Topic 01: Public Perception on Electromagnetic Field Emissions from 5G Radio Communication Infrastructure and Consumer Premise Equipment in Malaysia

Public Perception on Electromagnetic Field Emissions from 5G Radio Communication Infrastructure and Consumer Premise Equipment in Malaysia

Prof. Dr. Alyani Ismail

Lead Researcher
Universiti Putra Malaysia

Prof. Ir. Dr. Aduwati Sali

Team Member
Universiti Putra Malaysia

Assoc. Prof. Dr. Akmar Hayati Ahmad Ghazali

Team Member
Universiti Putra Malaysia

Dr. Nadiah Husseini Zainol Abidin

Team Member
Universiti Putra Malaysia

Assoc. Prof. Datin Ts. Dr. Nurul Adilah Abdul Latiff

Team Member
Universiti Malaysia Terengganu

01 ABSTRACT

The massive deployment of advanced wireless networks is essential to support broadband connectivity, low-latency communication, and Internet of Things applications. Nevertheless, in the time of coronavirus disease (COVID-19), there is a massive amount of misinformation and uncertainty about the impact of the fifth-generation (5G) cellular network on human health. Fake news and misconceptions about 5G in Malaysia may spread fear and undermine public trust, potentially causing delays in 5G deployment. Understanding Malaysian public perceptions of 5G EMF health effects is crucial for network infrastructure and devices. We conducted a research study on Public Perception on Electromagnetic Field (EMF) Emissions from 5G Radio Communication Infrastructure and Consumer Premise Equipment (CPE) in Malaysia with the project acronym EMFERCICE. The project aims to investigate the level of Malaysian public perception of 5G radiation emissions in Malaysia. The study looked into public understanding factors, including information source characteristics (media exposure) and health-risk characteristics, taking into account their perceptions of EMF emission from network infrastructure and consumer premise equipment. The study found that over half of the respondents (56.6 per cent) out of 410 total respondents were concerned about 5G, with the biggest concern being the potential health effects of 5G radiation (69.4 per cent). The majority of the respondents perceived low to moderate levels of 5G radiation exposure, which may be due to their trust in policies protecting them from 5G EMF radiation. Most respondents (77.1 per cent) believed that public policies provide protection from EMF exposure. However, respondents who perceived high 5G radiation exposure were likely to have health concerns about 5G. The study suggests several recommendations to strengthen public trust in 5G emissions which include clear communication of safety standards, independent research and studies, independent safety audits, continuous monitoring of emissions, and independent safety audit, aiming to build a positive narrative around 5G technology and maximise the benefits.
Keywords: Electromagnetic Field (EMF), COVID-19, Consumer Premise Equipment (CPE) and 5G

02 introduction

The recent development of the fifth-generation (5G) network has led to widespread expectations that it will revolutionise mobile communications. With applications such as industrial automation, extended reality, and autonomous vehicles, 5G is expected to lead to substantial benefits globally, including an estimated contribution of up to USD 588 billion in global tax revenue from 2020 to 2034 (GSMA, 2018).

Among the pioneer countries of 5G, Korean mobile carriers began distributing the service in April 2019 (France Presse, 2019), and in less than three (3) months, more than a million users have joined the network (Chamberlain, 2019). Since then, other countries have also witnessed steady increases in the number of subscribers, leading experts to project that the 5G network would cover 55 to 65 per cent of the world’s population by 2025 (Reichert, 2019).

As such, demand for the 5G network has been high; Malaysia has also begun to strategise for 5G deployment via the National Digital Network (JENDELA) plan. JENDELA has targeted reaching 100 Mbps speed through 5G service by 2025, which means Malaysia will be charted as part of the 55 to 65 per cent 5G coverage of the worldwide projection by 2025.

In contrast to its apparent popularity, however, the new technology may not be welcomed by everyone. Some people appear to embrace this novel technology, whereas others dissent, as members of the public have perceived that exposure to electromagnetic (EM) waves from 5G network base stations poses potential health risks. The current deployment of 5G in many countries around the world has triggered heated debates and unsettledness in the general public (Broad, 2019b; Foster, 2019). Protests in Korea have delayed the construction of base stations (Jun, 2019), and anti-5G demonstrations have filled the streets in the United Kingdom (Hern, 2019) and Switzerland (Jones, 2020).

problem statement

Some portion of the population is concerned about potential health impacts from being exposed to 5G radiofrequency radiation (RFR) (Nyberg and Hardel, 2017), which may impact the deployment of 5G in this country, as experienced previously by some 5G pioneer countries. This project foresees two (2) major problems associated with the perceived health risk among the Malaysian public due to 5G radiation:
1.   Assumptions are being made that “many” Malaysians are against 5G and perceive the 5G radiation as harmful.
There is no structured study that provides answers to how many is “many” for Malaysians. There are discussions, statements, and claims that have been circulated online by Malaysians, especially in mainstream social media, but how much these have impacted the public’s perception of 5G radiation is simply unknown.
3.   Sources of information that spread fake news and misconceptions about 5G to the public.
Authorities such as the World Health Organization (2020) made statements that EM waves from 5G network base stations would not cause substantial adverse health effects as their levels were well within the exposure limits; however, the public perception may not diminish much since the sources of misinformation about 5G are still circulating. Social media has been one (1) of the sources of 5G information, reliable or not. Malaysian public perception may be shaped by the existence of these sources, influencing the thinking and behaviour of readers.

objectives

To gauge the public’s perception in Malaysia of the health effects of 5G EMF emissions.
To identify the sources of 5G EMF information referenced by the public and examine their contributions to the public’s perception.
To measure the level of public understanding of the implications of the 5G network base stations (BS) and consumer premise equipment (CPE) in their vicinity.
To provide recommendations for building public trust in the safety of 5G network BS and CPE.

03 literature review

5G Radio Frequency Radiation from Network Infrastructure and Consumer Premise Equipment

RFR is non-ionising radiation that involves waves with smaller energy that cannot ionise the cells, thus preventing severe impacts on the exposed cells. Nevertheless, the electromagnetic field (EMF) can cause the molecules to vibrate, leading to a possible heating effect on the exposed tissues, i.e., a thermal effect (Foster et. al., 2017). In this regard, regulatory authorities such as the International Commission on Non-Ionizing Radiation Protection (ICNIRP) and the Federal Communications Commission (FCC) quantify the maximum allowable radio frequency (RF) exposure to limit the temperature rise of the exposed tissues (ICNIRP, 2020). Regarding the non-thermal long-term exposure to 5G, there is a debate in the community about whether it has adverse health impacts. However, no adverse effects have been proven for exposure that is consistent with the regulatory limits. The 5G cellular network promised to deliver high-data-rate communications for an increasing number of users. This can be done through network densification, which means installing a massive number of base stations and small cells, as well as adopting millimetre-wave (mm-wave) frequency. This has led to concerns among the population about the potential health impacts of being exposed to 5G radiofrequency radiation (RFR) (Nyberg and Hardel, 2017). The impact is worrying because the arising doubts about 5G can delay the deployment of 5G in some countries, leading to unfavourable economic impacts, as reported by Jones (2020).

Additionally, network densification causes the space between users and the closest cell to close, increasing the perceived negative effects on health. EMF emissions result from both the expansion of customer premises equipment and network infrastructure (CPE). Nearly any end-user device nowadays qualifies as CPE. Telephone handsets, channel service units or data service units, routers or wireless access point devices, broadband, Ethernet, or DSL modems, cable set-top boxes, adapters for network services, local area network (LAN), or wide area network (WAN) devices, are just a few examples of the various types of equipment that qualify as CPE. Mobile phones and routers are common CPEs that emit EMF that are included in this equipment. The deployment of CPE close to consumers may lead to perceived health problems among them.

The Use of 5G Beamforming Antennas to Minimise Exposure to RF-EMF

In order to increase network capacity and efficiency while lowering electromagnetic field (EMF) exposure, beamforming antennas are a crucial piece of technology utilised in 5G base stations (Larsson et. al., 2014; Ojaroudi et. al., 2020; and Betta et. al., 2022). It is a method for concentrating and directing electromagnetic signals in a particular direction that is utilised in wireless communication systems, including 5G. Beamforming directs signal energy toward the target receiver rather than dispersing it evenly in all directions, increasing signal intensity, coverage, and capacity. Instead of broadcasting their wireless signals in all directions, 5G base stations can focus them on the targeted users by employing beamforming. This makes it possible to utilise the energy transmitted more effectively, which lowers the total power needed for communication. Reduced power also reduces the amount of EMF exposure in the vicinity. To focus on certain user devices, beamforming antennas can dynamically change the beam’s shape and direction. By precisely directing the signal to a specific device, the base station can ensure the highest possible signal quality while using less unnecessary transmission power. Additionally, 5G base stations have the capacity to create numerous beams at once, improving the spatial reuse of the available spectrum. This increases network efficiency and lowers overall power consumption by allowing several customers to be served concurrently in the same frequency range. Depending on the user’s position, movement, and communication needs, beamforming antennas can change the direction of their beams. By allowing for configurable coverage and capacity distribution, this flexibility makes it possible to retain the essential signal quality while minimising extraneous radiation in places where it is not required.

Although the need for communication systems with extremely dependable links and good coverage is undeniable, one (1) of the worries people have about the adoption of 5G technology is related to the potential biological impacts and health implications caused by electromagnetic exposure (Betta et. al., 2020). According to research, the general public is adamant that 5G densification causes an unchecked and undesirable rise in human exposure levels (Chiaraviglio et. al., 2022). A correct evaluation of EMF exposure is crucial for these reasons.

Misinformation on 5G

Fake theories and hoaxes that are not supported by any scientific data may be the cause of the uncertainty surrounding 5G. It’s possible that the telecommunications sector has experienced a misunderstanding of 5G operational principles before, as it did with earlier generations of communications, such as 4G. As always, misunderstandings about emerging technology could lead people to overestimate the dangers of 5G exposure to their health. There are various false beliefs about 5G that relate the spread of COVID-19 pandemic to exposure to 5G’s EMFs. The World Health Organization (WHO) coined the term “infodemic” to describe the widespread spread of false information about COVID-19, which can have detrimental effects on the population due to the enormous number of hoaxes (WHO, 2020). In several nations, there have reportedly been a number of 5G tower sabotage incidents (BBC, 2020; Liverpool Echo, 2020). Numerous individuals have pushed for a vote to limit the radiation from mobile communications technology on the other side of the globe, where it was claimed that thousands of people protested against 5G in Switzerland (Keystone, 2019a, 2019b). Given the alarmist assertions that frequently surface in the media, such as the one (1) that 5G “could kill you,” this outrage may not be unexpected (Broad, 2019). Even though they are frequently broadcast on networks that are known for encouraging fake news and “selectively reporting the most sensational claims and giving a few marginal opponents of wireless technology a conspicuous new forum,” such statements may cause fear and damage public trust (Broad, 2019). (Broad, 2019).

From the literature survey, to date, there have been some discussions and statements on the potential health risk of 5G; however, there has been no specific structured study on the perceptions among Malaysians regarding the matter at hand. The proposed project aims to look into the level of Malaysian public perception of 5G radiation emissions in selected pioneer regions in Malaysia with 5G infrastructure. The study will look into the public understanding factor, which includes information source characteristics (media exposure) as well as health-risk characteristics that take into account their perceptions of EMF emission from network infrastructure and consumer-premises equipment that they possess.

Health-related Risk of 5G EMF Emission

A nationwide study in Korea, reported in 2020, on factors affecting risk perception of electromagnetic waves from 5G network base stations (Koh et. al., 2020), found that EM waves from 5G network base stations were perceived as moderate health risks; the magnitude of the perceived risk was similar to that of EM waves from mobile phones, greater than that of household chemical products, but less than that of cigarette smoking. Some aspects of the study could be replicated in Malaysia.

There have been several studies conducted to investigate the public’s perception of 5G radiation. One (1) such study was conducted by the Pew Research Center in the United States in February 2020, which surveyed over 10,000 Americans to gauge their views on 5G technology. The study found that while a majority of Americans (64 per cent) had heard about 5G technology, only 24 per cent understood it well, and 34 per cent had no opinion about the potential health effects of 5G technology. Another study was conducted in the UK by the research consultancy firm Ipsos MORI in December 2019, which surveyed over 2,200 UK adults to assess their attitudes towards 5G technology. The study found that 44 per cent of respondents were concerned about the potential health risks of 5G radiation, while 36 per cent were worried about the impact on the environment.

In France, a study conducted by the Harris Interactive research firm in November 2019 surveyed over 1,000 French people to assess their attitudes towards 5G technology. The aim of the study was to assess public attitudes towards 5G technology and the potential risks associated with its deployment. The study found that over half of the respondents (52 per cent) were concerned about the potential health effects of 5G radiation, while 58 per cent were worried about the environmental impact of 5G technology. Interestingly, the study also found that younger people were more likely to be concerned about 5G radiation than older people, with 59 per cent of respondents aged 18 to 34 expressing concern compared to 46 per cent of those aged 55 and over. The studies also suggest that while many French are aware of 5G technology and its potential benefits, there are concerns about the potential health and environmental risks associated with its deployment.

Overall, these studies suggest that while a significant portion of the public is aware of 5G technology, many people have concerns about its potential health and environmental impacts.

04 methodology

research design

The approach used as methodology was a cross-sectional design, with participants completing a self-report survey to measure Malaysian public perception of EMF emissions from 5G network base stations and consumer equipment. The research instrument consisted of demographic questions, objective knowledge of 5G emissions and public policies, risk perception, and media exposure.

research instrument

Research instruments consist of segments on demographic questions, objective knowledge of 5G emissions and public policies, risk perception, and media exposure. The respondents will complete the survey by accessing an online form. Demographic questions include gender, age group, marital status, level of education, monthly household income, and occupation, and these are relevant for our analysis. A section on information resource characteristics measures the public’s media exposure to the concept and implications of 5G EMF radiation. The questions were developed to identify the sources of EMF information referenced by the public and get related information.

Health-related variables comprise knowledge, trust, and attitude questions, which include the level of perceived EMF emission exposures through common sources: mobile phones, microwave ovens, and smartwatches. Questions on how the subjects are handling mobile phone charging represent their attitude towards radiating equipment. The subject’s objective knowledge of EMF emission, the implication of EMF radiation from base stations and on-premise equipment, as well as the level of knowledge of public policies on protection from EMF emission, are measured. Subjects were also asked to self-report their health status (healthy or unhealthy).

sampling

The population consisted of Malaysians with an age spectrum from below 18 to above 60 years old, settled in all states of Malaysia. The survey was open to all states in Malaysia, providing a better sampling from the Malaysian perspective. Data collection involved self-administered questionnaires distributed online through Google Forms. This project used four (4) selected areas KL, Putrajaya, and Selangor as pioneer cities to enjoy 5G coverage for population sampling calculation. Multi-stage cluster sampling involving two-stage cluster sampling and disproportionate stratified random sampling are practised. At the first stage, four (4) areas are identified, and at the second stage of sampling, each of the selected areas is represented by 100 respondents (100 respondents x 4 areas = 400 respondents). The number of respondents involved in the study is adequate, drawing on a sampling calculation in Raosoft based on a 95 per cent confidence level and five (5) per cent margin error. Even though the sampling calculation was initially based on the four (4) areas, the survey was made open to all states in Malaysia. This will provide a better sampling from a Malaysian perspective. The total number of respondents, N of 410, exceeded the sampling target of 400 respondents.

data collection

The questionnaires were built based on the objectives of the study. The self- administer method has been employed, and the questionnaires have been distributed to the selected respondents based on the identified areas using online distribution through Google Forms (https://forms.gle/8qgVwFG6Gv9YosbD7). The research team has monitored the data collection process to ensure that the required data can be gathered, and a total of 410 respondents were obtained from all over Malaysia.

data analysis

To achieve objectives 1, 2, and 3, descriptive analyses such as frequency, percentage, mean, and standard deviation have been performed. To achieve objective number 4, interpretation of the research findings has been performed.

05 findings and analysis

demographic information

All of the study subjects were Malaysians from below the age of 18 to over the age of 60; 57.8 per cent (n = 237) were male, and 42.2 per cent (n = 173) were female. For age group, 2.4 per cent (n = 10) were below 18 years of age, 35.9 per cent (n = 147) were between 18 and 30, 23.4 per cent (n = 96) between 31 and 40, 25.1 per cent (n = 103) between 41 and 50, 9.8 per cent (n = 40) between 51 and 60, and 3.4 per cent (n = 14) were above 60. For level of education, 9.2 per cent (n = 38) were secondary school graduates or less, 17.1 per cent (n = 70) have a diploma, 53.7 per cent (n = 220) are bachelor’s degree holders, 11 per cent (n = 45) are master’s degree holders, and 7.3 per cent (n = 30) are doctorates. The respondents’ residential state covers 15 areas, with the majority of respondents, 46.1 per cent (n = 189), residing in Selangor. For the employment sector, 44.6 per cent (n = 183) were from the private sector. The distribution of monthly household income was unimodal, with 44.6 per cent (n = 203) earning below RM5000.

Research Objective 1: Public Perception in Malaysia on the Health Effects of 5G EMF Emissions

Concerns on 5G

Respondents were asked if they have concerns generally about 5G, and the findings show that 56.6 per cent (n = 232) agree that they have concerns about 5G, and 43.4 per cent (n = 178) of the respondents do not have any concerns about 5G. The results may suggest mixed reactions to 5G, as more than half of the respondents are comfortable with the new generation of communications networks. However, 43.4 per cent of the respondents may be significant to show that there are concerns around 5G among the Malaysian public.

The distribution of concerns regarding 5G is tabulated in Table 2. Table 1 shows the highest concerns about 5G were the health concerns about 5G radiation (69.4 per cent), followed by the cost that will be too expensive (41.5 per cent), the effect on the environment (37.5 per cent), and the stability of the connections (31.0 per cent). The findings were similar to the research conducted in France by the Harris Interactive research firm in November 2019, where it was reported that over half of the French respondents (52 per cent) were concerned about the potential health effects of 5G radiation, while 58 per cent were worried about the environmental impact of 5G technology. This is also found in the UK; in a study conducted by the research consultancy firm Ipsos MORI in December 2019, 44 per cent of respondents were concerned about the potential health risks of 5G radiation, while 36 per cent were worried about the impact on the environment. Our findings exhibit that Malaysians’ concern is much higher for health risks, and interestingly, cost has become the second biggest concern other than the environment.
Table 1@3x
Table 1: Distribution of Concerns on 5G (N = 410)

Perceived Level of 5G Radiation Exposure

The results revealed that the majority of the respondents (32.4 per cent, n = 133) perceived that the level of 5G radiation exposure is low, 29.5 per cent (n = 121) perceived that they were exposed to moderate 5G radiation, and 21.7 per cent (n = 89) perceived that they were exposed to a high level of 5G radiation. 16.3 per cent (n = 16.3) of the respondents perceived that they were not exposed to 5G radiation. However, relating the perceived radiation exposure to the 172 respondents who have health concerns about 5G radiation, the majority of them (41.3 per cent) (n = 71) perceived a high level of 5G radiation exposure, 39.5 per cent (n = 68) moderate exposure, 16.3 per cent (n = 28) low exposure, and only 2.9 per cent (n = 5) perceived no exposure to radiation. These findings show that respondents who perceived high 5G radiation exposure are likely to have health concerns around 5G.

Attitude Related to EMF

The survey results show that 100 per cent of our respondents are mobile phone users, and the majority of them (72.4 per cent, n = 297) are microwave oven users. Meanwhile, only 31.5 per cent (n = 129) are smartwatch users. This data potentially shows that the respondents are familiar with other sources of electromagnetic wave radiation, such as microwave ovens and Bluetooth (smart devices). However, almost half of the respondents (46.3 per cent) charge their mobile phones nearby when asleep. This indicates the attitude toward handling devices with electromagnetic emissions in a less safe environment.

Respondents were also asked about mobile applications that they usually used and how much time they spent on these applications every day. According to Figure 1, social media applications (87.6 per cent, n = 359) are the top usual applications used on mobile phones, followed by video streaming (75.8 per cent, n = 315), voice calls using WhatsApp (72 per cent, n = 295), video-based social media (46.8 per cent, n = 192), and online video games (29.3 per cent, n = 120). The respondents mostly spend less than two (2) hours per day on social media, video streaming, and voice calls using WhatsApp. Video-based social media and online video games are less used by the respondents, and hence less time is spent on these applications. However, for each application, respondents spent more than four (4) hours daily, especially for video streaming applications like YouTube. Theoretically, this may contribute to a higher level of EMF exposure for the users.
Asset 1 (1266x1345)
Figure 1: Usual Applications Used on Mobile Phone and Time
Spent per Day on Mobile Phone Applications

Health-related Risk from 5G EMF Radiation

Table 2 shows a total of 18.3 per cent of respondents strongly agreed that 5G EMF radiation can cause headaches, cancer (17.1 per cent), harm the foetus during pregnancy (15.9 per cent), and impact fertility (14.6 per cent). On the other hand, more than half of the respondents (54.4 per cent) strongly disagree that vaccines contain 5G microchips. This is one (1) of the famous fake theories about 5G during the COVID-19 pandemic. From the table, it can be concluded that approximately 30 per cent of the population believes (from somewhat agreeing to strongly agreeing) that the fake theory regarding COVID-19 vaccines contains 5G microchips, this may be worth of an issue to be tackled to build public trust on vaccines.

Meanwhile, Table 3 shows the analysis of perceived health risks obtained in Table 2 in terms of the degree and severity of the perceived risks. Table 3 demonstrates that based on the mean risk score, the perceived health-related risk is at a moderate level (overall mean score of 2.64 and standard deviation of 1.34). These results provide insight into the degree of public perception of the health-related risk of 5G EMF radiation. Our study found that EM waves from 5G network base stations were perceived as moderate health risks. We hypothesised that the attitude of placing a mobile phone charger nearby while asleep would be associated with lower health-related risk perception as the behaviour is suggestive of indifference to exposure to EM waves; however, no significant relationship was observed as well.
Table 2@3x
Table 2: Distribution of Perceived Health-related Risk from 5G EMF Radiation (N = 410)
Table 3@3x
Table 3: Perceived Health-related Risk from 5G EMF Radiation (N = 410)

Research Objective 2: 5G EMF Source of Information Referenced by the Public

media platform pattern

According to Karlsen and Aalberg (2021), people go to social media to get their daily news updates. Findings show that the highest media used among Malaysian youths was YouTube (75.9 per cent), followed by Facebook (67.8 per cent), websites (64.6 per cent), and Instagram (59.8 per cent). Meanwhile, the least popular media platform was Reddit (0.5 per cent). According to the Digital Business Lab (2022), YouTube has the highest penetration compared to other social media platforms in Malaysia. Approximately half of Malaysian youths spend their time on YouTube. The study concluded that users are comfortable maintaining a presence across several media platforms.

Sources Used to Obtain News on 5G

Based on the findings, Table 4 shows that 60 per cent of the respondents browsed the website to get information on 5G. It is worth noting that the majority of the respondents stated that they read news about 5G on websites. Additionally, 43.4 per cent of the respondents always watched Facebook, and 35.4 per cent often watched about 5G on television. The results also demonstrated that respondents used friends to get information on 5G (30.2 per cent). This finding was useful enough to understand that these users would use several channels to sustain their knowledge of 5G. Using a variety of sources can lead to more in-depth information. In Table 5, 58.8 per cent of the respondents said that local and international sources are the most trusted.
Table 4@3x
Table 4: Distribution of Sources on 5G EMF Emission (N = 410)
Table 5@3x
Table 5: Distribution of Most Trusted Sources on 5G (N = 410)
The findings reveal that a total of 26.3 per cent agreed that the information reported in the media regarding 5G EMF emissions is current. Furthermore, 23.2 per cent agreed that the information reported in the media regarding 5G EMF emissions can be trusted. However, half of the respondents (51.2 per cent) somewhat agree that the information reported in the media regarding 5G EMF emissions is accurate. Yet, the findings of this study indicate that only a handful (9.8 per cent) strongly disagree that the information reported in the media regarding 5G EMF emissions is easy to understand. This implies that the public understands and perceives media coverage of 5G.

Research Objective 3: Public Understanding on the Implications of the 5G Network Base Stations (BS) and Consumer Premise Equipment (CPE) in Their Vicinity

Objective Knowledge in 5G Emission

Respondents’ objective knowledge is measured, whether high or low, using a set of six (6) questions covering knowledge on emissions from the base station and mobile phone. The classification of high- or low-level knowledge is made based on the mean score obtained for all six (6) questions. 59.8 per cent (n = 245) are considered to have high objective knowledge on 5G emission based on the mean score of 2.81/6, whereas 40.2 per cent (n = 165) are considered to have low objective knowledge below the mean score of 2.81/6.
Asset 3 (1141x1133)
Figure 2: Scores for 5G Emission Objective Knowledge Test
Past studies on the association between objective knowledge and risk perception have shown mixed results. In our study, respondents who scored above the mean on objective knowledge considered EM waves from 5G network base stations as risky as those who scored below the mean. When it comes to perceived health-related risk, it is interesting to note that there is no difference between the respondents of high objective knowledge and low objective knowledge on 5G emission since the mean risk score for both groups is similar.

Trust in Public Policies in Protecting from EMF Exposure

The highest percentage of 43.9 per cent (n = 180) for perceived knowledge regarding potential health effects due to exposure to EMF radiation from 5G network base stations is for scale 3 (somewhat agree). From the summation of respondents on a scale of 3-5, it can be deduced that a total of 78.3 per cent believe that they are knowledgeable in this aspect. This may correlate to the fact that the majority of the population (almost 60 per cent) possess a high level of objective knowledge of 5G emissions. Research findings show that 76.6 per cent of the respondents agree (scale 3-5) that they know that there are public policies or guidelines that provide protection from EMF exposure. This demonstrates that the policymakers (i.e., Malaysian Communications and Multimedia Commission MCMC)) have made good progress in informing the general public regarding the policies developed. This is further supported by 77.1 per cent of the respondents agreeing (on a scale of 3-5) that public policies provide protection from EMF exposure. Meanwhile, 79.8 per cent of the respondents agree (on a scale of 3-5) that the EMF radiation from the 5G base station and equipment is within the allowed range. This is a considerably high degree of public trust towards the policies, despite the concerns the public has about the health-related risk of 5G EMF emissions. However, around 20 to 23 per cent of respondents did not trust the policies developed to provide protection from EMF exposure, making it worthwhile for the research to recommend improvements to further build public trust in these policies and guidelines.

It is good to see from the results that the respondents agree that the public policies provide protection from EMF exposure and that the EMF radiation from the 5G base station and equipment is within the allowed range.

06 recommendations

Most of the comments and suggestions left on the survey focus on education, awareness, information, and enforcement of 5G EMF emissions. Respondents suggested that more awareness programmes be available to educate the public on the safety aspects of 5G via trusted media platforms. The recommendations below are made based on the findings reported in the last sections, which may be useful to formulate future strategies and policies regarding 5G emissions to strengthen public trust in the technology.

Recommendation 1: Clear Communication of Safety Standards

Ensuring clear communication of safety standards and regulations related to 5G emissions is crucial. Our studies reported that the majority of the respondents agreed that they knew that there were public policies or guidelines that provided protection from EMF exposure and believed that the public policies did provide protection for them. Even though 79.8 per cent of Malaysians believe that the EMF radiation from 5G base stations and equipment is within the allowed range (79.8 per cent), there are around 23 per cent of respondents who strongly disagree with the majority and do not trust the policies developed to provide protection from EMF exposure. This data should not go unnoticed. For continuous quality improvement, regulatory bodies such as MCMC can provide accessible and easy-to-understand information about the established safety standards and how they are enforced. This can help alleviate any concerns by assuring the public that 5G networks operate within safe limits.

Recommendation 2: Independent Research and Studies

Supporting and conducting independent research and studies on the health and safety aspects of 5G emissions can help address concerns and provide scientific evidence. Governments such as the Ministry of Higher Education and the Ministry of Health, together with other relevant organisations, can allocate resources to fund reputable research institutions to conduct comprehensive studies on the potential health effects of 5G emissions. The findings from these studies can be shared with the public to demonstrate transparency and evidence-based decision-making.

This has also been practised in the United States, where the National Institutes of Health (NIH) allocated specific funding to support research on the potential health effects of 5G emissions. For example, the National Institute of Environmental Health Sciences (NIEHS), one (1) of the institutes under the NIH, has funded studies to investigate the biological effects of radiofrequency radiation, including those associated with 5G technology. These studies aim to provide valuable insights into the potential health implications of 5G and contribute to the scientific understanding of radiofrequency radiation’s effects on human health.

Australia has developed a dedicated national centre for electromagnetic radiation studies. The Australian Centre for Electromagnetic Bioeffects Research (ACEBR) is a collaborative research initiative that brings together leading Australian research institutions and government agencies. ACEBR conducts research on the health effects of electromagnetic radiation, including research related to 5G technology. The centre receives funding from various sources, including the Australian government and industry partners, to support its research activities. Their studies focus on understanding the biological effects of electromagnetic radiation and providing evidence-based insights into the potential health impacts of 5G technology.

A similar multi-institutional concerted effort can be done in Malaysia to address the concerns from the Malaysian public. Our research findings show that Malaysians put their trust more in international media reporting on 5G emissions compared to local media. The role of scientific studies done by Malaysian experts in an organised fashion may contribute to increasing public trust in the safety of 5G emissions.

Recommendation 3: Independent Safety Audits

Conducting independent safety audits of 5G infrastructure and equipment can provide assurance and build trust. Governments or regulatory bodies can establish procedures to verify compliance with safety standards and conduct regular audits of 5G networks. The results of these audits can be made publicly available to demonstrate adherence to safety guidelines. There are no publicly available audit reports available yet; this recommendation may be explored further in terms of its impact on network operators.

Recommendation 4: Continuous Monitoring of Emissions

The majority of the respondents in our study perceived low to moderate levels of 5G radiation exposure. However, respondents who perceived high 5G radiation exposure are likely to have health concerns about 5G. EM waves from 5G network base stations were perceived as moderate health risks. Hence, implementing continuous monitoring of 5G emissions can provide real-time data on radiation levels and ensure compliance with safety limits. MCMC and network operators can establish monitoring systems and publicly share the collected data. This transparency can help address concerns and show a commitment to maintaining safe radiation levels.

Recommendation 5: Health and Safety Awareness Campaigns

Launching targeted public awareness campaigns can help educate the public about the safety measures in place and address any misconceptions. These campaigns can provide accurate information about 5G emissions, debunk myths, and highlight the rigorous safety protocols followed during the deployment of 5G networks. Collaborating with health professionals, experts, and community leaders can enhance the credibility and reach of these campaigns.

As an example, the 5GRIT programme in the UK aims to address the connectivity challenges faced by rural communities and demonstrate the benefits of 5G technology in these areas. The programme involves testing and trials of 5G solutions in rural locations, engaging with local communities, and providing accurate information about the technology. By showcasing the positive impact of 5G in rural areas, the programme helps to address concerns and build public trust.

Malaysians would use several channels to sustain their knowledge of 5G. Using a variety of sources can lead to more in-depth information. Our research findings show that the Malaysian public prefers YouTube, which is at the top of the list of most-used media. Meanwhile, websites and Facebook are the top sources for information on 5G, while YouTube is at the bottom of the list. To improve the dissemination strategy, it is recommended that MCMC and other agencies like the Ministry of Health leverage YouTube as a platform for multimedia content to educate and create awareness on safety measures and thus provide reliable local information on 5G emissions.

Recommendation 6: Public Demonstrations and Showcases

Organising public demonstrations and showcases is another effective way to manage perception. These events allow people to experience the benefits and potential applications of 5G technology first hand. Demonstrations may include showcasing high-speed downloads, augmented reality, virtual reality, and IoT applications. By providing interactive experiences, these events help alleviate concerns and generate positive interest in 5G. MCMC has organised use case demonstrations at several places in the country and published “5G MALAYSIA DEMONSTRATION PROJECTS FACTSHEET’ in 2019. This effort is commendable. The demonstrations should be supported more with the involvement of various parties and are recommended to be continuously done and open to the public at large. This recommendation may act to balance benefits over concerns about the health risk of 5G EMF emissions.

It is hoped that these recommendations will help to build a positive narrative around 5G technology, promote responsible deployment, and maximise the benefits of this technology while minimising any potential risks.

07 conclusions

Our study concluded that the degree of perceived health-related risk is “moderate” among the Malaysian public, with many variables being studied as contributing factors. All the objectives are achieved with recommendations for relevant agencies, particularly MCMC, the Ministry of Health, higher education institutions, and telecommunication providers, to strengthen public trust towards 5G EMF emission and 5G technology in general. It is hoped that the results of our study will be reflected in the construction of an appropriate risk communication strategy in order to allow for a good spread of 5G technologies. It is also hoped that this pioneering research will spur more research on 5G EMF emissions, particularly technical research on the health effects and level of exposure that the Malaysian public is experiencing.

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Awareness, Perception, Acceptance, and Adoption of Malaysia's National Digital Identity Initiatives from Service Providers' Perspective

by Dr. Azira Khalil, Dr. Shahrina Ismail and Dr. Aminatul Saadiah Abdul Jamil
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