Unlike mobile cellular telephones, in which the antenna is not part of
the handset, a portable cellular telephone exposes the user's head to
radio frequency energy transmitted from the antenna. This exposure ha
s prompted concerns about potential biological effects, including brai
n cancer. As a first step in a record-based mortality surveillance of
cellular telephone customers, we report on overall mortality of a coho
rt of more than 250,000 portable and mobile telephone customers during
1994. We found age specific rates to be similar for users of the two
types of telephones. For customers with accounts at least 3 years old,
the ratio of mortality rates in 1994 for portable telephone users, co
mpared with mobile telephone users, was 0.86 (90% confidence interval
= 0.47-1.53).