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discharge and mild shock, similar to what can occur when a person walks across a carpet and <br />touches a grounded object or another person. <br />The major concern with induced voltage is the current that flows through a person to the ground <br />when touching the object, not the level of the induced voltage. Most shocks from induced current <br />are considered more of a nuisance than a danger, but to ensure the safety of persons in the <br />proximity of high-voltage transmission lines, the NESC requires that any discharge be less than 5 <br />milliAmperes. In addition, the Commission's electric field limit of 8 kV/m was designed to prevent <br />serious hazard from shocks due to induced voltage under high-voltage transmission lines. Proper <br />grounding of metal objects under and/or adjacent to the transmission line is the best method of <br />avoiding these shocks. <br />Xcel has indicated that farm equipment, passenger vehicles, and trucks may be safely used under and <br />near power lines. The power lines will be designed to meet or exceed minimum clearance <br />requirements over roads, driveways, cultivated fields, and grazing lands specified by the NESC. <br />Recommended clearances within the NESC are designed to accommodate a relative vehicle height <br />of 14 feet (Xcel Energy, 2011a). <br />Implantable Devices <br />Implantable medical devices such as pacemakers, defibrillators, neurostimulators, and insulin pumps <br />may be subject to interference from strong electric and magnetic fields. Most of the research on <br />electromagnetic interference and medical devices is related to pacemakers. According to a 2004 <br />Electric Power Research Institute (EPRI) report, implantable cardiac devices are much more <br />sensitive to electric fields than to magnetic fields. In the report, the earliest interference from <br />magnetic fields in pacemakers was observed at 1,000 mG, far greater than the magnetic fields <br />associated with high-voltage transmission lines (EPRI, 2004). Therefore, the focus of research has <br />been on electric field impacts. <br />Electric fields may interfere with an implanted cardiac device's ability to sense normal electrical <br />activity in the heart if the electric field intensity is high enough to induce body currents strong <br />enough to cause interaction. In the unlikely event a pacemaker is impacted, the effect is typically a <br />temporary asynchronous pacing (commonly referred to as reversion mode or fixed rate pacing). The <br />pacemaker returns to its normal operation when the person moves away from the source of the <br />interference. <br />Medtronic and Guidant, manufacturers of pacemakers and implantable cardioverter/ defibrillators, <br />have indicated that electric fields below 6 kV/m are unlikely to cause interactions affecting operation <br />of modern bipolar devices (Department of Commerce, 2009). Older unipolar designs, however, are <br />more susceptible to interference from electric fields with research suggesting that the earliest <br />evidence of interference occurred in electric fields ranging from 1.2 to 1.7 kV/m (Toivonen et al, <br />1991). These initial interaction levels are significantly higher than 1.09 kV/m maximum electric field <br />predicted for this project. The risk of interference inhibition of unipolar cardiac pacemakers from <br />high-voltage power lines in everyday life is small (Scholten et al, 2004). <br />There would be no anticipated permanent impacts on implantable medical devices as a result of the <br />proposed project. <br />Environmental Assessment <br />PUC Docket E002/TL-11-223 Page 38 <br />