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Hearing Conservation

An overview of the kinds of damage that can be done to ears in various noise situations.  Reader inquiries may be directed to "contact us" or by faxing to 719-676-6882.

Monologues in Hearing Health

Sound: How much is too much?

by Max Stnaley Chartrand, M.A.,
DigiCare Hearing Research & Rehabiliation

You go to a rock concert, mega-sporting event, or some other high decibel activity. At the door, an usher hands out earplugs to those who want them. Home safe, right? Wrong! You might partially protect your ears from the harshest effects of death-defying sound pressures. But what about the rest of the body?

Contrary to conventional wisdom, the ears are only ONE part of the body that needs protecting in such environments. Not much of a favor has been served, then, when one wears earplugs to, say, a rock concert, and then the kidneys, liver, spleen, and pancreas virtually shut down because of 90 minutes of blasting at 120 decibels. Just 10 decibels more would kill the person!

Also, contrary to conventional wisdom, severely hearing impaired individuals do not have better physiological tolerance for high sound pressure levels than normal hearing subjects. The FDA-mandated warning at SSPL90 at or higher than 132dB means that at that point one is risking serious damage to their health and well-being. Certainly, if the ears were the only part of the body to receive such high-pressure levels, what we may end up experiencing by escalating sound pressure levels in hearing aids are:

1)Declining eardrum compliance, where tympanograms go progressively into shallow A.
2) Thickened scar tissue, requiring more and more amplification to even realize most comfortable level. At some point, comfort levels and discomfort levels. coincide, where one no longer has ANY dynamic range.
3) Destruction of the ganglia cells of the cochlea and auditory nerve.
4) Diplacusis, or cochlear distortions at high amplification levels so that the signal being heard in one ear is totally different than the signal in the other ear.
5) Because of amplification-induced noise damage, a given ear may not be able to benefit from cochlear implantation when one finally reaches candidacy criteria.
6) Other damage may occur, including at the central auditory level.

Professionals and patients should be aware of these limitations, and resist the temptation of over-reaching with more and more amplification.

Here are some typical situations where one should be “en guarde” and ready to advise management in the goal of achieving safe sound pressure levels in various public situations:

1) Movie theatres typically, according to measurements made by the author, blast their feature productions at about 95-100dBSPL on the C-weighted scale. This far exceeds OSHA regulations for employees in the workplace, and should be considered a serious public health threat. If you attend such a movie, you should immediately make management aware that they are breaking the law and need to reduce average sound levels to 85dB or less.

2) Auto stereo firms routinely exceed safe sound pressures, and tend to glorify the higher decibels with slick advertising and pop culture. The public should rise up against this assault, primarily on the young, and demand that safety standards be observed.

3) Mega-sporting events, such as drag races, or even football, etc, far exceed safe sound levels. Changes in stadium/facility design, plus reduction of broadcasting public address systems can go far in making these situations safer to the public health.

4) Rock concerts that broadcast unsafe sound levels should be shut down and banned from the community.

5) Most speedboats and large motorcycles far exceed safe sound pressure levels, and should be required to be muffled to a safe level or banned from the public thoroughfares.

6) Large lawnmowers and some chainsaws also exceed what is safe for human ears. It should be a requirement of their use to wear earplugs.

7) Airport noise has become a menace to nearby neighborhoods, causing sleep deprivation, neurological and physical illness, and, of course, hearing loss. Since these are regulated by national regulatory agencies, it is imperative that uniform standards of sound control be implemented. Since the worst sound pressures occur below 500Hz (very low frequencies), such standards should be set on the C-weighted scale, not the current A-weighted scale.

Ignorance of the above does not minimize the danger to the public health, nor the lasting damage to exposed individuals. Millions of Americans are suffering a number of ailments as a result of the above assaults on their bodies:

*Permanent hearing loss
*Permanent Tinnitus (ringing of the ears)
*Increases in tendency toward diabetes mellitus II and renal failure
*Increases in liver disease
*Increases in cardiovascular disease
*Brain damage and dementias of all kinds
*Neurological disorders of all types

Below is a chart of commonly occurring sounds and their respective sound pressure levels.

ESTMATED SOUND PRESSURES IN SPL dB IN VARIOUS SOUND ENVIRONMENTS:

140dB/30 meters from jet aircraft during take-off (Eventual Deafness, Brain Damage Assured)
130dB/Threshold of pain, absolute cellular limit of human body (Eventual Deafness, Brain Damage)
120dB/Rock Concert, Dragstrip (Permanent Hearing Loss assured in mids and highs)
110dB/Chainsaw (Permanent Hearing Loss Assured in High Frequencies)
100dB/Movie theatre, discoteque, night club (Future Loss assured in High Frequencies)
90dB/ Lawnmower, speedboat, motorcycle (High Frequency Loss without ear protection)
80dB/Curbside on busy street
70dB/Cocktail party, restaurant noise
60dB/Conversational speech
50dB/Daytime home environment
40dB/Nighttime home environment
30dB/Sound booth, anechoic television studio
20dB/Recording studio
10dB/Human hearing threshold average
0dB/Zero SPL, level at which most of animal kingdom hears
 

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