Monthly Archive: September 2018

How to prevent modern-day noise from damaging your hearing

by Daniel Fink, MD, Chair, The Quiet Coalition

There’s nothing new in this report from Care2, which appears to be a lifestyle website. But it offers some sound basic advice on how to protect your hearing.

I particularly like the idea of a noise vacation to give your ears a break. I would suggest a hike. You will find how quiet nature really is supposed to be.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He is the founding chair of The Quiet Coalition, an organization of science, health, and legal professionals concerned about the impacts of noise on health, environment, learning, productivity, and quality of life in America. Dr Fink also is the interim chair of Quiet Communities’ Health Advisory Council, and he served on the board of the American Tinnitus Association from 2015-2018.

Travel with your ears

Photo credit: Adrian Glover licensed under CC BY-SA 2.5

The New York Times Magazine has produced a slick and interesting piece where they travel around the world to various locations and focus on what you would hear if you were there. In the piece we hear the sounds of lava flowing from Kilauea Volcano, Hawaii, then travel to northern Chile to hear the cracking of the Atacama Desert, stop briefly to hear the sound of rats conversing in New York City, and so on.

Sit back, relax, and click the link above.

New method claims to cancel noise without ear-blocking headphones

Photo credit: Marekich licensed under CC BY-SA 3.0

by Daniel Fink, MD, Chair, The Quiet Coalition

This report from the University of Illinois Coordinated Science Laboratory describes a method to cancel noise without ear-blocking headphones. It uses behind-the-ear technology to send sound waves to cancel the incoming sound.

I hope the technology can be commercialized–it sounds like it has promise–but to me it would be much simpler, easier, and probably cheaper to just turn down the volume of amplified sound, install sound-absorbing or sound blocking materials at the time of construction, and mandate quieter cars, trains, and airplanes.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He is the founding chair of The Quiet Coalition, an organization of science, health, and legal professionals concerned about the impacts of noise on health, environment, learning, productivity, and quality of life in America. Dr Fink also is the interim chair of Quiet Communities’ Health Advisory Council, and he served on the board of the American Tinnitus Association from 2015-2018.

The Toronto Star says “Turn down the volume!”

by Daniel Fink, MD, Chair, The Quiet Coalition

This editorial in The Toronto Star discusses the adverse health impacts of noise and Toronto’s efforts to work towards quiet.

The Quiet Coalition’s Bradley Vite is quoted, saying “[i]t took decades to educate people on the dangers of second-hand smoke…[w]e may need decades to show the impact of second-hand noise.”

Mr. Vite may be correct. It took too long for those responsible for protecting public health to take action to clear the air in restaurants, stores, workplaces, and buses, planes, and trains. People can still smoke, but not where others are forced to smell or breathe their exhaled smoke involuntarily.

I am confident that if enough people complain to enough elected officials about noise, laws and regulations will be written and enforced to make the world a quieter place.

The scientific evidence is overwhelming. There can be no rational doubt that noise causes hearing loss and has major non-auditory health effects, including sleep disruption, hypertension, heart disease, stroke, and death.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He is the founding chair of The Quiet Coalition, an organization of science, health, and legal professionals concerned about the impacts of noise on health, environment, learning, productivity, and quality of life in America. Dr Fink also is the interim chair of Quiet Communities’ Health Advisory Council, and he served on the board of the American Tinnitus Association from 2015-2018.

Should we focus on clinical services or on preventing hearing loss?

Photo credit: Florida Fish and Wildlife licensed under CC BY-ND 2.0

by Daniel Fink, MD, Chair, The Quiet Coalition

This viewpoint article in the latest issue of The Journal of the American Medical Association by Frank Lin, MD, PhD, and colleagues at Johns Hopkins University School of Medicine and the Bloomberg School of Public Health, makes the case for expanding Medicare coverage of audiology services to help older Americans with hearing loss.

Dr. Lin and his colleagues are the leading researchers in the epidemiology of hearing loss. They have published a series of reports documenting the prevalence of hearing loss in older Americans and showing that hearing loss is strongly correlated with social isolation, depression, falls, accidents, and other conditions, all of which are associated with increased mortality in older people.

What’s missing from the article? Two things.

First, the report doesn’t explain that devices, whether they are hearing aids or over-the-counter personal sound amplification products, just don’t work as well as preserved normal hearing. The “elephant in the room” for hearing health care is the 30-40% non-usage rate among those who have obtained hearing aids, because in real-life situations, e.g., noisy stores or restaurants, these just don’t work as well as normal ears. The analogy I use is dentures. It really doesn’t matter if one has to have dentures made by a dentist and prosthodontist, or if one could walk into a drugstore or warehouse store and buy them. One’s natural teeth work better.

Second, the report doesn’t discuss the prevention of hearing loss. Continuing the dental analogy, it takes a lifetime of care, with daily brushing and flossing, regular cleanings, and dental work to keep one’s natural teeth one’s entire life. In contrast, avoiding noise-induced hearing loss is easy and costs nothing or very little–simply avoid exposure to loud noise. And if you can’t, wear hearing protection.

Remember: if it sounds too loud, it IS too loud.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He is the founding chair of The Quiet Coalition, an organization of science, health, and legal professionals concerned about the impacts of noise on health, environment, learning, productivity, and quality of life in America. Dr Fink also is the interim chair of Quiet Communities’ Health Advisory Council, and he served on the board of the American Tinnitus Association from 2015-2018.

Silence, please! Is it really possible to mute the world?

Photo credit: Kat Jayne from Pexels

by Daniel Fink, MD, Chair, The Quiet Coalition

In a word, no. But this fascinating essay mentions a 1957 science fiction story by Arthur C. Clarke predicting a machine that does that, and now scientists are working on actualizing that idea.

We’ll see how successful they are, and of course how much the new technology costs. But it seems to me that it’s much simpler to use existing technologies, or even just to enforce existing noise ordinances, than to try to develop a whole new technology. Acoustic technology is highly developed. Reduce noise at the source by design and material choices, and if that can’t be done, insulate, isolate, reflect, or contain the sound. And laws to reduce harmful and unwanted noise have long existed, including building codes, zoning codes, federal laws about vehicle mufflers, local laws about horn use, etc.

As noise pioneer Arline Bronzaft PhD wrote many years ago, it’s a matter of will, not of way, to make the world a quieter and more enjoyable place for all.

I sent these remarks to Dr. Bronzaft as a courtesy, to make sure she wanted to be quoted and to make sure I got it right. She replied with a wonderful insight: people don’t want silence, they want quiet so they can hear others talk, hear the raindrops fall, hear birds singing.

Of course, she’s right!

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He is the founding chair of The Quiet Coalition, an organization of science, health, and legal professionals concerned about the impacts of noise on health, environment, learning, productivity, and quality of life in America. Dr Fink also is the interim chair of Quiet Communities’ Health Advisory Council, and he served on the board of the American Tinnitus Association from 2015-2018.

What should we do about intentional noise?

Photo credit: Daniel from Pexels

Two recent op-eds have focused on intentional noise, specifically noise made by people who profess to love the stuff. Marcus Gee, The Globe and Mail, in his piece titled Let’s crack down on unnecessary noise pollution, focuses on enforcement–and shaming–as a means of reducing noise pollution.

Bill Reader, The Athens News, cuts to the chase when he says that “those who enjoy noisy recreation also, often quite boastfully, enjoy ruining everybody else’s peace.”

Writes Reader:

There is a reason why the word “peace” is often followed by the phrase “and quiet,” while “loud” leads almost automatically to “and obnoxious.” Whether it’s a screeching herd of ATVs hurtling down a woodland trail or a single juiced-up river boat carving its way up an otherwise placid lake, the result is the same: those who go to those public spaces for “and quiet” will instead have their day ruined by “and obnoxious.” And more often than not, “Obnoxious” could care less.

Airplane noise is an increasing problem in San Francisco

Photo credit: Jim Trodel licensed under CC BY-SA 2.0

by Daniel Fink, MD, Chair, The Quiet Coalition

This article discusses the problem of airplane noise from San Francisco International Airport (airport code SFO). One of the people affected was Rep. Jackie Speier (D-CA), who lives near the airport. She was at home, rather than in Washington, because she was recovering from surgery.

As others have found, when they are at home all day rather than in the office, environmental noise pollution really is a problem. Often it’s gas-powered leaf blowers, but this time it’s airplane noise.

Airplane noise isn’t just an annoyance. Aircraft noise causes heart disease, strokes, and death.

Maybe the fact that an elected official is herself affected by airplane noise will lead to some federal action to help solve this problem.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He is the founding chair of The Quiet Coalition, an organization of science, health, and legal professionals concerned about the impacts of noise on health, environment, learning, productivity, and quality of life in America. Dr Fink also is the interim chair of Quiet Communities’ Health Advisory Council, and he served on the board of the American Tinnitus Association from 2015-2018.

The CDC is trying to prevent heart attacks. When will it try to prevent hearing loss?

by Daniel Fink, MD, Chair, The Quiet Coalition

The Centers for Disease Control has embarked on a public education campaign to reduce preventable cardiovascular mortality. They are calling it Million Hearts. Among the things people can do to prevent heart disease and fatal heart attacks are what CDC is calling “the ABCs”: a daily baby aspirin (unless there are medical reasons not to take it), blood pressure control, cholesterol control, and not smoking. Other actions include exercising, maintaining an ideal body weight, and eating a healthy diet.

Thanks to the Framingham Study, we know that heart disease and stroke are not part of normal aging but are largely preventable. Similarly, hearing loss is not part of normal aging but largely represents noise-induced hearing loss.

So when will CDC embark on a similar campaign to educate the public about preventing hearing loss? I suggest calling it the Million Ears campaign. Maybe Ten Million Ears.

A common saying is “nobody dies from going deaf,”* but that isn’t true. Hearing loss is associated with social isolation, falls, depression, and dementia in older people, all of which in turn are correlated and most likely causally related to increased mortality. Hearing loss also has major impacts on enjoyment of life and social function.

And unlike preventing heart disease and stroke, preventing noise-induced hearing loss is much easier–just avoid loud noise and wear hearing protection if you can’t.

Remember: If it sounds too loud, it IS too loud.

* The phrase “nobody dies from going deaf” is what is commonly said. The word “deaf,” however, usually denotes congenital hearing loss or severe hearing loss. The term “hearing loss” is more appropriately used for mild to moderate noise-induced hearing loss.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He is the founding chair of The Quiet Coalition, an organization of science, health, and legal professionals concerned about the impacts of noise on health, environment, learning, productivity, and quality of life in America. Dr Fink also is the interim chair of Quiet Communities’ Health Advisory Council, and he served on the board of the American Tinnitus Association from 2015-2018.