROPAEM EMF Guideline 2015 355 Measurement period:Short-term measurements to identify field sources Long-term measurements during sleep and work shift Basis for evaluation:Long-term measurements: maximum (MAX) and arithmetic mean (AVG) Precautionary guidance values In areas where people spend extended periods of time ( > 4 h per day), minimize exposure to ELF magnetic fields to levels as low as possible or below the precautionary guidance values specified below. ELF magnetic field Daytime exposure Nighttime exposure Sensitive populations Arithmetic mean (AVG) 100 nT (1 mG)1),2) 100 nT (1 mG)1),2) 30 nT (0.3 mG)4) Maximum (MAX) 1000 nT (10 mG)2),3) 1000 nT (10 mG)2),3) 300 nT (3 mG)4) Based on: 1)BioInitiative (9, 10); 2)Oberfeld (189); 3)NISV (192); 4) precautionary approach by a factor 3 (field strength). Evaluation guidelines specifically for sleeping areas Higher frequencies than the mains electricity at 50/60 Hz and distinct harmonics should be evaluated more critically. See also the precautionary guidance values for the interme- diate frequency range further below. If applicable, mains current (50/60 Hz) and traction current (16.7 Hz) should be assessed separately but added (squared average). Long- term measurements should be carried out especially at nighttime, but at least for 24 h. ELF electric fields (extremely low frequency) (ELF EF) Measurement specifications Frequency range: 50/60 Hz mains electricity, up to 2 kHz 16.7 Hz railroad systems in Austria, Germany, Switzerland, Sweden, and Norway Type of measurement: Electric field [V/m] without ground reference (potential-free) and/or body-current [A/m2] see separate paragraph Field probe: Isotropic electric field probe (three orthogonal axes) Detector mode: RMS (root mean square) Measurement volume: Bed: nine points across sleeping area Workplace: Complete working space (e.g. sitting position three or six points) Measurement period: Spot measurements to asses the exposure as well as to identify field sources. Since electric field exposure levels in the ELF frequency range usually do not change, long-term measurements are not needed. Basis for evaluation: Spot measurements (maximum) at relevant points of exposure Precautionary guidance values In areas where people spend extended periods of time ( > 4 h per day), minimize exposure to ELF electric fields to levels as low as possible or below the precautionary guidance values specified below. ELF electric field Daytime exposure Nighttime exposure Sensitive populations Maximum (MAX) 10 V/m1),2) 1 V/m2)0.3 V/m3) Based on: 1)NCRP Draft Recommendations on EMF Exposure Guidelines: Option 2, 1995 (188); 2)Oberfeld (189); 3)precautionary approach by a factor 3 (field strength). Evaluation guidelines specifically for sleeping areas Higher frequencies than the mains electricity at 50/60 Hz and distinct harmonics should be evaluated more critically. See also the precautionary guidance values for the interme- diate frequency range further below. Radio-frequency electromagnetic radiation (RF EMR) Measurement specifications Frequency range:Radio and TV broadcast transmitters Mobile phone base stations, e.g. TETRA (400 MHz), GSM (900 and 1800 MHz), UMTS (2100 MHz), LTE (800, 900, 1800, 2500–2700 MHz), Cordless phone base stations, e.g. DECT (1900) Wi-Fi access points and clients (2450 and 5600 MHz) WiMAX (3400–3600 MHz) (above frequencies in MHz refer to European networks) Type of measurement:Electric field [V/m] - > calculated power density [W/m2; mW/m2; µW/m2] Field probe:Isotropic, biconical, logarithmic-periodic antennas Detector mode: Peak detector with max hold Measurement volume:Point of exposure across bed and working space Measurement period:Usually short-term measurements to identify RF field sources (e.g. acoustic analysis) and peak readings Basis for evaluation:Band-specific or frequency-specific spot measurements (peak detector with max hold) of common signals at relevant points of exposure (e.g. with spectrum analyzer or at least band-specific RF meter) Precautionary guidance values for selected RF sources In areas where people spend extended periods of time ( > 4 h per day), minimize exposure to radio-frequency electro- magnetic radiation to levels as low as possible or below the Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 288288 356 Belyaev et al.: EUROPAEM EMF Guideline 2015 precautionary guidance values specified below. Frequencies to be measured should be adapted to each individual case. The specific guidance values take the signal charac- teristics of risetime (∆T) and periodic ELF “pulsing” into account (191). Note: Rectangular signals show short rise- times and consist of a broad spectrum of frequencies. The body current density increases with increasing frequency in an approximately linear relationship (Vignati and Giuliani, 1997). RF sourceMax Peak/Peak Hold Daytime exposure Nighttime exposure Sensitive populations1) Radio broadcast (FM) 10,000 µW/m2 1000 µW/m2 100 µW/m2 TETRA 1000 µW/m2 100 µW/m2 10 µW/m2 DVBT 1000 µW/m2 100 µW/m2 10 µW/m2 GSM (2G) 900/1800 MHz 100 µW/m2 10 µW/m2 1 µW/m2 DECT (cordless phone) 100 µW/m2 10 µW/m2 1 µW/m2 UMTS (3G)100 µW/m2 10 µW/m2 1 µW/m2 LTE (4G)100 µW/m2 10 µW/m2 1 µW/m2 GPRS (2.5G) with PTCCH* (8.33 Hz pulsing) 10 µW/m2 1 µW/m2 0.1 µW/m2 DAB+ (10.4 Hz pulsing) 10 µW/m2 1 µW/m2 0.1 µW/m2 Wi-Fi 2.4/5.6 GHz (10 Hz pulsing) 10 µW/m2 1 µW/m2 0.1 µW/m2 *PTCCH, Packet Timing Advance Control Channel. Based on: BioInitiative (9, 10); Kundi and Hutter (186); Leitfaden Senderbau (187); Belyaev (73); PACE (26). 1)Precautionary approach by a factor 3 (field strength) = factor 10 power density. Conversion of RF measurement units mW/m2 10 1 0.1 0.01 0.001 0.0001 µW/m2 10,000 1000 100 10 1 0.1 µW/cm2 1 0.1 0.01 0.001 0.0001 0.00001V/m 1.9 0.6 0.19 0.06 0.019 0.006 Additional measurements Body-current (extremely low frequency) (ELF BC) The type of body current measurement has been devel- oped in Germany (193) and is used by so-called electrobiol- ogists (194). The methodology offers the possibility to assess directly the relevant effect – the body current – caused by electric and magnetic fields (195). To date, the effects of electric fields on human health with a view to their distri- bution and relevance to increase the body current density are massively underestimated. We strongly recommend to perform epidemiological studies (e.g. intervention, case-control, cohort) for the health endpoints discussed and – besides other EMF exposures – to take the follow- ing measurements in this order: 1) body current (A/m2), 2) electric field (V/m) without ground reference (poten- tial-free) without and with a person or a 3D dummy (not grounded!) to simulate the conductive body. In order to distinguish as to whether the measured body currents are caused by electric or magnetic fields, the magnetic fields have to be measured as well in all three axes. Long- term measurements of ELF magnetic fields should be performed with an isotropic magnetic field probe (three orthogonal axes) according to the corresponding para- graph in this chapter. Measurement specifications Frequency range:50/60 Hz mains electricity, up to 2 kHz 16.7 Hz railroad systems in Austria, Germany, Switzerland, Sweden, and Norway Type of measurement: Body-current [A/m2] Field probe:Magnetic field probe (one orthogonal axis) Detector mode:RMS (root mean square) Measurement volume: 10 specific points close to the body (head, trunk and limbs) Measurement period:Spot measurements to asses the exposure as well as to identify field sources. As electric field exposure levels in the ELF frequency range usually do not change, long-term measurements are not needed. Basis for evaluation:Spot measurements (maximum) at relevant points of exposure Precautionary guidance values In areas where people spend extended periods of time ( > 4 h per day), minimize exposure to ELF body-current to levels as low as possible or below the precautionary guidance values specified below. ELF body-current Daytime exposure Nighttime exposure Sensitive populations Maximum(MAX) 0.25 µA/m2 1) 0.25 µA/m2 1) 0.05 µA/m2 2),3) Based on: 1)0.25 µA/m2 corresponds to 100 nT (RMS, AVG); 2)0.05 µA/m2 corresponds to 20 nT (RMS, AVG), Arbeitskreis Elektrobiologie (194), based on empirical observations; 3)precau- tionary approach by a factor 5 (field strength). Evaluation guidelines specifically for sleeping areas Higher frequencies than the mains electricity at 50/60 Hz and distinct harmonics should be evaluated more critically. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER µ µ JJ. µ µ II. µ µ II. µ µ II. µ µ II. µ µ II. µ µ II. µ µ µ µ µ µ µ µ µ µ 289289 Belyaev et al.: EUROPAEM EMF Guideline 2015 357 See also the precautionary guidance values for the inter- mediate frequency range further below. Magnetic fields in the intermediate frequency range (VLF) (IF MF) Measurement specifications Frequency range:3 kHz–3 MHz Frequency-specific measurements (spectrum analyzer/EMF meter), e.g. “dirty power,” powerline communication (PLC), radio-frequency identification transmitters (RFID), compact fluorescent lamps (CFL) Type of measurement:Magnetic field [A/m] - > calculated magnetic induction [T; mT; µT; nT] Field probe:Isotropic or anisotropic magnetic field probe Detector mode: RMS (root mean square) Measurement volume:Point of exposure across bed and working space Measurement period:Short-term measurements to identify field sources Long-term measurements during sleep and work shift Basis for evaluation:Long-term measurements: RMS detector arithmetic mean and maximum at relevant points of exposure Precautionary guidance values In areas where people spend extended periods of time ( > 4 h per day), minimize exposure to intermediate fre- quency magnetic fields to levels as low as possible or below the precautionary guidance values specified below. 4)The body current density increases with increas- ing frequency in an approximately linear relationship (Vignati and Giuliani, 1997). Therefore, the guidance value of the magnetic field in the intermediate frequency range should be lower than the one of the 50/60 Hz mag- netic field, e.g. assuming 100 nT RMS/100 = 1 nT. IF magnetic field Daytime exposure Nighttime exposure Sensitive populations Arithmetic mean 1 nT (0.01 mG)1),2) 1 nT (0.01 mG)1),2) 0.3 nT (0.003 mG)4) Maximum 10 nT (0.1 mG)2),3) 10 nT (0.1 mG)2),3) 3 nT (0.03 mG)4) Based on: 1)BioInitiative (9, 10); 2)Oberfeld (189); 3)NISV (192); 4) precautionary approach by a factor 3 (field strength). Electric fields in the intermediate frequency range (VLF) (IF EF) Measurement specifications Frequency range:3 kHz–3 MHz Frequency-specific measurements (spectrum analyzer/EMF meter), e.g. “dirty power,” powerline communication (PLC), radio-frequency identification transmitters (RFID), compact fluorescent lamps (CFL) Type of measurement: Electric field [V/m] Field probe:Isotropic, biconical, logarithmic-periodic electric field probe Detector mode:RMS arithmetic mean Measurement volume: Point of exposure across bed and working space Measurement period: Short-term measurements to identify field sources Long-term measurements during sleep and work shift Basis for evaluation:Long-term measurements: arithmetic mean at relevant points of exposure Precautionary guidance values In areas where people spend extended periods of time ( > 4 h per day), minimize exposure to intermediate frequency electric fields to levels as low as possible or below the pre- cautionary guidance values specified below. 4)The body current density increases with increasing frequency in an approximately linear relationship (Vignati and Giuliani 1997). Therefore, the guidance value of the magnetic field in the intermediate frequency range should be lower than the one of the 50/60 Hz magnetic field, e.g. assuming 10 V/m RMS arithmetic mean/100 = 0.1 V/m. IF electric field Daytime exposure Nighttime exposure Sensitive populations Arithmetic mean < 0.1 V/m1),2) < 0.01 V/m2) < 0.003 V/m3) Based on: 1)NCRP Draft Recommendations on EMF Exposure Guidelines: Option 2, 1995 (188); 2)Oberfeld (189); 3)precautionary approach by a factor 3 (field strength). Static magnetic fields Measurement specifications Frequency range:0 Hz Type of measurement: Magnetic induction or flux density [T; mT; µT; nT] Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER < < < 290290 358 Belyaev et al.: EUROPAEM EMF Guideline 2015 Field probe:Anisotropic magnetic field probe (for one spatial axis – vertical) or Isotropic magnetic field probe (three orthogonal axes) Detector mode:RMS (root mean square) Measurement volume:Point of exposure across bed and working space Measurement period:Short-term measurements to identify field sources that distort the Earth’s magnetic field Basis for evaluation: Spot measurements (RMS maximum) at relevant points of exposure Precautionary guidance values In areas where people spend extended periods of time ( > 4 h per day), minimize exposure to static magnetic fields that distort the naturally occurring Earth’s magnetic field to levels as low as possible. Evaluation guidelines specifically for sleeping areas First determine the natural background level in a reference location, e.g. close to the bed. The field probe must not be moved during the measurement process in order to prevent false readings due to induced currents by the Earth’s mag- netic field. The guidance values below are meant in addi- tion to the Earth’s magnetic field. Static magnetic field No anomaly Slight anomaly Significant anomaly Extreme anomaly Deviation from natural background ≤ 1 µT ≤ 10 mG 1–2 µT 10–20 mG 2–10 µT 20–100 mG > 10 µT > 100 mG Based on: Building Biology Evaluation Guidelines (SBM-2015) (190), which are based on empirical observations. Static electric fields Measurement specifications Frequency range:0 Hz Type of measurement: Electric field [V/m] Field probe:Anisotropic or isotropic electric field probe Detector mode:RMS (root mean square) Measurement volume: Point of exposure across bed and working space Measurement period:Short-term measurements to identify field sources Basis for evaluation:Spot measurements (maximum) at relevant points of exposure Precautionary guidance values In areas where people spend extended periods of time ( > 4 h per day), minimize exposure to static electric fields that exceed the naturally occurring fair-weather atmospheric electric field. Evaluation guidelines specifically for sleeping areas Static electric field No anomaly Slight anomaly Significant anomaly Extreme anomaly Maximum < 100 V/m 100– 500 V/m 500– 2000 V/m > 2000 V/m Based on: Building Biology Evaluation Guidelines (SBM-2015) (190), which are based on empirical observations. Prevention or reduction of EMF exposure Preventing or reducing EMF exposure after consulting a testing specialist is advantageous for several reasons: a) To prevent and reduce risks to individual and public health, b) To identify any links to health problems, c) To causally treat the EMF-related health problems. There are numerous potential causes of relevant EMF exposures, and this EMF Guideline can only give a few examples. Further information can be found, for instance, in the document “Options to Minimize EMF/ RF/Static Field Exposures in Office Environments” (196) and “Elektrosmog im Alltag” (197). For detailed informa- tion on physics, properties and measurement of EMF, see Virnich (198); regarding reduction of radio-frequency radiation (RFR) in homes and offices, see Pauli and Moldan (199). In most cases, it will be necessary to consult an expert (e.g. building biology testing specialist, EMF/RF engineer) and/or electrician who will advise the person on what measures could be taken to reduce EMF exposure. EMF exposure reduction – First steps As a first step, it might be useful to recommend to persons that they take certain actions (also as preventive meas- ures) to eliminate or reduce typical EMF exposures, which may help alleviate health problems within days or weeks. The following actions may be suggested: Preventing exposure to radio-frequency radiation (RFR) – Disconnect (unplug) the power supply of all DECT cordless phone base stations. So called “ECO Mode” or “zero-emission” DECT phones are only conditionally recommended because the exposure by the handset is Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER < > > µ 291291 Belyaev et al.: EUROPAEM EMF Guideline 2015 359 not or not substantially reduced. Therefore, the use of “traditional” corded phones is recommended. – Disconnect (unplug) the power supply to all Wi-Fi access points or Wi-Fi routers. Many LAN routers now come equipped with additional Wi-Fi. Call the provider of the LAN router and ask to have the Wi-Fi deactivated. It is usually also possible to do so online by following the provider’s instructions. – Avoid wearing the cell phone/smartphone close to the body. – Deactivate all nonessential wireless cell phone apps, which cause periodic radiation exposure. – Keep cell phones/smartphones in “airplane mode” whenever possible. – In case of external RF radiation sources, rooms – espe- cially sleeping rooms – facing away from the source should be chosen. – Avoid powerline communication for Internet access (dLAN) and instead use a hardwired Ethernet cable (LAN). – Avoid exposure to RF radiation (e.g. Bluetooth, Wi-Fi) at home (e.g. home entertainment, headsets), in offices, and in cars. Preventing exposure to ELF electric and magnetic fields – Move the bed or desk away from the wiring in the walls and power cords. A minimum distance of 30 cm (1 ft) from the wall is recommended. – Another simple complementary action is to discon- nect the power supply to the bedroom (turn off cir- cuit breaker or fuse) for the nighttime while sleeping; try it for a test phase of, e.g. 2 weeks. In general, this measure is not always successful because circuits of adjacent rooms contribute to the electric field lev- els. ELF electric field measurements are required to know exactly which circuit breakers need to be disconnected. The benefits should be weighed against the potential risk of accidents; therefore, the use of a flashlight for the test phase should be recommended. – Disconnect the power supply to all nonessential elec- tric circuits, possibly in the entire apartment or house. (N.B. See note above.) – Avoid using an electric blanket during sleep; not only turn it off, but also disconnect it. Preventing exposure to static magnetic fields – Sleep in a bed and mattress without metal. – Avoid to sleep close to iron materials (radiator, steel, etc.) EMF exposure reduction – second steps As a second step, EMF measurements and mitigation measures should be carried out. Typical examples are: – Measure the ELF electric field in the bed or the body current density of the person while in bed. Based on the measurement results, have automatic demand switches in those circuits installed that increase the exposure. – Measure the ELF electric field at all other places that are used for extended periods at home and at work. If necessary, choose lamps used close to the body with a shielded electric cable and a grounded lamp fixture (metal). Especially in lightweight construction (wood, gypsum board), electrical wiring without ground- ing (two-slot outlets) might have to be replaced with grounded electrical wiring or shielded electrical wir- ing. In special cases, the whole building might have to have shielded wiring and shielded outlets installed. – Measure the ELF magnetic field close to the bed, e.g. for 24 h. If net currents are detected, the electrical wir- ing and grounding system of the building must be cor- rected as to reduce the magnetic fields. – Install a residual current device (RCD) or ground-fault circuit interrupter (GFCI) to prevent electric shocks (safety measure). – Measure radio-frequency radiation and mitigate high exposure levels by installing certain RF shielding materials for the affected walls, windows, doors, ceil- ings, and floors. – Measure dirty electricity/dirty power (electric and magnetic fields in the intermediate frequency range) and identify the sources in order to remove them. If this is not possible, appropriate power filters in line with the source may be used. Diagnosis We will have to distinguish between EHS and other EMF- related health problems like certain cancers, Alzheimer’s, ALS, male infertility etc. that might have been induced, promoted, or aggravated by EMF exposure. An inves- tigation of the functional impairment EHS and other EMF-related health problems will largely be based on a comprehensive case history, focusing, in particular, on correlations between health problems and times, places, and circumstances of EMF exposure, as well as the pro- gression of symptoms over time and the individual sus- ceptibility. In addition, measurements of EMF exposure and the results of additional diagnostic tests (labora- tory tests, cardiovascular system) serve to support the Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 292292 360 Belyaev et al.: EUROPAEM EMF Guideline 2015 diagnosis. Moreover, all other potential causes should be excluded as far as possible. In 2000 the Nordic Council of Ministers (Finland, Sweden, and Norway) adopted the following ICD-10 code for EHS: Chapter XVIII, Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified, code R68.8 “Other specified general symptoms and signs” (Nordic ICD-10 Adaptation, 2000) (200). Regarding the current International Classification of Diseases (ICD), ICD-10-WHO 2015, we recommend at the moment: a) Electromagnetic hypersensitivity (EHS): to use the existing diagnostic codes for the different symptoms plus code R68.8 “Other specified general symptoms and signs” plus code Z58.4 “Exposure to radiation” and/ or Z57.1 “Occupational exposure to radiation”. b) EMF-related health problems (except EHS): to use the existing diagnostic codes for the different diseases/ symptoms plus code Z58.4 “Exposure to radiation” and/or Z57.1 “Occupational exposure to radiation”. Regarding the next ICD-update (ICD-11 WHO) to be pub- lished 2018), we recommend to: a) Create ICD codes for all chronic environmentally induced chronic multisystem illnesses (CMI) like mul- tiple chemical sensitivity (MCS), chronic fatigue syn- drome (CFS), fibromyalgia (FM), and electromagnetic hypersensitivity (EHS). b) Expand Chapter XIX, Injury, poisoning and certain other consequences of external causes (T66-T78) to include/distinguish effects of EMF (static magnetic field, static electric field, ELF magnetic field, ELF electric field, VLF/LF magnetic field, VLF/LF electric field, Radio-frequency electromagnetic radiation) infrared, visible light, UV-light and ionizing radiation. c) Expand Chapter XXI, Factors influencing health status and contact with health services (Z00-Z99) to include/ distinguish factors as EMF (static magnetic field, static electric field, ELF magnetic field, ELF electric field, VLF/LF magnetic field, VLF/LF electric field, Radio-frequency electromagnetic radiation), infra- red, visible light, UV-light, and ionizing radiation. Treatment/accessibility measure The primary method of treatment should mainly focus on the prevention or reduction of EMF exposure that is reduc- ing or eliminating all sources of EMF at home and in the workplace. The reduction of EMF exposure should also be extended to schools, hospitals, public transport, public places like libraries, etc. in order to enable EHS persons an unhindered use (accessibility measure). Many exam- ples have shown that such measures can prove effective. With respect to total body load of other environmental influences, they must also be regarded. Beside EMF reduction, other measures can and must be considered. These include a balanced homeostasis in order to increase the “resistance” to EMF. There is increas- ing evidence that a main effect of EMF on human beings is the reduction of oxidative and nitrosative regulation capacity. This hypothesis also explains observations of changing EMF sensitivity and the large number of symp- toms reported in the context of EMF exposure. From the current perspective, it appears useful to recommend a treatment approach, as those gaining ground for multi- system disorders, that aims at minimizing adverse perox- ynitrite effects. It should be stressed, that psychotherapy has the same significance as in other diseases. Products that are offered in the form of plaques and the like to “neutralize” or “harmonize” electrosmog should be evaluated with great restraint. In summary, the following treatment and accessibility measures appear advantageous, depending on the indi- vidual case: Reduction of EMF exposure This should include all types of EMF exposures relevant to the person, especially during sleep and at work. For more information, see e.g. “Options to Minimize EMF/RF/Static Field Exposures in Office Environment” (196) and “Elek- trosmog im Alltag” (197). Environmental Medicine treatments Until now, no specific treatment of EHS has been estab- lished. Controlled clinical trials would be necessary to assess optimal treatment and accessibility measures. Actual data indicate that the functional deficits, which can be found in persons with EHS, correspond to those we can find in CMI such as MCS, CFS, and FM. The target of the therapy is the regulation of the physiological dysfunction detected by diagnostic steps (Examination and findings). The main therapeutic target includes both general and adjuvant procedures and specific treatments. The latter are challenging and need special knowledge and experi- ence in clinical environmental medicine treatments. Main therapeutic targets include: –Control of total body burden Besides the reduction of EMF exposure, the reduction of the total body burden by various Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 293293 Belyaev et al.: EUROPAEM EMF Guideline 2015 361 environmental pollutants (home, working place, school, hobby), food additives, and dental materi- als is indicated. –Reduction of oxidative and/or nitrosative stress Reactive oxygen species (ROS) and reactive nitrogen species (RNS) are free radicals naturally produced in cells. Scavengers guarantee the balance between the production of free radicals and the rate of their removal. Many biologically important compounds with antioxidant (AO) function have been identified as endogenous and exogenous scavengers. Among the endogenous AO, we distinguish between enzymatic AO (catalase, glutathione peroxidase, glutathione reductase, superoxide dismutase) and nonenzymatic AO (bilirubin, ferritin, melatonin, glutathione, metal- lothionin, N-acetyl cysteine (NAC), NADH, NADPH, thioredoxin, 1,4,-bezoquinine, ubiquinone, uric acid). They interact with exogenous dietary and/or synthetic AO (carotenoids, retinoids, flavonoids, polyphenols, glutathione, ascorbic acid, tocopherols). The complex regulation and use of these substances is the thera- peutic challenge (163, 201). –Regulation of intestinal dysfunction Endogenous and exogenous scavengers act synergis- tically to maintain the redox homeostasis. Therefore, dietary or natural antioxidants play an important role to stabilize this interaction. Treatment of a leaky gut, food intolerance, and food allergy is a prerequisite for maintaining redox homeo- stasis (202) and also requires special knowledge and experience. –Optimizing nutrition Bioactive food is the main source of antioxidant com- ponents such as vitamin C, vitamin E, NAC, carot- enoids, CoQ10, alpha-lipoic acid, lycopene, selenium, and flavonoids (203, 204). For instance, the regenera- tion of vitamin E by glutathione or vitamin C is needed to prevent lipid peroxidation. The dietary antioxidants only can have beneficial effects on the redox system if they are present in sufficient concentration levels (201). Alpha-lipoic acid acts directly and indirectly as a scavenger of free radicals including peroxynitrite, singlet oxygen, superoxide, peroxyl radicals, and the breakdown radicals of peroxynitrite (163). It had been shown that the number of free electrons in micronu- trients determines how effective they are. In organic food, the number of free electrons is higher than in conventionally produced food (205). Especially in the case of food intolerances, the tailored substitu- tion of micronutrients in the form of supplements is necessary. –Control of (silent) inflammation Elevated nitric oxide levels and the reaction with superoxide always leads to elevated peroxynitrate levels, which induce ROS levels as no other substance does (NO/ONOO− cycle). As a result, the nuclear factor κB (NF-κB) is activated, inducing inflammatory cytokines such as tumor necrosis factor α (TNF-α), interleukin-1β (IL-1β), interleukin-6 (IL-6), interkeu- kin-8 (IL-8), and interferon gamma (IFNγ) and acti- vating various NO synthases (163). Tocopherols (206, 207), carotinoids at low concentration levels (208), vitamin C (209, 210), NAC (211), curcumin (212), res- veratrol (213, 214), flavonoids (215) have shown to interrupt this inflammatory cascade at various points. –Normalization of mitochondrial function Mitochondrial function may be disturbed in two ways. First: the high amount of free radicals may block pro- duction of adenosine triphosphate (ATP), leading to muscle pain and fatigue. Second: in the case of silent (smoldering) inflammation, the demand for more energy is elevated by 25% (167), causing a high con- sumption of ATP. In this case, NADH, L-carnitine and CoQ10 are essential for ATP synthesis. Due to the lack of ATP, the stress regulation of catecho- lamines especially norepinephrine (NE) is reduced because catabolism of NE by S-adenosylmethionine is ATP dependent (216–218). Furthermore, stress regu- lation has a high demand for folate, vitamin B6, and methylcobalamine. Genetic polymorphisms of COMT and MTHFR influence the individual need for those substances (173, 219). –Detoxification In humans, the accumulation of environmental toxi- cants has an individual profile of many different inor- ganic and organic chemicals, which make up the total body load (220). Among the inorganic substances, metals and their salts play the dominant role and might be of impor- tance to persons with EHS. Elemental mercury (Hg°) and other heavy metals such as lead (Pb) accumu- late in the brain (221), especially at chronic low dose exposure. They may have toxic effects and can induce various immune reactions (222, 223). Whereas, generally, no specific active substance exists for the detoxification of chemicals, there are two groups of substances with more specific effects that can be used for the detoxification of metals. 1.Substances with nonspecific physiological effects: Glutathione, NAC, alpha-lipoic acid, vitamin C and selenium. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 294294 362 Belyaev et al.: EUROPAEM EMF Guideline 2015 2.Chelating agents for detoxification of metals (224–226) The most important chelating agents are: Sodium thiosulfate 10% DMPS (2,3-dimercapto-1-propanesulfonic acid) DMSA (meso-dimercaptosuccinic acid) EDTA (2,2′,2″,2″′-ethane-1,2-diyldinitrotetraacetic acid) It should be noted that these substances should be used only by those designated as experts in this particular field. –Adjuvant therapies 1. Drinking water For detoxification reasons, a higher intake of high- quality drinking water with low mineral content and no CO2 is needed. The intake quantity should range from 2.5 to 3.0 L (10–12 8-oz glasses) daily. 2. Light Most of the people in central and northern Europe are depleted of vitamin D. Sufficient natural daylight exposure during the vitamin D-producing months (spring to fall) is one important factor. At the same time, prevention of actinic damage to the skin is necessary. 3. Sauna Sauna and therapeutic hyperthermia is an adjuvant therapy for the detoxification of almost all xenobi- otics. These therapies have to be carefully used. An interaction with detoxifying drugs takes place. Sauna helps to regenerate tetrahydrobiopterin from dihyd- robiopterin, which is essential for the metabolism of catecholamines and serotonin (163). 4. Oxygen A part of persons with EHS suffer from mitochondrial dysfunction. Sufficient natural oxygen is helpful. As both hypoxia and hyperbaric oxygen can produce oxi- dative stress, hyperbaric oxygen therapy should only be performed if the persons are treated with sufficient antioxidants at the same time. 5. Exercise The optimal amount of exercise is still being debated. A person’s physical capacity should be assessed by ergometry in order to prescribe an individual exercise regime. Environmental medicine experience indicates that for sick people only low-impact aerobic exercise should be used. In general, start with a work load of 20–30 watts that often can be finished at 60–70 watts. Exercise on an ergometer allows better control of the consumption of energy compared to walking or running. No fatigue should result from exercising, at least after half an hour. 6. Sleep Sleeping disorders are very common in persons with EHS. Sleep disturbance is associated with reduced melatonin level. In the case of chronic inflammation, the activation of IDO (indolamine-2,3-dioxygenase) reduces the production of serotonin and, in turn, it also reduces melatonin levels. EMF exposure might block the parasympathetic activity while sympathetic activity persists. Concerning sleep disturbances, any therapy has to follow the pathogenic causes. Optimal sleep is necessary to save energy and to regulate the functions of the immune and neuroendocrine systems. 7. Protection from blue light Wavelengths of visible light below 500 nm are called “blue light”. Low doses of blue light can increase feel- ings of well-being, but larger amounts can be harmful to the eyes. In natural daylight, the harmful effects of “blue light” are balanced out by the regenerative effect of the red and infrared content. The escalating use of electronic light sources – such as fluorescent tubes and compact fluorescent lamps (CFL), computer screens, laptops, tablets, smartphones, and certain LED bulbs – has increased our exposure to “blue light”, which at this level is suspected of playing a role in the development of age-related macular degen- eration and circadian misalignment via melatonin suppression, which is associated with the increased risk of sleep disturbance, obesity, diabetes melli- tus, depression, ischemic heart disease, stroke, and cancer. Extended exposure to artificial “blue light” in the evening should therefore be limited. Antioxi- dants, especially melatonin (227, 228) and blue light screen filters (229–231) could be helpful. Dental medicine Dental medicine still works with toxic or immunoreactive materials, e.g. mercury, lead oxide, gold, and titanium. Environmental dental medicine demands that these mate- rials not be used (232–235). The removal of toxic dental materials must take place under maximum safety condi- tions (avoid inhalation!). The elimination of particularly heavy metals from the body might be indicated. In general Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 295295 Belyaev et al.: EUROPAEM EMF Guideline 2015 363 terms, endoprosthetic materials should be inert with respect to immunoreactivity. Based on our current knowl- edge, zirconium dioxide seems to be a neutral material. However, mechanical abrasion of the coated surface by the dentist should be avoided. Immunotoxic metals show a similar pathophysiology with respect to oxidative stress, mitochondriopathy, and inflammation. Lifestyle coaching Lifestyle coaching may include balanced exercise, nutrition, reduction of addictive substances, change of sleeping habits, etc. and stress reduction measures (reduction of general stress and work stress), as well as methods to increase stress resistance via, e.g. autogenic training, yoga, progressive muscle relaxation, breathing techniques, meditation, tai chi, and qigong. Treatment of symptoms A well-balanced treatment of symptoms is justified until the causes have been identified and eliminated. However, it is of paramount importance to realize that the reduction of symptoms may put the person at risk for an increased environmental EMF-load, thus generating possible future, long-term health effects, including neurological damage and cancer. It is a very difficult ethical task for the physi- cian to risk such, and they must be pointed out – in an equally well-balanced way – to the patient in question. Ethically, to treat the symptoms is, of course, a very good start in the immediate sense but without a parallel envi- ronmental exposure reduction and lifestyle coaching it may prove counter-productive in the long run. For a stand- ardly trained physician this might seem a very new way of reasoning, but is the only way to a successful and ever- lasting symptom alleviation and complete clinical remedy when dealing with chronic multisystem illnesses (CMI) and EHS. References 1. Hänninen O, Knol AB, Jantunen M, Lim TA, Conrad A, et al. Environmental burden of disease in Europe: assessing nine risk factors in six countries. Environ Health Perspect 2014;122(5):439–46. 2. Bundespsychotherapeutenkammer. BPtK-Studie zur Arbeitsun- fähigkeit – Psychische Erkrankungen und Burnout [Internet]. Berlin (DE): Bundespsychotherapeutenkammer, 2012:29. Report 2012. Available from: http://www.bptk.de/uploads/ media/20120606_AU-Studie-2012.pdf. 3. Bundespsychotherapeutenkammer. BPtK-Studie zur Arbeits- und Erwerbsunfähigkeit – Psychische Erkrankungen und gesundheitsbedingte Frühverrentung [Internet]. Berlin (DE): Bundespsychotherapeutenkammer, 2013:66. Report 2013. Available from: http://www.bptk.de/uploads/media/20140128_ BPtK-Studie_zur_Arbeits-und_Erwerbsunfaehigkeit_2013_1.pdf. 4. Fritze J. Psychopharmaka-Verordnungen: Ergebnisse und Kommentare zum Arzneiverordnungsreport 2011. Psychopharmakotherapie 2011;18:245–56. 5. Bundesinstitut für Arzneimittel und Medizinprodukte. Erstmals seit 20 Jahren kein Anstieg beim Methylphenidat-Verbrauch [Internet]. Bonn (DE): Bundesinstitut für Arzneimittel und Medizinprodukte, 2014 Apr 1. Pressemitteilung Nummer 05/14; Available from: https://www.bfarm.de/SharedDocs/ Pressemitteilungen/DE/mitteil2014/pm05-2014.html. 6. Badura B, Ducki A, Schröder H, Klose J, Meyer M, editors. Fehlzeiten-Report 2012. Berlin, Heidelberg (DE): Springer Verlag, 2012:528 p. 7. OECD. Health at a Glance 2013: OECD Indicators [Internet]. Paris (FR): OECD Publishing, 2013 Nov 21. 212 p. DOI: 10.1787/health_ glance-2013-en. Available from: http://dx.DOI.org/10.1787/ health_glance-2013-en. 8. Pawankar R, Canonica GW, Holgate ST, Lockey RF, editors. WAO White book on Allergy 2011–2012 [Internet]. Milwaukee, WI (US): World Allergy Organization, 2013:228. Available from: http:// www.worldallergy.org/UserFiles/file/WAO-White-Book-on- Allergy.pdf. 9. BioInitiative Working Group, Carpenter D, Sage C, editors. BioInitiative Report: A Rationale for a Biologically- based Public Exposure Standard for Electromagnetic Fields (ELF and RF). 2007. Available from: http://www. bioinitiative.org/. 10. BioInitiative Working Group, Carpenter D, Sage C, editors. BioInitiative Report: A Rationale for a Biologically-based Public Exposure Standard for Electromagnetic Fields (ELF and RF). 2012. Available from: http://www.bioinitiative.org/. 11. Levitt B, Lai H. Biological effects from exposure to electro- magnetic radiation emitted by cell tower base stations and other antenna arrays. Environ Rev 2010;18:369–95. 12. Pall ML. Scientific evidence contradicts findings and assump- tions of Canadian Safety Panel 6: microwaves act through voltage-gated calcium channel activation to induce biological impacts at non-thermal levels, supporting a paradigm shift for microwave/lower frequency electromagnetic field action. Rev Environ Health 2015;30(2):99–116. 13. International Commission on Non-Ionizing Radiation Protec- tion. Guidelines for limiting exposure to time-varying electric, magnetic, and electromagnetic fields (up to 300 GHz). Health Physics 1998;74(4):494–522. 14. International Commission on Non-Ionizing Radiation Protection. Guidelines for limiting exposure to time-varying electric and magnetic fields (1 Hz to 100 kHz). Health Phys 2010;99(6):818–36. 15. Vecchia P. ICNIRP and international standards. London (GB): Conference EMF and Health, 2008:28. Available from: http:// archive.radiationresearch.org/conference/downloads/021145_ vecchia.pdf. 16. Panagopoulos DJ, Johansson O, Carlo GL. Evaluation of specific absorption rate as a dosimetric quantity for electromagnetic fields bioeffects. PLoS One 2013;8(6):e62663. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 296296 364 Belyaev et al.: EUROPAEM EMF Guideline 2015 17. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Non-Ionizing Radiation, Part 1: Static and Extremely Low-Frequency (ELF) Electric and Magnetic Fields. Lyon (FR): International Agency for Research on Cancer (IARC), 2002:445. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, VOL 80. Available from: http://monographs.iarc.fr/ ENG/Monographs/vol80/. 18. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Non-Ionizing Radiation, Part 2: Radiofrequency Electro magnetic Fields. Lyon (FR): International Agency for Research on Cancer (IARC), 2013:480. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, Vol 102. Available from: http://monographs.iarc.fr/ENG/Monographs/vol102/. 19. European Environmental Agency. Radiation risk from everyday devices assessed [Internet]. Copenhagen (DK): 2007 Sept 17. Available from: www.eea.europa.eu/highlights/radiation-risk- from-everyday-devices-assessed. 20. European Environmental Agency. Health risks from mobile phone radiation – why the experts disagree [Internet]. Copenha- gen (DK): 2011 Oct 12. Available from: http://www.eea.europa. eu/highlights/health-risks-from-mobile-phone. 21. European Environmental Agency. Late lessons from early warnings: science, precaution, innovation [Internet]. Copenhagen (DK): 2013 Jan 23. EEA Report No 1/2013. Available from: http://www.eea.europa.eu/publications/late-lessons-2. 22. EU Parliament. Report on health concerns associated with electro magnetic fields. Brussels (BE): Committee on the Environ- ment, Public Health and Food Safety of the European Parliament. Rapporteur: Frederique Ries (2008/2211(INI) [Internet]. Available from: http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-// EP//NONSGML+REPORT+A6-2009-0089+0+DOC+PDF+V0//EN. 23. EU Parliament. European Parliament resolution of 2 April 2009 on health concerns associated with electromagnetic fields [Internet]). Brussels (BE): European Parliament, 2009 Apr 2. Available from: http://www.europarl.europa.eu/ sides/getDoc.do?pubRef=-//EP//TEXT+TA+P6-TA-2009- 0216+0+DOC+XML+V0//EN. 24. Fragopoulou A, Grigoriev Y, Johansson O, Margaritis LH, Morgan L, et al. Scientific panel on electromagnetic field health risks: consensus points, recommendations, and rationales. Environ Health 2010;25(4):307–17. 25. Dämvik M, Johansson O. Health risk assessment of electro- magnetic fields: a conflict between the Precautionary Principle and environmental medicine methodology. Rev Environ Health 2010;25(4):325–33. 26. Council of Europe – Parliamentary Assembly. The potential dangers of electromagnetic fields and their effect on the envi- ronment. Resolution, Doc. 1815, Text adopted by the Standing Committee, acting on behalf of the Assembly, on 27 May 2011 [Internet]. Available from: http://assembly.coe.int/nw/xml/ XRef/Xref-XML2HTML-en.asp?fileid=17994&lang=en. 27. Dean AL, Rea WJ. American Academy of Environmental Medicine Recommendations Regarding Electromagnetic and Radiofre- quency Exposure [Internet]. Wichita, KS (US): Executive Com- mittee of the American Academy of Environmental Medicine, 2012 July 12. Available from: https://www.aaemonline.org/pdf/ AAEMEMFmedicalconditions.pdf. 28. Federal Public Service (FPS) Health, Food Chain Safety and Environment. New regulation for the sale of mobile phones as of 2014 [Internet]. Brussels (BE): Federal Public Service (FPS) Health, Food Chain Safety and Environment, 2014 Feb 07. Available from: http://health.belgium.be/eportal/19089508_ EN?fodnlang=en#.VQ6qlo6GPN6. 29. Assemblėe Nationale. PROPOSITION DE LOI relative à la sobriété, à la transparence, à l’information et à la concertation en matière d’exposition aux ondes électromagnétiques. Paris (FR): Assemblėe Nationale, France, 2015 Jan 29. Available from: http://www.assemblee-nationale.fr/14/pdf/ta/ta0468.pdf. 30. Blank M, Havas M, Kelley E, Lai H, Moskowitz JM. International EMF Scientist Appeal [Internet]. 2015 May 11. Available from: https://www.emfscientist.org/index.php/emf-scientist-appeal. 31. Wertheimer N, Leeper E. Electrical wiring configurations and childhood cancer. Am J Epidemiol 1979;109(3):273–84. 32. Robinette CD, Silverman C, Jablon S. Effects upon health of occupational exposure to microwave radiation (radar). Am J Epidemiol 1980;112:39–53. 33. Ahlbom A, Day N, Feychting M, Roman E, Skinner J, et al. A pooled analysis of magnetic fields and childhood leukaemia. Br J Cancer 2000;83(5):692–8. 34. Greenland S, Sheppard AR, Kaune WT, Poole C, Kelsh MA. A pooled analysis of magnetic fields, wire codes, and childhood leukemia. Childhood Leukemia-EMF Study Group. Epidemiology 2000;11(6):624–34. 35. Kheifets L, Ahlbom A, Crespi CM, Draper G, Hagihara J, et al. Pooled analysis of recent studies on magnetic fields and child- hood leukaemia. Br J Cancer 2010;103(7):1128–35. 36. Zhao L, Liu X, Wang C, Yan K, Lin X, et al. Magnetic fields expo- sure and childhood leukemia risk: a meta-analysis based on 11,699 cases and 13,194 controls. Leuk Res 2014;38(3):269–74. 37. Hardell L, Näsman A, Påhlson A, Hallquist A, Hansson Mild K. Use of cellular telephones and the risk for brain tumours: a case-control study. Int J Oncol 1999;15(1):113–6. 38. Coureau G, Bouvier G, Lebailly P, Fabbro-Peray P, Gruber A, et al. Mobile phone use and brain tumours in the CERENAT case-con- trol study. Occup Environ Med 2014;71(7):514–22. 39. Hardell L, Carlberg M, Soderqvist F, Mild KH. Case-control study of the association between malignant brain tumours diagnosed between 2007 and 2009 and mobile and cordless phone use. Int J Oncol 2013;43(6):1833–45. 40. Hardell L, Carlberg M, Soderqvist F, Mild KH. Pooled analysis of case-control studies on acoustic neuroma diagnosed 1997–2003 and 2007–2009 and use of mobile and cordless phones. Int J Oncol 2013;43(4):1036–44. 41. Hardell L, Carlberg M. Using the Hill viewpoints from 1965 for evaluating strengths of evidence of the risk for brain tumors associated with use of mobile and cordless phones. Rev Environ Health 2013;28:97–106. 42. Hardell L, Carlberg M. Mobile phone and cordless phone use and the risk for glioma – Analysis of pooled case-control stud- ies in Sweden, 1997–2003 and 2007–2009. Pathophysiology 2015;22(1):1–13. 43. Soffritti M, Giuliani L. ICEMS Position Paper on the Cerebral Tumor Court Case [Internet]. Rome (IT), Bolgna (IT), Chicago, IL (US): International Commission for Electromagnetic Safety, 2012 October 23. Available from: http://www.icems.eu/docs/ Sentenza_integrale_n17438_13577519.pdf?f=/c/a/2009/12/15/ MNHJ1B49KH.DTL. 44. Bak M, Dudarewicz A, Zmyślony M, Sliwinska-Kowalska M. Effects of GSM signals during exposure to event related poten- tials (ERPs). Int J Occup Med Environ Health 2010;23(2):191–9. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 297297 Belyaev et al.: EUROPAEM EMF Guideline 2015 365 45. Maganioti AE, Hountala CD, Papageorgiou CC, Kyprianou MA, Rabavilas AD, et al. Principal component analysis of the P600 waveform: RF and gender effects. Neurosci Lett 2010;478(1): 19–23. 46. Hountala CD, Maganioti AE, Papageorgiou CC, Nanou ED, Kyprianou MA, et al. The spectral power coherence of the EEG under different EMF conditions. Neurosci Lett 2008;441(2): 188–92. 47. Croft RJ, Hamblin DL, Spong J, Wood AW, McKenzie RJ, et al. The effect of mobile phone electromagnetic fields on the alpha rhythm of human electroencephalogram. Bioelectromagnetics 2008;29(1):1–10. 48. Croft RJ, Leung S, McKenzie RJ, Loughran SP, Iskra S, et al. Effects of 2G and 3G mobile phones on human alpha rhythms: resting EEG in adolescents, young adults, and the elderly. Bioelectromagnetics 2010;31(6):434–44. 49. Leung S, Croft RJ, McKenzie RJ, Iskra S, Silber B, et al. Effects of 2G and 3G mobile phones on performance and electrophysiology in adolescents, young adults and older adults. Clin Neurophysiol 2011;122(11):2203–16. 50. Lustenberger C, Murbach M, Durr R, Schmid MR, Kuster N, et al. Stimulation of the brain with radiofrequency electromagnetic field pulses affects sleep-dependent performance improvement. Brain Stimul 2013;6(5):805–11. 51. Vecchio F, Babiloni C, Ferreri F, Curcio G, Fini R, et al. Mobile phone emission modulates interhemispheric functional coupling of EEG alpha rhythms. Eur J Neurosci 2007;25(6):1908–13. 52. Vecchio F, Buffo P, Sergio S, Iacoviello D, Rossini PM, et al. Mobile phone emission modulates event-related desynchroni- zation of α rhythms and cognitive-motor performance in healthy humans. Clin Neurophysiol 2012;123(1):121–8. 53. Tombini M, Pellegrino G, Pasqualetti P, Assenza G, Benvenga A, et al. Mobile phone emissions modulate brain excitability in patients with focal epilepsy. Brain Stimul 2013;6(3):448–54. 54. Vecchio F, Tombini M, Buffo P, Assenza G, Pellegrino G, et al. Mobile phone emission increases inter-hemispheric functional coupling of electroencephalographic alpha rhythms in epileptic patients. Int J Psychophysiol 2012;84(2):164–71. 55. Perentos N, Croft RJ, McKenzie RJ, Cvetkovic D, Cosic I. Comparison of the effects of continuous and pulsed mobile phone like RF exposure on the human EEG. Australas Phys Eng Sci Med 2007;30(4):274–80. 56. Trunk A, Stefanics G, Zentai N, Kovács-Bálint Z, Thuróczy G, et al. No effects of a single 3G UMTS mobile phone exposure on spontaneous EEG activity, ERP correlates, and automatic deviance detection. Bioelectromagnetics 2013;34(1):31–42. 57. Kleinlogel H, Dierks T, Koenig T, Lehmann H, Minder A, et al. Effects of weak mobile phone – electromagnetic fields (GSM, UMTS) on well-being and resting EEG. Bioelectromagnetics 2008;29(6):479–87. 58. Kleinlogel H, Dierks T, Koenig T, Lehmann H, Minder A, et al. Effects of weak mobile phone – electromagnetic fields (GSM, UMTS) on event related potentials and cognitive functions. Bioelectromagnetics 2008;29(6):488–97. 59. Krause CM, Pesonen M, Haarala Björnberg C, Hämäläinen H. Effects of pulsed and nuous wave 902 MHz mobile phone expo- sure on brain oscillatory activity during cognitive processing. Bioelectromagnetics 2007;28(4):296–308. 60. Inomata-Terada S, Okabe S, Arai N, Hanajima R, Terao Y, et al. Effects of high frequency electromagnetic field (EMF) emitted by mobile phones on the human motor cortex. Bioelectromagnetics 2007;28(7):553–61. 61. Hung CS, Anderson C, Horne JA, McEvoy P. Mobile phone ‘talk- mode’ signal delays EEG-determined sleep onset. Neurosci Lett 2007;421(1):82–6. 62. Regel SJ, Tinguely G, Schuderer J, Adam M, Kuster N, et al. Pulsed radio-frequency electromagnetic fields: dose-dependent effects on sleep, the sleep EEG and cognitive performance. J Sleep Res 2007;16(3):253–8. 63. Lowden A, Akerstedt T, Ingre M, Wiholm C, Hillert L, et al. Sleep after mobile phone exposure in subjects with mobile phone- related symptoms. Bioelectromagnetics 2011;32(1):4–14. 64. Schmid MR, Loughran SP, Regel SJ, Murbach M, Bratic Grunauer A, et al. Sleep EEG alterations: effects of different pulse-modulated radio frequency electromagnetic fields. J Sleep Res 2012;21(1):50–8. 65. Schmid MR, Murbach M, Lustenberger C, Maire M, Kuster N, et al. Sleep EEG alterations: effects of pulsed magnetic fields versus pulse-modulated radio frequency electromagnetic fields. J Sleep Res 2012;21(6):620–9. 66. Loughran SP, McKenzie RJ, Jackson ML, Howard ME, Croft RJ. Individual differences in the effects of mobile phone exposure on human sleep: rethinking the problem. Bioelectromagnetics 2012;33(1):86–93. 67. Fritzer G, Göder R, Friege L, Wachter J, Hansen V, et al. Effects of short- and long-term pulsed radiofrequency electromagnetic fields on night sleep and cognitive functions in healthy sub- jects. Bioelectromagnetics 2007;28(4):316–25. 68. Mohler E, Frei P, Braun-Fahrländer C, Fröhlich J, Neubauer G, et al. Effects of everyday radiofrequency electromagnetic-field exposure on sleep quality: a cross-sectional study. Radiat Res 2010;174(3):347–56. 69. Mohler E, Frei P, Fröhlich J, Braun-Fahrländer C, Röösli M, et al. Exposure to radiofrequency electromagnetic fields and sleep quality: a prospective cohort study. PLoS One 2012;7(5):e37455. 70. Nakatani-Enomoto S, Furubayashi T, Ushiyama A, Groiss SJ, Ueshima K, et al. Effects of electromagnetic fields emitted from W-CDMA-like mobile phones on sleep in humans. Bioelectromagnetics 2013;34(8):589–98. 71. Pelletier A, Delanaud S, Décima P, Thuroczy G, de Seze R, et al. Effects of chronic exposure to radiofrequency electromagnetic fields on energy balance in developing rats. Environ Sci Pollut Res Int 2013;20(5):2735–46. 72. Mohammed HS, Fahmy HM, Radwah NM, Elsayed AA. Non- thermal continuous and modulated electromagnetic radiation fields effects on sleep EEG of rats. J Adv Res 2013;4(2):181–7. 73. Belyaev I. Dependence of non-thermal biological effects of microwaves on physical and biological variables: implications for reproducibility and safety standards [Internet]. In: Giuliani L, Soffritti M, editors. Non-thermal effects and mechanisms of interaction between electromagnetic fields and living matter. Bologna (IT): Ramazzini institute, 2010. European Journal of Oncology – Library Vol. 5. pp 187–218. Available from: http:// www.icems.eu/papers.htm?f=/c/a/2009/12/15/MNHJ1B49KH. DTL. 74. Kitaoka K, Kitamura M, Aoi S, Shimizu N, Yoshizaki K. Chronic exposure to an extremely low-frequency magnetic field induces depression-like behavior and corticosterone secretion without enhancement of the hypothalamic-pituitary-adrenal axis in mice. Bioelectromagnetics 2013;34(1):43–51. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 298298 366 Belyaev et al.: EUROPAEM EMF Guideline 2015 75. Szemerszky R, Zelena D, Barna I, Bárdos G. Stress-related endocrinological and psychopathological effects of short- and long-term 50Hz electromagnetic field exposure in rats. Brain Res Bull 2010;81(1):92–9. 76. Shin EJ, Jeong JH, Kim HJ, Jang CG, Yamada K, et al. Exposure to extremely low frequency magnetic fields enhances locomotor activity via activation of dopamine D1-like receptors in mice. J Pharmacol Sci 2007;105(4):367–71. 77. Shin EJ, Nguyen XK, Nguyen TT, Pham DT, Kim HC. Exposure to extremely low frequency magnetic fields induces fos-related antigen-immunoreactivity via activation of dopaminergic D1 receptor. Exp Neurobiol 2011;20(3):130–6. 78. Wang X, Liu Y, Lei Y, Zhou D, Fu Y, et al. Extremely low-frequency electromagnetic field exposure during chronic morphine treat- ment strengthens downregulation of dopamine D2 receptors in rat dorsal hippocampus after morphine withdrawal. Neurosci Lett 2008;433(3):178–82. 79. Ravera S, Bianco B, Cugnoli C, Panfoli I, Calzia D, et al. Sinu- soidal ELF magnetic fields affect acetylcholinesterase activity in cerebellum synaptosomal membranes. Bioelectromagnetics 2010;31(4):270–6. 80. Fournier NM, Mach QH, Whissell PD, Persinger MA. Neurodevelopmental anomalies of the hippocampus in rats exposed to weak intensity complex magnetic fields throughout gestation. Int J Dev Neurosci 2012;30(6):427–33. 81. Balassa T, Szemerszky R, Bárdos G. Effect of short-term 50 Hz electromagnetic field exposure on the behavior of rats. Acta Physiol Hung 2009;96(4):437–48. 82. Dimitrijević D, Savić T, Anđelković M, Prolić Z, Janać B. Extremely low frequency magnetic field (50 Hz, 0.5 mT) modifies fitness components and locomotor activity of Drosophila subobscura. Int J Radiat Biol 2014;90(5):337–43. 83. Janać B, Selaković V, Rauš S, Radenović L, Zrnić M, et al. Tempo- ral patterns of extremely low frequency magnetic field-induced motor behavior changes in Mongolian gerbils of different age. Int J Radiat Biol 2012;88(4):359–66. 84. Legros A, Corbacio M, Beuter A, Modolo J, Goulet D, et al. Neurophysiological and behavioral effects of a 60 Hz, 1800 µT magnetic field in humans. Eur J Appl Physiol 2012;112(5):1751–62. 85. Rauš S, Selaković V, Radenović L, Prolić Z, Janać B. Extremely low frequency magnetic field induced changes in motor behaviour of gerbils submitted to global cerebral ischemia. Behav Brain Res 2012;228(2):241–6. 86. Todorović D, Marković T, Prolić Z, Mihajlović S, Rauš S, et al. The influence of static magnetic field (50 mT) on development and motor behaviour of Tenebrio (Insecta, Coleoptera). Int J Radiat Biol 2013;89(1):44–50. 87. Che Y, Sun H, Cui Y, Zhou D, Ma Y. Effects of exposure to 50 Hz magnetic field of 1 mT on the performance of detour learning task by chicks. Brain Res Bull 2007;74(1–3):178–82. 88. Corbacio M, Brown S, Dubois S, Goulet D, Prato FS, et al. Human cognitive performance in a 3 mT power-line frequency magnetic field. Bioelectromagnetics 2011;32(8):620–33. 89. Cui Y, Ge Z, Rizak JD, Zhai C, Zhou Z, et al. Deficits in water maze performance and oxidative stress in the hippocampus and striatum induced by extremely low frequency magnetic field exposure. PLoS One 2012;7(5):e32196. 90. Duan Y, Wang Z, Zhang H, He Y, Lu R, et al. The preventive effect of lotus seedpod procyanidins on cognitive impairment and oxidative damage induced by extremely low frequency electro- magnetic field exposure. Food Funct 2013;4(8):1252–62. 91. Fu Y, Wang C, Wang J, Lei Y, Ma Y. Long-term exposure to extremely low-frequency magnetic fields impairs spatial recognition memory in mice. Clin Exp Pharmacol Physiol 2008;35(7):797–800. 92. Harakawa S, Nedachi T, Hori T, Takahashi K, Tochio K, et al. Effect of electric field in conditioned aversion response. J Vet Med Sci 2008;70(6):611–3. 93. He LH, Shi HM, Liu TT, Xu YC, Ye KP, et al. Effects of extremely low frequency magnetic field on anxiety level and spatial memory of adult rats. Chin Med J (Engl) 2011;124(20):3362–6. 94. Liu T, Wang S, He L, Ye K. Chronic exposure to low-intensity magnetic field improves acquisition and maintenance of memory. Neuroreport 2008;19(5):549–52. 95. Sun H, Che Y, Liu X, Zhou D, Miao Y, et al. Effects of prenatal exposure to a 50-Hz magnetic field on one-trial passive avoidance learning in 1-day-old chicks. Bioelectromagnetics 2010;31(2):150–5. 96. Korpinar MA, Kalkan MT, Tuncel H. The 50 Hz (10 mT) sinusoidal magnetic field: effects on stress-related behavior of rats. Bratisl Lek Listy 2012;113(9):521–4. 97. Liu T, Wang S, He L, Ye K. Anxiogenic effect of chronic exposure to extremely low frequency magnetic field in adult rats. Neurosci Lett 2008;434(1):12–7. 98. Salunke BP, Umathe SN, Chavan JG. Involvement of NMDA receptor in low-frequency magnetic field-induced anxiety in mice. Electromagn Biol Med 2014;33(4):312–26. 99. Ross ML, Koren SA, Persinger MA. Physiologically patterned weak magnetic fields applied over left frontal lobe increase acceptance of false statements as true. Electromagn Biol Med 2008;27(4):365–71. 100. Davanipour Z, Tseng CC, Lee PJ, Markides KS, Sobel E. Severe Cognitive dysfunction and occupational extremely low frequency magnetic field exposure among elderly Mexican Americans. Br J Med Med Res 2014;4(8):1641–62. 101. Stevens P. Affective response to 5 microT ELF magnetic field-induced physiological changes. Bioelectromagnetics 2007;28(2):109–14. 102. Ishay JS, Plotkin M, Volynchik S, Shaked M, Schuss Z, et al. Exposure to an additional alternating magnetic field affects comb building by worker hornets. Physiol Chem Phys Med NMR 2007;39(1):83–8. 103. Sandyk R. Reversal of cognitive impairment in an elderly Parkinsonian patient by transcranial application of picotesla electromagnetic fields. Int J Neurosci 1997;91(1–2):57–68. 104. Hallberg Ö, Johansson O. Alzheimer mortality – why does it increase so fast in sparsely populated areas? Europ Biol Bioelectromag 2005;1:225–46. 105. Huss A, Spoerri A, Egger M, Röösli M; Swiss National Cohort Study. Residence near power lines and mortality from neurodegenerative diseases: longitudinal study of the Swiss population. Am J Epidemiol 2009;169(2):167–75. 106. Frei P, Poulsen AH, Mezei G, Pedersen C, Cronberg Salem L, et al. Residential distance to high-voltage power lines and risk of neurodegenerative diseases: a Danish population-based case-control study. Am J Epidemiol 2013;177(9):970–8. 107. Zhou H, Chen G, Chen C, Yu Y, Xu Z. Association between extremely low-frequency electromagnetic fields occupations and amyotrophic lateral sclerosis: a meta-analysis. PLoS One 2012;7(11):e48354. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 299299 Belyaev et al.: EUROPAEM EMF Guideline 2015 367 108. Vergara X, Kheifets L, Greenland S, Oksuzyan S, Cho YS, et al. Occupational exposure to extremely low-frequency magnetic fields and neurodegenerative disease: a meta-analysis. J Occup Environ Med 2013;55(2):135–46. 109. Kundi M, Hutter HP. Umwelthygienische Bewertung des Berichtes zur Bestimmung der Feldstärken niederfrequenter magnetischer Wechselfelder im Bereich der 110 kV Hochspan- nungsleitung im Siedlungsbereich der Gemeinde Kottingbrunn von Dr.-Ing. Dietrich Moldan vom 20.8.2014 [Internet]. Kot- tingbrunn (AT): Gemeinde Kottinbrunn, 2014:69–104. Available from: www.kottingbrunn.or.at/system/web/GetDocument. ashx?fileid=972861. 110. Agarwal A, Deepinder F, Sharma RK, Ranga G, Li J. Effect of cell phone usage on semen analysis in men attending infertility clinic: an observational study. Fertil Steril 2008;89(1):124–8. 111. Agarwal A, Desai NR, Makker K, Varghese A, Mouradi R, et al. Effect of radiofrequency electromagnetic waves (RF-EMF) from cellular phones on human ejaculated semen: an in vitro study. Fertil Steril 2009;92(4):1318–25. 112. Wdowiak A, Wdowiak L, Wiktor H. Evaluation of the effect of using mobile phones on male fertility. Ann Agric Environ Med 2007;14(1):169–72. 113. De Iuliis GN, Newey RJ, King BV, Aitken RJ. Mobile phone radiation induces reactive oxygen species production and DNA damage in human spermatozoa in vitro. PLoS One 2009;4(7):e6446. 114. Fejes I, Zavacki Z, Szollosi J, Koloszar Daru J, Kovacs L, et al. Is there a relationship between cell phone use and semen quality? Arch Androl 2005;51(5):385–93. 115. Aitken RJ, Bennetts LE, Sawyer D, Wiklendt AM, King BV. Impact of radio frequency electromagnetic radiation on DNA integrity in the male germline. Int J Androl 2005;28(3):171–9. 116. Aitken RJ, Koopman P, Lewis SEM. Seeds of concern. Nature 2004;432(7013):48–52. 117. Erogul O, Oztas E, Yildirim I, Kir T, Aydur E, et al. Effects of electro magnetic radiation from a cellular phone on human sperm motility: an in vitro study. Arch Med Res 2006;37(7):840–3. 118. Dasdag S. Whole-body microwave exposure emitted by cellular phones and testicular function of rats. Urol Res 1999;27(3):219–23. 119. Yan JG, Agresti M, Bruce T, Yan YH, Granlund A, et al. Effects of cellular phone emissions on sperm motility in rats. Fertil Steril 2007;88(4):957–64. 120. Otitoloju AA, Obe IA, Adewale OA, Otubanjo OA, Osunkalu VO. Preliminary study on the reduction of sperm head abnor- malities in mice, Mus musculus, exposed to radiofrequency radiations from global system for mobile communication base stations. Bull Environ Contam Toxicol 2010;84(1):51–4. 121. Behari J, Kesari KK. Effects of microwave radiations on reproductive system of male rats. Embryo Talk 2006; 1(Suppl. 1):81–5. 122. Kumar S, Behari J, Sisodia R. Impact of microwave at X-band in the aetiology of male infertility. Electromagn Biol Med 2012;31(3):223–32. 123. Panagopoulos DJ. Effect of microwave exposure on the ovarian development of Drosophila melanogaster. Cell Biochem Biophys 2012;63(2):121–32. 124. Gul A, Celebi H, Ugras S. The effects of microwaves emitted by cellular phones on ovarian follicles in rats. Arch Gynecol Obstet 2009;280(5):729–33. 125. Magras IN, Xenos TD. RF Radiation-induced changes in the prenatal development of mice. Bioelectromagnetics 1997;18(6):455–61. 126. Röösli M, Moser M, Baldinini Y, Meier M, Braun-Fahrländer C. Symptoms of ill health ascribed to electromagnetic field exposure – a questionnaire survey. Int J Hyg Environ Health 2004;207(2):141–50. 127. Kato Y, Johansson O. Reported functional impairments of electrohypersensitive Japanese: a questionnaire survey. Pathophysiology 2012;19(2):95–100. 128. Huss A, Küchenhoff J, Bircher A, Heller P, Kuster H, et al. Symptoms attributed tot he environment- a systematic interdisciplinary assessment. Int J Hyg Environ Health 2004;207(3):245–54. 129. Huss A, Küchenhoff J, Bircher A, Niederer M, Tremp J, et al. Elektromagnetische Felder und Gesundheitsbelastungen – Interdisziplinäre Fallabklärungen im Rahmen eines umweltmediznischen Beratungsprojektes. Umweltmed Forsch Prax 2005;10(1):21–8. 130. Schreier N, Huss A, Röösli M. The prevalence of symptoms attributed to electromagnetic field exposure: a cross-sectional representative survey in Switzerland. Soz Praventivmed 2006;51(4):202–9. 131. Huss A, Röösli M. Consultations in primary care for symptoms attributed to electromagnetic fields–a survey among general practitioners. BMC Public Health 2006;6:267. 132. Ausfeld-Hafter B, Manser R, Kempf D, Brändli I. Komplementärmedizin. Eine Fragebogenerhebung in sch- weizerischen Arztpraxen mit komplementärmedizinischem Diagnostik- und Therapieangebot. Studie im Auftrag vom Bundesamt für Umwelt. Universität Bern. Kollegiale Instanz für Komplementärmedizin (KIKOM) [Internet]. Bern (CH): Bundesamt für Umwelt. 2006 Oct 5. Available from: http:// www.bafu.admin.ch/elektrosmog/01095/01099/index. html?lang=de&download. 133. Leitgeb N, Schröttner J, Böhm M. Does “electromagnetic pollution” cause illness? An inquiry among Austrian general practitioners. Wien Med Wochenschr 2005;155(9–10):237–41. 134. World Health Organization. Factsheet Nr. 296, Elektromag- netische Felder und Öffentliche Gesundheit – Elektromag- netische Hypersensitivität (Elektrosensibilität) [Internet]. Genf (CH): WHO, 2005 Dec. Available from: http://www.who.int/ peh-emf/publications/facts/ehs_fs_296_german.pdf. 135. Hug K, Röösli M. Strahlung von Sendeanlagen und Gesundheit. Bewertung von wissenschaftlichen Studien im Niedrigdosis- bereich. Stand: Dezember 2012 [Internet]. Bern (CH): Bundes- amt für Umwelt, 2013. Available from: http://www.bafu.admin. ch/publikationen/publikation/01739/index.html?lang=de. 136. Genius SJ, Lipp CT. Electromagnetic hypersensitivity: fact or fiction? Sci Total Environ 2012;414:103–12. 137. Johansson O. Electrohypersensitivity: state-of-the-art of a func- tional impairment. Electromagn Biol Med 2006;25(4):245–58. 138. Johansson O. Aspects of studies on the functional impairment electrohypersensitivity. In: Proceedings of Electromagnetic Phenomena and Health – A Continuing Controversy? In: Jamie- son IA, Holdstock, editors. A one day international conference organised by the Electrostatics Group of the Institute of Phys- ics and held at the Institute of Physics, London (UK) 2008 Sept 10. IOP Conference Series: Earth and Environmental Science, IoP Publishing, Bristol/Philadelphia, Volume 10:1–7. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 300300 368 Belyaev et al.: EUROPAEM EMF Guideline 2015 139. Abelous D. France has its first radiation-free refuge in the Drôme [Internet]. EURRE/Drôme (FR): Agence France Presse (AFP), 2009 Oct 9. Available from: http://www.next-up.org/ pdf/AFP_France_has_its_first_radiation_free_refuge_in_the_ Drome_09_10_2009.pdf. 140. Ecoforma. Mit einem schadstofffreiem Haus gegen Schlafprobleme [Internet]. Sarleinsbach (AT): Ecoforma, 2014 Sept 9. Available from: http://www.ecoforma.co.at/holzbau- ecobau-lehrbaustelle. 141. Johansson O. Elöverkänslighet samt överkänslighet mot mobiltelefoner: Resultat från en dubbel-blind provokations- studie av metodstudiekaraktär (Electrohypersensitivity and sensitivity to mobile telephones: Results from a double-blind provocation study of pilot character, in Swedish), Enheten för Experimentell Dermatologi, Karolinska Institutet, Stockholm, Rapport No. 2, 1995, ISSN 1400-6111. 142. Johansson O, Liu P-Y. “Electrosensitivity”, “electrosupersen- sitivity” and “screen dermatitis”: preliminary observations from on-going studies in the human skin. In: Simunic D, editor. Proceedings of the COST 244: Biomedical Effects of Electro- magnetic Fields – Workshop on Electromagnetic Hypersensitiv- ity. Brussels/Graz: EU/EC (DG XIII) 1995:52–57. 143. Johansson O, Gangi S, Liang Y, Yoshimura K, Jing C, et al. Cutaneous mast cells are altered in normal healthy volunteers sitting in front of ordinary TVs/PCs – results from open-field provocation experiments. J Cutan Pathol 2001;28(10):513–9. 144. Johansson O, Hilliges M, Björnhagen V, Hall K. Skin changes in patients claiming to suffer from “screen dermatitis”: a two-case open-field provocation study. Exp Dermatol 1994;3(5):234–8. 145. Belpomme D, Irigary P. Electrohypersensitivity and multiple chemical sensitivity: two clinic-biological entities of the same disorder? [Internet]. Brussels [BE]: In: Idiopathic environ- mental intolerance: what role for electromagnetic fields and chemicals? 5th Paris Appeal Congress, Royal Academy of Medi- cine, Belgium, 2015 May 18:p 34. Available from: http://www. ehs-mcs.org/fichiers/1432301961_Paris_Appeal_2015.pdf. 146. Regel SJ, Negovetic S, Röösli M, Berdiñas V, Schuderer J, et al. UMTS base station-like exposure, well-being, and cognitive performance. Environ Health Perspect 2006;114(8):1270–5. 147. Zwamborn APM, Vossen SHJA, van Leersum BJAM, Ouwens MA, Mäkel WN. Effects of Global Communication system radio-fre- quency fields on Well Being and Cognitive Functions of human subjects with and without subjective complaints. The Hague (NL): TNO Physics and Electronics Laboratory, 2003 Sept, 86 p. TNO-report FEL-03-C148. Available from: http://www.salzburg. gv.at/tno_study_2003.pdf. 148. Eltiti S, Wallace D, Ridgewell A, Zougkou K, Russo R, et al. Does short-term exposure to mobile phone base station signals increase symptoms in individuals who report sensitivity to electromagnetic fields? A double-blind randomized provoca- tion study. Environ Health Perspect 2007;115(11):1603–8. 149. McCarty DE, Carrubba S, Chesson AL, Frilot C, Gonzalez-Toledo E, et al. Electromagnetic hypersensitivity: evidence for a novel neurological syndrome. Int J Neurosci 2011;121(12):670–6. 150. Havas M, Marrongelle J, Pollner B, Kelley E, Rees CRG, et al. Provocation study using heart rate variability shows micro- wave radiation from 2.4 GHz cordless phone affects auto- nomic nervous system [Internet]. In: Giuliani L, Soffritti M, editors. Non-thermal effects and mechanisms of interaction between electromagnetic fields and living matter. Bologna (IT): Ramazzini institute, 2010. European Journal of Oncology – Library Vol. 5. pp 187–218. Available from: http://www.icems. eu/papers.htm?f=/c/a/2009/12/15/MNHJ1B49KH.DTL. 151. Havas M. Radiation from wireless technology affects the blood, the heart, and the autonomic nervous system. Rev Environ Health 2013;28(2–3):75–84. 152. Tuengler A, von Klitzing L. Hypothesis on how to measure electromagnetic hypersensitivity. Electromagn Biol Med 2013;32(3):281–90. 153. Klitzing L. Einfluss elektromagnetischer Felder auf kardiovaskuläre Erkrankungen. umwelt medizin gesellschaft 2014;27(1):17–21. 154. Santini R, Santini P, Danze JM, Le Ruz P, Seigne M. Investigation on the health of people living near mobile telephone relay stations: I/Incidence according to distance and sex. Pathol Biol (Paris) 2002;50(6):369–73. 155. Navarro EA, Segura J, Portolés M, Gómez-Perretta de Mateo C. The microwave syndrome: a preliminary study in Spain. Electromagn Biol Med 2003;22(2–3):161–9. 156. Hutter HP, Moshammer H, Wallner P, Kundi M. Subjective symptoms, sleeping problems, and cognitive performance in subjects living near mobile phone base stations. Occup Environ Med 2006;63(5):307–13. 157. Abdel-Rassoul G, El-Fateh OA, Salem MA, Michael A, Farahat F, et al. Neurobehavioral effects among inhabitants around mobile phone base stations. Neurotoxicology 2007;28(2): 434–40. 158. Blettner M, Schlehofer B, Breckenkamp J, Kowall B, Schmiedel S, et al. Mobile phone base stations and adverse health effects: phase 1 of a population-based, cross-sectional study in Germany. Occup Environ Med 2009;66(2):118–23. 159. Milham S, Stetzer D. Dirty electricity, chronic stress, neurotransmitters and disease. Electromagn Biol Med 2013;32(4):500–7. 160. Schlegel P. Elektrosensible Französin als Behinderte anerkannt [Internet]. Stuttgart (DE): Diagnose Funk, 2015 Sep 7. Available from: http://www.diagnose-funk.org/themen/mobilfunkver- sorgung/gesundheit-und-elektrosensibilitaet/elektrosensible- franzoesin-als-behinderte-anerkannt.php. 161. Friedmann J, Kraus S, Hauptmann Y, Schiff Y, Seger R. Mechanism of short-term ERK activation by electromagnetic fields at mobile phone frequencies. Biochem J 2007;405(3):559–68. 162. Simkó M. Cell type specific redox status is responsible for diverse electromagnetic field effects. Curr Med Chem 2007;14(10):1141–52. 163. Pall ML. Explaining “Unexplained Illnesses”: Disease Paradigm for Chronic Fatigue Syndrome, Multiple Chemical Sensitivity, Fibromyalgia, Post-Traumatic Stress Disorder, Gulf War Syndrome, and Others. New York, NY (US), London (GB): Harrington Park Press/Haworth Press, 2007, ISBN 978-0-7890- 2388-9. 164. Bedard K, Krause KH. The NOX Family of ROS-Generating NADPH oxidases: physiology and pathophysiology. Physiol Rev 2007;87(1):245–313. 165. Pacher P, Beckman JS, Liaudet L. Nitric oxide and peroxynitrite in health and disease. Physiol Rev 2007;87(1):315–424. 166. Desai NR, Kesari KK, Agarwal A. Pathophysiology of cell phone radiation: oxidative stress and carcinogenesis with focus on male reproductive system. Reprod Biol Endocrinol 2009;7:114. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 301301 Belyaev et al.: EUROPAEM EMF Guideline 2015 369 167. Straub RH, Cutolo M, Buttgereit F, Pongratz G. Energy regula- tion and neuroendocrine-immune control in chronic inflamma- tory diseases. J Intern Med 2010;267(6):543–60. 168. Gye MC, Park CJ. Effect of electromagnetic field exposure on the reproductive system. Clin Exp Reprod Med 2012;39(1):1–9. 169. Yakymenko I, Tsybulin O, Sidorik E, Henshel D, Kyrylenko O, et al. Oxidative mechanisms of biological activity of low- intensity radiofrequency radiation. Electromagn Biol Med 2015;19:1–16. 170. Pall ML. Electromagnetic fields act via activation of voltage- gated calcium channels to produce beneficial or adverse effects. J Cell Mol Med 2013;17(8):958–65. 171. Pall ML. Microwave frequency electromagnetic fields (EMFs) produce widespread neuropsychiatric effects including depression. J Chem Neuroanat 2015. pii: S0891- 0618(15)00059-9. DOI: 10.1016/j.jchemneu.2015.08.001. [Epub ahead of print]. 172. Myhill S, Booth NE, McLaren-Howard J. Chronic fatigue syndrome and mitochondrial dysfunction. Int J Clin Exp Med 2009;2(1):1–16. 173. Müller KE. Stressregulation und Mitochondrienfunktion. Zs f Orthomol Med 2012;1:1–13. 174. Buchner K, Eger H. Veränderung klinisch bedeutsamer Neurotransmitter unter dem Einfluss modulierter hochfrequenter Felder – Eine Langzeiterhebung unter lebensnahen Bedingungen. umwelt medizin gesellschaft 2011;24(1):44–57. 175. Hill HU, Huber W, Müller KE. Multiple-Chemikalien-Sensitivität (MCS) – Ein Krankheitsbild der chronischen Multisystemer- krankungen, umweltmedizinische, toxikologische und sozial- politische Aspekte. Aachen (DE): Shaker-Verlag, 2010 Apr, 3rd edition, 500p. ISBN: 978-3-8322-9046-7. 176. Redmayne M, Johansson O. Could myelin damage from radiofrequency electromagnetic field exposure help explain the functional impairment electrohypersensitivity? A review of the evidence. J Toxicol Environ Health B Crit Rev 2014;17(5):247–58. 177. Von Baehr V. Rationelle Labordiagnostik bei chronisch entzündlichen Systemerkrankungen. umwelt medizin gesellschaft 2012;25(4):244–7. 178. Warnke U, Hensinger P. Steigende „Burn-out“-Inzidenz durch technisch erzeugte magnetische und elektromagnetische Felder des Mobil- und Kommunikationsfunks. umwelt-medizin- gesellschaft 2013;26(1):31–8. 179. Havas M. Dirty electricity elevates blood sugar among electrically sensitive diabetics and may explain brittle diabetes. Electromagn Biol Med 2008;27(2):135–46. 180. Steiner E, Aufdereggen B, Bhend H, Gilli Y, Kälin P, et al. Erfahrungen des Pilotprojektes „Umweltmedizinisches Bera- tungsnetz“ des Vereins Aerztinnen und Aerzte für Umwelts- chutz (AefU). Therapeutische Umschau 2013;70(12):739–45. 181.Hagström M, Auranen J, Johansson O, Ekman R. Reducing electromagnetic irradiation and fields alleviates experienced health hazards of VDU work. Pathophysiology 2012;19(2): 81–7. 182. Hagström M, Auranen J, Ekman R. Electromagnetic hypersensitive Finns: symptoms, perceived sources and treatments, a questionnaire study. Pathophysiology 2013;20(2):117–22. 183. Oberfeld G. Die Veränderung des EMF Spektrums und ihre Folgen. In: Baubiologische EMF-Messtechnik. München, Heidelberg (DE): Hüthig & Pflaum Verlag, 2012. ISBN 1438-8707. 184. Berufsverband Deutscher Baubiologen. VDB-Richtlinien, Physi- kalische Untersuchungen, Band 1: Fürth (DE): Verlag AnBUS eV, 2006. 2nd Edition. Available at: http://www.baubiologie.net/ publikationen/vdb-richtlinien.html. 185. Bundesamt für Umwelt. Orte mit empfindlicher Nutzung (OMEN) [Internet]. Bern (CH): Bundesamt für Umwelt, 2010 Mar 4. Available from: http://www.bafu.admin.ch/elektros- mog/07136/07420/index.html?lang=de. 186. Kundi M, Hutter HP. Mobile phone base stations – Effects on wellbeing and health. Pathophysiology 2009;16(2–3):123–35. 187. Molla-Djafari H, Witke J, Poinstingl G, Brezansky A, Hutter HP, et al. Leitfaden Senderbau -Vorsorgeprinzip bei Errichtung, Betrieb, Um- und Ausbau von ortsfesten Sendeanlagen. Wien (AT): Ärztinnen und Ärzte für eine gesunde Umwelt e.V. (Hrsg.), 2014 Oct. 2. Auflage, 42 p, Available from: www.aegu.net/pdf/ Leitfaden.pdf. 188. National Council on Radiation Protection and Measurements (NCRP). Draft Report of NCRP Scientific Committee 89-3 on Extremely Low Frequency Electric and Magnetic Fields [Internet]. 1995 Jun 13. Available from: http://www.salzburg. gv.at/ncrp_draft_recommendations_on_emf_exposure_ guidelines_1995.pdf. 189. Oberfeld G. Umweltverträglichkeitsgutachten für die Umweltverträglichkeitsprüfung nach UVP-G 2000 für das Vorhaben 380 kV Freileitung von St. Peter am Hart zum Umspannwerk Salzach Neu (Salzburgleitung), Befund und Gutachten Umweltmedizin (Salzburg) [Internet] Salzburg (AT): Land Salzburg, 2006, p241-360. Available from: http://www. salzburg.gv.at/salzburgleitung-uvg-endvers.pdf. 190. Baubiologie Maes/Institut für Baubiologie + Nachhaltigkeit (IBN). Baubiologische Richtwerte für Schlafbereiche (Ergänzung zum SBM-2015). Neuss, Rosenheim (DE): Baubiologie Maes, IBN., 2015 May, 3 p. Available from: http://www.maes.de/3%20 STANDARD/maes.de%20STANDARD-2015%20RICHTWERTE.PDF. 191. Virnich M. Gutachten über die messtechnische Untersuchung der Charakteristik von Funksignalen [Internet]. Salzburg (AT): Land Salzburg, 2015 Jun 26, 141 p. Available from: http://www. salzburg.gv.at/elektrosmog_und_gesundheit/technik.htm. 192. Der Schweizerische Bundesrat. Verordnung über den Schutz vor nichtionisierender Strahlung (NISV) vom 23. Dezember 1999 [Internet]. Bern (CH): Der Schweizerische Bundesrat, 2012 Jul 1. Available from: https://www.admin.ch/opc/de/ classified-compilation/19996141/index.html. 193. Zeisel L. Ein Meßverfahren zur Bestimmung der Körperbelas- tung durch das elektrische Wechselfeld bei tiefen Frequenzen. Wohnung und Gesundheit 1993;69:20. 194. Arbeitskreis Elektrobiologie eV. Available from: http://www. elektrobiologie.com/index.html. 195. Gralla F. Estimation of 50-Hz electrically vs. magnetically generated body currents in sleeping subjects. Electromagnetic Biology and Medicine Jan 1997;16(3):235–41. 196. Gustavs K. Options to inimize non-ionizing electromagnetic radiation exposures (EMF/RF/Static fields) in office environ- ments [Internet]. Victoria, BC (CA): Katharina Consulting, 2008 Nov 14. Available from: http://www.katharinaconsulting. com/s/2008_Gustavs_Low_EMF_Office_Environment.pdf. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 302302 370 Belyaev et al.: EUROPAEM EMF Guideline 2015 197. Oberfeld G, Gutbier J. Elektrosmog im Alltag [Internet]. Stuttgart (DE): Diagnose Funk, 2013 Nov 10, 44 p. Available from: http://www.salzburg.gv.at/df_ratgeber_1.pdf. 198. Virnich M. Baubiologische EMF-Messtechnik – Grundlagen der Feldtheorie, Praxis der Feldmesstechnik. München, Heidelberg (DE): Hüthig & Pflaum Verlag, 2012. ISBN 1438-8707. 199. Pauli P, Moldan D. Reduzierung hochfrequenter Strahlung im Bauwesen: Baustoffe und Abschirmmaterialien. Fürth (DE): Hrsg. Berufsverband Deutscher Baubiologen VDB e.V., Verlag AnBUS e.V. 2015. ISBN 978-3-9814025-9-9. 200. Levy F, Wannag A, editors. Nordic Adaptation of Classification of Occupationally Related Disorders (Diseases and Symptoms) to ICD-10 [Internet]. Oslo (NO): Nordic council of ministers, 2000, 53 p. DIVS: 2000:839, ISBN: 92-893-0559-2. Available from: http://www.nordclass.se/ICD-10_Nordic%20 Occupational_2000.pdf. 201. Bansal M, Kaushal N. Oxidative stress mechanisms and their modulation. New Delhi (IN): Springer, 2014:167 p. 202. Brostoff J, Challacombe S. Food allergy and intolerance. London (GB): Ballière Tindall, 1987. 203. Andrè CM, Larondelle Y, Eners D. Dietary antioxidants and oxidative stress from a human and plant perspective, a review. Curr Nutr Food Sci 2010;6(1):2–12. 204. Bouayed J, Bohn T. Exogenous antioxidants-double edged swords in cellular redox state; health beneficial effects at physiological doses versus deleterious effects at high doses. Oxid Med Cell Longev 2010;3(4):228–37. 205. Hoffmann W, Staller B. Prävention durch richtige Ernährung. umwelt medizin gesellschaft 2012;25(2):115–7. 206. Suzuki YJ, Packer L. Inhibition of NFkB activation by vitamin E derivates. Biochem Biophys Res Commun 1993;193(1):277–83. 207. Zingg JM. Modulation of signal transduction by vitamin E. Mol Aspects Med 2007;28(5–6):481–506. 208. Yeh SL, Wang HM, Chen PY, Wu TC. Interaction of ß-Carotin and flavonoids on the secretion of inflammatory mediators in an in vitro system. Chem Biol Interact 2009;179(2–3): 386–93. 209. Cárcamo JM, Pedraza A, Bórquez-Ojeda O, Golde DW. Vitamin C suppresses TNF alpha-induced NF kappa B activation by inhibiting I kappa B alpha phosphorylation.Biochemistry 2002;41(43):12995–3002. 210. Cárcamo JM, Pedraza A, Bórquez-Ojeda O, Zhang B, Sanchez R, et al. Vitamin C is a kinase inhibitor: dehydroascorbic acid inhibits IkappaBalpha kinase beta. Mol Cell Biol 2004; 24(15):6645–52. 211. Kyaw M, Yoshizumi M, Tsuchya K, Suzaki Y, Abe S, et al. Antioxidants inhibit endothelin-1 (1-31)-induced proliferation of vascular smooth muscle cells via the inhibition of mitogen- activated protein (MAP) kinase and activator protein-1 (AP-1). Biochem Pharmacol 2002;64(10):1521–31. 212. Lubbad A, Oriowo MA, Khan I. Curcumin attenuates inflammation through inhibition of TLR-4 receptor in experimental Colitis. Mol Cell Biochem 2009;322(1–2): 127–35. 213. Woo JH, Lim JH, Kim YH, Soh SI, Min DS, et al. Resveratrol inhibits phorbol myristate acetate-induced matrix metallopro- teinase-9 expression by inhibiting JNK and PKC delta signal transduction. Oncogene 2004;23(10):1845–53. 214. Nonn L, Duong D, Pechl DM. Chemopreventive antiinflamma- tory activities of curcumin and other phytochemicals mediated by MAP kinase phosphatase-5 in prostata cells. Carcinogenesis 2007;28(6):1188–96. 215. Khan N, Mukhtar H. Multitargeted therapy of cancer by green tee polyphenols. Cancer Lett 2008;269(2):269–80. 216. Roskoski R. Biochemistry. Philadelphia, PA, USA: W.B. Saunders Company, 1996:530. 217. Devlin TM, editor. Textbook of Biochemistry with Clinical Correlations. 5th ed. New York, NY (US): Wiley-Liss, 2002. 218. Rassow J, Hauser K, Netzker, Deutzmann R. Biochemie. 2nd ed. Stuttgart (DE): Thieme, 2008:872. 219. Müller KE. Genetische Polymorphismen der Catechol-O- Methyltransferase (COMT). umwelt medizin gesellschaft 2007;20(4):282–8. 220. Rea WJ. Chemical Sensitivity, Vol. 2: Sources of Total Body Load. 1st ed. Boca Raton, FL (US): CRC Press/Lewis Publishers, 1994:569. 221. Schäfer SG, Elsenhans B, Forth W, Schümann K. Metalle. In: Marquardt H, Schäfer SG, editors. Lehrbuch der Toxikologie. Heidelberg (DE): Spektrum Akademischer Verlag, 1997:504–49. 222. Goyer RA, Cherian GM, editors. Toxicology of Metals. Berlin, Heidelberg (DE): Springer-Verlag, 1995:467. 223. Müller KE. Immuntoxikologie der Metalle. umwelt medizin gesellschaft 2004;17(4):299–301. 224. Aposian HV, Malorino RM, Gonzales-Ramirez D, Zuniga-Charles M, Xu Z, et al. Mobilization of heavy metals by newer, therapeutically useful chelating agents. Toxicology 1995;97(1–3):23–38. 225. Flora SJ, Pachauri V. Chelation in Metal Intoxication. Int J Environ Res Public Health 2010;7(7):2745–88. 226. Jennrich P. Detoxifikation von Schwermetallen. umwelt medizin gesellschaft 2012;25(4):24–7. 227. Rózanowska M, Jarvis-Evans J, Korytowski W, Boulton ME, Burke JM, Sarna T. Blue-light induced reactivity of retinal age pigment. In vitro generation of oxygen-reactive species. J Biol Chem 1995;270(32):18825–30. 228. Tolentino M, Morgan G. Popularity of electronic devices, “greener” light bulbes increases blue light exposure. Pri Care Optometry News 2012;18–9. 229. van der Lely S, Frey S, Garbazza C, Wirz-Justice A, Jenni OG, et al. Blue blocker glasses as a countermeasure for alerting effects of evening light-emitting diode screen exposure in male teenagers. J Adolesc Health 2015;56(1):113–9. 230. Narimatsu T, Negishi K, Miyake S, Hirasawa M, Osada H, et al. Blue light-induced inflammatory marker expression in the retinal pigment epithelium-choroid of mice and the protective effect of a yellow intraocular lens material in vivo. Exp Eye Res 2015;132:48–51. 231. Nishi T, Saeki K, Obayashi K, Miyata K, Tone N, et al. The effect of blue-blocking intraocular lenses on circadian biological rhythm: protocol for a randomised controlled trial (CLOCK-IOL colour study). BMJ Open 2015;5(5):e007930. 232. Mutter J, Naumann J, Schneider R, Walach H, Haley B. Mercury and autism: accelerating evidence? Neuro Endocrinol Lett 2005;26(5):439–46. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 303303 Belyaev et al.: EUROPAEM EMF Guideline 2015 371 233. Mutter J, Naumann J, Guethlin C. Comments on the article “the toxicology of mercury and its chemical compounds” by Clarkson and Magos (2006). Crit Rev Toxicol 2007;37(6):537–49; discussion 551–2. 234. Mutter J, Curth A, Naumann J, Deth R, Walach H. Does inorganic mercury play a role in Alzheimer’s disease? A systematic review and an integrated molecular mechanism. J Alzheimers Dis 2010;22(2):357–74. 235. Geier DA, King PG, Sykes LK, Geier MR. A comprehensive review of mercury provoked autism. Indian J Med Res 2008;128(4):383–411. Supplemental Material: The online version of this article (DOI: 10.1515/reveh-2015-0033) offers supplementary material, available to authorized users. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM DE GRUYTER 304304 PHYSICIANS STATEMENT – Exhibit 2 305305 PRELIMINARY Clinical Practice Guidelines in the Diagnosis and Management of Electromagnetic Field Hypersensitivity (EHS) Dr. Riina Ines Bray BASc, MSc, MD, FCFP, MHSc Medical Director, Environmental Health Clinic, Women’s College Hospital Assistant Professor, Department of Family and Community Medicine and Dalla Lana School of Public Health, University of Toronto riina.bray@wchospital.ca www.womenscollegehospital.ca/care-programs/environmental-health-clinic/ October, 2020 Introduction Environmental health is the study of effects upon human beings of external physical/ electromagnetic, chemical and biological factors in air, water, soil, food and other environmental media which impact on the general population as well as genetic aberrations and psychosocial stressors.1 Environmental health is an evidence- and public- health-based discipline. The physical environment is a determinant of health and is interrelated with socioeconomic, social-justice and equity issues. The impact of the environment is an especially important part of our public health domain.2 In 2014, a systematic review of 63 studies3 revealed that despite heterogeneity, the criteria predominantly used to identify idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF) individuals were: 1.Self-report of being (hyper)sensitive to electromagnetic fields (EMF) 2.Attribution of non-specific physical symptoms (NSPS) to at least one EMF source 3.Absence of medical or psychiatric/psychological disorder capable of accounting for these symptoms 4.Symptoms should occur soon (up to 24 hours) after the individual perceives an exposure source or exposed area Electromagnetic Field Hypersensitivity (EHS) is a spectrum disorder in which there is an awareness and/or adverse response to electromagnetic fields.4 Environmental Sensitivities are recognized as a disability under the Canadian Human Rights Commission (Federal).5 Demographics EHS can occur in all age groups, genders (women are more genetically predisposed6), races and income levels. Since 2005, the physicians at the Environmental Health Clinic at Women’s College Hospital have assessed an increasing number of patients who, due to co-morbid conditions coupled with chronic 1 NEHA. Definitions of Environmental Health. https://www.neha.org/about-neha/definitions-environmental-health. 2 Electromagnetic hypersensitivity: fact or fiction? Genuis SJ. Lipp CT. Sci Total Environ. 2012; 414:103-12. 3 Idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF): A systematic review of identifying criteria. Baliatsas C. Van Kamp I. Lebret E. et al. BMC Public Health. 2012; 12(1). 4 Electrosensibility and electromagnetic hypersensitivity. Leitgeb N. Schrottner J. Bioelectromagnetics. 2003; 24(6):387-94. 5 Canadian Human Rights Commission. Environmental sensitivity and scent-free policies. https://www.chrc- ccdp.gc.ca/eng/content/policy-environmental-sensitivities. 2019. 6 Belpomme, D.; Irigaray, P. Electrohypersensitivity as a Newly Identified and Characterized Neurologic Pathological Disorder: How to Diagnose, Treat, and Prevent It. Int. J. Mol. Sci. 2020, 21, 1915. 306306 exposures to electromagnetic fields. Patients present to the clinic after become unwell with a pattern of functional impairments, some becoming disabled, losing their jobs or becoming homeless. Prolonged and/or excessive exposures to these factors cause functional impairments in individuals, and a huge burden of suffering.7 Etiology and Pathophysiology The pathophysiology is poorly characterized. The degree of functional impairment caused by EMF exposure is dependent upon genetic polymorphisms8 that predispose the individual to a poor detoxification profile and therefore an increased total body burden (Figure 1). A poor detoxification profile can also lead to co-morbid illnesses such as Multiple Chemical Sensitivities (MCS), nervous, cardiac and immune system dysfunction which renders a person vulnerable to EMF exposures. Most commonly, patients have had prolonged chronic exposures to radiofrequency radiation, microwaves, electrical and/or magnetic fields from either wired or wireless technology. Patients can react to electric fields (measured in volts per meter), magnetic fields (measured in milligauss or nano Tesla), dirty electricity (high frequency voltage transients, which are deviations from a pure 50-60H Hz sine wave), radiofrequency radiation, microwave radiation, ground currents and electrosmog. The severity of the impact appears to depend upon the nature, dose, and timing of exposures, as well as a person’s allostatic load, which is the maximum tolerated dose for combined environmental stressors.9 Patients can be identified as having environmental sensitivities, electrical sensitivities or as being “EMF sensitive” or “EMF susceptible” rather than “hyper” in order to decrease stigmatization potential. Radiofrequency radiation can cause the following adverse biological effects:10 11 •Cerebral hypoperfusion/ hypoxia-related neuroinflammation •Histamine release causing oxidative stress in biological systems12 •Peroxidation, DNA damage, changes to antioxidant enzymes •Voltage gated calcium channel dysregulation effecting the cardiac and nervous system •Peroxynitrite formation which causes chronic inflammation, damage to mitochondrial function and structure and reduction of ATP •Reduced glutathione and CoQ10 •TRPV1 receptor activation13 14 Radiofrequency radiation and microwaves can cause thermal (heat related) or non-thermal effects. Under the non-thermal category, adverse physiological effects have been identified including DNA damage, immune system suppression, increased blood-brain barrier permeability, increased blood viscosity with rouleaux formation. 7 Johansson O. Electrohypersensitivity: a functional impairment due to an inaccessible environment. Reviews on environmental health. 2015 Dec 1;30(4):311-21. 8 De Luca C, Thai JC, Raskovic D, Cesareo E, Caccamo D, Trukhanov A, Korkina L. Metabolic and genetic screening of electromagnetic hypersensitive subjects as a feasible tool for diagnostics and intervention. Mediators Inflamm. 2014;2014:924184 9 Selye H. (1946). The general adaptation syndrome and the diseases of adaptation. The Journal of clinical endocrinology and metabolism, 6, 117–230. https://doi.org/10.1210/jcem-6-2-117 10 Martin Pall; De Luca/ Herbert and Sage 11 Belpomme, Dominique, Philippe Irigaray. “Electrohypersensitivity as a Newly Identified and Characterized Neurologic Pathological Disorder: How to Diagnose, Treat, and Prevent It” Int. J. Mol. Sci. 2020; 21,1915. 12 Yakymenko I. Oxidative mechanisms of biological activity of low-intensity radiofrequency radiation. Electromagn Bio Med. 2016;35(2):186-202 13 Ertilav K, Uslusoy F, Ataizi S, Nazıroğlu M. Long term exposure to cell phone frequencies (900 and 1800 MHz) induces apoptosis, mitochondrial oxidative stress and TRPV1 channel activation in the hippocampus and dorsal root ganglion of rats. Metab Brain Dis. 2018 Jun;33(3):753-763 14 Ghazizadeh V, Nazıroğlu M. Electromagnetic radiation (Wi-Fi) and epilepsy induce calcium entry and apoptosis through activation of TRPV1 channel in hippocampus and dorsal root ganglion of rats. Metab Brain Dis. 2014 Sep;29(3):787-99. 307307 Figure 1: Total Toxic Load (Bray and Marshall, 2005) History The clinician is advised to: 1.Conduct a complete exposure history using the CH2OPD2 mnemonic15 16 to determine total toxic load in the form of EMF/ RFR exposure, toxic metal exposure sources (diet, water, prosthetics, implants, gadolinium), mould, and other potentially toxic chemical exposures. 15 Marshall et al, 2002 16 Bray, 2020 https://static1.squarespace.com/static/593f8894e3df288fc64b6cf0/t/598bbabdf14aa18c52a6dcce/1502329836033/Environmental+H ealth+Clinic+Pre-Visit+Questionnaire.pdf Total Load Symptoms Medi tio Mold ·1~no·, R.idhtboa molmUt / AICOIM>l Dl!l OXIFICATION 308308 CH2OPD2 mnemonic •Community •Home •Hobby •Occupation •Personal habits •Diet •Drugs 2.Determine specific community, work, school and home exposures to EMFs: proximity of cell phone towers, routers, DECT cordless phones, any other wireless technology. Most importantly, determine if the sleeping area is affected.17 18 A helpful mnemonic to determine the parameters of exposure is (F.I.N.D.)19 •F- frequency (Hertz) •I- intensity (Power in µW/m2) •N- nearness •D- duration 3.Have a high index of suspicion for immune deficiencies (which can, for example, lead to candida infection), gut dysbiosis and possible mast cell activation disorder (MCAS). Symptoms Commonly Occurring Singularly or in Combination: •Irritability, lack of appetite, memory problems, vertigo; visual, skin and vascular problems20 •Tinnitus, sleep disorders (disrupted stage 4 sleep with alpha wave intrusions and reduced REM21) mood changes (anxiety, depression, irritability, panic attacks)22 •Headache, weakness, pressure in the head, racing or fluttering heart23 •Dermatological: itch, pain, edema, erythema secondary to elevated transthyretin concentrations24 •Neurasthenic and vegetative symptoms: fatigue, tiredness, cognitive problems, concentration difficulties, dizziness, nausea, heart palpitations (tachycardia, PACs and PVCs), and digestive disturbances25 Etiology of Common Clinical Presentations Category I Patients can present with a toxic metal body burden, most commonly mercury, due to the overconsumption of aquatic, contaminated seafood. Methylmercury (half-life of 27 years in the brain) is neurotoxic causing axonal demyelination and inflammation. Zinc/nickel/mercury dental amalgams also release elemental mercury vapour which enters the brain through the olfactory bulb, and then is converted to methylmercury. Patients can present with cardiac and neurological manifestations. Those with metallic 17 Maes B. Standard of building biology testing methods. Inst. Building Biol.+ Sustainability IBN, Rosenheim, Germany, Tech. Rep. SBM-2008. 2008. 18 Maes B. Building Biology Evaluation Guidelines. Inst. Building Biol.+ Sustainability IBN, Rosenheim, Germany. SBM-2015. 2015. 19 Havas, M. (2014). Electrosmog and Electrosensitivity: What Doctors Need to Know to Help their Patients Heal. Anti-Aging Therapeutics Volume XV. 20 Gomez-Perretta et al. Subjective symptoms related to GSM radiation from mobile phone base stations, BMJ, 2014 21 EUROPAEM Guideline 2015 for the prevention, diagnosis and treatment of EMF-related health problems and illnesses. Belyaev I.Dean A. Eger H. Hubmann G. Jandrisovits R. et al. Rev Environ Health. 2015; 30(4):337-371. 22 Bhat, Kumar and Gupta. Effects of mobile phone and mobile phone tower radiations on human health. 2013 23 Park and Knudson. Medically Unexplained Physical Symptoms. Statistics Canada 200724 Johnansson O, Disturbances 2009 25 WHO, Electromagnetic Fields and Public Health, December 2005 309309 hardware implants such Harrington rods, braces, wire meshes, pins and screws can potentially be affected. Those with excessive gadolinium from multiple contrast studies are also at risk. Other toxic metals include nickel (jewelry, cookware), lead (old water pipes), cadmium (smokers), aluminum(soy products, contaminated water, medications) and arsenic (rice, fish, almonds, well water), all of which increase total load. First Nations populations are at high risk given exposure to contaminated fish with methylmercury. Patients present with headaches (lancinating and heaviness), brain fog, fatigue and anxiety when exposed to EMFs. Category II Patients fall into this category if they suffer from infectious diseases such as Lyme disease, co-infections of Lyme, and other infections which affect the nervous system. These patients have central or peripheral nervous system vulnerability, neuroborreliosis, cerebral vasculitis, polyneuropathy, chronic encephalomyelitis and cranial neuropathy (all late manifestations of Lyme). They present with tremor, dysarthria, ataxia, extreme fatigue, headache, cognitive dysfunction, presyncope and mood disturbances. It is important to reduce body burden through detoxification in order to decrease inflammation. Oxygen therapy is useful in order to help with hypoxia from compromised cerebral blood flow to the bi-frontal cortices and temporal lobes, but provides only short, temporary relief. This may help to confirm the diagnosis, however. fMRI, SPECT, and PET scans can help further reveal pathology. Treatment of Lyme with antibiotics can potentially decrease EHS symptoms.26 Category III This category of patients suffer from lesions of the brain (including tumours such as pituitary adenomas), demyelination, microangiopathic changes, diffuse ischemia, inflammation (from neurotoxic pesticides) and neurodegenerative diseases (multiple sclerosis and ALS for example).27 Nonspecific white matter findings due to simple aging and dementia should also be considered. They present with headaches, brain fog, fatigue, restlessness and low mood, tinnitus(+/-) and potentiation of their already pre-existing signs and symptoms related to their disease. The mechanism of action is associated with the impact of EMFs on voltage gated calcium channel (VGCC) integrity, causing increases in intracellular calcium and thus increase of oxidative stress from ONOO- formation.28 Category IV These patient suffer from heart rhythm disturbances: either exacerbations of existing conditions or new onset caused by radio and microwaves.29 There are periods of poor blood circulation at the capillary level due to rouleaux formation and there is a disturbance of heart conduction because of effects on VGCC. Tachycardic spells, especially at night, can occur. People also experience premature ventricular contractions, premature atrial contractions, atrial flutter and fibrillation. Those with Wolff Parkinson White syndrome are especially at risk for sudden cardiac death due to EMF exposures.30 Conduction problems also affect the autonomic nervous system, causing increased sympathetic tone. A Holter monitor will show rhythm disturbances near cellphone towers and in areas with high Wi-Fi usage. These symptoms are very alarming to the patient and causes severe, prolonged anxiety. Sleep time can be also particularly difficult causing frequent awakenings due to hyper-vigilance with tachycardic spells or PAC/ PVCs. 26 Belpomme, Dominique, Philippe Irigaray. “Electrohypersensitivity as a Newly Identified and Characterized Neurologic Pathological Disorder: How to Diagnose, Treat, and Prevent It” Int. J. Mol. Sci. 2020; 21,1915. 27 De Luca C, Thai JC, Raskovic D, et al. Metabolic and genetic screening of electromagnetic hypersensitive subjects as a feasible tool for diagnostics and intervention. Mediators Inflamm. 2014;2014:924184. doi:10.1155/2014/924184 28 Pall, Martin L. “Wi-Fi Is an Important Threat to Human Health.” Environmental Research 164 (July 1, 2018): 405– 16. https://doi.org/10.1016/j.envres.2018.01.035 29 Havas M. Radiation from wireless technology affects the blood, the heart, and the autonomic nervous system. Reviews on Environmental Health. 2013 Nov 1;28(2-3):75-84. 30 Reversed reciprocating paroxysmal tachycardia controlled by guanethidine in a case of Wolff-Parkinson-White syndrome. Harris WE. Semler HJ. Griswold HE. American heart journal 67.6 (1964): 812-816. 310310 Category V These patients include students and teachers. University, college, high school, and grade school students are all being exposed to high levels of radiation. They frequently work under fluorescent lights. They get eye strain, and sometimes develop rashes related to exposure of this radiation. The epidemic of anxiety, depression, and suicide at universities and colleges is in part being fuelled by the increased level of agitation and anxiety caused by radio and microwave radiation on mood. Students have extremely high levels of nighttime exposure to RFR or electric fields/ dirty electricity. Before prescribing methylphenidate or amphetamines, reducing EMFs in the workspace is critical. Category VI A minority of patients, approximately 1%, exhibit a nocebo response in which inert substances or mere suggestions of substances actually bring about negative effects, i.e. feelings of malaise and anxiety. This is understandable, given the ubiquitous nature of electrical devices in our everyday lives which is unnatural. These patients tend to feel better using wearable jewellery, stickers on cellphones, and special rocks (shungite). Category VII There are many clinical similarities and overlapping comorbid conditions between EHS and multiple chemical sensitivities (MCS) that are reflected in similar genetic polymorphism profiles. Inflammation resulting from impaired detoxification biochemical processes create illness and functional impairment.31 32 Physical Examination Do a complete physical looking for dental amalgam load, metal appliances in the mouth, rashes on the face and/or hands, signs of inflammation and edema, arrhythmias, autoimmunity. Abdomen may be tender due to peristaltic abnormalities and bacterial dysbiosis. Usually a physical exam will reveal neurological, dermatological and/or cardiac signs in the way of arrhythmia and/or poor circulation. Tremor of the tongue and hands may be indicative of mercury overload. There is no gold standard for EHS diagnosis except for elimination of the source and reintroduction/ provocation to confirm if the signs and symptoms are reproduced. Laboratory and Diagnostic Tests Studies have shown that approximately 30% of patients with EHS have no abnormal laboratory biomarkers,33 but genetic polymorphisms are likely prevalent and need further investigation. Some blood tests are expensive and not sensitive or specific but can help guide management if deficiencies or other disease states exist that must be corrected.34 The following laboratory tests will help shed light on the total toxic load and detoxification profile, and it is the combination that allows for the best management of the patient: •Essential mineral and toxic metal panel (RBC) •GGT •Bilirubin •ALP •Chromogranin A 31 De Luca C, Thai JC, Raskovic D, et al. Metabolic and genetic screening of electromagnetic hypersensitive subjects as a feasible tool for diagnostics and intervention. Mediators Inflamm. 2014;2014:924184. doi:10.1155/2014/924184 32 Belpomme, Dominique, Christine Campagnac, and Philippe Irigaray. "Reliable disease biomarkers characterizing and identifying electrohypersensitivity and multiple chemical sensitivity as two etiopathogenic aspects of a unique pathological disorder." Reviews on environmental health 30.4 (2015): 251-271. 33 Belpomme D, Irigaray P. Electrohypersensitivity as a Newly Identified and Characterized Neurologic Pathological Disorder: How to Diagnose, Treat, and Prevent It. International Journal of Molecular Sciences. 2020 Jan;21(6):1915. 34 Europaem 2015/ Oberfeld, 2016/ Belpomme, 2015 311311 •Tryptase.35 •Vitamin D2-D3 •IgE, IgG, IgM, IgA •Inflammatory markers (ESR, hsCRP, CRP, interleukins) •Histamine •Autoimmune markers (including thyroid antibodies) •Presence of infectious diseases – screen for Lyme and co-infections (ELISA and Western blot) •Mitochondriopathy (intracellular ATP) •Oxidative stress lipid peroxidation markers •Anti-myelin-O antibodies •Nitrotyrosin (NTT) - Nitric oxide production increasing BBB permeability •Melatonin (hydroxy-melatonin sulfate – 6-OHMS) •SPEP – effects on bone marrow •Salivary cortisol •Alpha-amylase •Transthyretin •Blood sugar levels after provocation Figure 2: (Belpomme et al., 2015) To further aid in diagnosis:36 •Genetic testing to determine SNPs related to detoxification37 •Weighted MRI showing hypoperfusion in limbic system and thalamus •Ultrasonic cerebral tomosphygmography (UCTS) and Transcranial Doppler US (TDU)38 showing temporal lobe hypoperfusion due to decreased flow in the middle cerebral artery 35 Belpomme, et al, 2015 36 Havas, 2010 37 The DNA Company. https://www.thednacompany.com/ 38 Belpomme, Dominique, Philippe Irigaray. “Electrohypersensitivity as a Newly Identified and Characterized Neurologic Pathological Disorder: How to Diagnose, Treat, and Prevent It” Int. J. Mol. Sci. 2020; 21,1915. Biomarker High-sensitivity C reactive protein (hs-CRP) Vitamin 02-03 Histamine lgE Protein S100B Nitrotyrosine (NTT) Heat shock protein 70 (HSP70) Heat shock protein 27 (HSP27) Anti-0-myelin autoantibodies Hydroxy-melatonin sulfate (6-0HMS) 6-0HMS/creatinine Normal range $ 3 mg/L ~ 30 ng/ml $10 nmol/L $100 Ul/ml $ 0.105 µg/L ~ 0.6 µg/L and$ 0.9 µg/ml $ 5 ng/mL $ 5 ng/ml Negative ~ 5 ng/L and$ 40 ng/L ~ 0.8 and$ 8 312312 •BP and heart rhythm monitoring for 24 hours (night-time changes) for heart rate variability and heart rate abnormalities39 •Sleep study showing abnormalities due to wireless technology in the sleep labs. Alpha wave intrusions and reduced REM sleep are the most likely finding.40 Co-Morbid Conditions 1.Toxic metal overload – mercury 2.Infectious diseases causing neural inflammation – e.g. Lyme disease 3.Toxic Mold Syndrome 4.Cardiac conduction abnormalities – PVC, PAC, atrial fibrillation 5.Neurodegenerative diseases 6.Multiple chemical Sensitivities (MCS) Management Allopathic All co-morbid conditions need to be investigated further and treated. Referrals to specialists may be required to address medial issues that may have been overlooked. Pharmacological Sleep restoration is paramount, and pharmaceuticals can be used if natural remedies are not effective. Antihistamines with sedative effects are the drug of choice. For heart palpitations and arrhythmias, especially those occurring at night, bisoprolol 1.25-2.5mg QHS helps. For sudden tachycardic spells, waves of anxiety, and sympathetic overdrive, propranolol 2.5-5mg po QID PRN is also helpful. Acetylsalicylic acid 81mg daily prevents coagulation secondary to high intensity effects due to the close proximity of routers, DECT base stations and other potent emitters and combinations thereof. A calcium channel blocker, such as diltiazem 15-30mg daily PRN, could help reduce symptoms. Gentle chelation therapy may be required if toxic metal load is too high41. Remediation Health-care providers need to encourage patients to seek help from building biologists. These technicians can assess the degree of EMF exposure a person is receiving in their home and make sensible recommendations. The impacts of cell phone towers, smart meters and hydro wires on living spaces can be determined, as well as anything internally generating EMFs. Voltage, power density and magnetic fields, as well as dirty electricity can be measured. Proximity to wind turbines which, due to poor enforcement of safety standards, emit ground currents that increase symptoms of EHS, can be identified. Advise patients to use only corded phones without any electronic features. DECT cordless phones emit RFR and need to be removed altogether. Metallic paint on interior or exterior walls can be used to reflect radiation coming in from neighbours, cell towers or other emitting devices. Any other type of shielding using metallic reflective surfaces can help attenuate the signals. Advise patients to turn off all wireless devices in the home and replace with ethernet cables or hardwire everything were possible. Smartmeter removal or shielding installed by a technician is recommended. 39 Havas M. Radiation from wireless technology affects the blood, the heart, and the autonomic nervous system. Reviews on Environmental Health. 2013 Nov 1;28(2-3):75-84. 40 Andrianome S, Hugueville L, de Seze R, Hanot‐Roy M, Blazy K, Gamez C, Selmaoui B. Disturbed sleep in individuals with idiopathic environmental intolerance attributed to electromagnetic fields (IEI‐EMF): Melatonin assessment as a biological marker. Bioelectromagnetics. 2016 Apr;37(3):175-82. 41 Sears ME. Chelation: harnessing and enhancing heavy metal detoxification—a review. The Scientific World Journal. 2013 Jan 1;2013. 313313 Integrative A diet rich in antioxidants and low in pro-inflammatory foods is strongly recommended. Eat organic if possible. Omega-3 (balanced DHA:EPA 1:1) 1500mg daily will help with inflammation and neural health. Vitamin D3 is also neuroprotective and should be taken at a dose of at least 4000IU per day. Electrolytic imbalances for whatever reason (i.e. low K+, Na+, Cl-, etc.) need to be corrected with oral rehydration solutions. To manage adrenal fatigue, adaptogen herbs and mindfulness based stress reduction (MBSR) can be useful. Homeopathic treatments are useful for those with chemical sensitivities. Enhance Natural Detoxification to Reduce Body Burden •Natural detoxification strategies include: sauna therapies (depuration), MBSR, balanced diet, supplements, exercise. •To decrease body burden of oxidative stress (peroxynitrite ONOO-) or methylmercury take antioxidants: vitamins E and C, glutathione, alpha-lipoic acid, N-acetyl-cystine, B vitamin complex, zinc, resveratrol, CoQ10, selenium, turmeric. A high fibre diet (especially in the form of bran) will assist with elimination of methylmercury. •Correct any dental work with toxic or immunoreactive materials such as mercury, lead oxide, gold or titanium and replace with zirconium dioxide, porcelain or composite. •Mercury amalgams (mercury (50%), silver (~22–32%), tin (~14%), copper (~8%)) need to be removed using proper protocol. 42 43 Fasting is not recommended due to the possibility of already existing poor nutritional status thus inadequate supplies of vitamins, minerals and other antioxidant substrates in their body.44 Food sensitivities/intolerances must be addressed. Lifestyle Tell patients to hold the cell phone away from their heads when in use and keep it in airplane mode when not in use. The Bluetooth, data and Wi-Fi functions should be off if they are not being used. Extended videogaming and high electronic equipment use can exacerbate symptoms and must be curtailed. Laptop use in wireless mode needs to be switched to ethernet cable connectivity to decrease exposure. Clothing (including the lining of hats) made of cotton fabric with copper or silver weave provides relief during travel at airports, in hotels, etc., when shielding the torso and head. This can reduce palpitations and headaches. Blankets/sheets with similar construction can be used to block out in-coming radiation into habitable spaces during travel or at work. A Faraday cage (canopy) can be used at night to reduce radiation on the body which can seriously interfere with sleep quality. For sleep, herbal remedies and supplements are helpful. Magnesium bisglycinate 100mg po QHS, increasing by 100mg weekly to bowel tolerance, can help with palpitations and shock sensations. Grounding practices are important to balance out the electron shifts. This should not be done under hydro wires, where magnetic fields are extraordinarily strong. There will be a depletion of electrons. The aim is to replenish lost electrons. Therefore, placing one’s bare feet on a special grounding mat, walking barefoot on grass and sand or in lake shallows, pools or a bath tub can help. Grounding can be important to balance out the electrons and replenish the electrons that have been depleted from the body. Airpods and other wireless earpieces should not be used due to the proximity and intensity of the radiation to the brain. 42 De Luca, 2014 43 Institute for Functional Medicine. Textbook of Functional Medicine. 2010. 44 Institute for Functional Medicine. Textbook of Functional Medicine. 2010. 314314 Remove all harmful substances used in personal care products, cleaning and other household products, as well as unnecessary medications. Psychological Finally, patients need a lot of psychosocial support in dealing with and removing stress triggers. Mindfulness Based Stress Reduction, and CBT can be useful to decrease sympathetic nervous system overdrive. Connecting with support groups such C4ST, EPIC, WEEP and Electrosensitive Society, all of which are Canadian based, can decrease social isolation. Advocacy for Public Health Protection •Accommodation at work, school or any learning institution should be supported thereby respecting a person’s right to work and live in a space that is free of any potentially harmful EMF exposure impacting on their biopsychosocialspiritual well-being. •Students should be given letters/notes informing teachers of the need to be at a maximal distance from routers and that laptops need ethernet access. •People must be able to exercise their rights to refuse harm from EMFs which may be impacting them, their children and loved ones or their fetus/embryo, if that be the situation. Each person, should know exactly how much and what sort of radiation is impacting on their bodies.45 46 •Recommendations presented in the HESA report to the House of Commons – Radiofrequency Electromagnetic Radiation and the Health of Canadians, 2010 and 2015 – can be used for guidance in community events. •Ontario wide, mandatory physician surveys, of how many patients they see in their roster who complain of possible EMF-related signs and symptoms, should be implemented. •Validated screening tools need to be developed through further research studies. •Physician education through CME is critical. References Andrianome S, Hugueville L, de Seze R, Hanot‐Roy M, Blazy K, Gamez C, Selmaoui B. Disturbed sleep in individuals with idiopathic environmental intolerance attributed to electromagnetic fields (IEI‐EMF): Melatonin assessment as a biological marker. Bioelectromagnetics. 2016 Apr;37(3):175-82. Baliatsas C, Van Kamp I, Lebret E, et al. Idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF): A systematic review of identifying criteria. BMC Public Health. 2012;12(1). Belpomme, Dominique, Christine Campagnac, and Philippe Irigaray. "Reliable disease biomarkers characterizing and identifying electrohypersensitivity and multiple chemical sensitivity as two etiopathogenic aspects of a unique pathological disorder." Reviews on environmental health 30.4 (2015): 251-271. Belpomme D, Irigaray P. Electrohypersensitivity as a Newly Identified and Characterized Neurologic Pathological Disorder: How to Diagnose, Treat, and Prevent It. International Journal of Molecular Sciences. 2020 Jan;21(6):1915. 45 Right to Know, CCOHS https://www.ccohs.ca/oshanswers/legisl/responsi.html 46 Government of Canada. Guide for Assessing Persons with Disabilities - How to determine and implement assessment accommodations - Environmental Sensitivities. https://www.canada.ca/en/public-service-commission/services/public-service-hiring- guides/guide-assessing-persons-disabilities/guide-assessing-persons-disabilities/guide-assessing-persons-disabilities-determine- implement-assessment-accommodations-environmental-sensitivities.html. 2007. 315315 Bhat, Kumar and Gupta. Effects of mobile phone and mobile phone tower radiations on human health. 2013 Bray RI, Fancy DH. Clinical Practice Guidelines for EHS - Proceedings of a Symposium of the Impacts of Wireless Technology on Health. Environmental Health Clinic, Women’s College Hospital, University of Toronto. October, 2020. Bray RI, Marshall LM Total Toxic Load. Teaching Tool. Canadian Human Rights Commission. Environmental sensitivity and scent-free policies. https://www.chrc-ccdp.gc.ca/eng/content/policy-environmental-sensitivities. 2019. De Luca C, Thai JC, Raskovic D, et al. Metabolic and genetic screening of electromagnetic hypersensitive subjects as a feasible tool for diagnostics and intervention. Mediators Inflamm. 2014;2014:924184. doi:10.1155/2014/924184 The DNA Company. https://www.thednacompany.com/ EUROPAEM Guideline 2015 for the prevention, diagnosis and treatment of EMF-related health problems and illnesses. Belyaev I. Dean A. Eger H. Hubmann G. Jandrisovits R. et al. Rev Environ Health. 2015; 30(4):337-371. Genuis SJ, Lipp CT. Electromagnetic hypersensitivity: fact or fiction? Sci Total Environ. 2012;414:103- 12. Gomez-Perretta et al. Subjective symptoms related to GSM radiation from mobile phone base stations, BMJ, 2014 Government of Canada. Guide for Assessing Persons with Disabilities - How to determine and implement assessment accommodations - Environmental Sensitivities. https://www.canada.ca/en/public-service-commission/services/public-service-hiring-guides/guide- assessing-persons-disabilities/guide-assessing-persons-disabilities/guide-assessing-persons- disabilities-determine-implement-assessment-accommodations-environmental-sensitivities.html. 2007. Hallberg Ö, Oberfeld G. Letter to the editor: will we all become electrosensitive?. Electromagnetic Biology and Medicine. 2006 Jan 1;25(3):189-91. Harris, W. E., Herbert J. Semler, and Herbert E. Griswold. "Reversed reciprocating paroxysmal tachycardia controlled by guanethidine in a case of Wolff-Parkinson-White syndrome." American heart journal 67.6 (1964): 812-816. Havas, M. (2014). Electrosmog and Electrosensitivity: What Doctors Need to Know to Help their Patients Heal. Anti-Aging Therapeutics Volume XV. Havas M. Radiation from wireless technology affects the blood, the heart, and the autonomic nervous system. Reviews on Environmental Health. 2013 Nov 1;28(2-3):75-84. Institute for Functional Medicine. Textbook of Functional Medicine. 2010. Johansson O. Disturbance of the immune system by electromagnetic fields—A potentially underlying cause for cellular damage and tissue repair reduction which could lead to disease and impairment. Volume 16. Issue 2-3. August 2009. 316316 Johansson O. Electrohypersensitivity: a functional impairment due to an inaccessible environment. Reviews on environmental health. 2015 Dec 1;30(4):311-21. Johansson O. Electrohypersensitivity: state-of-the-art of a functional impairment. Electromagnetic biology and medicine. 2006 Jan 1;25(4):245-58. Leitgeb N, Schrottner J. Electrosensibility and electromagnetic hypersensitivity. Bioelectromagnetics. 2003;24(6):387-94. Maes B. Building Biology Evaluation Guidelines. Inst. Building Biol.+ Sustainability IBN, Rosenheim, Germany. SBM-2015. 2015. Maes B. Standard of building biology testing methods. Inst. Building Biol.+ Sustainability IBN, Rosenheim, Germany, Tech. Rep. SBM-2008. 2008. Marshall LM, Bray RI Assessment Questionnaire and Exposure History https://static1.squarespace.com/static/593f8894e3df288fc64b6cf0/t/598bbabdf14aa18c52a6dcce/1502329 836033/Environmental+Health+Clinic+Pre-Visit+Questionnaire.pdf Marshall L, Weir E, Abelsohn A, Sanborn MD. Identifying and managing adverse environmental health effects: 1. Taking an exposure history. Cmaj. 2002 Apr 16;166(8):1049-55. NEHA. Definitions of Environmental Health. https://www.neha.org/about-neha/definitions- environmental-health. Pall ML. How to approach the challenge of minimizing non-thermal health effects of microwave radiation from electrical devices. Int. J. Innov. Res Eng. Manag (IJIREM). 2015 Sep;2(5):71-6. Pall ML. Microwave frequency electromagnetic fields (EMFs) produce widespread neuropsychiatric effects including depression. Journal of Chemical Neuroanatomy. 2016 Sep 1;75:43-51. Pall ML. Wi-Fi is an important threat to human health. Environmental research. 2018 Jul 1;164:405-16. Park and Knudson. Medically Unexplained Physical Symptoms. Statistics Canada 2007 Rea WJ. Chemical Sensitivity. Vol 1. Boca Raton. Lewis Publishers. 1992. Right to Know, CCOHS https://www.ccohs.ca/oshanswers/legisl/responsi.html Sanborn M, Grierson L, Upshur R, Marshall L, Vakil C, Griffith L, Scott F, Benusic M, Cole D. Family medicine residents’ knowledge of, attitudes toward, and clinical practices related to environmental health: Multi-program survey. Canadian Family Physician. 2019 Jun 1;65(6):e269-77. Sears ME. Chelation: harnessing and enhancing heavy metal detoxification—a review. The Scientific World Journal. 2013 Jan 1;2013. Canadian Human Rights Commission. Environmental sensitivity and scent-free policies. https://www.chrc-ccdp.gc.ca/eng/content/policy-environmental-sensitivities. 2019. Selye H. (1946). The general adaptation syndrome and the diseases of adaptation. The Journal of clinical endocrinology and metabolism, 6, 117–230. https://doi.org/10.1210/jcem-6-2-117 317317 Stein Y, Udassin IG. Electromagnetic hypersensitivity (EHS, microwave syndrome)–Review of mechanisms. Environmental Research. 2020 Mar 30:109445. Tran MT, Arendt-Nielsen L, Kupers R, Elberling J. Multiple chemical sensitivity: on the scent of central sensitization. International journal of hygiene and environmental health. 2013 Mar 1;216(2):202-10. WHO, Electromagnetic Fields and Public Health, December 2005 https://static1.squarespace.com/static/593f8894e3df288fc64b6cf0/t/598bbabdf14aa18c52a6dcce/1502329 836033/Environmental+Health+Clinic+Pre-Visit+Questionnaire.pdf Peer Reviewers: Dr. John Molot, Dr. Kathleen Kerr, Dr. Sarah Selke, Dr. Jennifer Swales, 318318 SCIENTISTS STATEMENT 319319 IN THE SUPREME COURT OF PENNSYLVANIA MIDDLE DISTRICT RE: No. 34 MAP 2021, Povacz, M, et al. v. PUC Associated Case(s): 35 MAP 2021 Consolidated 36 MAP 2021 Consolidated 37 MAP 2021 Consolidated 38 MAP 2021 Consolidated 39 MAP 2021 Consolidated 40 MAP 2021 Consolidated 41 MAP 2021 Consolidated 42 MAP 2021 Consolidated 43 MAP 2021 Consolidated 44 MAP 2021 Consolidated 45 MAP 2021 Consolidated SCIENTISTS’ STATEMENT RF/EMF & SMART METERS HARM THE EFFECTS OF PULSED RADIOFREQUENCY AND ELECTROMAGNETIC RADIATION EMISSIONS OF SMART METERS; ESPECIALLY AS IT PERTAINS TO THOSE ADVERSELY AFFECTED General Statement We, the undersigned scientists, have cumulatively published hundreds of peer-reviewed papers on biological effects of pulsed electromagnetic fields (EMFs) and radiofrequency (RF) radiation and reviewed thousands more. For all of us the study of the effects of pulsed RF/EMFs is one of our main areas of study; for some, it is the main one. (A short bio for each of the undersigned is attached.) 320320 We are filing this statement to clarify the state of the current science regarding RF/EMF-based wireless technology adverse health effect and to explain why smart meters can be harmful, at least to some people. Pulsed RF/EMF-based wireless technology harms are not hypothetical. They are scientifically established, and a significant number of people have already been seriously injured. Therefore, we cannot stand by and allow the science to be misrepresented, especially in a case of such importance involving public safety, where lives are at stake, the harms are irreparable, and people are injured and could die. RF Basics 1.Wireless technology uses electromagnetic waves to carry information.1 A wave “frequency” is the number of wave cycles per second. Each cycle per second equals a “Hertz” (“Hz”).2 Example: A 60 Hz frequency used for home electricity has 60 wave cycles per second. The smart meter antenna that 1 An electromagnetic field (EMF”) is created by electric and magnetic components emitted by moving charges and propagated through “waves” at the speed of light. The interaction between the electric and magnetic fields “radiates” energy (“radiation”). The electromagnetic spectrum is divided into classes: Extremely Low Frequencies (ELFs), radio frequencies (microwaves are a subgroup of RFs), infrared, visible light, ultraviolet, X-rays and gamma rays. RFs have a wave-cycle between 3 kilohertz and 300 gigahertz 2 1,000 Hz is a kilohertz (“KHz”). 1,000,000 Hz is a megahertz (“MHz”). 1,000,000,000 Hz is a gigahertz (“GHz”). 321321 transmits the usage data uses frequencies around 900 MHz, or about 900 million wave cycles per second. 2.The Radio-Frequency (“RF”) “signal” is the “carrier wave.” But communications require carrier wave manipulation to “encode” the data. Two main techniques are used: “pulsation” and “modulation.” Modulation places additional “mini”-waves on the RF. Pulsation injects “bursts” or turns the signal on/off. Different technologies have their own protocols or “code.” Two devices using the same code can “communicate” and exchange information. 3.Smart meters operate in the same way. They contain an RF antenna that wirelessly transmits the usage data to the utility company. The antenna’s carrier wave is around 900 MHz, but the data usage is transferred by modulating the carrier wave. Furthermore, the communications occur every few seconds, so the transmissions alternate between “silent” and “active.” This leads to an intensely pulsed signal that has a jarring “on/off” effect on the body. 4.RFs emit “non-ionizing” radiation. Non-ionizing radiation does not have sufficient energy to directly pull electrons from atoms and molecules to create “ionization.” The FCC guidelines assume that non-ionizing radiation is not harmful, unless it has high intensity power that causes tissue to heat as it absorbs the radiated energy. This is called the “thermal effect.” The FCC’s regulations 322322 acknowledge only thermal effects. Considering many thousands of studies have proven non-thermal effects, this assumption cannot be defended. CHD v. FCC and FCC Admission of Harm 5.On August 13, 2021, in a case amici Children’s Health Defense brought against the FCC, the US Court of Appeals for the DC Circuit ruled that the FCC failed to adequately consider and address the scientific and medical evidence showing that its 1996 thermally-based guidelines do not sufficiently protect the public. The Court held the FCC did not fully consider non-thermal harms other than cancer effects, and as a result failed to engage in reasoned decision making.3 6.The FCC will have a hard time sticking to its current “no non-thermal harm” construct on remand since it recently admitted there are neurological harms from RF exposures, at least in the range between 3 Hz and 10 MHz.4 The FCC noted “[a]dverse neural stimulation effects …such as perception of tingling, shock, pain, or altered behavior due to excitation of tissue in the body’s peripheral nervous system.” It also admitted that these harms occur instantaneously, which 3 Envtl. Health Tr., et al v. FCC, Nos. 20-1025, 20-1138, 2021 U.S. App. LEXIS 24138 (D.C. Cir. Aug. 13, 2021). 4 Proposed Changes in the Commission’s Rule Regarding Human Exposure to Radiofrequency Electromagnetic Fields; Reassessment of Federal Communication Commission Radiofrequency Exposure Limits and Policies, ¶¶122-124 & nn. 322- 335, 34 FCC Rcd 11687, 11743-11745 (2019). 323323 means the FCC’s current method of averaging exposure levels over 30 minutes – which completely obscures pulsation effects – is entirely inappropriate.5 The Scientific Consensus of Non-Thermal Harms 7.Some of the scientists who signed below published the evidence presented in the DC Circuit court case, including the BioInitiative Report (BioInitiative).6 The Bioinitiative is the most comprehensive scientific review on the biological and health effects of Electromagnetic Fields (EMF) and RF-based wireless technology by independent scientists (those with no conflict of interests). The Bioinitiative concluded that bioeffects are established and can occur within minutes of exposure to even very low levels of RF, including those emitted by smart meters. With chronic exposures the biological effects can become adverse effects and result in illness.7 8.Humans are bioelectrical beings. Our bodies use internally-generated non-thermal EMFs to function. Our physiology is dependent on very sensitive bioelectric systems, especially the heart, brain, nervous system, and intercellular 5 The Engineer’s Report attached to the amicus brief reveals that smart meters pulse RF frequencies within this range (3 kHz – 50 KHz). The utility’s evidence below relied in part on the FCC’s 30-minute averaging as the basis to deny any negative pulsation effects. 6 https://bioinitiative.org/participants/. 7 https://bioinitiative.org/conclusions/. 324324 communication.8 As the FCC stated in its admission, externally generated EMF interferes with humans’ internal electrical communications system, and evokes internal biological responses. These responses have nothing to do with power level or tissue heating. The direct effect of pulsed RF/EMFs on humans’ physiology are indisputable. 9.A 2011 National Institutes of Health (“NIH”) study9 is sufficient by itself to destroy any denial of RF biological effects. Brain scans of 47 human participants revealed that pulsed non-thermal RF radiation induced biological brain glucose metabolism changes in every subject. See image below. 8 https://childrenshealthdefense.org/wp-content/uploads/rf-martin-blank.pdf. 9 https://pubmed.ncbi.nlm.nih.gov/21343580/. 0 60 325325 10.Denial of biological effects of RF/EMFs cannot co-exist with the fact that physicians routinely use FDA-approved, non-thermal pulsed EMF devices to treat diseases, bone fractures10 and chronic pain,11 or that RF/EMF is used to treat cancer.12 11.The only question is whether the biological responses can be adverse. Numerous studies show indisputable evidence of adverse responses to pulsed RF/EMF exposure on various bodily functions, especially when the RF exposure is chronic and pulsed (like the exposure to smart meters). 12.Biological and even positive effects can become adverse effects. RF signals affect living tissue and stimulate biochemical and bioelectrical changes, which can generate biological effects which then, with chronic exposure, can become adverse effects and cause various symptoms and may lead to sickness.13 A good example of this mixed effect comes from the immune system: “short-term exposure… may temporarily stimulate certain humoral or cellular immune functions, while prolonged irradiation inhibits the same functions.”14 10 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3441225/. 11 https://www.accessdata.fda.gov/cdrh_docs/pdf19/K190251.pdf “the application of electromagnetic energy to non-thermally treat pain.” 12 https://childrenshealthdefense.org/wp-content/uploads/rf-medical-treat- cancer.pdf. 13https://bioinitiative.org/conclusions/. 14 https://www.sciencedirect.com/science/article/abs/pii/S0048969713003276. 326326 Scientific Consensus 13.Numerous scientists,15 doctors, and medical and scientific organizations from the US and around the world have warned of the negative non- thermal effects of RF/EMF and the growing sickness it has been causing. They include the EMF Scientist organization (250 scientists who combined published over 2,000 peer-reviewed papers on the effects of RF/EMF);16 the American Academy of Pediatrics; 17 the Austrian Medical Association;18 and doctors’ appeals from the US;19 Belgium;20 and Germany.21 In 2021, close to 200 physicians participated in a medical conference about RF/EMF effects, for which they received medical continuing education credits.22 15 https://childrenshealthdefense.org/wp-content/uploads/rf-2017-expert-letters- compilation.pdf. 16https://www.emfscientist.org;https://ecfsapi.fcc.gov/file/10916233196437/Interna tional_EMF_Scientist-Appeal%208-25-2019.pdf. 17 https://childrenshealthdefense.org/wp-content/uploads/rf-2013-american- academy-of-pediatrics.pdf. 18 https://childrenshealthdefense.org/wp-content/uploads/rf-2011-austrian-medical- association-guidelines.pdf. 19 Baby Safe Project: https://www.babysafeproject.org/joint-statement. 20 Appeal of 539 Belgium Doctors: https://en.hippocrates-electrosmog- appeal.be/medical. 21 Appeal of 1,000 German doctors http://freiburger-appell- 2012.info/media/International_Doctors_Appeal_2012_Nov.pdf. 22 https://emfconference2021.com/faculty/. 327327 14.A California Medical Association resolution23 concludes that the peer- reviewed research demonstrates wireless RF/EMF adverse effects, including “single and double stranded DNA breaks, creation of reactive oxygen species, immune dysfunction, cognitive processing effects, stress protein synthesis in the brain, altered brain development, sleep and memory disturbances, ADHD, abnormal behavior, sperm dysfunction, and brain tumors.” 15.Causal mechanisms of harms have been established. Oxidative Stress is one such mechanism. Over 90% of studies on RF and oxidative stress24, 25 have established that indeed exposure to RF/EMFs induces an increase in free radicals, and chronic exposure causes oxidative stress which leads to several adverse health effects: disease, dysfunction, including electro-sensitivity, cancer, and DNA damage. 16.Even though RF does not have the energy to directly break chemical bonds (the way ionizing radiation does), there is strong scientific evidence that this energy can indirectly cause DNA damage.26 Dr. Ron Melnick PhD, a retired 23 https://childrenshealthdefense.org/wp-content/uploads/rf-2014-ca-medical- association-resolution.pdf. 24 https://bioinitiative.org/wp-content/uploads/2020/09/3-RFR-Free-Radical- Oxidative-Damage-Abstracts-2020.pdf. 25 https://childrenshealthdefense.org/wp-content/uploads/rf-2015-yakymenko- oxidative-stress.pdf. 26 https://bioinitiative.org/wp-content/uploads/2020/09/10.-Comet-Assay-Studies- Percent-Comparison-2020.pdf. 328328 National Institute of Environmental Health Science (NIEHS) scientist, was the Senior Toxicologist and Director of Special Programs in the National Toxicology Program (NTP).27 He stated that the old notion that non-ionizing RF cannot break DNA “should [be] put to rest.”28 17.Many thousands of studies, including US government and military studies and reports, show the biological and adverse effects of pulsed RF/EMFs.29 In 2014 the US Department of Interior concluded that the FCC’s thermally-based guidelines are “nearly 30 years out of date and inapplicable today.”30 18.The clear majority of studies show adverse effects.31 For example, 244 of the 335 total studies (73%) published on neurological effects of RF Radiation between 2007 and 2020 found effects.32 Of the 261 total studies on RF radiation 27 https://emfconference2021.com/speaker/ronald-l-melnick-phd/. 28 https://microwavenews.com/news-center/ntp-comet-assay. 29 Navy report includes 2,300 studies. Pages 10-14 list the RF effects found. https://childrenshealthdefense.org/wp-content/uploads/rf-1971-navy-2300- studies.pdf; Air-Force: https://electroplague.files.wordpress.com/2014/09/rf- microwave-radiation-biological-effects-rome-labs.pdf; NASA https://www.orsaa.org/uploads/6/7/7/9/67791943/_____nasa_emf_field_interaction s_-_observed_effects___theories_1981.pdf. 30https://drive.google.com/file/d/1XqbMLFUkVNUZIB5AFJAjr6KWqL6vK8ud/vi ew. 31 https://bioinitiative.org/research-summaries/. 32 https://bioinitiative.org/wp-content/uploads/2020/10/13-Neurological-Effects- Studies-Percent-Comparison-2020.pdf. 329329 and oxidative stress, 240 (91%) show effects.33 224 of 346 total studies (65%) show DNA damage. See image below.34, 35 19.The evidence is getting even stronger. Since 2016, when the evidentiary record in this case was generated, hundreds more published peer- reviewed studies, including by the US government, have established RF/EMF effects.36 33 https://bioinitiative.org/wp-content/uploads/2020/09/9.-Free-Radical-Studies- Percent-Comparison-2020.pdf. 34 https://bioinitiative.org/wp-content/uploads/2020/09/11-Genetics-Percent- Graphic-Sept-1-2020.pdf. 35 https://bioinitiative.org/wp-content/uploads/2020/09/10.-Comet-Assay-Studies- Percent-Comparison-2020.pdf. 36Abstract of over 700 papers (positive and negative published 2016-2019) https://childrenshealthdefense.org/wp-content/uploads/rf-jmm-2016-2019- studies.pdf; US Government NTP DNA Study https://onlinelibrary.wiley.com/doi/full/10.1002/em.22343. Majority of Studies Show Non-Thermal Effects (2020) ■ No Effect ■ Effects -..------~---------------------- - 1111 Oxidativ Stress DNA Neurological 330330 20.For example, in 2021 the Swiss government expert advisory group on electromagnetic fields and non-ionizing radiation, BERENIS,37 evaluated the scientific literature on non-thermal RF/EMF.38 The committee published a preliminary paper which concludes that exposure could cause or worsen several chronic illnesses, and that children, the elderly and people with immune deficiencies or diseases are especially at risk. It also acknowledged that oxidative stress is the underlying causal mechanism of harm. 21.In 2019, the New-Hampshire (NH) legislature voted unanimously to establish a committee to learn the effects of 5G and wireless radiation. The committee included scientists, public representatives, and representatives of the wireless industry (through CTIA, the wireless industry lobby association). After a year of hearing experts on both sides and reviewing the science, in October 2020, the committee’s report was published. It concluded that wireless radiation non- thermal harms are established. The committee recognized Electro-sensitivity and the right for accommodation of those who suffer and emphasized the need to 37 https://www.bafu.admin.ch/bafu/en/home/topics/electrosmog/newsletter-of-the- swiss-expert-group-on-electromagnetic-fields-a/beratende-expertengruppe-nis- berenis.html. 38https://childrenshealthdefense.org/wp-content/uploads/rf-swiss-berenis-2021- report.pdf. 331331 educate doctors. NH is the only state in the US that has conducted an independent full-scale investigation as to the harms of these technologies. 22.Former senior experts from government agencies responsible for this issue are also part of the consensus on non-thermal harms. In addition to Dr. Melnick, they also include: Dr. Linda Birnbaum, the former director (2009-2019) of the National Institute of Environmental and Health Sciences (NIEHS); 39 Dr. Christopher Portier, 40 former director of the National Center for Environment Health at the Centers for Disease Control and Prevention (CDC), who also carried various senior positions in the NIEHS, including Associate Director of the National Toxicology Program (NTP). He wrote: “Most scientists consider non- thermal effects as well established;”41, Dr. Carl Blackman,42 a biophysicist who worked as a research scientist for the EPA from 1970 until his recent retirement. Dr. Blackman’s research on RF/EMF resulted in several discoveries including 39 https://childrenshealthdefense.org/wp-content/uploads/sandri-birnbaum-amicus- motion-and-brief-correct-final-8-6-2020.pdf#page=20. 40 https://www.iarc.who.int/wp-content/uploads/2018/07/PORTIER_Bio.pdf; https://pubmed.ncbi.nlm.nih.gov/27656641/. 41 https://childrenshealthdefense.org/wp-content/uploads/rf-2016-portier- consensus.pdf#page=1. 42 http://www.icems.eu/docs/Bios_Blackman.pdf. 332332 multiple pulsation effects43 and treatment using RF/EMF.44 He is part of the BioInitiative Working Group and wrote the 2007 Report’s section on pulsation and modulation;45 Dr. Alan Frey,46 a US navy funded scientist was the first to show non-thermal auditory effects and blood-brain barrier leakage. His studies tie pulsation to the aggravating effects of RF signals. Electro-Sensitivity 23.Electro-sensitivity is the earliest reported and likely the most direct manifestation of RF/EMF-induced sickness. The condition, described by the appearance of mostly neurological symptoms caused by RF/EMF exposure, has been documented in the scientific literature for many decades, including by many US government and military studies and reports.47 Many hundreds of studies 43 https://www.emfanalysis.com/wp-content/uploads/2015/06/blackman- modulation-2009.pdf. 44 https://pubmed.ncbi.nlm.nih.gov/28930547/. 45 https://bioinitiative.org/wp- content/uploads/pdfs/sec15_2007_Modulation_Blackman.pdf. 46 https://www.cellphonetaskforce.org/the-work-of-allan-h-frey/. 47 https://childrenshealthdefense.org/rf-1971-navy-2300-studies/; https://electroplague.files.wordpress.com/2014/09/rf-microwave-radiation- biological-effects-rome-labs.pdf; https://www.orsaa.org/uploads/6/7/7/9/67791943/_____nasa_emf_field_interaction s_-_observed_effects___theories_1981.pdf. 333333 confirm the neurological effects and other symptoms48 reported by those who suffer from the condition, and they have identified a genetic predisposition.49 24.The understanding of etiology, mechanisms and underlying injuries involved with this condition has significantly progressed since 2016. New diagnosis guidelines by leading EMF scientists and medical doctors have been developed and published 50,51 There are more known biomarkers for diagnosis.52 25.Professor Beatrice Golomb, MD PhD was to the first to show compelling evidence in a 2018 paper that the “mystery illness” (aka “Havana Syndrome”) suffered by some US diplomats in Cuba and China was likely caused by pulsed RF/EMF.53 She concluded that the diplomats suffer from Electro- sensitivity, which she refers to as Microwave Illness.54 48https://childrenshealthdefense.org/wp-content/uploads/rf-2018-neurological-lai- book-chapter.pdf. 49 https://pubmed.ncbi.nlm.nih.gov/24812443/. 50 https://www.degruyter.com/document/doi/10.1515/reveh-2016-0011/html. 51https://www.womenscollegehospital.ca/assets/pdf/environmental/Preliminary%2 0Clinical%20Guidelines%20%20for%20EHS.pdf. 52 https://emf-experts.news/wp-content/uploads/2020/09/Belpomme- EHSdiagnosis-Study2020.pdf. 53 https://pubmed.ncbi.nlm.nih.gov/30183509/. 54 “Microwave” is a subclass of RF, and generally comprises frequencies between 300 MHz and 300 GHz. From an FCC nomenclature perspective, the “microwave” portion is anything above 890 MHz. 334334 26.The US State Department asked the National Academy of Sciences, Engineering and Medicine (NAS) to analyze and provide input on the diplomats’ “mystery illness.” Prof. Golomb was invited to present to the committee.55 In December 2020, The NAS report was published. 56 It concluded that many of the observed symptoms are consistent with the scientific literature on the effects of pulsed RF exposure, and that it is likely the cause of the diplomats’ sickness. 27.Not all the diplomats became ill, only some, similar to Electro- sensitivity in the general population. Human physiology varies, and as with other stressors, some people get sick sooner than others or at lower levels of exposure than others, and some will never become ill. 28.Prof. Golomb’s paper shows Electro-sensitivity can occur as the byproduct of wireless technology, whether the result of an intentional assault through a pulsed RF/EMF weapon or by commercial wireless technology. The harm caused by these weapons comes primarily from the pulsation, not the intensity of the RF/EMF. Indeed, it would be possible for RF/EMF weapons to operate entirely within FCC guidelines and still cause harm from pulsation. Pulsation is also a driver of the harm flowing from commercial RF/EMF-emitting 55 https://childrenshealthdefense.org/wp-content/uploads/rf-2018-golomb- diplomats-3.pdf; https://childrenshealthdefense.org/wp-content/uploads/rf-nas- golumb-email.pdf. 56 https://www.nap.edu/read/25889/chapter/1. 335335 technology, including smart meters. Nevertheless, FCC rules regarding wireless technology ignore their effects. 29.Electro-sensitivity is not a mere “sensitivity.” Studies have shown that the symptoms indicate severe physiological injuries associated with exposure to RF/EMF.57 30.A 2017 functional MRI study observed brain injury in persons with Electro-sensitivity. 58 The scans for each of the 10 subjects had similar abnormalities, all resembling those flowing from traumatic brain injury. The diplomats had the same abnormalities. This injury indicates impaired blood flow in certain regions of the brain. 57 https://pubmed.ncbi.nlm.nih.gov/26613326/. 58 https://pubmed.ncbi.nlm.nih.gov/28678737/. Brain Differences In EHS compared to non-EHS 0--ffl'I fMRI of Adult, no (HS fMRI of Mull, with (HS 336336 31.A 202059 and a 201560 papers confirm the blood flow effects and show additional injuries. They are based on a study of 700 people with electro-sensitivity showing the subjects suffered from permeability of the blood-brain barrier, depressed melatonin levels, oxidative stress and aggravated auto-immune response. These effects were shown to be connected to RF exposure61. In CHD’s case against the FCC, the court specifically mentioned that the FCC failed to respond to the evidence showing these effects.62 32.Those who want to propagate this technology have consistently generated perceived “controversy” as a method to deny Electro-sensitivity. They do so by funding negative subjective-perception provocation studies so they can claim that it is psychological or fear-induced (the “nocebo effect”). These studies suffer from numerous fatal design flaws.63 33.The most ironic design flaw in these studies is that they do not control for the nocebo effect, which is a prerequisite to the validity of any provocation 59 https://emf-experts.news/wp-content/uploads/2020/09/Belpomme- EHSdiagnosis-Study2020.pdf. 60 https://pubmed.ncbi.nlm.nih.gov/26613326/. 61 https://bioinitiative.org/wp- content/uploads/pdfs/sec01_2012_summary_for_public.pdf#page=10; https://bioinitiative.org/table-of-contents/. 62 Envtl. Health Tr. v. FCC, Nos. 20-1025, 20-1138, 2021 U.S. App. LEXIS 24138, at *12-*16 (D.C. Cir. Aug. 13, 2021). 63 Many of those provocation studies were heavily funded by mobile phone carriers and led by James Rubin PhD, a psychologist (not EMF expert). 337337 study. Then they conclude that the symptoms are likely a result of a nocebo effect.64 34.Another primary flaw in these studies is the illogical assumption that all people with Electro-sensitivity should be able to immediately “detect” when the RF signal is on/off. But those affected do not typically “sense” radiation. They develop symptoms that take time to appear and subside. There are many other flaws. Nevertheless, properly conducted studies without predetermined agenda show that some sufferers can detect the signal.65 35.Subjective-perception provocation studies are considered the worst science because they can be easily manipulated.66 Industry uses these studies to produce the required results to divert attention from hundreds of high-quality peer- reviewed credible studies that do not depend on subjective-perception and confirm the symptoms people develop, the corresponding physiological injuries and established causal mechanisms.67, 68 64 https://www.bmj.com/content/bmj/332/7546/886.full.pdf. 65 For example, a large scale study by the Dutch government, known as the TNO study: https://childrenshealthdefense.org/wp-content/uploads/rf-electrosensitivity- provocation-tno.pdf. 66 https://ecfsapi.fcc.gov/file/7520940903.pdf#page=25. 67 https://childrenshealthdefense.org/rf-2018-Golomb-Diplomats-2/#page=9. 68https://childrenshealthdefense.org/rf-2014-electrosensitivity-dr-blythe/. 338338 36.It is important to emphasize that while widely quoted and used to deny Electro- sensitivity, subjective-provocation studies are not used to diagnose any condition and are definitely “not suitable to disprove causality.”69 A person’s inability to detect the pathogen that causes the reaction does not mean the individual is unaffected by the pathogen. “Human RF-detector” is not a mandatory symptom for Electro-sensitivity. Smart Meters’ Effects 37.Beyond individual predisposition, the appearance of adverse effects can depend on signal intensity, exposure duration; specific frequencies involved; exposure to multiple frequencies and sources which create high exposure variability; on-off pulsation and sharp “peaks and valleys.” 38.Expert smart meter testing indicates there are three primary RF exposure issues.70, 71, 72,73 First, the RF antennas within the meter send usage data and communicate with other meters and smart devices. They wirelessly emit 69 https://childrenshealthdefense.org/wp-content/uploads/rf-2016-europaem- guidelines.pdf #page=11. 70 https://childrenshealthdefense.org/wp-content/uploads/pa-amicus-sage-smart- meters.pdf. 71 https://childrenshealthdefense.org/wp-content/uploads/rf-pa-amicus-engineer- expert-erik-anderson-report.pdf. 72 https://childrenshealthdefense.org/wp-content/uploads/pa-amicus-isotrope.pdf. 73 https://childrenshealthdefense.org/wp-content/uploads/pa-amicus-bathgate-pa- smart-meters.pdf. 339339 intensely pulsed RF/EMF. Second, these antennas’ RF emissions also conduct over the home electric wiring,74 transforming the entire house into a “repeater” antenna. 39.Finally, the switch mode power supply (SMPS) creates RF frequencies as a byproduct of the AC/DC conversion process. The traditional analog meters used for decades do not have SMPS and do not create these emissions. SMPS-generated emissions are typically in the range of 2-150 KHz. They enter the house’s electric wiring and then radiate RF in various parts of the house. Digital meters also use SMPS; therefore, they too create RF frequencies, even though they do not have transmitting RF antennas. 40.As noted, the FCC admitted there are neurological effects from non- thermal RF emissions75 and its admission applies to frequencies in the kilohertz range created by the SMPS. The symptoms the FCC recites are similar to those reported by those who assert adverse effects from smart meters including tingling, shock, pain, or altered behavior due to excitation of tissue in the body’s peripheral nervous system.76 The FCC explained that the presence of these frequencies outside the body induce “internal electric fields” within the human body. 74 https://childrenshealthdefense.org/wp-content/uploads/pa-amicus-isotrope.pdf. 75 Proposed Changes in the Commission’s Rule Regarding Human Exposure to Radiofrequency Electromagnetic Fields; Reassessment of Federal Communication Commission Radiofrequency Exposure Limits and Policies, ¶¶122-124 & nn. 322- 335, 34 FCC Rcd 11687, 11743-11745 (2019). 76 FN. 328, p.58. 340340 41.A single smart meter antenna can emit up to 190,000 short but intense RF pulses (bursts/spikes) each day to transmit the usage data to the utility. These bursts can be two and a half times above the FCC’s limits, if you do not apply the 30-minute “averaging” used in the FCC testing. The D.C. Circuit questioned77 this averaging and the FCC proposes to abandon it, at least in part.78 Depending on how close the meter is to occupied space within a home, a smart meter can cause very high intensity RF/EMF exposures. 42.People in proximity to a smart meter are at risk of significantly high aggregate whole-body exposure to RF/EMF. This is especially true regarding people living near multiple meters mounted together in an apartment complex or those who have a utility collector meter installed on their home which relays RF signals of up to 5,000 homes.79 The cumulative 24/7 exposure is never measured but undoubtedly harmful, at least to some. 43.Studies have consistently shown that the pulsing is a major element in the creation and/or aggravation of effects from RF exposure. It is possibly more 77 Envtl. Health Tr. v. FCC, Nos. 20-1025, 20-1138, 2021 U.S. App. LEXIS 24138, at *12 (D.C. Cir. Aug. 13, 2021). 78 Proposed Changes in the Commission’s Rule Regarding Human Exposure to Radiofrequency Electromagnetic Fields; Reassessment of Federal Communication Commission Radiofrequency Exposure Limits and Policies, ¶¶122-124 & nn. 322- 335, 34 FCC Rcd 11687, 11743-11745 (2019). 79 https://childrenshealthdefense.org/pa-amicus-sage-smart-meters/#page=3. 341341 important than the radiation levels.80 EMF-based medical treatments, for example, recognize the higher bio-active nature of pulsation; they purposefully pulse the signal to obtain a higher biological response. 44.The effects of continuous exposure and the on/off pulsation effects were shown in a 2011 study.81 The study tested a physician with Electro- sensitivity. She developed temporal pain, headache, muscle twitching, and skipped heartbeats within 100 seconds after each signal exposure. The study showed that the symptoms appeared in response to the on-off pulsing of the signal rather than the presence of a continuous EMF field or its intensity. “EMF hypersensitivity can occur as a bona fide environmentally inducible neurological syndrome.” 45.The energy emitted by the RF antennas and from the operation of the SMPS enters the wiring system through “high variability” spikes in various RF frequencies. This has an on/off effect on the body. Studies have shown that the body is especially sensitive to “high variability” emissions.82 80 https://bioinitiative.org/wp- content/uploads/pdfs/sec15_2007_Modulation_Blackman.pdf; https://bioinitiative.org/wp- content/uploads/pdfs/sec15_2012_Evidence_Disruption_Modulation.pdf. 81https://www.stopumts.nl/pdf/McCarty%20Marino%202011%20EMF%20ES%20 &%20neurological%20syndrome%20Int%20J%20Neurosci%20July.pdf. 82https://childrenshealthdefense.org/wp-content/uploads/rf-2015-Panagopoulos- variability-effects.pdf. 342342 Conclusion 46.Anyone who claims smart meters cannot produce the symptoms described by the customers is ignorant of the FCC’s recent admission. They either do not understand or are misrepresenting the science on biological and adverse effects from pulsed RF/EMF. Many have reported getting ill following the installation of these smart meters. Considering the way smart meters operate and the multitude of complex emissions they create, it is no wonder. Forcing these meters on people who have become affected by RF/EMF is unconscionable. Those with Electro-sensitivity and others who are affected by RF/EMF must be allowed to secure analog meters because it is the only type of meter that does not cause or worsen their condition. Respectfully Submitted, Scientists Statement Signatories Professor David O. Carpenter, MD, Professor of Environmental Health Sciences, and Director, Institute for Health and the Environment at the University of Albany, a collaborating center for the World Health Organization (WHO). Dr. Carpenter is a Harvard trained public health expert who focuses on the study of environmental causes of human disease with expertise in electrophysiology, low-frequency electromagnetic field and radiofrequency (RF) radiation bioeffects. He was Chairman of the Neurobiology Department of 343343 Armed Forces Radiobiology Research Institute at the Defense Nuclear Agency in Washington DC; the Director of Wadsworth Center for Laboratories and Research of the New York State Department of Health; and Executive Secretary of the NY State Power Line Project regarding health effects associated with exposure to EMFs. After the project concluded, he became spokesperson for NY state on all matters associated with EMFs. He is the Co-Editor of the BioInitiative: A Rationale for a Biologically-based Public Exposure Standard for Electromagnetic Fields. Dr. Carpenter has authored more than 400 scientific papers. Professor Igor Belyaev, DSc, Head, Department of Radiobiology; Cancer Research Institute, Biomedical Research Center, Slovak Republic. He has an MSc. Degree in Radiation Physics and Dosimetry; PhD in Radiobiology; and DSc. degree in Genetics. He was an Associate Professor of Toxicological Genetics at the Stockholm University, Sweden, as well as a senior research scientist and group leader in the departments of Radiobiology, Molecular Genome Research, Genetic and Cellular Toxicology, Genetics, Toxicology and Microbiology. He is now or formerly a member of: The Working Group of the International EMF Project of the World Health Organization; the Working Group for the evaluation of RF carcinogenicity of the International Agency on Research in Cancer (IARC); the Swedish National Committee for Radio- Science; the Russian National Committee on Non-Ionizing Radiation Protection; the EMF Working Group of the European Academy for Environmental Medicine (EUROPAEM). He serves as Associate Editor for the International Journal of Radiation Biology and on the Editorial Board of Electromagnetic Biology and Medicine. He published over 100 scientific papers and was awarded by the Bioelectromagnetics Society for the most influential 344344 paper in Bioelectromagnetics 2006-2010. He is a member of the BioInitiative Working Group and authored the BioInitiative’s 2012 Section on the effects of Pulsation and Modulation. Professor Beatrice Golomb, MD, PhD, Professor of Medicine at the University of California, San Diego. She also leads a research group which focuses on the relation of oxidative stress and mitochondrial function to health, aging, behavior, illness, environmental and medication effects, nutrition, and bioenergetics. She served as a primary care doctor of veteran patients for over 15 years. She is known for her work on Gulf War Illness, statins and placebos and for her 2018 paper “Diplomats’ Mystery Illness and Pulsed Radiofrequency/Microwave Radiation” which concludes, “Reported facts appear consistent with pulsed RF/MW as the source of injury in affected diplomats.” She was invited to present to the National Academy of Sciences about these findings. She has published 136 scientific papers. Professor Reba Goodman, PhD, Professor Emeritus in Clinical Pathology at Columbia University. Dr. Goodman received an MA and a PhD in Developmental Genetics from Columbia University. She has authored a great many studies, including at least 76 studies on effects of electromagnetic fields. Early on, in her paper in Science entitled “Pulsed electromagnetic fields induce cellular transcription,” (1983), she showed how even weak, pulsing electromagnetic fields could modify biological processes. Professor Lennart Hardell, MD, PhD, is a retired Professor of Oncology and Cancer Epidemiology, from Örebro University Hospital in Sweden. Dr. Hardell continues his work through his involvement with the Environment and Cancer Research Foundation. His research focus has been the environmental 345345 risk factors for cancer. Prof. Hardell has been awarded several scientific prizes for his research. In recent decades his research focused on the effects of RFR exposure, especially on mobile phones and the risk of brain tumours. The research by the Hardell group influenced IARC’s 2011 classification of radiofrequency radiation as a possible 2B carcinogen. Dr. Hardell was also a member of IARC’s evaluating group. He has published more than 350 peer- reviewed scientific papers, including many on the biological effects of electromagnetic radiation. Professor Paul Héroux, PhD, Director of the Occupational Health Program, Faculty of Medicine, McGill University, Canada. Dr. Heroux is a toxicologist with a PhD in Physics. He teaches courses at McGill University about the adverse health effects of EMFs. He has published 42 scientific papers, 27 of them on the effects of EMFs. He also authored several text books. His most recent paper is “Adverse health effects of 5G mobile networking technology under real-life conditions.” (Toxicol. Let 2020). He is a member of the BioInitiative Working Group and was a member of the committee appointed by the New Hampshire legislature to review the effects of 5g and wireless technologies. Professor Olle Johansson, PhD, retired associate professor at the Karolinska Institute, Department of Neuroscience, and head of The Experimental Dermatology Unit from the Karolinska Institute, and the Royal Institute of Technology, Stockholm, Sweden. He has published more than 800 papers, conference reports, book chapters, commentaries, and debate articles. His main focus was basic and applied neuroscience. Starting in 1977, his research focused on the adverse health and biological effects of man-made pulsed RF- 346346 based wireless technologies. He has published more than 330 papers in that field, many with a focus on the effects on the skin. Professor Anthony B. Miller, MD, CM, FRCP, FRCP(C), Professor Emeritus, Dalla Lana School of Public Health, University of Toronto. He was the Director, Epidemiology Unit, National Cancer Institute of Canada; Professor, and Chair of the Department of Preventive Medicine and Biostatistics, University of Toronto; Special Expert in the Division of Cancer Prevention, US National Cancer Institute; Senior Epidemiologist, International Agency for Research on Cancer; Head, Division of Epidemiology, German Cancer Research Centre; Associate Director Research, Dalla Lana School of Public Health, University of Toronto. In 2019 he was elected a Member of the Order of Canada for his work on Cancer Control. He has published 354 peer-reviewed papers. In the past few years he has focused on RF/EMF effects. He has published six papers on the topic of RF/EMF and has presented in many conferences on this issue. Professor Martin Pall, PhD, Professor Emeritus of Biochemistry and Basic Medical Sciences at Washington State University. Dr. Pall is a published and widely cited scientist on the biological effects of electromagnetic fields and speaks internationally on this topic. His expertise includes how RF/EMF impacts the electrical systems in our bodies with a focus on the VGCC injury mechanism. He published seven papers showing that pulsed RF/EMF interferes with the operation of the voltage-gated calcium channel, a sensor that is responsible for the entry of calcium into our cells. 347347 Alfonso Balmori, BSc, M.S.Ed, is a world renowned biologist, with a master in environmental education. He has published more than 50 scientific papers published in peer-reviewed journals on environment, ecology, and biodiversity conservation issues. He is known worldwide for his work on the effects of electromagnetic RF radiation on animals and plants, mainly on the effects of cell towers. His papers were quoted in the US Department of the Interior 2014 letter concluding that cell towers harm migratory birds and that the FCC guidelines are 30 years out of date. This letter was referenced by the Court in the Remand Guidelines decision. Professor Kent Chamberlin, PhD, Past Chair and Professor Emeritus, Department of Electrical and Computer Engineering, University of New Hampshire. The focus of his research has been Computational Electromagnetics. He also investigated the interaction of electromagnetic fields and the human body, which resulted in seven publications. He was appointed by the Chancellor to the New Hampshire Commission to Study the Environmental and Health Effects of Evolving 5G Technology, which concluded that 5G and pulsed RF-based wireless technologies are harmful to health. Dr. Priyanka Bandara, PhD, is a scientist with a PhD in Biochemistry and Molecular Genetics. She served as senior manager of a research team and a clinical team at Westmead Children’s Hospital, Australia. She then became involved in environmental health and disease prevention. Her current focus is the impact of pulsed RF-based wireless technologies on health. Dr. Bandara has published 13 papers on the effects of electromagnetic radiation in international scientific journals, and has presented at major conferences and academic institutions. She serves as Associate Editor of the Journal of the Australasian I 348348 College of Nutritional and Environmental Medicine and as peer-reviewer for several international medical journals. Dr. Frédéric Greco, MD, is a practitioner in the neuro-intensive care unit at the University Hospital of Montpellier, France, and teaches at the university’s Faculty of Medicine. He is a member of the working group set up by the French government's health department to implement national recommendations for the medical care of electrosensitive people. He is the principal investigator of the ongoing clinical study "Migraine in Electrohypersensitive Patients." Dr. Yael Stein, MD, is head of the Electromagnetic Radiation Research Clinic at Hadassah Medical Center, Jerusalem, Israel, focusing on electro-sensitivity diagnosis and treatment. She is a certified Anesthesiologist at Hadassah Medical Center and researcher at the Hebrew University Medical School. She also specializes in Pain Medicine and is currently completing an MPH at the Hebrew University School of Public Health. She has extensive experience in research on the health effects of electromagnetic fields on humans from the epidemiologic and biological/medical points of view, and has worked in this field since 2007. Cindy Sage, MA, is an environmental sciences consultant and researcher on electromagnetic fields and radiofrequency radiation. She is the founder of the international BioInitiative Working Group, and the co-editor of the BioInitiative Reports (2007 and 2012). Ms. Sage has provided expert testimony and scientific testimony on non-ionizing radiation to the Federal Communications Commission, the US Food and Drug Administration, the California Public Utility Commission, the European Commission’s Directorate of Public Health - Scientific Committee on Emerging and Newly Identified Health Risks 349349 (SCENIHR). She has advised numerous state and federal agencies on wireless health risks, smart meter emissions and safety limit inadequacies. She has published 24 peer-reviewed papers on the evidence of health risks from electromagnetic fields and radiofrequency radiation, and she studies the effects of smart meters. Dr. Cindy Russell, MD, is a surgeon and Executive Director of Physicians for Safe Technology. Since 1995, she has been a member of the Santa Clara County Medical Association Environmental Health Committee. Dr. Russell has published several peer-reviewed papers on the impacts of wireless technology on human health and the environment with hundreds of scientific references. Her focus continues to be disease prevention and environmental health through toxics reduction. Dr. Mary Redmayne, PhD, is a researcher, educator and consultant with Adjunct Research Fellowships at Victoria University of Wellington and at Monash University, Melbourne. Her research interests and experience include children’s use of wireless devices and their effect on health and well-being. She has many peer-reviewed papers, with at least 22 on health and electromagnetic fields and RF radiation. She lectures on these issues both in New Zealand and internationally. Dr. Redmayne is a Participating Member of Standards Australia Committee on Human Exposure to Electromagnetic Fields, a technical committee responsible for standards settings. She is a scientific advisor for the Oceania Radiofrequency Scientific Advisory Association, and for the Building Biology and Ecology Institute, NZ. 350350 ENGINEER REPORT 351351 IN THE SUPREME COURT OF PENNSYLVANIA MIDDLE DISTRICT RE: No. 34 MAP 2021, Povacz, M, et al. v. PUC Associated Case(s): 35 MAP 2021 Consolidated 36 MAP 2021 Consolidated 37 MAP 2021 Consolidated 38 MAP 2021 Consolidated 39 MAP 2021 Consolidated 40 MAP 2021 Consolidated 41 MAP 2021 Consolidated 42 MAP 2021 Consolidated 43 MAP 2021 Consolidated 44 MAP 2021 Consolidated 45 MAP 2021 Consolidated Engineer Report – Smart Meters Operation & RF Emissions Purpose of Statement 1.My name is Erik S. Anderson, P.E. I am a forensic electrical engineer working on root cause failure analysis of matters that cause loss of property, personal injury, and loss of life. 2.I am submitting my expert opinion regarding the operation of smart meters and digital meters and in support of the amici. 352352 Credentials 3.I am the president of an engineering firm that offers professional engineering and investigation services across the United States and manufactures current transformers.83 4.It is my expert opinion that these smart and digital meters cause a significant amount of radio-frequency (RF) “noise” on homes’ electric wiring system, thereby transforming them into a whole house antenna. 5.I have a Bachelor’s of Science degree from North Dakota State University, Fargo, North Dakota, in Electrical and Electronic Engineering. I am a licensed Professional Engineer in the states of Minnesota, Illinois, Arizona, Wisconsin, Indiana, Iowa, New Mexico, Texas, Louisiana, California, Kentucky, Michigan, and Nevada. I am a licensed Class A Master Electrician in the state of Minnesota. I also hold a Private Investigator License in Arizona and I am a Certified Fire and Explosion Investigator. 6.I have 30 years of experience as a forensic engineer. I have over 20 years of experience of design and manufacture of current transformers. I have been involved in many thousands of matters concerned with determining the root cause of failures of electrical devices that may have caused a loss of property, personal injury, or loss of life. I have given expert witness testimony in approximately 113 83 https://www.aenpi.com/ 353353 separate matters. I personally have tested smart meters and given expert testimony regarding their operation and emissions. My curriculum vitae is attached (Exhibit 1). 7.As a designer and manufacturer of transformers, their operation is one of my main areas of expertise. Switch Mode Power Supply modules used by smart and digital meters are merely another type of transformers. I have investigated the involvement of the operation of the Switch Mode Power Supply in these meters and their involvement in the creation of radio frequency (RF) emissions.84 8.My expert determination principally relies on my own smart meter testing. I do also rely on reviews by other experts, their’ testing reports and my professional education and vast experience. Smart Meter Operation 9.Smart meters create intense exposure to pulsed radio frequencies (RF) in a few ways. RF antennas are embedded within the smart meter to transmit data usage to utility companies and/or to communicate with other smart meters or with other “smart” devices like home thermostats. These antennas emit pulsed RF radiation. The various radiofrequencies emitted by these antennas also conduct through the home electric wiring. RF “wire conducted” frequencies come also 84 An explanation of what are radio frequencies and about the electromagnetic spectrum can be found in the scientists’ statements which is also attached to the amicus brief as well as in the amicus brief itself. 354354 from the conversion process from alternating current (AC) to direct current (DC) handled by the Switch Mode Power Supply (SMPS).85 Non-transmitting digital meters also use SMPS, and therefore they too create RF, even though they do not contain a transmitting RF antenna for communications. These radio frequencies are transmitted on the residence’s electrical distribution system and conduct over the internal wiring, thereby turning the home into a whole-house antenna. RF Emissions from the Transmitting Antennas 10.The RF antennas that wirelessly transmit the consumer’s electrical power usage data to the utility company use frequencies in the 900 MHz & 2,400 MHz range. These emissions are intense and can occur often, up to 190,000 times a day.86 From my experience and testing done by others, these meters transmit more times than the electric companies report. This can easily be shown by measuring the emissions with a simple RF meter. 11.“Isotrope Wireless,”87 which provides industry and municipalities with design, specification, evaluation, and construction support for wireless facilities, tested smart meters in three houses.88 This testing showed that RF emission from the smart meters’ transmitting antennas could be detected 85 In some meters the conversion is done using capacitators instead of SMPS. 86 https://childrenshealthdefense.org/pa-amicus-sage-smart-meters/. 87 https://www.isotrope.im/about-2/. 88 https://childrenshealthdefense.org/pa-amicus-isotrope/. 355355 throughout the house and were “well above” the ambient RF radiation levels.89 These pulsed RF emissions exceed the absolute energy output limits90 stated in Federal Communications Commission (FCC) guidelines (if the emissions are not averaged over a 30-minute exposure as prescribed by those guidelines).91 RF from Wireless Antennas Enter the House’s Electrical System 12.The Isotrope testing also showed that the house’s electrical wiring conducted substantial levels of the RF emissions at 915 MHz – the communications-related frequency for that meter92 – and this frequency was then radiated from outlets (electrical power delivery points) and along the house wiring (branch circuitry). 89https://childrenshealthdefense.org/pa-amicus-isotrope/#page=12. 90 https://childrenshealthdefense.org/pa-amicus-sage-smart-meters/#page=3. 91 On August 13, 2021, the Court of Appeals for the DC Circuit ruled that the FCC’s 2019 decision that its guidelines adequately protect the public’s health are arbitrary, capricious and not evidence-based. The Children’s Health Defense is a Petitioner in this case. Envtl. Health Tr., et al v. FCC, Nos. 20-1025, 20-1138, 2021 U.S. App. LEXIS 24138 (D.C. Cir. Aug. 13, 2021). The opinion specifically questioned whether the FCC’s testing procedures adequately captured the effect of pulsation or modulation. 2021 U.S. App. LEXIS 24138, *12, *29. 92 Smart meters use a variety of frequencies for communications depending on the manufacturer’s choice. PECO’s meters operate at around 901 MHz. They also contain a “Zigbee” antenna that can be turned on and then communicate with nearby wireless smart devices. Zigbee uses 2400 MHz band. 356356 13.Thus, the pulsed RF emissions from the smart meter’s transmitting antenna not only enter the house wirelessly but also enter into and are conducted along the house’s electrical wiring RF “Noise” From the Switch Mode Power Supply 14.Other RF frequencies besides the RFs from the transmitting antennas, also enter the house electric system. In my testing I have witnessed and analyzed smart meters’ effects on the incoming electrical power voltage waveform. These frequencies are a byproduct of the AC/DC conversion process which is done by the Switch Mode Power Supply (SMPS). The conversion process is necessary because utility service employs alternating current whereas the electrical components in smart meters use direct current.93 15.SMPS converts the 240 Volt AC power coming into the meter from the main power transformer, into the much lower DC voltage that the electronic devices require to function. The rapid back-and-forth conversion process used to remove the “alternating” aspect creates unintended RF frequencies. The on/off, back-and-forth, pulses can occur up to 150,000 times per second, which means frequencies of up to 150,000 Hz (150 KHz94), are created. These kilohertz 93 Smart meters also rely on AC for some of the non-electronic functions they perform. 94 1,000 Hz is a kilohertz (“KHz”). 1,000,000 Hz is a megahertz (“MHz”). 1,000,000,000 Hz is a gigahertz (“GHz”). 357357 frequencies are within the RF band of frequencies.95 Most of the observed “noise” spikes are in the range of 2 to 50 kHz (2,000 to 50,000 Hz).96 The switching RF “spikes” are variable, and they are being imposed on the 60 Hz house electricity wave,97 creating significant unintended RF “noise.” 16.These frequencies are present all the time but are worse when less electricity is being used (e.g., at night) and when the smart meter’s electronics need more power, for example, when transmitting RF bursts to the utility. These RF transmission bursts cause spikes over the electric wiring, and they are created because the SMPS has to suddenly supply more DC power. Digital Meters Use SMPS and Therefore Also Created Unintended RF 17.Digital meters also use SMPS. Therefore, even though they do not contain an RF communications antenna, the AC/DC conversion process creates significant and variable RF spikes over the electrical wiring, which is then radiated into the house. 95 FCC defines RF as frequencies between 3 KHz – 300 GHz. 96 Finding of Fact 87 in McKnight v. PECO (once of the cases on hold below) states that “PECO’s AMI meters do not produce 5 Hz, 3 kilohertz, or 5 megahertz fields. (April 13, Tr. 75-76).” While I have some doubt this is actually so, this finding does not rule out emissions in the other frequencies I list. 97 Electricity comes to the house at a frequency of 60 Hz. 358358 Analog Meters Do Not Have SMPS and Do Not Create RF Spikes 18.In contrast, unlike wireless smart meters and digital meters, analog meters do not contain an SMPS or other electronic components that create unintended RF frequencies. No AC/DC conversion is necessary, and unlike smart and digital meters, analog meters have a separate wired grounding rod that eliminates much of the “noise” that may come from the energy feed. 19.The images below compare a smart meter like that used by PECO98 with an analog meter. The red waveform is the 60 Hz house electricity frequency. The yellow waveform indicates the RF frequencies imposed over the 60 Hz. Image 1shows that an analog meter does not create RF spikes. Image 2 shows the smart meter causing significant RF spikes “noise” over the 60 Hz frequency house electric wiring system. 99 98 https://childrenshealthdefense.org/wp-content/uploads/pa-amicus-bathgate-pa- smart-meters.pdf. Pages 17-18. 99 https://childrenshealthdefense.org/wp-content/uploads/pa-amicus-bathgate-pa- smart-meters.pdf#page=14. 359359 Image 1: Analog Meter – No RF Spikes Image 2: Smart Meter – Intense RF spikes. My Smart Meter Testing: 20.My test setup consisted of a meter socket enclosure suitable for 120/240 Volt, single-phase, three-wire connection. A smart meter, Landis & Gyr, ·~ (kt l,:0.Jl,.-19 ,;;;;;;; ,,,. -,_ .... ,,..,., <.'l.hop .... ,... ... c--J\,~~ ... <>co-.. "' * .. ~ .. -l•~.J.01 .... .... ..... <Hl r-,o... ... ~ .:l (MlV<'l/0,., ... ,,., ·-,..,. ...... ,...., ... HlD»V -.. '""""' ., ,, ,._ .. 4 .. -l·l4,.:4f ... "" - (M ... , .. ... ~ .. -.. ------- , .. .... .... _,. ...... 360360 Gridstream RF, Focus AXR-SD, Form 2S, CL200, 240 V, 3 W, 60 Hz, power meter was used.100 The voltage waveform was captured with a Fluke 215C Scopemeter. One input to the Scopemeter was connected to the incoming voltage, 120 Volts-to-Ground, unfiltered. The other input to the Scopemeter was connected to the incoming voltage with the 60 Hz waveform filtered out. A radiofrequency emissions meter was also used to indicate when an RF signal increase was detected. 21.When the test equipment was connected to the incoming power, the waveform of the incoming electrical power was observed. The 60 Hz signal was recognized as the dominant frequency with some noise observed on the waveform. The 60 Hz was filtered out to analyze the noise on the signal. 22.When the smart meter was not connected, the noise level was approximately 45 milliVolts at its peak. When the smart meter was added to the circuit, the noise on the 60 Hz sine wave was noticeably larger, approximately 85 milliVolts. This is nearly double the amount of noise than without the smart meter. 23.The dominant frequencies are in the range of 2 to 50 kHz. These are the frequencies that the “smart meter” generates when it is transmitting. 100 PECO uses this meter, or one quite like it. R995a, 1046a. 361361 Conclusion and Opinion 24.There is no doubt that smart and digital meters create pulsed RF emissions and these emissions, from the smart meters’ antennas and the RF created by the SMPS, both enter the house’s electric system. The result is that the entire house is transformed into a radiating RF antenna. 25.Any meter with a switch mode power supply will create RF frequencies in the Kilohertz range that enter the electrical wiring system of the house. Smart meters and digital meters inject significant levels of RF onto the home’s electrical distribution system. 26.This report is based on information learned to date. I reserve the right to amend, clarify, or change my opinions based on more work or information learned. Respectfully Submitted: Erik S. Anderson, P.E. 362362 ENGINEER REPORT – Exhibit 1 363363 ANDERSON ENGINEERING OF NEW PRAGUE, INC. 9007 S. Third Street Phoenix, Arizona 85042 Office: (602) 437-5455 Mobile: (952) 292-6416 Email: eanderson@aenpi.com ERIK S. ANDERSON Registered Professional Engineer REGISTRATION: State of Minnesota 1991 21471 State of Illinois 1999 062052733 State of Arizona 2003 39627 State of Wisconsin 2008 39418-006 State of Indiana 2008 PE.10809314 State of Iowa 2008 18758 State of New Mexico 2008 19001 State of Texas 2009 102714 State of Louisiana 2009 PE.0034787 State of California 2010 105359 State of Kentucky 2012 28492 State of Michigan 2013 6201060247 State of Nevada 2013 022690 Licensed Class A Master Electrician – State of University of Minnesota, Minneapolis, Minnesota, 1981- 364364 CONTINUING EDUCATION: Hazardous Materials: HAZWOPER: 40-hour worker 2008 Annual 8-Hr. HAZWOPER Refresher Course: 2009, 2010, Minnesota Electrical Association – National Electrical Code Instructor: Forensic Electrical Engineering Principles & Practices, 01/05 - Present President & Forensic Electrical Engineer. Responsible for all aspects of business operations including engineering services to clients, analysis. 365365 Our case load also includes construction defect cases involving the evaluation of the workmanship of the electrical subcontractor and personal injury cases involvi Electrical Engin failure analysis. Midwest Current Transform Engineering of New Prague, Inc., New Prague, MN. Designer, manufacturer, and quality Research and Design Coordinator. Duties included work on (Summers) Assistant Engineer. Designed software for and compiled data of E-fields generated by high voltage tassisted in investigations of various cases involving questions AFFILIATIONS: Member National Society of Professional Engineers. Member Minnesota Society of Professional Engineers. Member International Association of Arson Investigators. Member National Fire Protection Association. Member National Association of Fire Investigators. Member American Society of Heating, Refrigerating and Air- TESTIFYING WITNESS: Corporation 366366 BUILDING BIOLOGY INSTITUTE REPORT 367367 IN THE SUPREME COURT OF PENNSYLVANIA MIDDLE DISTRICT RE: No. 34 MAP 2021, Povacz, M, et al. v. PUC Associated Case(s): 35 MAP 2021 Consolidated 36 MAP 2021 Consolidated 37 MAP 2021 Consolidated 38 MAP 2021 Consolidated 39 MAP 2021 Consolidated 40 MAP 2021 Consolidated 41 MAP 2021 Consolidated 42 MAP 2021 Consolidated 43 MAP 2021 Consolidated 44 MAP 2021 Consolidated 45 MAP 2021 Consolidated THE BUILDING BIOLOGIST INSTITUTE REPORT General Statement 1.My name is Lawrence James Gust. I am the President of the Board of Directors of the Building Biology Institute (BBI).1 I have a degree in electrical engineering and an MBA. I have been an environmental consultant for over 20 years and have trained hundreds of environmentally safer buildings consultants via the BBI. 2.The Building Biology Institute (BBI) is a 501(c)(3) non-profit corporation. BBI was founded in the US in 1993 and it follows the Principles of 1 https://buildingbiologyinstitute.org/about/our-mission/ 368368 the Institute fur Baubiologie und Ecologie in Germany.2 Our mission is to help meet the ever-increasing public demand for proven methods that secure homes, schools, and workplaces from toxic indoor air, tap-water pollutants, and hazards posed by electromagnetic fields (“EMF”) and radiofrequency radiation (“RFR”) exposure. 3.BBI offers three professional certifications: (1) Building Biology Environmental Consultant (BBEC); (2) Electromagnetic Radiation Specialist (EMRS); and (3) Building Biology New Build Consultant (BBNC). Each certification requires the participants to complete online courses, participate in a multi-day on-site seminar, undergo a mentored final project and pass various tests. To be listed as a practicing professional on the BBI website,3 certified BBEC professionals must obtain approved continuing education credits. 4.Our trained RF/EMF mitigation consultants measure the electromagnetic fields and radiation at the site, provide a plan on how to mitigate these emissions and work with other professionals such as electricians and IT professionals to put in place the identified mitigating measures. 2 https://www.ibo.at/en/ 3 https://buildingbiologyinstitute.org/find-an-expert/certified- consultants/electromagnetic-radiation-specialists/. 369369 5.Most of our clients are people who are sick or have family members who have adverse reactions to RFR exposure. As with other environmental toxins, and according to doctors, avoidance is the main and most effective treatment for those who are affected. Our services help them mitigate exposures in their homes, so they are part of the medical regimen prescribed by doctors. Many physicians encourage their patients to contact building biologists to optimize their living environment.4 6.We have a unique perspective and specific protocols driven by our extensive science-based knowledge, methods as well as experience working with those who suffer. Every day we see the widespread sickness caused by wireless devices and infrastructure. We personally witness how devastating this sickness is. Most important, we know our methods significantly improve the health and well- being of those who must avoid RFR. Remediation efficacy is well documented and undeniable. 7.Our knowledge and experience will provide the court valuable and important information necessary to reach a just decision in this case. Smart Meters 4https://www.womenscollegehospital.ca/assets/pdf/environmental/Preliminary%20 Clinical%20Guidelines%20%20for%20EHS.pdf#page=18. 370370 8.We often confront sickness caused or exacerbated by smart meters. Simply removing the meter often leads to immediate and consequential health improvement. Unfortunately, we also routinely witness intolerable suffering by those forced to have smart meters as a condition of service without any means to opt-out. 9.People can turn off their cell phones, they can turn off the Wi-Fi in the router and use hard-wired internet. They cannot turn off the smart meters and therefore are forced to be exposed to the toxin that caused them to be sick 24/7, in their home. It is a torture. Demand increase correlates with exposure growth 10.There has been a significant increase in requests for our RFR mitigation services over the last 20 years. Wireless services were first commercialized for the mass market in the mid-1980s. Back then and for around 10 years RFR mitigation was a very small part of our work. But that began to change in the early 2000s. Demand for our services has skyrocketed. RFR mitigation is now the most frequently requested service in our portfolio and constitutes about 75% of what we do. BBI consultants have a hard time fulfilling the demand. This directly correlates with and is the clear result of with the exponential growth in public exposure to wireless related pulsed RFR from wireless devices and infrastructure. Pervasive and chronic exposure leads to 371371 endemic sickness. We see it every day in our work, and it is devastating for those who are afflicted. 11.This increase in demand is also reflected in the number of professionals who are taking the certification course and become a certified “building biologist.” Since we started to operate, 27 years ago, we have certified approximately 308 building biologists. Thirty percent of them, approximately 100, were certified in 2020/2021. Collaborating With Treating Physicians 12.We collaborate with doctors whose patients suffer from electro- sensitivity. The only effective treatment is avoidance and in many cases the house is the cause or at least an aggravating factor for their patients’ illness. Doctors refer their patients to us, as ensuring that the home environment of those affected is as clean as possible from pulsed RF radiation is critical for any improvement. Human Consequences 13.The human dimension of electro-sensitivity is tragic. People with the condition call me and other building biologists in ever increasing numbers. In many cases, people who used the technology “normally” and had no medical issues suddenly become ill. They share with me the overwhelming and life-altering changes confronting them when they or their children become sick. They literally beg us to help them return to a normal life. 372372 14.These people endure tremendous physical suffering. Frequent and debilitating headaches. Inability to sleep. Heart arrhythmia. Pain in extremities. Burning skin. Mental confusion, cognitive problems, and memory loss. Non-stop ringing in the ears. Persistent nosebleeds are also common, especially with children. For many the symptoms are disabling and prevent them from functioning. They endure social isolation. They cannot work, go or be anywhere. Their lives are becoming increasingly impossible. In addition, they have to deal with ignorant and cruel denial of their condition because their sickness is an inconvenient problem to those promoting wireless technology. 15.The problem is real and overwhelming. BBI’s certified practitioners operate at ground zero. They alleviate the suffering of a rapidly growing number of people across the United States. Building Biologists often care for clients who are severely ill and desperately struggling simply to survive even in their own homes. For these individuals and their families, the implementation of mitigative measures recommended by BBI’s certified consultants offer the first and last resort. For these clients and thousands like them, the services of Building Biologists are lifesaving. 16.Many of our clients are unable to work because places of employment are saturated with wireless devices. They are unable to drive to work because roadways are flanked by cell towers irradiating passing vehicles with very high and 373373 ever-growing RF levels. They are unable to live in urban and suburban areas because houses are being irradiated by ever increasing numbers of cell phone antennas, neighbors’ wireless devices and – as here – from utility smart meters. 17.However, when remediation reduces pulsed RFR radiation by shielding the residence, symptoms usually abate or reduce, depending on the initial power density and the overall ability of the shield. RF Levels 18.The levels of pulsed RF radiation we measure (shown in power density) are usually well below the FCC guidelines. However, power density is still significantly millions and trillions of times above natural environmental levels,5 and sometimes millions and more times higher than the levels that can cause adverse health effects reported in peer-reviewed research. 19.The FCC guidelines are not biologically-based and not evidence- based. The FCC guidelines do not address non-thermal effects or pulsation and they average exposure over 30 minutes (which hides the true biological response to exposure) and test for exposure from only one device. They do not protect from chronic long-term exposure or from exposure to multiple devices, radiation sources, frequencies, and modulations. They do not protect the public health, or at 5 https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(18)30221- 3/fulltext. 374374 least not for a significant part of the population. Our clients are the evidence, and the growing sickness is a clear proof this is so. 20.The FCC’s averaging does not account for pulsed digital signals occurring in milliseconds. Therefore, they vastly underate the power density (typically measured in milliwatts per square centimeter, or mW/cm2) that the human body must deal with on account of unremitting exposure to pulsed, modulated radiofrequency radiation. We see the peaks and pulses hidden by averaging, and witness first-hand what it does to people. BBI practitioners measure the aggregate RF exposure on the human body when in clients’ homes. Shielding 21.Those affected by RF/EMF face a living hell. They cannot be or go anywhere. Their home is their only refuge. Even this refuge is constantly under threat, and many are required to shield their homes. Reducing RF levels enough to be effective is a costly process. Unfortunately, the expense prevents many people from effecting the best remediation plan or any plan at all. 22.Shielding is expensive because the shielding materials are metal based, as metal blocks radiation. For example, shielding a parent’s queen size bed with an RF protection tent ranges from $1,250 to $1,700 depending on the shielding capability of the material. Shielding a child’s single bed will cost between $1,000 to $1,400. Instead, it is possible to shield the bedroom itself by 375375 painting the walls with RF protection paint and putting RF protection film on the windows instead of tenting the bed. The cost for an average 12’ x 12’ bedroom is $2,450. A family with two children would have to spend about $7,350. 23.Building Biologists focus on shielding sleeping areas because this is where people are most vulnerable to RF radiation. But this alone does not adequately protect people who are home all day. 24.Whole-house RF Radiation reduction requires painting the outside of the house and the inside ceiling on the top floor with an RF protection paint. The cost for 2,000 square feet is approximately $14,000. This cost is for two coats of paint. But with growing RF levels, three coats are often needed, so the cost is higher. 25.Metal reflects RF back into a shielded area. Therefore, whenever these materials are applied, a careful analysis is required to ensure the materials do not actually increase exposure. Shielding requires experts to do the job and this increases total cost. 26.People sick from environmental exposure should not be forced to be exposed in their home to the toxin that makes them severely sick. The considerable cost of creating a livable environment is unfairly shifted to the injured, who have no ability to recover from those who caused the injury. 376376 Shielding & Smart Meters 27.Shielding materials attenuate the radiation, they do not entirely block it. Reducing exposure enough to have a salutary effect is becoming increasingly difficult because of the densification of wireless infrastructure including 5G, and because home devices are becoming more powerful. 28.Smart Meters are without a doubt one of the most significant problem sources. In 2013 I filed a letter with the FCC in response to the agency’s 2013 inquiry whether it should review its 1996 guidelines. I wrote to the FCC that the most significant frequent initial sensitizing event we have seen over the last two years has been the installation of smart meters. Now, 8 years later, this is still true. Smart meters are the most significant sickness agent we must confront. 5G antennas near homes is yet another major sickness agent, but they, at least, do not typically also cause conduction through the homes’ over the cage of wiring that encircles the entire living space– in the walls, ceiling and floor. 29.Smart meters’ antennas send intense RF pulses every few seconds and these emissions affect the entire house. Proximity of the RF radiation-emitting source directly impacts our ability to attenuate the radiation, as radiation drops with distance. Smart meters’ location on or in close proximity to the house is why they are the worst offenders for those who suffer from pulsed RFR. 377377 30.The radiation from meters installed further away from the house still creates RF inside the house. The RF frequencies from the antenna and from the switch mode power supply are conducted through the house electric wiring. This pulsed RF radiation enters the living spaces through the floors, walls, and ceilings and via the power cords on all plugged-in electrical devices. 31.While one can take measures to reduce the radiation from smart meters’ antennas, shielding from the RF emissions that go into the house electric wiring system from the RF antenna and from the switch mode power supply (SMPS) is complex, expensive, and not very effective. 32.There are filters that help reduce the RF “noise” created by the meter’s switch mode power supply that conducts through the electric wiring. However, some are very expensive. Others emit high magnetic fields that are also problematic for those who are sick. Filters provide only partial solution as many reduce higher frequencies while creating new, lower frequencies that are below the typical measurement range of the meter. 33.Shielding is used to block radiation coming from the outside. Shielding materials should be installed only when no pulsed RF-based wireless devices are in the house.6 Otherwise, the shielding would be counterproductive and 6 Part of our remediation includes eliminating all other emission sources inside the house, including things like SMPS used in laptop computers or other electronic devices or wireless “Internet of Things” devices. Our clients can control such 378378 even increase exposure because the inside-home emissions become “trapped” within the house because of the shielding. For that reason, shielding the house from outside sources can aggravate the problem caused by smart and digital meters. 34.A smart or digital meter on a house with resident adults and children who adversely react to RF/EMF harms them both directly and indirectly. They directly suffer from the meter effects, and they cannot shield emissions from the outside like from cell towers, or neighbors’ smart meters and Wi-Fi networks. Conclusion 35.People are being told that wireless technology is safe. That smart meters are safe. They trust the government and the equipment manufacturers to have their best interests and safety at heart. Nothing is further from the truth as the recent case of the Children’s Health Defense against the FCC exposed. We see the devastating sickness daily in our work. We hope this court will protect those who need it the most. 36.The only reasonable accommodation for those who suffer from pulsed RF radiation is an analog meter. They are the only meters that do not emit RFs and do not aggravate the situation of those whose life is already a torturous nightmare. Analog meters are inexpensive, last much, much longer than digital meters - they things. But they cannot control what the smart or digital meter does nor can they turn it off. 379379 cost less than $100, and they have served us reliably for many decades. There cannot be any justified reason not to accommodate the sick when the solution exists. cost less than $100, and they have served us reliably for many decades. There cannot be any justified reason not to accommodate the sick when the solution exists. cost less than $100, and they have served us reliably for many decades. There cannot be any justified reason not to accommodate the sick when the solution exists. lly Submitted: a,,,,}(J,e,Y'Jce., . I~ k- 9, 7 .. 2( Lawrence James Gust 380380 1407 West North Temple, Suite 330 Salt Lake City, Utah 84116 August 4, 2023 VIA ELECTRONIC DELIVERY Jan Noriyuki Commission Secretary Idaho Public Utilities Commission 11331 W Chinden Blvd. Building 8 Suite 201A Boise, ID 83714 Re: CASE NOS. PAC-E-23-04; PAC-E-23-05; PAC-E-23-06; PAC-E-23-07; PAC-E-23-08; PAC-E-23-11 FORMAL COMPLAINT OF JACOBA H. VAN MASTRIGT ET AL Dear Ms. Noriyuki: Please find Rocky Mountain Power’s Answer to Petition for Reconsideration in the above referenced matter. Informal inquiries may be directed to Mark Alder, Idaho Regulatory Affairs Manager at (801) 220-2313. Very truly yours, Joelle R. Steward Senior Vice President, Regulation and Customer & Community Solutions Enclosures RECEIVED Friday, August 4, 2023 2:07:37 PM IDAHO PUBLIC UTILITIES COMMISSION 381381 Joe Dallas (ISB# 10330) 825 NE Multnomah, Suite 2000 Portland, OR 97232 Telephone: (360) 560-1937 Email: joseph.dallas@pacificorp.com Attorney for Rocky Mountain Power BEFORE THE IDAHO PUBLIC UTILITIES COMMISSION FORMAL COMPLAINT OF JACOBA H. PACIFICORP ROCKY MOUNTAIN POWER NOS. PAC-E-23-04; PAC-E-23-05; -E-23-06; PAC-E-23-07; PAC-E-23-08; -E-23-11 ANSWER TO PETITION FOR RECONSIDERATION 1.In accordance with Rule 331 of the Rules of Procedure of the Idaho Public Utilities Commission (“Commission”), Rocky Mountain Power, a division of PacifiCorp (“Rocky Mountain Power” or the “Company”), hereby responds to the petition for reconsideration (“Petition”) submitted by Samuel and Peggy Edwards (collectively “the Petitioners”). The Petitioners are seeking reconsideration of Order No. 35849 issued on July 11, 2023, which dismissed their complaint against the Company. Rocky Mountain Power respectfully requests that the Commission deny the Petition, as the Petition fails to provide sufficient reasoning as to why Order No. 35849 is unreasonable or unlawful, and the Petitioners have not presented any new evidence to substantiate their concerns regarding advanced metering infrastructure (“AMI”) meters. 2.On March 23, 2023, the Petitioners submitted a complaint against Rocky Mountain Power, alleging that the Company improperly notified them of termination of electric service due to their refusal to allow the installation of an AMI meter at their residence. 382382 3.On July 11, 2023, the Commission issued Order No. 35849, dismissing the Petitioners’ complaint. The Order stated that Rocky Mountain Power has the necessary authority, as a public utility, to install an AMI meter on the Petitioners’ property under the Electric Service Regulations (“ESR). The Order also concluded that the Petitioners failed to provide sufficient evidence to support their claim that AMI meters pose a legitimate safety concern or that there should be an opt-out option for AMI meters for public utilities in Idaho. Additionally, the Commission found that the Company had complied with the Utility Customer Relations Rules (UCRRs). 4.In accordance with Rule 331 of the Rules of Procedure of the Idaho Public Utilities Commission, a petition for reconsideration “must specify (a) why the order or any issue decided in it is unreasonable, unlawful, erroneous or not in conformity with the law, and (b) the nature and quantity of evidence or argument the petitioner will offer if reconsideration is granted.” The Petition fails to provide any new evidence or reason as to why the findings in Order No. 35849 are unreasonable, unlawful, erroneous, or not in conformity with laws. UCRR 302 explicitly provides that denial of access to the meter is grounds for termination of service. The Commission found that failing to provide Rocky Mountain Power access to replace an existing meter with an AMI meter is a violation of ERS 6(2)(d), which requires customers to provide unencumbered access to the meter. Rocky Mountain Power agrees with this finding by the Commission and the Petition fails to provide any reasoning as to why this finding in unreasonable or unlawful. 5.The Petition alleges that the AMI meters are a “downgrade” due to alleged health concerns associated with them. However, these allegations are not supported in the record. AMI meters offer substantial benefits to customers by reducing meter reading costs and providing improved customer service through enhanced information and billing options. Moreover, in Order 383383 No. 35849, the Commission has already addressed the Petitioners’ health concerns, stating that they “go against well-established evidence on AMI meter safety.” 6.The Company’s motion to dismiss further reinforces the safety of AMI meters, as they have been deemed safe by the Federal Communications Commission (“FCC”). It is important to note that AMI meters emit 100 times less radio frequency density than a laptop computer, 300 times less than a cell phone, and 50,000 times less than standing next to a microwave oven. All these devices have been approved by the FCC as safe for human use. The Petitioners’ claims, that contradict findings of the FCC, lacks credible evidence and the Petition merely cites evidence already referenced in the record and the initial complaint. Consequently, the Commission’s determination that the Petitioners have not provided sufficient evidence to support the idea that AMI meters pose a legitimate safety concern or that Rocky Mountain Power should be obliged to provide an opt-out option is reasonable and well-supported by the record in this proceeding. 7.For the foregoing reasons, the Company respectfully requests that the Commission deny the relief sought in the Petition. DATED this 4th day of August, 2023. Respectfully submitted, ROCKY MOUNTAIN POWER ______________________________ Joe Dallas (ISB# 10330) Senior Attorney Rocky Mountain Power 825 NE Multnomah, Suite 2000 Portland, OR 97232 Telephone: (360) 560-1937 Email: joseph.dallas@pacificorp.com Attorney for Rocky Mountain Power 384384 RECEIVED 2023 AUGUST 8, 2023 8:00AM IDAHO PUBLIC UTILITIES COMMISSION OBJECTION TO COMPANY'S ANSWER To: Jan Noriyuki, Commission Secretary Idaho Public Utilities Commission PO Box 83720 Boise, ID 83 720-007 4 Date: August 7, 2023 From: Samuel and Peggy Edwards 333 Shoshone Ave Rexburg, Idaho 83440 RE: Objection to Rocky Mountain Power's "Answer to Petition for Reconsideration", Idaho Public Utilities Commission Final Order of Case TD "PAC-E-23-05" Dear Ma'am, I ask the Commission's indulgence for a brief summary note . ROCKY MOUNTAIN POWER/PACIFICORP ("Company") has written an "Answer to Petition for Reconsideration" which misconstrues my Petition as not complying with Rule 331 of the Rules of Procedure of the Idaho Public Utilities Commission. The Company claims that I failed to "provide sufficient reasoning as to why Order No. 35849 is unreasonable or unlawful, and the Petitioners have not presented any new evidence ... " In order to avoid confusion, I would briefly summarize that our Petition of July 28, 2023 offered new evidence that advanced metering infrastructure (AMI) meters include a capability downgrade, that 100% compliance is unreasonable, arid that allowing ROCKY MOUNTAIN POWER/PACIFICORP to disconnect our electric service is not lm1iful. My question regarding the lawfulness of the Commission's order is grounded upon our objection to the Company's replacement of our meter with an inferior metering technology, which is not a covered purpose for meter access under Electric Service Regulation (ESR) 6(2)(d). Utility Customer Relations Rules (UCRR) 302 defines the conditions for termination of Service and is not enforceable if the purpose of Company access to the meter does not comply with ESR 6(2)(d). ESR 7(1), also cited in Order No. 35849, applies to installation of meters, and the Company's responsibility to maintain the meter cannot give the Company sole discretion to replace it with any technology (even inferior) without Customer approval. Please protect the minority of ROCKY MOUNTAIN POWER/PACIFICORP 's customers and the public by reconsidering the lawfulness of your order that effectively mandates AMI meter installations in Idaho. Respectfully, ~~--E~i Juris 385385 ORDER NO. 35904 1 Office of the Secretary Service Date August 25, 2023 BEFORE THE IDAHO PUBLIC UTILITIES COMMISSION JACOBA H. VAN MASTRIGT, et al, COMPLAINANTS, vs. PACIFICORP, d/b/a ROCKY MOUNTAIN POWER, RESPONDENT. ) ) ) ) ) ) ) ) ) ) ) CASE NOS. PAC-E-23-04; PAC-E- 23-05; PAC-E-23-06; PAC-E-23-07; PAC-E-23-08; AND PAC-E-23-11 ORDER NO. 35904 Between March 22, 2023, and March 27, 2023, the Commission received six formal customer complaints (collectively the “Complaints”)1 filed against PacifiCorp dba Rocky Mountain Power (“Company”) by the Company’s customers (collectively the “Complainants”). The Complaints concerned the Company’s notification to terminate electric service if the customers refused to allow the installation of advanced metering infrastructure meters (“AMI meter(s)”) at their residences. The central theme of the Complaints focused the customers’ desire to avoid installation of AMI meters at their homes. Reasons cited for not wanting AMI meters included age and health of the complainants, a child with special needs in proximity to the home’s meter, lack of legal authority allowing the Company to install the AMI meters, data privacy, and a request for an opt-out provision. On April 19, 2023, the Commission issued a Summons directing the Company to file an answer to the Complaints within 21 days of service. On May 10, 2023, the Company filed an Answer and Motion to Dismiss (“Answer”) countering the issues cited in the Complaints and asking that the Complaints be dismissed with prejudice. Subsequently, the customers filed five objections to the Company’s request for dismissal and two “AMENDED CRIMINAL COMPLAINT(s).”2 On July 11, 2023, the Commission entered a Final Order dismissing the Complaints. Order No. 35849. The Final Order provides, in pertinent part: The Complainants in these cases raise similar claims as those previously reviewed and decided by the Commission, claims that go against well-established evidence 1 The Complaints were filed by the Company’s electric service customers Jacoba H. van Mastright, Samuel and Peggy Edwards, Judy Twede, Karen Lane, Christy Armbruster, and Diane Huskinson. The Complainants all appeared pro se. 2 Jacoba H. van Mastrigt and Judy Twede filed the “AMENDED CRIMINAL COMPLAINT(s).” 386386 ORDER NO. 35904 2 on AMI meter safety and seek an outcome that is not required under state or federal law. As we have stated previously, the FCC has jurisdiction over the approval of devices that use radio frequency, like AMI meters, and the FCC has approved AMI meters as safe for consumer use. . . . Having reviewed the record, the arguments of the parties, and all submitted materials, the Commission finds that the Complainants have not provided evidence to support a finding that AMI meters present a legitimate safety concern, or that public utilities in Idaho should be required to provide an opt-out option for AMI meters. . . . We find that refusing to allow the Company’s representatives access to replace existing meters with AMI meters is a violation of the ESR agreed to as a condition of receiving the Company’s service. ESR No. 6(2)(d) requires Complainants to provide access to the Company representatives “for the purposes of . . . [among other things] repairing or removing metering devices . . . .” Under this ESR, the Company may remove the existing meter to replace it with an AMI meter. If Complainants refuse to allow the Company to remove the Company-owned meters, they are violating the ESR. Further, ESR No. 7(1) requires the Company to “furnish and maintain all meters and metering equipment.” When read together, ESR Nos. 6 and 7 require that the Company provide its customers with the meter and associated metering equipment and requires the customer to provide the Company with access to the meter to accomplish this. Based on the foregoing, the Company has the necessary authority to install an AMI meter on the Complainants’ property in its furnishing of electric service as a public utility. Id. In the Final Order, the Commission also found that the Company had communicated its willingness, upon request, to relocate the AMI meter to a different location on the Complainants’ property at their expense. Accordingly, the Commission determined that the facts in each case did not justify ordering the Company to provide an option to opt-out of receiving an AMI meter and dismissed the complaints. Pursuant to Idaho Code § 61-626 and IDAPA 31.01.01.331, the Complainants were given twenty-one (21) days following entry of the Final Order in which to petition for reconsideration. PETITION FOR RECONSIDERATION On July 31, 2023, Complainants Samuel and Peggy Edwards filed a Petition for Reconsideration (“Petition”) of Order No. 35849.3 The Edwards base their claim that the Commission erred in Order No. 35849 upon two contentions: (1) that the Commission 3 Mr. Edwards represents that he requested the other complainants refrain from seeking reconsideration to “reduce confusion or generalization” from consideration of multiple complaints. Pet. for Recon. at 3. 387387 ORDER NO. 35904 3 misinterpreted the relevant Electronic Service Regulations (“ESR”) applicable to the Company; and (2) that requiring 100 percent compliance AMI metering requirement is unreasonable. In their Petition, the Edwards contend that AMI meters lack surge protection and, therefore, constitute a “downgrade” from the electromechanical metering already installed at their property. According to the Edwards, ESR 6(2)(d) does not authorize meter access for purposes of installing technology to replace that already in place, nor does ESR 7(1) provide the Company sole discretion to replace a meter with any technology. The Edwards also suggest something less than 100 percent customer compliance with the Company’s AMI metering initiative would be just and reasonable. As evidence that AMI meters pose a safety concern, the Edwards attached a document purporting to be an amicus brief filed by Children’s Health Defense, and Building Biology Institute in a case before the Pennsylvania Supreme Court, Povacz v. Penn. Pub. Utility Comm., 280 A.3d 975 (Pa. 2022).4 Included in an addendum to the purported brief are a “Physicians Statement,” “Scientists Statement,” and reports by engineers expressing opinions regarding the function and health risks associated with AMI meters. However, it does not appear that the statements or reports were given under oath or otherwise certified true and correct under penalty of perjury, nor does the purported brief bear a file stamp indicating it was in fact filed in the Pennsylvania case.5 COMMISSION DISCUSSION AND FINDINGS The Commission has the authority to grant or deny reconsideration under Idaho Code § 61-626(2). Reconsideration provides an opportunity for any interested person to bring to the Commission’s attention any question previously determined, and thereby affords the Commission an opportunity to rectify any mistake or omission. Washington Water Power Co. v. Kootenai Environmental Alliance, 99 Idaho 875, 879, 591 P.2d 122, 126 (1979); see also Eagle Water Company v. Idaho PUC, 130 Idaho 314, 317, 940 P.2d 1133, 1136 (1997). Consistent with the purpose for reconsideration, Commission Rules require a Petition for Reconsideration to specify “why the order or any issue decided in the order is unreasonable, unlawful, erroneous or not in conformity with the law.” IDAPA 31.01.01.331.01. Commission Rule of Procedure 331 further requires the petitioner to indicate “the nature and quantity of evidence or argument the petitioner 4 In Povacz, the Pennsylvania Supreme Court addressed a challenge by electric customers to the installation of AMI meters (termed “smart meters” in the opinion) on their property. In that case the Pennsylvania Supreme Court held that the customers failed to show that the AMI meters were unsafe or that forced exposure to AMI meters constituted unreasonable service. Id. at 1009-13. 5 On August 4, 2023, the Company filed an Answer to the Petition for Reconsideration (“Answer”) requesting that it be denied. On August 8, 2023, the Edwards filed an Objection to the Company’s Answer. 388388 ORDER NO. 35904 4 will offer if reconsideration is granted.” Id. A petition must state whether reconsideration should be conducted by “evidentiary hearing, written briefs, comments, or interrogatories.” IDAPA 31.01.01.331.03. Grounds for reconsideration or issues on reconsideration that are not supported by specific explanation may be dismissed. IDAPA 31.01.01.332. As discussed below, the Edwards have not shown in their Petition that Order No. 35849 (or an issue decided in it) is unreasonable, unlawful, erroneous or not in conformity with the law. Nor have the Edwards identified evidence that warrants granting their petition. The Edwards’ argument that the Commission misinterpreted the ESR is, at best, a slight variation of their previous argument that the ESRs do not obligate them to permit the Company to upgrade their existing meter. Rather than characterizing installation of an AMI meter as an upgrade, the Edwards contend it would be a downgrade because such meters lack surge protection. However, the Edwards did not present evidence supporting their conclusory assertion that the AMI meter the Company seeks to install would lack surge protection, even if the absence of such protection renders an AMI meter a downgrade in the Edwards’ opinion. More importantly, beyond the conclusory assertion that “a substantive change of metering capability to residents’ electric meters” differs from furnishing and maintaining meters and equipment under the ESR, the Edwards have not supported their argument that the Commission misinterpreted the ESR with cogent argument or citation to legal authority. Similarly, the Edwards have failed to show declining customers an opt-out option is unreasonable. According to the Edwards, failing to allow opt-outs has left disconnection as the only option open to “a medically sensitive minority of the public.” Ostensibly, the Edwards are concerned about adverse medical effects resulting from radio frequency (“RF”) radiation that AMI meters emit. As noted in previous Commission orders (e.g., Order Nos. 32500, 33979, and 35544), the Federal Communications Commission (“FCC”) has adopted safety limits for RF devices operating near humans. See 47 C.F.R. 1.1307(b), 1.1310, 2.1091, 2.1093. The Edwards do not contend that the Company intends to install an AMI meter that does not comply with FCC requirements. Rather, the Edwards ostensibly assert that AMI meters pose a safety concern, regardless of FCC requirements. In support of this contention, the Edwards attached the aforementioned amicus brief filed by Children’s Health Defense, and Building Biology Institute. However, the Edwards have not authenticated the document as being what they claim it to be, nor does the purported brief bear a file stamp indicating it was in fact filed in the Pennsylvania appeal. 389389 ORDER NO. 35904 5 Moreover, although an addendum to the purported brief includes a “Physicians Statement,” “Scientists Statement,” and reports by engineers expressing opinions regarding the function and health risks associated with AMI meters, the reports and statements do not appear to have been given under oath or otherwise certified true and correct under penalty of perjury. Such unauthenticated and unsworn evidence is insufficient to overcome the conclusions of the FCC regarding generally safe levels of RF radiation.6 Even if it were, the Edwards have not presented evidence indicating AMI meters pose a demonstrable, credible health and safety concern to those residing in their home to suggest that our decision in Order No. 35849 was unreasonable, unlawful, erroneous or not in conformity with the law. Finally, the Edwards have not addressed why placing such a meter away from their home as the Company agreed to do would not sufficiently address their health and safety concerns about and AMI meters. In sum, despite the sincerity of the Edwards concerns, the Commission will continue adhering to the FCC’s position on safe levels of RF radiation. Accordingly, the Commission concludes that the Edwards’ Petition should be denied. ORDER IT IS HEREBY ORDERED that the Petition for Reconsideration is denied. THIS IS A FINAL ORDER DENYING RECONSIDERATION. Any party aggrieved by this Order or other final or interlocutory Orders previously issued in this case may appeal to the Supreme Court of Idaho within forty-two (42) days pursuant to the Public Utilities Law and the Idaho Appellate Rules. See Idaho Code § 61-627; I.A.R. 14. /// 6 In their Petition, the Edwards cite an argument presented in the amicus brief that FCC guidelines cannot support conclusions regarding RF safety because a federal court remanded a decision by the FCC not to revisit the limits on RF radiation established in 1996. Specifically, in Env't Health Tr. v. Fed. Commc'ns Comm'n, a divided panel of the D.C. Circuit held that the FCC failed to respond to evidence in the record indicating that exposure to RF radiation below current FCC limits may case negative health effects unrelated to cancer. 9 F.4th 893, 906 (D.C. Cir. 2021). Although Environmental Health Trust suggests that relevant scientific knowledge has evolved since the FCC last updated the limits for RF radiation, the case does not support a claim that RF radiation at, or below, current FCC limits causes adverse health effects in humans. 390390 ORDER NO. 35904 6 DONE by Order of the Idaho Public Utilities Commission at Boise, Idaho this 25th day of August 2023. ERIC ANDERSON, PRESIDENT JOHN R. HAMMOND JR., COMMISSIONER EDWARD LODGE, COMMISSIONER ATTEST: Jan Noriyuki Commission Secretary I:\Legal\ELECTRIC\PAC_RMP Smart Meter Complaints\PAC_AMI meters_recon_at.docx 391391 From: Samuel Edwards <szedwa@gmail.com> Sent: Wednesday, September 27, 2023 8:57 PM To: Jan Noriyuki <jan.noriyuki@puc.idaho.gov> Cc: mark.alder@pacificorp.com; joseph.dallas@pacificorp.com; datarequest@pacificorp.com; Jon Kruck <jon.kruck@puc.idaho.gov> Subject: Filed Version of Amicus Curiae Briefing CAUTION: This email originated outside the State of Idaho network. Verify links and attachmentsBEFORE you click or open, even if you recognize and/or trust the sender. Contact your agencyservice desk with any concerns. Good evening, Ms. Noriyuki. I have recently received the attached "filed version" of the Amicus Curiae Brief which was provided to Idaho Public Utilities Commission with my Petition for Reconsideration. I am passing it to you to be included in my file as a matter of fact, since the lack of a "filed version" was specifically cited in the Commission's recent Order #35904. Also, I need to inform the Idaho Public Utilities Commission that Rocky Mountain Power has issued our family a notice that they will disconnect our utility service on 2 October 2023, despite our Open Case with the Commission. I am in receipt of a warning from Rocky Mountain Power dated 9/6/2023 informing my family that if they did not hear from us "within 15 days from the date of this letter to resolve this issue, we will refer your account to our service disconnection process." We called the number provided and informed Kenna (Employee #37017) that we still have an Open Case with the Commission. Further, I decided to inform Rocky Mountain Power in writing of their error to pursue disconnection while our case is still Open. For some reason, the shipping company (Zippy Ship N'Copy of Rexburg, ID) which sent our letter by USPS Ground Advantage chose to put a packing peanut in the envelope to give it some thickness. Consequently, on last Friday evening (22 September), we received a call from Kevin who identified himself as a Rocky Mountain Power executive from the Salt Lake City area. He informed us of a suspicious package in their mailing room which had a bulge about the size and feel of a gummy bear. He asked what this was, and I informed him of the packing peanut. He told me that the letter would be destroyed, unread. I acknowledged this decision and told him again that the letter was to inform Rocky Mountain Power that we have an Open Case with the Commission. He told me that all further communication should be directed to the Commission and the Idaho Supreme Court, and the Court would notify them if we appeal. I interpreted this to mean that Rocky Mountain Power would cease their intent to disconnect our electric utility while we still have an Open Case. After all, the 42 day appeal period from the Commission's 25 August 2023 Order runs through 6 October 2023. However, today, I was physically served the FINAL Notice from Rocky Mountain Power by an employee, Jared, which says that my electric utility is due to be disconnected on 2 October 2023. I handed this letter back to Jared, showing him our Open Case on the Commission's website and telling him the story of our previous attempts to respond to Rocky Mountain Power's disconnection notices. I asked him to please inform his managers of the error, since Kevin had directed me to no longer respond to their letters, but to direct all my communications to the Commission. The irony is not lost on me: apparently, this communication of disconnecting my electric utility is "one way". 392392 So, at Rocky Mountain Power's explicit request and since my own sincere efforts to respond to their letters have apparently been ignored, I now request that the Commission intercede on our behalf and remind Rocky Mountain Power that no change to our utility status must be effected while we have an Open Case. I am nearly finished with my Notice of Appeal to the Idaho Supreme Court. Thank you, Sam Samuel Z. Edwards cell: (208) 270-7937 szedwa@gmail.com 393393 IN THE SUPREME COURT OF PENNSYLVANIA MIDDLE DISTRICT 395 Appellee v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, : : : : : : Appellee v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, : : : : : : ALBRECHT, Appellees v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, : : : : : : v. PENNSYLVANIA PUBLIC UTILITY COMMISSION APPEAL OF: PECO ENERGY : : : : : : : Received 9/14/2021 1:53:09 PM Supreme Court Middle District Filed 9/14/2021 1:53:00 PM Supreme Court Middle District34 MAP 2021 394 LAURA SUNSTEIN MURPHY 396 v. PENNSYLVANIA PUBLIC UTILITY COMMISSION APPEAL OF: PECO ENERGY : : : : : : : ALBRECHT v. PENNSYLVANIA PUBLIC UTILITY COMMISSION APPEAL OF: PECO ENERGY : : : : : : : : Cross-Appellant v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, Appellee : : : : : : : Cross-Appellant v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, : : : : : : 395 CYNTHIA RANDALL AND PAUL ALBRECHT, 397 Cross-Appellants v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, : : : : : : Cross-Appellant v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, PECO ENERGY COMPANY, : : : : : : Cross-Appellant v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, PECO ENERGY COMPANY, : : : : : : : ALBRECHT, Cross-Appellants v. PENNSYLVANIA PUBLIC UTILITY COMMISSION, PECO ENERGY COMPANY, : : : : : : : : 396 BRIEF OF CHILDREN’S HEALTH DEFENSE, AND BUILDING BIOLOGY INSTITUTE, ET AL AS AMICI CURIAE IN SUPPORT OF APPELLEES/CROSS-APPELLANTS “CUSTOMERS” 398 Brief of Amicus Curiae Supporting the Appellees/Cross-Appellant “Customers” in the Appeals from the Commonwealth Court’s October 8, 2020 Order at Docket Nos. 492 C.D. 2019, 606 C.D. 2019, and 607 C.D. 2019, which affirmed in part, reversed and remanded in part, and vacated and remanded in part the Pennsylvania Public Utility Commission’s Opinion and Orders entered at Docket Nos. C-2015-2475023, C-2015-2475726, and C-2016-2537666 Andrea L. Shaw (ID 89333) Law Office of Andrew H. Shaw, P.C. -243-7135 -243-7872 Children’s Health Defense 48 Dewitt Mills Road 1227 North Peachtree Pkwy, Suite 202 Peachtree City, GA 30269 NY Bar No. 1999994 rfk.fcc@childrenshealthdefense.org TEL: 845.377.0211 W. Scott McCollough* McCollough Law Firm, P.C. 2290 Gatlin Creek Rd. Dripping Springs, TX 78620 Texas Bar No. 13434100 wsmc@dotlaw.biz TEL: 512.888.1112 FAX: 512.692.2522 *Pro hac vice motion pending 397 i TABLE OF CONTENTS Page TABLE OF CONTENTS ............................................................................................ i 399 TABLE OF AUTHORITIES ................................................................................... iii I. IDENTIFICATION AND STATEMENT OF INTEREST OF AMICI CURIAE...................................................................................................................... 1 II. STATEMENT OF SCOPE AND STANDARD OF REVIEW ......................... 4 III. STATEMENT OF QUESTIONS PRESENTED ............................................... 8 IV. SUMMARY OF ARGUMENT ......................................................................... 8 V. ARGUMENT ...................................................................................................10 A. Guidelines Remand Decision ......................................................................10 B. Medical, Scientific and Engineering/Technical Information ......................11 C. FCC Admits Adverse Effects ......................................................................18 D. Pulsed RF Affects at Least Some People ....................................................19 E. The Federal Government Recognizes Electro-Sensitivity; Federal and State Law Requires Effective Accommodation ............................................20 1. CDC, U.S. Justice Department and Other Agencies Recognize Electro-sensitivity Can Lead to Major Life Impairments Requiring Accommodation ...............................................................................................21 2. ADA, FHA, Rehabilitation Act and PHRA Require Accommodations to Disabled/Handicapped Individuals Who Would be Negatively Affected by a Smart Meter ............................................................23 3. The PUC is Bound by ADA Title II, the FHA and PHRA; PECO is Bound by the FHA and the Rehabilitation Act ................................................25 F. The PUC’s “Burden of Proof” is Inconsistent with the Disability laws 28 1. PUC Applied Wrong Standard .................................................................28 2. Burden of Proof Inconsistent With Disabilities Laws .............................29 VI. Only Reasonable and Effective Accommodation is Analog Meter ...............31 A. Placement in Yard is Not Reasonable Accommodation .............................32 B. Placement in Yard Does Not Eliminate Harmful RF “Noise” in House....................................................................................................................32 398 ii VII. CONCLUSION ..............................................................................................33 APPENDIX ..............................................................................................................36 LIST OF ADDITIONAL AMICI CURIAE ..........................................................36 CERTIFICATE OF COMPLIANCE .......................................................................59 CERTIFICATION OF CONFIDENTIAL INFORMATION ..................................60 CERTIFICATE OF SERVICE ................................................................................61 ADDENDUM .......................................................................................................... 62 Physicians Statement …………………………………………….. ................... 64 Scientists Statement ……………………………………………. .................... 136 Engineer Report ………………………………………………… ................... 168 Building Biologist Institute Report ……………………………. .................... 184 400399 iii TABLE OF AUTHORITIES Federal Cases Astralis Condo. Ass’n v. Sec’y, U.S. Dep’t of Housing & Urban Dev., 620 F.3d 62 (1st Cir. 2010) ......................................................................................... 29 Calero-Cerezo v. U.S. DOJ, 355 F.3d 6 (1st Cir. 2004) .......................................... 29 Crissman v. Dover Downs Entm’t Inc., 289 F.3d 231 (3d Cir. 2002) ..................... 24 Dodge v. Comptroller of the Currency, 744 F.3d 148 (D.C. Cir. 2014) ................... 8 Envtl. Health Tr., et al v. FCC, Nos. 20-1025, 20-1138, 2021 U.S. App. LEXIS 24138 (D.C. Cir. Aug. 13, 2021) ............................................................... 2 Friedman v. Cent. Me. Power Co., No. 2:20-cv-00237-JDL, 2021 U.S. Dist. LEXIS 62585 (D. Me. Mar. 31, 2021) ..................................................... 29, 31, 32 Jackson v. Metro. Edison Co., 419 U.S. 345 (1974) ............................................... 24 Kisor v. Wilkie, 139 S.Ct. 2400 (2019) ...................................................................... 7 Rendell-Baker v. Kohn, 457 U.S. 830 (1982) .......................................................... 24 Theriault v. Flynn, 162 F.3d 46 (1st Cir. 1998) ....................................................... 29 401 Federal Statutes 29 U.S.C. §794 ......................................................................................................... 25 42 U.S.C. §§3613 ..................................................................................................... 27 42 U.S.C. §12101 ..................................................................................................... 24 42 U.S.C. §12102 ..................................................................................................... 24 42 U.S.C. §12112 ..................................................................................................... 29 42 U.S.C. §3601 ....................................................................................................... 24 42 U.S.C. §3631 ....................................................................................................... 27 Federal Administrative Rules 24 C.F.R. §100.400 .................................................................................................. 25 28 C.F.R. §35.108 .................................................................................................... 29 28 C.F.R. §35.130 .................................................................................................... 24 28 C.F.R. §36.101 .................................................................................................... 29 28 C.F.R. §36.105 .................................................................................................... 24 28 CFR Appendix A to Part 36 - Guidance on Revisions to ADA Regulation on Nondiscrimination on the Basis of Disability by Public Accommodations and Commercial Facilities ...................................................... 30 Architectural Transportation Barriers Compliance Board, Final Rule, Americans With Disabilities Act (ADA) Accessibility Guidelines for Buildings and Facilities; Recreation Facilities, 67 Fed. Reg. 56352, 56353 (Sept. 3, 2002) ...................................................................................................... 21 400 iv Part 36, Appendix C - Guidance to Revisions to ADA Title II and Title III Regulations Revising the Meaning and Interpretation of the Definition of “Disability” and Other Provisions in Order to Incorporate the Requirements of the ADA Amendments Act ...................................................... 30 State Cases Clay v. Advanced Comput. Applications, 522 Pa. 86, 559 A.2d 917 (1989) ........... 26 Crown Castle NG E. LLC v. Pa. PUC, 234 A.3d 665 (Pa. 2020) ............................. 4 Lazer Spot, Inc. v. Pa. Human Rels. Comm’n, 184 A.3d 200 (Pa. Commw. Ct. 2018) ............................................................................................................... 29 Phila. Elec. Co. v. Human Rels. Comm’n, 5 Pa. Commw. 329, 290 A.2d 699 (1972 .................................................................................................................... 26 402 Popowsky v. Pa. PUC, 910 A.2d 38 (Pa. 2006) ........................................................ 7 Povacz v. Pa. PUC, 241 A.3d 481, 491 & n13 (Pa. Commw. Ct. 2020) ................ 10 Federal Agency Decisions Proposed Changes in the Commission’s Rule Regarding Human Exposure to Radiofrequency Electromagnetic Fields, 34 FCC Rcd 11687 (2019) ........... 18, 19 State Statutes 1 Pa.C.S. §1921 .......................................................................................................... 9 1 Pa.C.S. §1922 ........................................................................................................ 10 43 Pa. Stat. Ann. §951.............................................................................................. 24 State Administrative Rules 16 Pa.Code §45.9 ..................................................................................................... 25 52 Pa. Code Chapter 57, Subchapter O ..................................................................... 7 6 Pa.Code §44.4 ....................................................................................................... 24 State Administrative Decisions Catherine J. Frompovich v. PECO Energy Company, Docket No. C-2015-2474602, 2018 Pa. PUC LEXIS 160 (Pa. P.U.C. May 3, 2018) ........................... 6 Catherine J. Frompovich v. PECO Energy Company, Docket No. C-2015- 2474602, Initial Decision (May 11, 2017), https://www.puc.pa.gov/pcdocs/1522025.pdf ....................................................... 6 Edward Lucey v. Metropolitan Edison Company, Docket No. C-2018-3003679, 2020 PA. PUC LEXIS 522 (Pa. P.U.C. October 8, 2020) ................... 26 401 v Letter of Notification of Philadelphia Electric Company Relative to the Reconstructing and Rebuilding of the Existing 138 kV Line to Operate as the Woodbourne-Heaton 230 kV Line in Montgomery and Bucks Counties 1992 Pa. PUC LEXIS 160 (Pa. P.U.C., No. A-110550F0055, filed Mar. 26, 1993) .............................................................................................................. 28 Negley v. Metropolitan Edison Company, Docket No. C-2010-2205305, 2010 Pa. PUC LEXIS 1919 (Pa. P.U.C. December 15, 2010) .............................. 5 Other Authorities 154 Cong. Rec. S8842 (daily ed. Sept. 16, 2008) (Statement of the Managers) ............................................................................................................. 29 FCC OET Bulletin 56 .............................................................................................. 13 International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), https://icd10cmtool.cdc.gov/ ................................. 21 National Institute of Building Sciences (NIBS), Indoor Environmental Quality (IEQ) Final Report (July 14, 2005) ......................................................... 22 The U.S. Department of Justice Civil Rights Division - Americans with Disabilities Act Title II Technical Assistance Manual Covering State and Local Government Programs and Services .......................................................... 27 403 402 1 I. IDENTIFICATION AND STATEMENT OF INTEREST OF AMICI CURIAE1 Children’s Health Defense (“CHD”) is a national non-profit 501(c)(3) organization. CHD has no parent corporation. No publicly-held company has a 10% or greater ownership interest. CHD’s mission is to end the epidemic of children’s chronic health conditions by working aggressively to eliminate harmful exposures to environmental toxins via education, to obtain justice for those already injured and to promote protective safeguards. The emissions from pulsed radio-frequency (RF) based wireless technologies including from Wi-Fi, cell towers and smart meters are a major contributory factor in the growing epidemic of sickness among adults and children. Many CHD members and their children are sick from wireless technology and are adversely affected by smart meters. For some, the exposure aggravates other conditions. We are approached daily by adults and children who have become sick and ask for our help. In May 2020, 6,231 people who declared that they and/or their children are sick from wireless joined a CHD submission to the FCC. 182 of them were from 1 No person or entity other than the named amici, their members or counsel has (i) paid in whole or in part for the preparation of this brief; or (ii) authored in whole or in part this brief. 404403 2 Pennsylvania.2 The decision in this case will directly affect CHD and its Pennsylvania members. The court’s decision will also affect nationwide policy and therefore, our members throughout the country. We also have taken legal action to protect the injured. Most recently, on August 13, 2021, the United States Court of Appeals for the District of Columbia Circuit ruled for CHD and other petitioners in a case challenging the FCC’s 2019 decision affirming the adequacy of its RF guidelines for public health purposes. Envtl. Health Tr., et al v. FCC, Nos. 20-1025, 20-1138, 2021 U.S. App. LEXIS 24138 (D.C. Cir. Aug. 13, 2021) (Guidelines Remand). The court held that the FCC decision denying non-cancer harm was arbitrary, capricious and not evidence based. This decision is highly relevant to the issues before the Court. See Part V.A. Building Biology Institute The Building Biology Institute (“BBI”) is a 501(c)(3) non-profit corporation now in its twenty-eighth operating year. BBI does not have a parent corporation. No publicly-held company has a 10% or greater ownership interest. BBI’s mission is to help meet the public demand for proven methods that secure homes, schools and workplaces from toxins including RF radiation (RFR). BBI’s experts work with doctors and patients to remediate exposures in patients’ homes. They are on the ground, seeing widespread sickness from RFR exposure. 2 https://www.fcc.gov/ecfs/filing/105191672708448. 405404 3 They have witnessed the effects of smart meters and the tremendous health improvements after these meters are removed. BBI’s experts are critical in addressing electro-sensitivity and RF related injuries.3 Seventy-nine (79) other health and environmental organizations promoting safe-tech, join in this Amicus. They are further described in the Appendix. All Amici have local, national and global experience and expertise relating to the underlying and broader legal, technical, scientific, medical issues before the Court. Even more important, Amici see – every day – the enormous difficulty faced by individuals who, for whatever reason, simply cannot tolerate the radiation emitted from pulsed radio-frequency based wireless technologies including smart meters. 3https://www.womenscollegehospital.ca/assets/pdf/environmental/Preliminary%20 Clinical%20Guidelines%20%20for%20EHS.pdf#page=8. 406405 4 II. STATEMENT OF SCOPE AND STANDARD OF REVIEW Amici adopt the “Customers” Statement of Scope and Standard of Review, but provide this supplement: “While this Court has never expressly adopted the federal Chevron approach, we have recognized that ‘[t]he Chevron approach to such cases at the federal level, however, is indistinguishable from our own approach to agency interpretations of Commonwealth statutes.’” Crown Castle NG E. LLC v. Pa. PUC, 234 A.3d 665, 679 n.11 (Pa. 2020). Chevron and this Court’s jurisprudence both require that the PUC’s interpretation be granted little to no deference, for several reasons. The first reason is simple: the statute is unambiguous4 and therefore no deference is due. Crown Castle, 234 A.3d at 677-78 (Pa. 2020). The Commonwealth Court correctly held (p.13) that “nothing in the language of Act 129 facially requires every customer to endure involuntary exposure to RF emissions from a smart meter.” Section 807(f)(2) could not be clearer: (f) Smart meter technology and time of use rates. …. (2) Electric distribution companies shall furnish smart meter technology as follows: 4 PUC Br. pp. 8, 16-19 and Energy Association Amicus at pp. 13-15 so contend. 407406 5 (i) Upon request from a customer that agrees to pay the cost of the smart meter at the time of the request.5 (ii) In new building construction. (iii) In accordance with a depreciation schedule not to exceed 15 years.” [emphasis added]. Smart Meter Implementation Order Para B.4 contains the PUC’s entire analysis: “The Commission believes that it was the intent of the General Assembly to require all covered EDCs to deploy smart meters system-wide when it included a requirement for smart meter deployment ‘in accordance with a depreciation schedule not to exceed 15 years.’” See also, Negley v. Metropolitan Edison Company, Docket No. C-2010-2205305 pg. 4-5, 2010 Pa. PUC LEXIS 1919, *6 (Pa. P.U.C. December 15, 2010). The PUC therefore contends that the legislature intended to mandate ubiquitous, non-optional deployment when it required a 15- year depreciation schedule in Section 807(f)(2)(iii). The conclusion does not follow. The statute’s provision requiring a 15-year depreciation schedule says (and implies) nothing about mandatory placement. It just means that whatever capital investment is required to obtain enough meters to satisfy customer demand must be depreciated over 15 years. Utilities routinely 5 The legislative history confirms that the legislation was not intended to require placement. House Bill 2200 as passed would have obtained that result. But the Senate deleted the relevant House language and substituted the current language. The House then concurred. The authors of the Senate changes stated that one of their specific intentions was to allow customers to choose whether to obtain a smart meter and make placement not mandatory. See Sen. Journal, Oct. 8, 2008 at 2626-27 (Remarks of Senators Tomlinson and Boscola). 408407 6 make capital investments for utility plant that does not directly affect every ratepayer. All such investments are recovered through depreciation expense until fully recovered. Depreciation concerns how overall rates are set and has nothing to do with the utility’s customer rules. See, e.g., Pa. Power & Light Co. v. Pa. Pub. Util. Com., 10 Pa. Commw. 328, 311 A.2d 151 (1973). The reliance on that part of Act 129 was misplaced. The PUC’s brief interpretive analysis in the Smart Meter Implementation Order did not address the far more relevant and truly unambiguous language in 807(f)(2)(i). This provision clearly contemplates an individual customer request and commitment to pay the cost. The PUC has admitted that “[a] plain reading of the statute may suggest that there is an ‘opt-in’ or ‘opt out’ available.” Catherine J. Frompovich v. PECO Energy Company, Docket No. C-2015-2474602, Initial Decision p. 24 (May 11, 2017), https://www.puc.pa.gov/pcdocs/1522025.pdf, adopted, Catherine J. Frompovich v. PECO Energy Company, Docket No. C- 2015-2474602, 2018 Pa. PUC LEXIS 160 (Pa. P.U.C. May 3, 2018), but it insists on not following the plain reading in favor of a strained interpretation of a different subsection that has nothing to do with the question. Second, the Commission’s interpretation of Act 129 has admittedly been officially held and consistent, but it did not arise from rulemaking procedures. The Commission first reached its conclusion that Act 129 contemplates mandatory 409408 7 deployment with no opt-out in Smart Meter Procurement and Installation, Docket No. M-2009-2092655, 2009 Pa. PUC LEXIS 265, 274 P.U.R.4th 238 (Order entered June 24, 2009) (Smart Meter Implementation Order). That proceeding did not employ formal rulemaking processes or conclude with a legislative rule or regulation.6 The PUC’s reading is an interpretive rule. Crown Castle, 234 A.3d at 667-678.7 The Commission’s reading of Act 129 is at best entitled to Skidmore- type deference (muddled as that federal doctrine may be) and resolution requires recourse to basic statutory construction tools. Crown Castle, 234 A.3d at 694 (Wecht, J. Concurring), citing Kisor v. Wilkie, 139 S.Ct. 2400, 2415-2416 (2019). Third, agencies do not receive Chevron-type deference when an agency claims its organic statute overrides other statutory provisions entirely outside the statute the Commission is charged with administering, especially when, as is the case with the ADA, FHA and PHRA, they are administered by several agencies. The court “must decide for [itself] the best reading.” Dodge v. Comptroller of the Currency, 744 F.3d 148, 155 (D.C. Cir. 2014). 410 6 This distinguishes Popowsky v. Pa. PUC, 910 A.2d 38 (Pa. 2006), which involved a legislative rule. 7 The only extant legislative rules or regulations on the topic of Advanced Metering Deployment clearly contemplate voluntary customer participation and customer-driven selection of the particular meter to be used. See 52 Pa. Code Chapter 57, Subchapter O. These legislative rules predate Act 129, but have not been repealed or amended. 409 8 III. STATEMENT OF QUESTIONS PRESENTED Amici adopt the Statements of Questions Presented set forth in the “Customers’” Briefs. IV. SUMMARY OF ARGUMENT 411 1. Smart meter deployment has been allowed and considered safe because the meters comply with the Federal Communications Commission (“FCC”) radiofrequencies exposure guidelines. As a result of the Guidelines Remand ruling, the FCC guidelines can no longer be relied on for an assurance of safety as to non-cancer harm and harm to the environment. Further, the FCC has now admitted to an adverse neurological response and symptoms similar to those suffered by people with electro-sensitivity. 2. Knowledge has significantly advanced in the five years since 2016 when the administrative record below was created. It is now quite clear exposure can lead to negative health effects. Those who suffer an RF-related impairment must be afforded reasonable accommodation. 3. The PUC’s interpretation is wrong. First, the statute cannot be read to contain a universal mandate; it clearly envisions customer consent. Second, regardless of the legislature’s word choice the state cannot lawfully force a customer to accept a smart or digital meter when mandatory installation results in disability discrimination, exacerbates existing impairments or forces people to 410 9 abandon their home. There must be effective accommodation. Third, neither the Commission nor the utility can or should second-guess an attending physician’s finding of impairment and the need for RFR avoidance. That too is prohibited by disability laws. 4. The impaired cannot be required to endure an interminable and expensive proceedings that requires them to meet an irrelevant and almost impossible evidentiary burden when the accommodation itself costs less than $100. Disability laws flatly prohibit imposing this burden. The rule is simple: accommodation in the form of an analog meter is required if a customer presents a professional assessment of impairment and a need for RF avoidance. 5. The Court can dispose of this case without directly wading into health effects. All that is required is a holding that Act 129 does not mandate smart meter placement absent customer consent. This outcome results from both the unambiguous terms in the legislation and proper application of statutory interpretation, including but not limited to “the consequences of a particular interpretation.” 1 Pa.C.S. §1921(6). 6. If it does reach the health issues, the Court should ensure that those with electro-sensitivity receive accommodation in the form of an analog meter. Any reading that requires an impaired customer to accept a smart or digital meter will conflict with other state and federal laws. 1 Pa.C.S. §1922(3) states that 412411 10 legislation should not be interpreted in a way that renders the provision unconstitutional. Thus, Act 129 cannot be interpreted to obtain a result that would conflict with the rights, remedies and venue provisions in other state or federal disability laws. These other laws require reasonable accommodation in the form of an analog meter. V. ARGUMENT A. Guidelines Remand Decision The Guidelines Remand is highly relevant to this case. The PUC decisions below extensively relied on the FCC’s guidelines as part the “safety” findings. Murphy Order, p. 68 and 84-85, R.197a and 213a-14a. The utility did so as well. PECO Br. 1, 4, 6, 26-28, 34.8 As the Guidelines Remand court noted, the FCC’s emissions limits do not satisfactorily consider electro-sensitivity9 or the effects of pulsation and modulation10 used by wireless technologies (like smart meters).11 The FCC 8 The Commonwealth Court disclaimed any such reliance, Povacz v. Pa. PUC, 241 A.3d 481, 491 & n13 (Pa. Commw. Ct. 2020), but the PUC and utilities’ briefs each rely on the FCC guidelines. 9 2021 U.S.App.LEXIS 24134 at *10-*14. 10 2021 U.S.App.LEXIS 24134 at *29-*30. 11 https://childrenshealthdefense.org/wp-content/uploads/Corrected-Brief-and- Hyperlinks-Table-Postable-pdf-A1.pdf#page=58. 413412 11 guidelines cannot be a basis for any conclusions regarding RF safety including for smart meters, yet that is a primary foundation for the PUC’s conclusions below. 414 The case exposed that no proper review was conducted by any of the responsible federal agencies regarding non-cancer harm from exposure to radiation levels below the FCC’s guidelines.12 The petitioners in that case filed 11,000 pages of evidence of non-thermal harm including of electro-sensitivity; neurological effects; humans’ biological response to pulsation and modulation; and effects of smart meters.13 The court ruled the FCC erroneously dismissed this extensive evidence without adequate explanation14 and remanded the decision to the FCC to conduct a review and provide reasoned explanations.15 B. Medical, Scientific and Engineering/Technical Information To support their arguments, Amici are providing: (1) A Statement by 57 physicians who combined have over 3,000 patients suffering from electro-sensitivity like the “customers,” or other conditions aggravated by RF exposure. The physicians explain recent 12 2021 U.S.App.LEXIS 24134 at *14-*20. 13 https://childrenshealthdefense.org/wp-content/uploads/Corrected-Brief-and- Hyperlinks-Table-Postable-pdf-A1.pdf. 14 2021 U.S.App.LEXIS 24134 at *13-*14, *24-30. 15 2021 U.S.App.LEXIS 24134 at *43-*45. 413 12 medical developments, diagnosis guidelines and the effects of smart meters on their patients. 415 16 (2) A Statement by scientists with expert knowledge of pulsed RFR effects. Combined they published hundreds of studies on RF/EMF effects and reviewed thousands. They explain recent developments and the scientific evidence as it applies to smart meters. They emphasize that smart meters generated pulsed RF is a significant harm agent.17 (3) An expert engineer Report addressing smart meters’ operation. This report explains how smart meters generate constant RF pulses that are also conducted through electrical wiring, thereby creating a whole-home antenna.18 (4) A Report by the Building Biology Institute’s President. BBI’s experts work with the injured to mitigate their homes from RF exposure. They see the torture smart meters cause to those who are affected and the health transformations after the smart meter is removed. The Report also explains why it is impossible to sufficiently mitigate homes with smart or 16 Addendum Physicians Statement¶¶17-42. 17 Addendum Scientists Statement, ¶¶13-25. 18 Addendum Engineer Report, ¶¶9-17. 414 13 digital meters and concludes that the only reasonable accommodation is a $100 analog meter. 416 19 The Engineering and Science experts explain how pulsation injects RF “bursts” or turns the signal on/off.20 The FCC emissions guidelines protect only from emissions that are so high they create a heating or “thermal effect.”21 They do not protect or recognize biological responses to non-thermal pulsed and modulated RF emissions.22 The problem is that the factual premise – the non-existence of non-thermal biological and adverse effects – underlying the current RF guidelines is outdated and demonstrably false. This was one of the major drivers behind the Guidelines Remand decision. 2021 U.S.App.Lexis 24138 *10-*12, *30. Despite the claims by the utilities and the PUC, there is no doubt the human body responds to pulsed RF radiation, even at non-thermal levels. The FCC has now agreed. Doctors routinely use pulsed RF/EMF for medical treatment because they generate biological responses.23 With chronic exposure these biological 19 Addendum BBI Report at ¶¶27-34. 20 The utility’s witnesses assert the meters do not employ pulsation, but they do so by mischaracterizing what a “pulse” is. It is uncontested that the meters are not in constant communications mode, so they obviously turn on and off. That is “pulsation.” 21 FCC OET Bulletin 56, at 6-7 (August 1999), available at https://tinyurl.com/y5mbsymn. 22 See Scientists’ Statement for expiation of RF basics ¶¶1-4. 23 Scientists Statement ¶43. 415 14 responses can lead to significant health problems.24 417 The mechanisms of harm from RF exposure that transforms these biological effects into adverse effects are also known and include oxidative stress.25, 26 These adverse effects can rise to the level of functional impairment. For some they are life-threatening.27 Since 2016, the scientific and medical consensus regarding non-thermal harms has become even more conclusive.28 In January 2021 the Swiss government’s expert advisory committee on EMF and non-ionizing radiation, BERENIS,29 concluded an evaluation of the scientific literature on non-thermal RF/EMF.30 The committee’s paper concludes that exposure could cause or worsens several chronic illnesses and acknowledged oxidative stress as the underlying causal harm mechanism. 24 Scientists Statement ¶¶7-11. 25 https://childrenshealthdefense.org/wp-content/uploads/rf-2018-golomb- diplomats-3.pdf. 26 https://childrenshealthdefense.org/wp-content/uploads/rf-2015-yakymenko-oxidative-stress.pdf; https://bioinitiative.org/wp-content/uploads/2020/09/3-RFR-Free-Radical-Oxidative-Damage-Abstracts-2020.pdf. 27 Physicians Statement ¶¶14, 26, 40. 28 Scientists Statement ¶¶13-31; Physicians Statement ¶¶16-20, 27-32. 29 https://www.bafu.admin.ch/bafu/en/home/topics/electrosmog/newsletter-of-the- swiss-expert-group-on-electromagnetic-fields-a/beratende-expertengruppe-nis- berenis.html. 30https://childrenshealthdefense.org/wp-content/uploads/rf-swiss-berenis-2021- report.pdf. 416 15 In 2020, New-Hampshire’s legislative-appointed committee investigated 5G and wireless harms and published findings. It concluded that non-thermal harms are established, acknowledged electro-sensitivity and stressed the need for accommodations.31 Electro-sensitivity is a condition whereby the patients manifest a constellation of mainly neurological symptoms after RFR exposure. The scientific literature recites a host of symptoms, including headaches, memory and cognitive problems, sleep problems, heart palpitations and/or increased heart rate, ringing in the ears, exhaustion, skin rashes, tingling, nose bleeds, dizziness, and burning sensations.32 RF exposure has been directly connected to these symptoms in hundreds of studies. 418 33 Official diagnosis guidelines have existed since 2011.34 31 New Hampshire is the only US state that has conducted an independent investigation as to the harms of these technologies. 32 Note the overlap with the FCC’s 2019 list of symptoms in FCC RF/EMF Proposed Changes, 34 FCC Rcd at 11744, ¶122, n.328. Part V.C. 33 https://childrenshealthdefense.org/wp-content/uploads/rf-2018-golomb- diplomats-3.pdf; https://childrenshealthdefense.org/wp-content/uploads/rf-2018- neurological-lai-book-chapter.pdf; https://childrenshealthdefense.org/wp- content/uploads/rf-2014-electrosensitivity-dr-blythe.pdf. 34 https://childrenshealthdefense.org/wp-content/uploads/rf-2011-austrian-medical- association-guidelines.pdf. 417 16 They were updated in 2016,35 to include biomarkers36 and genetic predispositions37 419 found by studies on many hundreds of electro-sensitive patients. Additional biomarkers were identified in 2020.38 These studies establish that electro-sensitivity is not a sensitivity, nor is it “idiopathic.” It involves severe physiological injuries directly associated with pulsed RF exposure, including blood-brain barrier leakage; damage to the immune system; chronic inflammation; impaired melatonin production and impaired blood flow to the brain.39 A 2017 fMRI study shows clear evidence of impaired blood flow in 10 electro-sensitive subjects.40 Electro-sensitivity is a “spectrum condition.” Some experience discomfort while others are entirely debilitated. Those affected become progressively 35 https://childrenshealthdefense.org/wp-content/uploads/rf-2016-europaem- guidelines.pdf. 36 https://pubmed.ncbi.nlm.nih.gov/26613326/. 37 https://pubmed.ncbi.nlm.nih.gov/24812443/. 38 https://childrenshealthdefense.org/wp-content/uploads/rf-2020-Belpomme-guidelines.pdf. 39https://www.womenscollegehospital.ca/assets/pdf/environmental/Preliminary%2 0Clinical%20Guidelines%20%20for%20EHS.pdf; https://childrenshealthdefense.org/wp-content/uploads/rf-2018-golomb-diplomats- 3.pdf; https://childrenshealthdefense.org/wp-content/uploads/rf-2020-Belpomme- guidelines.pdf. 40 https://pubmed.ncbi.nlm.nih.gov/28678737/. 418 17 intolerant to radiation levels they could previously tolerate. Exposure avoidance is the only effective treatment.41 420 In December 2020, the National Academy of Sciences, Engineering and Medicine (NAS) concluded that the diplomats’ “mystery illness” is likely caused by pulsed RF.42 Prof. Beatrice Golomb MD PhD,43 2018 paper44 was the first to analyze the science in detail and to show that pulsed RF is the likely cause of the symptoms suffered by some US diplomats in Cuba and China.45 She concluded that the diplomats essentially suffer from electro-sensitivity (which she refers to as “Microwave Illness”).46 Her analysis included case studies on people sickened by smart meters.47 She gave a detailed scientific analysis to each of the diplomats’ and 41 Physicians Statement ¶¶7, 38; https://childrenshealthdefense.org/wp-content/uploads/rf-2016-europaem-guidelines.pdf#page=24; https://childrenshealthdefense.org/wp-content/uploads/rf-2020-Belpomme- guidelines.pdf#page=14; https://childrenshealthdefense.org/wp-content/uploads/rf- 2018-golomb-diplomats-3.pdf#page=21; https://childrenshealthdefense.org/wp- content/uploads/rf-2014-electrosensitivity-dr-blythe.pdf#page=5. 42 https://www.nap.edu/read/25889/chapter/1. 43 Prof. Golomb signed the Scientists Statement. 44 https://childrenshealthdefense.org/wp-content/uploads/rf-2018-golomb-diplomats-3.pdf. 45 https://pubmed.ncbi.nlm.nih.gov/30183509/. 46 This Brief uses “Electro-sensitivity” but the syndrome is also called “Electromagnetic Hyper-Sensitivity” (“EHS”), “Microwave Sickness,” and “Radiation Sickness.” PECO calls it “Idiopathic Environmental Intolerance.” 47 Prof. Golomb signed the Scientists Statement. 47 https://childrenshealthdefense.org/wp-content/uploads/rf-2018-golomb- diplomats-3.pdf pages: 15, 18-22, 25, 37, 38. 419 18 electro-sensitivity symptoms and showed how they can result from RF exposure. She was invited to present to the NAS committee. 421 48 Smart meters can be the original cause or a subsequent aggravating cause. They are, however, undoubtedly harmful to anyone with electro-sensitivity.49 As the guidelines for diagnosis and the physicians’ statement emphasize, the only mitigation and treatment for those affected by RF is rigid, constant RF exposure avoidance, in every aspect of their lives. This is particularly so when it comes to peoples’ last refuge: their home. For all these reasons any regime that forces people to choose between a mandatory smart meter or not having electric (or water, or gas) utility service, is especially pernicious.50 C. FCC Admits Adverse Effects The FCC admitted in 2019 that at least some RFs can cause non-thermal adverse effects with RF frequencies ranging between 3 KHz and 10 MHz.51 Pulsed 48 https://childrenshealthdefense.org/rf-nas-agenda-golomb/; https://childrenshealthdefense.org/wp-content/uploads/rf-nas-golumb-email.pdf. 49 This is part of the problem with the PUC’s burden of proof requirements. The issue is not what caused the impairment; it is whether the smart or digital meter interferes in any manner with a person’s ability to engage in major life activities. See Part V.F. 50 Some people with electro-sensitivity also have other health issues and use medical treatment devices that require electricity. 51 Proposed Changes in the Commission’s Rule Regarding Human Exposure to Radiofrequency Electromagnetic Fields, 34 FCC Rcd 11687, 11743-11745, ¶¶122- 124 & nn. 322-335 (2019). It also noted that these harms occur instantaneously. The FCC currently averages exposure levels over 30 minutes, which completely 420 19 RF created by the AC/DC conversion performed by smart and digital meters’ Switch Mode Power Supply (SMPS), generates frequencies between 2-50 KHz, which fall squarely in the range identified by the FCC as problematic.52 The FCC noted that “[a]dverse neural stimulation effects…include acute effects such as perception of tingling, shock, pain, or altered behavior due to excitation of tissue in the body’s peripheral nervous system.” 34 FCC Rcd at 11743-11744, ¶122 n.328. These are the same symptoms suffered by the “customers” and by others who report adverse health effects from smart meters. 34 FCC Rcd at 11742-11744, ¶¶119-122. D. Pulsed RF Affects at Least Some People The FCC guidelines can no longer be said to provide any assurance regarding the public’s health for non-cancer harms. The FCC has expressly acknowledged that RF emissions such as those from smart and digital meters can cause the very same symptoms reported by the Customer Petitioners and those who have developed electro-sensitivity or suffer from other conditions that are aggravated by RFR exposure. Those affected have a right to accommodation, regardless of what is “deemed safe” for the general population. 422 obscures pulsation effects. It has admitted instantaneous effects for the RF frequency band involved in smart meter wire conduction. 52 Engineer Report ¶¶14-17. 421 20 To analogize, the U.S. Agriculture Department and Food and Drug Administration each regulate peanut and peanut product quality. They ensure peanuts and peanut products are safe for most people. Additional protective steps are taken, to ensure those with nut allergies are not inadvertently (or purposefully) exposed to “deemed safe” nuts.53 Similarly, measures must be taken to allow those adversely affected by RF to avoid exposure from even general population “deemed safe” emissions. A state electric utility regulator certainly should not issue a mandate that someone with an impairment made worse by pulsed RFR must have a smart or digital meter as a condition of utility service unless they fund a costly lawsuit and satisfy a burden of proof that is inappropriate and almost impossible to meet given the nature of the condition. The regulator cannot base lawful findings on utility- funded “expert” doctors that never examined the customer. E. The Federal Government Recognizes Electro-Sensitivity; Federal and State Law Requires Effective Accommodation As noted above, the FCC has now agreed that RF can evoke a non-thermal adverse neural response to at least some RF emissions. The CDC has diagnosis and injury codes for exposure related injuries. Various federal agencies recognized the 53 See, e.g., U.S. Dept. of Justice, Civil Rights Division, Questions and Answers About the Lesley University Agreement and Potential Implications for Individuals with Food Allergies, available at https://www.ada.gov/q&a_lesley_university.htm. 423422 21 condition. Three federal laws and a state law directly require accommodations. The federal government has outlined the proof required for those who seek accommodation. 1. CDC, U.S. Justice Department and Other Agencies Recognize Electro-sensitivity Can Lead to Major Life Impairments Requiring Accommodation The federal government recognizes RF/EMF radiation exposure related sickness. The Centers for Disease Control’s 2022 Classification of Diseases Codes Clinical Modification and Procedural Classification System implements the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) .54 The “diagnosis code” for Radiation Sickness” is “T66.” The “injury” code for “Exposure to Other Nonionizing Radiation” is “W90.” These codes cover Electro-sensitivity along with other RF exposure-related injuries and maladies. The “Access Board,” the federal agency responsible for publishing Accessibility Guidelines used by the Justice Department to enforce the ADA, has held that “electromagnetic sensitivities may be considered disabilities under the ADA.”55 The Access Board contracted with the National Institute of Building 54 Available at https://icd10cmtool.cdc.gov/. 55 Architectural Transportation Barriers Compliance Board, Final Rule, Americans With Disabilities Act (ADA) Accessibility Guidelines for Buildings and Facilities; Recreation Facilities, 67 Fed. Reg. 56352, 56353 (Sept. 3, 2002) (“The Board recognizes that multiple chemical sensitivities and electromagnetic sensitivities 424423 22 Sciences (NIBS) 2005 to recommend accommodations. NIBS concluded that RF could render buildings “inaccessible” to those “who are electromagnetically sensitive.”56 The US. Department of Labor’s Office of Disability Employment Policy issued guidelines for accommodations in 2015.57 They state: …the nature of electromagnetic sensitivity is such that even levels that are deemed safe for the general public can cause trigger symptoms for individuals who are hypersensitive...and therefore may need accommodation. … Individuals with electromagnetic sensitivity may experience … fatigue, weakness, neurological issues, immunological issues, gastrointestinal issues, increased irritability, lack of ability to think clearly and quickly, sleep disturbance, overall malaise, and anxiety…Common workplace issues involve exposure to Wi-Fi, cell phones. General considerations include: ...Relocate workplace away from areas where symptoms are triggered…limiting certain types of devices in the vicinity of the employee’s workstation... Provide wired telephones and network connections. The US Department of Education (“DOE”) agrees that people with other conditions may also develop intolerance to RF/EMF. In a memorandum regarding may be considered disabilities under the ADA if they so severely impair the neurological, respiratory or other functions of an individual that it substantially limits one or more of the individual’s major life activities.”). 56 National Institute of Building Sciences (NIBS), Indoor Environmental Quality (IEQ) Final Report (July 14, 2005), © 2005, National Institute of Building Sciences. A web-based version of the NIBS IEQ Final Report is available at https://www.access-board.gov/research/building/indoor-environmental-quality/. 57 https://childrenshealthdefense.org/wp-content/uploads/rf-accomodation- labor.pdfNetwork-EMS.pdf. 425424 23 accommodation of people with Multiple Chemical Sensitivities (“MCS”), they recommend minimizing exposure to electromagnetic fields and radiation because it may trigger MCS symptoms. The memo emphasizes the importance of their home as a refuge and sanctuary free of EMF. …[I]ndividuals affected by MCS have created “sanctuaries” relatively free from chemical emissions and electromagnetic fields in their homes. Because of the serious impact of even an accidental unavoidable exposure, people often spend as much time at home as possible and often cannot participate fully in society. As a result, they may experience intense isolation, loss of self-esteem, and depression from not being able to have an active work, family, or social life.58 2. ADA, FHA, Rehabilitation Act and PHRA Require Accommodations to Disabled/Handicapped Individuals Who Would be Negatively Affected by a Smart Meter Electricity is the “service” offered by PECO. The meter facilitates billing and demand response, but it is not the “service.” If PECO’s wireless smart meter cannot be tolerated due to a medical condition related to a disability or handicap, forced installation as a condition of utility service will discriminate against the customer who is “otherwise qualified” but will suffer disconnection and loss of utility service. 58 https://www2.ed.gov/policy/speced/guid/rsa/im/2002/im-02-04.pdf. A study published in 2020 on 2,000 people with electro-sensitivity and/or chemical sensitivity showed that once a person developed one of these conditions, they are highly likely to develop the other. https://childrenshealthdefense.org/wp- content/uploads/rf-2020-Belpomme-guidelines.pdf. 426425 24 The Fair Housing Act (“FHA”),59 Americans with Disabilities Act (“ADA”),60 and the Pennsylvania Human Relations Act (PHRA)61 require accommodations relating to a “physical or mental impairment” that “substantially limits one or more of the major life activities.” See, e.g., 42 U.S.C. §12102(1)(A); 28 C.F.R. §36.105; 16 Pa.Code §44.4. ADA Title II and the PHRA apply insofar as the PUC is establishing binding practices the utility must implement. 28 C.F.R. §35.130(a), (b)(1), (6), (7).62 State agency prescribed practices cannot discriminate against the disabled by denying access to essential electric utility service. Id. The PUC’s regulations must allow for “reasonable modifications in policies, practices, or procedures when the modifications are necessary to avoid discrimination on the basis of disability, unless the public entity can demonstrate that making the modifications would fundamentally alter the nature of the service, program, or activity.” 28 C.F.R. §35.130(b)(7). 59 42 U.S.C. §3601, et seq. 60 42 U.S.C. §12101, et seq. ADA Title II prohibits a state-level regulatory requirement that mandates discrimination. USDOJ Title II TAM, supra. 61 43 Pa. Stat. Ann. §951, et seq. 62 Amici are not asserting that the utility has become a state actor and subject to Title II. C.f. Rendell-Baker v. Kohn, 457 U.S. 830, 842 (1982); Jackson v. Metro. Edison Co., 419 U.S. 345, 350 (1974); Crissman v. Dover Downs Entm’t Inc., 289 F.3d 231, 243 (3d Cir. 2002). The PUC and the state – the ones allegedly imposing mandatory smart meters – are the state actors for purposes of ADA Title II. 427426 25 A mandatory smart meter program also fails muster under the FHA. It “objectively” interferes with the “exercise or enjoyment of rights granted or protected by” 42 U.S.C. §§3604 or 3605: it makes the occupants sick or sicker, and therefore violates 42 U.S.C. §3617. See 24 C.F.R. §100.400(b), (c)(1), (2). 42 U.S.C. §3604(f)(1) and 16 Pa.Code §45.9 make it unlawful to “make unavailable or deny, a dwelling” and that is exactly what a smart meter effectively does to those who cannot tolerate the radiation emitted from the device. They will be constructively evicted. The Rehabilitation Act, 29 U.S.C. §794 prohibits disability discrimination by any entity receiving federal financial assistance.63 PECO obtained a federal SmartGrid Investment Grant. PECO Principal Br. p. 18, n.39,64 so it is subject to the Rehabilitation Act nondiscrimination mandate. 3. The PUC is Bound by ADA Title II, the FHA and PHRA; PECO is Bound by the FHA and the Rehabilitation Act The PUC has consistently erred by refusing to consider the impact of federal and state disability/handicap laws. It is true the PUC “lacks jurisdiction to enforce” 63 “No otherwise qualified individual with a disability...shall, solely by reason of her or his disability, be excluded from the participation in, be denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance….” 29 U.S.C. § 794(a). 64 Nothing in the grant requires a mandate that all customers accept smart meter installation. 428427 26 the ADA, FHA, Rehabilitation Act or PHRA as a general matter. See Edward Lucey v. Metropolitan Edison Company, Docket No. C-2018-3003679, 2020 PA. PUC LEXIS 522, *15 (Pa. P.U.C. October 8, 2020), citing Catherine J. Frompovich v. PECO Energy Company, Docket No. C-2015-2474602, 2018 Pa. PUC LEXIS 160 *69 (Pa. P.U.C. May 3, 2018)(emphasis added). 429 65 But what everyone involved has missed is that the PUC is bound by ADA Title II and cannot impose practices or policies in derogation of ADA requirements. Act 129 should not be read to impose a regulatory mandate that would directly violate the ADA Title II prohibition on state-level policies and practices that lead to disability discrimination without reasonable and effective accommodation. 65 These orders state the complainant should go to state or federal court to raise the disability claim. The problem is that the Pennsylvania Human Relations Commission is a mandatory prerequisite to any state court action seeking a remedy for disability discrimination. Clay v. Advanced Comput. Applications, 522 Pa. 86, 559 A.2d 917 (1989). On the other hand, Phila. Elec. Co. v. Human Rels. Comm’n, 5 Pa. Commw. 329, 290 A.2d 699 (1972) holds the PHRC could not entertain any such complaint; the petitioner would be sent back to the PUC. The Commission’s interpretation therefore leads to an endless “no state jurisdiction” loop. Statutes should not be construed to lead to such absurd results. The answer to this seeming conundrum is simple, however. The Commission needs to merely acknowledge it cannot impose a practice or policy that violates the disabilities laws and ensure that the utilities offer reasonable and effective accommodations. 428 27 The U.S. Department of Justice Civil Rights Division’s Americans with Disabilities Act Title II Technical Assistance Manual Covering State and Local Government Programs and Services66 430 makes this eminently clear: …a public entity may not establish requirements for the programs or activities of licensees that would result in discrimination against qualified individuals with disabilities If the PUC’s interpretation of Act 129 is upheld on appeal and becomes final, the Commission (the state) is subject to suit under ADA Title II. Similarly, under the FHA the state might be subject to damages under 42 U.S.C. §§3613(c), 3631(a), (a)(1), since a state regulatory mandate constitutes “color of law” under which handicapped individuals may suffer grievous harm. The statute should not be construed to impose a mandate because it would result in direct conflict with federal law and expose the state to liability. The Commission and the Court must consider the impact of the ADA, FHA, Rehabilitation Act and the PHRA on these issues as part of any interpretative analysis whether Act 129 can be reasonably interpreted as mandatory. The statute should not be read to compel a violation of other federal and state law. The PUC’s willful blindness to disability laws prohibiting its attempt to mandate smart meters, constitutes legal error that must be corrected. 66 Available at https://www.ada.gov/taman2.html#II-3.7200. 429 28 F. The PUC’s “Burden of Proof” is Inconsistent with the Disability laws 431 The proper outcome does not depend on whether a smart meter “causes” someone to suffer “adverse health effects.” The applicable law turns on entirely different considerations. The only questions are whether someone has a functional “impairment” and then what accommodation is due. 1. PUC Applied Wrong Standard The utility and PUC each argue that the Petitioners failed to “demonstrate by a preponderance of the evidence that a ‘conclusive causal connection’ between the low-level RF exposure from a PECO smart meter and the alleged adverse human health effects.” 67 But the PUC/utility have consistently focused on the wrong type of “causal connection” and demanded too much by way of “alleged adverse human health effects.” The stated burden of proof is virtually impossible to meet for almost any Complainant because it would require resources no average person can amass, especially someone who is already sick and likely low-income or with limited means. A demand for rigorous scientific and medical support for the 67 This standard was first established in Letter of Notification of Philadelphia Electric Company Relative to the Reconstructing and Rebuilding of the Existing 138 kV Line to Operate as the Woodbourne-Heaton 230 kV Line in Montgomery and Bucks Counties 1992 Pa. PUC LEXIS 160, at *7-8 (Pa. P.U.C., No. A- 110550F0055, filed Mar. 26, 1993). This standard is inappropriate for those who are RF/EMF impaired since the disability laws require a different and much lower standard. 430 29 proposition the Complainant has some generally-accepted disease and then direct causation from the smart meter is unlawful for many reasons. 432 The determination of whether an individual is disabled is not necessarily based on a finding that matches a generally-accepted and named disease in a Diagnosis and Treatment Manual. The question is simply whether a person has an “impairment” and then the effect of that impairment on the life of the individual. 42 U.S.C. §12112(a)(5)(A); 28 C.F.R. §35.108(vii).68 2. Burden of Proof Inconsistent With Disabilities Laws Covered entities like the PUC cannot impose the level and burden of proof applied below. Congress rejected the idea that the disability determination should be “an onerous burden for those seeking accommodations or modifications” when it amended the ADA and FHA. 154 Cong. Rec. S8842 (daily ed. Sept. 16, 2008) (Statement of the Managers). The federal agencies overseeing these acts have implemented rules of construction that make this plain. 28 C.F.R. §36.101; Part 36, 68 The analysis for a disability or handicap is the same for each of the three ADA Titles, FHA handicap purposes and Rehabilitation Act claims. That is why courts routinely address discrimination claims together. Friedman v. Cent. Me. Power Co., No. 2:20-cv-00237-JDL, 2021 U.S. Dist. LEXIS 62585, at *5 n.2 (D. Me. Mar. 31, 2021), citing Astralis Condo. Ass’n v. Sec’y, U.S. Dep’t of Housing & Urban Dev., 620 F.3d 62, 66 (1st Cir. 2010), Calero-Cerezo v. U.S. DOJ, 355 F.3d 6, 19 (1st Cir. 2004) and Theriault v. Flynn, 162 F.3d 46, 53 n.10 (1st Cir. 1998) (Lipez, J., concurring). Pennsylvania generally uses the same tests and criteria for purposes of the PHRA. See Lazer Spot, Inc. v. Pa. Human Rels. Comm’n, 184 A.3d 200 (Pa. Commw. Ct. 2018). 431 30 Appendix C - Guidance to Revisions to ADA Title II and Title III Regulations Revising the Meaning and Interpretation of the Definition of “Disability” and Other Provisions in Order to Incorporate the Requirements of the ADA Amendments Act. An individualized assessment is necessary,69 433 but the Guidance directly states that once there is an individualized professional assessment “there is no need for further inquiry into the nature of the disability:” …Reports from experts who have personal familiarity with the candidate should take precedence over those from, for example, reviewers for testing agencies, who have never personally met the candidate or conducted the requisite assessments for diagnosis and treatment.70 None of the utility’s expert witnesses performed an in-person individualized assessment of any of the Complainants before the Court. Doctor Israel did his “evaluation” remotely and merely compared reported symptoms to “databases” and “studies.” Murphy Order, p. 61 (R.190a). Thus, the PUC erred by giving the utility’s testimony overriding weight to that from the Complainants’ medical evidence. The PUC also erred in its evaluation of the Complainants’ evidence. The 69 See 28 CFR Appendix A to Part 36 - Guidance on Revisions to ADA Regulation on Nondiscrimination on the Basis of Disability by Public Accommodations and Commercial Facilities: “The question of whether an individual meets the definition of disability should not demand extensive analysis… determining whether an impairment substantially limits a major life activity requires an individualized assessment.” 70 AG Order No. 3181-2010, 75 FR 56258, Sept. 15, 2010; 76 FR 13287, Mar. 11, 2011. The block-quoted sentence appears at 75 FR 56297. 432 31 Complainants clearly described an impairment that substantially limits major life activities and showed that installation of a smart meter would significantly interfere with their medically-affirmed need for avoidance. In other words, consistent with the NIBS report finding smart meters can render homes “inaccessible” to those who are electromagnetically-sensitive. VI. Only Reasonable and Effective Accommodation is Analog Meter Requiring a smart meter unlawfully discriminates against those who are exposure intolerant.71 The service here is electricity, and utilities were able to provide that service for many decades without smart or digital meters. Allowing opt-out for the disabled will not impose an impossible or even overly difficult burden. The RF-impaired cannot be required to sacrifice their health, worsen their impairments. and live in an intolerable home environment in order to have essential utility service. 434 Once an “impairment” and its “limitations” are shown the question then turns to what “accommodations” are appropriate. Here, the PUC offers an “accommodation” in the form of moving the meter away from the home. This “accommodation” does not resolve the problem since it will not fully prevent RF exposure despite the additional distance from the wireless transmitting antenna. 71 Friedman v. Cent. Me. Power Co., supra held that the plaintiff had adequately plead discrimination when he had to pay a smart meter opt-out fee. An inability to opt-out at all is clearly worse. 433 32 A. Placement in Yard is Not Reasonable Accommodation Moving the smart meter to a more distant location in the yard would reduce the wireless RF exposure level inside the home. There would, however, still be RF emissions in the house and on the property. Anyone with electro-sensitivity will have to stay far away from the meter. As a result, the person will not have full use and enjoyment of a significant part of their property. This is still unlawful discrimination under the FHA and Rehabilitation Act, because customers who are not electro-sensitive do have full use and enjoyment of all their property, including the part near the utility meter. Friedman v. Cent. Me. Power Co., supra. Thus, the proffered “accommodation” is not “reasonable” and neither the PUC nor PECO can impose that outcome. Further, installing the meter further away merely reduces but does not eliminate the emissions that will enter the house. The customers will still have to expend resources to shield the house from the radiation.72 B. Placement in Yard Does Not Eliminate Harmful RF “Noise” in House The smart meter’s AC/DC conversion process by the SMPS generates variable RF spikes that enter the house electric wiring, transforming the house into a whole house antenna. Installing the smart meter further away from the house 72 BBI Report ¶¶29-31. 435434 33 would not eliminate this problem. Digital meters also contain SMPS and therefore generate RF and cannot be considered a reasonable accommodation.73 The only reasonable and effective accommodation is an analog meter – the kind that has been used for many decades. It does not have a SMPS and will cost the utility less than $100.74 Accommodating the “customers” in this case and all the hundreds of people who requested accommodation would have been cheaper than this case. VII. CONCLUSION Act 129 does not compel smart meters absent customer consent; it clearly envisions affirmative customer request (Opt-In). Regardless of the legislature’s word choice the state cannot lawfully force a customer to accept a smart or digital meter when mandatory installation results in disability discrimination, exacerbates existing impairments or forces people to abandon their home. There must be effective accommodation. The rule is simple: accommodation in the form of an analog meter is required if a customer presents a professional assessment of impairment and a need for RF/EMF avoidance. 73 Engineer Report ¶¶18-19; BBI Report ¶¶27-34. 74 BBI Report ¶36. 436435 34 The Court can dispose of this case without directly wading into health effects or even disability by merely applying the statute according to its plain terms. If it does go farther the Court should ensure that those with electro- sensitivity can receive accommodation in the form of an analog meter. Any other outcome will be inhumane. No decent society purposefully punishes the innocent for conditions they cannot control. The Court cannot allow an outcome that will lead to even more sickness and homelessness for those who cannot tolerate a smart or digital meter. Respectfully Submitted, /s/ Andrea L. Shaw Andrea L. Shaw (I.D. No. 89333) Law Office of Andrew H. Shaw, P.C. 437 2011 W. Trindle Road Carlisle, PA 17013 Tel: (717) 243-7135 Fax: (717) 243-7872 andrea@ashawlaw.com Robert F. Kennedy, Jr.* Children’s Health Defense 48 Dewitt Mills Road 1227 North Peachtree Pkwy, Suite 202 Peachtree City, GA 30269 Tel: (845) 377-0211 Fax: (512) 692-2522 NY Bar No. 1999994 Rfk.fcc@childrenshealthdefense.org 436 35 W. Scott McCollough* McCollough Law Firm, P.C. 2290 Gatlin Creek Rd. Dripping Springs, TX 78620 Tel: (512) 888-1112 Fax: (512) 692-2522 Texas Bar No. 13434100 wsmc@dotlaw.biz 438 *Pro hac vice motion pending 437 36 APPENDIX LIST OF ADDITIONAL AMICI CURIAE PENNSYLVANIANS FOR SAFE TECHNOLOGY is a volunteer grassroots organization that seeks to educate and inform Pennsylvanians about ways to protect health and the environment through the safer, more secure use of technology, especially wired connections. PENNSYLVANIA SMART METER WORK GROUP is an organization in Pennsylvania which acts as a support group for utility customers with Formal Complaints entered with the PA Public Utilities Commission objecting to the installation of smart meters on their properties. Their members, pro-se litigants, help each other get through the legal and bureaucratic tangle of utility and administrative law. Their mission has broadened to include 5G and other wireless devices and systems as the ramifications of wireless extend beyond smart meters. NATIONAL ASSOCIATION OF ENVIRONMENTAL MEDICINE is a 501(c)(6) national medical organization based in Washington that provides clinical guidelines and specialization in environmental medicine for naturopathic physicians and allied primary care providers. 439438 37 MOMS ACROSS AMERICA is a 501(c)(3) nonprofit organization with national networks based in North Carolina which reaches millions of people every month. Its mission is to educate and empower mothers and others with actions and solutions to create healthy communities. NATIONAL ASSOCIATION FOR CHILDREN AND SAFE TECHNOLOGY is an organization whose mission statement is to advance policies regarding technology that protect children’s health and well-being in order to ensure a strong future for the United States of America. MASSACHUSETTS FOR SAFE TECHNOLOGY is a public interest advocacy group based in Massachusetts and is a project under the 501(c)(3) nonprofit Concerned Citizens for the Appropriate Placement of Telecommunications Facilities, Inc., which serves as its fiscal agent. Its mission is to educate citizens, public servants, lawmakers and health care professionals on the risks of wireless radiation exposure to children, adults and our environment and to promote the use of biologically safe and fiscally responsible technology in our homes, schools, communities, and workplaces. 440439 38 VIRGINIANS FOR SAFE TECHNOLOGY LLC is based in Virginia. Its mission is to advocate for safe, accessible, affordable, and ethical technology for all and provide information, education, resources, and support to empower consumers and lawmakers to make informed decisions and act as stewards of their communities. NEW YORK SAFE UTILITY METER ASSOCIATION is a nonprofit corporation whose mission is dedicated to the continued use of mechanical analog utility meters. NYSUMA educates the public about the hazards associated with electronic digital utility meters (aka: AMR, ERT, AMI, "smart," and "opt-out digital"). They are also very concerned about the unchecked privacy invasion of digital utility meters and skyrocketing utility rates. NYSUMA advocates for the rate payer’s right to choose the safest meter without penalties. NYSUMA also works to raise awareness about the dangers of other wireless radiation technologies, including Wi-Fi, cell phones, 3G, 4G, 5G cell towers and their negative impact on public health and the environment. RHODE ISLANDERS FOR SAFE TECHNOLOGY is an organization based in Rhode Island that envisions a world in which computer and telecommunications technology is safer. Its mission is to educate the public regarding wireless health risks and best practices. 441440 39 ARIZONANS FOR SAFE TECHNOLOGY is a group seeking to protect Arizona neighborhoods through better, safer technologies. UTILITY METER CHOICE FOR 4 MICHIGAN is an organization whose mission is to inform the public of the harm of wireless radiation from smart meters and pass legislation which will provide utility customers with the right to choose not to be exposed to the dangers caused by smart meters. MARYLAND SMART METER AWARENESS is a 501(c)(3) nonprofit corporation out of Baltimore, MD, whose mission includes education of the public regarding smart meters, wireless technology and the health impacts of radio frequency microwave radiation, as well as to provide and advocate for alternatives to wireless smart meters and to engage in litigation to protect Maryland residents from the harmful effects of smart meters. They have about 1,000 members. AUTISM AGE is a 501(c)(3) nonprofit corporation based in Connecticut that gives voice to those who believe autism is an environmentally-induced illness that is treatable, and that children can recover. They believe that autism is the defining disorder of our age, is man-made and therefore preventable. Smart meters are an environmental risk to health that is preventable. 442441 40 COLORADANS FOR SAFE TECHNOLOGY is an advocacy group based in Colorado whose mission is to educate the public and public representatives of the risks and downsides of wireless technology and to promote the implementation of safe, efficient alternatives. SAFE TECHNOLOGY MINNESOTA, a project of the 501(c)(3) nonprofit corporation Minnesota Natural Health Coalition, has as its mission to educate and support the public regarding the health and environmental hazards of electromagnetic radiation, especially from wireless technology. CONNECTICUT RESIDENTS FOR RESPONSIBLE TECHNOLOGY is a grassroots organization based in Connecticut consisting of 1,500 members, most of whom have suffered from radiofrequency radiation. Their mission is to increase community awareness of the negative health effects of macro cell towers in close proximity to homes, schools, health centers and workplaces, and to stop the irradiation of citizens. MICHIGAN FOR SAFE TECHNOLOGY is an organization in Michigan whose mission is to educate, inform, and advocate for the safe use of wireless technology. 443442 41 IDAHOANS FOR SAFE TECHNOLOGY FOUNDATION is a 501(c)(3) nonprofit corporation whose mission is to provide educational and financial support for statewide efforts toward deployment of responsible broadband technology to our communities and throughout the State of Idaho. MALIBU FOR SAFE TECH is an organization in California that consists of active local residents fighting to protect the community and environment from the threats of wireless telecommunication. Its mission is to raise awareness of these immediate issues and actively participate in local government to stop the spread of 5G before its effects become detrimental to residents. MANHATTAN NEIGHBORS FOR SAFER TELECOMMUNICATIONS is an educational initiative whose mission is to bring awareness to the harmful physical and mental health effects of cell phones, Wi-Fi, wireless computer equipment, portable phones, excessive screen time, too-early technology use, wireless utility equipment and neighborhood cell towers and antennas. ELECTROMAGNETIC SAFETY ALLIANCE, INC. is a 501(c)(3) nonprofit corporation based in Arizona whose mission is to advocate for and educate others about the health risks of electromagnetic fields. Their fiscal sponsor is Vitalyst Health Foundation. 444443 42 ALLIANCE FOR MICROWAVE RADIATION ACCOUNTABILITY, INC. (AMRA) is a nonprofit corporation based in New York that seeks to improve public health and safety through the advocacy of tougher standards and safer technology. AMRA works for greater awareness of Microwave Radiation Syndrome and the health impact on its victims. A VOICE FOR CHOICE ADVOCACY, INC. is a 501(c)(4) nonprofit corporation based in California that advocates for people’s rights to be fully informed about the composition, quality, and short- and long-term health effects of all products that go into people’s bodies, such as food, water, air, pharmaceuticals, cosmetics, as well devices such as smart meters. SAFE TECH FOR SANTA ROSA is an advocacy group in California whose mission is to post relevant information about current and planned wireless transmission facilities and "small" cell sites in Santa Rosa, California and provide resources on the biological effects of microwave radiation as supported by scientific studies. SAFE TECH SANTA BARBARA COUNTY is an unincorporated association and advocacy group whose mission is to educate the community about the adverse cumulative effects of invisible wireless Radio Frequency Radiation (RFR) and advocate for safe technology. 445444 43 SAFE TECH TUCSON is comprised of residents, business owners and respected members of the various communities within Pima County and the City of Tucson who are committed to working in partnership with elected officials to enact a telecommunications ordinance that protects public safety, privacy and property values. BEE HEROIC LLC is a nonprofit, limited liability company located in Colorado whose mission is to provide an information-to-action platform for initiating practices that will save and protect Earth's bees and other pollinators from near- term extinction. It is focused on agrochemical threats, telecommunication/5G/IoT, and other environmentally and biologically destructive industries that contribute to the mass extinction of a key indicator species. CALIFORNIA BRAIN TUMOR ASSOCIATION is a 501(c)(3) nonprofit organization whose mission is to educate the public about environmental health threats including those from exposure to electromagnetic radiation. 446 CALIFORNIANS FOR RENEWABLE ENERGY (CARE) is a 501(c)(3) nonprofit corporation whose purpose is to offer legal advice and appear before administrative bodies to help enforce environmental laws through court actions. 445 44 CENTERVILLE CONCERNED CITIZENS is a grassroots advocacy group in Massachusetts focused on advancing environmental health and protecting the community of Centerville. It was founded to stop the powering of a telecommunications cell tower in the historic village of Centerville. The initial group of nine neighbors has grown to hundreds of supporters who work to keep the community free of dangerous, untested wireless technology. “We have children and grandchildren that will one day look to us and be grateful we fought so strongly for their future health and well-being.” CLEAR WIDBY is an organization in Washington state. CLEAR (Citizen League Encouraging Awareness of Radiation) is dedicated to the safety from electronics of wildlife, flora, fauna, and insects that experience 24/7 radiation from towers, as well as from humans who carelessly install and use their electronics. They assist citizens with wireless issues: town and county ordinances, 5G developers, smart meter issues, wildlife protection from EMF excesses, helping the human population use wireless more safely, calling for increased protections for the electromagnetically sensitive, and encouraging fiber-optic hookups for broadband coverage for all. COALITION AGAINST SMART METERS AND 5G is an organization in the state of Washington whose purpose is first to prevent installation of smart meters 447446 45 in Snohomish County, Washington, and also to prevent installation of 5G small cell towers in Edmonds, Washington. FRIENDS OF MERRYMEETING BAY is a Maine-based 501(c)(3) nonprofit engaged in research, advocacy, education, and land conservation. Because of its inordinate proliferation and its biological effects on people and the environment, FOMB considers radiofrequency radiation (RFR) the most significant environmental toxin of our time. Smart meters dramatically increase rural presence and effects of RFR. FOMB filed an Amicus Curiae Brief with the Commonwealth Court in support of petitioners Povacz, Murphy, Randall and Albrecht (NO. 606 CD 2019). ECOLOGICAL OPTIONS NETWORK is a 501(c)(3) nonprofit organization in California. Since 1999 they have been actively organizing, informing, and producing media and to influence policy that protects people’s right to health in the midst of cell towers, cell phones, smart meters, and 5G. They organized in their county and region for a smart meter opt-out. They also served as official public intervenors in the smart meter proceeding at the California Public Utilities Commission. DAMS (Dental Amalgam Mercury Solutions), INC. is a 501(c)(3) nonprofit corporation based in Minnesota whose mission is to educate the public about 448447 46 biological dentistry and the dental-health connection. It is also concerned about the proliferation of wireless radiation causing biological harm. DAMS has about 2,000 members, and approximately half are health care professionals. 449 EMF WELLNESS LLC is a 501(c)(3) nonprofit corporation in Arizona comprised of residents, business owners and members of the various communities within Pima County and the City of Tucson who are committed to working in partnership with elected officials to enact a telecommunications ordinance that protects public safety, privacy, and property values. DR. OLINDO FLORO PA is a clinical practice out of Minnesota that provides natural health care and education to their patients so that they can be happy, healthy and pain free. They educate and treat patients that have symptoms of wireless radiation exposure. EARTH PROTECTOR LICENSING CORPORATION is a 501(c)(3) nonprofit environmental and health organization based in Minnesota whose mission is to improve life and to be an earth protector. It is concerned about the proliferation of wireless technology, including smart meters, and the harmful effects of this radiation. 448 47 ENVIRONMENTAL HEALTH COMMITTEE is a nonprofit organization in New York with a mission to educate the residents of the Butternut Valley on the dangers of, and ways to mitigate, environmental pollution from all sources, currently focusing on the dangers of wireless microwave radiation-emitting devices. 450 5G FREE CALIFORNIA is a 501(c)(3) nonprofit corporation based in California whose mission is to engage in education, outreach and advocacy on the health effects of wireless radiation and on support for safer technology; to enhance the vision that people have the right to be protected from harm and that those already injured are acknowledged, respected and supported; and that people have the right to make informed choices about exposure to radiation and health sovereignty. 5G FREE MARIN is a nonprofit coalition in California composed of local Marin-based groups fighting to stop unnecessary, unsafe and excessive wireless technologies from being imposed on local communities by the telecommunications industry. 5G FREE OREGON is a nonprofit volunteer organization based in Portland, Oregon, dedicated to raising awareness of the critical issue of radio and microwave radiation technologies and their adverse effects on health. 449 48 5G FREE RHODE ISLAND is a group of private individuals with a common interest in protecting humans and the environment from the harms of wireless radiation. Its mission is to continue to actively educate communities and public officials at the city, state, and federal levels. It takes action in furtherance of the foregoing by holding their cities and towns accountable for protecting all residents and stopping the 5G rollout. 451 FOUNDATION FOR ADVANCEMENT IN CANCER THERAPY is an educational 501(c)(3) nonprofit corporation. Their goal is to educate physicians and patients about a different concept of treatment and prevention of cancer and chronic degenerative conditions. They are concerned about the health impacts of electromagnetic radiation-producing devices such as smart meters. HANDS ACROSS THE RIVER COALITION is incorporated in the state of Massachusetts with about 600 members. Their primary focus is the health- conscious cleanup of the New Bedford Harbor Superfund site contaminated primarily with PCBs which can affect public health. Their fiscal sponsor is People Acting in Community Endeavors, PACE, in New Bedford, MA. They are concerned about smart meters and other emitters of harmful electromagnetic radiation. 450 49 KEEP BALDY WILD is an organization based in California that is committed to projects and education that support the unique ecosystem of the San Antonio Canyon watershed for current and future generations. Their group distributed the summary of the BioInitiative Report of 2012 to community members and did educational outreach regarding smart meters, cell phones and cell towers. KEEP CELL ANTENNAS AWAY is an informal group of residents in California, united by a common goal of keeping cell antennas away from homes. Their mission is to influence 5G roll-out in their cities by building a large and active movement of residents. 452 KEEP YOUR POWER is an advocacy group in Hawaii that consists of a coalition of educated, concerned citizens whose mission is to stop harmful wireless technologies from being deployed in the Hawaiian islands and to advocate for safe technology. KUNZE PRODUCTIONS, LLC is a for-profit company based in California which presents an investigative documentary called “Mobilize” that explores the potential long-term health effects from cell phone radiation, including cancer and infertility. 451 50 LAST TREE LAWS is an informal group for advocacy based in Massachusetts and is also organized as a Massachusetts state ballot question committee, focusing on lobbying and ballot question work. Its mission is to lobby for environmental and social justice, as well as reducing wireless exposures. NATIONAL HEALTH FEDERATION (NHF) is a 501(c)(3) nonprofit organization whose mission is to educate consumers, producers, healthcare professionals, government and other leaders regarding freedom of choice and informed consent in healthcare, and to protect the health rights and freedom of individuals and healthcare practitioners regarding freedom of choice and true informed consent in all matters concerning healthcare. NATIONAL TOXIC ENCEPHALOPATHY FOUNDATION is a 501(c)(3) nonprofit organization whose mission is to provide education and services to the growing segment of the population who are adversely affected by everyday chemicals and toxins in our environment, and to provide education on cell phone safety that is showing a correlation with the increase of brain tumors and cancer. NEVADA CITY TELECOMMUNICATIONS ORDINANCE PUBLIC WORKING GROUP is a group of individuals in Nevada, California, whose mission is to amend the city's telecommunication ordinance and strengthen the City’s legal authority to protect residents and the quiet enjoyment of their streets. 453452 51 NEW YORKERS 4 WIRED TECH is a group of grassroots advocates in New York whose mission is to alert the public to the serious biological harm caused by wireless communications infrastructure’s pulsed-modulated microwave radiation, and support municipally-owned and controlled wireline solutions (fiber optic broadband direct to homes and businesses as a basic public infrastructure, a public necessity and a public good) in the public rights-of-way. It advocates for the preservation and maintenance of existing legacy copper, switched telephone landlines. NORTH CENTRAL WEST VIRGINIA FOR SAFE TECHNOLOGY is a nonprofit organization in West Virginia whose mission is to reflect the feelings and actions of like-minded people in West Virginia and around the world, to make our area on the planet one of the healthiest (low radiation) places to live in the USA. ONCE A FOREST is a community organization based in Santa Fe, NM, supporting living forests and community-inclusive decision-making about forest health with a mission to inform the public about forest service cut and burn plans. They are concerned about the impact of harmful electromagnetic radiation on the health of the forests. 454453 52 ORGANIC CONSUMERS ASSOCIATION is based in Minnesota and is an online and grassroots 501(c)(3) nonprofit public interest organization, and the only organization in the U.S. focused exclusively on promoting the views and interests of the nation's estimated 50 million consumers of organically and socially responsibly produced food and other products. Their mission statement is to protect and advocate for consumers' right to safe, healthful food and other consumer products, a just food and farming system and an environment rich in biodiversity and free of pollutants. PATRONS OF THE PLANET is an environmental group in Connecticut working to bring awareness and information to residents about the importance of protecting the lands, water, insects and air from the harmful effects of “small cells,” cell towers and smart meters. They advocated against a bill that would extend the rollout of “small cells.” PLUMAS WIRED! is an advocacy group of Plumas County residents in California, with hundreds of members, whose mission is to support safer, affordable, wired telecommunications for the public. SAINT CROIX APPRAISALS is an organization that offers appraisal services for residential homes and educates people about the destructive effects of Wi-Fi and electromagnetic energies in their homes. 455454 53 SANTA BARBARA PERMACULTURE NETWORK is a 501(c)(3) nonprofit organization in California that helps Santa Barbara design systems to reconcile human communities with the ecological imperatives of a living planet. SECOND LOOK is a nonprofit organization whose main goal is to facilitate full public and scientific examinations of public policy issues that have become obscured by media treatment (or lack thereof), or by political rhetoric, or because of the inaccessibility of accurate information to relevant constituencies. Their primary environmental health concerns are fluoride toxicity, fluoride poisoning in individuals, and electromagnetic field toxicity science. SOCIAL JUSTICE COMMITTEE is a faith-based committee of the Berkeley Fellowship of Universalist Unitarians, a 501(c)(3) nonprofit organization based in California, whose mission is to support inclusion and diversity, environmental stewardship, fair labor practices, and general peace, democracy, and human rights in the U.S. and abroad. SOUTH CAROLINA COALITION FOR WIRELESS SAFETY STANDARDS is a 501(c)(3) nonprofit corporation whose mission is to educate and advocate on the dangers that wireless technology poses to human health and the environment. The SCCWSS represents thousands of people across South Carolina. The Coalition embraces and supports getting safe, connected technology to every 456455 54 citizen in South Carolina while reducing the man-made electromagnetic pollutant of radio frequency, microwave and millimeter wave radiation. STOP 5G CARLSBAD is a grassroots movement of residents in Carlsbad, California who are deeply concerned about the pending construction of 5G “small cell” towers every 300-500 feet throughout their neighborhoods. They are also concerned with such harmful devices as smart meters. STOP 5G ENCINITAS is a California organization that envisions and seeks to ensure a world where 4G, 5G, 6G or any other "G" is implemented by safe technology standards that has undergone scrutiny to ensure the health and well- being of all life on the planet before being unleashed. They also envision and seek to ensure a world where the health and well-being of all life takes precedence over corporate self-gain. STOP 5G INTERNATIONAL is a voluntary association of individuals from around the world with about 5,000 members from multiple countries whose mission is to support the global effort to stop 5G because it poses an immediate threat to life on earth. They rely on evidence-based information and non-violent actions in keeping with the vision of Stop 5G International. Their financing is through Ecological Options Network, a 501(c)(3) organization. 457456 55 STOP 5G JAX is an activist group of citizens whose mission is education and opposition to 5G in Jacksonville, FL and in the rest of Florida. STOP SMART METERS! is based in California and their fiscal sponsor is California for Renewable Energy. It is an advocacy, media outreach and direct action network providing activism, consultation and advice to dozens of local groups who are opposing wireless smart utility meter deployments for health, privacy, safety and other reasons. STOP SMART METERS NEW YORK was created in 2013 as an information hub and help line for New York State residents who are concerned about the forced installation of digital utility meters in the state. This step was required due to the absence of any state-provided consumer protection for utility customers. Their mission is to secure a no-fee safe analog utility meter choice for all New York State residents. SWEETWATER COLLABORATIVE is a 501(c)(3) nonprofit from California whose mission is to demonstrate how to live in balance with their local watershed using regenerative, waterwise landscape practices. They provide education, workshops, and training for sustainable water management as well as consultations, design, and installations of greywater and rainwater harvesting systems, food forests and drought-tolerant and edible landscapes. They work 458457 56 with homeowners, organizations, businesses and neighborhoods in a variety of capacities. They are concerned about the impact of wireless radiation on landscapes and ecosystems. TOXICS INFORMATION PROJECT (TIP) is a 501(c)(3) nonprofit corporation based in Rhode Island which strongly opposes deployment of 5G systems and informs residents about the high radiation installations and their dangerous and unhealthy effects. VERMONTERS FOR A CLEAN ENVIRONMENT is an organization whose mission is fighting for the economic well-being of all Vermonters assuring appropriate use of their resources — our people, our land, our air and our water. They are united in the belief that Vermont’s future lies in conserving its clean, rural, small-town environment. They have joined together to pursue the common goals of encouraging economic development with minimal environmental impacts and preserving Vermont’s natural beauty. VCE is committed to providing facts and information so that people can make informed decisions. WINDHEIM EMF SOLUTIONS is an organization from California that believes that fewer electromagnetic fields lead to better health and longer life. 459458 57 WIRE AMERICA is a citizen journalist and advocacy organization in California, working to preserve local control over wired broadband and wireless telecommunications infrastructure. Local communities must retain the freedom to integrate the best broadband options for their residents. It has worked at the federal, state and local levels to tame the unnecessarily dense deployment of 4G/5G so-called “small” wireless telecommunications facilities (sWTFs) in residential neighborhoods. WiRED is an organization based in California that exists to educate the public about wireless radiation and to defend communities against it. They are the local embodiment of a state-wide, national and worldwide movement advocating for safer technology and resisting the corporate imposition of wireless and cellular technologies on the public without fully-informed consent. They seek to inform the public via independent, evidence-based, peer-reviewed scientific studies. They seek to awaken and empower ordinary folks to unite to take back the autonomy of our communities from the colonizing control of transnational telecommunications corporations. WIRED BROADBAND, INC. is a nonprofit corporation in New York whose mission is to educate the public and government officials about the dangers associated with radio frequency radiation from wireless facilities and to advocate 460459 58 for the use of fiber optics as a safer, faster and more secure solution to broadband deployment in New York City and throughout the United States. WIRELESS EDUCATION ACTION is an educational organization based in Oregon whose mission is education regarding the potential health effects of wireless technology and how to reduce exposure, education of local and federal representatives, and of health practitioners. They wish to build a greater and greater grass root movement to affect change in Oregon. WIRELESS RADIATION EDUCATION & DEFENSE is a grassroots nonprofit organization based in California composed of concerned scientists, educators, parents, and activists. This organization is a fiscal project of Ecological Options Network (EON), which is a 501(c)(3) nonprofit corporation. Its mission is to empower the public to regain autonomy and rights over adverse telecommunication company interests. 461460 59 CERTIFICATE OF COMPLIANCE Pursuant to Pa. R. App. P. 531(b)(3) and 2135(d), the undersigned certifies that this Brief complies with the type-volume limitations of Pa. R. App. P. 531(b)(3) because this Brief contains 6,985 words, excluding those parts exempted by Pa. R. App. P. 2135(b). /s/ Andrea L. Shaw Andrea L. Shaw (I.D. No. 89333) Law Office of Andrew H. Shaw, P.C. 2011 W. Trindle Road Carlisle, PA 17013 Tel: (717) 243-7135 Fax: (717) 243-7872 andrea@ashawlaw.com Counsel for Amici Curiae 462461 60 CERTIFICATION OF CONFIDENTIAL INFORMATION I hereby certify that this filing complies with the provisions of the Case Records Public Access Policy of the United Judicial System of Pennsylvania that require filing confidential information and documents differently than non- confidential information and documents. /s/ Andrea L. Shaw Andrea L. Shaw (I.D. No. 89333) Law Office of Andrew H. Shaw, P.C. 2011 W. Trindle Road Carlisle, PA 17013 Tel: (717) 243-7135 Fax: (717) 243-7872 andrea@ashawlaw.com 463 Counsel for Amici Curiae 462 61 CERTIFICATE OF SERVICE I hereby certify that on this 14th day of September 2021, I electronically filed the foregoing with the Clerk of Courts using the PACFile appellate court electronic filing system, which will send notice of such filing to all registered PACFile users. /s/ Andrea L. Shaw Andrea L. Shaw (I.D. No. 89333) Law Office of Andrew H. Shaw, P.C. 2011 W. Trindle Road 464 Carlisle, PA 17013 Tel: (717) 243-7135 Fax: (717) 243-7872 andrea@ashawlaw.com Counsel for Amici Curiae 463 465 ADDENDUM 62 464 ADDENDUM TABLE OF CONTENTS Physicians Statement …………………………………………………... 64 Exhibit 1 ………………………………………………………….. 86 Exhibit 2 …………………………………………………………. 122 Scientists Statement ……………………………………………………. 136 Engineer Report ……………………………………………………….. 168 Building Biology Institute Report ……………………...……………… 184 46663465 PHYSICIANS STATEMENT 64 467466 IN THE SUPREME COURT OF PENNSYLVANIA MIDDLE DISTRICT RE: No. 34 MAP 2021, Povacz, M, et al. v. PUC Associated Case(s): 35 MAP 2021 Consolidated 36 MAP 2021 Consolidated 37 MAP 2021 Consolidated 38 MAP 2021 Consolidated 39 MAP 2021 Consolidated 40 MAP 2021 Consolidated 41 MAP 2021 Consolidated 42 MAP 2021 Consolidated 43 MAP 2021 Consolidated 44 MAP 2021 Consolidated 45 MAP 2021 Consolidated PHYSICIANS STATEMENT SMART METER EFFECTS ON PATIENTS WHO ARE ADVERSELY AFFECTED BY EXPOSURE TO RADIOFREQUENCY AND ELECTROMAGNETIC EMISSIONS Purpose of Statement 1. The undersigned are physicians - medical doctors (MDs) and Doctor of Osteopathic Medicine (DOs). Our duty as physicians is to help our patients and protect our community’s public health. The American Medical Association’s Code of Medical Ethics also demands that we seek legal outcomes that are in the best interests of the patient. Code of Medical Ethics Opinion 8.1 states that “While a physician’s role tends to focus on diagnosing and treating illness once it occurs, physicians also have a professional commitment to prevent disease and promote 65 468467 health and well-being for their patients and the community.” Our Hippocratic Oath requires that we take all necessary steps to “prevent disease whenever we can.” Our professional ethics therefore demand that we participate in efforts to prevent patient harm. 2. We file this statement to share with the Court our knowledge of the scientific and medical literature and our experience working with those of our patients, adults and children, who are adversely affected by exposure to wireless- based technologies, including smart meters. Combined we have over 3,000 patients who suffer from electro-sensitivity and/or other conditions which are aggravated by exposure. We hope our statement will help the Court reach an informed and equitable decision in this extremely important case that may have widespread implications on the lives of those adults and children who are adversely affected across the country. 3. It is our unequivocal opinion that Smart meters must not be forced on patients who experience a negative response to RF/EMF, and the only reasonable and humane accommodation is analog meters, the same meters we have had for many decades. Introduction and Summary of Filing 4. Wireless-based technologies such as cell phones, Wi-Fi and smart meters use and emit pulsed electromagnetic fields (EMFs) and radiofrequency 66 469468 (RF) radiation (collectively RF/EMF). Exposure to RF/EMF can be harmful, at least to some people. It can directly injure; it can exacerbate pre-existing conditions; and it can interfere with treatment. 5. The undersigned doctors have patients who suffer adverse reactions to RF/EMF, and some of the undersigned doctors themselves are adversely affected and personally experience the painful and debilitating effects of exposure. 6. Adverse effects from RF/EMF are real, proven and a major threat to some people’s health. Human physiology has many bioelectric elements, and this is especially true of the heart, brain, nervous system, and intercellular communication. Pulsed and modulated RF/EMF are stressors that directly affect this physiology. Humans vary in their physiology and in their resilience to stressors. Some people lose the ability to cope at a lower level of exposure to toxins than others and some may never get sick. 7. The only treatment for those who suffer impairments worsened by RF/EMF exposure is avoidance. However, with the ever-growing ubiquitous, involuntary exposure to RF/EMF from wireless technology and infrastructure,1 their home environment is the only place they have some ability to control exposure. It is their last place of refuge. 1 https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(18)30221- 3/fulltext. 67 470469 8.Mandatory smart meter deployment in homes, without a meaningful accommodation for those adversely affected by RF/EMF, will frustrate our ability to maintain or improve our patients’ well-being; cause them intolerable harm; and take away from them their only possible refuge, the only place to which they have some control over exposure, and which must be a sanctuary. 9.For those who are adversely affected, having a wireless or digital smart meter is not an option. The only reasonable accommodation is an analog meter. It does not create the adverse elements on the electric system created by the operation of the digital/wireless “smart” meters that adversely affect them. Electro-Sensitivity 10.The most widespread sickness associated with exposure to pulsed RF/EMF is likely “electro-sensitivity.”2 The condition is also referred to in the scientific literature as “electromagnetic hypersensitivity” (EHS), “microwave sickness” and “radiation sickness.” 11.The condition is characterized by a constellation of mostly neurological symptoms that occur as a result of exposure to RF/EMF. Common symptoms include headaches, cognitive and memory problems, exhaustion, heart palpitations, anxiety-like symptoms, seizures, sleep issues, ringing in the ears, 2 https://www.aaemonline.org/wp- content/uploads/2020/12/AAEMEMFmedicalconditions.pdf. 68 470 tingling, nausea, skin reactions, dizziness, noise sensitivity, digestive problems, and nosebleeds. 12. Electro-sensitivity is not truly a sensitivity; it is a sickness caused and/or aggravated by exposure to pulsed RF/EMF, with serious physiological complications. Many hundreds of studies have proven that RF/EMF exposure can cause and/or aggravate these symptoms3 and the underlying injuries4 and establish the causal mechanisms of harm.5 13. There are diagnosis guidelines and International Codes of Diseases classifications. Doctors and scientists warn that it is widespread, and the rates are growing. It is recognized as a disability by US agencies.6 3 Neurological effects: https://bioinitiative.org/wp-content/uploads/2020/09/6- RFR-Neurological-Effects-Abstracts-2020.pdf; https://bioinitiative.org/wp- content/uploads/2020/10/13-Neurological-Effects-Studies-Percent-Comparison- 2020.pdf. 4 https://direct.mit.edu/neco/article/30/11/2882/8424/Diplomats-Mystery-Illness- and-Pulsed. 5 Mechanism of harm: https://bioinitiative.org/wp-content/uploads/2020/09/3- RFR-Free-Radical-Oxidative-Damage-Abstracts-2020.pdf (oxidative stress); https://direct.mit.edu/neco/article/30/11/2882/8424/Diplomats-Mystery-Illness- and-Pulsed’; https://direct.mit.edu/neco/article/30/11/2882/8424/Diplomats- Mystery-Illness-and-Pulsed. 6 See further discussion in the Amicus Brief. Also: https://childrenshealthdefense.org/wp-content/uploads/rf-accomodation-nibs.pdf; Dept. of Education: https://childrenshealthdefense.org/wp-content/uploads/rf- accomodation-education.pdf; Dept. of Labor: https://childrenshealthdefense.org/wp-content/uploads/rf-accomodation-labor.pdf. 69 471 14. For many of our patients, RF/EMF exposure adversely and severely affects their ability to physically and mentally function. Exposure can interfere with brain wave operation and impair blood flow to the brain. These effects can cause interference with various brain functions including sleep and cognitive functions. Exposure can also damage the blood-brain barrier (BBB) which can lead to brain damage and neurodegenerative conditions. RF/EMF interfere with the nervous system and bioelectric functions.7 15. Those affected react to RF/EMF exposures they were able to tolerate previously and at levels that may not evoke a negative response in others. With avoidance, the symptoms decrease and can even completely disappear. But with re- exposure they reappear. Continued exposure leads to increase in symptom frequency, severity and additional symptoms may appear. It can also worsen the underlying injuries. 16. The scientific evidence explaining causation and mechanisms of harm associated with RF/EMF injuries is now robust. Oxidative stress is an established 7 https://direct.mit.edu/neco/article/30/11/2882/8424/Diplomats-Mystery-Illness- and-Pulsed. 70 472 mechanism of harm for RF/EMF-related injuries;8 known physiological biomarkers and genetic predispositions9 help us in our diagnoses. Diagnosis Guidelines 17.There are reliable diagnostic guidelines that we use and rely on in our practice. In 2016 the European Academy for Environmental Medicine’s (EUROPAEM) “EMF Working Group” developed official diagnosis guidelines: “EUROPAEM EMF Guideline 2016 for the prevention, diagnosis and treatment of EMF-related health problems and illnesses”10 (Exhibit 1). These guidelines were developed by the world leading experts; they were peer-reviewed and published and are used by doctors in the US and around the world. They provide a comprehensive review of the scientific evidence regarding the symptoms, the physiological damage, mechanisms of harm and biomarkers associated with RF/EMF-related health effects, and they reference 235 peer-reviewed studies. The guidelines are based on the Austrian Medical Association’s guidelines.11 18.When diagnosing the condition, we use the World Health Organization (WHO) International Classification of Diseases’ Code T-66 for a 8 https://direct.mit.edu/neco/article/30/11/2882/8424/Diplomats-Mystery-Illness- and-Pulsed. 9 https://www.hindawi.com/journals/mi/2014/924184/. 10 https://pubmed.ncbi.nlm.nih.gov/27454111/. 11 https://ecfsapi.fcc.gov/file/1092912632123/48-Attachment%2048- %20Austrian%20Medical%20Assoc%20Guideline%20EMF%20Disease.pdf. 71 473 diagnosis of “Radiation Sickness” and Code W90 which recognizes that “Exposure to Other Nonionizing Radiation” can cause injury. 19. The knowledge regarding the etiology of the condition is constantly evolving. Professor Dominique Belpomme is a member of the EMF Working Group that developed the diagnosis guidelines. Since 2009, he and his team have been conducting extensive testing on people who suffer from electro-sensitivity to identify the underlining injuries and biomarkers. They have tested over 700 people. Some of the lab tests recommended by the EUROPAEM’s guidelines are based on his work.12 To keep doctors appraised of the newly identified biomarkers, in 2020 he published peer-reviewed guidelines13 to reflect the most current findings and biomarkers to help doctors diagnose, treat, and prevent this condition.14 20. We also consult with guidelines from clinics specializing in diagnosis of RF/EMF-related injuries such as those developed by Professor Riina Bray, MD, BASC, MSC, FFCP, MHSC. Prof. Bray leads the largest government hospital 12 https://pubmed.ncbi.nlm.nih.gov/26613326/. 13 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7139347/. 14 Belpomme’s studies provide clear evidence of physiological biomarkers indicating serious physiological injuries, and he concludes that these findings negate the hypothesis that electro-sensitivity could be psychosomatic or caused by a “nocebo” effect. These studies include objective tests that measure physiological reactions, not subjective perception, and prove that electro-sensitivity and exposure can lead to severe injuries. 72 474 clinic specializing in diagnosing electro-sensitivity.15 Her diagnosis guidelines16 are based on the knowledge she and the seven doctors in the clinic accumulated over the past 23 years seeing many hundreds of patients with electro-sensitivity (Exhibit 2). Clinical Diagnosis 21. Those who suffer from electro-sensitivity develop symptoms from RF/EMF exposure. However, the underlying physical injury may be different from one patient to another, because pulsed RF/EMF can cause various physiological injuries. 22. For example, a peer-reviewed study on 675 subjects with electro- sensitivity17 showed that 28% had leakage of the blood-brain barrier; 40% had chronic inflammation indicating oxidative stress; 23% had autoimmune antibodies; and 100% had reduced melatonin levels. Substantive scientific evidence shows that each of these injuries can be caused by pulsed RF/EMF exposure. 23. For this reason, there is no one test for diagnosis and therefore, as with many other conditions, the diagnosis must be clinical, involve direct 15 https://www.womenscollegehospital.ca/care-programs/environmental-health- clinic/. 16https://www.womenscollegehospital.ca/assets/pdf/environmental/Preliminary%20 Clinical%20Guidelines%20%20for%20EHS.pdf. 17 https://pubmed.ncbi.nlm.nih.gov/26613326/. 73 475 evaluation of the patient, and requires medical judgment. Diagnosis is based on identifying the underlying cause of the patient’s complaints based on symptoms and medical history rather than on one specific test. Not all ailments have classic signs from blood tests or imaging, and in lieu of these, a physician must use clinical judgment to draw a reasonable and sensible conclusion based on personal and direct observation and the scientific literature.18 24. When taking a patient’s medical history, we look for description of situations which would be the equivalent of a blinded test, i.e., situations in which the patient was unaware of the exposure and the appearance of symptoms was a clear result of the exposure; and vice versa, where the source of exposure was removed without the knowledge of the patient and the symptoms improved. We also look for evidence of physiological reactions which are not based on subjective perception and on “natural experiment”: if exposure elimination/reduction leads to diminished symptoms, then avoidance is the recommended treatment. 25. When relevant and possible, we support our clinical diagnosis with the lab tests suggested by the diagnosis guidelines. These lab tests are based on 18 We understand that the utility’s medical expert’s opinion was formed and expressed without any direct contact or personal evaluation of the Complainants below, whereas the Complainants’ medical evidence was based on personal knowledge, at least in part. Remote diagnostics are contra-indicated, especially in this area. The Commission’s decision to accept the utility’s medical evidence over that of an actual attending physician is highly questionable. We note that the federal disabilities rules expressly discount remote “records-only” evaluations. 74 476 biomarkers that have been associated with exposure to RF/EMF. For example, we use blood tests for free radicals that indicate oxidative stress damage because oxidative stress is a well-recognized mechanism of harm of RF/EMF exposure.19 26. Our patients’ symptoms can be very severe and debilitating and for many, they significantly affect major life functions. This is so regardless of the name attached to the condition or its alleged controversial nature. Recognition 27. US agencies have recognized the condition as a disability entitled to accommodations including: the US Access Board;20 National Institute of Buildings Science;21 the Department of Labor;22 the Department of Education;23 and the 19 Many studies have shown that RF/EMF cause oxidative stress, and it is a recognized underlying mechanism for EMF-related sicknesses, including electro- sensitivity. https://bioinitiative.org/wp-content/uploads/2020/09/3-RFR-Free- Radical-Oxidative-Damage-Abstracts-2020.pdf; https://pubmed.ncbi.nlm.nih.gov/26151230/. 20 https://childrenshealthdefense.org/wp-content/uploads/rf-accomodation-access- board.pdf#page=3. 21 The report concludes that RF/EMF is an “access barrier” and can render buildings “inaccessible” to those with electro-sensitivity and provides accessibility guidelines. https://www.access-board.gov/research/building/indoor-environmental-quality/; https://childrenshealthdefense.org/wp-content/uploads/rf-accomodation-nibs.pdf. 22 https://childrenshealthdefense.org/wp-content/uploads/rf-accomodation- labor.pdf. 23 In 2011, DOE issued a memorandum regarding accommodation of people with Multiple Chemical Sensitivities (“MCS”). It included recommendations to minimize exposure to EMFs and to ensure the home environment is a “sanctuary,” free from 75 477 Social Security Administration. In their publications some of these agencies explain that accommodation of those affected by RF/EMF should be removal/minimizing exposure and that their home should be a sanctuary free from EMF. 28. In the past couple of decades, and mainly in the past 10 years, the number of patients we see in our clinics who suffer greatly from RF/EMF has grown.24 This is not surprising given the exponential increase in wireless deployment and use. The general public faces constant saturation in all public places and in the workplace.25 29. This sickness has been recognized by courts and by many medical and official international organizations such as the Council of Europe26 and the EMFs because they may trigger symptoms. https://childrenshealthdefense.org/wp- content/uploads/rf-accomodation-education.pdf#page=5. 24 See statement from the American Academy of Environmental Medicine: https://www.aaemonline.org/wp- content/uploads/2020/12/AAEMEMFmedicalconditions.pdf. 25 https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(18)30221- 3/fulltext. 26 Resolution 1815 (2011) Section 8.1.4: “pay particular attention to “electrosensitive” people who suffer from a syndrome of intolerance to electromagnetic fields and introduce special measures to protect them, including the creation of wave-free areas not covered by the wireless network.” Available at http://assembly.coe.int/nw/xml/XRef/Xref-XML2HTML-en.asp?fileid=17994&. 76 478 European Parliament which stated in a resolution that the rates of electro- sensitivity are growing “exponentially.”27 30. In 2019, the New-Hampshire legislature voted unanimously to establish a committee to study the effects of 5G and wireless radiation. The committee was comprised of scientists, public officials, and representatives of the wireless industry (through CTIA, the wireless industry lobby association). Following a year of hearing expert testimony and reviewing the science, the committee’s majority report, published in October 2020, concluded that wireless radiation can be harmful. The report acknowledged electro-sensitivity and the need to accommodate those who suffer from the condition. It emphasized the need to educate doctors.28 31. Indeed, doctors’ awareness of RF/EMFs harms is constantly growing. The California Medical Association passed a Resolution which highlighted RF/EMF effects consistent with electro-sensitivity. In 2021, close to 200 physicians participated in a medical conference about health effects associated 27 European Parliament Written declaration on the recognition of multiple chemical sensitivity and electrohypersensitivity in the International Statistical Classification of Diseases and Related Health Problems. Available at https://www.europarl.europa.eu/doceo/document/DCL-7-2012- 0014_EN.pdf?redirect. 28http://www.gencourt.state.nh.us/statstudcomm/committees/1474/reports/5G%20 final%20report.pdf. 77 479 with RF/EMF exposure.29 Participants received continued medical education (CME) credits. 32. We have no doubt that for some of our patients, RF/EMF are the cause of their symptoms. Only those who have not had patients who are affected, have not performed direct evaluations or are ignorant of the scientific and medical literature and the operation of the human body, can doubt these patients and their suffering from pulsed RF/EMFs. Smart Meter Specific Issues 33. The problems with smart meters arise not only from the RF signal used to wirelessly transfer the data to the utility company. A major problem is that smart meters inject pulsed RF and extremely low-frequency (ELFs) EMFs over a house’s electric wiring, effectively turning the entire home into a radiating antenna. Locating the smart meter further away from the house is not an acceptable solution or reasonable accommodation because it does not eliminate this “antenna” effect.30 34. This problem is exacerbated because the RF/EMF that enter the electric system are intensely pulsed,31 and pulsation has consistently been 29 https://emfconference2021.com/. 30 See expert engineer Erik Anderson statement which is part of the amicus brief. 31 https://docs.cpuc.ca.gov/PublishedDocs/EFILE/BRIEF/171336.PDF. 78 480 identified as a central element in RF/EMF related injuries.32 EMFs used for medical treatments are pulsed because the pulsation makes the signal more bioactive.33 35. Some of our patients reported symptom onset after a smart meter was installed on their homes. Many were not aware of the installation at the time, did not suffer from adverse effects from wireless devices and had no idea that these meters or any wireless device can cause harm. In many of the cases, the association between the meter installation and the appearance of symptoms is clear.34 36. However, the best evidence of the adverse effects of these meters is the changes we see almost immediately after a smart meter is removed and replaced with an analog meter. Our patients’ symptoms usually disappear or at least significantly lessen. 37. Adverse reactions which are not affected by subjective perception disappear and thus the evidence is indisputable and cannot be deemed a “nocebo” effect. It establishes clear and direct causation. For example, a common symptom we see in patients from smart meters is nosebleeds, including in children. When the 32https://ecfsapi.fcc.gov/file/10709642227609/Carlo%20paper%20%20Real%20vers us%20Simulated%20Mobile%20Phone%20Exposures%20in%20Experimental%20St udies.pdf. 33 https://ecfsapi.fcc.gov/file/7520940777.pdf. 34 https://ecfsapi.fcc.gov/file/7520958363.pdf. 79 481 family has the smart meter removed, the nosebleeds usually disappear almost overnight. Studies have explained the mechanism behind pulsed RF/EMF exposure and nosebleeds.35 38. We must emphasize that the question of initial causation is irrelevant. The smart meter may or may not be the source that first generates symptom onset. What is relevant is that once a person begins to react to pulsed RF/EMFs, any and all exposure must be avoided, since avoidance is the primary and only truly effective treatment. People can turn off a cell phone, but they cannot turn off the smart meter or shield themselves from its effects. 39. People with major life function impairments require accommodation, without regard to initial cause. The accommodation requirement merely allows them to better function and have some chance of a tolerable life. 40. Forcing smart meters on our patients who are adversely affected by RF/EMF, in their homes, means exposing them 24/7 to a toxin that instigates dysfunction, tormenting pain and severe physiological injuries and reactions, some of which can be life-threatening. 41. Our patients and those like them cannot be required to endure exposure that is toxic and can be even deadly to them in their own home as a 35 https://ecfsapi.fcc.gov/file/1091442657471/Cuban%20Embassy- Beatrice%20Golomb%20PhD-Microwave%20Attack.pdf#page=20. 80 482 condition of utility service. If they cannot have a safe environment in their homes, their condition will undoubtedly worsen and can result in death. Their home is their only refuge. 42. The main recommendation to our patients beyond avoidance is to contact professionals who specialize in EMF mitigation, to help them mitigate RF/EMF exposure and shield the home from outside exposure sources. However, no amount of shielding can protect those who are sick from the effects of smart meters, since they turn the home’s electric wiring into a transmitting antenna. This is the worst-case scenario for the electro-sensitive. Summary 43. Based on our knowledge and experience, we unequivocally determine that wireless and digital “smart” meters must not be forced on those who suffer adverse reactions from RF/EMF exposure. Those who are affected must have the choice of mechanical analog meters. Any other outcome will lead to immense suffering and even death. It would be unconscionable. 44. This accommodation is necessary, simple and reasonable. All that is required is to allow them to use the same mechanical analog utility meter that was installed for many decades on homes. Respectfully Submitted, 81 483 Physicians Statement Signatories Prashanthi Atluri, MD, Cardiology, OH Tiffany Baer, MD, Internal Medicine, TX Sunil Bhat, DO, Family Medicine, PA Anthony Bianco, DO, Family Medicine, OH Michael Blahut, DO, Family Medicine, PA Mark Brody, MD, Primary Care, Integrative Medicine, RI Larry Burk, MD, Radiology, NC Maria Carrascal, MD, Pediatrics, Puerto Rico David Calderwood, MD, Family Medicine, AL Lora Chamberlain, DO, Family Medicine, IL Jaqueline Chan, DO, Family and Integrative Medicine, CA Barbara A. Crothers, DO, Pathology, MD Diane Culik, MD, Family Medicine, MI Paul Dart, MD, Family Practice Physician, OR 82 484 Sandra Denton, MD, Family Medicine, Alternative Medicine, Emergency Medicine, AK Tim Dooley, MD, Integrative Medicine, CA Robyn Dreibelbis, DO, Family Medicine, OR Victoria Dunckley, MD, Psychiatry, CA Ben Edwards, MD, Functional Medicine, TX Erica Elliot, MD, Family and Environmental Medicine, NM Tracy Freeman, MD, Internal Medicine, MD Deborah Ginsburg, MD, Family Medicine, Special Needs, NJ Melanie Gisler, DO, Family Medicine, CA Sharon Goldberg, MD, Internal and Integrative Medicine, NM Stephen Grable, MD, Internal Medicine, FL Margaret Heinze, MD, Family Medicine, WI Martha Herbert, MD PhD, Pediatric Neurologist, MA Michael Hilts, MD, Family Medicine, NC Jeanne Hubbuch, MD, Family Medicine, MA Toril Jelter, MD, Pediatrics, CA 83 485 Lyn Johnson, DO, Family Medicine, FL Bob Kaplan, MD, Diagnostic Radiology, AZ Stacy Kuhns, MD, Pediatrics, PA Christopher Lawinski, MD, Integrative Medicine, HI Janet Levatin, MD, Pediatrics, OH Stephanie McCarter, MD, Internal Medicine, TX Lawrence McKnight, MD, Internal Medicine, PA Jorge Moreno, DO, Family Medicine, CA Leah Morton, MD, Family Medicine, NM Gerald Natzke, DO, Assistant Clinical Professor, Michigan State University, Environmental Medicine, Allergies, MI Raymond Oenbrink, DO, Family Medicine, NC Kara Parker, MD, Family Medicine, Functional Medicine, and Integrative Health, MN Jessica Peatross, MD, Internal and Functional Medicine, NC Michelle Perro, MD, Pediatrics, Integrative Medicine, CA Diane Powell, MD, Psychiatry, OR 84 486 Peter Prociuk, MD, Internal Medicine, PA Kirsten Reynolds, MD, Family Medicine, WI David G. Schwartz, MD, Family Medicine, VA Jennifer Shaw, MD, Obstetrics and Gynecology, AZ Pam Shervanick, DO, Psychiatry, ME Frank Sievert, MD, Family Medicine, OR Ana-Maria Temple, MD, Pediatrics, NC Robert Turner, MD, Neurology, SC Kevin Wand, DO, Family Medicine, MN Jane Williams, MD, General Surgery, CA Savely Yurkovsky, MD, Cardiology, Internal Medicine, Pediatrics, NY James Ziobron, DO, Family Medicine, MI 85 487 PHYSICIANS STATEMENT – Exhibit 1 86 488 Rev Environ Health 2015; 30(4): 337–371 European Academy for Environmental Medicine (EUROPAEM) – EMF working group:*Corresponding author: Gerd Oberfeld, Department of Public Health, Government of Land Salzburg, Austria, E-mail: gerd.oberfeld@salzburg.gv.atIgor Belyaev: Cancer Research Institute, Slovak Academy of Science, Bratislava, Slovak Republic; and Prokhorov General Physics Institute, Russian Academy of Science, Moscow, RussiaAmy Dean: American Academy of Environmental Medicine, Wichita, Kansas, USAHorst Eger: Association of Statutory Health Insurance Physicians of Bavaria, Medical Quality Circle “Electromagnetic Fields in Medicine – Diagnostic, Therapy, Environment”, Naila, GermanyGerhard Hubmann: Center for Holistic Medicine “MEDICUS”, Vienna, Austria; and Wiener Internationale Akademie für Ganzheitsmedizin (GAMED), Vienna, AustriaReinhold Jandrisovits: Medical Association Burgenland, Environmental Medicine Department, Eisenstadt, AustriaOlle Johansson: The Experimental Dermatology Unit, Department of Neuroscience, Karolinska Institute, Stockholm, Sweden Markus Kern: Medical Quality Circle “Electromagnetic Fields in Medicine – Diagnosis, Treatment and Environment”, Kempten, Germany; and Kompetenzinitiative zum Schutz von Mensch, Umwelt u. Demokratie e.V, Kempten, GermanyMichael Kundi and Hanns Moshammer: Institute of Environmental Health, Medical University Vienna, Vienna, AustriaPiero Lercher: Medical Association Vienna, Environmental Medicine Department, Vienna, AustriaWilhelm Mosgöller: Institute of Cancer Research Medical University Vienna, Vienna, AustriaKurt Müller: European Academy for Environmental Medicine, Kempten, GermanyPeter Ohnsorge: European Academy for Environmental Medicine, Würzburg, GermanyPeter Pelzmann: Department of electronics and computer science engineering, HTL Danube City, Vienna, AustriaClaus Scheingraber: Working Group Electro-Biology (AEB), Munich, Germany; and Association for Environmental- and Human-Toxicology (DGUHT), Würzburg, GermanyRoby Thill: Association for Environmental Medicine (ALMEN) Beaufort, Luxembourg Igor Belyaev, Amy Dean, Horst Eger, Gerhard Hubmann, Reinhold Jandrisovits, Olle Johansson, Markus Kern, Michael Kundi, Piero Lercher, Wilhelm Mosgöller, Hanns Moshammer, Kurt Müller, Gerd Oberfeld*, Peter Ohnsorge, Peter Pelzmann, Claus Scheingraber and Roby ThillEUROPAEM EMF Guideline 2015 for the prevention, diagnosis and treatment of EMF-related health problems and illnesses DOI 10.1515/reveh-2015-0033 Received October 1, 2015; accepted October 13, 2015 Abstract: Chronic diseases and illnesses associated with unspecific symptoms are on the rise. In addition to chronic stress in social and work environments, physi- cal and chemical exposures at home, at work, and during leisure activities are causal or contributing environmen- tal stressors that deserve attention by the general practi- tioner as well as by all other members of the health care community. It seems certainly necessary now to take “new exposures” like electromagnetic field (EMF) into account. Physicians are increasingly confronted with health prob- lems from unidentified causes. Studies, empirical obser- vations, and patient reports clearly indicate interactions between EMF exposure and health problems. Individual susceptibility and environmental factors are frequently neglected. New wireless technologies and applications have been introduced without any certainty about their health effects, raising new challenges for medicine and society. For instance, the issue of so-called non-thermal effects and potential long-term effects of low-dose expo- sure were scarcely investigated prior to the introduction of these technologies. Common EMF sources include Wi-Fi access points, routers and clients, cordless and mobile phones including their base stations, Bluetooth devices, ELF magnetic fields from net currents, ELF electric fields from electric lamps and wiring close to the bed and office desk. On the one hand, there is strong evidence that long- term-exposure to certain EMF exposures is a risk factor for diseases such as certain cancers, Alzheimer’s disease and male infertility. On the other hand, the emerging electromagnetic hypersensitivity (EHS) is more and more recognized by health authorities, disability administra- tors and case workers, politicians, as well as courts of law. We recommend treating EHS clinically as part of the group of chronic multisystem illnesses (CMI) leading to a functional impairment (EHS), but still recognizing that Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 87 489 338 Belyaev et al.: EUROPAEM EMF Guideline 2015 the underlying cause remains the environment. In the beginning, EHS symptoms often occur only occasionally, but over time they may increase in frequency and severity. Common EHS symptoms include headaches, concentra- tion difficulties, sleeping problems, depression, lack of energy, fatigue and flu-like symptoms. A comprehensive medical history, which should include all symptoms and their occurrences in spatial and temporal terms and in the context of EMF exposures, is the key to the diagnosis. The EMF exposure can be assessed by asking for typical sources like Wi-Fi access points, routers and clients, cord- less and mobile phones and measurements at home and at work. It is very important to take the individual suscep- tibility into account. The primary method of treatment should mainly focus on the prevention or reduction of EMF exposure, that is, reducing or eliminating all sources of EMF at home and in the workplace. The reduction of EMF exposure should also be extended to public spaces such as schools, hospitals, public transport, and libraries to enable persons with EHS an unhindered use (accessi- bility measure). If a detrimental EMF exposure is reduced sufficiently, the body has a chance to recover and EHS symptoms will be reduced or even disappear. Many exam- ples have shown that such measures can prove effective. Also the survival rate of children with leukemia depends on ELF magnetic field exposure at home. To increase the effectiveness of the treatment, the broad range of other environmental factors that contribute to the total body burden should also be addressed. Anything that supports a balanced homeostasis will increase a person’s resilience against disease and thus against the adverse effects of EMF exposure. There is increasing evidence that EMF exposure has a major impact on the oxidative and nitrosative regu- lation capacity in affected individuals. This concept also may explain why the level of susceptibility to EMF can change and why the number of symptoms reported in the context of EMF exposures is so large. Based on our current understanding, a treatment approach that minimizes the adverse effects of peroxynitrite – as has been increasingly used in the treatment of multisystem disorders – works best. This EMF Guideline gives an overview of the current knowledge regarding EMF-related health risks and pro- vides concepts for the diagnosis and treatment and acces- sibility measures of EHS to improve and restore individual health outcomes as well as for the development of strate- gies for prevention. Keywords: accessability measures; alternating; Alzheimer’s; cancer; chronic multisystem illnesses (CMI); diagnosis; electric; electromagnetic field (EMF); electro- magnetic hypersensitivity (EHS); functional impairment; infertility; leukemia; magnetic; medical guideline; nitro- sative stress; nonionizing; oxidative stress; peroxynitrite; prevention; radiation; static; therapy; treatment. Current state of the scientific and political debate from a medical perspective Introduction The Environmental Burden of Disease Project assessed the influence of nine environmental stressors (benzene, dioxins including furans and dioxin-like PCBs, second- hand smoke, formaldehyde, lead, noise, ozone, particu- late matter and radon) on the health of the population of six countries (Belgium, Finland, France, Germany, Italy, and the Netherlands). Those nine environmental stressors caused 3%–7% of the annual burden of disease in the six European countries (1). The Bundespsychotherapeutenkammer (BPtK) study in Germany showed that mental disorders had increased further and especially burnout as a reason of inability to work escalated seven-fold from 2004 to 2011 (2). In Germany, 42% of early retirements in 2012 were caused by mental disorders, depression being the leading diagnosis (3). In Germany, psychotropic drugs are at third place for the prescriptions of all drugs (4). The consumption of methylphenidate (Ritalin, Medikinet, Concerta), a psychotropic drug prescribed as a treatment for attention deficit hyperactivity disorder (ADHD) especially for young children and adolescents, has increased alarmingly since the early 1990s. Accord- ing to statistics of the German Federal Institute for Drugs and Medical Devices (Bundesinstitut für Arzneimittel und Medizinprodukte), prescriptions have increased even more dramatically since 2000 and reached a climax in 2012. In 2013, only a slight decline in the number of prescriptions was observed (5). Interestingly the rapid increase in the use of methylphenidate coincides with the enormous expansion of mobile telecommunication and other related technologies, posing an open research question. In Germany, work disability cases and absence days due to mental health disorders more than doubled from 1994 to 2011 (6). In OECD countries, a huge variability in the prescription of antidepressants has occurred and generally an increasing trend has been observed. Socio- economic status and therapeutic standards cannot fully Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 88 490 Belyaev et al.: EUROPAEM EMF Guideline 2015 339 explain these observations (7). Functional disturbances like chronic inflammation and changes of neurotransmit- ter functions caused by environmental influences are not investigated. A steady increase in the prevalence of allergic/asth- matic diseases globally has occurred, with about 30%– 40% of the world population now being affected by one or more allergic/asthmatic conditions (8). It is suspected that environmental conditions such as the increasing exposure of the population to electro- magnetic fields (EMFs) like radio-frequency radiation (RF), emanating from e.g. cordless phones (DECT), mobile phone base stations and cell phones (GSM, GPRS, UMTS, LTE) – especially smartphones, data cards for laptop and notebook computers, wireless LAN (Wi-Fi), wireless and powerline communication-based smart meters, but also exposure to extremely low frequency (ELF) electric and magnetic fields including “dirty electricity”, emanating from disturbances on the electric wiring, power lines, elec- tric devices, and other equipment, do play a causal role for EMF-related health effects (9–12). For the society and the medical community, all of this raises new challenges. Chronic diseases and illnesses associated with unspe- cific symptoms are on the rise. In addition to chronic stress in social and work environments, physical and chemical exposures at home, at work, and during leisure activities are causal or contributing environmental stressors that deserve attention by the general practitioner as well as by all other members of the health care community. It seems certainly necessary now to take “new exposures” like EMF into account. Worldwide statements of organizations regarding EMF The recommendations of the World Health Organization (WHO) regarding extremely low frequency (ELF) electric and magnetic fields and radio-frequency radiation, com- piled by the International Commission on Non-Ionizing Radiation Protection (ICNIRP) (13, 14), are based on induc- tions of currents in the body and thermal effects (SAR values). These recommendations were adopted by the EU in its Council Recommendation of 1999 without taking into account long-term nonthermal effects. However, it should be stressed that at an international EMF conference in London (2008), Professor Paolo Vecchia, head of ICNIRP, said about the exposure guidelines “What they are not”: “They are not mandatory prescriptions for safety”, “They are not the ‘last word’ on the issue”, and “They are not defensive walls for industry or others” (15). Even for short-term effects, the application of specific absorption rate (SAR) estimates seems to be not appropriate (16). In contrast to the WHO headquarter in Geneva, the International Agency for Research on Cancer (IARC) , a WHO-affiliated specialized agency in Lyon, classified extremely low frequency magnetic fields as possibly car- cinogenic to humans (Group 2B) in 2002 (17) and radio- frequency radiation in 2011 (18). In August 2007 and December 2012, the BioInitia- tive Working Group, an international group of experts, published comprehensive reports calling for preventive measures against EMF exposure based on the available scientific evidence (9, 10). Since it is mostly neglected as a health hazard, the European Environment Agency compared the risks of non- ionizing radiation (EMF) to other environmental hazards such as asbestos, benzene and tobacco, urgently recom- mending to implement a precautionary approach regarding EMF (19). This position was confirmed and elaborated more deeply in further publications in 2011 and 2013 (20, 21). In September 2008, a statement of the European Parliament called for a review of the EMF limits set out in the EU Council Recommendation of 1999, which was based on the ICNIRP guidelines, with reference to the BioInitiative Report (22). This was further strengthened in the European Parliament resolution of April 2009 (23). In November, 2009, a scientific panel met in Seletun, Norway, for 3 days of intensive discussion on existing scientific evidence and public health implications of the unprecedented global exposures to artificial electromag- netic fields. Such electromagnetic field exposures (static to 300 GHz) result from the use of electric power and from wireless telecommunications technologies for voice and data transmission, energy, security, military and radar use in weather and transportation. At the meeting, the Seletun Scientific Panel adopted a Consensus Agreement (24) that recommends preventative and precautionary actions that are warranted now, given the existing evidence for potential global health risks. It recognizes the duty of governments and their health agencies to educate and warn the public, to implement measures balanced in favor of the Precautionary Princi- ple (25), to monitor compliance with directives promoting alternatives to wireless, and to fund research and policy development geared toward prevention of exposures and development of new public safety measures. The Scientific Panel recognizes that the body of evi- dence on electromagnetic fields requires a new approach to protection of public health; the growth and develop- ment of the fetus, and of children; and argues for strong Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 89 491 340 Belyaev et al.: EUROPAEM EMF Guideline 2015 preventative actions. These conclusions are built upon prior scientific and public health reports documenting the following: 1) Low-intensity (non-thermal) bioeffects and adverse health effects are demonstrated at levels significantly below existing exposure standards. 2) ICNIRP and IEEE/FCC public safety limits are inad- equate and obsolete with respect to prolonged, low- intensity exposures. 3) New, biologically-based public exposure stand- ards are urgently needed to protect public health world-wide. 4) It is not in the public interest to wait. The Panel also strongly recommends that persons with electromagnetic hypersensitivity symptoms (EHS) be clas- sified as functionally impaired in all countries rather than with “idiopathic environmental disease” or similar indis- tinct categories. This terminology will encourage govern- ments to make adjustments in the living environment to better address social and well-being needs of this subpop- ulation of highly sensitive members of society, and – as a consequence – protect everyone now as well as in the coming generations from toxic environmental exposures. It is important to note that numeric limits recom- mended by the Seletun Scientific Panel, as well as by other bodies of society, do not yet take into account sensi- tive populations (EHS, immune-compromised, the fetus, developing children, the elderly, people on medications, etc.). Another safety margin is, thus, likely justified further below the numeric limits for EMF exposure recommended by the Panel. In May 2011, the Parliamentary Assembly of the Council of Europe adopted the report “The potential dangers of electromagnetic fields and their effects on the environment” (26). The Assembly recommended many preventive measures for the member states of the Council of Europe with the aim to protect humans and the environment, especially from high-frequency electro- magnetic fields such as: “Take all reasonable measures to reduce exposure to electromagnetic fields, especially to radiofrequencies from mobile phones, and particularly the exposure of children and young people who seem to be most at risk from head tumors” or “Pay particular attention to “electrosensitive” people who suffer from a syndrome of intolerance to electromagnetic fields and introduce special measures to protect them, including the creation of wave-free areas not covered by the wire- less network.” Recognizing that patients are being adversely affected by EMF exposure, the American Academy of Environmental Medicine published recommendations regarding EMF exposure in July 2012. The AAEM called for physicians to consider electromagnetic exposure in diagnosis and treatment and recognize that EMF expo- sure “may be an underlying cause of the patient’s disease process” (27). Since 2014 the Belgium government has prohibited the advertising of cell phones for children under the age of seven and has required the specific absorption rate (SAR) of cell phones be listed. Furthermore, at the point of sale, well-marked warnings must be posted that instruct users to use headsets and to minimize their exposure (28). In January 2015, the French parliament adopted a comprehensive law that protects the general public from excessive exposure to electromagnetic waves. Among other things, it was passed to ban Wi-Fi in nurseries for children under the age of three and to enable Wi-Fi at primary schools with children under the age of 11 only when used specifically for lessons. Public places offer- ing Wi-Fi must clearly advertise this fact on a sign. At the point of sale of cell phones, the SAR value must be clearly shown. In the future, any cell phone advertise- ment must include recommendations on how users can reduce RF radiation exposure to the head such as the use of headsets. Data on local EMF exposure levels shall be made more easily accessible to the general public, among others, through country-wide transmitter maps. Also, the French government will have to submit a report on elec- tromagnetic hypersensitivity to the parliament within a year (29). In May 2015 almost 200 scientists directed an interna- tional appeal to United Nations (UN) and WHO and called for protection from nonionizing electromagnetic field exposure. In the appeal the scientifically proven effects on health and the hitherto inadequate international guidelines (ICNIRP) and their use by WHO had been addressed. In addition, various demands were made in nine points, such as that: “the public be fully informed about the potential health risks from electromagnetic energy and taught harm reduction strategies” and “that medical professionals be educated about the biological effects of electromagnetic energy and be provided train- ing on treatment of patients with electromagnetic sensi- tivity” (30). Finally, in 2015 Pall (12) published a comprehen- sive paper with the title “Scientific evidence contradicts findings and assumptions of Canadian Safety Panel 6: microwaves act through voltage-gated calcium channel activation to induce biological impacts at non-thermal levels, supporting a paradigm shift for microwave/lower frequency electromagnetic field action”. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 90 492 Belyaev et al.: EUROPAEM EMF Guideline 2015 341 EMF and cancer Except for a few investigations in occupational settings, epidemiological research of EMF started in 1979 when Wertheimer and Leeper published their study about the relationship between the proximity to so-called power line poles with “service drop” wires and the occurrence of childhood cancer (specifically leukemia and brain tumors) (31). At the same time Robinette et al. studied mortality in a cohort of Korean War veterans having been trained on military radars in the early 1950s (32). Both studies found indications of increased risks and initiated a new era of studying health-relevant effects from exposure to EMFs. In the following years, a large number of investiga- tions about the relationship between childhood leuke- mia and extremely low frequency magnetic fields (ELF MF) have been published. However, the results seemed inconsistent until in 2000 two pooled analyses (33, 34) were conducted, providing little indication of inconsist- ency and demonstrating an increase of leukemia risk with increasing average exposure levels that was significant for levels above 0.3 or 0.4 µT relative to averages below 0.1 µT but without indication of a threshold. Based on these findings, the International Agency for Research on Cancer (IARC) classified ELF MF in 2002 as a Group 2B (possible) carcinogen (17). To this category belong e.g. lead, DDT, welding fumes, and carbon tetrachloride. Since then additional epidemiological studies have been conducted that gave essentially the same results (35, 36). In a review on childhood leukemia and ELF MF, Kundi concluded that there is sufficient evidence from epidemio- logical studies of an increased risk for childhood leuke- mia from exposure to power-frequency MF that cannot be attributed to chance, bias, or confounding. Therefore, according to the rules of IARC, such exposures ought to be classified as a Group 1 (definite) carcinogen (10). The prognosis of certain diseases can be influenced by EMF-reduction. For example, children who have leuke- mia and are in recovery have poorer survival rates if their ELF magnetic field exposure at home (or where they are recovering) is between 1 mG [0.1 µT] and 2 mG [0.2 µT] or above 2 mG [0.2 µT] in one study, over 3 mG [0.3 µT] in another study (9). Epidemiological studies of radio-frequency fields before the general rise in exposure to mobile telecom- munication networks was quite restricted and only a few studies had been conducted in the vicinity of radio trans- mitters, radar stations, other occupational exposures, a in radio amateurs. After the introduction of digital mobile telephony, the number of users of mobile phones increased dramatically and it was recommended in the 1990s to perform epidemiological studies with a focus on intrac- ranial tumors. Since the first publication in 1999 by the Swedish group around Prof. Lennart Hardell (37), about 40 studies have been published. The majority of these studies investigated brain tumors, but also salivary gland tumors, uveal melanoma, nerve sheath tumors, testicular cancer, and lymphoma. Many of these studies are incon- clusive because of too short exposure durations; however, two series of investigations, the international Interphone study conducted in 13 countries and the Swedish studies of the Hardell group, had a significant proportion of long- term mobile phone users and could in principle be used for risk assessment. In 2011, IARC classified radio-fre- quency electromagnetic fields (RF) as a Group 2B carcino- gen based on evidence from epidemiological studies and animal experiments (18). Since then, additional studies have corroborated the assumption of a causal relationship between mobile phone use and cancer (38–40). Hardell and Carlberg (41) concluded that RF-EMF ought to be clas- sified as a definitive human carcinogen (IARC Group 1). The evidence for a causal relationship between long-term mobile and cordless phone use and the risk for glioma has increased further in 2015 (42). In Italy, the Supreme Court upheld a ruling in October 2012 for an 80% disability rating and permanent disabil- ity pension due to a tumor, which was causally connected with the occupation-related heavy use of cell and cordless phones (43). EMF and neurodegeneration Neurological effects are caused by changes in the nervous system, including direct damage (neurodegeneration) to nerve cells and their processes, the axons and dendrites, as well as their terminal common functional entities, the syn- apses with their receptors, ion channels and comodulators. Factors that act directly or indirectly on the nervous system causing morphological, chemical, and/or electrical changes in the nervous system can lead to neurological alterations. The final manifestation of these effects can be seen in neu- rocognitive changes, e.g. memory, learning and perception, as well as in primary sensory and motor incapacities. The nervous system is an electrical organ based on a very complex chemistry. Thus, it should not be surprising that exposure to electromagnetic fields could lead to neu- rodegeneration and concomitant or consecutive neuro- logical changes. Morphological, chemical, electrical, and behavioral changes have been reported in animals, cells and tissues after exposure to electromagnetic fields across a range of frequencies. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 91 493 342 Belyaev et al.: EUROPAEM EMF Guideline 2015 The consequences of physiological changes in the nervous system are very difficult to assess. We do not fully understand how the nervous system functions and reacts to external perturbations. The neuronal plastic- ity of the nervous system could compensate for external disturbances, at least to a certain degree. On the other hand, the consequence of neural perturbation is also situation-dependent. An EMF-induced severe change in brain performance, for instance, could lead to different consequences depending on whether a person is sitting in a sofa watching TV or driving a car. The latter could very well end dramatically, even fatally. It should be noted that analyses of the recent neuro- logical literature show that there are more publications showing effects than no effects. So the question is not if EMFs cause effects, but rather how serious they will be for a given person. Neurological effects of radio-frequency radiation (RFR) There are many studies on human subjects. Many of the published papers are on changes in brain electrical activi- ties, the EEG, as well as impacts on sleep, after acute expo- sure to cell phone radiation. Bak et al. (44) reported effects on event-related potentials. Maganioti et al. (45) further reported that RFR affected the gender-specific components of event-related potentials [see also Hountala et al. (46)]. Croft et al. (47) reported changes of the alpha wave power in the EEG. The same authors (48) further reported that effects dif- fered between various new cell phone transmission systems, which have different signaling characteristics. They observed effects after exposure to second genera- tion (2G), but not third generation (3G) radiation, whereas Leung et al. (49) found similar EEG effects with both 2G and 3G types of radiation. Lustenberger et al. (50) found increased slow-wave activity in humans during exposure to pulse-modulated RF EMF toward the end of the sleep period. Vecchio and associates reported that cell phone RFR affected EEG and the spread of neural synchroniza- tion conveyed by interhemispherical functional coupling of EEG rhythms (51) and enhanced human cortical neural efficiency (52). An interesting finding is that RFR could interact with the activity of brain epileptic foci in epilep- tic patients (53, 54). However, no significant effect on EEG was reported by Perentos et al. (55) or Trunk et al. (56). And Kleinlogel et al. (57, 58) also reported no significant effects on resting EEG and event-related potentials in humans after exposure to cell phone RFR. Furthermore, Krause et al. (59) reported no significant effect of cell phone radiation on brain oscillatory activity, and Inomata- Terada et al. (60) concluded that cell phone radiation does not affect the electrical activity of the motor cortex. There are studies on the interaction of cell phone radiation on EEG during sleep. Changes in sleep EEG have been reported by Hung et al. (61), Regel et al. (62), Lowden et al. (63), Schmid et al. (64, 65), and Loughran et al. (66), whereas no significant effect was reported by Fritzer et al. (67), Mohler et al. (68, 69) and Nakatani-Enomoto et al. (70). Loughran et al. (66) provided an interesting conclu- sion in their paper: “These results confirm previous find- ings of mobile phone-like emissions affecting the EEG during non-REM sleep”. Importantly, this low-level effect was also shown to be sensitive to individual variability. Fur- thermore, this indicates that “previous negative results are not strong evidence for a lack of an effect…” Increase in REM sleep was reported by Pelletier et al. (71) in developing rats after chronic exposure. Mohammed et al. (72) reported a disturbance in REM sleep EEG in the rat after long term exposure (1 h/day for 1 month) to a 900-MHz modulated RFR. A Swiss Study revealed that, under pulse-modulated radiofrequency electromagnetic field exposure, sleep slow- wave activity is increased and – fitting to that – the sleep- dependent performance improvement is decreased (50). Among the very many effects reported in the ever increasing number of scientific papers are also reduction in behavioral arousal, sleep latency alterations, effects on cognitive functions and EEG, on spatial working memory, on well-being, influences on overall behavioral problems in adolescents, alteration of thermal pain threshold and visual discrimination threshold, respectively, induced hyperactivity, hypoactivity and impaired memory, respec- tively, contextual emotional behavior deficit, olfactory and/or visual memory deficit, impact on food collection behavior (in ants), decreased motor activity, learning behavior deficit, induction of stress behavioral patterns, passive avoidance deficit, and reduced memory functions. Almost all the animal studies reported effects, whereas more human studies reported no effects than effects. This may be caused by several possible factors: (a) Humans are less susceptible to the effects of RFR than are rodents and other species. (b) Non-thermal effects of RFR depend on a number of physical and biological parameters (73). The same exposure can induce effects in certain biological species while being ineffective in others. IARC also admits that some of the discrepancies between RFR studies could be due to differences in species [(18), p. 416]. (c) It may be more difficult to do human than animal experiments, since, in general, it is easier to control the variables and confounding factors in an animal experiment. (d) In the animal studies, the cumulative exposure duration was Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 92 494 Belyaev et al.: EUROPAEM EMF Guideline 2015 343 generally longer and studies were carried out after expo- sure, whereas in the human studies, the exposure was generally at one time and testing was done during expo- sure. This raises the question of whether the effects of RFR are cumulative. This consideration could have very important implications on real-life human exposure to EMF. However, it must be pointed out that neurophysi- ological and behavioral changes have been reported in both animals and humans after acute (one-time) exposure to RFR, and most of the EEG studies mentioned above are acute exposure experiments. Neurological effects of extremely low frequency electromagnetic fields (ELF-EMF) A number of authors have reported effects of ELF-EMF on various animal transmitter receptors in the brain such as NMDA receptors, dopamine and serotonin receptors, includ- ing the 5HT(2A) subtype of serotonin receptors. The latter is classically, particularly in the frontal cortex, believed to be related to the psychiatric syndromes of depression in humans. Kitaoka et al. (74) and Szemerszky et al. (75) did report depression-like behavior in both mice and rats, after chronic exposure to ELF magnetic fields. There are two reports on dopamine receptors. Shin et al. (76, 77) reported an increase in D-1 dopamine receptors and activity in the striatum of the rat after ELF magnetic field exposure. Dopa- mine in the striatum is, of course, involved in Parkinson’s disease. Wang et al. (78) reported that ELF magnetic fields potentiated morphine-induced decrease in D-2 dopamine receptors. Both D-1 and D-2 dopamine receptors in the brain are involved in depression and drug addiction. Ravera et al. (79) reported changes in the enzyme acetylcholinesterase in cell membrane isolated from the cerebellum after ELF magnetic field exposure. Interestingly, these researchers also reported “frequency window” effects in their experi- ment. Window effects, i.e. effects are observed at a certain range(s) of EMF frequencies or intensities, were first reported by Ross Adey, Susan Bawin, and Carl Blackman in the 1980s. A study by Fournier et al. (80) reported an ‘inten- sity window’ effect of ELF magnetic field on neurodevelop- ment in the rat. The cholinergic systems in the brain play a major role in learning and memory functions. Behavioral effects of ELF-EMF have been further sub- stantiated in recent research. These include: changes in locomotor activity (76, 77, 81–86), learning and memory functions (80, 87–95), anxiety (81, 93, 96–98), depression- like behavior (74, 75), perception (99), cognitive dysfunc- tion (100), emotional state (101), sleep onset (61), and comb building in hornets (102). As different behavioral effects have been observed in different exposure condi- tions, species of animals, and testing paradigms, they provide the strongest evidence that exposure to ELF-EMF can affect the nervous system. The possible medical applications of ELF-EMF should also be given more attention. Several studies indicate that ELF-EMF (however, mostly at high exposure levels) could enhance recovery of functions after nervous system damage and have protective effects against development of neurodegenerative diseases. The majority of the studies used magnetic fields above 0.1 mT (1 gauss; the highest was 8 mT). The intensities are much higher than those in the public environment. Thus, caution should be taken in extrapolating the high-intensity cell and animal studies to long-term environmental human exposure situations. In addition, however, there are studies at low or very low magnetic field exposure levels. Humans are sensi- tive to magnetic fields at levels <1 µT. A study by Ross et al. (99) showed “perception” alteration in human subjects exposed to a magnetic field at 10 nT (0.00001 mT), a study by Fournier et al. (80) showed an effect on brain development in the rat at 30 nT (0.00003 mT), and a study by Stevens (101) indicated changes in emotional states in humans exposed to 8–12 Hz magnetic fields at 5 µT (0.005 mT). These data do suggest magnetic fields at very low intensities could cause neurological effects in humans. In the 1990s, there was a series of more than 20 studies published by Reuven Sandyk, showing that pulsed magnetic fields at picotesla levels (1 pT = 0.000000001 mT) could have therapeutic effects on Parkinson’s disease and multiple sclerosis [see e.g. (103)]. However, Sandyk’s find- ings have never been independently confirmed. The above mentioned therapeutic applications of EMF elicit that different EMF-exposures have biological effects under certain conditions for short-term use. Alzheimer’s disease Amyloid beta (Aβ) protein is generally considered the primary neurotoxic agent causally associated with Alzhei- mer’s disease. Aβ is produced by both brain and periph- eral cells and can pass through the blood brain barrier. The BioInitiative review 2012 (10) summarized the evi- dence concerning Alzheimer’s disease as follows: 1) There is longitudinal epidemiologic evidence that high peripheral blood levels of Aβ, particularly Aβ1- 42, are a risk factor for Alzheimer’s disease. 2) There is epidemiologic evidence that extremely low frequency (ELF, 50–60 Hz) magnetic field (MF) expo- sure upregulates peripheral blood levels of Aβ. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 93 495 344 Belyaev et al.: EUROPAEM EMF Guideline 2015 3) There is evidence that melatonin can inhibit the development of Alzheimer’s disease and, thus, low melatonin levels may increase the risk of Alzheimer’s disease. 4) There is strong epidemiologic evidence that signifi- cant (i.e. high), occupational ELF-MF exposure can lead to the downregulation of melatonin production. The precise components of the magnetic fields caus- ing this downregulation are unknown. Other factors which may influence the relationship between ELF- MF exposure and melatonin production are unknown, but certain medications may play a role. 5) There is strong epidemiologic evidence that high occupational ELF MF exposure is a risk factor for Alzheimer’s disease, based on case-control studies which used expert diagnoses and a restrictive classifi- cation of ELFMF exposure. 6) There are only single epidemiologic studies of Alzhei- mer’s disease and radio-frequency electromagnetic field exposure, and only one epidemiology study of non-acute radio-frequency electromagnetic field exposure and melatonin. So, no final conclusions concerning health consequences due to RF exposure and Alzheimer’s disease are currently possible. Hallberg and Johansson (104) demonstrated that the mor- tality in Alzheimer’s disease appears to be associated with mobile phone output power. Deeper studies in this complex area are still necessary. There is epidemiological evidence that also residen- tial exposure to ELF magnetic fields is associated with an increased risk for Alzheimer’s disease (105, 106). Earlier reviews of the association between exposure to ELF MF and neurodegenerative diseases came to different conclusions (107, 108). The discrepancy is mainly due to two aspects: the assessment of a possible publication bias and the selection and classification of exposed groups. Since most studies are about occupational exposure, it is manda- tory to avoid misclassification. If care is taken to avoid such ambiguity, there is a clear meta-analytical relationship and an increased risk for Alzheimer’s disease and amyotrophic lateral sclerosis (ALS). This association shows little het- erogeneity across studies if the different methodologies are considered and publication bias has been detected for studies relying on mortality registries only (109). EMF and infertility and reproduction Infertility and reproduction disorders are on the rise. The BioInitiative review 2012 (10) summarized the evidence concerning infertility and reproduction as follows – with small adaptations by the authors: Human sperm are damaged by cell phone radiation at very low intensities, in the low microwatt and nanowatt per cm2 range (0.00034–0.07 µW/cm2 = 3.4–700 µW/m2). There is a veritable flood of new studies reporting sperm damage in humans and animals, leading to substantial concerns for fertility, reproduction, and health of the off- spring (unrepaired de novo mutations in sperm). Expo- sure levels are similar to those resulting from wearing a cell phone on the belt or in a pants pocket, or from using a wireless laptop computer on the lap. Sperm lack the ability to repair DNA damage. Several international laboratories have replicated studies showing adverse effects on sperm quality, motil- ity, and pathology in men who use cell phones and partic- ularly those who wear a cell phone, PDA, or pager on their belt or in a pocket (110–115). Other studies conclude that the use of cell phones, exposure to cell phone radiation, or storage of a cell phone close to the testes of human males affect the sperm count, motility, viability, and structure (110, 116, 117). Animal studies have demonstrated oxida- tive and DNA damage, pathological changes in the testes of animals, decreased sperm mobility and viability, and other measures of deleterious damage to the male germ line (118–122). There are fewer animal studies that have studied effects of cell phone radiation on female fertility para- meters. Panagopoulos (123) report decreased ovarian development and size of ovaries, and premature cell death of ovarian follicles and nurse cells in Drosophila mela- nogaster. Gul et al. (124) report rats exposed to standby level RFR (phones on but not transmitting calls) caused decrease in the number of ovarian follicles in pups born to these exposed dams. Magras and Xenos (125) reported irreversible infertility in mice after five (5) generations of exposure to RFR at cell phone tower exposure levels of less than one microwatt per centimeter squared ( < 1 µW/ cm2 = < 10 mW/m2). Electromagnetic hypersensitivity (EHS) An increasing number of human beings are continuously exposed in their daily life to increasing levels of a com- bination of static, ELF and VLF electric and magnetic fields and RF electromagnetic fields. These exposures are of different signal patterns, intensities, and techni- cal applications for varying periods of time. All these fields are summarized as EMF, colloquially referred to as “electrosmog”. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 94 496 Belyaev et al.: EUROPAEM EMF Guideline 2015 345 In a questionnaire survey in Switzerland in 2001, which was addressed to persons attributing specific health problems to EMF exposure, of the 394 respondents 58% suffered from sleep problems or disorders, 41% from headaches, 19% from nervousness, 18% from fatigue and 16% from difficulties with concentration. The respondents attributed their symptoms, e.g. to mobile phone base sta- tions (74%), cell phones (36%), cordless phones (29%), and high-voltage power lines (27%). Two thirds of the respondents had taken measures to reduce their symp- toms, the most frequent one being to avoid exposure (126). In a survey conducted 2009 in a Japanese EHS and multiple chemical sensitivity (MCS) self-help group (n = 75), 45% of the respondents had EHS as a medical diagnosis, 49% considered themselves EHS. Every second responder had medically diagnosed MCS (49%) and self-diagnosed MCS had 27%. The main EHS-related symptoms were fatigue (85%), headache (81%), concentration problems (81%), sleeping disorders (76%) and dizziness (64%). The most frequent causes include: base stations (71%), other persons mobile phones (64%), PC (63%), power lines (60%), television (56%), own mobile phone (56%), public transportation (55%) , cordless phones (52%), air condi- tioner (49%) and car (49%). Suspected EMF source of EHS onset were: mobile phone base stations (37%), PC (20%), electric home appliances (15%), medical equipment (15%), mobile phones (8%), power lines (7%) and induction cookers (7 %) (127). In 2001, 63 persons who attributed health prob- lems to environmental exposure were counseled in an interdisciplinary environmental medicine pilot project in Basel. An interdisciplinary expert team assessed the individual symptoms by a medical psychological-psychi- atric and environmental examination, including visits and environmental measurements at home. With respect to the 25 persons with EHS, the expert team attested that in one third of them, at least one symptom was plausi- bly related to electrosmog, although the EMF exposure was within the Swiss limits. They concluded that persons with EHS should be advised interdisciplinary, not only medically and psychologically but also environmentally (128, 129). A representative telephone survey (n = 2048; age > 14 years) carried out in 2004 in Switzerland yielded a fre- quency of 5% (95% CI 4%–6%) for having symptoms attributed to electrosmog, so-called electromagnetic hypersensitivity. Remarkably, only 13% consulted their family doctor. Individuals with a past history of symp- toms attributable to EMF gave “turned off the source” as the answer three times as often as the ones who still had symptoms (130). In a Swiss questionnaire study of GPs in 2005, two- thirds of the doctors were consulted at least once a year because of symptoms attributed to EMF. Fifty-four percent of the doctors assessed a relation as possible. The doctors in this questionnaire asked for more general information about EMF and health and instructions on how to deal with persons with EHS (131). In another questionnaire study, also mandated by the Swiss Federal Government and performed by the Univer- sity of Bern in 2004, Swiss doctors working with comple- mentary diagnostic and therapeutic tools reported that 71% of their consultations related to EMF. Remarkably, not only the patients, but even more so the doctors sus- pected a possible relation between illness and EMF. The reduction or elimination of environmental sources was the main therapeutic instrument in treating symptoms related to EMF (132). A questionnaire study of Austrian doctors yielded similar results. In this study, the discrepancy between the physicians’ opinions and established national and inter- national health risk assessments was remarkable, consid- ering that 96% of the physicians believed to some degree in or were totally convinced of a health-relevant role of environmental electromagnetic fields (133). The question, whether EHS is causally associated with EMF exposure remains controversial. On the one hand, physicians judge a causal association between EMF exposures as plausible based on case reports, on the other hand, national and international health risk assessments mostly claim that there is no such causal association, because provocation studies under controlled blinded conditions mostly failed to show effects. However, all these studies used a very limited number of exposure con- ditions, the exposure duration and the examined effects were short, and the recruitment of the persons with EHS was not medically assessed. The WHO, for example, does not consider EHS as a diagnosis and recommends to medical doctors that the treatment of affected individuals should focus on the health symptoms and the clinical picture, and not on a person’s perceived need for reducing or eliminating EMF in the workplace or home (134). The evaluation report about electromagnetic hyper- sensitivity mandated by the Swiss federal government assessed the evidence of a causal relationship between EMF exposure and biological and health effects. It took into account not only experimental, observational studies and meta-analyses, but also individual experiments and case reports. For the evaluation of the scientific evidence, the GRADE criteria were applied. Individual case reports were considered to be of great importance because it is Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 95 497 346 Belyaev et al.: EUROPAEM EMF Guideline 2015 likely that, at the same exposure level, not all people react the same as rare cases may be misunderstood by otherwise statistically reliable scientific methods of investigation, and since habituation and sensitization processes of a person’s reaction can change during the time of exposure. The significance of case reports with regard to scientific evidence based on the strict GRADE criteria used in this evaluation, however, was considered to be limited, mainly because of the distortion due to methodological flaws. It was noted in the report that individual case experiments with repeated testing of an EHS person under double- blind conditions and controlled exposure would be more revealing than experimental studies with larger groups. Ideally, a test of the person concerned should be carried out in their familiar surroundings (e.g. at home) with a reliable and accurate measurement of exposure. With pos- itive test results, a re-evaluation would be required also from a scientific perspective (135). The paper “Electromagnetic hypersensitivity: fact or fiction” by Genius and Lipp (136) offers an instructive review of studies of the last decades concerning EHS, including historical milestones, reviews, pathogenesis, biochemical markers, therapeutic management, as well as the debate about the legitimacy of EHS. In Sweden, EHS is an officially fully recognized func- tional impairment (i.e. it is not regarded as a disease). Survey studies show that somewhere between 230,000 and 290,000 Swedish men and women out of a population of 9,000,000 – report a variety of symptoms when being in contact with EMF sources. With reference to UN Resolution 48/96, Annex, of 20 December 1993, the Swedish govern- ment grants support to individuals with EHS. Employees with EHS have a right to support from their employers so as to enable them to work despite this impairment. Some hospitals in Sweden provide rooms with low-EMF expo- sure (137). In Sweden, impairments are viewed from the point of the environment. No human being is in itself impaired; there are instead shortcomings in the environment that cause the impairment (as with the lack of ramps for the person in a wheelchair or rooms requiring low-EMF remediation for the person with EHS). Furthermore, this environment-related perspective of the impairment EHS means that – even though we do not have a complete scientific explanation, and, in contrast, to what many individuals involved in the EMF discourse at present think – any person with EHS shall always be met in a respectful way and with all necessary support required to eliminate the impairment. This implies that the person with EHS shall have the opportunity to live and work in a low-EMF environment (138). In Sweden, the City of Stockholm offers low-EMF housing on its outskirts to electrosensitive individuals. In France, the first low-EMF zone has been established at Drôme in July 2009 (139). In Austria, the construction of a multi-family house has been planned for 2015, which was designed by a team of architects, building biology professionals, and environmental medicine health care professionals to provide a sustainable healthy living envi- ronment. Both the outdoor and indoor environments were explicitly chosen and designed to meet low-EMF require- ments (140). The implementation of low-EMF zones for electrosensitive individuals is pursued in numerous coun- tries. The realization of such projects greatly depends on the understanding, knowledge, and tolerance of the members of the chosen community. In a human provocation study, Johansson (141), using a controlled, double-blind pilot setup, found one EHS person that correctly identified the presence of a mobile phone nine times out of nine provocations (p < 0.002), both in the “acute” phase as well as in the “chronic” phase (p < 0.001). In facial skin samples of electrohypersensitive persons, the most common finding has been a profound increase of mast cells (142). From this and other studies, it is clear that the number of mast cells in the upper dermis is increased in the EHS group. A different pattern of mast cell distribution also occurred in the EHS group. Finally, in the EHS group, the cytoplasmic granules were more densely distributed and more strongly stained than in the control group, and the size of the infiltrating mast cells was generally found to be larger in the EHS group as well. It should be noted that increases of similar nature later on were demonstrated in an experimental situation, employing normal healthy vol- unteers in front of cathode ray tube (CRT) monitors, includ- ing ordinary household television sets (143). In one of the early papers, Johansson et al. (144) made a sensational finding when they exposed two elec- trically sensitive individuals to a TV monitor situated at a distance of 40–50 cm away from them. The scientists used an open-field provocation in front of an ordinary TV set with persons regarding themselves as suffering from skin problems due to work at video display terminals. Employing fluorescence microscopy-based immunohisto- chemistry, in combination with a wide range of antisera directed towards cellular and neurochemical markers, they were able to show a high to very high number of somatostatin-immunoreactive dendritic cells as well as histamine-positive mast cells in skin biopsies from the anterior neck taken before the start of the provocation. At the end of the provocation, however the number of mast cells was unchanged and the somatostatin-positive cells had seemingly disappeared. The reason for this latter Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 96 498 Belyaev et al.: EUROPAEM EMF Guideline 2015 347 finding could be discussed in terms of loss of immunore- activity, increase of breakdown, etc. The high number of mast cells present may explain the clinical symptoms of itch, pain, edema, and erythema. Against this background, it is interesting to see that the early Swedish findings from the 1980s and 1990s are supported by the latest work of Belpomme and Irigaray (145). Since 2009, Belpomme and Irigaray prospectively investigated clinically and biologically 1200 consecu- tive EHS and/or MCS-self reported cases in an attempt to establish objective diagnosis criteria and to elucidate the pathophysiological aspects of these two disorders. In their preliminary results, as presented at the Fifth Paris Appeal Congress in Belgium in 2015 – based on the analysis of 839 originally enrolled cases of which 810 met the inclusion criteria and 727 were evaluable – 521 were diagnosed with EHS, 52 with MCS, and 154 with both EHS and MCS. Concomitant multiple food intolerance was found in 28.5%, 41.9%, and 70.4% of the cases in the three groups, respectively. Histamine levels were ana- lyzed in the blood of patients, and 37%, 36.7% and 41.5% of the persons respectively in the three above individual- ized groups showed a significant increase in histamine- mia ( > 10 nmol/L), meaning that a chronic inflammatory response can be detected in these patients. They also measured nitrotyrosin (NTT), a marker of both peroxynitrite (ONOO.-) production and opening of the blood brain barrier (BBB). NTT was increased in the blood ( > 0.90 µg/mL) in 29.7%, 26%, and 28% of the cases in the three groups, respectively. Likewise protein S100B, another marker of BBB opening was found to be increased in the blood ( > 0.105 µg/L) in 14.7%, 19.7%, and 10.7% of their cases, respectively. Circulating antibodies against O-myelin, heat shock protein (Hsp) 27, and/or Hsp 70 protein were also found to be increased in 43.1%, 25%, and 52% of their cases, respectively, indicating that EHS and MCS are associated with some autoimmune response. Since most patients reported chronic insomnia and fatigue, they also determined the 24-h urine melatonin/ creatinine ratio and found it was decreased ( < 0.8) in all investigated cases. Finally, in order to gain further information about the underlying mechanisms of EHS and MCS, they serially measured the brain blood flow in the temporal lobes of each patient by using pulsed brain echodoppler. They found that both EHS and MCS were associated with a hypop- erfusion in the capsulo-thalamic area of the brain, sug- gesting that the inflammatory process may in fact involve the limbic system and the thalamus. Both EHS and MCS thus appear to paint a common picture of inflammation- related hyper-histaminemia, oxidative stress, autoimmune response, and BBB opening, and a deficit in melatonin excretion. According to Belpomme and Irigaray, EHS and MCS probably share a common pathological mechanism mainly involving the central nervous system (145). While a 2006 study by Regel et al. (146) described no exposure effects, two provocation studies on exposure of “electrosensitive” individuals and control subjects to mobile phone base station signals (GSM, UMTS or both) found a significant decline in well-being after UMTS expo- sure in the individuals reporting sensitivity (147, 148). Most so-called provocation studies with EHS show no effects. However, all these studies used a very limited number of exposure conditions. Taking in account the strong dependence of EMF effects on a variety of physical and biological variables (73), available provocation studies are scientifically difficult to interpret and, in fact, are not suit- able to disprove causality. There is increasing evidence in the scientific literature of various subjective and objective physiological altera- tions, e.g. heart-rate variability (HRV) as apparent in some persons with EHS claiming to suffer after exposure to certain frequencies of EMR like DECT or Wi-Fi (149–153). Analysis of the data available on the exposure of people living near mobile phone base stations has yielded clear indications of adverse health effects like fatigue, depression, difficulty in concentrating, headaches, dizzi- ness, etc. (154–158). The frequency spectrum between ELF and RF is referred as kHz range or intermediate frequency range. Residential exposures in this range are often due to “dirty power”/ “dirty electricity” originating from voltage and/or current perturbations from diverse sources like electronic power supplies for TVs, monitors, PCs, motor drives, inverters, dimmers, CFLs, phase-angle control devices, as well as sparking and arcing from switching operations and from electric motors with brushes. The kHz waves/ transients travel along the electric wiring and grounding systems (conducted emissions) and radiate electric and/ or magnetic fields into free space (radiated emissions), leading to human exposures in the vicinity. Epidemiological evidence links dirty electricity to most of the diseases of civilization including cancer, cardiovascular disease, diabetes, suicide, and attention deficit hyperactivity disorder in humans (159). When it comes to health effects of static magnetic fields, this type of EMF exposure is frequently underesti- mated. Blackman reports in the 2007 BioInitiative Report (9): “The magnetic field of the earth at any given location has a relatively constant intensity as a function of time. However, the intensity value, and the inclination of the field with respect to the gravity vector, varies considerable Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 97 499 348 Belyaev et al.: EUROPAEM EMF Guideline 2015 over the face of the earth. More locally, these features of the earth’s magnetic field can also vary by more than 20% inside man-made structures, particularly those with steel support structures. There are many reports of EMF-caused effects being dependent on the static magnetic field intensity (cf. Blackman et al., 1985) and of its orientation, with respect to an oscillating magnetic field (Blackman et al., 1990; Blackman et al., 1996). One aspect common to many of these reports is that the location in the active frequency band is determined by the intensity of the static magnetic field. There have been many attempts to explain this phenomenon but none has been universally accepted. However, it is clear that if a biological response depends on the static magnetic field intensity, and even its orientation with respect to an oscillating field, then the conditions necessary to reproduce the phenomenon are very specific and might easily escape detection (cf. Black- man and Most, 1993). The consequences of these results are that there may be exposure situations that are truly detrimental (or beneficial) to organisms but that are insuf- ficiently common on a large scale that they would not be observed in epidemiological studies; they need to be studied under controlled laboratory conditions to deter- mine impact on health and wellbeing”. On July 8, 2015, a court in Toulouse, France, ruled in favor of a woman with the diagnosis “syndrome of hyper- sensitivity to electromagnetic radiation” and determined her disability to be 85% with substantial and lasting restrictions on access to employment (160). Possible mechanism of EHS Based on the scientific literature on interactions of EMF with biological systems, several mechanisms of interac- tion are possible. A plausible mechanism at the intracel- lular and intercellular level, for instance, is an interaction via the formation of free radicals or oxidative and nitrosa- tive stress (161–169). A review by Pall (12, 170, 171) provides substantial evidence for a direct interaction between static and time varying electric fields, static and time varying magnetic fields and electromagnetic radiation with volt- age-gated calcium channels (VGCCs). The increased intra- cellular Ca2+ produced by such VGCC activation may lead to multiple regulatory responses, including increased nitric oxide levels produced through the action of the two Ca2+/calmodulin-dependent nitric oxide synthases, nNOS and eNOS. In most pathophysiological contexts, nitric oxide reacts with superoxide to form peroxynitrite, a potent nonradical oxidant, which can produce radical products, including hydroxyl and NO2 radicals. Peroxynitrite is by far the most damaging molecule in our body. Although not a free radical in nature, peroxyni- trite is much more reactive than its parent molecules NO and O2-. The half-life of peroxynitrite is short (10–20 ms), but sufficiently long to cross biological membranes, diffuse one to two cell diameters, and allow significant interactions with most critical biomolecules and struc- tures (cell membranes, nucleus DNA, mitochondrial DNA, cell organelles), and a large number of essential metabolic processes (165). Elevated nitrogen monoxide, formation of peroxynitrite, and induction of oxidative stress can be associated with chronic inflammation, damage of mito- chondrial function and structure, as well as loss of energy, e.g. via the reduction of adenosine triphosphate (ATP). The importance of ATP has been shown for CFS (172) and for stress control (173). Those patients describe the same symptoms as those suffering from CMI. This could indicate similarities in the pathomechanisms. Similar disturbances in neurotransmitter expression had been described both with chronic exposure to EMF (174) and in CMI patients (163, 175). Redmayne and Johansson (176) published a review considering the evidence for an association between myelin integrity and exposure to low-intensity radiofre- quency electromagnetic fields (RF-EMFs) typical in the modern world, pointing to that RF-EMF-exposed animals/ humans show: 1) significant morphological lesions in the myelin sheath of rats; 2) a greater risk of multiple sclerosis in a study subgroup; 3) effects in proteins related to myelin production; and 4) physical symptoms in individuals with the functional impairment electrohypersensitivity, many of which are the same as if myelin were affected by RF-EMF exposure, giving rise to symptoms of demyelination. In the latter, there are exceptions; headache is common only in electrohypersensitivity, while ataxia is typical of demyeli- nation but infrequently found in the former group. Overall, evidence from in vivo and in vitro and epidemiological studies suggests an association between RF-EMF exposure and either myelin deterioration or a direct impact on neu- ronal conduction, which may account for many electrohy- persensitivity symptoms. The most vulnerable are likely to be those in utero through to at least mid-teen years, as well as ill and elderly individuals. Complaints in chronic fatigue syndrome (CFS), fibromyalgia (FM), multiple chemical sensitivity (MCS), posttraumatic stress disorder (PTSD) and Gulf War syn- drome (GWS) are almost the same. But the cardinal symp- toms are different. Meanwhile, they are summarized as chronic multisystem illnesses (CMI) (175). In all of them, various disturbances of functional cycles have been shown as activation of nitrogen oxide and peroxynitrite, Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 98 500 Belyaev et al.: EUROPAEM EMF Guideline 2015 349 chronic inflammation by activation of NF-kB, IFN-y, IL-1, IL-6, and interaction with neurotransmitter expression (163, 175, 177). We recommend classifying EHS as part of CMI (170, 178) leading to a functional impairment (EHS), but still recognizing that the underlying cause remains only the environment (see Figure 1). Other diseases that require attention with respect to EMF There is some evidence that transient electromagnetic fields (dirty electricity), in the kilohertz range on electrical wiring, may be contributing to elevated blood sugar levels among diabetics and pre-diabetics. In an electromagneti- cally clean environment, Type 1 diabetics required less insulin and Type 2 diabetics had lower levels of plasma glucose. Dirty electricity, generated by electronic equip- ment and wireless devices, is ubiquitous in the environ- ment. Exercise on a treadmill, which produced dirty electricity, increased plasma glucose. These findings may explain why brittle diabetics have difficulty regulating blood sugar. Based on estimates of people who suffer from symptoms of electrohypersensitivity (3%–35%), as many as 5–60 million diabetics worldwide may be affected (179). The Bioinitiative Report 2012 (10) concluded: Fetal (in-utero) and early childhood exposures to cell phone radiation and wireless technologies in general may be a risk factor for hyperactivity, learning disorders and behav- ioral problems in school. Common sense measures to limit both ELF-EMF and RF EMF in these populations is needed, especially with respect to avoidable exposures like incubators that can be modified; and where educa- tion of the pregnant mother with respect to laptop com- puters, mobile phones and other sources of ELF-EMF and RF EMF are easily instituted. This section deserves special attention in order to respond timely to the rapid technological development leading to more and more complex EMF exposures. Recommendations for action EUROPAEM has developed guidelines for differential diagnosis and potential treatment of EMF-related health problems with the aim to improve/restore individual health outcomes and to propose strategies for prevention. Evidence of treatment strategies for EMF-related illness including EHS There are only a few studies assessing evidence-based therapeutic approaches to EHS. The interdisciplinary based assessing and counseling of EHS in the Swiss envi- ronmental pilot project performed in 2001 showed in an evaluation interview half a year after counseling, that 45% of persons with EHS had benefitted from realizing certain advice, for example, changing the bedroom (128, 129). In the 2005 Swiss questionnaire study of physi- cians working with complementary therapeutic tools, two-thirds chose exposure reduction as a principal tool, Figure 1: Pathogenesis of inflammation, mitochondriopathy, and nitrosative stress as a result of the exposure to trigger factors (177). Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 99 501 350 Belyaev et al.: EUROPAEM EMF Guideline 2015 whereas complementary therapeutics were only chosen as a supplement (132). Since 2008, the Swiss Society of Doctors for the Envi- ronment has run a small interdisciplinary environmen- tal medicine counseling structure for persons with EHS, which is embedded in everyday practice with a central coordination and consultation office as well as a network of general practitioners interested in environmental medi- cine who perform environmental medical assessments and consultations based on a standard protocol. If nec- essary, environmental experts are consulted and home inspections are conducted. The aim of the assessments is to detect or rule out common diseases and to analyze the impact of suspected environmental burdens on the com- plaints in order to find individual therapeutic approaches. The main instrument of the assessment is an extensive medical and psycho-social history with an additional environmental history, including a systematic question- naire and environmental key questions. In the first years, the project was scientifically assessed. In a questionnaire one year after counseling, 70% of the persons recommended the interdisciplinary- based counseling structure and 32% of them considered the counseling as being helpful. Therefore, a model based on such an interdisciplinary concept, embedded in the family doctor’s holistic and lasting concept of treatment, seems to be promising for a better therapeutic approach to EHS, also including accessibility measures targeted at the actual environment (180). In Finland, psychotherapy is the officially recom- mended therapy of EHS. In a questionnaire study of EHS people in Finland, symptoms, perceived sources and treatments, the perceived efficacy of medical and comple- mentary alternative treatments (CAM) in regards to EHS were evaluated by multiple choice questions. According to 76% of the 157 respondents, the reduction or avoidance of EMF helped in their full or partial recovery. The best treat- ments for EHS were given as weighted effects: “dietary change” (69.4%), “nutritional supplements” (67.8%), and “increased physical exercise” (61.6%). The official treat- ment recommendations of psychotherapy (2.6%) were not significantly helpful, or for medication (–4.2%) even detrimental. The avoidance of electromagnetic radiation and fields effectively removed or lessened the symptoms in persons with EHS (181, 182). The prognosis of certain diseases can be influenced by EMF-reduction. For example, children who have leukemia and are in recovery have poorer survival rates if their ELF magnetic field exposure at home (or where they are recover- ing) is between 1 mG [0.1 µT] and 2 mG [0.2 µT] or above 2 mG [0.2 µT] in one study, over 3 mG [0.3 µT] in another study (9). Response of physicians to this development In cases of unspecific health problems (see Questionnaire) for which no clearly identifiable cause can be found – beside other factors like chemicals, nonphysiological metals, mold – EMF exposure should, in principle, be taken into consideration as a potential cause or cofactor, especially if the person presumes it. A central approach for a causal attribution of symp- toms is the assessment of variation in health problems depending on time and location and individual suscep- tibility, which is particularly relevant for environmental causes such as EMF exposure. Regarding such disorders as male infertility, mis- carriage, Alzheimer’s, ALS, blood sugar fluctuations, diabetes, cancer, hyperactivity, learning disorders and behavioral problems in school, it would be important to consider a possible link with EMF exposure. This offers an opportunity to causally influence the course of the disease. How to proceed if EMF-related health problems are suspected The recommended approach to diagnosis and treatment is intended as an aid and should, of course, be modified to meet the needs of each individual case (see Figure 2). 1. History of health problems and EMF exposure 2. Examination and findings 3. Measurement of EMF exposure 4. Prevention or reduction of EMF exposure 5. Diagnosis 6. Treatment History of health problems and EMF exposure In order to put later findings into a larger context, a general medical history is necessary. In the next steps, we focus only on EMF-related health effects. A questionnaire to take a systematic history of health problems and EMF exposure, compiled by the EUROPAEM EMF Working Group, is available in the Annex of this EMF Guideline. The questionnaire consists of three sections: a) List of symptoms b) Variation of health problems depending on time, location, and circumstances c) Assessment of certain EMF exposures that can be esti- mated by questionnaire Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 100 502 Belyaev et al.: EUROPAEM EMF Guideline 2015 351 List of symptoms The list of symptoms in the questionnaire serves to systematically quantify health problems regardless of their causes. It also includes questions as to when the health problems first occurred. Most EMF-related symp- toms are nonspecific and fall within the scope of health problems due to inadequate regulation (decompensa- tion), e.g. sleep problems, fatigue, exhaustion, lack of energy, restlessness, heart palpitations, blood pressure problems, muscle and joint pain, headaches, increased risk for infections, depression, difficulty concentrating, disturbances of coordination, forgetfulness, anxiety, urinary urgency, anomia (difficulty finding words), diz- ziness, tinnitus, and sensations of pressure in the head and ears. The health problems may range in severity from benign, temporary symptoms, such as slight headaches or paresthesia around the ear, e.g. when using a cell phone, or flu-like symptoms after maybe some hours of whole body EMF exposure, to severe, debilitating symptoms that drastically impair physical and mental health. It has to be stressed that, depending on the individual state of Take special medical history, including the assessment of symptoms, diseases, and circumstances regarding the times and places of appearance of symptoms (see Annex Patient Questionnaire) Differential diagnosis including diagnostic tests Assessment of EMF exposure Reduction and prevention of EMF exposure EMF exposure presented by the patient / person or EMF exposure suspected by the physician Relevance and conclusion Possible association with EMF Association with other environmental factors Reduction and prevention of other environmental factors No relevant association with environmental factors Consultation of other disciplines Medical treatment Figure 2: Flowchart for the handling of EMF-related health problems Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 101 503 352 Belyaev et al.: EUROPAEM EMF Guideline 2015 susceptibility, EHS symptoms often occur only occasion- ally, but over time they may increase in frequency and severity. On the other hand, if a detrimental EMF exposure is sufficiently reduced, the body has a chance to recover and EHS symptoms will be reduced or will vanish. Variation of health problems depending on time, location, and circumstances The answers to questions of when and where the health problems occur or recede, and when and where the symptoms increase or are particularly evident, provide only indications. They must be interpreted by the inves- tigator (e.g. regarding the correct attribution between location/EMF sources and health problems). Special attention should be drawn to sleeping areas, because of the duration of influence and the vital role of sleep for regeneration. Assessment of certain EMF exposures that can be estimated by questionnaire The assessment of EMF exposure usually starts with certain questions of usual EMF sources. Regardless of whether or not the patient suspects EMF exposure as a cause, these questions should be used to assess the exist- ing exposure level, at least as a rough estimate. It is impor- tant to note that only certain types of EMF exposure can be assessed by means of questions, such as the use of compact fluorescent lamps (CFLs), cell phones, and cord- less phones. Detection of other types of EMF exposure, e.g. due to RF transmitter sites or the electric or magnetic fields from electric wiring, generally requires measure- ments. In principle, questions should be asked to assess EMF exposure at home and at work and when on holidays and so on, keeping in mind that the degree of EMF expo- sure may vary at different times. Examination and findings We do not have any clinical findings yet that are specific to EMF, which makes diagnosis and differential diagnosis a considerable challenge. A method that has proven useful is to use stress- associated findings for diagnosis and followup and to evaluate them synoptically. Basic diagnostic tests should be carried out as a first step, followed by measurements of EMF exposure as a second step. The core diagnosis should focus on investigations of nitric oxide production (nitrotyrosine), mitochondriopathy (intracellular ATP), oxidative stress-lipid peroxidation (MDA-LDL) and inflam- mation (TNF-alpha, INF-G (IP-10), IL-1b). Then additional diagnostic tests can be considered. Functional tests Basic diagnostic tests –Blood pressure and heart rate (in all cases resting heart rate in the morning while still in bed), including self-monitoring, possibly several times a day, e.g. at different locations and with journaling of subjective well-being for a week. Additional diagnostic tests – 24-h blood pressure monitoring (absence of nighttime decline) – 24-h ECG (heart rhythm diagnosis) – 24-h heart rate variability (HRV) (autonomous nerv- ous system diagnosis) – Ergometry under physical stress – Sleep EEG at home Laboratory tests Basic diagnostic tests – Blood – Bilirubin – Blood count and differential blood count – BUN – Cholesterol, LDL, HDL, triglycerides – Creatinine kinases (CK-MB, CK-MM) – CRP – Cystatin C (glomerular filtration rate) – Electrolytes – Fasting blood glucose – Ferritin – HBA1c – Histamine and diaminoxidase (DAO) – INF-G (IP-10) – Interleukin-1 (e.g. IL-1a, IL-1b) – Intracellular ATP – Liver enzymes (e.g. ALT, AST, GGT, LDH, AP ) – Magnesium (whole blood) – malondialdehyde-LDL – Nitrotyrosine – Potassium (whole blood) – Selenium (whole blood) – TSH – Tumor necrosis factor alpha (TNFα) – Vitamin D – Zinc (whole blood) Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 102 504 Belyaev et al.: EUROPAEM EMF Guideline 2015 353 – Standard urine – Leucocytes, erythrocytes, albumin, urobilinogen, pH, bacteria, glucose, microalbumin – Second morning urine – 6-OH melatonin sulfate – Adrenaline – Dopamine – Noradrenaline – Noradrenaline/adrenaline quotient – Serotonin – Saliva – Cortisol (8 a.m., 12 a.m., and 8 p.m.) Additional diagnostic tests – Urine – Metals – Second morning urine – Gamma-aminobutyric acid (GABA) – Glutamate – Kryptopyrrole – Saliva –Dehydroepiandrosterone DHEA (8 a.m. and 8 p.m.) – Blood – 8-hydroxydeoxyguanosine (DNA oxidation) – Biotin – Differential lipid profile – Folate – Holotranscobolamin – Homocysteine – Interferon-gamma (IFNγ) – Interleukin-10 (IL-10) – Interleukin-17 (IL-17) – Interleukin-6 (IL-6) – Interleukin-8 (IL-8) – Intracellular glutathione (redox balance) – Lactate, pyruvate incl. ratio – Lipase – NF-kappa B – Ubiquinone (Q10) – Vitamin B6 (whole blood) Provocation tests Special facilities with the use of a variety of signals, e.g. DECT or Wi-Fi exposure (e.g. 20–60 min, depending on the individual regulation capacity, susceptibility, and observed response) – Heart rate variability (HRV) (autonomous nervous system diagnosis) – Microcirculation –Oxidative stress (lipid peroxidation, malondialdehyde- LDL) Individual susceptibility – Blood (genetic parameters and actual function) – Glutathione S transferase M1 (GSTM1) – detoxification – Glutathione S transferase T1 (GSTT1) – detoxification – Superoxide dismutase 2 (SOD2) – protection of mitochondria – Catechol-O-methyltransferase (COMT) – stress control Measurement of EMF exposure The evolutionary development of the human species took place under the presence of the natural electromagnetic spectrum (Earth’s magnetic field, Earth’s electric field, spherics, Schumann resonance). Those influences have been part of our biosphere like the oxygen content in the air or the visible light spectrum, and they have been inte- grated into the biological functions. By now, nearly all nonionizing parts of the electro- magnetic spectrum are filled with artificial, technical EMF sources due to electrification and (wireless) communica- tion technologies, but are very rarely found in nature (see Figure 3). EMF measurements and/or exposure damages are usually not covered by statutory health care insurance. In general, a wide variety of EMF exposure types should be considered: cordless phones (DECT), wireless Internet access (Wi-Fi), electrical wiring and electrical devices in buildings, compact fluorescent lamps (CFLs), mobile phone base stations, radio and TV transmitters, high-voltage power lines or transformer stations, and “dirty electricity”. In the sleeping area, the most important exposure point is the head and trunk region followed by all other points with chronic or high exposure. EMF measurements should be planned and carried out by specially trained and experienced testing special- ists and always in accordance with relevant standards, e.g. the VDB Guidelines of the German Association of Building Biology Professionals (184). In addition to the measurement results, the measurement report should also include suggestions on how to possibly reduce the EMF exposure. To clarify certain issues, personal dosimeters with a data logging function are available to measure ELF mag- netic fields and radio-frequency radiation. After the measurements have been commissioned by the person and carried out, the results should be dis- cussed with a physician familiar with the EMF issue. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 103 505 354 Belyaev et al.: EUROPAEM EMF Guideline 2015 EMF guidance values In each case, the following aspects should be individually taken into account when evaluating EMF measurement results (73): –The person’s individual susceptibility – The person’s individual total body burden (e.g. expo- sure to noise, chemicals) – Duration of EMF exposure – EMF exposure during the night and day – Multiple exposure to different EMF sources – Signal intensity (W/m2, V/m, A/m) –Signal characteristics (was taken into account in the EMF guidance values – see Supplement 3) –Frequency – Risetime (∆T) of bursts, transients, etc. – Frequency and periodicity of bursts, e.g. cer- tain GSM base stations (8.3 Hz), Wi-Fi networks (10 Hz), DECT cordless phones (100 Hz) – Type of modulation (frequency modulation, amplitude modulation, phase modulation) Regardless of the ICNIRP recommendations for specific acute effects, the following guidance values apply to sensitive locations with long-term exposure of more than 20 h per week (185). They are based on epidemiological studies (9, 10, 73, 186–189), empirical observations, and measurements relevant in practice (190, 191) as well as recommendations by the Parliamentary Assembly of the Council of Europe (26). The proposed guidance values are based on scientific data including a preventive com- ponent and aim to help restore health and well-being in already compromised patients/functionally impaired persons. Basic measurementsELF magnetic fields (extremely low frequency) (ELF MF)Measurement specifications Frequency range: 50/60 Hz mains electricity, up to 2 kHz 16.7 Hz railroad systems in Austria, Germany, Switzerland, Sweden, and Norway Type of measurement: Magnetic induction or flux density [T; mT; µT; nT] Field probe: Isotropic magnetic field probe (three orthogonal axes) Detector mode: RMS (root mean square) Measurement volume: Short-term: Bed: Complete sleeping area of bed Short-term: Workplace: Complete working space of workplace (e.g. sitting position) Long-term: e.g. point close to the head/trunk in bed or at workplace Electromagnetic spectrum Natural and artificial sources 1 Hz 100 10 Hz 101 100 Hz 102 1 kHz 103 10 kHz 104 100 kHz 105 1 MHz 106 10 MHz 107 100 MHz 108 1 GHz 109 10 GHz 1010 100 GHz 1011 1 THz 1012 10 THz 1013 100 THz 1014 1 PHz 1015 10 PHz 1016 100 PHz 1017 1 EHz 1018 10 EHz 1019 100 EHz 1020 1 ZHz 1021 10 ZHz 10220Hz20 Electromagnetic fields and radiation Ionizing radiationOptical radiation ELF RF / MW RadiationVLF Figure 3: Examples of natural (green) and artificial (red and blue) EMF sources along the electromagnetic spectrum (183). Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 104 506 Belyaev et al.: EUROPAEM EMF Guideline 2015 355 Measurement period: Short-term measurements to identify field sources Long-term measurements during sleep and work shift Basis for evaluation: Long-term measurements: maximum (MAX) and arithmetic mean (AVG) Precautionary guidance values In areas where people spend extended periods of time ( > 4 h per day), minimize exposure to ELF magnetic fields to levels as low as possible or below the precautionary guidance values specified below. ELF magnetic field Daytime exposure Nighttime exposure Sensitive populations Arithmetic mean (AVG) 100 nT (1 mG)1),2) 100 nT (1 mG)1),2) 30 nT (0.3 mG)4) Maximum (MAX) 1000 nT (10 mG)2),3) 1000 nT (10 mG)2),3) 300 nT (3 mG)4) Based on: 1)BioInitiative (9, 10); 2)Oberfeld (189); 3)NISV (192); 4) precautionary approach by a factor 3 (field strength). Evaluation guidelines specifically for sleeping areas Higher frequencies than the mains electricity at 50/60 Hz and distinct harmonics should be evaluated more critically. See also the precautionary guidance values for the interme- diate frequency range further below. If applicable, mains current (50/60 Hz) and traction current (16.7 Hz) should be assessed separately but added (squared average). Long- term measurements should be carried out especially at nighttime, but at least for 24 h. ELF electric fields (extremely low frequency) (ELF EF) Measurement specifications Frequency range: 50/60 Hz mains electricity, up to 2 kHz 16.7 Hz railroad systems in Austria, Germany, Switzerland, Sweden, and Norway Type of measurement: Electric field [V/m] without ground reference (potential-free) and/or body-current [A/m2] see separate paragraph Field probe: Isotropic electric field probe (three orthogonal axes) Detector mode: RMS (root mean square) Measurement volume: Bed: nine points across sleeping area Workplace: Complete working space (e.g. sitting position three or six points) Measurement period: Spot measurements to asses the exposure as well as to identify field sources. Since electric field exposure levels in the ELF frequency range usually do not change, long-term measurements are not needed. Basis for evaluation: Spot measurements (maximum) at relevant points of exposure Precautionary guidance values In areas where people spend extended periods of time ( > 4 h per day), minimize exposure to ELF electric fields to levels as low as possible or below the precautionary guidance values specified below. ELF electric field Daytime exposure Nighttime exposure Sensitive populations Maximum (MAX) 10 V/m1),2) 1 V/m2) 0.3 V/m3) Based on: 1)NCRP Draft Recommendations on EMF Exposure Guidelines: Option 2, 1995 (188); 2)Oberfeld (189); 3)precautionary approach by a factor 3 (field strength). Evaluation guidelines specifically for sleeping areas Higher frequencies than the mains electricity at 50/60 Hz and distinct harmonics should be evaluated more critically. See also the precautionary guidance values for the interme- diate frequency range further below. Radio-frequency electromagnetic radiation (RF EMR) Measurement specifications Frequency range: Radio and TV broadcast transmitters Mobile phone base stations, e.g. TETRA (400 MHz), GSM (900 and 1800 MHz), UMTS (2100 MHz), LTE (800, 900, 1800, 2500–2700 MHz), Cordless phone base stations, e.g. DECT (1900) Wi-Fi access points and clients (2450 and 5600 MHz) WiMAX (3400–3600 MHz) (above frequencies in MHz refer to European networks) Type of measurement: Electric field [V/m] - > calculated power density [W/m2; mW/m2; µW/m2] Field probe: Isotropic, biconical, logarithmic-periodic antennas Detector mode: Peak detector with max hold Measurement volume: Point of exposure across bed and working space Measurement period: Usually short-term measurements to identify RF field sources (e.g. acoustic analysis) and peak readings Basis for evaluation: Band-specific or frequency-specific spot measurements (peak detector with max hold) of common signals at relevant points of exposure (e.g. with spectrum analyzer or at least band-specific RF meter) Precautionary guidance values for selected RF sources In areas where people spend extended periods of time ( > 4 h per day), minimize exposure to radio-frequency electro- magnetic radiation to levels as low as possible or below the Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 105 507 356 Belyaev et al.: EUROPAEM EMF Guideline 2015 precautionary guidance values specified below. Frequencies to be measured should be adapted to each individual case. The specific guidance values take the signal charac- teristics of risetime (∆T) and periodic ELF “pulsing” into account (191). Note: Rectangular signals show short rise- times and consist of a broad spectrum of frequencies. The body current density increases with increasing frequency in an approximately linear relationship (Vignati and Giuliani, 1997). RF sourceMax Peak/Peak Hold Daytime exposure Nighttime exposure Sensitive populations1) Radio broadcast (FM) 10,000 µW/m2 1000 µW/m2 100 µW/m2 TETRA 1000 µW/m2 100 µW/m2 10 µW/m2 DVBT 1000 µW/m2 100 µW/m2 10 µW/m2 GSM (2G) 900/1800 MHz 100 µW/m2 10 µW/m2 1 µW/m2 DECT (cordless phone) 100 µW/m2 10 µW/m2 1 µW/m2 UMTS (3G) 100 µW/m2 10 µW/m2 1 µW/m2 LTE (4G) 100 µW/m2 10 µW/m2 1 µW/m2 GPRS (2.5G) with PTCCH* (8.33 Hz pulsing) 10 µW/m2 1 µW/m2 0.1 µW/m2 DAB+ (10.4 Hz pulsing) 10 µW/m2 1 µW/m2 0.1 µW/m2 Wi-Fi 2.4/5.6 GHz (10 Hz pulsing) 10 µW/m2 1 µW/m2 0.1 µW/m2 *PTCCH, Packet Timing Advance Control Channel. Based on: BioInitiative (9, 10); Kundi and Hutter (186); Leitfaden Senderbau (187); Belyaev (73); PACE (26). 1)Precautionary approach by a factor 3 (field strength) = factor 10 power density. Conversion of RF measurement units mW/m2 10 1 0.1 0.01 0.001 0.0001 µW/m2 10,000 1000 100 10 1 0.1 µW/cm2 1 0.1 0.01 0.001 0.0001 0.00001 V/m 1.9 0.6 0.19 0.06 0.019 0.006 Additional measurements Body-current (extremely low frequency) (ELF BC) The type of body current measurement has been devel- oped in Germany (193) and is used by so-called electrobiol- ogists (194). The methodology offers the possibility to assess directly the relevant effect – the body current – caused by electric and magnetic fields (195). To date, the effects of electric fields on human health with a view to their distri- bution and relevance to increase the body current density are massively underestimated. We strongly recommend to perform epidemiological studies (e.g. intervention, case-control, cohort) for the health endpoints discussed and – besides other EMF exposures – to take the follow- ing measurements in this order: 1) body current (A/m2), 2) electric field (V/m) without ground reference (poten- tial-free) without and with a person or a 3D dummy (not grounded!) to simulate the conductive body. In order to distinguish as to whether the measured body currents are caused by electric or magnetic fields, the magnetic fields have to be measured as well in all three axes. Long- term measurements of ELF magnetic fields should be performed with an isotropic magnetic field probe (three orthogonal axes) according to the corresponding para- graph in this chapter. Measurement specifications Frequency range: 50/60 Hz mains electricity, up to 2 kHz 16.7 Hz railroad systems in Austria, Germany, Switzerland, Sweden, and Norway Type of measurement: Body-current [A/m2] Field probe: Magnetic field probe (one orthogonal axis) Detector mode: RMS (root mean square) Measurement volume: 10 specific points close to the body (head, trunk and limbs) Measurement period: Spot measurements to asses the exposure as well as to identify field sources. As electric field exposure levels in the ELF frequency range usually do not change, long-term measurements are not needed. Basis for evaluation: Spot measurements (maximum) at relevant points of exposure Precautionary guidance values In areas where people spend extended periods of time ( > 4 h per day), minimize exposure to ELF body-current to levels as low as possible or below the precautionary guidance values specified below. ELF body-current Daytime exposure Nighttime exposure Sensitive populations Maximum(MAX) 0.25 µA/m2 1) 0.25 µA/m2 1) 0.05 µA/m2 2),3) Based on: 1)0.25 µA/m2 corresponds to 100 nT (RMS, AVG); 2)0.05 µA/m2 corresponds to 20 nT (RMS, AVG), Arbeitskreis Elektrobiologie (194), based on empirical observations; 3)precau- tionary approach by a factor 5 (field strength). Evaluation guidelines specifically for sleeping areas Higher frequencies than the mains electricity at 50/60 Hz and distinct harmonics should be evaluated more critically. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 106 508 Belyaev et al.: EUROPAEM EMF Guideline 2015 357 See also the precautionary guidance values for the inter- mediate frequency range further below. Magnetic fields in the intermediate frequency range (VLF) (IF MF) Measurement specifications Frequency range: 3 kHz–3 MHz Frequency-specific measurements (spectrum analyzer/EMF meter), e.g. “dirty power,” powerline communication (PLC), radio-frequency identification transmitters (RFID), compact fluorescent lamps (CFL) Type of measurement: Magnetic field [A/m] - > calculated magnetic induction [T; mT; µT; nT] Field probe: Isotropic or anisotropic magnetic field probe Detector mode: RMS (root mean square) Measurement volume: Point of exposure across bed and working space Measurement period: Short-term measurements to identify field sources Long-term measurements during sleep and work shift Basis for evaluation: Long-term measurements: RMS detector arithmetic mean and maximum at relevant points of exposure Precautionary guidance values In areas where people spend extended periods of time ( > 4 h per day), minimize exposure to intermediate fre- quency magnetic fields to levels as low as possible or below the precautionary guidance values specified below. 4)The body current density increases with increas- ing frequency in an approximately linear relationship (Vignati and Giuliani, 1997). Therefore, the guidance value of the magnetic field in the intermediate frequency range should be lower than the one of the 50/60 Hz mag- netic field, e.g. assuming 100 nT RMS/100 = 1 nT. IF magnetic field Daytime exposure Nighttime exposure Sensitive populations Arithmetic mean 1 nT (0.01 mG)1),2) 1 nT (0.01 mG)1),2) 0.3 nT (0.003 mG)4) Maximum 10 nT (0.1 mG)2),3) 10 nT (0.1 mG)2),3) 3 nT (0.03 mG)4) Based on: 1)BioInitiative (9, 10); 2)Oberfeld (189); 3)NISV (192); 4) precautionary approach by a factor 3 (field strength). Electric fields in the intermediate frequency range (VLF) (IF EF) Measurement specifications Frequency range: 3 kHz–3 MHz Frequency-specific measurements (spectrum analyzer/EMF meter), e.g. “dirty power,” powerline communication (PLC), radio-frequency identification transmitters (RFID), compact fluorescent lamps (CFL) Type of measurement: Electric field [V/m] Field probe: Isotropic, biconical, logarithmic-periodic electric field probe Detector mode: RMS arithmetic mean Measurement volume: Point of exposure across bed and working space Measurement period: Short-term measurements to identify field sources Long-term measurements during sleep and work shift Basis for evaluation: Long-term measurements: arithmetic mean at relevant points of exposure Precautionary guidance values In areas where people spend extended periods of time ( > 4 h per day), minimize exposure to intermediate frequency electric fields to levels as low as possible or below the pre- cautionary guidance values specified below. 4)The body current density increases with increasing frequency in an approximately linear relationship (Vignati and Giuliani 1997). Therefore, the guidance value of the magnetic field in the intermediate frequency range should be lower than the one of the 50/60 Hz magnetic field, e.g. assuming 10 V/m RMS arithmetic mean/100 = 0.1 V/m. IF electric field Daytime exposure Nighttime exposure Sensitive populations Arithmetic mean < 0.1 V/m1),2) < 0.01 V/m2) < 0.003 V/m3) Based on: 1)NCRP Draft Recommendations on EMF Exposure Guidelines: Option 2, 1995 (188); 2)Oberfeld (189); 3)precautionary approach by a factor 3 (field strength). Static magnetic fields Measurement specifications Frequency range: 0 Hz Type of measurement: Magnetic induction or flux density [T; mT; µT; nT] Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 107 509 358 Belyaev et al.: EUROPAEM EMF Guideline 2015 Field probe: Anisotropic magnetic field probe (for one spatial axis – vertical) or Isotropic magnetic field probe (three orthogonal axes) Detector mode: RMS (root mean square) Measurement volume: Point of exposure across bed and working space Measurement period: Short-term measurements to identify field sources that distort the Earth’s magnetic field Basis for evaluation: Spot measurements (RMS maximum) at relevant points of exposure Precautionary guidance values In areas where people spend extended periods of time ( > 4 h per day), minimize exposure to static magnetic fields that distort the naturally occurring Earth’s magnetic field to levels as low as possible. Evaluation guidelines specifically for sleeping areas First determine the natural background level in a reference location, e.g. close to the bed. The field probe must not be moved during the measurement process in order to prevent false readings due to induced currents by the Earth’s mag- netic field. The guidance values below are meant in addi- tion to the Earth’s magnetic field. Static magnetic field No anomaly Slight anomaly Significant anomaly Extreme anomaly Deviation from natural background ≤ 1 µT ≤ 10 mG 1–2 µT 10–20 mG 2–10 µT 20–100 mG > 10 µT > 100 mG Based on: Building Biology Evaluation Guidelines (SBM-2015) (190), which are based on empirical observations. Static electric fields Measurement specifications Frequency range: 0 Hz Type of measurement: Electric field [V/m] Field probe: Anisotropic or isotropic electric field probe Detector mode: RMS (root mean square) Measurement volume: Point of exposure across bed and working space Measurement period: Short-term measurements to identify field sources Basis for evaluation: Spot measurements (maximum) at relevant points of exposure Precautionary guidance values In areas where people spend extended periods of time ( > 4 h per day), minimize exposure to static electric fields that exceed the naturally occurring fair-weather atmospheric electric field. Evaluation guidelines specifically for sleeping areas Static electric field No anomaly Slight anomaly Significant anomaly Extreme anomaly Maximum < 100 V/m 100– 500 V/m 500– 2000 V/m > 2000 V/m Based on: Building Biology Evaluation Guidelines (SBM-2015) (190), which are based on empirical observations. Prevention or reduction of EMF exposure Preventing or reducing EMF exposure after consulting a testing specialist is advantageous for several reasons: a) To prevent and reduce risks to individual and public health, b) To identify any links to health problems, c) To causally treat the EMF-related health problems. There are numerous potential causes of relevant EMF exposures, and this EMF Guideline can only give a few examples. Further information can be found, for instance, in the document “Options to Minimize EMF/ RF/Static Field Exposures in Office Environments” (196) and “Elektrosmog im Alltag” (197). For detailed informa- tion on physics, properties and measurement of EMF, see Virnich (198); regarding reduction of radio-frequency radiation (RFR) in homes and offices, see Pauli and Moldan (199). In most cases, it will be necessary to consult an expert (e.g. building biology testing specialist, EMF/RF engineer) and/or electrician who will advise the person on what measures could be taken to reduce EMF exposure. EMF exposure reduction – First steps As a first step, it might be useful to recommend to persons that they take certain actions (also as preventive meas- ures) to eliminate or reduce typical EMF exposures, which may help alleviate health problems within days or weeks. The following actions may be suggested: Preventing exposure to radio-frequency radiation (RFR) – Disconnect (unplug) the power supply of all DECT cordless phone base stations. So called “ECO Mode” or “zero-emission” DECT phones are only conditionally recommended because the exposure by the handset is Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 108 510 Belyaev et al.: EUROPAEM EMF Guideline 2015 359 not or not substantially reduced. Therefore, the use of “traditional” corded phones is recommended. – Disconnect (unplug) the power supply to all Wi-Fi access points or Wi-Fi routers. Many LAN routers now come equipped with additional Wi-Fi. Call the provider of the LAN router and ask to have the Wi-Fi deactivated. It is usually also possible to do so online by following the provider’s instructions. – Avoid wearing the cell phone/smartphone close to the body. – Deactivate all nonessential wireless cell phone apps, which cause periodic radiation exposure. – Keep cell phones/smartphones in “airplane mode” whenever possible. – In case of external RF radiation sources, rooms – espe- cially sleeping rooms – facing away from the source should be chosen. – Avoid powerline communication for Internet access (dLAN) and instead use a hardwired Ethernet cable (LAN). – Avoid exposure to RF radiation (e.g. Bluetooth, Wi-Fi) at home (e.g. home entertainment, headsets), in offices, and in cars. Preventing exposure to ELF electric and magnetic fields – Move the bed or desk away from the wiring in the walls and power cords. A minimum distance of 30 cm (1 ft) from the wall is recommended. – Another simple complementary action is to discon- nect the power supply to the bedroom (turn off cir- cuit breaker or fuse) for the nighttime while sleeping; try it for a test phase of, e.g. 2 weeks. In general, this measure is not always successful because circuits of adjacent rooms contribute to the electric field lev- els. ELF electric field measurements are required to know exactly which circuit breakers need to be disconnected. The benefits should be weighed against the potential risk of accidents; therefore, the use of a flashlight for the test phase should be recommended. – Disconnect the power supply to all nonessential elec- tric circuits, possibly in the entire apartment or house. (N.B. See note above.) – Avoid using an electric blanket during sleep; not only turn it off, but also disconnect it. Preventing exposure to static magnetic fields – Sleep in a bed and mattress without metal. – Avoid to sleep close to iron materials (radiator, steel, etc.) EMF exposure reduction – second steps As a second step, EMF measurements and mitigation measures should be carried out. Typical examples are: – Measure the ELF electric field in the bed or the body current density of the person while in bed. Based on the measurement results, have automatic demand switches in those circuits installed that increase the exposure. – Measure the ELF electric field at all other places that are used for extended periods at home and at work. If necessary, choose lamps used close to the body with a shielded electric cable and a grounded lamp fixture (metal). Especially in lightweight construction (wood, gypsum board), electrical wiring without ground- ing (two-slot outlets) might have to be replaced with grounded electrical wiring or shielded electrical wir- ing. In special cases, the whole building might have to have shielded wiring and shielded outlets installed. – Measure the ELF magnetic field close to the bed, e.g. for 24 h. If net currents are detected, the electrical wir- ing and grounding system of the building must be cor- rected as to reduce the magnetic fields. – Install a residual current device (RCD) or ground-fault circuit interrupter (GFCI) to prevent electric shocks (safety measure). – Measure radio-frequency radiation and mitigate high exposure levels by installing certain RF shielding materials for the affected walls, windows, doors, ceil- ings, and floors. – Measure dirty electricity/dirty power (electric and magnetic fields in the intermediate frequency range) and identify the sources in order to remove them. If this is not possible, appropriate power filters in line with the source may be used. Diagnosis We will have to distinguish between EHS and other EMF- related health problems like certain cancers, Alzheimer’s, ALS, male infertility etc. that might have been induced, promoted, or aggravated by EMF exposure. An inves- tigation of the functional impairment EHS and other EMF-related health problems will largely be based on a comprehensive case history, focusing, in particular, on correlations between health problems and times, places, and circumstances of EMF exposure, as well as the pro- gression of symptoms over time and the individual sus- ceptibility. In addition, measurements of EMF exposure and the results of additional diagnostic tests (labora- tory tests, cardiovascular system) serve to support the Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 109 511 360 Belyaev et al.: EUROPAEM EMF Guideline 2015 diagnosis. Moreover, all other potential causes should be excluded as far as possible. In 2000 the Nordic Council of Ministers (Finland, Sweden, and Norway) adopted the following ICD-10 code for EHS: Chapter XVIII, Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified, code R68.8 “Other specified general symptoms and signs” (Nordic ICD-10 Adaptation, 2000) (200). Regarding the current International Classification of Diseases (ICD), ICD-10-WHO 2015, we recommend at the moment: a) Electromagnetic hypersensitivity (EHS): to use the existing diagnostic codes for the different symptoms plus code R68.8 “Other specified general symptoms and signs” plus code Z58.4 “Exposure to radiation” and/ or Z57.1 “Occupational exposure to radiation”. b) EMF-related health problems (except EHS): to use the existing diagnostic codes for the different diseases/ symptoms plus code Z58.4 “Exposure to radiation” and/or Z57.1 “Occupational exposure to radiation”. Regarding the next ICD-update (ICD-11 WHO) to be pub- lished 2018), we recommend to: a) Create ICD codes for all chronic environmentally induced chronic multisystem illnesses (CMI) like mul- tiple chemical sensitivity (MCS), chronic fatigue syn- drome (CFS), fibromyalgia (FM), and electromagnetic hypersensitivity (EHS). b) Expand Chapter XIX, Injury, poisoning and certain other consequences of external causes (T66-T78) to include/distinguish effects of EMF (static magnetic field, static electric field, ELF magnetic field, ELF electric field, VLF/LF magnetic field, VLF/LF electric field, Radio-frequency electromagnetic radiation) infrared, visible light, UV-light and ionizing radiation. c) Expand Chapter XXI, Factors influencing health status and contact with health services (Z00-Z99) to include/ distinguish factors as EMF (static magnetic field, static electric field, ELF magnetic field, ELF electric field, VLF/LF magnetic field, VLF/LF electric field, Radio-frequency electromagnetic radiation), infra- red, visible light, UV-light, and ionizing radiation. Treatment/accessibility measure The primary method of treatment should mainly focus on the prevention or reduction of EMF exposure that is reduc- ing or eliminating all sources of EMF at home and in the workplace. The reduction of EMF exposure should also be extended to schools, hospitals, public transport, public places like libraries, etc. in order to enable EHS persons an unhindered use (accessibility measure). Many exam- ples have shown that such measures can prove effective. With respect to total body load of other environmental influences, they must also be regarded. Beside EMF reduction, other measures can and must be considered. These include a balanced homeostasis in order to increase the “resistance” to EMF. There is increas- ing evidence that a main effect of EMF on human beings is the reduction of oxidative and nitrosative regulation capacity. This hypothesis also explains observations of changing EMF sensitivity and the large number of symp- toms reported in the context of EMF exposure. From the current perspective, it appears useful to recommend a treatment approach, as those gaining ground for multi- system disorders, that aims at minimizing adverse perox- ynitrite effects. It should be stressed, that psychotherapy has the same significance as in other diseases. Products that are offered in the form of plaques and the like to “neutralize” or “harmonize” electrosmog should be evaluated with great restraint. In summary, the following treatment and accessibility measures appear advantageous, depending on the indi- vidual case: Reduction of EMF exposure This should include all types of EMF exposures relevant to the person, especially during sleep and at work. For more information, see e.g. “Options to Minimize EMF/RF/Static Field Exposures in Office Environment” (196) and “Elek- trosmog im Alltag” (197). Environmental Medicine treatments Until now, no specific treatment of EHS has been estab- lished. Controlled clinical trials would be necessary to assess optimal treatment and accessibility measures. Actual data indicate that the functional deficits, which can be found in persons with EHS, correspond to those we can find in CMI such as MCS, CFS, and FM. The target of the therapy is the regulation of the physiological dysfunction detected by diagnostic steps (Examination and findings). The main therapeutic target includes both general and adjuvant procedures and specific treatments. The latter are challenging and need special knowledge and experi- ence in clinical environmental medicine treatments. Main therapeutic targets include: –Control of total body burden Besides the reduction of EMF exposure, the reduction of the total body burden by various Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 110 512 Belyaev et al.: EUROPAEM EMF Guideline 2015 361 environmental pollutants (home, working place, school, hobby), food additives, and dental materi- als is indicated. –Reduction of oxidative and/or nitrosative stress Reactive oxygen species (ROS) and reactive nitrogen species (RNS) are free radicals naturally produced in cells. Scavengers guarantee the balance between the production of free radicals and the rate of their removal. Many biologically important compounds with antioxidant (AO) function have been identified as endogenous and exogenous scavengers. Among the endogenous AO, we distinguish between enzymatic AO (catalase, glutathione peroxidase, glutathione reductase, superoxide dismutase) and nonenzymatic AO (bilirubin, ferritin, melatonin, glutathione, metal- lothionin, N-acetyl cysteine (NAC), NADH, NADPH, thioredoxin, 1,4,-bezoquinine, ubiquinone, uric acid). They interact with exogenous dietary and/or synthetic AO (carotenoids, retinoids, flavonoids, polyphenols, glutathione, ascorbic acid, tocopherols). The complex regulation and use of these substances is the thera- peutic challenge (163, 201). –Regulation of intestinal dysfunction Endogenous and exogenous scavengers act synergis- tically to maintain the redox homeostasis. Therefore, dietary or natural antioxidants play an important role to stabilize this interaction. Treatment of a leaky gut, food intolerance, and food allergy is a prerequisite for maintaining redox homeo- stasis (202) and also requires special knowledge and experience. –Optimizing nutrition Bioactive food is the main source of antioxidant com- ponents such as vitamin C, vitamin E, NAC, carot- enoids, CoQ10, alpha-lipoic acid, lycopene, selenium, and flavonoids (203, 204). For instance, the regenera- tion of vitamin E by glutathione or vitamin C is needed to prevent lipid peroxidation. The dietary antioxidants only can have beneficial effects on the redox system if they are present in sufficient concentration levels (201). Alpha-lipoic acid acts directly and indirectly as a scavenger of free radicals including peroxynitrite, singlet oxygen, superoxide, peroxyl radicals, and the breakdown radicals of peroxynitrite (163). It had been shown that the number of free electrons in micronu- trients determines how effective they are. In organic food, the number of free electrons is higher than in conventionally produced food (205). Especially in the case of food intolerances, the tailored substitu- tion of micronutrients in the form of supplements is necessary. –Control of (silent) inflammation Elevated nitric oxide levels and the reaction with superoxide always leads to elevated peroxynitrate levels, which induce ROS levels as no other substance does (NO/ONOO− cycle). As a result, the nuclear factor κB (NF-κB) is activated, inducing inflammatory cytokines such as tumor necrosis factor α (TNF-α), interleukin-1β (IL-1β), interleukin-6 (IL-6), interkeu- kin-8 (IL-8), and interferon gamma (IFNγ) and acti- vating various NO synthases (163). Tocopherols (206, 207), carotinoids at low concentration levels (208), vitamin C (209, 210), NAC (211), curcumin (212), res- veratrol (213, 214), flavonoids (215) have shown to interrupt this inflammatory cascade at various points. –Normalization of mitochondrial function Mitochondrial function may be disturbed in two ways. First: the high amount of free radicals may block pro- duction of adenosine triphosphate (ATP), leading to muscle pain and fatigue. Second: in the case of silent (smoldering) inflammation, the demand for more energy is elevated by 25% (167), causing a high con- sumption of ATP. In this case, NADH, L-carnitine and CoQ10 are essential for ATP synthesis. Due to the lack of ATP, the stress regulation of catecho- lamines especially norepinephrine (NE) is reduced because catabolism of NE by S-adenosylmethionine is ATP dependent (216–218). Furthermore, stress regu- lation has a high demand for folate, vitamin B6, and methylcobalamine. Genetic polymorphisms of COMT and MTHFR influence the individual need for those substances (173, 219). –Detoxification In humans, the accumulation of environmental toxi- cants has an individual profile of many different inor- ganic and organic chemicals, which make up the total body load (220). Among the inorganic substances, metals and their salts play the dominant role and might be of impor- tance to persons with EHS. Elemental mercury (Hg°) and other heavy metals such as lead (Pb) accumu- late in the brain (221), especially at chronic low dose exposure. They may have toxic effects and can induce various immune reactions (222, 223). Whereas, generally, no specific active substance exists for the detoxification of chemicals, there are two groups of substances with more specific effects that can be used for the detoxification of metals. 1. Substances with nonspecific physiological effects: Glutathione, NAC, alpha-lipoic acid, vitamin C and selenium. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 111 513 362 Belyaev et al.: EUROPAEM EMF Guideline 2015 2. Chelating agents for detoxification of metals (224–226) The most important chelating agents are: Sodium thiosulfate 10% DMPS (2,3-dimercapto-1-propanesulfonic acid) DMSA (meso-dimercaptosuccinic acid) EDTA (2,2′,2″,2″′-ethane-1,2-diyldinitrotetraacetic acid) It should be noted that these substances should be used only by those designated as experts in this particular field. –Adjuvant therapies 1. Drinking water For detoxification reasons, a higher intake of high- quality drinking water with low mineral content and no CO2 is needed. The intake quantity should range from 2.5 to 3.0 L (10–12 8-oz glasses) daily. 2. Light Most of the people in central and northern Europe are depleted of vitamin D. Sufficient natural daylight exposure during the vitamin D-producing months (spring to fall) is one important factor. At the same time, prevention of actinic damage to the skin is necessary. 3. Sauna Sauna and therapeutic hyperthermia is an adjuvant therapy for the detoxification of almost all xenobi- otics. These therapies have to be carefully used. An interaction with detoxifying drugs takes place. Sauna helps to regenerate tetrahydrobiopterin from dihyd- robiopterin, which is essential for the metabolism of catecholamines and serotonin (163). 4. Oxygen A part of persons with EHS suffer from mitochondrial dysfunction. Sufficient natural oxygen is helpful. As both hypoxia and hyperbaric oxygen can produce oxi- dative stress, hyperbaric oxygen therapy should only be performed if the persons are treated with sufficient antioxidants at the same time. 5. Exercise The optimal amount of exercise is still being debated. A person’s physical capacity should be assessed by ergometry in order to prescribe an individual exercise regime. Environmental medicine experience indicates that for sick people only low-impact aerobic exercise should be used. In general, start with a work load of 20–30 watts that often can be finished at 60–70 watts. Exercise on an ergometer allows better control of the consumption of energy compared to walking or running. No fatigue should result from exercising, at least after half an hour. 6. Sleep Sleeping disorders are very common in persons with EHS. Sleep disturbance is associated with reduced melatonin level. In the case of chronic inflammation, the activation of IDO (indolamine-2,3-dioxygenase) reduces the production of serotonin and, in turn, it also reduces melatonin levels. EMF exposure might block the parasympathetic activity while sympathetic activity persists. Concerning sleep disturbances, any therapy has to follow the pathogenic causes. Optimal sleep is necessary to save energy and to regulate the functions of the immune and neuroendocrine systems. 7. Protection from blue light Wavelengths of visible light below 500 nm are called “blue light”. Low doses of blue light can increase feel- ings of well-being, but larger amounts can be harmful to the eyes. In natural daylight, the harmful effects of “blue light” are balanced out by the regenerative effect of the red and infrared content. The escalating use of electronic light sources – such as fluorescent tubes and compact fluorescent lamps (CFL), computer screens, laptops, tablets, smartphones, and certain LED bulbs – has increased our exposure to “blue light”, which at this level is suspected of playing a role in the development of age-related macular degen- eration and circadian misalignment via melatonin suppression, which is associated with the increased risk of sleep disturbance, obesity, diabetes melli- tus, depression, ischemic heart disease, stroke, and cancer. Extended exposure to artificial “blue light” in the evening should therefore be limited. Antioxi- dants, especially melatonin (227, 228) and blue light screen filters (229–231) could be helpful. Dental medicine Dental medicine still works with toxic or immunoreactive materials, e.g. mercury, lead oxide, gold, and titanium. Environmental dental medicine demands that these mate- rials not be used (232–235). The removal of toxic dental materials must take place under maximum safety condi- tions (avoid inhalation!). The elimination of particularly heavy metals from the body might be indicated. In general Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 112 514 Belyaev et al.: EUROPAEM EMF Guideline 2015 363 terms, endoprosthetic materials should be inert with respect to immunoreactivity. Based on our current knowl- edge, zirconium dioxide seems to be a neutral material. However, mechanical abrasion of the coated surface by the dentist should be avoided. Immunotoxic metals show a similar pathophysiology with respect to oxidative stress, mitochondriopathy, and inflammation. Lifestyle coaching Lifestyle coaching may include balanced exercise, nutrition, reduction of addictive substances, change of sleeping habits, etc. and stress reduction measures (reduction of general stress and work stress), as well as methods to increase stress resistance via, e.g. autogenic training, yoga, progressive muscle relaxation, breathing techniques, meditation, tai chi, and qigong. Treatment of symptoms A well-balanced treatment of symptoms is justified until the causes have been identified and eliminated. However, it is of paramount importance to realize that the reduction of symptoms may put the person at risk for an increased environmental EMF-load, thus generating possible future, long-term health effects, including neurological damage and cancer. It is a very difficult ethical task for the physi- cian to risk such, and they must be pointed out – in an equally well-balanced way – to the patient in question. Ethically, to treat the symptoms is, of course, a very good start in the immediate sense but without a parallel envi- ronmental exposure reduction and lifestyle coaching it may prove counter-productive in the long run. For a stand- ardly trained physician this might seem a very new way of reasoning, but is the only way to a successful and ever- lasting symptom alleviation and complete clinical remedy when dealing with chronic multisystem illnesses (CMI) and EHS. References 1. Hänninen O, Knol AB, Jantunen M, Lim TA, Conrad A, et al. Environmental burden of disease in Europe: assessing nine risk factors in six countries. Environ Health Perspect 2014;122(5):439–46. 2. Bundespsychotherapeutenkammer. BPtK-Studie zur Arbeitsun- fähigkeit – Psychische Erkrankungen und Burnout [Internet]. Berlin (DE): Bundespsychotherapeutenkammer, 2012:29. Report 2012. Available from: http://www.bptk.de/uploads/ media/20120606_AU-Studie-2012.pdf. 3. Bundespsychotherapeutenkammer. BPtK-Studie zur Arbeits- und Erwerbsunfähigkeit – Psychische Erkrankungen und gesundheitsbedingte Frühverrentung [Internet]. Berlin (DE): Bundespsychotherapeutenkammer, 2013:66. Report 2013. Available from: http://www.bptk.de/uploads/media/20140128_ BPtK-Studie_zur_Arbeits-und_Erwerbsunfaehigkeit_2013_1.pdf. 4. Fritze J. Psychopharmaka-Verordnungen: Ergebnisse und Kommentare zum Arzneiverordnungsreport 2011. Psychopharmakotherapie 2011;18:245–56. 5. Bundesinstitut für Arzneimittel und Medizinprodukte. Erstmals seit 20 Jahren kein Anstieg beim Methylphenidat-Verbrauch [Internet]. Bonn (DE): Bundesinstitut für Arzneimittel und Medizinprodukte, 2014 Apr 1. Pressemitteilung Nummer 05/14; Available from: https://www.bfarm.de/SharedDocs/ Pressemitteilungen/DE/mitteil2014/pm05-2014.html. 6. Badura B, Ducki A, Schröder H, Klose J, Meyer M, editors. Fehlzeiten-Report 2012. Berlin, Heidelberg (DE): Springer Verlag, 2012:528 p. 7. OECD. Health at a Glance 2013: OECD Indicators [Internet]. Paris (FR): OECD Publishing, 2013 Nov 21. 212 p. DOI: 10.1787/health_ glance-2013-en. Available from: http://dx.DOI.org/10.1787/ health_glance-2013-en. 8. Pawankar R, Canonica GW, Holgate ST, Lockey RF, editors. WAO White book on Allergy 2011–2012 [Internet]. Milwaukee, WI (US): World Allergy Organization, 2013:228. Available from: http:// www.worldallergy.org/UserFiles/file/WAO-White-Book-on- Allergy.pdf. 9. BioInitiative Working Group, Carpenter D, Sage C, editors. BioInitiative Report: A Rationale for a Biologically- based Public Exposure Standard for Electromagnetic Fields (ELF and RF). 2007. Available from: http://www. bioinitiative.org/. 10. BioInitiative Working Group, Carpenter D, Sage C, editors. BioInitiative Report: A Rationale for a Biologically-based Public Exposure Standard for Electromagnetic Fields (ELF and RF). 2012. Available from: http://www.bioinitiative.org/. 11. Levitt B, Lai H. Biological effects from exposure to electro- magnetic radiation emitted by cell tower base stations and other antenna arrays. Environ Rev 2010;18:369–95. 12. Pall ML. Scientific evidence contradicts findings and assump- tions of Canadian Safety Panel 6: microwaves act through voltage-gated calcium channel activation to induce biological impacts at non-thermal levels, supporting a paradigm shift for microwave/lower frequency electromagnetic field action. Rev Environ Health 2015;30(2):99–116. 13. International Commission on Non-Ionizing Radiation Protec- tion. Guidelines for limiting exposure to time-varying electric, magnetic, and electromagnetic fields (up to 300 GHz). Health Physics 1998;74(4):494–522. 14. International Commission on Non-Ionizing Radiation Protection. Guidelines for limiting exposure to time-varying electric and magnetic fields (1 Hz to 100 kHz). Health Phys 2010;99(6):818–36. 15. Vecchia P. ICNIRP and international standards. London (GB): Conference EMF and Health, 2008:28. Available from: http:// archive.radiationresearch.org/conference/downloads/021145_ vecchia.pdf. 16. Panagopoulos DJ, Johansson O, Carlo GL. Evaluation of specific absorption rate as a dosimetric quantity for electromagnetic fields bioeffects. PLoS One 2013;8(6):e62663. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 113 515 364 Belyaev et al.: EUROPAEM EMF Guideline 2015 17. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Non-Ionizing Radiation, Part 1: Static and Extremely Low-Frequency (ELF) Electric and Magnetic Fields. Lyon (FR): International Agency for Research on Cancer (IARC), 2002:445. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, VOL 80. Available from: http://monographs.iarc.fr/ ENG/Monographs/vol80/. 18. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Non-Ionizing Radiation, Part 2: Radiofrequency Electro magnetic Fields. Lyon (FR): International Agency for Research on Cancer (IARC), 2013:480. IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, Vol 102. Available from: http://monographs.iarc.fr/ENG/Monographs/vol102/. 19. European Environmental Agency. Radiation risk from everyday devices assessed [Internet]. Copenhagen (DK): 2007 Sept 17. Available from: www.eea.europa.eu/highlights/radiation-risk- from-everyday-devices-assessed. 20. European Environmental Agency. Health risks from mobile phone radiation – why the experts disagree [Internet]. Copenha- gen (DK): 2011 Oct 12. Available from: http://www.eea.europa. eu/highlights/health-risks-from-mobile-phone. 21. European Environmental Agency. Late lessons from early warnings: science, precaution, innovation [Internet]. Copenhagen (DK): 2013 Jan 23. EEA Report No 1/2013. Available from: http://www.eea.europa.eu/publications/late-lessons-2. 22. EU Parliament. Report on health concerns associated with electro magnetic fields. Brussels (BE): Committee on the Environ- ment, Public Health and Food Safety of the European Parliament. Rapporteur: Frederique Ries (2008/2211(INI) [Internet]. Available from: http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-// EP//NONSGML+REPORT+A6-2009-0089+0+DOC+PDF+V0//EN. 23. EU Parliament. European Parliament resolution of 2 April 2009 on health concerns associated with electromagnetic fields [Internet]). Brussels (BE): European Parliament, 2009 Apr 2. Available from: http://www.europarl.europa.eu/ sides/getDoc.do?pubRef=-//EP//TEXT+TA+P6-TA-2009- 0216+0+DOC+XML+V0//EN. 24. Fragopoulou A, Grigoriev Y, Johansson O, Margaritis LH, Morgan L, et al. Scientific panel on electromagnetic field health risks: consensus points, recommendations, and rationales. Environ Health 2010;25(4):307–17. 25. Dämvik M, Johansson O. Health risk assessment of electro- magnetic fields: a conflict between the Precautionary Principle and environmental medicine methodology. Rev Environ Health 2010;25(4):325–33. 26. Council of Europe – Parliamentary Assembly. The potential dangers of electromagnetic fields and their effect on the envi- ronment. Resolution, Doc. 1815, Text adopted by the Standing Committee, acting on behalf of the Assembly, on 27 May 2011 [Internet]. Available from: http://assembly.coe.int/nw/xml/ XRef/Xref-XML2HTML-en.asp?fileid=17994&lang=en. 27. Dean AL, Rea WJ. American Academy of Environmental Medicine Recommendations Regarding Electromagnetic and Radiofre- quency Exposure [Internet]. Wichita, KS (US): Executive Com- mittee of the American Academy of Environmental Medicine, 2012 July 12. Available from: https://www.aaemonline.org/pdf/ AAEMEMFmedicalconditions.pdf. 28. Federal Public Service (FPS) Health, Food Chain Safety and Environment. New regulation for the sale of mobile phones as of 2014 [Internet]. Brussels (BE): Federal Public Service (FPS) Health, Food Chain Safety and Environment, 2014 Feb 07. Available from: http://health.belgium.be/eportal/19089508_ EN?fodnlang=en#.VQ6qlo6GPN6. 29. Assemblėe Nationale. PROPOSITION DE LOI relative à la sobriété, à la transparence, à l’information et à la concertation en matière d’exposition aux ondes électromagnétiques. Paris (FR): Assemblėe Nationale, France, 2015 Jan 29. Available from: http://www.assemblee-nationale.fr/14/pdf/ta/ta0468.pdf. 30. Blank M, Havas M, Kelley E, Lai H, Moskowitz JM. International EMF Scientist Appeal [Internet]. 2015 May 11. Available from: https://www.emfscientist.org/index.php/emf-scientist-appeal. 31. Wertheimer N, Leeper E. Electrical wiring configurations and childhood cancer. Am J Epidemiol 1979;109(3):273–84. 32. Robinette CD, Silverman C, Jablon S. Effects upon health of occupational exposure to microwave radiation (radar). Am J Epidemiol 1980;112:39–53. 33. Ahlbom A, Day N, Feychting M, Roman E, Skinner J, et al. A pooled analysis of magnetic fields and childhood leukaemia. Br J Cancer 2000;83(5):692–8. 34. Greenland S, Sheppard AR, Kaune WT, Poole C, Kelsh MA. A pooled analysis of magnetic fields, wire codes, and childhood leukemia. Childhood Leukemia-EMF Study Group. Epidemiology 2000;11(6):624–34. 35. Kheifets L, Ahlbom A, Crespi CM, Draper G, Hagihara J, et al. Pooled analysis of recent studies on magnetic fields and child- hood leukaemia. Br J Cancer 2010;103(7):1128–35. 36. Zhao L, Liu X, Wang C, Yan K, Lin X, et al. Magnetic fields expo- sure and childhood leukemia risk: a meta-analysis based on 11,699 cases and 13,194 controls. Leuk Res 2014;38(3):269–74. 37. Hardell L, Näsman A, Påhlson A, Hallquist A, Hansson Mild K. Use of cellular telephones and the risk for brain tumours: a case-control study. Int J Oncol 1999;15(1):113–6. 38. Coureau G, Bouvier G, Lebailly P, Fabbro-Peray P, Gruber A, et al. Mobile phone use and brain tumours in the CERENAT case-con- trol study. Occup Environ Med 2014;71(7):514–22. 39. Hardell L, Carlberg M, Soderqvist F, Mild KH. Case-control study of the association between malignant brain tumours diagnosed between 2007 and 2009 and mobile and cordless phone use. Int J Oncol 2013;43(6):1833–45. 40. Hardell L, Carlberg M, Soderqvist F, Mild KH. Pooled analysis of case-control studies on acoustic neuroma diagnosed 1997–2003 and 2007–2009 and use of mobile and cordless phones. Int J Oncol 2013;43(4):1036–44. 41. Hardell L, Carlberg M. Using the Hill viewpoints from 1965 for evaluating strengths of evidence of the risk for brain tumors associated with use of mobile and cordless phones. Rev Environ Health 2013;28:97–106. 42. Hardell L, Carlberg M. Mobile phone and cordless phone use and the risk for glioma – Analysis of pooled case-control stud- ies in Sweden, 1997–2003 and 2007–2009. Pathophysiology 2015;22(1):1–13. 43. Soffritti M, Giuliani L. ICEMS Position Paper on the Cerebral Tumor Court Case [Internet]. Rome (IT), Bolgna (IT), Chicago, IL (US): International Commission for Electromagnetic Safety, 2012 October 23. Available from: http://www.icems.eu/docs/ Sentenza_integrale_n17438_13577519.pdf?f=/c/a/2009/12/15/ MNHJ1B49KH.DTL. 44. Bak M, Dudarewicz A, Zmyślony M, Sliwinska-Kowalska M. Effects of GSM signals during exposure to event related poten- tials (ERPs). Int J Occup Med Environ Health 2010;23(2):191–9. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 114 516 Belyaev et al.: EUROPAEM EMF Guideline 2015 365 45. Maganioti AE, Hountala CD, Papageorgiou CC, Kyprianou MA, Rabavilas AD, et al. Principal component analysis of the P600 waveform: RF and gender effects. Neurosci Lett 2010;478(1): 19–23. 46. Hountala CD, Maganioti AE, Papageorgiou CC, Nanou ED, Kyprianou MA, et al. The spectral power coherence of the EEG under different EMF conditions. Neurosci Lett 2008;441(2): 188–92. 47. Croft RJ, Hamblin DL, Spong J, Wood AW, McKenzie RJ, et al. The effect of mobile phone electromagnetic fields on the alpha rhythm of human electroencephalogram. Bioelectromagnetics 2008;29(1):1–10. 48. Croft RJ, Leung S, McKenzie RJ, Loughran SP, Iskra S, et al. Effects of 2G and 3G mobile phones on human alpha rhythms: resting EEG in adolescents, young adults, and the elderly. Bioelectromagnetics 2010;31(6):434–44. 49. Leung S, Croft RJ, McKenzie RJ, Iskra S, Silber B, et al. Effects of 2G and 3G mobile phones on performance and electrophysiology in adolescents, young adults and older adults. Clin Neurophysiol 2011;122(11):2203–16. 50. Lustenberger C, Murbach M, Durr R, Schmid MR, Kuster N, et al. Stimulation of the brain with radiofrequency electromagnetic field pulses affects sleep-dependent performance improvement. Brain Stimul 2013;6(5):805–11. 51. Vecchio F, Babiloni C, Ferreri F, Curcio G, Fini R, et al. Mobile phone emission modulates interhemispheric functional coupling of EEG alpha rhythms. Eur J Neurosci 2007;25(6):1908–13. 52. Vecchio F, Buffo P, Sergio S, Iacoviello D, Rossini PM, et al. Mobile phone emission modulates event-related desynchroni- zation of α rhythms and cognitive-motor performance in healthy humans. Clin Neurophysiol 2012;123(1):121–8. 53. Tombini M, Pellegrino G, Pasqualetti P, Assenza G, Benvenga A, et al. Mobile phone emissions modulate brain excitability in patients with focal epilepsy. Brain Stimul 2013;6(3):448–54. 54. Vecchio F, Tombini M, Buffo P, Assenza G, Pellegrino G, et al. Mobile phone emission increases inter-hemispheric functional coupling of electroencephalographic alpha rhythms in epileptic patients. Int J Psychophysiol 2012;84(2):164–71. 55. Perentos N, Croft RJ, McKenzie RJ, Cvetkovic D, Cosic I. Comparison of the effects of continuous and pulsed mobile phone like RF exposure on the human EEG. Australas Phys Eng Sci Med 2007;30(4):274–80. 56. Trunk A, Stefanics G, Zentai N, Kovács-Bálint Z, Thuróczy G, et al. No effects of a single 3G UMTS mobile phone exposure on spontaneous EEG activity, ERP correlates, and automatic deviance detection. Bioelectromagnetics 2013;34(1):31–42. 57. Kleinlogel H, Dierks T, Koenig T, Lehmann H, Minder A, et al. Effects of weak mobile phone – electromagnetic fields (GSM, UMTS) on well-being and resting EEG. Bioelectromagnetics 2008;29(6):479–87. 58. Kleinlogel H, Dierks T, Koenig T, Lehmann H, Minder A, et al. Effects of weak mobile phone – electromagnetic fields (GSM, UMTS) on event related potentials and cognitive functions. Bioelectromagnetics 2008;29(6):488–97. 59. Krause CM, Pesonen M, Haarala Björnberg C, Hämäläinen H. Effects of pulsed and nuous wave 902 MHz mobile phone expo- sure on brain oscillatory activity during cognitive processing. Bioelectromagnetics 2007;28(4):296–308. 60. Inomata-Terada S, Okabe S, Arai N, Hanajima R, Terao Y, et al. Effects of high frequency electromagnetic field (EMF) emitted by mobile phones on the human motor cortex. Bioelectromagnetics 2007;28(7):553–61. 61. Hung CS, Anderson C, Horne JA, McEvoy P. Mobile phone ‘talk- mode’ signal delays EEG-determined sleep onset. Neurosci Lett 2007;421(1):82–6. 62. Regel SJ, Tinguely G, Schuderer J, Adam M, Kuster N, et al. Pulsed radio-frequency electromagnetic fields: dose-dependent effects on sleep, the sleep EEG and cognitive performance. J Sleep Res 2007;16(3):253–8. 63. Lowden A, Akerstedt T, Ingre M, Wiholm C, Hillert L, et al. Sleep after mobile phone exposure in subjects with mobile phone- related symptoms. Bioelectromagnetics 2011;32(1):4–14. 64. Schmid MR, Loughran SP, Regel SJ, Murbach M, Bratic Grunauer A, et al. Sleep EEG alterations: effects of different pulse-modulated radio frequency electromagnetic fields. J Sleep Res 2012;21(1):50–8. 65. Schmid MR, Murbach M, Lustenberger C, Maire M, Kuster N, et al. Sleep EEG alterations: effects of pulsed magnetic fields versus pulse-modulated radio frequency electromagnetic fields. J Sleep Res 2012;21(6):620–9. 66. Loughran SP, McKenzie RJ, Jackson ML, Howard ME, Croft RJ. Individual differences in the effects of mobile phone exposure on human sleep: rethinking the problem. Bioelectromagnetics 2012;33(1):86–93. 67. Fritzer G, Göder R, Friege L, Wachter J, Hansen V, et al. Effects of short- and long-term pulsed radiofrequency electromagnetic fields on night sleep and cognitive functions in healthy sub- jects. Bioelectromagnetics 2007;28(4):316–25. 68. Mohler E, Frei P, Braun-Fahrländer C, Fröhlich J, Neubauer G, et al. Effects of everyday radiofrequency electromagnetic-field exposure on sleep quality: a cross-sectional study. Radiat Res 2010;174(3):347–56. 69. Mohler E, Frei P, Fröhlich J, Braun-Fahrländer C, Röösli M, et al. Exposure to radiofrequency electromagnetic fields and sleep quality: a prospective cohort study. PLoS One 2012;7(5):e37455. 70. Nakatani-Enomoto S, Furubayashi T, Ushiyama A, Groiss SJ, Ueshima K, et al. Effects of electromagnetic fields emitted from W-CDMA-like mobile phones on sleep in humans. Bioelectromagnetics 2013;34(8):589–98. 71. Pelletier A, Delanaud S, Décima P, Thuroczy G, de Seze R, et al. Effects of chronic exposure to radiofrequency electromagnetic fields on energy balance in developing rats. Environ Sci Pollut Res Int 2013;20(5):2735–46. 72. Mohammed HS, Fahmy HM, Radwah NM, Elsayed AA. Non- thermal continuous and modulated electromagnetic radiation fields effects on sleep EEG of rats. J Adv Res 2013;4(2):181–7. 73. Belyaev I. Dependence of non-thermal biological effects of microwaves on physical and biological variables: implications for reproducibility and safety standards [Internet]. In: Giuliani L, Soffritti M, editors. Non-thermal effects and mechanisms of interaction between electromagnetic fields and living matter. Bologna (IT): Ramazzini institute, 2010. European Journal of Oncology – Library Vol. 5. pp 187–218. Available from: http:// www.icems.eu/papers.htm?f=/c/a/2009/12/15/MNHJ1B49KH. DTL. 74. Kitaoka K, Kitamura M, Aoi S, Shimizu N, Yoshizaki K. Chronic exposure to an extremely low-frequency magnetic field induces depression-like behavior and corticosterone secretion without enhancement of the hypothalamic-pituitary-adrenal axis in mice. Bioelectromagnetics 2013;34(1):43–51. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 115 517 366 Belyaev et al.: EUROPAEM EMF Guideline 2015 75. Szemerszky R, Zelena D, Barna I, Bárdos G. Stress-related endocrinological and psychopathological effects of short- and long-term 50Hz electromagnetic field exposure in rats. Brain Res Bull 2010;81(1):92–9. 76. Shin EJ, Jeong JH, Kim HJ, Jang CG, Yamada K, et al. Exposure to extremely low frequency magnetic fields enhances locomotor activity via activation of dopamine D1-like receptors in mice. J Pharmacol Sci 2007;105(4):367–71. 77. Shin EJ, Nguyen XK, Nguyen TT, Pham DT, Kim HC. Exposure to extremely low frequency magnetic fields induces fos-related antigen-immunoreactivity via activation of dopaminergic D1 receptor. Exp Neurobiol 2011;20(3):130–6. 78. Wang X, Liu Y, Lei Y, Zhou D, Fu Y, et al. Extremely low-frequency electromagnetic field exposure during chronic morphine treat- ment strengthens downregulation of dopamine D2 receptors in rat dorsal hippocampus after morphine withdrawal. Neurosci Lett 2008;433(3):178–82. 79. Ravera S, Bianco B, Cugnoli C, Panfoli I, Calzia D, et al. Sinu- soidal ELF magnetic fields affect acetylcholinesterase activity in cerebellum synaptosomal membranes. Bioelectromagnetics 2010;31(4):270–6. 80. Fournier NM, Mach QH, Whissell PD, Persinger MA. Neurodevelopmental anomalies of the hippocampus in rats exposed to weak intensity complex magnetic fields throughout gestation. Int J Dev Neurosci 2012;30(6):427–33. 81. Balassa T, Szemerszky R, Bárdos G. Effect of short-term 50 Hz electromagnetic field exposure on the behavior of rats. Acta Physiol Hung 2009;96(4):437–48. 82. Dimitrijević D, Savić T, Anđelković M, Prolić Z, Janać B. Extremely low frequency magnetic field (50 Hz, 0.5 mT) modifies fitness components and locomotor activity of Drosophila subobscura. Int J Radiat Biol 2014;90(5):337–43. 83. Janać B, Selaković V, Rauš S, Radenović L, Zrnić M, et al. Tempo- ral patterns of extremely low frequency magnetic field-induced motor behavior changes in Mongolian gerbils of different age. Int J Radiat Biol 2012;88(4):359–66. 84. Legros A, Corbacio M, Beuter A, Modolo J, Goulet D, et al. Neurophysiological and behavioral effects of a 60 Hz, 1800 µT magnetic field in humans. Eur J Appl Physiol 2012;112(5):1751–62. 85. Rauš S, Selaković V, Radenović L, Prolić Z, Janać B. Extremely low frequency magnetic field induced changes in motor behaviour of gerbils submitted to global cerebral ischemia. Behav Brain Res 2012;228(2):241–6. 86. Todorović D, Marković T, Prolić Z, Mihajlović S, Rauš S, et al. The influence of static magnetic field (50 mT) on development and motor behaviour of Tenebrio (Insecta, Coleoptera). Int J Radiat Biol 2013;89(1):44–50. 87. Che Y, Sun H, Cui Y, Zhou D, Ma Y. Effects of exposure to 50 Hz magnetic field of 1 mT on the performance of detour learning task by chicks. Brain Res Bull 2007;74(1–3):178–82. 88. Corbacio M, Brown S, Dubois S, Goulet D, Prato FS, et al. Human cognitive performance in a 3 mT power-line frequency magnetic field. Bioelectromagnetics 2011;32(8):620–33. 89. Cui Y, Ge Z, Rizak JD, Zhai C, Zhou Z, et al. Deficits in water maze performance and oxidative stress in the hippocampus and striatum induced by extremely low frequency magnetic field exposure. PLoS One 2012;7(5):e32196. 90. Duan Y, Wang Z, Zhang H, He Y, Lu R, et al. The preventive effect of lotus seedpod procyanidins on cognitive impairment and oxidative damage induced by extremely low frequency electro- magnetic field exposure. Food Funct 2013;4(8):1252–62. 91. Fu Y, Wang C, Wang J, Lei Y, Ma Y. Long-term exposure to extremely low-frequency magnetic fields impairs spatial recognition memory in mice. Clin Exp Pharmacol Physiol 2008;35(7):797–800. 92. Harakawa S, Nedachi T, Hori T, Takahashi K, Tochio K, et al. Effect of electric field in conditioned aversion response. J Vet Med Sci 2008;70(6):611–3. 93. He LH, Shi HM, Liu TT, Xu YC, Ye KP, et al. Effects of extremely low frequency magnetic field on anxiety level and spatial memory of adult rats. Chin Med J (Engl) 2011;124(20):3362–6. 94. Liu T, Wang S, He L, Ye K. Chronic exposure to low-intensity magnetic field improves acquisition and maintenance of memory. Neuroreport 2008;19(5):549–52. 95. Sun H, Che Y, Liu X, Zhou D, Miao Y, et al. Effects of prenatal exposure to a 50-Hz magnetic field on one-trial passive avoidance learning in 1-day-old chicks. Bioelectromagnetics 2010;31(2):150–5. 96. Korpinar MA, Kalkan MT, Tuncel H. The 50 Hz (10 mT) sinusoidal magnetic field: effects on stress-related behavior of rats. Bratisl Lek Listy 2012;113(9):521–4. 97. Liu T, Wang S, He L, Ye K. Anxiogenic effect of chronic exposure to extremely low frequency magnetic field in adult rats. Neurosci Lett 2008;434(1):12–7. 98. Salunke BP, Umathe SN, Chavan JG. Involvement of NMDA receptor in low-frequency magnetic field-induced anxiety in mice. Electromagn Biol Med 2014;33(4):312–26. 99. Ross ML, Koren SA, Persinger MA. Physiologically patterned weak magnetic fields applied over left frontal lobe increase acceptance of false statements as true. Electromagn Biol Med 2008;27(4):365–71. 100. Davanipour Z, Tseng CC, Lee PJ, Markides KS, Sobel E. Severe Cognitive dysfunction and occupational extremely low frequency magnetic field exposure among elderly Mexican Americans. Br J Med Med Res 2014;4(8):1641–62. 101. Stevens P. Affective response to 5 microT ELF magnetic field-induced physiological changes. Bioelectromagnetics 2007;28(2):109–14. 102. Ishay JS, Plotkin M, Volynchik S, Shaked M, Schuss Z, et al. Exposure to an additional alternating magnetic field affects comb building by worker hornets. Physiol Chem Phys Med NMR 2007;39(1):83–8. 103. Sandyk R. Reversal of cognitive impairment in an elderly Parkinsonian patient by transcranial application of picotesla electromagnetic fields. Int J Neurosci 1997;91(1–2):57–68. 104. Hallberg Ö, Johansson O. Alzheimer mortality – why does it increase so fast in sparsely populated areas? Europ Biol Bioelectromag 2005;1:225–46. 105. Huss A, Spoerri A, Egger M, Röösli M; Swiss National Cohort Study. Residence near power lines and mortality from neurodegenerative diseases: longitudinal study of the Swiss population. Am J Epidemiol 2009;169(2):167–75. 106. Frei P, Poulsen AH, Mezei G, Pedersen C, Cronberg Salem L, et al. Residential distance to high-voltage power lines and risk of neurodegenerative diseases: a Danish population-based case-control study. Am J Epidemiol 2013;177(9):970–8. 107. Zhou H, Chen G, Chen C, Yu Y, Xu Z. Association between extremely low-frequency electromagnetic fields occupations and amyotrophic lateral sclerosis: a meta-analysis. PLoS One 2012;7(11):e48354. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 116 518 Belyaev et al.: EUROPAEM EMF Guideline 2015 367 108. Vergara X, Kheifets L, Greenland S, Oksuzyan S, Cho YS, et al. Occupational exposure to extremely low-frequency magnetic fields and neurodegenerative disease: a meta-analysis. J Occup Environ Med 2013;55(2):135–46. 109. Kundi M, Hutter HP. Umwelthygienische Bewertung des Berichtes zur Bestimmung der Feldstärken niederfrequenter magnetischer Wechselfelder im Bereich der 110 kV Hochspan- nungsleitung im Siedlungsbereich der Gemeinde Kottingbrunn von Dr.-Ing. Dietrich Moldan vom 20.8.2014 [Internet]. Kot- tingbrunn (AT): Gemeinde Kottinbrunn, 2014:69–104. Available from: www.kottingbrunn.or.at/system/web/GetDocument. ashx?fileid=972861. 110. Agarwal A, Deepinder F, Sharma RK, Ranga G, Li J. Effect of cell phone usage on semen analysis in men attending infertility clinic: an observational study. Fertil Steril 2008;89(1):124–8. 111. Agarwal A, Desai NR, Makker K, Varghese A, Mouradi R, et al. Effect of radiofrequency electromagnetic waves (RF-EMF) from cellular phones on human ejaculated semen: an in vitro study. Fertil Steril 2009;92(4):1318–25. 112. Wdowiak A, Wdowiak L, Wiktor H. Evaluation of the effect of using mobile phones on male fertility. Ann Agric Environ Med 2007;14(1):169–72. 113. De Iuliis GN, Newey RJ, King BV, Aitken RJ. Mobile phone radiation induces reactive oxygen species production and DNA damage in human spermatozoa in vitro. PLoS One 2009;4(7):e6446. 114. Fejes I, Zavacki Z, Szollosi J, Koloszar Daru J, Kovacs L, et al. Is there a relationship between cell phone use and semen quality? Arch Androl 2005;51(5):385–93. 115. Aitken RJ, Bennetts LE, Sawyer D, Wiklendt AM, King BV. Impact of radio frequency electromagnetic radiation on DNA integrity in the male germline. Int J Androl 2005;28(3):171–9. 116. Aitken RJ, Koopman P, Lewis SEM. Seeds of concern. Nature 2004;432(7013):48–52. 117. Erogul O, Oztas E, Yildirim I, Kir T, Aydur E, et al. Effects of electro magnetic radiation from a cellular phone on human sperm motility: an in vitro study. Arch Med Res 2006;37(7):840–3. 118. Dasdag S. Whole-body microwave exposure emitted by cellular phones and testicular function of rats. Urol Res 1999;27(3):219–23. 119. Yan JG, Agresti M, Bruce T, Yan YH, Granlund A, et al. Effects of cellular phone emissions on sperm motility in rats. Fertil Steril 2007;88(4):957–64. 120. Otitoloju AA, Obe IA, Adewale OA, Otubanjo OA, Osunkalu VO. Preliminary study on the reduction of sperm head abnor- malities in mice, Mus musculus, exposed to radiofrequency radiations from global system for mobile communication base stations. Bull Environ Contam Toxicol 2010;84(1):51–4. 121. Behari J, Kesari KK. Effects of microwave radiations on reproductive system of male rats. Embryo Talk 2006; 1(Suppl. 1):81–5. 122. Kumar S, Behari J, Sisodia R. Impact of microwave at X-band in the aetiology of male infertility. Electromagn Biol Med 2012;31(3):223–32. 123. Panagopoulos DJ. Effect of microwave exposure on the ovarian development of Drosophila melanogaster. Cell Biochem Biophys 2012;63(2):121–32. 124. Gul A, Celebi H, Ugras S. The effects of microwaves emitted by cellular phones on ovarian follicles in rats. Arch Gynecol Obstet 2009;280(5):729–33. 125. Magras IN, Xenos TD. RF Radiation-induced changes in the prenatal development of mice. Bioelectromagnetics 1997;18(6):455–61. 126. Röösli M, Moser M, Baldinini Y, Meier M, Braun-Fahrländer C. Symptoms of ill health ascribed to electromagnetic field exposure – a questionnaire survey. Int J Hyg Environ Health 2004;207(2):141–50. 127. Kato Y, Johansson O. Reported functional impairments of electrohypersensitive Japanese: a questionnaire survey. Pathophysiology 2012;19(2):95–100. 128. Huss A, Küchenhoff J, Bircher A, Heller P, Kuster H, et al. Symptoms attributed tot he environment- a systematic interdisciplinary assessment. Int J Hyg Environ Health 2004;207(3):245–54. 129. Huss A, Küchenhoff J, Bircher A, Niederer M, Tremp J, et al. Elektromagnetische Felder und Gesundheitsbelastungen – Interdisziplinäre Fallabklärungen im Rahmen eines umweltmediznischen Beratungsprojektes. Umweltmed Forsch Prax 2005;10(1):21–8. 130. Schreier N, Huss A, Röösli M. The prevalence of symptoms attributed to electromagnetic field exposure: a cross-sectional representative survey in Switzerland. Soz Praventivmed 2006;51(4):202–9. 131. Huss A, Röösli M. Consultations in primary care for symptoms attributed to electromagnetic fields–a survey among general practitioners. BMC Public Health 2006;6:267. 132. Ausfeld-Hafter B, Manser R, Kempf D, Brändli I. Komplementärmedizin. Eine Fragebogenerhebung in sch- weizerischen Arztpraxen mit komplementärmedizinischem Diagnostik- und Therapieangebot. Studie im Auftrag vom Bundesamt für Umwelt. Universität Bern. Kollegiale Instanz für Komplementärmedizin (KIKOM) [Internet]. Bern (CH): Bundesamt für Umwelt. 2006 Oct 5. Available from: http:// www.bafu.admin.ch/elektrosmog/01095/01099/index. html?lang=de&download. 133. Leitgeb N, Schröttner J, Böhm M. Does “electromagnetic pollution” cause illness? An inquiry among Austrian general practitioners. Wien Med Wochenschr 2005;155(9–10):237–41. 134. World Health Organization. Factsheet Nr. 296, Elektromag- netische Felder und Öffentliche Gesundheit – Elektromag- netische Hypersensitivität (Elektrosensibilität) [Internet]. Genf (CH): WHO, 2005 Dec. Available from: http://www.who.int/ peh-emf/publications/facts/ehs_fs_296_german.pdf. 135. Hug K, Röösli M. Strahlung von Sendeanlagen und Gesundheit. Bewertung von wissenschaftlichen Studien im Niedrigdosis- bereich. Stand: Dezember 2012 [Internet]. Bern (CH): Bundes- amt für Umwelt, 2013. Available from: http://www.bafu.admin. ch/publikationen/publikation/01739/index.html?lang=de. 136. Genius SJ, Lipp CT. Electromagnetic hypersensitivity: fact or fiction? Sci Total Environ 2012;414:103–12. 137. Johansson O. Electrohypersensitivity: state-of-the-art of a func- tional impairment. Electromagn Biol Med 2006;25(4):245–58. 138. Johansson O. Aspects of studies on the functional impairment electrohypersensitivity. In: Proceedings of Electromagnetic Phenomena and Health – A Continuing Controversy? In: Jamie- son IA, Holdstock, editors. A one day international conference organised by the Electrostatics Group of the Institute of Phys- ics and held at the Institute of Physics, London (UK) 2008 Sept 10. IOP Conference Series: Earth and Environmental Science, IoP Publishing, Bristol/Philadelphia, Volume 10:1–7. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 117 519 368 Belyaev et al.: EUROPAEM EMF Guideline 2015 139. Abelous D. France has its first radiation-free refuge in the Drôme [Internet]. EURRE/Drôme (FR): Agence France Presse (AFP), 2009 Oct 9. Available from: http://www.next-up.org/ pdf/AFP_France_has_its_first_radiation_free_refuge_in_the_ Drome_09_10_2009.pdf. 140. Ecoforma. Mit einem schadstofffreiem Haus gegen Schlafprobleme [Internet]. Sarleinsbach (AT): Ecoforma, 2014 Sept 9. Available from: http://www.ecoforma.co.at/holzbau- ecobau-lehrbaustelle. 141. Johansson O. Elöverkänslighet samt överkänslighet mot mobiltelefoner: Resultat från en dubbel-blind provokations- studie av metodstudiekaraktär (Electrohypersensitivity and sensitivity to mobile telephones: Results from a double-blind provocation study of pilot character, in Swedish), Enheten för Experimentell Dermatologi, Karolinska Institutet, Stockholm, Rapport No. 2, 1995, ISSN 1400-6111. 142. Johansson O, Liu P-Y. “Electrosensitivity”, “electrosupersen- sitivity” and “screen dermatitis”: preliminary observations from on-going studies in the human skin. In: Simunic D, editor. Proceedings of the COST 244: Biomedical Effects of Electro- magnetic Fields – Workshop on Electromagnetic Hypersensitiv- ity. Brussels/Graz: EU/EC (DG XIII) 1995:52–57. 143. Johansson O, Gangi S, Liang Y, Yoshimura K, Jing C, et al. Cutaneous mast cells are altered in normal healthy volunteers sitting in front of ordinary TVs/PCs – results from open-field provocation experiments. J Cutan Pathol 2001;28(10):513–9. 144. Johansson O, Hilliges M, Björnhagen V, Hall K. Skin changes in patients claiming to suffer from “screen dermatitis”: a two-case open-field provocation study. Exp Dermatol 1994;3(5):234–8. 145. Belpomme D, Irigary P. Electrohypersensitivity and multiple chemical sensitivity: two clinic-biological entities of the same disorder? [Internet]. Brussels [BE]: In: Idiopathic environ- mental intolerance: what role for electromagnetic fields and chemicals? 5th Paris Appeal Congress, Royal Academy of Medi- cine, Belgium, 2015 May 18:p 34. Available from: http://www. ehs-mcs.org/fichiers/1432301961_Paris_Appeal_2015.pdf. 146. Regel SJ, Negovetic S, Röösli M, Berdiñas V, Schuderer J, et al. UMTS base station-like exposure, well-being, and cognitive performance. Environ Health Perspect 2006;114(8):1270–5. 147. Zwamborn APM, Vossen SHJA, van Leersum BJAM, Ouwens MA, Mäkel WN. Effects of Global Communication system radio-fre- quency fields on Well Being and Cognitive Functions of human subjects with and without subjective complaints. The Hague (NL): TNO Physics and Electronics Laboratory, 2003 Sept, 86 p. TNO-report FEL-03-C148. Available from: http://www.salzburg. gv.at/tno_study_2003.pdf. 148. Eltiti S, Wallace D, Ridgewell A, Zougkou K, Russo R, et al. Does short-term exposure to mobile phone base station signals increase symptoms in individuals who report sensitivity to electromagnetic fields? A double-blind randomized provoca- tion study. Environ Health Perspect 2007;115(11):1603–8. 149. McCarty DE, Carrubba S, Chesson AL, Frilot C, Gonzalez-Toledo E, et al. Electromagnetic hypersensitivity: evidence for a novel neurological syndrome. Int J Neurosci 2011;121(12):670–6. 150. Havas M, Marrongelle J, Pollner B, Kelley E, Rees CRG, et al. Provocation study using heart rate variability shows micro- wave radiation from 2.4 GHz cordless phone affects auto- nomic nervous system [Internet]. In: Giuliani L, Soffritti M, editors. Non-thermal effects and mechanisms of interaction between electromagnetic fields and living matter. Bologna (IT): Ramazzini institute, 2010. European Journal of Oncology – Library Vol. 5. pp 187–218. Available from: http://www.icems. eu/papers.htm?f=/c/a/2009/12/15/MNHJ1B49KH.DTL. 151. Havas M. Radiation from wireless technology affects the blood, the heart, and the autonomic nervous system. Rev Environ Health 2013;28(2–3):75–84. 152. Tuengler A, von Klitzing L. Hypothesis on how to measure electromagnetic hypersensitivity. Electromagn Biol Med 2013;32(3):281–90. 153. Klitzing L. Einfluss elektromagnetischer Felder auf kardiovaskuläre Erkrankungen. umwelt medizin gesellschaft 2014;27(1):17–21. 154. Santini R, Santini P, Danze JM, Le Ruz P, Seigne M. Investigation on the health of people living near mobile telephone relay stations: I/Incidence according to distance and sex. Pathol Biol (Paris) 2002;50(6):369–73. 155. Navarro EA, Segura J, Portolés M, Gómez-Perretta de Mateo C. The microwave syndrome: a preliminary study in Spain. Electromagn Biol Med 2003;22(2–3):161–9. 156. Hutter HP, Moshammer H, Wallner P, Kundi M. Subjective symptoms, sleeping problems, and cognitive performance in subjects living near mobile phone base stations. Occup Environ Med 2006;63(5):307–13. 157. Abdel-Rassoul G, El-Fateh OA, Salem MA, Michael A, Farahat F, et al. Neurobehavioral effects among inhabitants around mobile phone base stations. Neurotoxicology 2007;28(2): 434–40. 158. Blettner M, Schlehofer B, Breckenkamp J, Kowall B, Schmiedel S, et al. Mobile phone base stations and adverse health effects: phase 1 of a population-based, cross-sectional study in Germany. Occup Environ Med 2009;66(2):118–23. 159. Milham S, Stetzer D. Dirty electricity, chronic stress, neurotransmitters and disease. Electromagn Biol Med 2013;32(4):500–7. 160. Schlegel P. Elektrosensible Französin als Behinderte anerkannt [Internet]. Stuttgart (DE): Diagnose Funk, 2015 Sep 7. Available from: http://www.diagnose-funk.org/themen/mobilfunkver- sorgung/gesundheit-und-elektrosensibilitaet/elektrosensible- franzoesin-als-behinderte-anerkannt.php. 161. Friedmann J, Kraus S, Hauptmann Y, Schiff Y, Seger R. Mechanism of short-term ERK activation by electromagnetic fields at mobile phone frequencies. Biochem J 2007;405(3):559–68. 162. Simkó M. Cell type specific redox status is responsible for diverse electromagnetic field effects. Curr Med Chem 2007;14(10):1141–52. 163. Pall ML. Explaining “Unexplained Illnesses”: Disease Paradigm for Chronic Fatigue Syndrome, Multiple Chemical Sensitivity, Fibromyalgia, Post-Traumatic Stress Disorder, Gulf War Syndrome, and Others. New York, NY (US), London (GB): Harrington Park Press/Haworth Press, 2007, ISBN 978-0-7890- 2388-9. 164. Bedard K, Krause KH. The NOX Family of ROS-Generating NADPH oxidases: physiology and pathophysiology. Physiol Rev 2007;87(1):245–313. 165. Pacher P, Beckman JS, Liaudet L. Nitric oxide and peroxynitrite in health and disease. Physiol Rev 2007;87(1):315–424. 166. Desai NR, Kesari KK, Agarwal A. Pathophysiology of cell phone radiation: oxidative stress and carcinogenesis with focus on male reproductive system. Reprod Biol Endocrinol 2009;7:114. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 118 520 Belyaev et al.: EUROPAEM EMF Guideline 2015 369 167. Straub RH, Cutolo M, Buttgereit F, Pongratz G. Energy regula- tion and neuroendocrine-immune control in chronic inflamma- tory diseases. J Intern Med 2010;267(6):543–60. 168. Gye MC, Park CJ. Effect of electromagnetic field exposure on the reproductive system. Clin Exp Reprod Med 2012;39(1):1–9. 169. Yakymenko I, Tsybulin O, Sidorik E, Henshel D, Kyrylenko O, et al. Oxidative mechanisms of biological activity of low- intensity radiofrequency radiation. Electromagn Biol Med 2015;19:1–16. 170. Pall ML. Electromagnetic fields act via activation of voltage- gated calcium channels to produce beneficial or adverse effects. J Cell Mol Med 2013;17(8):958–65. 171. Pall ML. Microwave frequency electromagnetic fields (EMFs) produce widespread neuropsychiatric effects including depression. J Chem Neuroanat 2015. pii: S0891- 0618(15)00059-9. DOI: 10.1016/j.jchemneu.2015.08.001. [Epub ahead of print]. 172. Myhill S, Booth NE, McLaren-Howard J. Chronic fatigue syndrome and mitochondrial dysfunction. Int J Clin Exp Med 2009;2(1):1–16. 173. Müller KE. Stressregulation und Mitochondrienfunktion. Zs f Orthomol Med 2012;1:1–13. 174. Buchner K, Eger H. Veränderung klinisch bedeutsamer Neurotransmitter unter dem Einfluss modulierter hochfrequenter Felder – Eine Langzeiterhebung unter lebensnahen Bedingungen. umwelt medizin gesellschaft 2011;24(1):44–57. 175. Hill HU, Huber W, Müller KE. Multiple-Chemikalien-Sensitivität (MCS) – Ein Krankheitsbild der chronischen Multisystemer- krankungen, umweltmedizinische, toxikologische und sozial- politische Aspekte. Aachen (DE): Shaker-Verlag, 2010 Apr, 3rd edition, 500p. ISBN: 978-3-8322-9046-7. 176. Redmayne M, Johansson O. Could myelin damage from radiofrequency electromagnetic field exposure help explain the functional impairment electrohypersensitivity? A review of the evidence. J Toxicol Environ Health B Crit Rev 2014;17(5):247–58. 177. Von Baehr V. Rationelle Labordiagnostik bei chronisch entzündlichen Systemerkrankungen. umwelt medizin gesellschaft 2012;25(4):244–7. 178. Warnke U, Hensinger P. Steigende „Burn-out“-Inzidenz durch technisch erzeugte magnetische und elektromagnetische Felder des Mobil- und Kommunikationsfunks. umwelt-medizin- gesellschaft 2013;26(1):31–8. 179. Havas M. Dirty electricity elevates blood sugar among electrically sensitive diabetics and may explain brittle diabetes. Electromagn Biol Med 2008;27(2):135–46. 180. Steiner E, Aufdereggen B, Bhend H, Gilli Y, Kälin P, et al. Erfahrungen des Pilotprojektes „Umweltmedizinisches Bera- tungsnetz“ des Vereins Aerztinnen und Aerzte für Umwelts- chutz (AefU). Therapeutische Umschau 2013;70(12):739–45. 181. Hagström M, Auranen J, Johansson O, Ekman R. Reducing electromagnetic irradiation and fields alleviates experienced health hazards of VDU work. Pathophysiology 2012;19(2): 81–7. 182. Hagström M, Auranen J, Ekman R. Electromagnetic hypersensitive Finns: symptoms, perceived sources and treatments, a questionnaire study. Pathophysiology 2013;20(2):117–22. 183. Oberfeld G. Die Veränderung des EMF Spektrums und ihre Folgen. In: Baubiologische EMF-Messtechnik. München, Heidelberg (DE): Hüthig & Pflaum Verlag, 2012. ISBN 1438-8707. 184. Berufsverband Deutscher Baubiologen. VDB-Richtlinien, Physi- kalische Untersuchungen, Band 1: Fürth (DE): Verlag AnBUS eV, 2006. 2nd Edition. Available at: http://www.baubiologie.net/ publikationen/vdb-richtlinien.html. 185. Bundesamt für Umwelt. Orte mit empfindlicher Nutzung (OMEN) [Internet]. Bern (CH): Bundesamt für Umwelt, 2010 Mar 4. Available from: http://www.bafu.admin.ch/elektros- mog/07136/07420/index.html?lang=de. 186. Kundi M, Hutter HP. Mobile phone base stations – Effects on wellbeing and health. Pathophysiology 2009;16(2–3):123–35. 187. Molla-Djafari H, Witke J, Poinstingl G, Brezansky A, Hutter HP, et al. Leitfaden Senderbau -Vorsorgeprinzip bei Errichtung, Betrieb, Um- und Ausbau von ortsfesten Sendeanlagen. Wien (AT): Ärztinnen und Ärzte für eine gesunde Umwelt e.V. (Hrsg.), 2014 Oct. 2. Auflage, 42 p, Available from: www.aegu.net/pdf/ Leitfaden.pdf. 188. National Council on Radiation Protection and Measurements (NCRP). Draft Report of NCRP Scientific Committee 89-3 on Extremely Low Frequency Electric and Magnetic Fields [Internet]. 1995 Jun 13. Available from: http://www.salzburg. gv.at/ncrp_draft_recommendations_on_emf_exposure_ guidelines_1995.pdf. 189. Oberfeld G. Umweltverträglichkeitsgutachten für die Umweltverträglichkeitsprüfung nach UVP-G 2000 für das Vorhaben 380 kV Freileitung von St. Peter am Hart zum Umspannwerk Salzach Neu (Salzburgleitung), Befund und Gutachten Umweltmedizin (Salzburg) [Internet] Salzburg (AT): Land Salzburg, 2006, p241-360. Available from: http://www. salzburg.gv.at/salzburgleitung-uvg-endvers.pdf. 190. Baubiologie Maes/Institut für Baubiologie + Nachhaltigkeit (IBN). Baubiologische Richtwerte für Schlafbereiche (Ergänzung zum SBM-2015). Neuss, Rosenheim (DE): Baubiologie Maes, IBN., 2015 May, 3 p. Available from: http://www.maes.de/3%20 STANDARD/maes.de%20STANDARD-2015%20RICHTWERTE.PDF. 191. Virnich M. Gutachten über die messtechnische Untersuchung der Charakteristik von Funksignalen [Internet]. Salzburg (AT): Land Salzburg, 2015 Jun 26, 141 p. Available from: http://www. salzburg.gv.at/elektrosmog_und_gesundheit/technik.htm. 192. Der Schweizerische Bundesrat. Verordnung über den Schutz vor nichtionisierender Strahlung (NISV) vom 23. Dezember 1999 [Internet]. Bern (CH): Der Schweizerische Bundesrat, 2012 Jul 1. Available from: https://www.admin.ch/opc/de/ classified-compilation/19996141/index.html. 193. Zeisel L. Ein Meßverfahren zur Bestimmung der Körperbelas- tung durch das elektrische Wechselfeld bei tiefen Frequenzen. Wohnung und Gesundheit 1993;69:20. 194. Arbeitskreis Elektrobiologie eV. Available from: http://www. elektrobiologie.com/index.html. 195. Gralla F. Estimation of 50-Hz electrically vs. magnetically generated body currents in sleeping subjects. Electromagnetic Biology and Medicine Jan 1997;16(3):235–41. 196. Gustavs K. Options to inimize non-ionizing electromagnetic radiation exposures (EMF/RF/Static fields) in office environ- ments [Internet]. Victoria, BC (CA): Katharina Consulting, 2008 Nov 14. Available from: http://www.katharinaconsulting. com/s/2008_Gustavs_Low_EMF_Office_Environment.pdf. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 119 521 370 Belyaev et al.: EUROPAEM EMF Guideline 2015 197. Oberfeld G, Gutbier J. Elektrosmog im Alltag [Internet]. Stuttgart (DE): Diagnose Funk, 2013 Nov 10, 44 p. Available from: http://www.salzburg.gv.at/df_ratgeber_1.pdf. 198. Virnich M. Baubiologische EMF-Messtechnik – Grundlagen der Feldtheorie, Praxis der Feldmesstechnik. München, Heidelberg (DE): Hüthig & Pflaum Verlag, 2012. ISBN 1438-8707. 199. Pauli P, Moldan D. Reduzierung hochfrequenter Strahlung im Bauwesen: Baustoffe und Abschirmmaterialien. Fürth (DE): Hrsg. Berufsverband Deutscher Baubiologen VDB e.V., Verlag AnBUS e.V. 2015. ISBN 978-3-9814025-9-9. 200. Levy F, Wannag A, editors. Nordic Adaptation of Classification of Occupationally Related Disorders (Diseases and Symptoms) to ICD-10 [Internet]. Oslo (NO): Nordic council of ministers, 2000, 53 p. DIVS: 2000:839, ISBN: 92-893-0559-2. Available from: http://www.nordclass.se/ICD-10_Nordic%20 Occupational_2000.pdf. 201. Bansal M, Kaushal N. Oxidative stress mechanisms and their modulation. New Delhi (IN): Springer, 2014:167 p. 202. Brostoff J, Challacombe S. Food allergy and intolerance. London (GB): Ballière Tindall, 1987. 203. Andrè CM, Larondelle Y, Eners D. Dietary antioxidants and oxidative stress from a human and plant perspective, a review. Curr Nutr Food Sci 2010;6(1):2–12. 204. Bouayed J, Bohn T. Exogenous antioxidants-double edged swords in cellular redox state; health beneficial effects at physiological doses versus deleterious effects at high doses. Oxid Med Cell Longev 2010;3(4):228–37. 205. Hoffmann W, Staller B. Prävention durch richtige Ernährung. umwelt medizin gesellschaft 2012;25(2):115–7. 206. Suzuki YJ, Packer L. Inhibition of NFkB activation by vitamin E derivates. Biochem Biophys Res Commun 1993;193(1):277–83. 207. Zingg JM. Modulation of signal transduction by vitamin E. Mol Aspects Med 2007;28(5–6):481–506. 208. Yeh SL, Wang HM, Chen PY, Wu TC. Interaction of ß-Carotin and flavonoids on the secretion of inflammatory mediators in an in vitro system. Chem Biol Interact 2009;179(2–3): 386–93. 209. Cárcamo JM, Pedraza A, Bórquez-Ojeda O, Golde DW. Vitamin C suppresses TNF alpha-induced NF kappa B activation by inhibiting I kappa B alpha phosphorylation.Biochemistry 2002;41(43):12995–3002. 210. Cárcamo JM, Pedraza A, Bórquez-Ojeda O, Zhang B, Sanchez R, et al. Vitamin C is a kinase inhibitor: dehydroascorbic acid inhibits IkappaBalpha kinase beta. Mol Cell Biol 2004; 24(15):6645–52. 211. Kyaw M, Yoshizumi M, Tsuchya K, Suzaki Y, Abe S, et al. Antioxidants inhibit endothelin-1 (1-31)-induced proliferation of vascular smooth muscle cells via the inhibition of mitogen- activated protein (MAP) kinase and activator protein-1 (AP-1). Biochem Pharmacol 2002;64(10):1521–31. 212. Lubbad A, Oriowo MA, Khan I. Curcumin attenuates inflammation through inhibition of TLR-4 receptor in experimental Colitis. Mol Cell Biochem 2009;322(1–2): 127–35. 213. Woo JH, Lim JH, Kim YH, Soh SI, Min DS, et al. Resveratrol inhibits phorbol myristate acetate-induced matrix metallopro- teinase-9 expression by inhibiting JNK and PKC delta signal transduction. Oncogene 2004;23(10):1845–53. 214. Nonn L, Duong D, Pechl DM. Chemopreventive antiinflamma- tory activities of curcumin and other phytochemicals mediated by MAP kinase phosphatase-5 in prostata cells. Carcinogenesis 2007;28(6):1188–96. 215. Khan N, Mukhtar H. Multitargeted therapy of cancer by green tee polyphenols. Cancer Lett 2008;269(2):269–80. 216. Roskoski R. Biochemistry. Philadelphia, PA, USA: W.B. Saunders Company, 1996:530. 217. Devlin TM, editor. Textbook of Biochemistry with Clinical Correlations. 5th ed. New York, NY (US): Wiley-Liss, 2002. 218. Rassow J, Hauser K, Netzker, Deutzmann R. Biochemie. 2nd ed. Stuttgart (DE): Thieme, 2008:872. 219. Müller KE. Genetische Polymorphismen der Catechol-O- Methyltransferase (COMT). umwelt medizin gesellschaft 2007;20(4):282–8. 220. Rea WJ. Chemical Sensitivity, Vol. 2: Sources of Total Body Load. 1st ed. Boca Raton, FL (US): CRC Press/Lewis Publishers, 1994:569. 221. Schäfer SG, Elsenhans B, Forth W, Schümann K. Metalle. In: Marquardt H, Schäfer SG, editors. Lehrbuch der Toxikologie. Heidelberg (DE): Spektrum Akademischer Verlag, 1997:504–49. 222. Goyer RA, Cherian GM, editors. Toxicology of Metals. Berlin, Heidelberg (DE): Springer-Verlag, 1995:467. 223. Müller KE. Immuntoxikologie der Metalle. umwelt medizin gesellschaft 2004;17(4):299–301. 224. Aposian HV, Malorino RM, Gonzales-Ramirez D, Zuniga-Charles M, Xu Z, et al. Mobilization of heavy metals by newer, therapeutically useful chelating agents. Toxicology 1995;97(1–3):23–38. 225. Flora SJ, Pachauri V. Chelation in Metal Intoxication. Int J Environ Res Public Health 2010;7(7):2745–88. 226. Jennrich P. Detoxifikation von Schwermetallen. umwelt medizin gesellschaft 2012;25(4):24–7. 227. Rózanowska M, Jarvis-Evans J, Korytowski W, Boulton ME, Burke JM, Sarna T. Blue-light induced reactivity of retinal age pigment. In vitro generation of oxygen-reactive species. J Biol Chem 1995;270(32):18825–30. 228. Tolentino M, Morgan G. Popularity of electronic devices, “greener” light bulbes increases blue light exposure. Pri Care Optometry News 2012;18–9. 229. van der Lely S, Frey S, Garbazza C, Wirz-Justice A, Jenni OG, et al. Blue blocker glasses as a countermeasure for alerting effects of evening light-emitting diode screen exposure in male teenagers. J Adolesc Health 2015;56(1):113–9. 230. Narimatsu T, Negishi K, Miyake S, Hirasawa M, Osada H, et al. Blue light-induced inflammatory marker expression in the retinal pigment epithelium-choroid of mice and the protective effect of a yellow intraocular lens material in vivo. Exp Eye Res 2015;132:48–51. 231. Nishi T, Saeki K, Obayashi K, Miyata K, Tone N, et al. The effect of blue-blocking intraocular lenses on circadian biological rhythm: protocol for a randomised controlled trial (CLOCK-IOL colour study). BMJ Open 2015;5(5):e007930. 232. Mutter J, Naumann J, Schneider R, Walach H, Haley B. Mercury and autism: accelerating evidence? Neuro Endocrinol Lett 2005;26(5):439–46. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 120 522 Belyaev et al.: EUROPAEM EMF Guideline 2015 371 233. Mutter J, Naumann J, Guethlin C. Comments on the article “the toxicology of mercury and its chemical compounds” by Clarkson and Magos (2006). Crit Rev Toxicol 2007;37(6):537–49; discussion 551–2. 234. Mutter J, Curth A, Naumann J, Deth R, Walach H. Does inorganic mercury play a role in Alzheimer’s disease? A systematic review and an integrated molecular mechanism. J Alzheimers Dis 2010;22(2):357–74. 235. Geier DA, King PG, Sykes LK, Geier MR. A comprehensive review of mercury provoked autism. Indian J Med Res 2008;128(4):383–411. Supplemental Material: The online version of this article (DOI: 10.1515/reveh-2015-0033) offers supplementary material, available to authorized users. Brought to you by | Karolinska Institute Authenticated Download Date | 12/3/15 7:14 PM 121 523 PHYSICIANS STATEMENT – Exhibit 2 122 524 PRELIMINARY Clinical Practice Guidelines in the Diagnosis and Management of Electromagnetic Field Hypersensitivity (EHS) Dr. Riina Ines Bray BASc, MSc, MD, FCFP, MHSc Medical Director, Environmental Health Clinic, Women’s College Hospital Assistant Professor, Department of Family and Community Medicine and Dalla Lana School of Public Health, University of Toronto riina.bray@wchospital.ca www.womenscollegehospital.ca/care-programs/environmental-health-clinic/ October, 2020 Introduction Environmental health is the study of effects upon human beings of external physical/ electromagnetic, chemical and biological factors in air, water, soil, food and other environmental media which impact on the general population as well as genetic aberrations and psychosocial stressors.1 Environmental health is an evidence- and public- health-based discipline. The physical environment is a determinant of health and is interrelated with socioeconomic, social-justice and equity issues. The impact of the environment is an especially important part of our public health domain.2 In 2014, a systematic review of 63 studies3 revealed that despite heterogeneity, the criteria predominantly used to identify idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF) individuals were: 1.Self-report of being (hyper)sensitive to electromagnetic fields (EMF) 2.Attribution of non-specific physical symptoms (NSPS) to at least one EMF source 3.Absence of medical or psychiatric/psychological disorder capable of accounting for these symptoms 4.Symptoms should occur soon (up to 24 hours) after the individual perceives an exposure source or exposed area Electromagnetic Field Hypersensitivity (EHS) is a spectrum disorder in which there is an awareness and/or adverse response to electromagnetic fields.4 Environmental Sensitivities are recognized as a disability under the Canadian Human Rights Commission (Federal).5 Demographics EHS can occur in all age groups, genders (women are more genetically predisposed6), races and income levels. Since 2005, the physicians at the Environmental Health Clinic at Women’s College Hospital have assessed an increasing number of patients who, due to co-morbid conditions coupled with chronic 1 NEHA. Definitions of Environmental Health. https://www.neha.org/about-neha/definitions-environmental-health. 2 Electromagnetic hypersensitivity: fact or fiction? Genuis SJ. Lipp CT. Sci Total Environ. 2012; 414:103-12. 3 Idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF): A systematic review of identifying criteria. Baliatsas C. Van Kamp I. Lebret E. et al. BMC Public Health. 2012; 12(1). 4 Electrosensibility and electromagnetic hypersensitivity. Leitgeb N. Schrottner J. Bioelectromagnetics. 2003; 24(6):387-94. 5 Canadian Human Rights Commission. Environmental sensitivity and scent-free policies. https://www.chrc- ccdp.gc.ca/eng/content/policy-environmental-sensitivities. 2019. 6 Belpomme, D.; Irigaray, P. Electrohypersensitivity as a Newly Identified and Characterized Neurologic Pathological Disorder: How to Diagnose, Treat, and Prevent It. Int. J. Mol. Sci. 2020, 21, 1915. 123 525 exposures to electromagnetic fields. Patients present to the clinic after become unwell with a pattern of functional impairments, some becoming disabled, losing their jobs or becoming homeless. Prolonged and/or excessive exposures to these factors cause functional impairments in individuals, and a huge burden of suffering.7 Etiology and Pathophysiology The pathophysiology is poorly characterized. The degree of functional impairment caused by EMF exposure is dependent upon genetic polymorphisms8 that predispose the individual to a poor detoxification profile and therefore an increased total body burden (Figure 1). A poor detoxification profile can also lead to co-morbid illnesses such as Multiple Chemical Sensitivities (MCS), nervous, cardiac and immune system dysfunction which renders a person vulnerable to EMF exposures. Most commonly, patients have had prolonged chronic exposures to radiofrequency radiation, microwaves, electrical and/or magnetic fields from either wired or wireless technology. Patients can react to electric fields (measured in volts per meter), magnetic fields (measured in milligauss or nano Tesla), dirty electricity (high frequency voltage transients, which are deviations from a pure 50-60H Hz sine wave), radiofrequency radiation, microwave radiation, ground currents and electrosmog. The severity of the impact appears to depend upon the nature, dose, and timing of exposures, as well as a person’s allostatic load, which is the maximum tolerated dose for combined environmental stressors.9 Patients can be identified as having environmental sensitivities, electrical sensitivities or as being “EMF sensitive” or “EMF susceptible” rather than “hyper” in order to decrease stigmatization potential. Radiofrequency radiation can cause the following adverse biological effects:10 11 • Cerebral hypoperfusion/ hypoxia-related neuroinflammation • Histamine release causing oxidative stress in biological systems12 • Peroxidation, DNA damage, changes to antioxidant enzymes • Voltage gated calcium channel dysregulation effecting the cardiac and nervous system • Peroxynitrite formation which causes chronic inflammation, damage to mitochondrial function and structure and reduction of ATP • Reduced glutathione and CoQ10 • TRPV1 receptor activation13 14 Radiofrequency radiation and microwaves can cause thermal (heat related) or non-thermal effects. Under the non-thermal category, adverse physiological effects have been identified including DNA damage, immune system suppression, increased blood-brain barrier permeability, increased blood viscosity with rouleaux formation. 7 Johansson O. Electrohypersensitivity: a functional impairment due to an inaccessible environment. Reviews on environmental health. 2015 Dec 1;30(4):311-21. 8 De Luca C, Thai JC, Raskovic D, Cesareo E, Caccamo D, Trukhanov A, Korkina L. Metabolic and genetic screening of electromagnetic hypersensitive subjects as a feasible tool for diagnostics and intervention. Mediators Inflamm. 2014;2014:924184 9 Selye H. (1946). The general adaptation syndrome and the diseases of adaptation. The Journal of clinical endocrinology and metabolism, 6, 117–230. https://doi.org/10.1210/jcem-6-2-117 10 Martin Pall; De Luca/ Herbert and Sage 11 Belpomme, Dominique, Philippe Irigaray. “Electrohypersensitivity as a Newly Identified and Characterized Neurologic Pathological Disorder: How to Diagnose, Treat, and Prevent It” Int. J. Mol. Sci. 2020; 21,1915. 12 Yakymenko I. Oxidative mechanisms of biological activity of low-intensity radiofrequency radiation. Electromagn Bio Med. 2016;35(2):186-202 13 Ertilav K, Uslusoy F, Ataizi S, Nazıroğlu M. Long term exposure to cell phone frequencies (900 and 1800 MHz) induces apoptosis, mitochondrial oxidative stress and TRPV1 channel activation in the hippocampus and dorsal root ganglion of rats. Metab Brain Dis. 2018 Jun;33(3):753-763 14 Ghazizadeh V, Nazıroğlu M. Electromagnetic radiation (Wi-Fi) and epilepsy induce calcium entry and apoptosis through activation of TRPV1 channel in hippocampus and dorsal root ganglion of rats. Metab Brain Dis. 2014 Sep;29(3):787-99. 124 526 Figure 1: Total Toxic Load (Bray and Marshall, 2005) History The clinician is advised to: 1. Conduct a complete exposure history using the CH2OPD2 mnemonic15 16 to determine total toxic load in the form of EMF/ RFR exposure, toxic metal exposure sources (diet, water, prosthetics, implants, gadolinium), mould, and other potentially toxic chemical exposures. 15 Marshall et al, 2002 16 Bray, 2020 https://static1.squarespace.com/static/593f8894e3df288fc64b6cf0/t/598bbabdf14aa18c52a6dcce/1502329836033/Environmental+H ealth+Clinic+Pre-Visit+Questionnaire.pdf 125 527 CH2OPD2 mnemonic • Community • Home • Hobby • Occupation • Personal habits • Diet • Drugs 2. Determine specific community, work, school and home exposures to EMFs: proximity of cell phone towers, routers, DECT cordless phones, any other wireless technology. Most importantly, determine if the sleeping area is affected.17 18 A helpful mnemonic to determine the parameters of exposure is (F.I.N.D.)19 • F- frequency (Hertz) • I- intensity (Power in µW/m2) • N- nearness • D- duration 3. Have a high index of suspicion for immune deficiencies (which can, for example, lead to candida infection), gut dysbiosis and possible mast cell activation disorder (MCAS). Symptoms Commonly Occurring Singularly or in Combination: • Irritability, lack of appetite, memory problems, vertigo; visual, skin and vascular problems20 • Tinnitus, sleep disorders (disrupted stage 4 sleep with alpha wave intrusions and reduced REM21) mood changes (anxiety, depression, irritability, panic attacks)22 • Headache, weakness, pressure in the head, racing or fluttering heart23 • Dermatological: itch, pain, edema, erythema secondary to elevated transthyretin concentrations24 • Neurasthenic and vegetative symptoms: fatigue, tiredness, cognitive problems, concentration difficulties, dizziness, nausea, heart palpitations (tachycardia, PACs and PVCs), and digestive disturbances25 Etiology of Common Clinical Presentations Category I Patients can present with a toxic metal body burden, most commonly mercury, due to the overconsumption of aquatic, contaminated seafood. Methylmercury (half-life of 27 years in the brain) is neurotoxic causing axonal demyelination and inflammation. Zinc/nickel/mercury dental amalgams also release elemental mercury vapour which enters the brain through the olfactory bulb, and then is converted to methylmercury. Patients can present with cardiac and neurological manifestations. Those with metallic 17 Maes B. Standard of building biology testing methods. Inst. Building Biol.+ Sustainability IBN, Rosenheim, Germany, Tech. Rep. SBM-2008. 2008. 18 Maes B. Building Biology Evaluation Guidelines. Inst. Building Biol.+ Sustainability IBN, Rosenheim, Germany. SBM-2015. 2015. 19 Havas, M. (2014). Electrosmog and Electrosensitivity: What Doctors Need to Know to Help their Patients Heal. Anti-Aging Therapeutics Volume XV. 20 Gomez-Perretta et al. Subjective symptoms related to GSM radiation from mobile phone base stations, BMJ, 2014 21 EUROPAEM Guideline 2015 for the prevention, diagnosis and treatment of EMF-related health problems and illnesses. Belyaev I. Dean A. Eger H. Hubmann G. Jandrisovits R. et al. Rev Environ Health. 2015; 30(4):337-371. 22 Bhat, Kumar and Gupta. Effects of mobile phone and mobile phone tower radiations on human health. 2013 23 Park and Knudson. Medically Unexplained Physical Symptoms. Statistics Canada 2007 24 Johnansson O, Disturbances 2009 25 WHO, Electromagnetic Fields and Public Health, December 2005 126 528 hardware implants such Harrington rods, braces, wire meshes, pins and screws can potentially be affected. Those with excessive gadolinium from multiple contrast studies are also at risk. Other toxic metals include nickel (jewelry, cookware), lead (old water pipes), cadmium (smokers), aluminum(soy products, contaminated water, medications) and arsenic (rice, fish, almonds, well water), all of which increase total load. First Nations populations are at high risk given exposure to contaminated fish with methylmercury. Patients present with headaches (lancinating and heaviness), brain fog, fatigue and anxiety when exposed to EMFs. Category II Patients fall into this category if they suffer from infectious diseases such as Lyme disease, co-infections of Lyme, and other infections which affect the nervous system. These patients have central or peripheral nervous system vulnerability, neuroborreliosis, cerebral vasculitis, polyneuropathy, chronic encephalomyelitis and cranial neuropathy (all late manifestations of Lyme). They present with tremor, dysarthria, ataxia, extreme fatigue, headache, cognitive dysfunction, presyncope and mood disturbances. It is important to reduce body burden through detoxification in order to decrease inflammation. Oxygen therapy is useful in order to help with hypoxia from compromised cerebral blood flow to the bi-frontal cortices and temporal lobes, but provides only short, temporary relief. This may help to confirm the diagnosis, however. fMRI, SPECT, and PET scans can help further reveal pathology. Treatment of Lyme with antibiotics can potentially decrease EHS symptoms.26 Category III This category of patients suffer from lesions of the brain (including tumours such as pituitary adenomas), demyelination, microangiopathic changes, diffuse ischemia, inflammation (from neurotoxic pesticides) and neurodegenerative diseases (multiple sclerosis and ALS for example).27 Nonspecific white matter findings due to simple aging and dementia should also be considered. They present with headaches, brain fog, fatigue, restlessness and low mood, tinnitus(+/-) and potentiation of their already pre-existing signs and symptoms related to their disease. The mechanism of action is associated with the impact of EMFs on voltage gated calcium channel (VGCC) integrity, causing increases in intracellular calcium and thus increase of oxidative stress from ONOO- formation.28 Category IV These patient suffer from heart rhythm disturbances: either exacerbations of existing conditions or new onset caused by radio and microwaves.29 There are periods of poor blood circulation at the capillary level due to rouleaux formation and there is a disturbance of heart conduction because of effects on VGCC. Tachycardic spells, especially at night, can occur. People also experience premature ventricular contractions, premature atrial contractions, atrial flutter and fibrillation. Those with Wolff Parkinson White syndrome are especially at risk for sudden cardiac death due to EMF exposures.30 Conduction problems also affect the autonomic nervous system, causing increased sympathetic tone. A Holter monitor will show rhythm disturbances near cellphone towers and in areas with high Wi-Fi usage. These symptoms are very alarming to the patient and causes severe, prolonged anxiety. Sleep time can be also particularly difficult causing frequent awakenings due to hyper-vigilance with tachycardic spells or PAC/ PVCs. 26 Belpomme, Dominique, Philippe Irigaray. “Electrohypersensitivity as a Newly Identified and Characterized Neurologic Pathological Disorder: How to Diagnose, Treat, and Prevent It” Int. J. Mol. Sci. 2020; 21,1915. 27 De Luca C, Thai JC, Raskovic D, et al. Metabolic and genetic screening of electromagnetic hypersensitive subjects as a feasible tool for diagnostics and intervention. Mediators Inflamm. 2014;2014:924184. doi:10.1155/2014/924184 28 Pall, Martin L. “Wi-Fi Is an Important Threat to Human Health.” Environmental Research 164 (July 1, 2018): 405– 16. https://doi.org/10.1016/j.envres.2018.01.035 29 Havas M. Radiation from wireless technology affects the blood, the heart, and the autonomic nervous system. Reviews on Environmental Health. 2013 Nov 1;28(2-3):75-84. 30 Reversed reciprocating paroxysmal tachycardia controlled by guanethidine in a case of Wolff-Parkinson-White syndrome. Harris WE. Semler HJ. Griswold HE. American heart journal 67.6 (1964): 812-816. 127 529 Category V These patients include students and teachers. University, college, high school, and grade school students are all being exposed to high levels of radiation. They frequently work under fluorescent lights. They get eye strain, and sometimes develop rashes related to exposure of this radiation. The epidemic of anxiety, depression, and suicide at universities and colleges is in part being fuelled by the increased level of agitation and anxiety caused by radio and microwave radiation on mood. Students have extremely high levels of nighttime exposure to RFR or electric fields/ dirty electricity. Before prescribing methylphenidate or amphetamines, reducing EMFs in the workspace is critical. Category VI A minority of patients, approximately 1%, exhibit a nocebo response in which inert substances or mere suggestions of substances actually bring about negative effects, i.e. feelings of malaise and anxiety. This is understandable, given the ubiquitous nature of electrical devices in our everyday lives which is unnatural. These patients tend to feel better using wearable jewellery, stickers on cellphones, and special rocks (shungite). Category VII There are many clinical similarities and overlapping comorbid conditions between EHS and multiple chemical sensitivities (MCS) that are reflected in similar genetic polymorphism profiles. Inflammation resulting from impaired detoxification biochemical processes create illness and functional impairment.31 32 Physical Examination Do a complete physical looking for dental amalgam load, metal appliances in the mouth, rashes on the face and/or hands, signs of inflammation and edema, arrhythmias, autoimmunity. Abdomen may be tender due to peristaltic abnormalities and bacterial dysbiosis. Usually a physical exam will reveal neurological, dermatological and/or cardiac signs in the way of arrhythmia and/or poor circulation. Tremor of the tongue and hands may be indicative of mercury overload. There is no gold standard for EHS diagnosis except for elimination of the source and reintroduction/ provocation to confirm if the signs and symptoms are reproduced. Laboratory and Diagnostic Tests Studies have shown that approximately 30% of patients with EHS have no abnormal laboratory biomarkers,33 but genetic polymorphisms are likely prevalent and need further investigation. Some blood tests are expensive and not sensitive or specific but can help guide management if deficiencies or other disease states exist that must be corrected.34 The following laboratory tests will help shed light on the total toxic load and detoxification profile, and it is the combination that allows for the best management of the patient: • Essential mineral and toxic metal panel (RBC) • GGT • Bilirubin • ALP • Chromogranin A 31 De Luca C, Thai JC, Raskovic D, et al. Metabolic and genetic screening of electromagnetic hypersensitive subjects as a feasible tool for diagnostics and intervention. Mediators Inflamm. 2014;2014:924184. doi:10.1155/2014/924184 32 Belpomme, Dominique, Christine Campagnac, and Philippe Irigaray. "Reliable disease biomarkers characterizing and identifying electrohypersensitivity and multiple chemical sensitivity as two etiopathogenic aspects of a unique pathological disorder." Reviews on environmental health 30.4 (2015): 251-271. 33 Belpomme D, Irigaray P. Electrohypersensitivity as a Newly Identified and Characterized Neurologic Pathological Disorder: How to Diagnose, Treat, and Prevent It. International Journal of Molecular Sciences. 2020 Jan;21(6):1915. 34 Europaem 2015/ Oberfeld, 2016/ Belpomme, 2015 128 530 • Tryptase.35 • Vitamin D2-D3 • IgE, IgG, IgM, IgA • Inflammatory markers (ESR, hsCRP, CRP, interleukins) • Histamine • Autoimmune markers (including thyroid antibodies) • Presence of infectious diseases – screen for Lyme and co-infections (ELISA and Western blot) • Mitochondriopathy (intracellular ATP) • Oxidative stress lipid peroxidation markers • Anti-myelin-O antibodies • Nitrotyrosin (NTT) - Nitric oxide production increasing BBB permeability • Melatonin (hydroxy-melatonin sulfate – 6-OHMS) • SPEP – effects on bone marrow • Salivary cortisol • Alpha-amylase • Transthyretin • Blood sugar levels after provocation Figure 2: (Belpomme et al., 2015) To further aid in diagnosis:36 • Genetic testing to determine SNPs related to detoxification37 • Weighted MRI showing hypoperfusion in limbic system and thalamus • Ultrasonic cerebral tomosphygmography (UCTS) and Transcranial Doppler US (TDU)38 showing temporal lobe hypoperfusion due to decreased flow in the middle cerebral artery 35 Belpomme, et al, 2015 36 Havas, 2010 37 The DNA Company. https://www.thednacompany.com/ 38 Belpomme, Dominique, Philippe Irigaray. “Electrohypersensitivity as a Newly Identified and Characterized Neurologic Pathological Disorder: How to Diagnose, Treat, and Prevent It” Int. J. Mol. Sci. 2020; 21,1915. 129 531 • BP and heart rhythm monitoring for 24 hours (night-time changes) for heart rate variability and heart rate abnormalities39 • Sleep study showing abnormalities due to wireless technology in the sleep labs. Alpha wave intrusions and reduced REM sleep are the most likely finding.40 Co-Morbid Conditions 1. Toxic metal overload – mercury 2. Infectious diseases causing neural inflammation – e.g. Lyme disease 3. Toxic Mold Syndrome 4. Cardiac conduction abnormalities – PVC, PAC, atrial fibrillation 5. Neurodegenerative diseases 6. Multiple chemical Sensitivities (MCS) Management Allopathic All co-morbid conditions need to be investigated further and treated. Referrals to specialists may be required to address medial issues that may have been overlooked. Pharmacological Sleep restoration is paramount, and pharmaceuticals can be used if natural remedies are not effective. Antihistamines with sedative effects are the drug of choice. For heart palpitations and arrhythmias, especially those occurring at night, bisoprolol 1.25-2.5mg QHS helps. For sudden tachycardic spells, waves of anxiety, and sympathetic overdrive, propranolol 2.5-5mg po QID PRN is also helpful. Acetylsalicylic acid 81mg daily prevents coagulation secondary to high intensity effects due to the close proximity of routers, DECT base stations and other potent emitters and combinations thereof. A calcium channel blocker, such as diltiazem 15-30mg daily PRN, could help reduce symptoms. Gentle chelation therapy may be required if toxic metal load is too high41. Remediation Health-care providers need to encourage patients to seek help from building biologists. These technicians can assess the degree of EMF exposure a person is receiving in their home and make sensible recommendations. The impacts of cell phone towers, smart meters and hydro wires on living spaces can be determined, as well as anything internally generating EMFs. Voltage, power density and magnetic fields, as well as dirty electricity can be measured. Proximity to wind turbines which, due to poor enforcement of safety standards, emit ground currents that increase symptoms of EHS, can be identified. Advise patients to use only corded phones without any electronic features. DECT cordless phones emit RFR and need to be removed altogether. Metallic paint on interior or exterior walls can be used to reflect radiation coming in from neighbours, cell towers or other emitting devices. Any other type of shielding using metallic reflective surfaces can help attenuate the signals. Advise patients to turn off all wireless devices in the home and replace with ethernet cables or hardwire everything were possible. Smartmeter removal or shielding installed by a technician is recommended. 39 Havas M. Radiation from wireless technology affects the blood, the heart, and the autonomic nervous system. Reviews on Environmental Health. 2013 Nov 1;28(2-3):75-84. 40 Andrianome S, Hugueville L, de Seze R, Hanot‐Roy M, Blazy K, Gamez C, Selmaoui B. Disturbed sleep in individuals with idiopathic environmental intolerance attributed to electromagnetic fields (IEI‐EMF): Melatonin assessment as a biological marker. Bioelectromagnetics. 2016 Apr;37(3):175-82. 41 Sears ME. Chelation: harnessing and enhancing heavy metal detoxification—a review. The Scientific World Journal. 2013 Jan 1;2013. 130 532 Integrative A diet rich in antioxidants and low in pro-inflammatory foods is strongly recommended. Eat organic if possible. Omega-3 (balanced DHA:EPA 1:1) 1500mg daily will help with inflammation and neural health. Vitamin D3 is also neuroprotective and should be taken at a dose of at least 4000IU per day. Electrolytic imbalances for whatever reason (i.e. low K+, Na+, Cl-, etc.) need to be corrected with oral rehydration solutions. To manage adrenal fatigue, adaptogen herbs and mindfulness based stress reduction (MBSR) can be useful. Homeopathic treatments are useful for those with chemical sensitivities. Enhance Natural Detoxification to Reduce Body Burden • Natural detoxification strategies include: sauna therapies (depuration), MBSR, balanced diet, supplements, exercise. • To decrease body burden of oxidative stress (peroxynitrite ONOO-) or methylmercury take antioxidants: vitamins E and C, glutathione, alpha-lipoic acid, N-acetyl-cystine, B vitamin complex, zinc, resveratrol, CoQ10, selenium, turmeric. A high fibre diet (especially in the form of bran) will assist with elimination of methylmercury. • Correct any dental work with toxic or immunoreactive materials such as mercury, lead oxide, gold or titanium and replace with zirconium dioxide, porcelain or composite. • Mercury amalgams (mercury (50%), silver (~22–32%), tin (~14%), copper (~8%)) need to be removed using proper protocol. 42 43 Fasting is not recommended due to the possibility of already existing poor nutritional status thus inadequate supplies of vitamins, minerals and other antioxidant substrates in their body.44 Food sensitivities/intolerances must be addressed. Lifestyle Tell patients to hold the cell phone away from their heads when in use and keep it in airplane mode when not in use. The Bluetooth, data and Wi-Fi functions should be off if they are not being used. Extended videogaming and high electronic equipment use can exacerbate symptoms and must be curtailed. Laptop use in wireless mode needs to be switched to ethernet cable connectivity to decrease exposure. Clothing (including the lining of hats) made of cotton fabric with copper or silver weave provides relief during travel at airports, in hotels, etc., when shielding the torso and head. This can reduce palpitations and headaches. Blankets/sheets with similar construction can be used to block out in-coming radiation into habitable spaces during travel or at work. A Faraday cage (canopy) can be used at night to reduce radiation on the body which can seriously interfere with sleep quality. For sleep, herbal remedies and supplements are helpful. Magnesium bisglycinate 100mg po QHS, increasing by 100mg weekly to bowel tolerance, can help with palpitations and shock sensations. Grounding practices are important to balance out the electron shifts. This should not be done under hydro wires, where magnetic fields are extraordinarily strong. There will be a depletion of electrons. The aim is to replenish lost electrons. Therefore, placing one’s bare feet on a special grounding mat, walking barefoot on grass and sand or in lake shallows, pools or a bath tub can help. Grounding can be important to balance out the electrons and replenish the electrons that have been depleted from the body. Airpods and other wireless earpieces should not be used due to the proximity and intensity of the radiation to the brain. 42 De Luca, 2014 43 Institute for Functional Medicine. Textbook of Functional Medicine. 2010. 44 Institute for Functional Medicine. Textbook of Functional Medicine. 2010. 131 533 Remove all harmful substances used in personal care products, cleaning and other household products, as well as unnecessary medications. Psychological Finally, patients need a lot of psychosocial support in dealing with and removing stress triggers. Mindfulness Based Stress Reduction, and CBT can be useful to decrease sympathetic nervous system overdrive. Connecting with support groups such C4ST, EPIC, WEEP and Electrosensitive Society, all of which are Canadian based, can decrease social isolation. Advocacy for Public Health Protection • Accommodation at work, school or any learning institution should be supported thereby respecting a person’s right to work and live in a space that is free of any potentially harmful EMF exposure impacting on their biopsychosocialspiritual well-being. • Students should be given letters/notes informing teachers of the need to be at a maximal distance from routers and that laptops need ethernet access. • People must be able to exercise their rights to refuse harm from EMFs which may be impacting them, their children and loved ones or their fetus/embryo, if that be the situation. Each person, should know exactly how much and what sort of radiation is impacting on their bodies.45 46 • Recommendations presented in the HESA report to the House of Commons – Radiofrequency Electromagnetic Radiation and the Health of Canadians, 2010 and 2015 – can be used for guidance in community events. • Ontario wide, mandatory physician surveys, of how many patients they see in their roster who complain of possible EMF-related signs and symptoms, should be implemented. • Validated screening tools need to be developed through further research studies. • Physician education through CME is critical. References Andrianome S, Hugueville L, de Seze R, Hanot‐Roy M, Blazy K, Gamez C, Selmaoui B. Disturbed sleep in individuals with idiopathic environmental intolerance attributed to electromagnetic fields (IEI‐EMF): Melatonin assessment as a biological marker. Bioelectromagnetics. 2016 Apr;37(3):175-82. Baliatsas C, Van Kamp I, Lebret E, et al. Idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF): A systematic review of identifying criteria. BMC Public Health. 2012;12(1). Belpomme, Dominique, Christine Campagnac, and Philippe Irigaray. "Reliable disease biomarkers characterizing and identifying electrohypersensitivity and multiple chemical sensitivity as two etiopathogenic aspects of a unique pathological disorder." Reviews on environmental health 30.4 (2015): 251-271. Belpomme D, Irigaray P. Electrohypersensitivity as a Newly Identified and Characterized Neurologic Pathological Disorder: How to Diagnose, Treat, and Prevent It. International Journal of Molecular Sciences. 2020 Jan;21(6):1915. 45 Right to Know, CCOHS https://www.ccohs.ca/oshanswers/legisl/responsi.html 46 Government of Canada. Guide for Assessing Persons with Disabilities - How to determine and implement assessment accommodations - Environmental Sensitivities. https://www.canada.ca/en/public-service-commission/services/public-service-hiring- guides/guide-assessing-persons-disabilities/guide-assessing-persons-disabilities/guide-assessing-persons-disabilities-determine- implement-assessment-accommodations-environmental-sensitivities.html. 2007. 132 534 Bhat, Kumar and Gupta. Effects of mobile phone and mobile phone tower radiations on human health. 2013 Bray RI, Fancy DH. Clinical Practice Guidelines for EHS - Proceedings of a Symposium of the Impacts of Wireless Technology on Health. Environmental Health Clinic, Women’s College Hospital, University of Toronto. October, 2020. Bray RI, Marshall LM Total Toxic Load. Teaching Tool. Canadian Human Rights Commission. Environmental sensitivity and scent-free policies. https://www.chrc-ccdp.gc.ca/eng/content/policy-environmental-sensitivities. 2019. De Luca C, Thai JC, Raskovic D, et al. Metabolic and genetic screening of electromagnetic hypersensitive subjects as a feasible tool for diagnostics and intervention. Mediators Inflamm. 2014;2014:924184. doi:10.1155/2014/924184 The DNA Company. https://www.thednacompany.com/ EUROPAEM Guideline 2015 for the prevention, diagnosis and treatment of EMF-related health problems and illnesses. Belyaev I. Dean A. Eger H. Hubmann G. Jandrisovits R. et al. Rev Environ Health. 2015; 30(4):337-371. Genuis SJ, Lipp CT. Electromagnetic hypersensitivity: fact or fiction? Sci Total Environ. 2012;414:103- 12. Gomez-Perretta et al. Subjective symptoms related to GSM radiation from mobile phone base stations, BMJ, 2014 Government of Canada. Guide for Assessing Persons with Disabilities - How to determine and implement assessment accommodations - Environmental Sensitivities. https://www.canada.ca/en/public-service-commission/services/public-service-hiring-guides/guide- assessing-persons-disabilities/guide-assessing-persons-disabilities/guide-assessing-persons- disabilities-determine-implement-assessment-accommodations-environmental-sensitivities.html. 2007. Hallberg Ö, Oberfeld G. Letter to the editor: will we all become electrosensitive?. Electromagnetic Biology and Medicine. 2006 Jan 1;25(3):189-91. Harris, W. E., Herbert J. Semler, and Herbert E. Griswold. "Reversed reciprocating paroxysmal tachycardia controlled by guanethidine in a case of Wolff-Parkinson-White syndrome." American heart journal 67.6 (1964): 812-816. Havas, M. (2014). Electrosmog and Electrosensitivity: What Doctors Need to Know to Help their Patients Heal. Anti-Aging Therapeutics Volume XV. Havas M. Radiation from wireless technology affects the blood, the heart, and the autonomic nervous system. Reviews on Environmental Health. 2013 Nov 1;28(2-3):75-84. Institute for Functional Medicine. Textbook of Functional Medicine. 2010. Johansson O. Disturbance of the immune system by electromagnetic fields—A potentially underlying cause for cellular damage and tissue repair reduction which could lead to disease and impairment. Volume 16. Issue 2-3. August 2009. 133 535 Johansson O. Electrohypersensitivity: a functional impairment due to an inaccessible environment. Reviews on environmental health. 2015 Dec 1;30(4):311-21. Johansson O. Electrohypersensitivity: state-of-the-art of a functional impairment. Electromagnetic biology and medicine. 2006 Jan 1;25(4):245-58. Leitgeb N, Schrottner J. Electrosensibility and electromagnetic hypersensitivity. Bioelectromagnetics. 2003;24(6):387-94. Maes B. Building Biology Evaluation Guidelines. Inst. Building Biol.+ Sustainability IBN, Rosenheim, Germany. SBM-2015. 2015. Maes B. Standard of building biology testing methods. Inst. Building Biol.+ Sustainability IBN, Rosenheim, Germany, Tech. Rep. SBM-2008. 2008. Marshall LM, Bray RI Assessment Questionnaire and Exposure History https://static1.squarespace.com/static/593f8894e3df288fc64b6cf0/t/598bbabdf14aa18c52a6dcce/1502329 836033/Environmental+Health+Clinic+Pre-Visit+Questionnaire.pdf Marshall L, Weir E, Abelsohn A, Sanborn MD. Identifying and managing adverse environmental health effects: 1. Taking an exposure history. Cmaj. 2002 Apr 16;166(8):1049-55. NEHA. Definitions of Environmental Health. https://www.neha.org/about-neha/definitions- environmental-health. Pall ML. How to approach the challenge of minimizing non-thermal health effects of microwave radiation from electrical devices. Int. J. Innov. Res Eng. Manag (IJIREM). 2015 Sep;2(5):71-6. Pall ML. Microwave frequency electromagnetic fields (EMFs) produce widespread neuropsychiatric effects including depression. Journal of Chemical Neuroanatomy. 2016 Sep 1;75:43-51. Pall ML. Wi-Fi is an important threat to human health. Environmental research. 2018 Jul 1;164:405-16. Park and Knudson. Medically Unexplained Physical Symptoms. Statistics Canada 2007 Rea WJ. Chemical Sensitivity. Vol 1. Boca Raton. Lewis Publishers. 1992. Right to Know, CCOHS https://www.ccohs.ca/oshanswers/legisl/responsi.html Sanborn M, Grierson L, Upshur R, Marshall L, Vakil C, Griffith L, Scott F, Benusic M, Cole D. Family medicine residents’ knowledge of, attitudes toward, and clinical practices related to environmental health: Multi-program survey. Canadian Family Physician. 2019 Jun 1;65(6):e269-77. Sears ME. Chelation: harnessing and enhancing heavy metal detoxification—a review. The Scientific World Journal. 2013 Jan 1;2013. Canadian Human Rights Commission. Environmental sensitivity and scent-free policies. https://www.chrc-ccdp.gc.ca/eng/content/policy-environmental-sensitivities. 2019. Selye H. (1946). The general adaptation syndrome and the diseases of adaptation. The Journal of clinical endocrinology and metabolism, 6, 117–230. https://doi.org/10.1210/jcem-6-2-117 134 536 Stein Y, Udassin IG. Electromagnetic hypersensitivity (EHS, microwave syndrome)–Review of mechanisms. Environmental Research. 2020 Mar 30:109445. Tran MT, Arendt-Nielsen L, Kupers R, Elberling J. Multiple chemical sensitivity: on the scent of central sensitization. International journal of hygiene and environmental health. 2013 Mar 1;216(2):202-10. WHO, Electromagnetic Fields and Public Health, December 2005 https://static1.squarespace.com/static/593f8894e3df288fc64b6cf0/t/598bbabdf14aa18c52a6dcce/1502329 836033/Environmental+Health+Clinic+Pre-Visit+Questionnaire.pdf Peer Reviewers: Dr. John Molot, Dr. Kathleen Kerr, Dr. Sarah Selke, Dr. Jennifer Swales, 135 537 SCIENTISTS STATEMENT 136 538 IN THE SUPREME COURT OF PENNSYLVANIA MIDDLE DISTRICT RE: No. 34 MAP 2021, Povacz, M, et al. v. PUC Associated Case(s): 35 MAP 2021 Consolidated 36 MAP 2021 Consolidated 37 MAP 2021 Consolidated 38 MAP 2021 Consolidated 39 MAP 2021 Consolidated 40 MAP 2021 Consolidated 41 MAP 2021 Consolidated 42 MAP 2021 Consolidated 43 MAP 2021 Consolidated 44 MAP 2021 Consolidated 45 MAP 2021 Consolidated SCIENTISTS’ STATEMENT RF/EMF & SMART METERS HARM THE EFFECTS OF PULSED RADIOFREQUENCY AND ELECTROMAGNETIC RADIATION EMISSIONS OF SMART METERS; ESPECIALLY AS IT PERTAINS TO THOSE ADVERSELY AFFECTED General Statement We, the undersigned scientists, have cumulatively published hundreds of peer-reviewed papers on biological effects of pulsed electromagnetic fields (EMFs) and radiofrequency (RF) radiation and reviewed thousands more. For all of us the study of the effects of pulsed RF/EMFs is one of our main areas of study; for some, it is the main one. (A short bio for each of the undersigned is attached.) 137 539 We are filing this statement to clarify the state of the current science regarding RF/EMF-based wireless technology adverse health effect and to explain why smart meters can be harmful, at least to some people. Pulsed RF/EMF-based wireless technology harms are not hypothetical. They are scientifically established, and a significant number of people have already been seriously injured. Therefore, we cannot stand by and allow the science to be misrepresented, especially in a case of such importance involving public safety, where lives are at stake, the harms are irreparable, and people are injured and could die. RF Basics 1. Wireless technology uses electromagnetic waves to carry information.1 A wave “frequency” is the number of wave cycles per second. Each cycle per second equals a “Hertz” (“Hz”).2 Example: A 60 Hz frequency used for home electricity has 60 wave cycles per second. The smart meter antenna that 1 An electromagnetic field (EMF”) is created by electric and magnetic components emitted by moving charges and propagated through “waves” at the speed of light. The interaction between the electric and magnetic fields “radiates” energy (“radiation”). The electromagnetic spectrum is divided into classes: Extremely Low Frequencies (ELFs), radio frequencies (microwaves are a subgroup of RFs), infrared, visible light, ultraviolet, X-rays and gamma rays. RFs have a wave-cycle between 3 kilohertz and 300 gigahertz 2 1,000 Hz is a kilohertz (“KHz”). 1,000,000 Hz is a megahertz (“MHz”). 1,000,000,000 Hz is a gigahertz (“GHz”). 138 540 transmits the usage data uses frequencies around 900 MHz, or about 900 million wave cycles per second. 2. The Radio-Frequency (“RF”) “signal” is the “carrier wave.” But communications require carrier wave manipulation to “encode” the data. Two main techniques are used: “pulsation” and “modulation.” Modulation places additional “mini”-waves on the RF. Pulsation injects “bursts” or turns the signal on/off. Different technologies have their own protocols or “code.” Two devices using the same code can “communicate” and exchange information. 3. Smart meters operate in the same way. They contain an RF antenna that wirelessly transmits the usage data to the utility company. The antenna’s carrier wave is around 900 MHz, but the data usage is transferred by modulating the carrier wave. Furthermore, the communications occur every few seconds, so the transmissions alternate between “silent” and “active.” This leads to an intensely pulsed signal that has a jarring “on/off” effect on the body. 4. RFs emit “non-ionizing” radiation. Non-ionizing radiation does not have sufficient energy to directly pull electrons from atoms and molecules to create “ionization.” The FCC guidelines assume that non-ionizing radiation is not harmful, unless it has high intensity power that causes tissue to heat as it absorbs the radiated energy. This is called the “thermal effect.” The FCC’s regulations 139 541 acknowledge only thermal effects. Considering many thousands of studies have proven non-thermal effects, this assumption cannot be defended. CHD v. FCC and FCC Admission of Harm 5. On August 13, 2021, in a case amici Children’s Health Defense brought against the FCC, the US Court of Appeals for the DC Circuit ruled that the FCC failed to adequately consider and address the scientific and medical evidence showing that its 1996 thermally-based guidelines do not sufficiently protect the public. The Court held the FCC did not fully consider non-thermal harms other than cancer effects, and as a result failed to engage in reasoned decision making.3 6. The FCC will have a hard time sticking to its current “no non-thermal harm” construct on remand since it recently admitted there are neurological harms from RF exposures, at least in the range between 3 Hz and 10 MHz.4 The FCC noted “[a]dverse neural stimulation effects …such as perception of tingling, shock, pain, or altered behavior due to excitation of tissue in the body’s peripheral nervous system.” It also admitted that these harms occur instantaneously, which 3 Envtl. Health Tr., et al v. FCC, Nos. 20-1025, 20-1138, 2021 U.S. App. LEXIS 24138 (D.C. Cir. Aug. 13, 2021). 4 Proposed Changes in the Commission’s Rule Regarding Human Exposure to Radiofrequency Electromagnetic Fields; Reassessment of Federal Communication Commission Radiofrequency Exposure Limits and Policies, ¶¶122-124 & nn. 322- 335, 34 FCC Rcd 11687, 11743-11745 (2019). 140 542 means the FCC’s current method of averaging exposure levels over 30 minutes – which completely obscures pulsation effects – is entirely inappropriate.5 The Scientific Consensus of Non-Thermal Harms 7. Some of the scientists who signed below published the evidence presented in the DC Circuit court case, including the BioInitiative Report (BioInitiative).6 The Bioinitiative is the most comprehensive scientific review on the biological and health effects of Electromagnetic Fields (EMF) and RF-based wireless technology by independent scientists (those with no conflict of interests). The Bioinitiative concluded that bioeffects are established and can occur within minutes of exposure to even very low levels of RF, including those emitted by smart meters. With chronic exposures the biological effects can become adverse effects and result in illness.7 8. Humans are bioelectrical beings. Our bodies use internally-generated non-thermal EMFs to function. Our physiology is dependent on very sensitive bioelectric systems, especially the heart, brain, nervous system, and intercellular 5 The Engineer’s Report attached to the amicus brief reveals that smart meters pulse RF frequencies within this range (3 kHz – 50 KHz). The utility’s evidence below relied in part on the FCC’s 30-minute averaging as the basis to deny any negative pulsation effects. 6 https://bioinitiative.org/participants/. 7 https://bioinitiative.org/conclusions/. 141 543 communication.8 As the FCC stated in its admission, externally generated EMF interferes with humans’ internal electrical communications system, and evokes internal biological responses. These responses have nothing to do with power level or tissue heating. The direct effect of pulsed RF/EMFs on humans’ physiology are indisputable. 9. A 2011 National Institutes of Health (“NIH”) study9 is sufficient by itself to destroy any denial of RF biological effects. Brain scans of 47 human participants revealed that pulsed non-thermal RF radiation induced biological brain glucose metabolism changes in every subject. See image below. 8 https://childrenshealthdefense.org/wp-content/uploads/rf-martin-blank.pdf. 9 https://pubmed.ncbi.nlm.nih.gov/21343580/. 142 544 10. Denial of biological effects of RF/EMFs cannot co-exist with the fact that physicians routinely use FDA-approved, non-thermal pulsed EMF devices to treat diseases, bone fractures10 and chronic pain,11 or that RF/EMF is used to treat cancer.12 11. The only question is whether the biological responses can be adverse. Numerous studies show indisputable evidence of adverse responses to pulsed RF/EMF exposure on various bodily functions, especially when the RF exposure is chronic and pulsed (like the exposure to smart meters). 12. Biological and even positive effects can become adverse effects. RF signals affect living tissue and stimulate biochemical and bioelectrical changes, which can generate biological effects which then, with chronic exposure, can become adverse effects and cause various symptoms and may lead to sickness.13 A good example of this mixed effect comes from the immune system: “short-term exposure… may temporarily stimulate certain humoral or cellular immune functions, while prolonged irradiation inhibits the same functions.”14 10 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3441225/. 11 https://www.accessdata.fda.gov/cdrh_docs/pdf19/K190251.pdf “the application of electromagnetic energy to non-thermally treat pain.” 12 https://childrenshealthdefense.org/wp-content/uploads/rf-medical-treat- cancer.pdf. 13https://bioinitiative.org/conclusions/. 14 https://www.sciencedirect.com/science/article/abs/pii/S0048969713003276. 143 545 Scientific Consensus 13. Numerous scientists,15 doctors, and medical and scientific organizations from the US and around the world have warned of the negative non- thermal effects of RF/EMF and the growing sickness it has been causing. They include the EMF Scientist organization (250 scientists who combined published over 2,000 peer-reviewed papers on the effects of RF/EMF);16 the American Academy of Pediatrics; 17 the Austrian Medical Association;18 and doctors’ appeals from the US;19 Belgium;20 and Germany.21 In 2021, close to 200 physicians participated in a medical conference about RF/EMF effects, for which they received medical continuing education credits.22 15 https://childrenshealthdefense.org/wp-content/uploads/rf-2017-expert-letters- compilation.pdf. 16https://www.emfscientist.org;https://ecfsapi.fcc.gov/file/10916233196437/Interna tional_EMF_Scientist-Appeal%208-25-2019.pdf. 17 https://childrenshealthdefense.org/wp-content/uploads/rf-2013-american- academy-of-pediatrics.pdf. 18 https://childrenshealthdefense.org/wp-content/uploads/rf-2011-austrian-medical- association-guidelines.pdf. 19 Baby Safe Project: https://www.babysafeproject.org/joint-statement. 20 Appeal of 539 Belgium Doctors: https://en.hippocrates-electrosmog- appeal.be/medical. 21 Appeal of 1,000 German doctors http://freiburger-appell- 2012.info/media/International_Doctors_Appeal_2012_Nov.pdf. 22 https://emfconference2021.com/faculty/. 144 546 14. A California Medical Association resolution23 concludes that the peer- reviewed research demonstrates wireless RF/EMF adverse effects, including “single and double stranded DNA breaks, creation of reactive oxygen species, immune dysfunction, cognitive processing effects, stress protein synthesis in the brain, altered brain development, sleep and memory disturbances, ADHD, abnormal behavior, sperm dysfunction, and brain tumors.” 15. Causal mechanisms of harms have been established. Oxidative Stress is one such mechanism. Over 90% of studies on RF and oxidative stress24, 25 have established that indeed exposure to RF/EMFs induces an increase in free radicals, and chronic exposure causes oxidative stress which leads to several adverse health effects: disease, dysfunction, including electro-sensitivity, cancer, and DNA damage. 16. Even though RF does not have the energy to directly break chemical bonds (the way ionizing radiation does), there is strong scientific evidence that this energy can indirectly cause DNA damage.26 Dr. Ron Melnick PhD, a retired 23 https://childrenshealthdefense.org/wp-content/uploads/rf-2014-ca-medical- association-resolution.pdf. 24 https://bioinitiative.org/wp-content/uploads/2020/09/3-RFR-Free-Radical- Oxidative-Damage-Abstracts-2020.pdf. 25 https://childrenshealthdefense.org/wp-content/uploads/rf-2015-yakymenko- oxidative-stress.pdf. 26 https://bioinitiative.org/wp-content/uploads/2020/09/10.-Comet-Assay-Studies- Percent-Comparison-2020.pdf. 145 547 National Institute of Environmental Health Science (NIEHS) scientist, was the Senior Toxicologist and Director of Special Programs in the National Toxicology Program (NTP).27 He stated that the old notion that non-ionizing RF cannot break DNA “should [be] put to rest.”28 17. Many thousands of studies, including US government and military studies and reports, show the biological and adverse effects of pulsed RF/EMFs.29 In 2014 the US Department of Interior concluded that the FCC’s thermally-based guidelines are “nearly 30 years out of date and inapplicable today.”30 18. The clear majority of studies show adverse effects.31 For example, 244 of the 335 total studies (73%) published on neurological effects of RF Radiation between 2007 and 2020 found effects.32 Of the 261 total studies on RF radiation 27 https://emfconference2021.com/speaker/ronald-l-melnick-phd/. 28 https://microwavenews.com/news-center/ntp-comet-assay. 29 Navy report includes 2,300 studies. Pages 10-14 list the RF effects found. https://childrenshealthdefense.org/wp-content/uploads/rf-1971-navy-2300- studies.pdf; Air-Force: https://electroplague.files.wordpress.com/2014/09/rf- microwave-radiation-biological-effects-rome-labs.pdf; NASA https://www.orsaa.org/uploads/6/7/7/9/67791943/_____nasa_emf_field_interaction s_-_observed_effects___theories_1981.pdf. 30https://drive.google.com/file/d/1XqbMLFUkVNUZIB5AFJAjr6KWqL6vK8ud/vi ew. 31 https://bioinitiative.org/research-summaries/. 32 https://bioinitiative.org/wp-content/uploads/2020/10/13-Neurological-Effects- Studies-Percent-Comparison-2020.pdf. 146 548 and oxidative stress, 240 (91%) show effects.33 224 of 346 total studies (65%) show DNA damage. See image below.34, 35 19. The evidence is getting even stronger. Since 2016, when the evidentiary record in this case was generated, hundreds more published peer- reviewed studies, including by the US government, have established RF/EMF effects.36 33 https://bioinitiative.org/wp-content/uploads/2020/09/9.-Free-Radical-Studies- Percent-Comparison-2020.pdf. 34 https://bioinitiative.org/wp-content/uploads/2020/09/11-Genetics-Percent- Graphic-Sept-1-2020.pdf. 35 https://bioinitiative.org/wp-content/uploads/2020/09/10.-Comet-Assay-Studies- Percent-Comparison-2020.pdf. 36Abstract of over 700 papers (positive and negative published 2016-2019) https://childrenshealthdefense.org/wp-content/uploads/rf-jmm-2016-2019- studies.pdf; US Government NTP DNA Study https://onlinelibrary.wiley.com/doi/full/10.1002/em.22343. 147 549 20. For example, in 2021 the Swiss government expert advisory group on electromagnetic fields and non-ionizing radiation, BERENIS,37 evaluated the scientific literature on non-thermal RF/EMF.38 The committee published a preliminary paper which concludes that exposure could cause or worsen several chronic illnesses, and that children, the elderly and people with immune deficiencies or diseases are especially at risk. It also acknowledged that oxidative stress is the underlying causal mechanism of harm. 21. In 2019, the New-Hampshire (NH) legislature voted unanimously to establish a committee to learn the effects of 5G and wireless radiation. The committee included scientists, public representatives, and representatives of the wireless industry (through CTIA, the wireless industry lobby association). After a year of hearing experts on both sides and reviewing the science, in October 2020, the committee’s report was published. It concluded that wireless radiation non- thermal harms are established. The committee recognized Electro-sensitivity and the right for accommodation of those who suffer and emphasized the need to 37 https://www.bafu.admin.ch/bafu/en/home/topics/electrosmog/newsletter-of-the- swiss-expert-group-on-electromagnetic-fields-a/beratende-expertengruppe-nis- berenis.html. 38https://childrenshealthdefense.org/wp-content/uploads/rf-swiss-berenis-2021- report.pdf. 148 550 educate doctors. NH is the only state in the US that has conducted an independent full-scale investigation as to the harms of these technologies. 22. Former senior experts from government agencies responsible for this issue are also part of the consensus on non-thermal harms. In addition to Dr. Melnick, they also include: Dr. Linda Birnbaum, the former director (2009-2019) of the National Institute of Environmental and Health Sciences (NIEHS); 39 Dr. Christopher Portier, 40 former director of the National Center for Environment Health at the Centers for Disease Control and Prevention (CDC), who also carried various senior positions in the NIEHS, including Associate Director of the National Toxicology Program (NTP). He wrote: “Most scientists consider non- thermal effects as well established;”41, Dr. Carl Blackman,42 a biophysicist who worked as a research scientist for the EPA from 1970 until his recent retirement. Dr. Blackman’s research on RF/EMF resulted in several discoveries including 39 https://childrenshealthdefense.org/wp-content/uploads/sandri-birnbaum-amicus- motion-and-brief-correct-final-8-6-2020.pdf#page=20. 40 https://www.iarc.who.int/wp-content/uploads/2018/07/PORTIER_Bio.pdf; https://pubmed.ncbi.nlm.nih.gov/27656641/. 41 https://childrenshealthdefense.org/wp-content/uploads/rf-2016-portier- consensus.pdf#page=1. 42 http://www.icems.eu/docs/Bios_Blackman.pdf. 149 551 multiple pulsation effects43 and treatment using RF/EMF.44 He is part of the BioInitiative Working Group and wrote the 2007 Report’s section on pulsation and modulation;45 Dr. Alan Frey,46 a US navy funded scientist was the first to show non-thermal auditory effects and blood-brain barrier leakage. His studies tie pulsation to the aggravating effects of RF signals. Electro-Sensitivity 23. Electro-sensitivity is the earliest reported and likely the most direct manifestation of RF/EMF-induced sickness. The condition, described by the appearance of mostly neurological symptoms caused by RF/EMF exposure, has been documented in the scientific literature for many decades, including by many US government and military studies and reports.47 Many hundreds of studies 43 https://www.emfanalysis.com/wp-content/uploads/2015/06/blackman- modulation-2009.pdf. 44 https://pubmed.ncbi.nlm.nih.gov/28930547/. 45 https://bioinitiative.org/wp- content/uploads/pdfs/sec15_2007_Modulation_Blackman.pdf. 46 https://www.cellphonetaskforce.org/the-work-of-allan-h-frey/. 47 https://childrenshealthdefense.org/rf-1971-navy-2300-studies/; https://electroplague.files.wordpress.com/2014/09/rf-microwave-radiation- biological-effects-rome-labs.pdf; https://www.orsaa.org/uploads/6/7/7/9/67791943/_____nasa_emf_field_interaction s_-_observed_effects___theories_1981.pdf. 150 552 confirm the neurological effects and other symptoms48 reported by those who suffer from the condition, and they have identified a genetic predisposition.49 24. The understanding of etiology, mechanisms and underlying injuries involved with this condition has significantly progressed since 2016. New diagnosis guidelines by leading EMF scientists and medical doctors have been developed and published 50,51 There are more known biomarkers for diagnosis.52 25. Professor Beatrice Golomb, MD PhD was to the first to show compelling evidence in a 2018 paper that the “mystery illness” (aka “Havana Syndrome”) suffered by some US diplomats in Cuba and China was likely caused by pulsed RF/EMF.53 She concluded that the diplomats suffer from Electro- sensitivity, which she refers to as Microwave Illness.54 48https://childrenshealthdefense.org/wp-content/uploads/rf-2018-neurological-lai- book-chapter.pdf. 49 https://pubmed.ncbi.nlm.nih.gov/24812443/. 50 https://www.degruyter.com/document/doi/10.1515/reveh-2016-0011/html. 51https://www.womenscollegehospital.ca/assets/pdf/environmental/Preliminary%2 0Clinical%20Guidelines%20%20for%20EHS.pdf. 52 https://emf-experts.news/wp-content/uploads/2020/09/Belpomme- EHSdiagnosis-Study2020.pdf. 53 https://pubmed.ncbi.nlm.nih.gov/30183509/. 54 “Microwave” is a subclass of RF, and generally comprises frequencies between 300 MHz and 300 GHz. From an FCC nomenclature perspective, the “microwave” portion is anything above 890 MHz. 151 553 26. The US State Department asked the National Academy of Sciences, Engineering and Medicine (NAS) to analyze and provide input on the diplomats’ “mystery illness.” Prof. Golomb was invited to present to the committee.55 In December 2020, The NAS report was published. 56 It concluded that many of the observed symptoms are consistent with the scientific literature on the effects of pulsed RF exposure, and that it is likely the cause of the diplomats’ sickness. 27. Not all the diplomats became ill, only some, similar to Electro- sensitivity in the general population. Human physiology varies, and as with other stressors, some people get sick sooner than others or at lower levels of exposure than others, and some will never become ill. 28. Prof. Golomb’s paper shows Electro-sensitivity can occur as the byproduct of wireless technology, whether the result of an intentional assault through a pulsed RF/EMF weapon or by commercial wireless technology. The harm caused by these weapons comes primarily from the pulsation, not the intensity of the RF/EMF. Indeed, it would be possible for RF/EMF weapons to operate entirely within FCC guidelines and still cause harm from pulsation. Pulsation is also a driver of the harm flowing from commercial RF/EMF-emitting 55 https://childrenshealthdefense.org/wp-content/uploads/rf-2018-golomb- diplomats-3.pdf; https://childrenshealthdefense.org/wp-content/uploads/rf-nas- golumb-email.pdf. 56 https://www.nap.edu/read/25889/chapter/1. 152 554 technology, including smart meters. Nevertheless, FCC rules regarding wireless technology ignore their effects. 29. Electro-sensitivity is not a mere “sensitivity.” Studies have shown that the symptoms indicate severe physiological injuries associated with exposure to RF/EMF.57 30. A 2017 functional MRI study observed brain injury in persons with Electro-sensitivity. 58 The scans for each of the 10 subjects had similar abnormalities, all resembling those flowing from traumatic brain injury. The diplomats had the same abnormalities. This injury indicates impaired blood flow in certain regions of the brain. 57 https://pubmed.ncbi.nlm.nih.gov/26613326/. 58 https://pubmed.ncbi.nlm.nih.gov/28678737/. 153 555 31. A 202059 and a 201560 papers confirm the blood flow effects and show additional injuries. They are based on a study of 700 people with electro-sensitivity showing the subjects suffered from permeability of the blood-brain barrier, depressed melatonin levels, oxidative stress and aggravated auto-immune response. These effects were shown to be connected to RF exposure61. In CHD’s case against the FCC, the court specifically mentioned that the FCC failed to respond to the evidence showing these effects.62 32. Those who want to propagate this technology have consistently generated perceived “controversy” as a method to deny Electro-sensitivity. They do so by funding negative subjective-perception provocation studies so they can claim that it is psychological or fear-induced (the “nocebo effect”). These studies suffer from numerous fatal design flaws.63 33. The most ironic design flaw in these studies is that they do not control for the nocebo effect, which is a prerequisite to the validity of any provocation 59 https://emf-experts.news/wp-content/uploads/2020/09/Belpomme- EHSdiagnosis-Study2020.pdf. 60 https://pubmed.ncbi.nlm.nih.gov/26613326/. 61 https://bioinitiative.org/wp- content/uploads/pdfs/sec01_2012_summary_for_public.pdf#page=10; https://bioinitiative.org/table-of-contents/. 62 Envtl. Health Tr. v. FCC, Nos. 20-1025, 20-1138, 2021 U.S. App. LEXIS 24138, at *12-*16 (D.C. Cir. Aug. 13, 2021). 63 Many of those provocation studies were heavily funded by mobile phone carriers and led by James Rubin PhD, a psychologist (not EMF expert). 154 556 study. Then they conclude that the symptoms are likely a result of a nocebo effect.64 34. Another primary flaw in these studies is the illogical assumption that all people with Electro-sensitivity should be able to immediately “detect” when the RF signal is on/off. But those affected do not typically “sense” radiation. They develop symptoms that take time to appear and subside. There are many other flaws. Nevertheless, properly conducted studies without predetermined agenda show that some sufferers can detect the signal.65 35. Subjective-perception provocation studies are considered the worst science because they can be easily manipulated.66 Industry uses these studies to produce the required results to divert attention from hundreds of high-quality peer- reviewed credible studies that do not depend on subjective-perception and confirm the symptoms people develop, the corresponding physiological injuries and established causal mechanisms.67, 68 64 https://www.bmj.com/content/bmj/332/7546/886.full.pdf. 65 For example, a large scale study by the Dutch government, known as the TNO study: https://childrenshealthdefense.org/wp-content/uploads/rf-electrosensitivity- provocation-tno.pdf. 66 https://ecfsapi.fcc.gov/file/7520940903.pdf#page=25. 67 https://childrenshealthdefense.org/rf-2018-Golomb-Diplomats-2/#page=9. 68https://childrenshealthdefense.org/rf-2014-electrosensitivity-dr-blythe/. 155 557 36. It is important to emphasize that while widely quoted and used to deny Electro- sensitivity, subjective-provocation studies are not used to diagnose any condition and are definitely “not suitable to disprove causality.”69 A person’s inability to detect the pathogen that causes the reaction does not mean the individual is unaffected by the pathogen. “Human RF-detector” is not a mandatory symptom for Electro-sensitivity. Smart Meters’ Effects 37. Beyond individual predisposition, the appearance of adverse effects can depend on signal intensity, exposure duration; specific frequencies involved; exposure to multiple frequencies and sources which create high exposure variability; on-off pulsation and sharp “peaks and valleys.” 38. Expert smart meter testing indicates there are three primary RF exposure issues.70, 71, 72,73 First, the RF antennas within the meter send usage data and communicate with other meters and smart devices. They wirelessly emit 69 https://childrenshealthdefense.org/wp-content/uploads/rf-2016-europaem- guidelines.pdf #page=11. 70 https://childrenshealthdefense.org/wp-content/uploads/pa-amicus-sage-smart- meters.pdf. 71 https://childrenshealthdefense.org/wp-content/uploads/rf-pa-amicus-engineer- expert-erik-anderson-report.pdf. 72 https://childrenshealthdefense.org/wp-content/uploads/pa-amicus-isotrope.pdf. 73 https://childrenshealthdefense.org/wp-content/uploads/pa-amicus-bathgate-pa- smart-meters.pdf. 156 558 intensely pulsed RF/EMF. Second, these antennas’ RF emissions also conduct over the home electric wiring,74 transforming the entire house into a “repeater” antenna. 39. Finally, the switch mode power supply (SMPS) creates RF frequencies as a byproduct of the AC/DC conversion process. The traditional analog meters used for decades do not have SMPS and do not create these emissions. SMPS-generated emissions are typically in the range of 2-150 KHz. They enter the house’s electric wiring and then radiate RF in various parts of the house. Digital meters also use SMPS; therefore, they too create RF frequencies, even though they do not have transmitting RF antennas. 40. As noted, the FCC admitted there are neurological effects from non- thermal RF emissions75 and its admission applies to frequencies in the kilohertz range created by the SMPS. The symptoms the FCC recites are similar to those reported by those who assert adverse effects from smart meters including tingling, shock, pain, or altered behavior due to excitation of tissue in the body’s peripheral nervous system.76 The FCC explained that the presence of these frequencies outside the body induce “internal electric fields” within the human body. 74 https://childrenshealthdefense.org/wp-content/uploads/pa-amicus-isotrope.pdf. 75 Proposed Changes in the Commission’s Rule Regarding Human Exposure to Radiofrequency Electromagnetic Fields; Reassessment of Federal Communication Commission Radiofrequency Exposure Limits and Policies, ¶¶122-124 & nn. 322- 335, 34 FCC Rcd 11687, 11743-11745 (2019). 76 FN. 328, p.58. 157 559 41. A single smart meter antenna can emit up to 190,000 short but intense RF pulses (bursts/spikes) each day to transmit the usage data to the utility. These bursts can be two and a half times above the FCC’s limits, if you do not apply the 30-minute “averaging” used in the FCC testing. The D.C. Circuit questioned77 this averaging and the FCC proposes to abandon it, at least in part.78 Depending on how close the meter is to occupied space within a home, a smart meter can cause very high intensity RF/EMF exposures. 42. People in proximity to a smart meter are at risk of significantly high aggregate whole-body exposure to RF/EMF. This is especially true regarding people living near multiple meters mounted together in an apartment complex or those who have a utility collector meter installed on their home which relays RF signals of up to 5,000 homes.79 The cumulative 24/7 exposure is never measured but undoubtedly harmful, at least to some. 43. Studies have consistently shown that the pulsing is a major element in the creation and/or aggravation of effects from RF exposure. It is possibly more 77 Envtl. Health Tr. v. FCC, Nos. 20-1025, 20-1138, 2021 U.S. App. LEXIS 24138, at *12 (D.C. Cir. Aug. 13, 2021). 78 Proposed Changes in the Commission’s Rule Regarding Human Exposure to Radiofrequency Electromagnetic Fields; Reassessment of Federal Communication Commission Radiofrequency Exposure Limits and Policies, ¶¶122-124 & nn. 322- 335, 34 FCC Rcd 11687, 11743-11745 (2019). 79 https://childrenshealthdefense.org/pa-amicus-sage-smart-meters/#page=3. 158 560 important than the radiation levels.80 EMF-based medical treatments, for example, recognize the higher bio-active nature of pulsation; they purposefully pulse the signal to obtain a higher biological response. 44. The effects of continuous exposure and the on/off pulsation effects were shown in a 2011 study.81 The study tested a physician with Electro- sensitivity. She developed temporal pain, headache, muscle twitching, and skipped heartbeats within 100 seconds after each signal exposure. The study showed that the symptoms appeared in response to the on-off pulsing of the signal rather than the presence of a continuous EMF field or its intensity. “EMF hypersensitivity can occur as a bona fide environmentally inducible neurological syndrome.” 45. The energy emitted by the RF antennas and from the operation of the SMPS enters the wiring system through “high variability” spikes in various RF frequencies. This has an on/off effect on the body. Studies have shown that the body is especially sensitive to “high variability” emissions.82 80 https://bioinitiative.org/wp- content/uploads/pdfs/sec15_2007_Modulation_Blackman.pdf; https://bioinitiative.org/wp- content/uploads/pdfs/sec15_2012_Evidence_Disruption_Modulation.pdf. 81https://www.stopumts.nl/pdf/McCarty%20Marino%202011%20EMF%20ES%20 &%20neurological%20syndrome%20Int%20J%20Neurosci%20July.pdf. 82https://childrenshealthdefense.org/wp-content/uploads/rf-2015-Panagopoulos- variability-effects.pdf. 159 561 Conclusion 46. Anyone who claims smart meters cannot produce the symptoms described by the customers is ignorant of the FCC’s recent admission. They either do not understand or are misrepresenting the science on biological and adverse effects from pulsed RF/EMF. Many have reported getting ill following the installation of these smart meters. Considering the way smart meters operate and the multitude of complex emissions they create, it is no wonder. Forcing these meters on people who have become affected by RF/EMF is unconscionable. Those with Electro-sensitivity and others who are affected by RF/EMF must be allowed to secure analog meters because it is the only type of meter that does not cause or worsen their condition. Respectfully Submitted, Scientists Statement Signatories Professor David O. Carpenter, MD, Professor of Environmental Health Sciences, and Director, Institute for Health and the Environment at the University of Albany, a collaborating center for the World Health Organization (WHO). Dr. Carpenter is a Harvard trained public health expert who focuses on the study of environmental causes of human disease with expertise in electrophysiology, low-frequency electromagnetic field and radiofrequency (RF) radiation bioeffects. He was Chairman of the Neurobiology Department of 160 562 Armed Forces Radiobiology Research Institute at the Defense Nuclear Agency in Washington DC; the Director of Wadsworth Center for Laboratories and Research of the New York State Department of Health; and Executive Secretary of the NY State Power Line Project regarding health effects associated with exposure to EMFs. After the project concluded, he became spokesperson for NY state on all matters associated with EMFs. He is the Co-Editor of the BioInitiative: A Rationale for a Biologically-based Public Exposure Standard for Electromagnetic Fields. Dr. Carpenter has authored more than 400 scientific papers. Professor Igor Belyaev, DSc, Head, Department of Radiobiology; Cancer Research Institute, Biomedical Research Center, Slovak Republic. He has an MSc. Degree in Radiation Physics and Dosimetry; PhD in Radiobiology; and DSc. degree in Genetics. He was an Associate Professor of Toxicological Genetics at the Stockholm University, Sweden, as well as a senior research scientist and group leader in the departments of Radiobiology, Molecular Genome Research, Genetic and Cellular Toxicology, Genetics, Toxicology and Microbiology. He is now or formerly a member of: The Working Group of the International EMF Project of the World Health Organization; the Working Group for the evaluation of RF carcinogenicity of the International Agency on Research in Cancer (IARC); the Swedish National Committee for Radio- Science; the Russian National Committee on Non-Ionizing Radiation Protection; the EMF Working Group of the European Academy for Environmental Medicine (EUROPAEM). He serves as Associate Editor for the International Journal of Radiation Biology and on the Editorial Board of Electromagnetic Biology and Medicine. He published over 100 scientific papers and was awarded by the Bioelectromagnetics Society for the most influential 161 563 paper in Bioelectromagnetics 2006-2010. He is a member of the BioInitiative Working Group and authored the BioInitiative’s 2012 Section on the effects of Pulsation and Modulation. Professor Beatrice Golomb, MD, PhD, Professor of Medicine at the University of California, San Diego. She also leads a research group which focuses on the relation of oxidative stress and mitochondrial function to health, aging, behavior, illness, environmental and medication effects, nutrition, and bioenergetics. She served as a primary care doctor of veteran patients for over 15 years. She is known for her work on Gulf War Illness, statins and placebos and for her 2018 paper “Diplomats’ Mystery Illness and Pulsed Radiofrequency/Microwave Radiation” which concludes, “Reported facts appear consistent with pulsed RF/MW as the source of injury in affected diplomats.” She was invited to present to the National Academy of Sciences about these findings. She has published 136 scientific papers. Professor Reba Goodman, PhD, Professor Emeritus in Clinical Pathology at Columbia University. Dr. Goodman received an MA and a PhD in Developmental Genetics from Columbia University. She has authored a great many studies, including at least 76 studies on effects of electromagnetic fields. Early on, in her paper in Science entitled “Pulsed electromagnetic fields induce cellular transcription,” (1983), she showed how even weak, pulsing electromagnetic fields could modify biological processes. Professor Lennart Hardell, MD, PhD, is a retired Professor of Oncology and Cancer Epidemiology, from Örebro University Hospital in Sweden. Dr. Hardell continues his work through his involvement with the Environment and Cancer Research Foundation. His research focus has been the environmental 162 564 risk factors for cancer. Prof. Hardell has been awarded several scientific prizes for his research. In recent decades his research focused on the effects of RFR exposure, especially on mobile phones and the risk of brain tumours. The research by the Hardell group influenced IARC’s 2011 classification of radiofrequency radiation as a possible 2B carcinogen. Dr. Hardell was also a member of IARC’s evaluating group. He has published more than 350 peer- reviewed scientific papers, including many on the biological effects of electromagnetic radiation. Professor Paul Héroux, PhD, Director of the Occupational Health Program, Faculty of Medicine, McGill University, Canada. Dr. Heroux is a toxicologist with a PhD in Physics. He teaches courses at McGill University about the adverse health effects of EMFs. He has published 42 scientific papers, 27 of them on the effects of EMFs. He also authored several text books. His most recent paper is “Adverse health effects of 5G mobile networking technology under real-life conditions.” (Toxicol. Let 2020). He is a member of the BioInitiative Working Group and was a member of the committee appointed by the New Hampshire legislature to review the effects of 5g and wireless technologies. Professor Olle Johansson, PhD, retired associate professor at the Karolinska Institute, Department of Neuroscience, and head of The Experimental Dermatology Unit from the Karolinska Institute, and the Royal Institute of Technology, Stockholm, Sweden. He has published more than 800 papers, conference reports, book chapters, commentaries, and debate articles. His main focus was basic and applied neuroscience. Starting in 1977, his research focused on the adverse health and biological effects of man-made pulsed RF- 163 565 based wireless technologies. He has published more than 330 papers in that field, many with a focus on the effects on the skin. Professor Anthony B. Miller, MD, CM, FRCP, FRCP(C), Professor Emeritus, Dalla Lana School of Public Health, University of Toronto. He was the Director, Epidemiology Unit, National Cancer Institute of Canada; Professor, and Chair of the Department of Preventive Medicine and Biostatistics, University of Toronto; Special Expert in the Division of Cancer Prevention, US National Cancer Institute; Senior Epidemiologist, International Agency for Research on Cancer; Head, Division of Epidemiology, German Cancer Research Centre; Associate Director Research, Dalla Lana School of Public Health, University of Toronto. In 2019 he was elected a Member of the Order of Canada for his work on Cancer Control. He has published 354 peer-reviewed papers. In the past few years he has focused on RF/EMF effects. He has published six papers on the topic of RF/EMF and has presented in many conferences on this issue. Professor Martin Pall, PhD, Professor Emeritus of Biochemistry and Basic Medical Sciences at Washington State University. Dr. Pall is a published and widely cited scientist on the biological effects of electromagnetic fields and speaks internationally on this topic. His expertise includes how RF/EMF impacts the electrical systems in our bodies with a focus on the VGCC injury mechanism. He published seven papers showing that pulsed RF/EMF interferes with the operation of the voltage-gated calcium channel, a sensor that is responsible for the entry of calcium into our cells. 164 566 Alfonso Balmori, BSc, M.S.Ed, is a world renowned biologist, with a master in environmental education. He has published more than 50 scientific papers published in peer-reviewed journals on environment, ecology, and biodiversity conservation issues. He is known worldwide for his work on the effects of electromagnetic RF radiation on animals and plants, mainly on the effects of cell towers. His papers were quoted in the US Department of the Interior 2014 letter concluding that cell towers harm migratory birds and that the FCC guidelines are 30 years out of date. This letter was referenced by the Court in the Remand Guidelines decision. Professor Kent Chamberlin, PhD, Past Chair and Professor Emeritus, Department of Electrical and Computer Engineering, University of New Hampshire. The focus of his research has been Computational Electromagnetics. He also investigated the interaction of electromagnetic fields and the human body, which resulted in seven publications. He was appointed by the Chancellor to the New Hampshire Commission to Study the Environmental and Health Effects of Evolving 5G Technology, which concluded that 5G and pulsed RF-based wireless technologies are harmful to health. Dr. Priyanka Bandara, PhD, is a scientist with a PhD in Biochemistry and Molecular Genetics. She served as senior manager of a research team and a clinical team at Westmead Children’s Hospital, Australia. She then became involved in environmental health and disease prevention. Her current focus is the impact of pulsed RF-based wireless technologies on health. Dr. Bandara has published 13 papers on the effects of electromagnetic radiation in international scientific journals, and has presented at major conferences and academic institutions. She serves as Associate Editor of the Journal of the Australasian 165 567 College of Nutritional and Environmental Medicine and as peer-reviewer for several international medical journals. Dr. Frédéric Greco, MD, is a practitioner in the neuro-intensive care unit at the University Hospital of Montpellier, France, and teaches at the university’s Faculty of Medicine. He is a member of the working group set up by the French government's health department to implement national recommendations for the medical care of electrosensitive people. He is the principal investigator of the ongoing clinical study "Migraine in Electrohypersensitive Patients." Dr. Yael Stein, MD, is head of the Electromagnetic Radiation Research Clinic at Hadassah Medical Center, Jerusalem, Israel, focusing on electro-sensitivity diagnosis and treatment. She is a certified Anesthesiologist at Hadassah Medical Center and researcher at the Hebrew University Medical School. She also specializes in Pain Medicine and is currently completing an MPH at the Hebrew University School of Public Health. She has extensive experience in research on the health effects of electromagnetic fields on humans from the epidemiologic and biological/medical points of view, and has worked in this field since 2007. Cindy Sage, MA, is an environmental sciences consultant and researcher on electromagnetic fields and radiofrequency radiation. She is the founder of the international BioInitiative Working Group, and the co-editor of the BioInitiative Reports (2007 and 2012). Ms. Sage has provided expert testimony and scientific testimony on non-ionizing radiation to the Federal Communications Commission, the US Food and Drug Administration, the California Public Utility Commission, the European Commission’s Directorate of Public Health - Scientific Committee on Emerging and Newly Identified Health Risks 166 568 (SCENIHR). She has advised numerous state and federal agencies on wireless health risks, smart meter emissions and safety limit inadequacies. She has published 24 peer-reviewed papers on the evidence of health risks from electromagnetic fields and radiofrequency radiation, and she studies the effects of smart meters. Dr. Cindy Russell, MD, is a surgeon and Executive Director of Physicians for Safe Technology. Since 1995, she has been a member of the Santa Clara County Medical Association Environmental Health Committee. Dr. Russell has published several peer-reviewed papers on the impacts of wireless technology on human health and the environment with hundreds of scientific references. Her focus continues to be disease prevention and environmental health through toxics reduction. Dr. Mary Redmayne, PhD, is a researcher, educator and consultant with Adjunct Research Fellowships at Victoria University of Wellington and at Monash University, Melbourne. Her research interests and experience include children’s use of wireless devices and their effect on health and well-being. She has many peer-reviewed papers, with at least 22 on health and electromagnetic fields and RF radiation. She lectures on these issues both in New Zealand and internationally. Dr. Redmayne is a Participating Member of Standards Australia Committee on Human Exposure to Electromagnetic Fields, a technical committee responsible for standards settings. She is a scientific advisor for the Oceania Radiofrequency Scientific Advisory Association, and for the Building Biology and Ecology Institute, NZ. 167 569 ENGINEER REPORT 168 570 IN THE SUPREME COURT OF PENNSYLVANIA MIDDLE DISTRICT RE: No. 34 MAP 2021, Povacz, M, et al. v. PUC Associated Case(s): 35 MAP 2021 Consolidated 36 MAP 2021 Consolidated 37 MAP 2021 Consolidated 38 MAP 2021 Consolidated 39 MAP 2021 Consolidated 40 MAP 2021 Consolidated 41 MAP 2021 Consolidated 42 MAP 2021 Consolidated 43 MAP 2021 Consolidated 44 MAP 2021 Consolidated 45 MAP 2021 Consolidated Engineer Report – Smart Meters Operation & RF Emissions Purpose of Statement 1. My name is Erik S. Anderson, P.E. I am a forensic electrical engineer working on root cause failure analysis of matters that cause loss of property, personal injury, and loss of life. 2. I am submitting my expert opinion regarding the operation of smart meters and digital meters and in support of the amici. 169 571 Credentials 3. I am the president of an engineering firm that offers professional engineering and investigation services across the United States and manufactures current transformers.83 4. It is my expert opinion that these smart and digital meters cause a significant amount of radio-frequency (RF) “noise” on homes’ electric wiring system, thereby transforming them into a whole house antenna. 5. I have a Bachelor’s of Science degree from North Dakota State University, Fargo, North Dakota, in Electrical and Electronic Engineering. I am a licensed Professional Engineer in the states of Minnesota, Illinois, Arizona, Wisconsin, Indiana, Iowa, New Mexico, Texas, Louisiana, California, Kentucky, Michigan, and Nevada. I am a licensed Class A Master Electrician in the state of Minnesota. I also hold a Private Investigator License in Arizona and I am a Certified Fire and Explosion Investigator. 6. I have 30 years of experience as a forensic engineer. I have over 20 years of experience of design and manufacture of current transformers. I have been involved in many thousands of matters concerned with determining the root cause of failures of electrical devices that may have caused a loss of property, personal injury, or loss of life. I have given expert witness testimony in approximately 113 83 https://www.aenpi.com/ 170 572 separate matters. I personally have tested smart meters and given expert testimony regarding their operation and emissions. My curriculum vitae is attached (Exhibit 1). 7. As a designer and manufacturer of transformers, their operation is one of my main areas of expertise. Switch Mode Power Supply modules used by smart and digital meters are merely another type of transformers. I have investigated the involvement of the operation of the Switch Mode Power Supply in these meters and their involvement in the creation of radio frequency (RF) emissions.84 8. My expert determination principally relies on my own smart meter testing. I do also rely on reviews by other experts, their’ testing reports and my professional education and vast experience. Smart Meter Operation 9. Smart meters create intense exposure to pulsed radio frequencies (RF) in a few ways. RF antennas are embedded within the smart meter to transmit data usage to utility companies and/or to communicate with other smart meters or with other “smart” devices like home thermostats. These antennas emit pulsed RF radiation. The various radiofrequencies emitted by these antennas also conduct through the home electric wiring. RF “wire conducted” frequencies come also 84 An explanation of what are radio frequencies and about the electromagnetic spectrum can be found in the scientists’ statements which is also attached to the amicus brief as well as in the amicus brief itself. 171 573 from the conversion process from alternating current (AC) to direct current (DC) handled by the Switch Mode Power Supply (SMPS).85 Non-transmitting digital meters also use SMPS, and therefore they too create RF, even though they do not contain a transmitting RF antenna for communications. These radio frequencies are transmitted on the residence’s electrical distribution system and conduct over the internal wiring, thereby turning the home into a whole-house antenna. RF Emissions from the Transmitting Antennas 10. The RF antennas that wirelessly transmit the consumer’s electrical power usage data to the utility company use frequencies in the 900 MHz & 2,400 MHz range. These emissions are intense and can occur often, up to 190,000 times a day.86 From my experience and testing done by others, these meters transmit more times than the electric companies report. This can easily be shown by measuring the emissions with a simple RF meter. 11. “Isotrope Wireless,”87 which provides industry and municipalities with design, specification, evaluation, and construction support for wireless facilities, tested smart meters in three houses.88 This testing showed that RF emission from the smart meters’ transmitting antennas could be detected 85 In some meters the conversion is done using capacitators instead of SMPS. 86 https://childrenshealthdefense.org/pa-amicus-sage-smart-meters/. 87 https://www.isotrope.im/about-2/. 88 https://childrenshealthdefense.org/pa-amicus-isotrope/. 172 574 throughout the house and were “well above” the ambient RF radiation levels.89 These pulsed RF emissions exceed the absolute energy output limits90 stated in Federal Communications Commission (FCC) guidelines (if the emissions are not averaged over a 30-minute exposure as prescribed by those guidelines).91 RF from Wireless Antennas Enter the House’s Electrical System 12. The Isotrope testing also showed that the house’s electrical wiring conducted substantial levels of the RF emissions at 915 MHz – the communications-related frequency for that meter92 – and this frequency was then radiated from outlets (electrical power delivery points) and along the house wiring (branch circuitry). 89https://childrenshealthdefense.org/pa-amicus-isotrope/#page=12. 90 https://childrenshealthdefense.org/pa-amicus-sage-smart-meters/#page=3. 91 On August 13, 2021, the Court of Appeals for the DC Circuit ruled that the FCC’s 2019 decision that its guidelines adequately protect the public’s health are arbitrary, capricious and not evidence-based. The Children’s Health Defense is a Petitioner in this case. Envtl. Health Tr., et al v. FCC, Nos. 20-1025, 20-1138, 2021 U.S. App. LEXIS 24138 (D.C. Cir. Aug. 13, 2021). The opinion specifically questioned whether the FCC’s testing procedures adequately captured the effect of pulsation or modulation. 2021 U.S. App. LEXIS 24138, *12, *29. 92 Smart meters use a variety of frequencies for communications depending on the manufacturer’s choice. PECO’s meters operate at around 901 MHz. They also contain a “Zigbee” antenna that can be turned on and then communicate with nearby wireless smart devices. Zigbee uses 2400 MHz band. 173 575 13. Thus, the pulsed RF emissions from the smart meter’s transmitting antenna not only enter the house wirelessly but also enter into and are conducted along the house’s electrical wiring RF “Noise” From the Switch Mode Power Supply 14. Other RF frequencies besides the RFs from the transmitting antennas, also enter the house electric system. In my testing I have witnessed and analyzed smart meters’ effects on the incoming electrical power voltage waveform. These frequencies are a byproduct of the AC/DC conversion process which is done by the Switch Mode Power Supply (SMPS). The conversion process is necessary because utility service employs alternating current whereas the electrical components in smart meters use direct current.93 15. SMPS converts the 240 Volt AC power coming into the meter from the main power transformer, into the much lower DC voltage that the electronic devices require to function. The rapid back-and-forth conversion process used to remove the “alternating” aspect creates unintended RF frequencies. The on/off, back-and-forth, pulses can occur up to 150,000 times per second, which means frequencies of up to 150,000 Hz (150 KHz94), are created. These kilohertz 93 Smart meters also rely on AC for some of the non-electronic functions they perform. 94 1,000 Hz is a kilohertz (“KHz”). 1,000,000 Hz is a megahertz (“MHz”). 1,000,000,000 Hz is a gigahertz (“GHz”). 174 576 frequencies are within the RF band of frequencies.95 Most of the observed “noise” spikes are in the range of 2 to 50 kHz (2,000 to 50,000 Hz).96 The switching RF “spikes” are variable, and they are being imposed on the 60 Hz house electricity wave,97 creating significant unintended RF “noise.” 16. These frequencies are present all the time but are worse when less electricity is being used (e.g., at night) and when the smart meter’s electronics need more power, for example, when transmitting RF bursts to the utility. These RF transmission bursts cause spikes over the electric wiring, and they are created because the SMPS has to suddenly supply more DC power. Digital Meters Use SMPS and Therefore Also Created Unintended RF 17. Digital meters also use SMPS. Therefore, even though they do not contain an RF communications antenna, the AC/DC conversion process creates significant and variable RF spikes over the electrical wiring, which is then radiated into the house. 95 FCC defines RF as frequencies between 3 KHz – 300 GHz. 96 Finding of Fact 87 in McKnight v. PECO (once of the cases on hold below) states that “PECO’s AMI meters do not produce 5 Hz, 3 kilohertz, or 5 megahertz fields. (April 13, Tr. 75-76).” While I have some doubt this is actually so, this finding does not rule out emissions in the other frequencies I list. 97 Electricity comes to the house at a frequency of 60 Hz. 175 577 Analog Meters Do Not Have SMPS and Do Not Create RF Spikes 18. In contrast, unlike wireless smart meters and digital meters, analog meters do not contain an SMPS or other electronic components that create unintended RF frequencies. No AC/DC conversion is necessary, and unlike smart and digital meters, analog meters have a separate wired grounding rod that eliminates much of the “noise” that may come from the energy feed. 19. The images below compare a smart meter like that used by PECO98 with an analog meter. The red waveform is the 60 Hz house electricity frequency. The yellow waveform indicates the RF frequencies imposed over the 60 Hz. Image 1shows that an analog meter does not create RF spikes. Image 2 shows the smart meter causing significant RF spikes “noise” over the 60 Hz frequency house electric wiring system. 99 98 https://childrenshealthdefense.org/wp-content/uploads/pa-amicus-bathgate-pa- smart-meters.pdf. Pages 17-18. 99 https://childrenshealthdefense.org/wp-content/uploads/pa-amicus-bathgate-pa- smart-meters.pdf#page=14. 176 578 Image 1: Analog Meter – No RF Spikes Image 2: Smart Meter – Intense RF spikes. My Smart Meter Testing: 20. My test setup consisted of a meter socket enclosure suitable for 120/240 Volt, single-phase, three-wire connection. A smart meter, Landis & Gyr, 177 579 Gridstream RF, Focus AXR-SD, Form 2S, CL200, 240 V, 3 W, 60 Hz, power meter was used.100 The voltage waveform was captured with a Fluke 215C Scopemeter. One input to the Scopemeter was connected to the incoming voltage, 120 Volts-to-Ground, unfiltered. The other input to the Scopemeter was connected to the incoming voltage with the 60 Hz waveform filtered out. A radiofrequency emissions meter was also used to indicate when an RF signal increase was detected. 21. When the test equipment was connected to the incoming power, the waveform of the incoming electrical power was observed. The 60 Hz signal was recognized as the dominant frequency with some noise observed on the waveform. The 60 Hz was filtered out to analyze the noise on the signal. 22. When the smart meter was not connected, the noise level was approximately 45 milliVolts at its peak. When the smart meter was added to the circuit, the noise on the 60 Hz sine wave was noticeably larger, approximately 85 milliVolts. This is nearly double the amount of noise than without the smart meter. 23. The dominant frequencies are in the range of 2 to 50 kHz. These are the frequencies that the “smart meter” generates when it is transmitting. 100 PECO uses this meter, or one quite like it. R995a, 1046a. 178 580 Conclusion and Opinion 24. There is no doubt that smart and digital meters create pulsed RF emissions and these emissions, from the smart meters’ antennas and the RF created by the SMPS, both enter the house’s electric system. The result is that the entire house is transformed into a radiating RF antenna. 25. Any meter with a switch mode power supply will create RF frequencies in the Kilohertz range that enter the electrical wiring system of the house. Smart meters and digital meters inject significant levels of RF onto the home’s electrical distribution system. 26. This report is based on information learned to date. I reserve the right to amend, clarify, or change my opinions based on more work or information learned. Respectfully Submitted: Erik S. Anderson, P.E. 179 581 ENGINEER REPORT – Exhibit 1 180 582 ANDERSON ENGINEERING OF NEW PRAGUE, INC. 9007 S. Third Street Phoenix, Arizona 85042 Office: (602) 437-5455 Mobile: (952) 292-6416 Email: eanderson@aenpi.com ERIK S. ANDERSON Registered Professional Engineer REGISTRATION: State of Minnesota 1991 21471 State of Illinois 1999 062052733 State of Arizona 2003 39627 State of Wisconsin 2008 39418-006 State of Indiana 2008 PE.10809314 State of Iowa 2008 18758 State of New Mexico 2008 19001 State of Texas 2009 102714 State of Louisiana 2009 PE.0034787 State of California 2010 105359 State of Kentucky 2012 28492 State of Michigan 2013 6201060247 State of Nevada 2013 022690 Licensed Class A Master Electrician – State of EDUCATION: B.S. in Electrical and Electronic Engineering North Dakota State University, Fargo, North Dakota, 1987. Chemical Engineering Course Work University of Minnesota, Minneapolis, Minnesota, 1981- 181 583 CONTINUING Annual 8-Hr. HAZWOPER Refresher Course: 2009, 2010, Minnesota Electrical Association – National Electrical Code Instructor: Forensic Electrical Engineering Principles & Practices, 01/05 - Present President & Forensic Electrical Engineer. Responsible for all aspects of business operations including engineering services to clients, analysis. 182 584 Our case load also includes construction defect cases involving the evaluation of the workmanship of the electrical subcontractor and personal injury cases involvi Electrical Engin failure analysis. Midwest Current Transform Engineering of New Prague, Inc., New Prague, MN. Designer, manufacturer, and quality Research and Design Coordinator. Duties included work on (Summers) Assistant Engineer. Designed software for and compiled data of E-fields generated by high voltage tassisted in investigations of various cases involving questions AFFILIATIONS: Member National Society of Professional Engineers. Member Minnesota Society of Professional Engineers. Member International Association of Arson Investigators. Member National Fire Protection Association. Member National Association of Fire Investigators. Member American Society of Heating, Refrigerating and Air- TESTIFYING WITNESS: Corporation 183 585 BUILDING BIOLOGY INSTITUTE REPORT 184 586 IN THE SUPREME COURT OF PENNSYLVANIA MIDDLE DISTRICT RE: No. 34 MAP 2021, Povacz, M, et al. v. PUC Associated Case(s): 35 MAP 2021 Consolidated 36 MAP 2021 Consolidated 37 MAP 2021 Consolidated 38 MAP 2021 Consolidated 39 MAP 2021 Consolidated 40 MAP 2021 Consolidated 41 MAP 2021 Consolidated 42 MAP 2021 Consolidated 43 MAP 2021 Consolidated 44 MAP 2021 Consolidated 45 MAP 2021 Consolidated THE BUILDING BIOLOGIST INSTITUTE REPORT General Statement 1. My name is Lawrence James Gust. I am the President of the Board of Directors of the Building Biology Institute (BBI).1 I have a degree in electrical engineering and an MBA. I have been an environmental consultant for over 20 years and have trained hundreds of environmentally safer buildings consultants via the BBI. 2. The Building Biology Institute (BBI) is a 501(c)(3) non-profit corporation. BBI was founded in the US in 1993 and it follows the Principles of 1 https://buildingbiologyinstitute.org/about/our-mission/ 185 587 the Institute fur Baubiologie und Ecologie in Germany.2 Our mission is to help meet the ever-increasing public demand for proven methods that secure homes, schools, and workplaces from toxic indoor air, tap-water pollutants, and hazards posed by electromagnetic fields (“EMF”) and radiofrequency radiation (“RFR”) exposure. 3. BBI offers three professional certifications: (1) Building Biology Environmental Consultant (BBEC); (2) Electromagnetic Radiation Specialist (EMRS); and (3) Building Biology New Build Consultant (BBNC). Each certification requires the participants to complete online courses, participate in a multi-day on-site seminar, undergo a mentored final project and pass various tests. To be listed as a practicing professional on the BBI website,3 certified BBEC professionals must obtain approved continuing education credits. 4. Our trained RF/EMF mitigation consultants measure the electromagnetic fields and radiation at the site, provide a plan on how to mitigate these emissions and work with other professionals such as electricians and IT professionals to put in place the identified mitigating measures. 2 https://www.ibo.at/en/ 3 https://buildingbiologyinstitute.org/find-an-expert/certified- consultants/electromagnetic-radiation-specialists/. 186 588 5.Most of our clients are people who are sick or have family members who have adverse reactions to RFR exposure. As with other environmental toxins, and according to doctors, avoidance is the main and most effective treatment for those who are affected. Our services help them mitigate exposures in their homes, so they are part of the medical regimen prescribed by doctors. Many physicians encourage their patients to contact building biologists to optimize their living environment.4 6.We have a unique perspective and specific protocols driven by our extensive science-based knowledge, methods as well as experience working with those who suffer. Every day we see the widespread sickness caused by wireless devices and infrastructure. We personally witness how devastating this sickness is. Most important, we know our methods significantly improve the health and well- being of those who must avoid RFR. Remediation efficacy is well documented and undeniable. 7.Our knowledge and experience will provide the court valuable and important information necessary to reach a just decision in this case. Smart Meters 4https://www.womenscollegehospital.ca/assets/pdf/environmental/Preliminary%20 Clinical%20Guidelines%20%20for%20EHS.pdf#page=18. 187 589 8. We often confront sickness caused or exacerbated by smart meters. Simply removing the meter often leads to immediate and consequential health improvement. Unfortunately, we also routinely witness intolerable suffering by those forced to have smart meters as a condition of service without any means to opt-out. 9. People can turn off their cell phones, they can turn off the Wi-Fi in the router and use hard-wired internet. They cannot turn off the smart meters and therefore are forced to be exposed to the toxin that caused them to be sick 24/7, in their home. It is a torture. Demand increase correlates with exposure growth 10. There has been a significant increase in requests for our RFR mitigation services over the last 20 years. Wireless services were first commercialized for the mass market in the mid-1980s. Back then and for around 10 years RFR mitigation was a very small part of our work. But that began to change in the early 2000s. Demand for our services has skyrocketed. RFR mitigation is now the most frequently requested service in our portfolio and constitutes about 75% of what we do. BBI consultants have a hard time fulfilling the demand. This directly correlates with and is the clear result of with the exponential growth in public exposure to wireless related pulsed RFR from wireless devices and infrastructure. Pervasive and chronic exposure leads to 188 590 endemic sickness. We see it every day in our work, and it is devastating for those who are afflicted. 11. This increase in demand is also reflected in the number of professionals who are taking the certification course and become a certified “building biologist.” Since we started to operate, 27 years ago, we have certified approximately 308 building biologists. Thirty percent of them, approximately 100, were certified in 2020/2021. Collaborating With Treating Physicians 12. We collaborate with doctors whose patients suffer from electro- sensitivity. The only effective treatment is avoidance and in many cases the house is the cause or at least an aggravating factor for their patients’ illness. Doctors refer their patients to us, as ensuring that the home environment of those affected is as clean as possible from pulsed RF radiation is critical for any improvement. Human Consequences 13. The human dimension of electro-sensitivity is tragic. People with the condition call me and other building biologists in ever increasing numbers. In many cases, people who used the technology “normally” and had no medical issues suddenly become ill. They share with me the overwhelming and life-altering changes confronting them when they or their children become sick. They literally beg us to help them return to a normal life. 189 591 14.These people endure tremendous physical suffering. Frequent and debilitating headaches. Inability to sleep. Heart arrhythmia. Pain in extremities. Burning skin. Mental confusion, cognitive problems, and memory loss. Non-stop ringing in the ears. Persistent nosebleeds are also common, especially with children. For many the symptoms are disabling and prevent them from functioning. They endure social isolation. They cannot work, go or be anywhere. Their lives are becoming increasingly impossible. In addition, they have to deal with ignorant and cruel denial of their condition because their sickness is an inconvenient problem to those promoting wireless technology. 15.The problem is real and overwhelming. BBI’s certified practitioners operate at ground zero. They alleviate the suffering of a rapidly growing number of people across the United States. Building Biologists often care for clients who are severely ill and desperately struggling simply to survive even in their own homes. For these individuals and their families, the implementation of mitigative measures recommended by BBI’s certified consultants offer the first and last resort. For these clients and thousands like them, the services of Building Biologists are lifesaving. 16.Many of our clients are unable to work because places of employment are saturated with wireless devices. They are unable to drive to work because roadways are flanked by cell towers irradiating passing vehicles with very high and 190 592 ever-growing RF levels. They are unable to live in urban and suburban areas because houses are being irradiated by ever increasing numbers of cell phone antennas, neighbors’ wireless devices and – as here – from utility smart meters. 17. However, when remediation reduces pulsed RFR radiation by shielding the residence, symptoms usually abate or reduce, depending on the initial power density and the overall ability of the shield. RF Levels 18. The levels of pulsed RF radiation we measure (shown in power density) are usually well below the FCC guidelines. However, power density is still significantly millions and trillions of times above natural environmental levels,5 and sometimes millions and more times higher than the levels that can cause adverse health effects reported in peer-reviewed research. 19. The FCC guidelines are not biologically-based and not evidence- based. The FCC guidelines do not address non-thermal effects or pulsation and they average exposure over 30 minutes (which hides the true biological response to exposure) and test for exposure from only one device. They do not protect from chronic long-term exposure or from exposure to multiple devices, radiation sources, frequencies, and modulations. They do not protect the public health, or at 5 https://www.thelancet.com/journals/lanplh/article/PIIS2542-5196(18)30221- 3/fulltext. 191 593 least not for a significant part of the population. Our clients are the evidence, and the growing sickness is a clear proof this is so. 20. The FCC’s averaging does not account for pulsed digital signals occurring in milliseconds. Therefore, they vastly underate the power density (typically measured in milliwatts per square centimeter, or mW/cm2) that the human body must deal with on account of unremitting exposure to pulsed, modulated radiofrequency radiation. We see the peaks and pulses hidden by averaging, and witness first-hand what it does to people. BBI practitioners measure the aggregate RF exposure on the human body when in clients’ homes. Shielding 21. Those affected by RF/EMF face a living hell. They cannot be or go anywhere. Their home is their only refuge. Even this refuge is constantly under threat, and many are required to shield their homes. Reducing RF levels enough to be effective is a costly process. Unfortunately, the expense prevents many people from effecting the best remediation plan or any plan at all. 22. Shielding is expensive because the shielding materials are metal based, as metal blocks radiation. For example, shielding a parent’s queen size bed with an RF protection tent ranges from $1,250 to $1,700 depending on the shielding capability of the material. Shielding a child’s single bed will cost between $1,000 to $1,400. Instead, it is possible to shield the bedroom itself by 192 594 painting the walls with RF protection paint and putting RF protection film on the windows instead of tenting the bed. The cost for an average 12’ x 12’ bedroom is $2,450. A family with two children would have to spend about $7,350. 23.Building Biologists focus on shielding sleeping areas because this is where people are most vulnerable to RF radiation. But this alone does not adequately protect people who are home all day. 24.Whole-house RF Radiation reduction requires painting the outside of the house and the inside ceiling on the top floor with an RF protection paint. The cost for 2,000 square feet is approximately $14,000. This cost is for two coats of paint. But with growing RF levels, three coats are often needed, so the cost is higher. 25.Metal reflects RF back into a shielded area. Therefore, whenever these materials are applied, a careful analysis is required to ensure the materials do not actually increase exposure. Shielding requires experts to do the job and this increases total cost. 26.People sick from environmental exposure should not be forced to be exposed in their home to the toxin that makes them severely sick. The considerable cost of creating a livable environment is unfairly shifted to the injured, who have no ability to recover from those who caused the injury. 193 595 Shielding & Smart Meters 27.Shielding materials attenuate the radiation, they do not entirely block it. Reducing exposure enough to have a salutary effect is becoming increasingly difficult because of the densification of wireless infrastructure including 5G, and because home devices are becoming more powerful. 28.Smart Meters are without a doubt one of the most significant problem sources. In 2013 I filed a letter with the FCC in response to the agency’s 2013 inquiry whether it should review its 1996 guidelines. I wrote to the FCC that the most significant frequent initial sensitizing event we have seen over the last two years has been the installation of smart meters. Now, 8 years later, this is still true. Smart meters are the most significant sickness agent we must confront. 5G antennas near homes is yet another major sickness agent, but they, at least, do not typically also cause conduction through the homes’ over the cage of wiring that encircles the entire living space– in the walls, ceiling and floor. 29.Smart meters’ antennas send intense RF pulses every few seconds and these emissions affect the entire house. Proximity of the RF radiation-emitting source directly impacts our ability to attenuate the radiation, as radiation drops with distance. Smart meters’ location on or in close proximity to the house is why they are the worst offenders for those who suffer from pulsed RFR. 194 596 30. The radiation from meters installed further away from the house still creates RF inside the house. The RF frequencies from the antenna and from the switch mode power supply are conducted through the house electric wiring. This pulsed RF radiation enters the living spaces through the floors, walls, and ceilings and via the power cords on all plugged-in electrical devices. 31. While one can take measures to reduce the radiation from smart meters’ antennas, shielding from the RF emissions that go into the house electric wiring system from the RF antenna and from the switch mode power supply (SMPS) is complex, expensive, and not very effective. 32. There are filters that help reduce the RF “noise” created by the meter’s switch mode power supply that conducts through the electric wiring. However, some are very expensive. Others emit high magnetic fields that are also problematic for those who are sick. Filters provide only partial solution as many reduce higher frequencies while creating new, lower frequencies that are below the typical measurement range of the meter. 33. Shielding is used to block radiation coming from the outside. Shielding materials should be installed only when no pulsed RF-based wireless devices are in the house.6 Otherwise, the shielding would be counterproductive and 6 Part of our remediation includes eliminating all other emission sources inside the house, including things like SMPS used in laptop computers or other electronic devices or wireless “Internet of Things” devices. Our clients can control such 195 597 even increase exposure because the inside-home emissions become “trapped” within the house because of the shielding. For that reason, shielding the house from outside sources can aggravate the problem caused by smart and digital meters. 34.A smart or digital meter on a house with resident adults and children who adversely react to RF/EMF harms them both directly and indirectly. They directly suffer from the meter effects, and they cannot shield emissions from the outside like from cell towers, or neighbors’ smart meters and Wi-Fi networks. Conclusion 35.People are being told that wireless technology is safe. That smart meters are safe. They trust the government and the equipment manufacturers to have their best interests and safety at heart. Nothing is further from the truth as the recent case of the Children’s Health Defense against the FCC exposed. We see the devastating sickness daily in our work. We hope this court will protect those who need it the most. 36.The only reasonable accommodation for those who suffer from pulsed RF radiation is an analog meter. They are the only meters that do not emit RFs and do not aggravate the situation of those whose life is already a torturous nightmare. Analog meters are inexpensive, last much, much longer than digital meters - they things. But they cannot control what the smart or digital meter does nor can they turn it off. 196 598 cost less than $100, and they have served us reliably for many decades. There cannot be any justified reason not to accommodate the sick when the solution exists. cost less than $100, and they have served us reliably for many decades. There cannot be any justified reason not to accommodate the sick when the solution exists. cost less than $100, and they have served us reliably for many decades. There cannot be any justified reason not to accommodate the sick when the solution exists. 197 599 RECEIVED 2023 SEPTEMBER 28, 2023 5:25PM IDAHO PUBLIC UTILITIES COMMISSION 600 Samuel & Peggy Edwards 333 Shoshone Ave. Rexburg, ID 83440 208-270-7937 pegandsam@gmail.com In Sui Juris IN THE IDAHO PUBLIC UTILITIES COMMISSION OF THE STATE OF IDAHO JACOBA H. VAN MASTRIGT, et al, CASE NOS. PAC-E-23-04; APPELLANTS, ) PAC-E-23-05; PAC-E-23-06; vs. ) PAC-E-23-07; PAC-E-23-08; IDAHO PUBLIC UTILITIES COMMISSION AND PAC-E-23-11 AND PACIFICORP, ) d/b/a ROCKY MOUNTAIN POWER, ) NOTICE OF APPEAL RESPONDENTS. ) TO: THE ABOVE NAMED RESPONDENTS: PACIFICORP d/b/a ROCKY MOUNTAIN POWER ("COMPANY") AND THE PARTY'S ATTORNEYS: NAME: JOE DALLAS ADDRESS: 825 NE Multnomah, Suite 2000 Portland, OR 97232 NAME: MARK ALDER ADDRESS: 1407 West North Temple, Suite 330 Salt Lake City, Utah 84116 AND THE SECRETARY OF THE IDAHO PUBLIC UTILITIES COMMISSION, MS. JAN NORIYUKI. 601 NOTICE IS HEREBY GIVEN THAT: 1.The above named appellants appeal against the above named Respondents to the Idaho Supreme Court from Idaho Public Utilities Commission Order #35904 recorded on the 25th day of August 2023, signed by President Eric Anderson, Commissioner John R. Hammond Jr., and Commissioner Edward Lodge. A copy of the order (#35904) being appealed is attached to this notice, as well as a copy of the order (#35849) which preceded it. Hereafter, the term 'Appellants' in this Notice refers particularly to Case No. PAC-E-23-05 of Samuel and Peggy Edwards. 2.Appellants have a right to appeal to the Idaho Supreme Court, and the orders described in paragraph 1 above are appealable orders under and pursuant to Idaho Code§ 61-627 and Rule 11 (e), I.A.R. 3.Orders #35904 and #35849 have carefully avoided key legal issues raised by the Appellants, which are first: that merely objecting to installation of advanced metering infrastructure ("AMI meter") at their residence is grounds for denial or termination of service under IDAPA 31.21.01 (Utility Customer Relations Rules, UCRR 302). The Appellants have stated and repeated this objection on multiple occasions: a.Complaint, received 23 March 2023: "We have attempted over and over again, in good faith to resolve all issues with ROCKY MOUNTAIN POWER/PACIFICORP which have led up to this point where they are now threatening to shut our power off, in spite of the fact that access to the meter has never been impeded for service and that we have always paid our power bill each month and are currently not late with payment. They, in turn, are the aggressor operating in bad faith, using strong-arm intimidation tactics, threat, 602 duress, and coercion in order to upgrade the meter without consideration for the will, privacy or medical effects which this upgrade would have upon us, the property owners." b.Objection to Motion to Dismiss, received 22 May 2023: "CLAIM ... our family has fulfilled our contract responsibilities for electric service and not given reason for termination of service as described by Utility Customer Relations Rules (UCRR) 302." c.Also stated in Objection to Motion to Dismiss: "Our meter is not damaged, and we have provided company representatives with safe, unencumbered access for the purposes required in Electric Service Regulation No. 6. Yet, ROCKY MOUNTAIN POWER/PACIFICORP has threatened our family with service disconnection because we wish to decline ROCKY MOUNTAIN POWER/PACIFICORP's "Advanced Metering Infrastructure" (AMI) program. Termination of our family's service is not justified by UCRR 302." d.Petition for Reconsideration, received 31 July 2023: "Is declining replacement of our meter with a meter of substantively different capability equivalent to denying access to the meter, per UCRR 302? Where is the law that authorizes ROCKY MOUNTAIN POWER/PACIFICORP to disconnect our electric power?" 4. Idaho Public Utilities Commission ("Commission") has found that "refusing to allow the Company's representatives access to replace existing meters with AMI meters is a violation of the [Electric Service Regulation, ESR] agreed to as a condition of receiving the Company's service." The Appellants disagree. Agreeing to installation of AMI meters is not one of the purposes listed in ESR 6(2)(d) "reading meters, inspecting, repairing or removing metering devices and wiring of the Company", and is only loosely inferred in ESR No. 7(1) "repairing or removing metering devices". 603 5.Nevertheless, for the sake of argument, assuming the Commission's finding is correct, the second legal issue is whether violating UCRR 302 is grounds for termination of electrical service under IDAPA 31.21.01? ROCKY MOUNTAIN POWER/PACIFICORP has alleged, but never proven, that Appellants have denied or willfully prevented the utility's access to the meter, stating that "refusing a meter upgrade is not safe and unencumbered access". The fact is that Appellants have never denied any ROCKY MOUNTAIN POWER/PACIFICORP representatives physical access to the meters. Further, the Commission has never found as a matter of fact that Appellants are refusing access to the meter. 6.Third, as a matter of law, is objecting to the installation of AMI meters the legal and factual equivalent of denying physical access to the meter, given that Appellants have never prevented the Company from physically accessing the meter -as evidenced in the original Complaint (particularly pictures and notarized statements of two neighbors) and by regular and full monthly payments based on the Company's readings of the meters? 7.No order has been entered sealing all or any portion of the record. 8.Is a reporter's transcript requested? No. 9.The Appellants request that the Commission Secretary file this Notice of Appeal and case record PAC-E-23-05 with the Idaho Supreme Court, including all documentation listed under Rule 28(b)(3), I.A.R., including "Objection to Motion to Dismiss" dated 5/22/2023 and "Objection to PACIFICORP Answer" dated 8/8/2023. 10.1 certify: (a)That the estimated fee for preparation of the agency's record has been paid. 604 (b)That the appellate filing fee has been paid. (c)That service has been made upon all parties required to be served pursuant to Rule 20. DATED THIS 28th day of September , 2023 . Samuel Z. Edwards, Sui Juris 605 ORDER NO. 35849 1 Office of the Secretary Service Date July 11, 2023 BEFORE THE IDAHO PUBLIC UTILITIES COMMISSION JACOBA H. VAN MASTRIGT, et al, COMPLAINANTS, vs. PACIFICORP, d/b/a ROCKY MOUNTAIN POWER, RESPONDENT. ) ) ) ) ) ) ) ) ) ) ) CASE NOS. PAC-E-23-04; PAC-E- 23-05; PAC-E-23-06; PAC-E-23-07; PAC-E-23-08; AND PAC-E-23-11 ORDER NO. 35849 Between March 22, 2023, and March 27, 2023, the Commission received six formal customer complaints (collectively the “Complaints”)1 filed against PacifiCorp dba Rocky Mountain Power (“Company”) by the Company’s customers (collectively the “Complainants”). The Complaints concern the Company’s notification to terminate electric service if customers refuse to allow the installation of advanced metering infrastructure meters (“AMI meter(s)”) at their residences. On April 19, 2023, the Commission issued a Summons directing the Company to file an answer to the Complaints within 21 days of service. On May 10, 2023, the Company filed an Answer and Motion to Dismiss (“Answer”) countering the issues cited in the Complaints and asking that the Complaints be dismissed with prejudice. On May 22, 2023, the Commission received five objections to the Company’s request for dismissal and two “AMENDED CRIMINAL COMPLAINT(s).”2 Having reviewed the record in these cases, we now issue this Final Order dismissing the Complaints. THE COMPLAINTS In their Complaints, the Complainants presented various reasons for not wanting an AMI meter installed on their property including the age and health of the complainants, a claimed lack of legal authority allowing the Company to install AMI meters, and concerns over data privacy. Some Complainants also requested the ability to opt-out of having an AMI meter. Five of the 1 The Complaints were filed by the Company’s electric service customers Jacoba H. van Mastright, Samuel and Peggy Edwards, Judy Twede, Karen Lane, Christy Armbruster, and Diane Huskinson. The Complainants all appeared pro se. 2 Jacoba H. van Mastrigt and Judy Twede filed the “AMENDED CRIMINAL COMPLAINT(s).” 606 ORDER NO. 35849 2 Complainants refused to have an AMI meter installed on their residence, the sixth provided consent to allow an AMI meter to be installed but alleged that the consent was unlawfully obtained. Several of the Complainants presented almost identical “Factual Counts” that allege that the Company: (1) breached the peace by attempting to install AMI meters on their residence; (2) attempted extortion of Complainant’s will; (3) impaired contracts; (4) attempted extortion by trying to take over the Complainant’s private property for commercial use; (5) attempted illegal wiretapping; and (6) threatened the Complainant’s with intent to commit harm. Some of the complainants allege additional “Factual Counts” of (1) gross and hazardous negligence; and (2) “actionable fraud.” Two of the Complainants also alleged the Company was committing elder abuse.3 The Complainants all asserted that they have attempted in good faith to resolve their issues with the Company regarding the deployment of AMI meters, and the Complainants alleged the Company is operating in bad faith, and using strong-arm intimidation tactics, threat, duress, and coercion. See, e.g., Complaint of Jacoba H. van Mastrigt at 1. The Complainants also argued that they have paid their bills for electric service they receive from the Company on time. Several of the Complainants argued the Company only has the authority to enter their properties for specific reasons (i.e., meter reading) and that any other access must be authorized by the property owner for certain matters including troubleshooting and making repairs to electrical equipment. The Complainants further claim they do allow the Company to access their properties to read meters but are not granting the Company access to exchange meters. COMPANY ANSWER The Company responded to the Complaints by first describing the notification process it engaged in and its discussions of alternatives for customers who did not want an AMI meter on their residences. Then the Company described the allegations and requests made by the Complainants. Lastly, the Company answered the Complaints lodged against its AMI meter roll- out and moved to dismiss the Complaints with prejudice. Communication The Company represented that it started deploying AMI meters in Idaho in the fall of 2021 and has since completed over 84,000 exchanges. The Company stated that it communicated with customers during AMI meter deployment with “letters, emails, and outbound phone calls 3 Most of these claims are civil tort claims or criminal. The Commission is not the appropriate body to the extent the Complaints seek any damages or the imposition of criminal liability. 607 ORDER NO. 35849 3 informing customers of the Company’s AMI installation process.” Company Answer at 3. The Company asserted that “AMI allows for cost savings by reducing meter reading costs and provides improved customer service through enhanced information and billing options.” Id. During the deployment of the AMI meters, the Company stated that about 160 customers objected to the installation of AMI meters, and the Company then worked with those customers to reach a resolution. The Company explained it “was willing accommodate customers by relocating the AMI [meter] to a different location of the property” at the customer’s expense. Id. at 4. The Company represented it “expressed a willingness to continue working directly with these customers to find a resolution. However, keeping their current meter is not an option for any of our customers in Idaho, and disconnection of service will only be used as a last resort after proper notice has been provided.” Id. The Company represented that it successfully resolved the concerns of 110 of the customers who had initially objected, and the Company exchanged those meters. Id. For the 50 remaining customers, the Company represented that it began to formally notify them that, pursuant to the Utility Customer Relations Rules (“UCRR”), their service would be terminated if they continued to refuse the installation of an AMI meter. Id. The Company cited UCRR 302, IDAPA 31.21.01.302, which allows for termination of service if meter access is denied, as the Company’s primary argument for its formal process to begin disconnection. Id. Along with UCRR 302, the Company cited UCRRs 304 and 305, IDAPA 31.21.01.304-.305, for the notification requirements to disconnect a customer under UCRR 302. Id. The Company asserted it sent an initial letter (“First Letter”) to the customers who refused the meter exchange informing them of the Company’s inability to access the meter for a meter exchange, and the Company followed that letter with additional correspondence (“Second Letter”) providing an explanation of the benefits and customer privacy protections afforded by AMI meters. Id. at 5 and 7-8. The Company then sent a final letter (“Final Letter”) notifying customers that their service would be terminated. The Company also stated that the Second and Final Letters informed customers, including the Complainants, how to avoid termination of service. Id. The Company represented that the Final Letter also stated that “a certificate notifying the utility of a serious illness or medical emergency in the household may delay termination of service as prescribed by Rule 308.” Id. Finally, the Company stated that its employees began delivering notices in person and attempting to resolve the issues customers cited regarding AMI meters before it planned on terminating service. Id. at 8. 608 ORDER NO. 35849 4 Answer and Motion The Company: (1) denied all factual allegations in the Complaints that were not admitted in its Answer; (2) explained its belief that industry standards have determined AMI meters do not provide a threat of harm to customers; and (3) claimed that the required UCRR notices it sent to customers who refused access were not threats and the Company did not violate any contract, procedure, rule or law with its requirement for AMI meter installations. The Company asked the Commission to dismiss the Complaints with prejudice for failure to state a claim. The Company denied using “threats, duress, or coercion to induce Complainants to accept AMI [meter] installation.” Id. at 7. The Company discussed its communication efforts where it ultimately warned customers that without access to meters, the Company would initiate the termination process and terminate service if unable to resolve the issue of meter access. The Company noted that those communications were “developed in accordance with the UCRR’s approved by the Commission…” and merely warned customers of the possibilities if access was refused. Id at 8. The Company maintained that it is allowed to terminate customers’ service if not allowed to access the meters, and without an opt-out in Idaho, that is the only option available. The Company stated that it did discuss alternatives available to customers like relocating the new AMI meter on the customer’s property. The Company cited Electric Service Regulation (“ESR”) No. 6(2)(d), which provides that “[t]he Customer shall provide safe, unencumbered access to Company’s representatives at reasonable times, for the purpose of reading meters, inspecting, repairing or removing metering devices and wiring of the Company,” and which its customers agree to as a condition of service. Id. at 9 quoting ESR No. 6(2)(d). The Company disputed the assertion in the Complaints that the Company does have physical access to the meters stating that “refusing a meter upgrade is not safe and unencumbered access” under ESR 6(2)(d). Id. Further the Company stated that ESR No. 7 requires the Company “to furnish and maintain all meters and other metering equipment” and does not prohibit or proscribe a specific type of meter. Id. quoting ESR No. 7. The Company discussed the Federal Communication Commission’s (“FCC”) jurisdiction over devices emitting radio frequency, like AMI meters. The Company represents that the FCC ensures the safety of these devices pursuant to “the National Environmental Policy Act of 1969, among other laws.” Id. at 10. 609 ORDER NO. 35849 5 The Company also asserted “[i]ndustry research and standards agencies, such as the American National Standards Institute (“ANSI”) and the Institute of Electrical and Electronics Engineers, Inc. (“IEEE”) have compiled the research” concerning exposure to radio frequencies energy and created guidelines that the FCC and federal Occupational Safety and Health Administration have adopted. Id. The Company stated those standards define the maximum permissible exposure (“MPE”) standards and the two categories they are assigned to, the controlled and uncontrolled environments. Id. The uncontrolled environment applies to the general public, like residential homes, and includes heightened safety requirements by FCC standards. The MPE for the controlled environment is 5:1, meaning the FCC’s MPE limit for the general public is 50X less than research shows can cause harm to humans. Id. at 11. The Company discussed the history of AMI meters in Idaho and represented that the Company is the last major electric utility to install this infrastructure. The Company noted that AMI meters first became available almost 20 years ago. The Company cited previous cases for Avista, Idaho Power, and itself where the Commission dismissed complaints about AMI and/or denied a request to require public utilities to provide an opt-out provision. Case Nos. PAC-E-22- 09, AVU-E-17-11, and IPC-E-12-04. The Company stated that the Commission has never “ruled that a public utility’s AMI project, which does not include an opt-out option, violates an administrative rule, order, statute, or applicable provision of the Company’s tariff.” Id. at 12. The Company stated the Complaints “do not identify any specific administrative rule, order, statute, or applicable provision of the Company’s tariff” violated by the Company. Id. at 13. Further, the Company claimed it acted in compliance with rules and regulations that apply to notice and termination for complainants’ refusal to grant access to meters. Objection and Amendments In their Objection and Opposition to Motion to Dismiss (“Objections”), van Mastrigt and Twede stated that until the Company produces a rule that specifically authorizes termination for refusing to accept an AMI meter, the Company cannot install the AMI meter or terminate service. The Objections reiterated several points first addressed in the original Complaints about access, safety, data acquisition, and trespassing technology. The Objections also argued matters raised in 610 ORDER NO. 35849 6 the “AMENDED CRIMINAL COMPLAINT(s)” filed by each.4 The Objections also ask the Commission to address all criminal counts they allege have been committed by the Company. The Commission received various other documents in response to the Company’s Answer that essentially restated the same claims from the original Complaints and asked the Commission to reject the Company’s Motion. COMMISSION DISCUSSION AND FINDINGS The Commission has jurisdiction over this matter under Idaho Code Title 61 and IDAPA 31.01.01. The Commission is charged with determining all rules and regulations of a public utility are just and reasonable. Idaho Code § 61-303. The Commission is empowered to investigate rates, charges, rules, regulations, practices, and contracts of all public utilities and to determine whether they are just, reasonable, preferential, discriminatory, or in violation of any provisions of law, and to fix the same by order. Idaho Code §§ 61-501 through 503. The Commission addresses informal and formal complaints through the process outlined in its administrative rules and does not provide preferential treatment to any party participating in the process. IDAPA 31.01.01.054 and .057.02. The Commission has had previous opportunities to review AMI meter complaints and the prevailing scientific research on customer safety, and in each instance the Commission has concluded that AMI meters do not pose a risk to the safety and health of customers, comply with Idaho Code § 61-302, and should be allowed in Idaho. See Case Nos. IPC-E-12-04, AVU-E-17-11, and PAC-E-22-09. The Commission has also recognized that the FCC has jurisdiction over what constitutes a safe level of radio frequency radiation that is permitted by AMI meters, and that the FCC has found it to be safe. See Order No. 35544 at 2. The Commission has also never required a utility to offer an opt-out for AMI meters. The Complainants in these cases raise similar claims as those previously reviewed and decided by the Commission, claims that go against well-established evidence on AMI meter safety and seek an outcome that is not required under state or federal law. As we have stated previously, the FCC has jurisdiction over the approval of devices that use radio frequency, like AMI meters, and the FCC has approved AMI meters as safe for consumer use. The Commission is authorized to ensure that every public utility furnishes service, instrumentalities, equipment, and facilities as shall promote the safety, health, comfort, and 4 The “AMENDED CRIMINAL COMPLAINT(s)” generally allege the same facts and “FACTUAL COUNTS” as the Complaints. 611 ORDER NO. 35849 7 convenience of its customers and the public. Idaho Code § 61-302. The Commission is once again asked to weigh the FCC’s safety approval of the use of AMI meters and similar devices and withhold the benefits and efficiencies that customers derive from the use of such devices, and the history of AMI meter use by electric utilities in Idaho, against the claims presented in the Complaints. Having reviewed the record, the arguments of the parties, and all submitted materials, the Commission finds that the Complainants have not provided evidence to support a finding that AMI meters present a legitimate safety concern, or that public utilities in Idaho should be required to provide an opt-out option for AMI meters. The Commission finds the record demonstrates that the Company and the Complainants have been in contact with each other about the issues surrounding the Company’s deployment of AMI meters. The record also shows that the Company intends to replace meters that it owns, and the Company has complied with the UCRR through its communications with the Complainants. We find that refusing to allow the Company’s representatives access to replace existing meters with AMI meters is a violation of the ESR agreed to as a condition of receiving the Company’s service. ESR No. 6(2)(d) requires Complainants to provide access to the Company representatives “for the purposes of . . . [among other things] repairing or removing metering devices . . . .” Under this ESR, the Company may remove the existing meter to replace it with an AMI meter. If Complainants refuse to allow the Company to remove the Company-owned meters, they are violating the ESR. Further, ESR No. 7(1) requires the Company to “furnish and maintain all meters and metering equipment.” When read together, ESR Nos. 6 and 7 require that the Company provide its customers with the meter and associated metering equipment and requires the customer to provide the Company with access to the meter to accomplish this. Based on the foregoing, the Company has the necessary authority to install an AMI meter on the Complainants’ property in its furnishing of electric service as a public utility. The Commission also finds that the Company has been clear about its willingness to relocate AMI meters to a different location on the Complainants’ property at the Complainants’ expense if requested to. ESR No. 12 provides information on the Company’s line extension and relocation policies. The Commission finds that the Complainants have been offered an opportunity to resolve this matter, and they have chosen not to do so. The Commission finds that the facts in 612 ORDER NO. 35849 8 these cases do not justify ordering the Company to provide an option to opt-out of receiving an AMI meter. Accordingly, the Complainants’ Complaints are dismissed. ORDER IT IS HEREBY ORDERED that the Complaints filed in the above captioned cases are dismissed. THIS IS A FINAL ORDER. Any person interested in this Order may petition for reconsideration within twenty-one (21) days of the service date of this Order regarding any matter decided in this Order. Within seven (7) days after any person has petitioned for reconsideration, any other person may cross-petition for reconsideration. See Idaho Code § 61-626. DONE by Order of the Idaho Public Utilities Commission at Boise, Idaho this 11th day of July 2023. ERIC ANDERSON, PRESIDENT JOHN R. HAMMOND JR., COMMISSIONER EDWARD LODGE, COMMISSIONER ATTEST: Jan Noriyuki Commission Secretary I:\Legal\ELECTRIC\PAC_RMP Smart Meter Complaints\PAC_AMI meters_final_dh.docx 613 ORDER NO. 35904 1 Office of the Secretary Service Date August 25, 2023 BEFORE THE IDAHO PUBLIC UTILITIES COMMISSION JACOBA H. VAN MASTRIGT, et al, COMPLAINANTS, vs. PACIFICORP, d/b/a ROCKY MOUNTAIN POWER, RESPONDENT. ) ) ) ) ) ) ) ) ) ) ) CASE NOS. PAC-E-23-04; PAC-E- 23-05; PAC-E-23-06; PAC-E-23-07; PAC-E-23-08; AND PAC-E-23-11 ORDER NO. 35904 Between March 22, 2023, and March 27, 2023, the Commission received six formal customer complaints (collectively the “Complaints”)1 filed against PacifiCorp dba Rocky Mountain Power (“Company”) by the Company’s customers (collectively the “Complainants”). The Complaints concerned the Company’s notification to terminate electric service if the customers refused to allow the installation of advanced metering infrastructure meters (“AMI meter(s)”) at their residences. The central theme of the Complaints focused the customers’ desire to avoid installation of AMI meters at their homes. Reasons cited for not wanting AMI meters included age and health of the complainants, a child with special needs in proximity to the home’s meter, lack of legal authority allowing the Company to install the AMI meters, data privacy, and a request for an opt-out provision. On April 19, 2023, the Commission issued a Summons directing the Company to file an answer to the Complaints within 21 days of service. On May 10, 2023, the Company filed an Answer and Motion to Dismiss (“Answer”) countering the issues cited in the Complaints and asking that the Complaints be dismissed with prejudice. Subsequently, the customers filed five objections to the Company’s request for dismissal and two “AMENDED CRIMINAL COMPLAINT(s).”2 On July 11, 2023, the Commission entered a Final Order dismissing the Complaints. Order No. 35849. The Final Order provides, in pertinent part: The Complainants in these cases raise similar claims as those previously reviewed and decided by the Commission, claims that go against well-established evidence 1 The Complaints were filed by the Company’s electric service customers Jacoba H. van Mastright, Samuel and Peggy Edwards, Judy Twede, Karen Lane, Christy Armbruster, and Diane Huskinson. The Complainants all appeared pro se. 2 Jacoba H. van Mastrigt and Judy Twede filed the “AMENDED CRIMINAL COMPLAINT(s).” 614 ORDER NO. 35904 2 on AMI meter safety and seek an outcome that is not required under state or federal law. As we have stated previously, the FCC has jurisdiction over the approval of devices that use radio frequency, like AMI meters, and the FCC has approved AMI meters as safe for consumer use. . . . Having reviewed the record, the arguments of the parties, and all submitted materials, the Commission finds that the Complainants have not provided evidence to support a finding that AMI meters present a legitimate safety concern, or that public utilities in Idaho should be required to provide an opt-out option for AMI meters. . . . We find that refusing to allow the Company’s representatives access to replace existing meters with AMI meters is a violation of the ESR agreed to as a condition of receiving the Company’s service. ESR No. 6(2)(d) requires Complainants to provide access to the Company representatives “for the purposes of . . . [among other things] repairing or removing metering devices . . . .” Under this ESR, the Company may remove the existing meter to replace it with an AMI meter. If Complainants refuse to allow the Company to remove the Company-owned meters, they are violating the ESR. Further, ESR No. 7(1) requires the Company to “furnish and maintain all meters and metering equipment.” When read together, ESR Nos. 6 and 7 require that the Company provide its customers with the meter and associated metering equipment and requires the customer to provide the Company with access to the meter to accomplish this. Based on the foregoing, the Company has the necessary authority to install an AMI meter on the Complainants’ property in its furnishing of electric service as a public utility. Id. In the Final Order, the Commission also found that the Company had communicated its willingness, upon request, to relocate the AMI meter to a different location on the Complainants’ property at their expense. Accordingly, the Commission determined that the facts in each case did not justify ordering the Company to provide an option to opt-out of receiving an AMI meter and dismissed the complaints. Pursuant to Idaho Code § 61-626 and IDAPA 31.01.01.331, the Complainants were given twenty-one (21) days following entry of the Final Order in which to petition for reconsideration. PETITION FOR RECONSIDERATION On July 31, 2023, Complainants Samuel and Peggy Edwards filed a Petition for Reconsideration (“Petition”) of Order No. 35849.3 The Edwards base their claim that the Commission erred in Order No. 35849 upon two contentions: (1) that the Commission 3 Mr. Edwards represents that he requested the other complainants refrain from seeking reconsideration to “reduce confusion or generalization” from consideration of multiple complaints. Pet. for Recon. at 3. 615 ORDER NO. 35904 3 misinterpreted the relevant Electronic Service Regulations (“ESR”) applicable to the Company; and (2) that requiring 100 percent compliance AMI metering requirement is unreasonable. In their Petition, the Edwards contend that AMI meters lack surge protection and, therefore, constitute a “downgrade” from the electromechanical metering already installed at their property. According to the Edwards, ESR 6(2)(d) does not authorize meter access for purposes of installing technology to replace that already in place, nor does ESR 7(1) provide the Company sole discretion to replace a meter with any technology. The Edwards also suggest something less than 100 percent customer compliance with the Company’s AMI metering initiative would be just and reasonable. As evidence that AMI meters pose a safety concern, the Edwards attached a document purporting to be an amicus brief filed by Children’s Health Defense, and Building Biology Institute in a case before the Pennsylvania Supreme Court, Povacz v. Penn. Pub. Utility Comm., 280 A.3d 975 (Pa. 2022).4 Included in an addendum to the purported brief are a “Physicians Statement,” “Scientists Statement,” and reports by engineers expressing opinions regarding the function and health risks associated with AMI meters. However, it does not appear that the statements or reports were given under oath or otherwise certified true and correct under penalty of perjury, nor does the purported brief bear a file stamp indicating it was in fact filed in the Pennsylvania case.5 COMMISSION DISCUSSION AND FINDINGS The Commission has the authority to grant or deny reconsideration under Idaho Code § 61-626(2). Reconsideration provides an opportunity for any interested person to bring to the Commission’s attention any question previously determined, and thereby affords the Commission an opportunity to rectify any mistake or omission. Washington Water Power Co. v. Kootenai Environmental Alliance, 99 Idaho 875, 879, 591 P.2d 122, 126 (1979); see also Eagle Water Company v. Idaho PUC, 130 Idaho 314, 317, 940 P.2d 1133, 1136 (1997). Consistent with the purpose for reconsideration, Commission Rules require a Petition for Reconsideration to specify “why the order or any issue decided in the order is unreasonable, unlawful, erroneous or not in conformity with the law.” IDAPA 31.01.01.331.01. Commission Rule of Procedure 331 further requires the petitioner to indicate “the nature and quantity of evidence or argument the petitioner 4 In Povacz, the Pennsylvania Supreme Court addressed a challenge by electric customers to the installation of AMI meters (termed “smart meters” in the opinion) on their property. In that case the Pennsylvania Supreme Court held that the customers failed to show that the AMI meters were unsafe or that forced exposure to AMI meters constituted unreasonable service. Id. at 1009-13. 5 On August 4, 2023, the Company filed an Answer to the Petition for Reconsideration (“Answer”) requesting that it be denied. On August 8, 2023, the Edwards filed an Objection to the Company’s Answer. 616 ORDER NO. 35904 4 will offer if reconsideration is granted.” Id. A petition must state whether reconsideration should be conducted by “evidentiary hearing, written briefs, comments, or interrogatories.” IDAPA 31.01.01.331.03. Grounds for reconsideration or issues on reconsideration that are not supported by specific explanation may be dismissed. IDAPA 31.01.01.332. As discussed below, the Edwards have not shown in their Petition that Order No. 35849 (or an issue decided in it) is unreasonable, unlawful, erroneous or not in conformity with the law. Nor have the Edwards identified evidence that warrants granting their petition. The Edwards’ argument that the Commission misinterpreted the ESR is, at best, a slight variation of their previous argument that the ESRs do not obligate them to permit the Company to upgrade their existing meter. Rather than characterizing installation of an AMI meter as an upgrade, the Edwards contend it would be a downgrade because such meters lack surge protection. However, the Edwards did not present evidence supporting their conclusory assertion that the AMI meter the Company seeks to install would lack surge protection, even if the absence of such protection renders an AMI meter a downgrade in the Edwards’ opinion. More importantly, beyond the conclusory assertion that “a substantive change of metering capability to residents’ electric meters” differs from furnishing and maintaining meters and equipment under the ESR, the Edwards have not supported their argument that the Commission misinterpreted the ESR with cogent argument or citation to legal authority. Similarly, the Edwards have failed to show declining customers an opt-out option is unreasonable. According to the Edwards, failing to allow opt-outs has left disconnection as the only option open to “a medically sensitive minority of the public.” Ostensibly, the Edwards are concerned about adverse medical effects resulting from radio frequency (“RF”) radiation that AMI meters emit. As noted in previous Commission orders (e.g., Order Nos. 32500, 33979, and 35544), the Federal Communications Commission (“FCC”) has adopted safety limits for RF devices operating near humans. See 47 C.F.R. 1.1307(b), 1.1310, 2.1091, 2.1093. The Edwards do not contend that the Company intends to install an AMI meter that does not comply with FCC requirements. Rather, the Edwards ostensibly assert that AMI meters pose a safety concern, regardless of FCC requirements. In support of this contention, the Edwards attached the aforementioned amicus brief filed by Children’s Health Defense, and Building Biology Institute. However, the Edwards have not authenticated the document as being what they claim it to be, nor does the purported brief bear a file stamp indicating it was in fact filed in the Pennsylvania appeal. 617 ORDER NO. 35904 5 Moreover, although an addendum to the purported brief includes a “Physicians Statement,” “Scientists Statement,” and reports by engineers expressing opinions regarding the function and health risks associated with AMI meters, the reports and statements do not appear to have been given under oath or otherwise certified true and correct under penalty of perjury. Such unauthenticated and unsworn evidence is insufficient to overcome the conclusions of the FCC regarding generally safe levels of RF radiation.6 Even if it were, the Edwards have not presented evidence indicating AMI meters pose a demonstrable, credible health and safety concern to those residing in their home to suggest that our decision in Order No. 35849 was unreasonable, unlawful, erroneous or not in conformity with the law. Finally, the Edwards have not addressed why placing such a meter away from their home as the Company agreed to do would not sufficiently address their health and safety concerns about and AMI meters. In sum, despite the sincerity of the Edwards concerns, the Commission will continue adhering to the FCC’s position on safe levels of RF radiation. Accordingly, the Commission concludes that the Edwards’ Petition should be denied. ORDER IT IS HEREBY ORDERED that the Petition for Reconsideration is denied. THIS IS A FINAL ORDER DENYING RECONSIDERATION. Any party aggrieved by this Order or other final or interlocutory Orders previously issued in this case may appeal to the Supreme Court of Idaho within forty-two (42) days pursuant to the Public Utilities Law and the Idaho Appellate Rules. See Idaho Code § 61-627; I.A.R. 14. /// 6 In their Petition, the Edwards cite an argument presented in the amicus brief that FCC guidelines cannot support conclusions regarding RF safety because a federal court remanded a decision by the FCC not to revisit the limits on RF radiation established in 1996. Specifically, in Env't Health Tr. v. Fed. Commc'ns Comm'n, a divided panel of the D.C. Circuit held that the FCC failed to respond to evidence in the record indicating that exposure to RF radiation below current FCC limits may case negative health effects unrelated to cancer. 9 F.4th 893, 906 (D.C. Cir. 2021). Although Environmental Health Trust suggests that relevant scientific knowledge has evolved since the FCC last updated the limits for RF radiation, the case does not support a claim that RF radiation at, or below, current FCC limits causes adverse health effects in humans. 618 ORDER NO. 35904 6 DONE by Order of the Idaho Public Utilities Commission at Boise, Idaho this 25th day of August 2023. ERIC ANDERSON, PRESIDENT JOHN R. HAMMOND JR., COMMISSIONER EDWARD LODGE, COMMISSIONER ATTEST: Jan Noriyuki Commission Secretary I:\Legal\ELECTRIC\PAC_RMP Smart Meter Complaints\PAC_AMI meters_recon_at.docx 619 RECEIVED 2023 OCTOBER 9, 2023 5:57PM IDAHO PUBLIC UTILITIES COMMISSION 620 PER I.AR. 17(M), AMENDED NOTICE IS HEREBY GIVEN THAT: 1.The above named appellants appealed -as recorded by Idaho Public Utilities Commission ("Commission") on 28 September -against the above named Respondents to the Idaho Supreme Court from the Commission's Order #35904 recorded on the 25th day of August 2023. It was signed by President Eric Anderson, Commissioner John R. Hammond Jr., and Commissioner Edward Lodge. A copy of the order (#35904) being appealed is attached to this notice, as well as a copy of the order (#35849) which preceded it. Hereafter, the term 'Appellants' in this Notice refers particularly to Case Numbers PAC-E-23-05 and SUP-E-23-02 of Samuel and Peggy Edwards. 2.Appellants have a right to appeal to the Idaho Supreme Court, and the orders described in paragraph 1 above are appealable orders under and pursuant to Idaho Code§ 61-627 and Rule 11(e), I.AR. 3.We appeal the orders (#35904 and #35849) of Idaho Public Utilities Commission which should regulate the electric utilities monopoly corporation known as ROCKY MOUNTAIN POWER/PACIFICORP in promotion of the "safety, health, comfort and convenience of its patrons, employees and the public." Grounds for this appeal are that the Commission's orders have carefully avoided key legal issues raised by the Appellants, which are first: that merely objecting to installation of advanced metering infrastructure ("AMI meter") at their residence is grounds for denial or termination of service under IDAPA 31.21.01, specifically Utility Customer Relations Rules, UCRR 302. The Appellants have stated and repeated this objection on multiple occasions: 621 a.Complaint, received 23 March 2023: "We have attempted over and over again, in good faith to resolve all issues with ROCKY MOUNTAIN POWER/PACIFICORP which have led up to this point where they are now threatening to shut our power off, in spite of the fact that access to the meter has never been impeded for service and that we have always paid our power bill each month and are currently not late with payment. They, in turn, are the aggressor operating in bad faith, using strong-arm intimidation tactics, threat, duress, and coercion in order to upgrade the meter without consideration for the will, privacy or medical effects which this upgrade would have upon us, the property owners." b.Objection to Motion to Dismiss, received 22 May 2023: "CLAIM ... our family has fulfilled our contract responsibilities for electric service and not given reason for termination of service as described by Utility Customer Relations Rules (UCRR) 302." c.Also stated in Objection to Motion to Dismiss: "Our meter is not damaged, and we have provided company representatives with safe, unencumbered access for the purposes required in Electric Service Regulation No. 6. Yet, ROCKY MOUNTAIN POWER/PACIFICORP has threatened our family with service disconnection because we wish to decline ROCKY MOUNTAIN POWER/PACIFICORP's "Advanced Metering Infrastructure" (AMI) program. Termination of our family's service is not justified by UCRR 302." d.Petition for Reconsideration, received 31 July 2023: "Is declining replacement of our meter with a meter of substantively different capability equivalent to denying access to the meter, per UCRR 302? Where is the law that authorizes ROCKY MOUNTAIN POWER/PACIFICORP to disconnect our electric power?" 622 4.The Commission has found that "refusing to allow the Company's representatives access to replace existing meters with AMI meters is a violation of the [Electric Service Regulation, ESR] agreed to as a condition of receiving the Company's service." The Appellants disagree. Agreeing to installation of AMI meters is not one of the purposes listed in ESR 6(2)(d) "reading meters, inspecting, repairing or removing metering devices and wiring of the Company", and is only loosely inferred in ESR No. 7(1) "repairing or removing metering devices". 5.Nevertheless, for the sake of argument, assuming the Commission's finding is correct, the second legal issue is whether violating UCRR 302 is grounds for termination of electrical service under IDAPA 31.21.01? ROCKY MOUNTAIN POWER/PACIFICORP has alleged, but never proven, that Appellants have denied or willfully prevented the utility's access to the meter, stating that "refusing a meter upgrade is not safe and unencumbered access". The fact is that Appellants have never denied any ROCKY MOUNTAIN POWER/PACIFICORP representatives physical access to the meters. Further, the Commission has never found as a matter of fact that Appellants are refusing access to the meter. 6.Third, as a matter of law, is objecting to the installation of AMI meters the legal and factual equivalent of denying physical access to the meter, given that Appellants have never prevented the Company from physically accessing the meter -as evidenced in the original Complaint (particularly pictures and notarized statements of two neighbors) and by regular and full monthly payments based on the Company's readings of the meters? 7.No order has been entered sealing all or any portion of the record. 8.Is a reporter's transcript requested? No. 623 9.The Appellants request that the Commission Secretary file this Notice of Appeal and case records SUP-E-23-02 and PAC-E-23-05 with the Idaho Supreme Court, including all documentation listed under Rule 28(b)(3), I.AR., including particularly: a."Objection to Motion to Dismiss" dated 5/22/2023 b."Objection to PACIFICORP Answer" dated 8/8/2023 c.Our email of 9/27/2023 notifying the Commission Secretary and representatives of ROCKY MOUNTAIN POWER/PACIFICORP of Final Notices served to appellants, and its attachment: the file stamped Amicus Curiae Briefing mentioned (and dismissed) in Order 35904 d."Answer to Motion" dated 10/9/2023 10.1 certify: (a)That the estimated fee for preparation of the agency's record has been paid. (b)That the appellate filing fee has been paid. (c)That service has been made upon all parties required to be served pursuant to Rule 20. DATED THIS 9th day of October , 2023 . 624 October 9, 2023 VIA ELECTRONIC DELIVERY Jan Noriyuki Commission Secretary Idaho Public Utilities Commission 11331 W Chinden Blvd. Building 8 Suite 201A Boise, ID 83714 RE: ANSWER TO MOTION AND AMENDED NOTICE OF APPEAL Dear Ms. Noriyuki: Please find enclosed our Answer to Motion and our Amended Notice of Appeal of Idaho Public Utilities Commission Order #35904. Informal inquiries may contact us at 208-2~0-7937. We are also available via email at pegandsam@gmail.com. Respectfully, RECEIVED 2023 OCTOBER 9, 2023 5:53PM IDAHO PUBLIC UTILITIES COMMISSION 625 Samuel & Peggy Edwards 333 Shoshone Ave. Rexburg, ID 83440 208-270-7937 pegandsam@gmail.com In Sui Juris, a son and daughter of God. IN THE IDAHO PUBLIC UTILITIES COMMISSION OF THE STATE OF IDAHO Jacoba H. Van Mastrigt, et al, ) CASE NOS. PAC-E-23-04; Appellants, ) PAC-E-23-05; PAC-E-23-06; vs. ) PAC-E-23-07; PAC-E-23-08; IDAHO PUBLIC UTILITIES COMMISSION ) AND PAC-E-23-11 AND PACIFICORP, ) d/b/a ROCKY MOUNTAIN POWER, ) ANSWER TO MOTION RESPONDENTS. ) As Idaho Public Utilities Commission ('Commission') considers the Deputy Attorney General's recommendation, dated 10 October 2023, to change the title of our Notice of Appeal, we offer a counterpoint for consideration. We noted in our PETITION FOR RECONSIDERATION, received by the Commission on 31 July 2023, that packaging six different complaints resulted in a single FINAL ORDER that "overlooks material substance of our Complaint". A common theme reflected in most of the six complaints is that each objects to ROCKY MOUNTAIN POWER/PACIFICORP installing advanced metering infrastructure ("AMI meter") at our residences while simultaneously not impeding access and continuing to pay utility bills. Therefore, the legal question for which we have appealed to Idaho Supreme Court materially affects the other appellants included in the current 'Notice of Appeal' title, despite the Commission having closed their 626 individual cases. That legal question is whether merely objecting to installation of an AMI meter at their residence is grounds for denial or termination of service under IDAPA 31.21.01? (see paragraph #3 of our Notice of Appeal) Given that the six different cases were bundled together and received the same Orders (#35904 and #35849) at the convenience of the Commission, how is separating these cases during this appeal respectful of Idaho citizens' rights to due process of law? It would seem that separating other appellants from the Notice of Appeal would now compound the error, since appellants have a mutual interest to retain an electric utility connection in the face of approaching winter and premature disconnection would risk lawsuit, property damage and lives. The Commission and ROCKY MOUNTAIN POWER/PACIFICORP representatives were notified on 9/27/2023 -the same email in which we submitted the Amicus Curiae briefing with requested file stamp -that ROCKY MOUNTAIN POWER/PACIFICORP lost no time after Order #35904 with issuing Final Notices to us (and all appellants) that our electric utility connection would be terminated on 2 October 2023. Since our power has not yet been disconnected, ROCKY MOUNTAIN POWER/PACIFICORP must have taken notice that our appeals are bound together with one voice and the same legal question already mentioned. The monopoly corporation known as ROCKY MOUNTAIN POWER/PACIFICORP has already revealed their intention to disconnect utility service of appellants prior to winter. We think this would be a most unfortunate mistake and a violation of Idaho Code 61-302: "every public utility shall furnish, provide and maintain such service, instrumentalities, equipment and facilities as shall promote the safety, health, comfort and convenience of its patrons, employees and the public, and as shall be in all respects adequate, efficient, just and reasonable." Further, Idaho Appellate Rule (I.AR.) No. 6 states that "the original title of an action or proceeding, with the names of the parties in the same order, shall be retained on appeal by adding the designations of 'appellant' and 'respondent."' 627 The only title deviation made in our Notice of Appeal was to include Idaho Public Utilities Commission as a co-respondent with ROCKY MOUNTAIN POWER/PACIFICORP. Therefore, we strongly recommend that the Commission deny the Deputy Attorney General's recommendation to "correct the title of the appeal as recommended by Staff." If the Commission is not required to be a co respondent or other appellants must be removed, then we are assured by I.AR. #6 that "the Supreme Court may amend a title of an appeal or proceeding before it at any time." By the way, we have noticed that the Amicus Curiae Briefing which we mention above has not yet been entered into our Case Record. Also, we noticed that the (now closed) cases of Jacoba H. Van Mastrigt (PAC-E-23-04) and Judy Twede (PAC-E-23-06) omit the Notices of Violation and Notices of Demand that were served to Commissioners and Mr. Gary Hoogeveen (CEO of ROCKY MOUNTAIN POWER/PACIFICORP), with copies to the Deputy Attorney Generals and Rocky Mountain Power/Pacificorp's lawyers. Such omissions to our case records seem to be correlated with the subsequent attempt to separate/close our cases. In respect of your oaths of office, we demand that complete case records be provided to the Idaho Supreme Court, consistent with our rights to due process. Since the Commission has opened a new case for our Appeal documentation, an amended 'Notice of Appeal' is herein attached, per I.AR 17(m), to request that the Commission Secretary include case record SUP-E-23-02, along with PAC-E- 23-05, to the Idaho Supreme Court. DATED THIS 9th day of October , 2023 . 628 DECISION MEMORANDUM 1 DECISION MEMORANDUM TO: COMMISSIONER ANDERSON COMMISSIONER HAMMOND COMMISSIONER LODGE COMMISSION SECRETARY COMMISSION STAFF LEGAL FROM: ADAM TRIPLETT DEPUTY ATTORNEY GENERAL DATE: OCTOBER 10, 2023 SUBJECT: SAMUEL AND PEGGY EDWARDS’ APPEAL OF ORDER NO. 35904 TO THE IDAHO SUPREME COURT; IPUC CASE NO. SUP-E-23-02. On September 28, 2023, Samuel and Peggy Edwards filed a Notice of Appeal from Order No. 35904 in Case No. PAC-E-23-05. The appeal is currently titled “JACOBA H. VAN MASTRIGT, et al, APPELLANTS, vs. IADHO PUBLIC UTILITIES COMMISSION AND PACIFICORP, d/b/a ROCKY MOUNTAIN POWER, RESPONDENTS.” The caption of the Notice of Appeal also lists the case numbers of the other five formal complaints that were consolidated simultaneously with the Edwards’ complaint (Case No. PAC-E-23-05).1 Per Idaho Appellate Rule 6, and Idaho Public Utilities Commission Rules of Procedure 343, the agency may, by order, correct the title of an appeal at any time before the agency’s record is lodged with the Idaho Supreme Court. STAFF RECOMMENDATION Staff recommends that the Commission issue an order correcting the title of the appeal to “SAMUEL and PEGGY EDWARDS, Appellants, v. IDAHO PUBLIC UTILITIES COMMISSION and PACIFICORP, d/b/a ROCKY MOUNTAIN POWER COMPANY, Respondents on Appeal” and deleting the other five case numbers relating to the cases that were consolidated with the Edward’s complaint to better reflect the parties’ positions on appeal. Staff also recommends that the Commission’s order direct the Commission Secretary to file a copy of the order with the Idaho Supreme Court. 1 The Commission Processed this case along with Case Nos. PAC-E-23-04, PAC-E-23-06, PAC-E-23-07, PAC-E-23- 08, and 11 and issued Final Order No. 35849 dismissing each. Only Case No. PAC-E-23-05 was reconsidered by the Commission and thus is the only case that can be appealed. 629 DECISION MEMORANDUM 2 COMMISSION DECISION Does the Commission wish to issue an order: 1)Correcting the title of the appeal as recommended by Staff, and 2)Directing the Commission Secretary to file a copy of the order with the Idaho Supreme Court? Adam Triplett Deputy Attorney General I:\Legal\ELECTRIC\PAC_RMP Smart Meter Complaints\SUP-E-23-02\SUPE2302_dec1_at.docx 630 P.O. Box 83720, Boise, Idaho 83720-0074 Telephone: (208) 334-0300, Fax: (208) 334-3762 11331 W. Chinden Blvd., Bldg. 8, Suite 201-A, Boise, Idaho 83714 October 16, 2023 Via E-Mail and Interagency Mail supremecourtdocuments@idcourts.net Melanie Gagnepain Clerk of the Courts Supreme Court 451 W. State Street Boise, Idaho 83720-0101 Re: PUC Clerk’s Certificate of Appeal Supreme Court Docket No.: ______________ Dear Ms. Gagnepain, Enclosed for your information and action is the Clerk’s Certificate of Appeal from the Idaho Public Utilities Commission. Also enclosed is Samuel and Peggy Edwards’ Notice of Appeal filed on September 28, 2023, the Amended Notice of Appeal filed on October 9, 2023, and the $94 filing fee. I have also enclosed copies of the two PUC Orders appealed from: Final Order No. 35849 and Reconsideration Order No. 35904. If you have any questions, please contact me at (208) 334-0338. Sincerely, Jan Noriyuki Commission Secretary Enclosures cc: Adam Triplett, Deputy Attorney General I:\Legal\ELECTRIC\PAC_RMP Smart Meter\SUP-E-23-02\SC_CvrLtr_20231016.docx Idaho Public Utilities Commission 631 CLERK’S CERTIFICATE OF APPEAL – 1 BEFORE THE PUBLIC UTILITIES COMMISSION JACOBA H. VAN MASTRIGT, et al, COMPLAINANTS, vs. PACIFICORP, d/b/a ROCKY MOUNTAIN POWER, RESPONDENT. ) ) ) ) ) ) ) ) ) ) ) Supreme Court Docket No. ________________ Idaho Public Utilities Commission Case Nos. PAC-E-23-04; PAC-E-23- 05; PAC-E-23-06; PAC-E-23-07; PAC-E-23-08; and PAC-E-23-11 Appeal from the Idaho Public Utilities Commission, The Honorable Eric Anderson presiding. Case Number from Idaho Public Utilities Commission: PAC-E-23-05 Order or Judgment Appealed from: Final Order No. 35849 and Final Reconsideration Order No. 35904 Attorney for Appellant: N/A Samuel and Peggy Edwards, pro se 333 Shoshone Ave. Rexburg, Idaho 83440 pegandsam@gmail.com Attorney for Respondent Idaho Public Utilities Commission: Adam Triplett Deputy Attorney General P. O. Box 83720 Boise, Idaho 83720-0074 adam.triplett@puc.idaho.gov Attorney for Respondent PacifiCorp: Joe Dallas Senior Attorney Rocky Mountain Power 825 NE Multnomah, Ste. 2000 Portland, OR 97232 joseph.dallas@pacificorp.com 632 CLERK’S CERTIFICATE OF APPEAL – 2 Appealed by: Samuel and Peggy Edwards Appealed against: Idaho Public Utilities Commission and PacifiCorp d/b/a Rocky Mountain Power Notice of Appeal Filed: September 28, 2023 Amended Notice of Appeal filed: October 9, 2023 Notice of Cross-appeal Filed: N/A Amended Notice of Cross-appeal Filed: N/A Appellate Fee Paid: $94.00 (October 2, 2023) Respondent or Cross-Respondent’s Appeal Request for Additional Record Filed: N/A Respondent or Cross-Respondent’s Request for Additional Reporter’s Transcript Filed: N/A Was Agency Reporter’s Transcript Requested: No Estimated Number of Pages: N/A If so, name of each reporter of whom a transcript has been requested as named below at the address set out below: N/A Dated this 16th day of October 2023. ________________________________ Jan Noriyuki Secretary of the Public Utilities Commission 633 CLERK’S CERTIFICATE OF APPEAL – 3 CERTIFICATE OF SERVICE I HEREBY CERTIFY THAT I HAVE THIS 16th DAY OF OCTOBER 2023, SERVED THE FOREGOING Clerk’s Certificate of Appeal, in IPUC Case No. PAC-E-23-05, ON THE FOLLOWING PERSONS, AS INDICATED BELOW: Appellants, pro se: Samuel and Peggy Edwards 333 Shoshone Ave. Rexburg, Idaho 83440 E-Mail to pegandsam@gmail.com Respondent, PacifiCorp: Joe Dallas 825 NE Multnomah, Ste. 2000 Portland, OR 97232 E-Mail to joseph.dallas@pacificorp.com mark.alder@pacificorp.com __________________________ Jan Noriyuki Commission Secretary 634 RECEIVED 2023 SEPTEMBER 28, 2023 5:25PM IDAHO PUBLIC UTILITIES COMMISSION 635 Samuel & Peggy Edwards 333 Shoshone Ave. Rexburg, ID 83440 208-270-7937 pegandsam@gmail.com In Sui Juris IN THE IDAHO PUBLIC UTILITIES COMMISSION OF THE STATE OF IDAHO JACOBA H. VAN MASTRIGT, et al, CASE NOS. PAC-E-23-04; APPELLANTS, ) PAC-E-23-05; PAC-E-23-06; vs. ) PAC-E-23-07; PAC-E-23-08; IDAHO PUBLIC UTILITIES COMMISSION AND PAC-E-23-11 AND PACIFICORP, ) d/b/a ROCKY MOUNTAIN POWER, ) NOTICE OF APPEAL RESPONDENTS. ) TO: THE ABOVE NAMED RESPONDENTS: PACIFICORP d/b/a ROCKY MOUNTAIN POWER ("COMPANY") AND THE PARTY'S ATTORNEYS: NAME: JOE DALLAS ADDRESS: 825 NE Multnomah, Suite 2000 Portland, OR 97232 NAME: MARK ALDER ADDRESS: 1407 West North Temple, Suite 330 Salt Lake City, Utah 84116 AND THE SECRETARY OF THE IDAHO PUBLIC UTILITIES COMMISSION, MS. JAN NORIYUKI. 636 NOTICE IS HEREBY GIVEN THAT: 1.The above named appellants appeal against the above named Respondents to the Idaho Supreme Court from Idaho Public Utilities Commission Order #35904 recorded on the 25th day of August 2023, signed by President Eric Anderson, Commissioner John R. Hammond Jr., and Commissioner Edward Lodge. A copy of the order (#35904) being appealed is attached to this notice, as well as a copy of the order (#35849) which preceded it. Hereafter, the term 'Appellants' in this Notice refers particularly to Case No. PAC-E-23-05 of Samuel and Peggy Edwards. 2.Appellants have a right to appeal to the Idaho Supreme Court, and the orders described in paragraph 1 above are appealable orders under and pursuant to Idaho Code§ 61-627 and Rule 11 (e), I.A.R. 3.Orders #35904 and #35849 have carefully avoided key legal issues raised by the Appellants, which are first: that merely objecting to installation of advanced metering infrastructure ("AMI meter") at their residence is grounds for denial or termination of service under IDAPA 31.21.01 (Utility Customer Relations Rules, UCRR 302). The Appellants have stated and repeated this objection on multiple occasions: a.Complaint, received 23 March 2023: "We have attempted over and over again, in good faith to resolve all issues with ROCKY MOUNTAIN POWER/PACIFICORP which have led up to this point where they are now threatening to shut our power off, in spite of the fact that access to the meter has never been impeded for service and that we have always paid our power bill each month and are currently not late with payment. They, in turn, are the aggressor operating in bad faith, using strong-arm intimidation tactics, threat, 637 duress, and coercion in order to upgrade the meter without consideration for the will, privacy or medical effects which this upgrade would have upon us, the property owners." b.Objection to Motion to Dismiss, received 22 May 2023: "CLAIM ... our family has fulfilled our contract responsibilities for electric service and not given reason for termination of service as described by Utility Customer Relations Rules (UCRR) 302." c.Also stated in Objection to Motion to Dismiss: "Our meter is not damaged, and we have provided company representatives with safe, unencumbered access for the purposes required in Electric Service Regulation No. 6. Yet, ROCKY MOUNTAIN POWER/PACIFICORP has threatened our family with service disconnection because we wish to decline ROCKY MOUNTAIN POWER/PACIFICORP's "Advanced Metering Infrastructure" (AMI) program. Termination of our family's service is not justified by UCRR 302." d.Petition for Reconsideration, received 31 July 2023: "Is declining replacement of our meter with a meter of substantively different capability equivalent to denying access to the meter, per UCRR 302? Where is the law that authorizes ROCKY MOUNTAIN POWER/PACIFICORP to disconnect our electric power?" 4. Idaho Public Utilities Commission ("Commission") has found that "refusing to allow the Company's representatives access to replace existing meters with AMI meters is a violation of the [Electric Service Regulation, ESR] agreed to as a condition of receiving the Company's service." The Appellants disagree. Agreeing to installation of AMI meters is not one of the purposes listed in ESR 6(2)(d) "reading meters, inspecting, repairing or removing metering devices and wiring of the Company", and is only loosely inferred in ESR No. 7(1) "repairing or removing metering devices". 638 5.Nevertheless, for the sake of argument, assuming the Commission's finding is correct, the second legal issue is whether violating UCRR 302 is grounds for termination of electrical service under IDAPA 31.21.01? ROCKY MOUNTAIN POWER/PACIFICORP has alleged, but never proven, that Appellants have denied or willfully prevented the utility's access to the meter, stating that "refusing a meter upgrade is not safe and unencumbered access". The fact is that Appellants have never denied any ROCKY MOUNTAIN POWER/PACIFICORP representatives physical access to the meters. Further, the Commission has never found as a matter of fact that Appellants are refusing access to the meter. 6.Third, as a matter of law, is objecting to the installation of AMI meters the legal and factual equivalent of denying physical access to the meter, given that Appellants have never prevented the Company from physically accessing the meter -as evidenced in the original Complaint (particularly pictures and notarized statements of two neighbors) and by regular and full monthly payments based on the Company's readings of the meters? 7.No order has been entered sealing all or any portion of the record. 8.Is a reporter's transcript requested? No. 9.The Appellants request that the Commission Secretary file this Notice of Appeal and case record PAC-E-23-05 with the Idaho Supreme Court, including all documentation listed under Rule 28(b)(3), I.A.R., including "Objection to Motion to Dismiss" dated 5/22/2023 and "Objection to PACIFICORP Answer" dated 8/8/2023. 10.1 certify: (a)That the estimated fee for preparation of the agency's record has been paid. 639 (b)That the appellate filing fee has been paid. (c)That service has been made upon all parties required to be served pursuant to Rule 20. DATED THIS 28th day of September , 2023 . Samuel Z. Edwards, Sui Juris 640 ORDER NO. 35849 1 Office of the Secretary Service Date July 11, 2023 BEFORE THE IDAHO PUBLIC UTILITIES COMMISSION JACOBA H. VAN MASTRIGT, et al, COMPLAINANTS, vs. PACIFICORP, d/b/a ROCKY MOUNTAIN POWER, RESPONDENT. ) ) ) ) ) ) ) ) ) ) ) CASE NOS. PAC-E-23-04; PAC-E- 23-05; PAC-E-23-06; PAC-E-23-07; PAC-E-23-08; AND PAC-E-23-11 ORDER NO. 35849 Between March 22, 2023, and March 27, 2023, the Commission received six formal customer complaints (collectively the “Complaints”)1 filed against PacifiCorp dba Rocky Mountain Power (“Company”) by the Company’s customers (collectively the “Complainants”). The Complaints concern the Company’s notification to terminate electric service if customers refuse to allow the installation of advanced metering infrastructure meters (“AMI meter(s)”) at their residences. On April 19, 2023, the Commission issued a Summons directing the Company to file an answer to the Complaints within 21 days of service. On May 10, 2023, the Company filed an Answer and Motion to Dismiss (“Answer”) countering the issues cited in the Complaints and asking that the Complaints be dismissed with prejudice. On May 22, 2023, the Commission received five objections to the Company’s request for dismissal and two “AMENDED CRIMINAL COMPLAINT(s).”2 Having reviewed the record in these cases, we now issue this Final Order dismissing the Complaints. THE COMPLAINTS In their Complaints, the Complainants presented various reasons for not wanting an AMI meter installed on their property including the age and health of the complainants, a claimed lack of legal authority allowing the Company to install AMI meters, and concerns over data privacy. Some Complainants also requested the ability to opt-out of having an AMI meter. Five of the 1 The Complaints were filed by the Company’s electric service customers Jacoba H. van Mastright, Samuel and Peggy Edwards, Judy Twede, Karen Lane, Christy Armbruster, and Diane Huskinson. The Complainants all appeared pro se. 2 Jacoba H. van Mastrigt and Judy Twede filed the “AMENDED CRIMINAL COMPLAINT(s).” 641 ORDER NO. 35849 2 Complainants refused to have an AMI meter installed on their residence, the sixth provided consent to allow an AMI meter to be installed but alleged that the consent was unlawfully obtained. Several of the Complainants presented almost identical “Factual Counts” that allege that the Company: (1) breached the peace by attempting to install AMI meters on their residence; (2) attempted extortion of Complainant’s will; (3) impaired contracts; (4) attempted extortion by trying to take over the Complainant’s private property for commercial use; (5) attempted illegal wiretapping; and (6) threatened the Complainant’s with intent to commit harm. Some of the complainants allege additional “Factual Counts” of (1) gross and hazardous negligence; and (2) “actionable fraud.” Two of the Complainants also alleged the Company was committing elder abuse.3 The Complainants all asserted that they have attempted in good faith to resolve their issues with the Company regarding the deployment of AMI meters, and the Complainants alleged the Company is operating in bad faith, and using strong-arm intimidation tactics, threat, duress, and coercion. See, e.g., Complaint of Jacoba H. van Mastrigt at 1. The Complainants also argued that they have paid their bills for electric service they receive from the Company on time. Several of the Complainants argued the Company only has the authority to enter their properties for specific reasons (i.e., meter reading) and that any other access must be authorized by the property owner for certain matters including troubleshooting and making repairs to electrical equipment. The Complainants further claim they do allow the Company to access their properties to read meters but are not granting the Company access to exchange meters. COMPANY ANSWER The Company responded to the Complaints by first describing the notification process it engaged in and its discussions of alternatives for customers who did not want an AMI meter on their residences. Then the Company described the allegations and requests made by the Complainants. Lastly, the Company answered the Complaints lodged against its AMI meter roll- out and moved to dismiss the Complaints with prejudice. Communication The Company represented that it started deploying AMI meters in Idaho in the fall of 2021 and has since completed over 84,000 exchanges. The Company stated that it communicated with customers during AMI meter deployment with “letters, emails, and outbound phone calls 3 Most of these claims are civil tort claims or criminal. The Commission is not the appropriate body to the extent the Complaints seek any damages or the imposition of criminal liability. 642 ORDER NO. 35849 3 informing customers of the Company’s AMI installation process.” Company Answer at 3. The Company asserted that “AMI allows for cost savings by reducing meter reading costs and provides improved customer service through enhanced information and billing options.” Id. During the deployment of the AMI meters, the Company stated that about 160 customers objected to the installation of AMI meters, and the Company then worked with those customers to reach a resolution. The Company explained it “was willing accommodate customers by relocating the AMI [meter] to a different location of the property” at the customer’s expense. Id. at 4. The Company represented it “expressed a willingness to continue working directly with these customers to find a resolution. However, keeping their current meter is not an option for any of our customers in Idaho, and disconnection of service will only be used as a last resort after proper notice has been provided.” Id. The Company represented that it successfully resolved the concerns of 110 of the customers who had initially objected, and the Company exchanged those meters. Id. For the 50 remaining customers, the Company represented that it began to formally notify them that, pursuant to the Utility Customer Relations Rules (“UCRR”), their service would be terminated if they continued to refuse the installation of an AMI meter. Id. The Company cited UCRR 302, IDAPA 31.21.01.302, which allows for termination of service if meter access is denied, as the Company’s primary argument for its formal process to begin disconnection. Id. Along with UCRR 302, the Company cited UCRRs 304 and 305, IDAPA 31.21.01.304-.305, for the notification requirements to disconnect a customer under UCRR 302. Id. The Company asserted it sent an initial letter (“First Letter”) to the customers who refused the meter exchange informing them of the Company’s inability to access the meter for a meter exchange, and the Company followed that letter with additional correspondence (“Second Letter”) providing an explanation of the benefits and customer privacy protections afforded by AMI meters. Id. at 5 and 7-8. The Company then sent a final letter (“Final Letter”) notifying customers that their service would be terminated. The Company also stated that the Second and Final Letters informed customers, including the Complainants, how to avoid termination of service. Id. The Company represented that the Final Letter also stated that “a certificate notifying the utility of a serious illness or medical emergency in the household may delay termination of service as prescribed by Rule 308.” Id. Finally, the Company stated that its employees began delivering notices in person and attempting to resolve the issues customers cited regarding AMI meters before it planned on terminating service. Id. at 8. 643 ORDER NO. 35849 4 Answer and Motion The Company: (1) denied all factual allegations in the Complaints that were not admitted in its Answer; (2) explained its belief that industry standards have determined AMI meters do not provide a threat of harm to customers; and (3) claimed that the required UCRR notices it sent to customers who refused access were not threats and the Company did not violate any contract, procedure, rule or law with its requirement for AMI meter installations. The Company asked the Commission to dismiss the Complaints with prejudice for failure to state a claim. The Company denied using “threats, duress, or coercion to induce Complainants to accept AMI [meter] installation.” Id. at 7. The Company discussed its communication efforts where it ultimately warned customers that without access to meters, the Company would initiate the termination process and terminate service if unable to resolve the issue of meter access. The Company noted that those communications were “developed in accordance with the UCRR’s approved by the Commission…” and merely warned customers of the possibilities if access was refused. Id at 8. The Company maintained that it is allowed to terminate customers’ service if not allowed to access the meters, and without an opt-out in Idaho, that is the only option available. The Company stated that it did discuss alternatives available to customers like relocating the new AMI meter on the customer’s property. The Company cited Electric Service Regulation (“ESR”) No. 6(2)(d), which provides that “[t]he Customer shall provide safe, unencumbered access to Company’s representatives at reasonable times, for the purpose of reading meters, inspecting, repairing or removing metering devices and wiring of the Company,” and which its customers agree to as a condition of service. Id. at 9 quoting ESR No. 6(2)(d). The Company disputed the assertion in the Complaints that the Company does have physical access to the meters stating that “refusing a meter upgrade is not safe and unencumbered access” under ESR 6(2)(d). Id. Further the Company stated that ESR No. 7 requires the Company “to furnish and maintain all meters and other metering equipment” and does not prohibit or proscribe a specific type of meter. Id. quoting ESR No. 7. The Company discussed the Federal Communication Commission’s (“FCC”) jurisdiction over devices emitting radio frequency, like AMI meters. The Company represents that the FCC ensures the safety of these devices pursuant to “the National Environmental Policy Act of 1969, among other laws.” Id. at 10. 644 ORDER NO. 35849 5 The Company also asserted “[i]ndustry research and standards agencies, such as the American National Standards Institute (“ANSI”) and the Institute of Electrical and Electronics Engineers, Inc. (“IEEE”) have compiled the research” concerning exposure to radio frequencies energy and created guidelines that the FCC and federal Occupational Safety and Health Administration have adopted. Id. The Company stated those standards define the maximum permissible exposure (“MPE”) standards and the two categories they are assigned to, the controlled and uncontrolled environments. Id. The uncontrolled environment applies to the general public, like residential homes, and includes heightened safety requirements by FCC standards. The MPE for the controlled environment is 5:1, meaning the FCC’s MPE limit for the general public is 50X less than research shows can cause harm to humans. Id. at 11. The Company discussed the history of AMI meters in Idaho and represented that the Company is the last major electric utility to install this infrastructure. The Company noted that AMI meters first became available almost 20 years ago. The Company cited previous cases for Avista, Idaho Power, and itself where the Commission dismissed complaints about AMI and/or denied a request to require public utilities to provide an opt-out provision. Case Nos. PAC-E-22- 09, AVU-E-17-11, and IPC-E-12-04. The Company stated that the Commission has never “ruled that a public utility’s AMI project, which does not include an opt-out option, violates an administrative rule, order, statute, or applicable provision of the Company’s tariff.” Id. at 12. The Company stated the Complaints “do not identify any specific administrative rule, order, statute, or applicable provision of the Company’s tariff” violated by the Company. Id. at 13. Further, the Company claimed it acted in compliance with rules and regulations that apply to notice and termination for complainants’ refusal to grant access to meters. Objection and Amendments In their Objection and Opposition to Motion to Dismiss (“Objections”), van Mastrigt and Twede stated that until the Company produces a rule that specifically authorizes termination for refusing to accept an AMI meter, the Company cannot install the AMI meter or terminate service. The Objections reiterated several points first addressed in the original Complaints about access, safety, data acquisition, and trespassing technology. The Objections also argued matters raised in 645 ORDER NO. 35849 6 the “AMENDED CRIMINAL COMPLAINT(s)” filed by each.4 The Objections also ask the Commission to address all criminal counts they allege have been committed by the Company. The Commission received various other documents in response to the Company’s Answer that essentially restated the same claims from the original Complaints and asked the Commission to reject the Company’s Motion. COMMISSION DISCUSSION AND FINDINGS The Commission has jurisdiction over this matter under Idaho Code Title 61 and IDAPA 31.01.01. The Commission is charged with determining all rules and regulations of a public utility are just and reasonable. Idaho Code § 61-303. The Commission is empowered to investigate rates, charges, rules, regulations, practices, and contracts of all public utilities and to determine whether they are just, reasonable, preferential, discriminatory, or in violation of any provisions of law, and to fix the same by order. Idaho Code §§ 61-501 through 503. The Commission addresses informal and formal complaints through the process outlined in its administrative rules and does not provide preferential treatment to any party participating in the process. IDAPA 31.01.01.054 and .057.02. The Commission has had previous opportunities to review AMI meter complaints and the prevailing scientific research on customer safety, and in each instance the Commission has concluded that AMI meters do not pose a risk to the safety and health of customers, comply with Idaho Code § 61-302, and should be allowed in Idaho. See Case Nos. IPC-E-12-04, AVU-E-17-11, and PAC-E-22-09. The Commission has also recognized that the FCC has jurisdiction over what constitutes a safe level of radio frequency radiation that is permitted by AMI meters, and that the FCC has found it to be safe. See Order No. 35544 at 2. The Commission has also never required a utility to offer an opt-out for AMI meters. The Complainants in these cases raise similar claims as those previously reviewed and decided by the Commission, claims that go against well-established evidence on AMI meter safety and seek an outcome that is not required under state or federal law. As we have stated previously, the FCC has jurisdiction over the approval of devices that use radio frequency, like AMI meters, and the FCC has approved AMI meters as safe for consumer use. The Commission is authorized to ensure that every public utility furnishes service, instrumentalities, equipment, and facilities as shall promote the safety, health, comfort, and 4 The “AMENDED CRIMINAL COMPLAINT(s)” generally allege the same facts and “FACTUAL COUNTS” as the Complaints. 646 ORDER NO. 35849 7 convenience of its customers and the public. Idaho Code § 61-302. The Commission is once again asked to weigh the FCC’s safety approval of the use of AMI meters and similar devices and withhold the benefits and efficiencies that customers derive from the use of such devices, and the history of AMI meter use by electric utilities in Idaho, against the claims presented in the Complaints. Having reviewed the record, the arguments of the parties, and all submitted materials, the Commission finds that the Complainants have not provided evidence to support a finding that AMI meters present a legitimate safety concern, or that public utilities in Idaho should be required to provide an opt-out option for AMI meters. The Commission finds the record demonstrates that the Company and the Complainants have been in contact with each other about the issues surrounding the Company’s deployment of AMI meters. The record also shows that the Company intends to replace meters that it owns, and the Company has complied with the UCRR through its communications with the Complainants. We find that refusing to allow the Company’s representatives access to replace existing meters with AMI meters is a violation of the ESR agreed to as a condition of receiving the Company’s service. ESR No. 6(2)(d) requires Complainants to provide access to the Company representatives “for the purposes of . . . [among other things] repairing or removing metering devices . . . .” Under this ESR, the Company may remove the existing meter to replace it with an AMI meter. If Complainants refuse to allow the Company to remove the Company-owned meters, they are violating the ESR. Further, ESR No. 7(1) requires the Company to “furnish and maintain all meters and metering equipment.” When read together, ESR Nos. 6 and 7 require that the Company provide its customers with the meter and associated metering equipment and requires the customer to provide the Company with access to the meter to accomplish this. Based on the foregoing, the Company has the necessary authority to install an AMI meter on the Complainants’ property in its furnishing of electric service as a public utility. The Commission also finds that the Company has been clear about its willingness to relocate AMI meters to a different location on the Complainants’ property at the Complainants’ expense if requested to. ESR No. 12 provides information on the Company’s line extension and relocation policies. The Commission finds that the Complainants have been offered an opportunity to resolve this matter, and they have chosen not to do so. The Commission finds that the facts in 647 ORDER NO. 35849 8 these cases do not justify ordering the Company to provide an option to opt-out of receiving an AMI meter. Accordingly, the Complainants’ Complaints are dismissed. ORDER IT IS HEREBY ORDERED that the Complaints filed in the above captioned cases are dismissed. THIS IS A FINAL ORDER. Any person interested in this Order may petition for reconsideration within twenty-one (21) days of the service date of this Order regarding any matter decided in this Order. Within seven (7) days after any person has petitioned for reconsideration, any other person may cross-petition for reconsideration. See Idaho Code § 61-626. DONE by Order of the Idaho Public Utilities Commission at Boise, Idaho this 11th day of July 2023. ERIC ANDERSON, PRESIDENT JOHN R. HAMMOND JR., COMMISSIONER EDWARD LODGE, COMMISSIONER ATTEST: Jan Noriyuki Commission Secretary I:\Legal\ELECTRIC\PAC_RMP Smart Meter Complaints\PAC_AMI meters_final_dh.docx 648 ORDER NO. 35904 1 Office of the Secretary Service Date August 25, 2023 BEFORE THE IDAHO PUBLIC UTILITIES COMMISSION JACOBA H. VAN MASTRIGT, et al, COMPLAINANTS, vs. PACIFICORP, d/b/a ROCKY MOUNTAIN POWER, RESPONDENT. ) ) ) ) ) ) ) ) ) ) ) CASE NOS. PAC-E-23-04; PAC-E- 23-05; PAC-E-23-06; PAC-E-23-07; PAC-E-23-08; AND PAC-E-23-11 ORDER NO. 35904 Between March 22, 2023, and March 27, 2023, the Commission received six formal customer complaints (collectively the “Complaints”)1 filed against PacifiCorp dba Rocky Mountain Power (“Company”) by the Company’s customers (collectively the “Complainants”). The Complaints concerned the Company’s notification to terminate electric service if the customers refused to allow the installation of advanced metering infrastructure meters (“AMI meter(s)”) at their residences. The central theme of the Complaints focused the customers’ desire to avoid installation of AMI meters at their homes. Reasons cited for not wanting AMI meters included age and health of the complainants, a child with special needs in proximity to the home’s meter, lack of legal authority allowing the Company to install the AMI meters, data privacy, and a request for an opt-out provision. On April 19, 2023, the Commission issued a Summons directing the Company to file an answer to the Complaints within 21 days of service. On May 10, 2023, the Company filed an Answer and Motion to Dismiss (“Answer”) countering the issues cited in the Complaints and asking that the Complaints be dismissed with prejudice. Subsequently, the customers filed five objections to the Company’s request for dismissal and two “AMENDED CRIMINAL COMPLAINT(s).”2 On July 11, 2023, the Commission entered a Final Order dismissing the Complaints. Order No. 35849. The Final Order provides, in pertinent part: The Complainants in these cases raise similar claims as those previously reviewed and decided by the Commission, claims that go against well-established evidence 1 The Complaints were filed by the Company’s electric service customers Jacoba H. van Mastright, Samuel and Peggy Edwards, Judy Twede, Karen Lane, Christy Armbruster, and Diane Huskinson. The Complainants all appeared pro se. 2 Jacoba H. van Mastrigt and Judy Twede filed the “AMENDED CRIMINAL COMPLAINT(s).” 649 ORDER NO. 35904 2 on AMI meter safety and seek an outcome that is not required under state or federal law. As we have stated previously, the FCC has jurisdiction over the approval of devices that use radio frequency, like AMI meters, and the FCC has approved AMI meters as safe for consumer use. . . . Having reviewed the record, the arguments of the parties, and all submitted materials, the Commission finds that the Complainants have not provided evidence to support a finding that AMI meters present a legitimate safety concern, or that public utilities in Idaho should be required to provide an opt-out option for AMI meters. . . . We find that refusing to allow the Company’s representatives access to replace existing meters with AMI meters is a violation of the ESR agreed to as a condition of receiving the Company’s service. ESR No. 6(2)(d) requires Complainants to provide access to the Company representatives “for the purposes of . . . [among other things] repairing or removing metering devices . . . .” Under this ESR, the Company may remove the existing meter to replace it with an AMI meter. If Complainants refuse to allow the Company to remove the Company-owned meters, they are violating the ESR. Further, ESR No. 7(1) requires the Company to “furnish and maintain all meters and metering equipment.” When read together, ESR Nos. 6 and 7 require that the Company provide its customers with the meter and associated metering equipment and requires the customer to provide the Company with access to the meter to accomplish this. Based on the foregoing, the Company has the necessary authority to install an AMI meter on the Complainants’ property in its furnishing of electric service as a public utility. Id. In the Final Order, the Commission also found that the Company had communicated its willingness, upon request, to relocate the AMI meter to a different location on the Complainants’ property at their expense. Accordingly, the Commission determined that the facts in each case did not justify ordering the Company to provide an option to opt-out of receiving an AMI meter and dismissed the complaints. Pursuant to Idaho Code § 61-626 and IDAPA 31.01.01.331, the Complainants were given twenty-one (21) days following entry of the Final Order in which to petition for reconsideration. PETITION FOR RECONSIDERATION On July 31, 2023, Complainants Samuel and Peggy Edwards filed a Petition for Reconsideration (“Petition”) of Order No. 35849.3 The Edwards base their claim that the Commission erred in Order No. 35849 upon two contentions: (1) that the Commission 3 Mr. Edwards represents that he requested the other complainants refrain from seeking reconsideration to “reduce confusion or generalization” from consideration of multiple complaints. Pet. for Recon. at 3. 650 ORDER NO. 35904 3 misinterpreted the relevant Electronic Service Regulations (“ESR”) applicable to the Company; and (2) that requiring 100 percent compliance AMI metering requirement is unreasonable. In their Petition, the Edwards contend that AMI meters lack surge protection and, therefore, constitute a “downgrade” from the electromechanical metering already installed at their property. According to the Edwards, ESR 6(2)(d) does not authorize meter access for purposes of installing technology to replace that already in place, nor does ESR 7(1) provide the Company sole discretion to replace a meter with any technology. The Edwards also suggest something less than 100 percent customer compliance with the Company’s AMI metering initiative would be just and reasonable. As evidence that AMI meters pose a safety concern, the Edwards attached a document purporting to be an amicus brief filed by Children’s Health Defense, and Building Biology Institute in a case before the Pennsylvania Supreme Court, Povacz v. Penn. Pub. Utility Comm., 280 A.3d 975 (Pa. 2022).4 Included in an addendum to the purported brief are a “Physicians Statement,” “Scientists Statement,” and reports by engineers expressing opinions regarding the function and health risks associated with AMI meters. However, it does not appear that the statements or reports were given under oath or otherwise certified true and correct under penalty of perjury, nor does the purported brief bear a file stamp indicating it was in fact filed in the Pennsylvania case.5 COMMISSION DISCUSSION AND FINDINGS The Commission has the authority to grant or deny reconsideration under Idaho Code § 61-626(2). Reconsideration provides an opportunity for any interested person to bring to the Commission’s attention any question previously determined, and thereby affords the Commission an opportunity to rectify any mistake or omission. Washington Water Power Co. v. Kootenai Environmental Alliance, 99 Idaho 875, 879, 591 P.2d 122, 126 (1979); see also Eagle Water Company v. Idaho PUC, 130 Idaho 314, 317, 940 P.2d 1133, 1136 (1997). Consistent with the purpose for reconsideration, Commission Rules require a Petition for Reconsideration to specify “why the order or any issue decided in the order is unreasonable, unlawful, erroneous or not in conformity with the law.” IDAPA 31.01.01.331.01. Commission Rule of Procedure 331 further requires the petitioner to indicate “the nature and quantity of evidence or argument the petitioner 4 In Povacz, the Pennsylvania Supreme Court addressed a challenge by electric customers to the installation of AMI meters (termed “smart meters” in the opinion) on their property. In that case the Pennsylvania Supreme Court held that the customers failed to show that the AMI meters were unsafe or that forced exposure to AMI meters constituted unreasonable service. Id. at 1009-13. 5 On August 4, 2023, the Company filed an Answer to the Petition for Reconsideration (“Answer”) requesting that it be denied. On August 8, 2023, the Edwards filed an Objection to the Company’s Answer. 651 ORDER NO. 35904 4 will offer if reconsideration is granted.” Id. A petition must state whether reconsideration should be conducted by “evidentiary hearing, written briefs, comments, or interrogatories.” IDAPA 31.01.01.331.03. Grounds for reconsideration or issues on reconsideration that are not supported by specific explanation may be dismissed. IDAPA 31.01.01.332. As discussed below, the Edwards have not shown in their Petition that Order No. 35849 (or an issue decided in it) is unreasonable, unlawful, erroneous or not in conformity with the law. Nor have the Edwards identified evidence that warrants granting their petition. The Edwards’ argument that the Commission misinterpreted the ESR is, at best, a slight variation of their previous argument that the ESRs do not obligate them to permit the Company to upgrade their existing meter. Rather than characterizing installation of an AMI meter as an upgrade, the Edwards contend it would be a downgrade because such meters lack surge protection. However, the Edwards did not present evidence supporting their conclusory assertion that the AMI meter the Company seeks to install would lack surge protection, even if the absence of such protection renders an AMI meter a downgrade in the Edwards’ opinion. More importantly, beyond the conclusory assertion that “a substantive change of metering capability to residents’ electric meters” differs from furnishing and maintaining meters and equipment under the ESR, the Edwards have not supported their argument that the Commission misinterpreted the ESR with cogent argument or citation to legal authority. Similarly, the Edwards have failed to show declining customers an opt-out option is unreasonable. According to the Edwards, failing to allow opt-outs has left disconnection as the only option open to “a medically sensitive minority of the public.” Ostensibly, the Edwards are concerned about adverse medical effects resulting from radio frequency (“RF”) radiation that AMI meters emit. As noted in previous Commission orders (e.g., Order Nos. 32500, 33979, and 35544), the Federal Communications Commission (“FCC”) has adopted safety limits for RF devices operating near humans. See 47 C.F.R. 1.1307(b), 1.1310, 2.1091, 2.1093. The Edwards do not contend that the Company intends to install an AMI meter that does not comply with FCC requirements. Rather, the Edwards ostensibly assert that AMI meters pose a safety concern, regardless of FCC requirements. In support of this contention, the Edwards attached the aforementioned amicus brief filed by Children’s Health Defense, and Building Biology Institute. However, the Edwards have not authenticated the document as being what they claim it to be, nor does the purported brief bear a file stamp indicating it was in fact filed in the Pennsylvania appeal. 652 ORDER NO. 35904 5 Moreover, although an addendum to the purported brief includes a “Physicians Statement,” “Scientists Statement,” and reports by engineers expressing opinions regarding the function and health risks associated with AMI meters, the reports and statements do not appear to have been given under oath or otherwise certified true and correct under penalty of perjury. Such unauthenticated and unsworn evidence is insufficient to overcome the conclusions of the FCC regarding generally safe levels of RF radiation.6 Even if it were, the Edwards have not presented evidence indicating AMI meters pose a demonstrable, credible health and safety concern to those residing in their home to suggest that our decision in Order No. 35849 was unreasonable, unlawful, erroneous or not in conformity with the law. Finally, the Edwards have not addressed why placing such a meter away from their home as the Company agreed to do would not sufficiently address their health and safety concerns about and AMI meters. In sum, despite the sincerity of the Edwards concerns, the Commission will continue adhering to the FCC’s position on safe levels of RF radiation. Accordingly, the Commission concludes that the Edwards’ Petition should be denied. ORDER IT IS HEREBY ORDERED that the Petition for Reconsideration is denied. THIS IS A FINAL ORDER DENYING RECONSIDERATION. Any party aggrieved by this Order or other final or interlocutory Orders previously issued in this case may appeal to the Supreme Court of Idaho within forty-two (42) days pursuant to the Public Utilities Law and the Idaho Appellate Rules. See Idaho Code § 61-627; I.A.R. 14. /// 6 In their Petition, the Edwards cite an argument presented in the amicus brief that FCC guidelines cannot support conclusions regarding RF safety because a federal court remanded a decision by the FCC not to revisit the limits on RF radiation established in 1996. Specifically, in Env't Health Tr. v. Fed. Commc'ns Comm'n, a divided panel of the D.C. Circuit held that the FCC failed to respond to evidence in the record indicating that exposure to RF radiation below current FCC limits may case negative health effects unrelated to cancer. 9 F.4th 893, 906 (D.C. Cir. 2021). Although Environmental Health Trust suggests that relevant scientific knowledge has evolved since the FCC last updated the limits for RF radiation, the case does not support a claim that RF radiation at, or below, current FCC limits causes adverse health effects in humans. 653 ORDER NO. 35904 6 DONE by Order of the Idaho Public Utilities Commission at Boise, Idaho this 25th day of August 2023. ERIC ANDERSON, PRESIDENT JOHN R. HAMMOND JR., COMMISSIONER EDWARD LODGE, COMMISSIONER ATTEST: Jan Noriyuki Commission Secretary I:\Legal\ELECTRIC\PAC_RMP Smart Meter Complaints\PAC_AMI meters_recon_at.docx 654 RECEIVED 2023 OCTOBER 9, 2023 5:57PM IDAHO PUBLIC UTILITIES COMMISSION 655 PER I.AR. 17(M), AMENDED NOTICE IS HEREBY GIVEN THAT: 1.The above named appellants appealed -as recorded by Idaho Public Utilities Commission ("Commission") on 28 September -against the above named Respondents to the Idaho Supreme Court from the Commission's Order #35904 recorded on the 25th day of August 2023. It was signed by President Eric Anderson, Commissioner John R. Hammond Jr., and Commissioner Edward Lodge. A copy of the order (#35904) being appealed is attached to this notice, as well as a copy of the order (#35849) which preceded it. Hereafter, the term 'Appellants' in this Notice refers particularly to Case Numbers PAC-E-23-05 and SUP-E-23-02 of Samuel and Peggy Edwards. 2.Appellants have a right to appeal to the Idaho Supreme Court, and the orders described in paragraph 1 above are appealable orders under and pursuant to Idaho Code§ 61-627 and Rule 11(e), I.AR. 3.We appeal the orders (#35904 and #35849) of Idaho Public Utilities Commission which should regulate the electric utilities monopoly corporation known as ROCKY MOUNTAIN POWER/PACIFICORP in promotion of the "safety, health, comfort and convenience of its patrons, employees and the public." Grounds for this appeal are that the Commission's orders have carefully avoided key legal issues raised by the Appellants, which are first: that merely objecting to installation of advanced metering infrastructure ("AMI meter") at their residence is grounds for denial or termination of service under IDAPA 31.21.01, specifically Utility Customer Relations Rules, UCRR 302. The Appellants have stated and repeated this objection on multiple occasions: 656 a.Complaint, received 23 March 2023: "We have attempted over and over again, in good faith to resolve all issues with ROCKY MOUNTAIN POWER/PACIFICORP which have led up to this point where they are now threatening to shut our power off, in spite of the fact that access to the meter has never been impeded for service and that we have always paid our power bill each month and are currently not late with payment. They, in turn, are the aggressor operating in bad faith, using strong-arm intimidation tactics, threat, duress, and coercion in order to upgrade the meter without consideration for the will, privacy or medical effects which this upgrade would have upon us, the property owners." b.Objection to Motion to Dismiss, received 22 May 2023: "CLAIM ... our family has fulfilled our contract responsibilities for electric service and not given reason for termination of service as described by Utility Customer Relations Rules (UCRR) 302." c.Also stated in Objection to Motion to Dismiss: "Our meter is not damaged, and we have provided company representatives with safe, unencumbered access for the purposes required in Electric Service Regulation No. 6. Yet, ROCKY MOUNTAIN POWER/PACIFICORP has threatened our family with service disconnection because we wish to decline ROCKY MOUNTAIN POWER/PACIFICORP's "Advanced Metering Infrastructure" (AMI) program. Termination of our family's service is not justified by UCRR 302." d.Petition for Reconsideration, received 31 July 2023: "Is declining replacement of our meter with a meter of substantively different capability equivalent to denying access to the meter, per UCRR 302? Where is the law that authorizes ROCKY MOUNTAIN POWER/PACIFICORP to disconnect our electric power?" 657 4.The Commission has found that "refusing to allow the Company's representatives access to replace existing meters with AMI meters is a violation of the [Electric Service Regulation, ESR] agreed to as a condition of receiving the Company's service." The Appellants disagree. Agreeing to installation of AMI meters is not one of the purposes listed in ESR 6(2)(d) "reading meters, inspecting, repairing or removing metering devices and wiring of the Company", and is only loosely inferred in ESR No. 7(1) "repairing or removing metering devices". 5.Nevertheless, for the sake of argument, assuming the Commission's finding is correct, the second legal issue is whether violating UCRR 302 is grounds for termination of electrical service under IDAPA 31.21.01? ROCKY MOUNTAIN POWER/PACIFICORP has alleged, but never proven, that Appellants have denied or willfully prevented the utility's access to the meter, stating that "refusing a meter upgrade is not safe and unencumbered access". The fact is that Appellants have never denied any ROCKY MOUNTAIN POWER/PACIFICORP representatives physical access to the meters. Further, the Commission has never found as a matter of fact that Appellants are refusing access to the meter. 6.Third, as a matter of law, is objecting to the installation of AMI meters the legal and factual equivalent of denying physical access to the meter, given that Appellants have never prevented the Company from physically accessing the meter -as evidenced in the original Complaint (particularly pictures and notarized statements of two neighbors) and by regular and full monthly payments based on the Company's readings of the meters? 7.No order has been entered sealing all or any portion of the record. 8.Is a reporter's transcript requested? No. 658 9.The Appellants request that the Commission Secretary file this Notice of Appeal and case records SUP-E-23-02 and PAC-E-23-05 with the Idaho Supreme Court, including all documentation listed under Rule 28(b)(3), I.AR., including particularly: a."Objection to Motion to Dismiss" dated 5/22/2023 b."Objection to PACIFICORP Answer" dated 8/8/2023 c.Our email of 9/27/2023 notifying the Commission Secretary and representatives of ROCKY MOUNTAIN POWER/PACIFICORP of Final Notices served to appellants, and its attachment: the file stamped Amicus Curiae Briefing mentioned (and dismissed) in Order 35904 d."Answer to Motion" dated 10/9/2023 10.1 certify: (a)That the estimated fee for preparation of the agency's record has been paid. (b)That the appellate filing fee has been paid. (c)That service has been made upon all parties required to be served pursuant to Rule 20. DATED THIS 9th day of October , 2023 . 659 ORDER NO. 35849 1 Office of the Secretary Service Date July 11, 2023 BEFORE THE IDAHO PUBLIC UTILITIES COMMISSION JACOBA H. VAN MASTRIGT, et al, COMPLAINANTS, vs. PACIFICORP, d/b/a ROCKY MOUNTAIN POWER, RESPONDENT. ) ) ) ) ) ) ) ) ) ) ) CASE NOS. PAC-E-23-04; PAC-E- 23-05; PAC-E-23-06; PAC-E-23-07; PAC-E-23-08; AND PAC-E-23-11 ORDER NO. 35849 Between March 22, 2023, and March 27, 2023, the Commission received six formal customer complaints (collectively the “Complaints”)1 filed against PacifiCorp dba Rocky Mountain Power (“Company”) by the Company’s customers (collectively the “Complainants”). The Complaints concern the Company’s notification to terminate electric service if customers refuse to allow the installation of advanced metering infrastructure meters (“AMI meter(s)”) at their residences. On April 19, 2023, the Commission issued a Summons directing the Company to file an answer to the Complaints within 21 days of service. On May 10, 2023, the Company filed an Answer and Motion to Dismiss (“Answer”) countering the issues cited in the Complaints and asking that the Complaints be dismissed with prejudice. On May 22, 2023, the Commission received five objections to the Company’s request for dismissal and two “AMENDED CRIMINAL COMPLAINT(s).”2 Having reviewed the record in these cases, we now issue this Final Order dismissing the Complaints. THE COMPLAINTS In their Complaints, the Complainants presented various reasons for not wanting an AMI meter installed on their property including the age and health of the complainants, a claimed lack of legal authority allowing the Company to install AMI meters, and concerns over data privacy. Some Complainants also requested the ability to opt-out of having an AMI meter. Five of the 1 The Complaints were filed by the Company’s electric service customers Jacoba H. van Mastright, Samuel and Peggy Edwards, Judy Twede, Karen Lane, Christy Armbruster, and Diane Huskinson. The Complainants all appeared pro se. 2 Jacoba H. van Mastrigt and Judy Twede filed the “AMENDED CRIMINAL COMPLAINT(s).” 660 ORDER NO. 35849 2 Complainants refused to have an AMI meter installed on their residence, the sixth provided consent to allow an AMI meter to be installed but alleged that the consent was unlawfully obtained. Several of the Complainants presented almost identical “Factual Counts” that allege that the Company: (1) breached the peace by attempting to install AMI meters on their residence; (2) attempted extortion of Complainant’s will; (3) impaired contracts; (4) attempted extortion by trying to take over the Complainant’s private property for commercial use; (5) attempted illegal wiretapping; and (6) threatened the Complainant’s with intent to commit harm. Some of the complainants allege additional “Factual Counts” of (1) gross and hazardous negligence; and (2) “actionable fraud.” Two of the Complainants also alleged the Company was committing elder abuse.3 The Complainants all asserted that they have attempted in good faith to resolve their issues with the Company regarding the deployment of AMI meters, and the Complainants alleged the Company is operating in bad faith, and using strong-arm intimidation tactics, threat, duress, and coercion. See, e.g., Complaint of Jacoba H. van Mastrigt at 1. The Complainants also argued that they have paid their bills for electric service they receive from the Company on time. Several of the Complainants argued the Company only has the authority to enter their properties for specific reasons (i.e., meter reading) and that any other access must be authorized by the property owner for certain matters including troubleshooting and making repairs to electrical equipment. The Complainants further claim they do allow the Company to access their properties to read meters but are not granting the Company access to exchange meters. COMPANY ANSWER The Company responded to the Complaints by first describing the notification process it engaged in and its discussions of alternatives for customers who did not want an AMI meter on their residences. Then the Company described the allegations and requests made by the Complainants. Lastly, the Company answered the Complaints lodged against its AMI meter roll- out and moved to dismiss the Complaints with prejudice. Communication The Company represented that it started deploying AMI meters in Idaho in the fall of 2021 and has since completed over 84,000 exchanges. The Company stated that it communicated with customers during AMI meter deployment with “letters, emails, and outbound phone calls 3 Most of these claims are civil tort claims or criminal. The Commission is not the appropriate body to the extent the Complaints seek any damages or the imposition of criminal liability. 661 ORDER NO. 35849 3 informing customers of the Company’s AMI installation process.” Company Answer at 3. The Company asserted that “AMI allows for cost savings by reducing meter reading costs and provides improved customer service through enhanced information and billing options.” Id. During the deployment of the AMI meters, the Company stated that about 160 customers objected to the installation of AMI meters, and the Company then worked with those customers to reach a resolution. The Company explained it “was willing accommodate customers by relocating the AMI [meter] to a different location of the property” at the customer’s expense. Id. at 4. The Company represented it “expressed a willingness to continue working directly with these customers to find a resolution. However, keeping their current meter is not an option for any of our customers in Idaho, and disconnection of service will only be used as a last resort after proper notice has been provided.” Id. The Company represented that it successfully resolved the concerns of 110 of the customers who had initially objected, and the Company exchanged those meters. Id. For the 50 remaining customers, the Company represented that it began to formally notify them that, pursuant to the Utility Customer Relations Rules (“UCRR”), their service would be terminated if they continued to refuse the installation of an AMI meter. Id. The Company cited UCRR 302, IDAPA 31.21.01.302, which allows for termination of service if meter access is denied, as the Company’s primary argument for its formal process to begin disconnection. Id. Along with UCRR 302, the Company cited UCRRs 304 and 305, IDAPA 31.21.01.304-.305, for the notification requirements to disconnect a customer under UCRR 302. Id. The Company asserted it sent an initial letter (“First Letter”) to the customers who refused the meter exchange informing them of the Company’s inability to access the meter for a meter exchange, and the Company followed that letter with additional correspondence (“Second Letter”) providing an explanation of the benefits and customer privacy protections afforded by AMI meters. Id. at 5 and 7-8. The Company then sent a final letter (“Final Letter”) notifying customers that their service would be terminated. The Company also stated that the Second and Final Letters informed customers, including the Complainants, how to avoid termination of service. Id. The Company represented that the Final Letter also stated that “a certificate notifying the utility of a serious illness or medical emergency in the household may delay termination of service as prescribed by Rule 308.” Id. Finally, the Company stated that its employees began delivering notices in person and attempting to resolve the issues customers cited regarding AMI meters before it planned on terminating service. Id. at 8. 662 ORDER NO. 35849 4 Answer and Motion The Company: (1) denied all factual allegations in the Complaints that were not admitted in its Answer; (2) explained its belief that industry standards have determined AMI meters do not provide a threat of harm to customers; and (3) claimed that the required UCRR notices it sent to customers who refused access were not threats and the Company did not violate any contract, procedure, rule or law with its requirement for AMI meter installations. The Company asked the Commission to dismiss the Complaints with prejudice for failure to state a claim. The Company denied using “threats, duress, or coercion to induce Complainants to accept AMI [meter] installation.” Id. at 7. The Company discussed its communication efforts where it ultimately warned customers that without access to meters, the Company would initiate the termination process and terminate service if unable to resolve the issue of meter access. The Company noted that those communications were “developed in accordance with the UCRR’s approved by the Commission…” and merely warned customers of the possibilities if access was refused. Id at 8. The Company maintained that it is allowed to terminate customers’ service if not allowed to access the meters, and without an opt-out in Idaho, that is the only option available. The Company stated that it did discuss alternatives available to customers like relocating the new AMI meter on the customer’s property. The Company cited Electric Service Regulation (“ESR”) No. 6(2)(d), which provides that “[t]he Customer shall provide safe, unencumbered access to Company’s representatives at reasonable times, for the purpose of reading meters, inspecting, repairing or removing metering devices and wiring of the Company,” and which its customers agree to as a condition of service. Id. at 9 quoting ESR No. 6(2)(d). The Company disputed the assertion in the Complaints that the Company does have physical access to the meters stating that “refusing a meter upgrade is not safe and unencumbered access” under ESR 6(2)(d). Id. Further the Company stated that ESR No. 7 requires the Company “to furnish and maintain all meters and other metering equipment” and does not prohibit or proscribe a specific type of meter. Id. quoting ESR No. 7. The Company discussed the Federal Communication Commission’s (“FCC”) jurisdiction over devices emitting radio frequency, like AMI meters. The Company represents that the FCC ensures the safety of these devices pursuant to “the National Environmental Policy Act of 1969, among other laws.” Id. at 10. 663 ORDER NO. 35849 5 The Company also asserted “[i]ndustry research and standards agencies, such as the American National Standards Institute (“ANSI”) and the Institute of Electrical and Electronics Engineers, Inc. (“IEEE”) have compiled the research” concerning exposure to radio frequencies energy and created guidelines that the FCC and federal Occupational Safety and Health Administration have adopted. Id. The Company stated those standards define the maximum permissible exposure (“MPE”) standards and the two categories they are assigned to, the controlled and uncontrolled environments. Id. The uncontrolled environment applies to the general public, like residential homes, and includes heightened safety requirements by FCC standards. The MPE for the controlled environment is 5:1, meaning the FCC’s MPE limit for the general public is 50X less than research shows can cause harm to humans. Id. at 11. The Company discussed the history of AMI meters in Idaho and represented that the Company is the last major electric utility to install this infrastructure. The Company noted that AMI meters first became available almost 20 years ago. The Company cited previous cases for Avista, Idaho Power, and itself where the Commission dismissed complaints about AMI and/or denied a request to require public utilities to provide an opt-out provision. Case Nos. PAC-E-22- 09, AVU-E-17-11, and IPC-E-12-04. The Company stated that the Commission has never “ruled that a public utility’s AMI project, which does not include an opt-out option, violates an administrative rule, order, statute, or applicable provision of the Company’s tariff.” Id. at 12. The Company stated the Complaints “do not identify any specific administrative rule, order, statute, or applicable provision of the Company’s tariff” violated by the Company. Id. at 13. Further, the Company claimed it acted in compliance with rules and regulations that apply to notice and termination for complainants’ refusal to grant access to meters. Objection and Amendments In their Objection and Opposition to Motion to Dismiss (“Objections”), van Mastrigt and Twede stated that until the Company produces a rule that specifically authorizes termination for refusing to accept an AMI meter, the Company cannot install the AMI meter or terminate service. The Objections reiterated several points first addressed in the original Complaints about access, safety, data acquisition, and trespassing technology. The Objections also argued matters raised in 664 ORDER NO. 35849 6 the “AMENDED CRIMINAL COMPLAINT(s)” filed by each.4 The Objections also ask the Commission to address all criminal counts they allege have been committed by the Company. The Commission received various other documents in response to the Company’s Answer that essentially restated the same claims from the original Complaints and asked the Commission to reject the Company’s Motion. COMMISSION DISCUSSION AND FINDINGS The Commission has jurisdiction over this matter under Idaho Code Title 61 and IDAPA 31.01.01. The Commission is charged with determining all rules and regulations of a public utility are just and reasonable. Idaho Code § 61-303. The Commission is empowered to investigate rates, charges, rules, regulations, practices, and contracts of all public utilities and to determine whether they are just, reasonable, preferential, discriminatory, or in violation of any provisions of law, and to fix the same by order. Idaho Code §§ 61-501 through 503. The Commission addresses informal and formal complaints through the process outlined in its administrative rules and does not provide preferential treatment to any party participating in the process. IDAPA 31.01.01.054 and .057.02. The Commission has had previous opportunities to review AMI meter complaints and the prevailing scientific research on customer safety, and in each instance the Commission has concluded that AMI meters do not pose a risk to the safety and health of customers, comply with Idaho Code § 61-302, and should be allowed in Idaho. See Case Nos. IPC-E-12-04, AVU-E-17-11, and PAC-E-22-09. The Commission has also recognized that the FCC has jurisdiction over what constitutes a safe level of radio frequency radiation that is permitted by AMI meters, and that the FCC has found it to be safe. See Order No. 35544 at 2. The Commission has also never required a utility to offer an opt-out for AMI meters. The Complainants in these cases raise similar claims as those previously reviewed and decided by the Commission, claims that go against well-established evidence on AMI meter safety and seek an outcome that is not required under state or federal law. As we have stated previously, the FCC has jurisdiction over the approval of devices that use radio frequency, like AMI meters, and the FCC has approved AMI meters as safe for consumer use. The Commission is authorized to ensure that every public utility furnishes service, instrumentalities, equipment, and facilities as shall promote the safety, health, comfort, and 4 The “AMENDED CRIMINAL COMPLAINT(s)” generally allege the same facts and “FACTUAL COUNTS” as the Complaints. 665 ORDER NO. 35849 7 convenience of its customers and the public. Idaho Code § 61-302. The Commission is once again asked to weigh the FCC’s safety approval of the use of AMI meters and similar devices and withhold the benefits and efficiencies that customers derive from the use of such devices, and the history of AMI meter use by electric utilities in Idaho, against the claims presented in the Complaints. Having reviewed the record, the arguments of the parties, and all submitted materials, the Commission finds that the Complainants have not provided evidence to support a finding that AMI meters present a legitimate safety concern, or that public utilities in Idaho should be required to provide an opt-out option for AMI meters. The Commission finds the record demonstrates that the Company and the Complainants have been in contact with each other about the issues surrounding the Company’s deployment of AMI meters. The record also shows that the Company intends to replace meters that it owns, and the Company has complied with the UCRR through its communications with the Complainants. We find that refusing to allow the Company’s representatives access to replace existing meters with AMI meters is a violation of the ESR agreed to as a condition of receiving the Company’s service. ESR No. 6(2)(d) requires Complainants to provide access to the Company representatives “for the purposes of . . . [among other things] repairing or removing metering devices . . . .” Under this ESR, the Company may remove the existing meter to replace it with an AMI meter. If Complainants refuse to allow the Company to remove the Company-owned meters, they are violating the ESR. Further, ESR No. 7(1) requires the Company to “furnish and maintain all meters and metering equipment.” When read together, ESR Nos. 6 and 7 require that the Company provide its customers with the meter and associated metering equipment and requires the customer to provide the Company with access to the meter to accomplish this. Based on the foregoing, the Company has the necessary authority to install an AMI meter on the Complainants’ property in its furnishing of electric service as a public utility. The Commission also finds that the Company has been clear about its willingness to relocate AMI meters to a different location on the Complainants’ property at the Complainants’ expense if requested to. ESR No. 12 provides information on the Company’s line extension and relocation policies. The Commission finds that the Complainants have been offered an opportunity to resolve this matter, and they have chosen not to do so. The Commission finds that the facts in 666 ORDER NO. 35849 8 these cases do not justify ordering the Company to provide an option to opt-out of receiving an AMI meter. Accordingly, the Complainants’ Complaints are dismissed. ORDER IT IS HEREBY ORDERED that the Complaints filed in the above captioned cases are dismissed. THIS IS A FINAL ORDER. Any person interested in this Order may petition for reconsideration within twenty-one (21) days of the service date of this Order regarding any matter decided in this Order. Within seven (7) days after any person has petitioned for reconsideration, any other person may cross-petition for reconsideration. See Idaho Code § 61-626. DONE by Order of the Idaho Public Utilities Commission at Boise, Idaho this 11th day of July 2023. ERIC ANDERSON, PRESIDENT JOHN R. HAMMOND JR., COMMISSIONER EDWARD LODGE, COMMISSIONER ATTEST: Jan Noriyuki Commission Secretary I:\Legal\ELECTRIC\PAC_RMP Smart Meter Complaints\PAC_AMI meters_final_dh.docx 667 ORDER NO. 35904 1 Office of the Secretary Service Date August 25, 2023 BEFORE THE IDAHO PUBLIC UTILITIES COMMISSION JACOBA H. VAN MASTRIGT, et al, COMPLAINANTS, vs. PACIFICORP, d/b/a ROCKY MOUNTAIN POWER, RESPONDENT. ) ) ) ) ) ) ) ) ) ) ) CASE NOS. PAC-E-23-04; PAC-E- 23-05; PAC-E-23-06; PAC-E-23-07; PAC-E-23-08; AND PAC-E-23-11 ORDER NO. 35904 Between March 22, 2023, and March 27, 2023, the Commission received six formal customer complaints (collectively the “Complaints”)1 filed against PacifiCorp dba Rocky Mountain Power (“Company”) by the Company’s customers (collectively the “Complainants”). The Complaints concerned the Company’s notification to terminate electric service if the customers refused to allow the installation of advanced metering infrastructure meters (“AMI meter(s)”) at their residences. The central theme of the Complaints focused the customers’ desire to avoid installation of AMI meters at their homes. Reasons cited for not wanting AMI meters included age and health of the complainants, a child with special needs in proximity to the home’s meter, lack of legal authority allowing the Company to install the AMI meters, data privacy, and a request for an opt-out provision. On April 19, 2023, the Commission issued a Summons directing the Company to file an answer to the Complaints within 21 days of service. On May 10, 2023, the Company filed an Answer and Motion to Dismiss (“Answer”) countering the issues cited in the Complaints and asking that the Complaints be dismissed with prejudice. Subsequently, the customers filed five objections to the Company’s request for dismissal and two “AMENDED CRIMINAL COMPLAINT(s).”2 On July 11, 2023, the Commission entered a Final Order dismissing the Complaints. Order No. 35849. The Final Order provides, in pertinent part: The Complainants in these cases raise similar claims as those previously reviewed and decided by the Commission, claims that go against well-established evidence 1 The Complaints were filed by the Company’s electric service customers Jacoba H. van Mastright, Samuel and Peggy Edwards, Judy Twede, Karen Lane, Christy Armbruster, and Diane Huskinson. The Complainants all appeared pro se. 2 Jacoba H. van Mastrigt and Judy Twede filed the “AMENDED CRIMINAL COMPLAINT(s).” 668 ORDER NO. 35904 2 on AMI meter safety and seek an outcome that is not required under state or federal law. As we have stated previously, the FCC has jurisdiction over the approval of devices that use radio frequency, like AMI meters, and the FCC has approved AMI meters as safe for consumer use. . . . Having reviewed the record, the arguments of the parties, and all submitted materials, the Commission finds that the Complainants have not provided evidence to support a finding that AMI meters present a legitimate safety concern, or that public utilities in Idaho should be required to provide an opt-out option for AMI meters. . . . We find that refusing to allow the Company’s representatives access to replace existing meters with AMI meters is a violation of the ESR agreed to as a condition of receiving the Company’s service. ESR No. 6(2)(d) requires Complainants to provide access to the Company representatives “for the purposes of . . . [among other things] repairing or removing metering devices . . . .” Under this ESR, the Company may remove the existing meter to replace it with an AMI meter. If Complainants refuse to allow the Company to remove the Company-owned meters, they are violating the ESR. Further, ESR No. 7(1) requires the Company to “furnish and maintain all meters and metering equipment.” When read together, ESR Nos. 6 and 7 require that the Company provide its customers with the meter and associated metering equipment and requires the customer to provide the Company with access to the meter to accomplish this. Based on the foregoing, the Company has the necessary authority to install an AMI meter on the Complainants’ property in its furnishing of electric service as a public utility. Id. In the Final Order, the Commission also found that the Company had communicated its willingness, upon request, to relocate the AMI meter to a different location on the Complainants’ property at their expense. Accordingly, the Commission determined that the facts in each case did not justify ordering the Company to provide an option to opt-out of receiving an AMI meter and dismissed the complaints. Pursuant to Idaho Code § 61-626 and IDAPA 31.01.01.331, the Complainants were given twenty-one (21) days following entry of the Final Order in which to petition for reconsideration. PETITION FOR RECONSIDERATION On July 31, 2023, Complainants Samuel and Peggy Edwards filed a Petition for Reconsideration (“Petition”) of Order No. 35849.3 The Edwards base their claim that the Commission erred in Order No. 35849 upon two contentions: (1) that the Commission 3 Mr. Edwards represents that he requested the other complainants refrain from seeking reconsideration to “reduce confusion or generalization” from consideration of multiple complaints. Pet. for Recon. at 3. 669 ORDER NO. 35904 3 misinterpreted the relevant Electronic Service Regulations (“ESR”) applicable to the Company; and (2) that requiring 100 percent compliance AMI metering requirement is unreasonable. In their Petition, the Edwards contend that AMI meters lack surge protection and, therefore, constitute a “downgrade” from the electromechanical metering already installed at their property. According to the Edwards, ESR 6(2)(d) does not authorize meter access for purposes of installing technology to replace that already in place, nor does ESR 7(1) provide the Company sole discretion to replace a meter with any technology. The Edwards also suggest something less than 100 percent customer compliance with the Company’s AMI metering initiative would be just and reasonable. As evidence that AMI meters pose a safety concern, the Edwards attached a document purporting to be an amicus brief filed by Children’s Health Defense, and Building Biology Institute in a case before the Pennsylvania Supreme Court, Povacz v. Penn. Pub. Utility Comm., 280 A.3d 975 (Pa. 2022).4 Included in an addendum to the purported brief are a “Physicians Statement,” “Scientists Statement,” and reports by engineers expressing opinions regarding the function and health risks associated with AMI meters. However, it does not appear that the statements or reports were given under oath or otherwise certified true and correct under penalty of perjury, nor does the purported brief bear a file stamp indicating it was in fact filed in the Pennsylvania case.5 COMMISSION DISCUSSION AND FINDINGS The Commission has the authority to grant or deny reconsideration under Idaho Code § 61-626(2). Reconsideration provides an opportunity for any interested person to bring to the Commission’s attention any question previously determined, and thereby affords the Commission an opportunity to rectify any mistake or omission. Washington Water Power Co. v. Kootenai Environmental Alliance, 99 Idaho 875, 879, 591 P.2d 122, 126 (1979); see also Eagle Water Company v. Idaho PUC, 130 Idaho 314, 317, 940 P.2d 1133, 1136 (1997). Consistent with the purpose for reconsideration, Commission Rules require a Petition for Reconsideration to specify “why the order or any issue decided in the order is unreasonable, unlawful, erroneous or not in conformity with the law.” IDAPA 31.01.01.331.01. Commission Rule of Procedure 331 further requires the petitioner to indicate “the nature and quantity of evidence or argument the petitioner 4 In Povacz, the Pennsylvania Supreme Court addressed a challenge by electric customers to the installation of AMI meters (termed “smart meters” in the opinion) on their property. In that case the Pennsylvania Supreme Court held that the customers failed to show that the AMI meters were unsafe or that forced exposure to AMI meters constituted unreasonable service. Id. at 1009-13. 5 On August 4, 2023, the Company filed an Answer to the Petition for Reconsideration (“Answer”) requesting that it be denied. On August 8, 2023, the Edwards filed an Objection to the Company’s Answer. 670 ORDER NO. 35904 4 will offer if reconsideration is granted.” Id. A petition must state whether reconsideration should be conducted by “evidentiary hearing, written briefs, comments, or interrogatories.” IDAPA 31.01.01.331.03. Grounds for reconsideration or issues on reconsideration that are not supported by specific explanation may be dismissed. IDAPA 31.01.01.332. As discussed below, the Edwards have not shown in their Petition that Order No. 35849 (or an issue decided in it) is unreasonable, unlawful, erroneous or not in conformity with the law. Nor have the Edwards identified evidence that warrants granting their petition. The Edwards’ argument that the Commission misinterpreted the ESR is, at best, a slight variation of their previous argument that the ESRs do not obligate them to permit the Company to upgrade their existing meter. Rather than characterizing installation of an AMI meter as an upgrade, the Edwards contend it would be a downgrade because such meters lack surge protection. However, the Edwards did not present evidence supporting their conclusory assertion that the AMI meter the Company seeks to install would lack surge protection, even if the absence of such protection renders an AMI meter a downgrade in the Edwards’ opinion. More importantly, beyond the conclusory assertion that “a substantive change of metering capability to residents’ electric meters” differs from furnishing and maintaining meters and equipment under the ESR, the Edwards have not supported their argument that the Commission misinterpreted the ESR with cogent argument or citation to legal authority. Similarly, the Edwards have failed to show declining customers an opt-out option is unreasonable. According to the Edwards, failing to allow opt-outs has left disconnection as the only option open to “a medically sensitive minority of the public.” Ostensibly, the Edwards are concerned about adverse medical effects resulting from radio frequency (“RF”) radiation that AMI meters emit. As noted in previous Commission orders (e.g., Order Nos. 32500, 33979, and 35544), the Federal Communications Commission (“FCC”) has adopted safety limits for RF devices operating near humans. See 47 C.F.R. 1.1307(b), 1.1310, 2.1091, 2.1093. The Edwards do not contend that the Company intends to install an AMI meter that does not comply with FCC requirements. Rather, the Edwards ostensibly assert that AMI meters pose a safety concern, regardless of FCC requirements. In support of this contention, the Edwards attached the aforementioned amicus brief filed by Children’s Health Defense, and Building Biology Institute. However, the Edwards have not authenticated the document as being what they claim it to be, nor does the purported brief bear a file stamp indicating it was in fact filed in the Pennsylvania appeal. 671 ORDER NO. 35904 5 Moreover, although an addendum to the purported brief includes a “Physicians Statement,” “Scientists Statement,” and reports by engineers expressing opinions regarding the function and health risks associated with AMI meters, the reports and statements do not appear to have been given under oath or otherwise certified true and correct under penalty of perjury. Such unauthenticated and unsworn evidence is insufficient to overcome the conclusions of the FCC regarding generally safe levels of RF radiation.6 Even if it were, the Edwards have not presented evidence indicating AMI meters pose a demonstrable, credible health and safety concern to those residing in their home to suggest that our decision in Order No. 35849 was unreasonable, unlawful, erroneous or not in conformity with the law. Finally, the Edwards have not addressed why placing such a meter away from their home as the Company agreed to do would not sufficiently address their health and safety concerns about and AMI meters. In sum, despite the sincerity of the Edwards concerns, the Commission will continue adhering to the FCC’s position on safe levels of RF radiation. Accordingly, the Commission concludes that the Edwards’ Petition should be denied. ORDER IT IS HEREBY ORDERED that the Petition for Reconsideration is denied. THIS IS A FINAL ORDER DENYING RECONSIDERATION. Any party aggrieved by this Order or other final or interlocutory Orders previously issued in this case may appeal to the Supreme Court of Idaho within forty-two (42) days pursuant to the Public Utilities Law and the Idaho Appellate Rules. See Idaho Code § 61-627; I.A.R. 14. /// 6 In their Petition, the Edwards cite an argument presented in the amicus brief that FCC guidelines cannot support conclusions regarding RF safety because a federal court remanded a decision by the FCC not to revisit the limits on RF radiation established in 1996. Specifically, in Env't Health Tr. v. Fed. Commc'ns Comm'n, a divided panel of the D.C. Circuit held that the FCC failed to respond to evidence in the record indicating that exposure to RF radiation below current FCC limits may case negative health effects unrelated to cancer. 9 F.4th 893, 906 (D.C. Cir. 2021). Although Environmental Health Trust suggests that relevant scientific knowledge has evolved since the FCC last updated the limits for RF radiation, the case does not support a claim that RF radiation at, or below, current FCC limits causes adverse health effects in humans. 672 ORDER NO. 35904 6 DONE by Order of the Idaho Public Utilities Commission at Boise, Idaho this 25th day of August 2023. ERIC ANDERSON, PRESIDENT JOHN R. HAMMOND JR., COMMISSIONER EDWARD LODGE, COMMISSIONER ATTEST: Jan Noriyuki Commission Secretary I:\Legal\ELECTRIC\PAC_RMP Smart Meter Complaints\PAC_AMI meters_recon_at.docx 673 ORDER NO. 35972 1 Office of the Secretary Service Date October 27, 2023 BEFORE THE IDAHO PUBLIC UTILITIES COMMISSION SAMUEL AND PEGGY EDWARDS, Complainants-Appellants, v. IDAHO PUBLIC UTILITIES COMMISSION and PACIFICORP, d/b/a ROCKY MOUNTAIN POWER COMPANY, Respondents. ) ) ) ) ) ) ) ) ) ) ) Idaho Supreme Court Docket No. 51238-2023 IPUC CASE NOS. PAC-E-23-05 SUP-E-23-02 IPUC ORDER NO. 35972 On September 28, 2023, Samuel and Peggy Edwards filed a Notice of Appeal from Order No. 35904 in Case No. PAC-E-23-05. The appeal is currently titled “SAMUEL and PEGGY EDWARDS, Complainants-Appellants, and JACOBA H. VAN MASTRIGT, JUDY TWEDE, KAREN LANE, CHRISTY ARMBRUSTER, and DIANE HUSKINSON, Complainants, v. PACIFICORP, dba ROCKY MOUNTAIN POWER, Respondent.”1 Per Idaho Appellate Rule 6, and Idaho Public Utilities Commission Rules of Procedure 343, the agency may, by order, correct the title of an appeal at any time before the agency’s record is lodged with the Idaho Supreme Court. Having considered the record in this case, the Commission finds that an amendment to the title is necessary to appropriately reflect the positions of the parties on appeal. The Edwards’ formal complaint, filed in Case No. PAC-E-23-05, was consolidated with five other complaints all concerning the Company’s notification to terminate electric service if the customers refused to allow the installation of advanced metering infrastructure meters (“AMI meter(s)”) at their residences.2 However, only the Edwards sought reconsideration of Order No. 35849, which dismissed the complaints. Accordingly, the Edwards are the only party aggrieved by Order No. 35904, which denied their petition for reconsideration. See Idaho Code § 61-627 (authorizing parties aggrieved 1 The original caption that appeared in the Notice of Appeal filed by the Edwards titled the case “JACOBA H. VAN MASTRIGT, et al, APPELLANTS vs. IDAHO PUBLIC UTILITIES COMMISSION AND PACIFICORP, d/b/a ROCKY MOUNTAIN POWER, RESPONDENTS.” However, the Idaho Supreme Court subsequently issued a notice setting a due date for the submission of the Agency Record using the title described in the first paragraph of this order. 2 The Commission assigned the Edwards’ formal complaint Case No. PAC-E-23-05, and processed the case along with Case Nos. PAC-E-23-04, PAC-E-23-06, PAC-E-23-07, PAC-E-23-08, and PAC-E-23-11. Ultimately, the Commission issued Order No. 35849, dismissing each. 674 ORDER NO. 35972 2 by order denying a petition for reconsideration to appeal to the Idaho Supreme Court); see also Procedural Rule 341.02 (providing that no person is aggrieved by an order denying reconsideration unless the party petitioned for reconsideration). IDAPA 31.01.01.341.02. Additionally, only the Edwards have filed a notice of appeal from Order No. 35904 within 42 days of the issuance of Order No. 35904. Consequently, only the Edwards have an appeal pending before the Idaho Supreme Court. See I.A.R. 14(b) (providing a party 42 days from the date evidenced by the filing stamp of the secretary of the Idaho Public Utilities Commission on the order denying rehearing to file a notice of appeal). ORDER IT IS HEREBY ORDERED that the title of the appeal in this matter shall be corrected as reflected above to show Samual and Peggy Edwards as the Appellants, with the Idaho Public Utilities Commission and PacifiCorp, d/b/a Rocky Mountain Power as the Respondents on Appeal. Likewise, all Idaho Public Utilities Commission Case Numbers shall be deleted from the caption except for the those corresponding to the Edwards’ formal complaint. IT IS FURTHER ORDERED that the Commission Secretary shall file a copy of this Order changing the title of the appeal with the Idaho Supreme Court. DONE by Order of the Idaho Public Utilities Commission at Boise, Idaho this 27th day of October 2023. ERIC ANDERSON, PRESIDENT JOHN R. HAMMOND JR., COMMISSIONER EDWARD LODGE, COMMISSIONER ATTEST: Jan Noriyuki Commission Secretary I:\Legal\ELECTRIC\SUP-E-23-02\SUPE2302_OrderReTitle_at.docx 675 CERTIFICATE OF SERVICE CERTIFICATE OF SERVICE OF PROPOSED AGENCY RECORD ON APPEAL I HEREBY CERTIFY that I have this 20th day of November, 2023, served the foregoing Proposed Agency Record on Appeal, in Supreme Court Docket No. 51238-2023, by forwarding a copy thereof, to the following, via e-mail to the e-mail address listed: Appellants, pro se: Samuel Z. and Peggy M.B. Edwards 333 Shoshone Ave. Rexburg, ID 83440 ✓via email pegandsam@gmail.com Attorney for Respondent on Appeal Idaho Public Utilities Commission: Adam Triplett Deputy Attorney General Idaho Public Utilities Commission 11331 W. Chinden Blvd. Building 8, Suite 201-A Boise, Idaho 83714 ✓via email adam.triplett@puc.idaho.gov Attorney for Respondent, PacifiCorp: Joe Dallas Rocky Mountain Power 825 NE Multnomah, Ste. 2000 Portland, OR 97232 ✓via email joseph.dallas@pacificorp.com _________________________________ Jan Noriyuki Commission Secretary 676