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Kasus Sutet di Indonesia: Kajian dari Aspek Epidemiologi (Sutet Case in Indonesia: Review from Epidemiology Aspects)
Sometimes ago, there were an action from the people who lived under and near Very High Voltage Power Lines (Saluran Udara Tenaga Ekstra Tinggi = SUTET). They claimed that they ha some health problems, e.g. headache, dizziness, chronic fatigue syndrome, insomnia, etc. Lectromagnetic fields (EMF) are invisible farces that surround electrical equipment, power cords, and SUTET. World Health Organization reported that there are some impact of EMF exposure on health i.e. leukemia, malign lymphoma, arrhythmia, neurological degeneration, spermatogenesis disorder, melatonin metabolism changes, etc. To determine that SUTET caused some health problems, there was a need for epidemiologic review. Because the ultimate aim of most epidemiology studies, especially environmental epidemiology is to describe an exposure-response relationship that is unlikely to be explained that the studied were free from bias, (i.e. selection bias and information bias), chance, and confounding fators. There are nine general criteria for drawing causal inferences from such study design i.e. strength of association, consistency, specificity, temporality, dose-response relationship, biological plausibility, coherence, experiment, and analogy. The health problems- EMF association certainly falls short of causality in strength, consistency, specificity, and analogy. Based on the depth of knowledge displayed in current literature, one cannot say that there is a causal association between EMF and health problems. Conversely, there is insufficient information available to declare that the association is spurious or indirect.
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