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.2016 Apr;44(1):67-75.
doi: 10.1007/s40857-016-0044-9. Epub 2016 Mar 9.

Uncovering effective strategies for hearing loss prevention

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Uncovering effective strategies for hearing loss prevention

Thais C Morata et al. Acoust Aust.2016 Apr.

Abstract

Occupational health agencies, researchers and policy makers have recognized the need for evidence on the effectiveness of interventions designed to reduce or prevent workplace injuries and illnesses. While many workplaces comply with legal or obligatory requirements and implement recommended interventions, few publications exist documenting the effectiveness of these actions. Additionally, some workplaces have discovered through their own processes, novel ways to reduce the risk of injury. Peer-reviewed information on the effectiveness of the many strategies and approaches currently in use could help correct weaknesses, or further encourage their adoption and expansion. The evaluation of intervention effectiveness would certainly contribute to improved worker health and safety. This need is particularly relevant regarding noise exposure in the workplace and hearing loss prevention interventions. In a 2006 review of the U.S. National Institute for Occupational Safety and Health (NIOSH) Hearing Loss Research Program, the independent National Academies of Sciences recommended that NIOSH place greater emphasis on identifying the effectiveness of hearing loss prevention measures on the basis of outcomes that are as closely related as possible to reducing noise exposure and work related hearing loss (http://www.nap.edu/openbook.php?record_id=11721). NIOSH used two different approaches to address that recommendation: the first one was to conduct research, including broad systematic reviews on the effectiveness of interventions to prevent occupational noise-induced hearing loss. The second was to create an award program, the Safe-In-Sound Excellence in Hearing Loss Prevention Award™, to identify and honor excellent real-world examples of noise control and other hearing loss prevention practices and innovations.

Keywords: Buy Quiet; Evidence-based practice; hearing conservation; intervention effectiveness; noise control.

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Figures

Figure 1
Figure 1
Hierarchy of controls specific to hearing loss prevention (adapted fromhttp://www.cdc.gov/niosh/topics/noisecontrol/).
Figure 2
Figure 2
Noise control: Drum slitting and disc converting Controls Implemented: Acoustical enclosures installed around blower motors Direct Costs: $600
Figure 3
Figure 3
Number of employees exposed to >85 dBA TWA as a result of the implementation of noise control projects across the United Technologies Corporation.
Figure 4
Figure 4
Examples of the different types of noise control developed by the Vulcan Materials Company: a) climate-controlled work booth; b) climate-controlled enclosed cab; and c) cameras used to reduce the need for employees to position themselves in noisy areas while conducting visual inspections of equipment operation, as seen in the Safe-in-Sound presentation; seehttp://www.safeinsound.us/swf/VM/index.html.
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References

    1. International Standard Organisation . ISO 1999: Acoustics - Determination of occupational noise exposure and estimation of noise-induced hearing impairment. ISO; Geneva: 1990.
    1. World Health Organization . Report of the First Informal Consultation on Future Programme Developments for the Prevention of Deafness and Hearing Impairment. World Health Organization; Geneva: 1997.
    1. Nelson DI, Nelson RY, Concha-Barrientos M, Fingerhut M. The global burden of occupational noise-induced hearing loss. Am J Ind Med. 2005;48:446–58. - PubMed
    1. Suter AH. Development of standards and regulations for occupational noise. In: Crocker MJ, editor. Handbook of Noise and Vibration Control. John Wiley and Sons; New York: 2007. pp. 377–82.
    1. Fausti SA, Wilmington DJ, Helt PV, Helt WJ, Konrad-Martin D. Hearing health and care: The need for improved hearing loss prevention and hearing conservation practices. J. Rehab. Res. & Dev. 2005;42(S2):45–62. - PubMed

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