Monthly Archive: May 2019

Restaurant servers and bartenders warned about noise

Photo credit: Daria Sannikova from Pexels

by Daniel Fink, MD, Chair, The Quiet Coalition

This article in the Tricity News reports that the Canadian provincial equivalent of a state occupational safety and health organization in the U.S., WorkSafe BC, just issued a warning on noise to restaurant servers and bartenders. Specifically, WorkSafe BC warned that “[h]earing loss in the workplace can be just as damaging in the service industry as it is in heavy industrial settings.”

Patrons are only in a restaurant or bar for an hour or two, but the workers may be there for an 8-hour shift, and often the noise exposure is loud enough for a long enough period to damage hearing. No surprise then that WorkSafe BC issued the warning. One wonders what it would take for OSHA–or a state or local government health agency–to act to protect the hearing of service industry workers.

Additional information is available on the WorkSafe BC website.

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.

Hospital noise still a problem? What’s being done?

This photo has been released into the public domain by its author, Tomasz Sienicki

by David M. Sykes, Vice Chair, The Quiet Coalition

This news story asserts that noise in hospitals is steadily increasing. In fact, the trend is actually the other way: for over a decade now, hospitals have been struggling to get this problem under control. And the Affordable Care Act is helping.

How? ACA includes something called the HCAHPS—patient-centered care survey that hospitals are required to send out to every patient within a few days of a hospital stay, and results of this survey are available to the public. The HCAHPS survey is a short one, about 20 questions, including one called the “noise-at-night question” that asks former patients whether their room quiet at night.

Guess what? That question gets the WORST response every time! That’s been an eye-opener for the people who run hospitals–their boards of directors–because before ACA and HCAHPS nobody really cared what patients thought. Now hospitals’ federal reimbursements are linked to their HCAHPS scores. So a big wake-up call went down from hospital board rooms to the clinical staffs—“fix the noise problems, we can’t afford negative patient reviews because they reduce our hospital’s profit margins!”

But what can they do to fix the noise problems? Lots. I’m proud to say that I lead a U.S. national group that has been working on the hospital noise problem since 2005–that’s 15 years–called the Healthcare Acoustics Project, an independent, all-volunteer community of professionals that develops national and international codes and standards for the health care industry. HAP published the first “comprehensive national criteria for noise control in American hospitals and healthcare facilities” in 2010, and we’ve been steadily improving those criteria ever since. Now they’re embedded in the building codes in most of the U.S. and administered by each state’s building code authorities.

So next time you or a loved one is hospitalized, take a close look and a careful listen to noise and privacy levels in their sleeping quarters. If it’s noisy, COMPLAIN LOUDLY and mention that you know about the HCAHPS survey.

We’re pretty certain you’ll get a response pretty quickly. Because patients now have an effective voice thanks to the patient-centered care movement!

In addition to serving as vice chair of the The Quiet Coalition, David Sykes chairs several professional organizations in acoustical science: The Healthcare Acoustics Project (HAP, a division of Quiet Communities Inc.), American National Standards Institute Committee S12, Workgroup 44, The Rothschild Foundation Task Force on Acoustics, and the FGI Acoustics Working Group—a partner of the American Hospital Association and the American Institute of Architects. He is lead author of “Sound & Vibration 2.0 (2012, Springer-Verlag), a contributor to the National Academy of Engineering report “Technology for a Quieter America,” and to the US-GSA publication “Sound Matters,” and co-founded the Laboratory for Advanced Research in Acoustics (LARA) at Rensselaer Polytechnic Institute. He recently retired from the board of directors of the American Tinnitus Association. A graduate of the University of California/Berkeley with graduate degrees from Cornell University, he is a frequent organizer of and speaker at professional conferences in the U.S., Europe, Asia, and the Middle East.

Increasing urban noise affecting Dublin

Photo credit: Sean MacEntee licensed under CC BY 2.0

by Daniel Fink, MD, Chair, The Quiet Coalition

This piece from the Dublin Inquirer reports that noise levels have doubled there in the past four years. The Quiet Coalition’s Rick Neitzel, on the faculty of the University of Michigan, is cited in the piece. His work showed that noise levels in New York City are high enough to cause hearing loss. This is also true in other large cities.

Some urban noise is a necessary concomitant of modern life.  But cities can be made quieter.

As the article states, most urban noise comes from traffic. Enforcement of muffler regulations, appropriate combinations of tire and pavement materials, elimination of horn-based alerts, and enforcement of laws against horn use except to prevent an accident are all options to make cities quieter, as are more trees and bushes to help absorb and block road traffic noise.

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.

Quiet Parks International

by Arline L. Bronzaft, Ph.D., Board of Directors, GrowNYC, and Co-founder, The Quiet Coalition

Although my research and writings have focused on the dangers of noise to our mental and physical health, I have also written about the need for quiet and the joy of the natural sounds in our environment. In fact, my children’s book on noise and sound is titled “Listen to the Raindrops.”

I was delighted to learn more about the importance of natural sounds when John Grossman, co-author with Gordon Hempton of the book One Square Inch of Silence, spoke with me about my work on noise and learning. One Square Inch of Silence is not only about Gordon Hempton’s voyage across the country recording “the varied natural voices of the American landscape,” but in my opinion it is also a call to fight against the intrusive noises which not only prevent us from reconnecting with the natural sounds around us but also impede  our health and well-being.

Thus, I was extremely pleased when Gordon contacted me last month to enlist my assistance in promoting his Quiet Parks International initiative.  The mission of Quiet Parks International is the “preservation of Quiet for the benefit of all.”

I urge the readers of Silencity to learn more about Quiet Parks International and consider how you can contact key people in your cities to discuss the possibility of including your city in this initiative.  If you would like further information, please leave a comment.

Dr. Arline Bronzaft is a researcher, writer, and consultant on the adverse effects of noise on mental and physical health. She is co-author of “Why Noise Matters,” author of “Listen to the Raindrops” (children’s book illustrated by Steven Parton), and has written extensively about noise in books, encyclopedias, academic journals, and the popular press.  In addition, she is a Professor Emerita of the City University of New York and Board member of GrowNYC.

 

How to protect your hearing

This image is in the public domain.

by Daniel Fink, MD, Chair, The Quiet Coalition

This short piece in The Guardian gives sound advice on how to protect your hearing. The Guardian reporter interviewed audiologist Gemma Twitchen, from the UK advocacy group Action on Hearing Loss, about how people can avoid damaging their hearing while listening to loud music, going to the cinema, or taking public transportation, among other activities.

Twitchen says that “[m]any new devices display the safe sound level and warn if you go above that,” and encourages readers to keep an eye on the reading.  She adds that noise-canceling headphones allow users to listen to music at lower volumes. This is important, because as Twitchen notes, temporary auditor symptoms after noise exposure indicate that permanent auditory damage will probably occur with repeated exposure.

I would go a step further and say that there probably is no such thing as temporary auditory damage and any symptoms after noise exposure indicate that permanent damage has already occurred. But I agree entirely with the audiologist’s advice to wear hearing protection.

And as we have been saying for a while, if it sounds too loud, it IS too loud!

Protect your hearing today to preserve it for tomorrow.

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.

Is the modern soundscape damaging our health?

Photo credit: Luis Dalvan from Pexels

Listen to Part 1 of a fascinating two-part series on the impact of city noise on our health by 99% Invisible, a podcast that focuses on “the thought that goes into the things we don’t think about.”  Part 1 looks at our soundscape and how much of it is created without much thought.

The show interviews an interesting mix of people, including design critic Kate Wagner who notes that the sound of cars has a huge impact.  “It’s inescapble,” she laments, adding that car sounds “drown out other things like bird song, human speech, the rustling of leaves, conversation — things that maybe are more personal or that we hold [to have] a higher aesthetic value.”

Dr. Erica Walker discusses the impact of noise on communities, stating that with city sound, volume is not the only thing that bothers. Rather, it’s the character of the sound and, importantly, “whether or not you have control over the situation.” Dr. Mathias Basner, a professor at the University of Pennsylvania who studies how noise affects sleep, agrees, adding  that “health problems come in part from a lack of agency.” “Noise casues stress,” says Basner, “especially if we have little or no control over it.”

Part 1 then looks at how noise in cities discriminates because poorer neighborhoods tend to have higher noise profiles, but notes that if the city has a noise code, those laws tend to get applied more vulnerable, powerless people, particularly in areas undergoing gentrification.

The show concludes with a discussion by Joel Beckerman, a sound designer, who thinks we need a “new approach to sound,” one in which we decide what we want to hear rather than have sound thrust on us.  He calls this new approach “Sonic Humanism.”

Part 1 of this series covered a lot of material in under 20 minutes. It’s well worth listening to.  We will be sure to post about Part 2 when it’s published.

 

 

 

 

 

The best headphones for children? None!

by Daniel Fink, MD, Chair, The Quiet Coalition

This post on the Parentology.com site discusses the best headphones for children in 2019. I disagree strongly. The best headphones for children are none at all! Why? Two reasons, one for auditory health and one for the child’s social and intellectual development.

First, for auditory health, headphones using the industrial-strength 85 decibel noise exposure level as a “safe” volume limit for a child’s tender ears isn’t safe. The UK’s Advertising Standards Authority ruled again Amazon advertising these headphones as safe for hearing because they’re not.

Second, allowing a child to isolate him or herself with headphones, first while watching a video on a device and then when listening to music when older, doesn’t allow the child to interact or communicate with others. And for the older children, the parent has no idea what the children are listening to.

Audiologists already report seeing younger patients with hearing loss and tinnitus instead of the senior population they are used to caring for.

And an epidemic of noise-induced hearing loss and other auditory problems appears to be certain in the near future.

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.

NYC’s “helicopter season” starts with a fail

This photo of the aftermath of a deadly helicopter accident in 2018 is in the public domain

Patrick McGeehan, The New York Times, writes about a sorry rite of late spring–the onslaught of helicopters ferrying the uber rich and wannabes to the Hamptons or separating tourists from their money in quick and expensive spins around Manhattan. This season started with a helicopter falling from the sky.  Somehow, everyone survived–not a typical outcome–but, as McGeehan reports, “the videos were spectacular enough to set off a debate about helicopter traffic.”

Adrian Benepe, a former city parks commissioner, asked whether the economic benefits or ease of travel were worth it. In fact, the city had reached a compromise with the helicopter companies a few years ago that cut the number of flights in half and banned them on Sundays, but McGeehan writes that some companies avoid the restrictions by flying out of New Jersey and not the city heliports.

Even with the compromise there are more than 30,000 flights a year, and residents and visitors under the flight paths have complained about the noise. Said Benepe, a member of Stop the Chop, “[f]or a city that claims to want to be the most environmentally progressive in the nation to be supporting this industry makes no sense.” That is an understatement.

Let’s hope that with this latest crash the city makes serious efforts to limit or prohibit these unnecessary helicopter flights. There is rarely a compelling need for their use and city residents and visitors shouldn’t be held captive by the wants and desires of tourists seeking an epic selfie or the super rich engaging in acts of self-importance.  It’s time to stop them.

Acoustic vehicle alerts are a problem

Photo credit: Kaboompics .com from Pexels

by Daniel Fink, MD, Chair, The Quiet Coalition

The Quiet Coalition’s Jeanine Botta presented a paper on acoustic vehicle alerts, also known as horn-based alerts, on May 13, 2019, at the Acoustical Society of America’s 177th meeting in Louisville, Kentucky.

Acoustic vehicle alerts are a problem because they are capable of disrupting sleep and interrupting concentration. In most vehicles, the alerts can be turned off or can be configured to use flashing lights instead of a sound. But not all horn-based alerts are easily reconfigured.

In 2011, the Society of Automotive Engineers recommended that automakers install “an externally audible or visual alert” to warn drivers of an engine that has been left running, as a means of preventing carbon monoxide poisoning. In response, some automakers used horn sounds to comply with the standard. This decision did not consider driver behavior or technical errors, such as drivers starting a car and getting out to brush snow off a windshield, or a passenger with a second key remaining in a car. This paper examined posts in online forums that include those authored by car owners seeking technical advice about turning off this horn-based alert. One frequently cited reason was concern over waking nearby neighbors.

In February 2019, Senator Richard Blumenthal introduced legislation requiring automatic engine shutoff in all vehicles in certain situations. The Protecting Americans from the Risks of Keyless Ignition Technology Act, or PARK IT Act, is supported by Advocates for Highway and Auto Safety, Center for Auto Safety, Safety Research and Strategies, and Consumer Reports.

And in California, where I live, where there are 14.5 million registered motor vehicles, it’s actually illegal for a horn to be used other than to avoid an accident or as a burglar alarm.

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.