To the Editor Epidemiological research and laboratory studies on rodents show an association of nonionizing electromagnetic radiation with harm to fetal growth and development, changes in brain activity, and an increased risk of tumor development. These concerns about potential human health effects should not be discounted, contrary to the argument in the Review by Grimes 1 published recently in JAMA Oncology.Since the 1950s, when the carcinogenic effects of DNA damage were documented, tremendous strides have been made in the early detection and treatment of cancer. Yet the burden of cancer is growing, 2 pointing to the importance of investing in research and policy development for cancer prevention.The safety assessment and identification of potentially carcinogenic exposures form an essential foundation for public health policy. Data suggesting a potential for harm must be taken seriously, even if the mechanism of action is not yet well understood.Grimes 1 focuses on DNA damage as the primary pathway to carcinogenesis, missing the vast literature that demonstrates the carcinogenic effects of agents that are not mutagens. The author devotes more than 2 pages to the plain scientific fact that radiofrequency radiation is nonionizing, then uses this platform to dismiss key scientific studies, including the National Toxicology Study and research by the Ramazzini Institute. 3 Of note, a 2008 report by the US National Research Council 4 listed several pathways for the effects of radiofrequency radiation on organisms, with effects on voltage-gated ion channels and changes in membrane permeability considered the key candidates for potential mechanisms. In 2021, the US Court of Appeals for the District of Columbia reversed and remanded the Federal Communications Commission's decision to keep unchanged its 1996 limits for human exposure to radiofrequency radiation. It is essential to recognize that children and developing organisms absorb more radiofrequency radiation compared with adults, and that both the carcinogenic and noncarcinogenic adverse effects of radiofrequency radiation have been reported by the National Toxicology Program study and epidemiological research. 3 Recently, the Key Characteristics of Carcinogens and the Hallmarks of Cancer frameworks brought together a more comprehensive way of understanding cancer initiation and progression and opened a path for moving beyond the focus on genotoxicity. 5 These frameworks can help with the identification of nongenotoxic carcinogenic agents and help advance public health policy toward cancer prevention. For radiofrequency radiation, as for other chemical or physical agents that may affect health, the precautionary principle is the most prudent approach, especially for children's exposures.