Tag Archive: children

Will kids face an epidemic of hearing loss?

Photo credit: Jonas Mohamadi from Pexels

by Daniel Fink, MD, Chair, The Quiet Coalition

This interview of U.S. Surgeon General Jerome Adams and FDA Commissioner Scott Gottlieb discusses an unprecedented epidemic of vaping among teens. According to the FDA Commissioner and the Surgeon General, the epidemic caught public health authorities by surprise.

Use of personal music players, with associated headphones or earbuds, is also very common among teens. About 90% of teens have a personal music player of one sort or another. An article last year reported found auditory damage among 14% of Dutch schoolchildren age 9-11 who used personal music players. One might call this an epidemic of personal music player use.

It takes about 40 years of noise exposure for noise-induced hearing loss to become clinically apparent, so when today’s young people are in their 40s to 50s, they will likely be as hard of hearing as today’s people in their 60s, 70s, and 80s.

Since 2015, I have been trying to get those federal agencies responsible for protecting the public–the Centers for Disease Control and Prevention, the Federal Trade Commission’s Division of Advertising Practices, and the Consumer Product Safety Commission–to take action to protect young people’s hearing. I’ve also communicated with the American Academy of Pediatrics, which educates parents about the dangers of sun exposure and tobacco smoke, but not about noise.

I’m going to add the Surgeon General to my list. A predecessor issued a Call to Action about skin cancer, but no one has said anything about noise in more than 50 years.

So far my appeals have largely been ignored.

So the question is this: Will there be an unprecedented epidemic of hearing loss in children and teens when they get older? And will those charged with protecting Americans’ health remember that they were warned?

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.

Protecting children’s hearing

Photo credit: Tim Parkinson licensed under CC BY 2.0

by Daniel Fink, MD, Chair, The Quiet Coalition

I’m an internist and was board-certified in geriatric medicine so I’m not sure I’m qualified to write anything about children, but I think being a new grandpa grants me that authority. One thing I have learned is that children’s ears are delicate, and they need to last a lifetime, so it’s important to protect children from loud noise.

At last year’s Super Bowl victory, the world saw Philadelphia Eagles quarterback Nick Foles carrying his infant daughter wearing her cute pink ear muff hearing protection.  Smart move. The Quiet Coalition doesn’t endorse products, but there are now many ear muff hearing protection devices available for infants, toddlers, and young children.

I suggest that parents and grandparents look for products with a noise reduction rating of 22 decibels or greater. The NRR is measured according to standards developed by the EPA, but the actual reduction in noise reaching the ear drum is less than the rated noise reduction. Just remember that the higher the NRR, the greater the hearing protection.

And start using ear protection early. If children get used to ear muffs for noise when they are infants, they are likely to develop lifelong habits of protecting themselves from environmental noise exposures.

Should you allow your child to use headphones to listen to music? I think these are a bad idea. First, parents can’t monitor either content or sound volume. Second, even with volume limits, headphone use is likely to cause auditory damage. That was the finding of a Dutch study that showed auditory problems in children age 9-11 after headphone use. Third, and perhaps most importantly, it’s far better to interact with one’s child or grandchild than to use audio or audiovisual content as a babysitter. Read the kid a book!

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.

85 decibel headphones aren’t safe for children

Photo credit: Leonid Mamchenkov licensed under CC BY 2.0

by Daniel Fink, MD, Chair, The Quiet Coalition

Many headphones are advertised as safe for children’s hearing, using the occupationally derived 85 decibel (dB) standard as the volume limit without giving an exposure time.

When I contacted them in December 2015, the U.S. Federal Trade Commission’s Division of Advertising Practices declined to take action about this false advertising. Earlier this year, I learned about the UK Advertising Standards Authority, a quasi-governmental agency serving approximately the same role in England and Wales. I filed the same complaint with ASA, on behalf on The Quiet Coalition to protect children’s auditory health. On October 31, 2018, the ASA issued a ruling that Amazon’s advertising of these headphones as safe for children was indeed false advertising.

A study in the Netherlands earlier this year showed that even in children age 9-11 years, headphone use was associated with an increased rate of auditory disorders.

Parents and grandparents would be well-advised not to allow their children or grandchildren to listen to music or videos using headphones, with or without the 85 dB volume limit.

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 reduces children’s sleep time

Photo credit: rawpixel.com from Pexels

by Daniel Fink, MD, Chair, The Quiet Coalition

This report discusses a study showing that hospital noise reduces children’s sleep time.

Noise disrupting sleep isn’t just a problem for children in the hospital. Humans can’t close our ears. Even if it doesn’t waken us, noise in the 35 decibel range can disrupt EEG patterns. And these disruptions–called microarousals–have the same impact on heart rate and stress hormone levels as a noise loud enough to waken someone from a deep sleep.

Both in the hospital and in our homes, a quiet bedroom helps us sleep, and that’s important for health and function.

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.

 

 

Cochlear implants for children born without hearing

Photo credit: Matt Ralph licensed under CC BY 2.0

by Daniel Fink, MD, Chair, The Quiet Coalition

This op-ed by Irene Taylor Brodsky in the New York Times discusses the issue of cochlear implants for children born without hearing.

It raises all sorts of issues that most parents, and most people, don’t have to consider. Those of us born with normal hearing, and with children and grandchildren born with normal hearing, simply won’t have to deal with these issues.

But we should learn to value our hearing as much as those born without it, and we should protect it all our lives. A simple way to protect hearing is to avoid exposure to loud sound, and if loud sound can’t be avoided, to use hearing protection.

Remember: if it sounds too loud, it is too loud and your hearing is at risk of being damaged.

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.

Noise is bad for children

by Daniel Fink, MD, Chair, The Quiet Coalition

One of the nice things about doing a Google search is the serendipity of coming across something else.

I recently saw a mention of a World Health Organization statement that children shouldn’t be exposed to noise above 120 decibels, so I began searching for the source of that statement. While searching, I found this 2009 WHO PowerPoint presentation (pdf) about the adverse health effect of noise on children–not just hearing loss, but hypertension, increases in stress hormone levels, and difficulties learning, among a multitude of other adverse effects. Eventually, I found the 120 decibel recommendation in the WHO 1999 Community Noise Guidelines monograph.

It’s distressing that this information clearly has been known for so long–the pediatric noise hazards for almost a decade, the Community Noise Guidelines for almost two decades—and we still haven’t done anything to protect our children from noise.

With our first grandchild just born, I will renew my efforts to protect children and all people from the dangers of noise. I hope he grows up in a quieter world.

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’s Health Advisory Council, and he served on the board of the American Tinnitus Association from 2015-2018.

Loud music listened to on headphones is causing hearing loss in children

Photo credit: Gordon licensed under CC BY-SA 2.0

by Daniel Fink, MD, Chair, The Quiet Coalition

My main noise issue is restaurant noise, but I have learned about other noise issues, too. When I figured out that the oft-cited 85 decibel standard is an occupational noise exposure standard, and not a safe noise exposure standard for the public, I sent emails and letters to the audiologists quoted in media reports. When I realized that 85 decibels was used as a safe volume limit for headphones marketed for toddlers as young as 3 years, I called this to the attention of pediatricians, the Federal Trade Commission, the Consumer Product Safety Commission, and the Centers for Disease Control. My efforts, sadly, have thus far been unsuccessful.

My worries were based on theoretical concerns. There was no way that loud noise without a time exposure limit could be safe for children. Now this report documents that the hearing loss I was worried about isn’t a theoretical concern any more. Namely, the news article writes about a study conducted by Erasmus Medical Centre in Holland, in which scientists “studied more than 5,000 children aged nine to 11-years-old over three years, found one in seven of the youngsters had suffered some hearing loss.”

The study is preliminary. The hearing tests were done as part of a study of normal child development in Rotterdam, but not specifically to determine whether personal music player use caused hearing loss. More than 5,000 children were enrolled in the study, but complete hearing tests were available for only about 3,000, and personal music player use was assessed by parental report. Despite these limitations, the study found that 14% of the children, now just under 11 years old, had some type of hearing impairment.

That said, one must ask what is causing this early onset hearing loss. The researchers believe the cause may be children’s use of headphones to listen to portable music players.

Maybe this will spur regulatory authorities into action. At the very least, parents and grandparents can take these headphones away from their little darlings, and give them instead the gift of continued good hearing.

The problem with headphones isn’t just hearing loss. As a parent and soon to be grandparent, I know that talking with children and listening to what they say–almost from the time they are born–is one of the most important ways to teach them words and language, to establish a relationship with them, and to educate them about the world. Giving the child a personal music player or video player and headphones can occupy the child for hours–it’s certainly easier than carrying books and reading them to the child, or giving the child a paper and crayons, or playing with dolls or trucks or Legos–and it allows the parent to watch or listen to his or her own cellphone or personal electronic device, but it probably isn’t the best thing for the child, either.

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’s Health Advisory Council, and he served on the board of the American Tinnitus Association board from 2015-2018.

 

Too loud: noisy toys can damage a child’s hearing

Photo credit: Terence Ong licensed under CC BY-SA 3.0

by Daniel Fink, MD, Chair, the Quiet Coalition

This report from a Phoenix, Arizona television station mentions children’s toys that are so loud they can damage hearing. Noise level is an important thing for parents, grandparents, and aunts, uncles, and friends to think about during the holiday season and all year long.

The only thing I disagree with in the report is the statement, “[t]he maximum sound level a child should be exposed to is 85 decibels.” I don’t think there is any scientific basis for this statement. The National Institute for Deafness and Other Communication Disorders states, “[l]ong or repeated exposure to sound at or above 85 decibels can cause hearing loss.” But the NIDCD fails to give a time limit.

As I wrote in the January 2017 American Journal of Public Health, 70 decibels time weighted average for 24 hours is the only evidence based safe noise exposure level to prevent hearing loss. My blog post for the American Journal of Public Health further explained why the real safe noise exposure level is likely to be lower.

The 85 decibel standard comes from the occupational noise exposure level, which is 85 A-weighted decibels. It isn’t a safe noise exposure standard without a time limit, and it doesn’t protect all exposed workers from hearing loss.

If you are unsure whether the noise level is safe, either get a sound meter app for your smart phone or follow this simple rule: If it sounds too loud, it IS too loud! If you can’t converse easily over a sound, it’s above 75 A-weighted decibels, which is the Auditory Injury Threshold, and hearing damage is occurring.

Children rely on us to protect them from many things, and noise exposure is one them.  So this holiday season, do a little research before you buy to make sure you are getting the children in your life fun and safe toys.

Dr. Daniel Fink is a leading noise activist based in the Los Angeles area. He serves on the board of the American Tinnitus Association, is the interim chair of Quiet Communities’s Health Advisory Council, and 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.

Children need quiet

Jennifer King Lindley, Real Simple, has written a fascinating article about the importance of quiet time for children entitled, “The One Thing Your Kid Needs—and Isn’t Getting.” Lindley begins her piece with an interview of Arline Bronzaft, PhD, noted noise activist and co-founder of The Quiet Coalition, whose landmark research “found that the reading scores of elementary students in classrooms located next to train tracks lagged a full year behind their peers in quieter classrooms on the other side of the building.” Dr. Bronzaft states that not only does noise interfere with learning, it causes a great deal of stress that leads to learned helplessness, “the feeling that you just have to sit there and take it,” which then causes still more stress.

But noise doesn’t just interfere with formal education, as Lindley tells us that “even moderate background noise can interfere with the ability of babies to learn new words.”

So what can you do to protect your children? Lindley offers specific advice for young children and teens, but both sets of advice basically distill down to two important elements: reducing background noise and distracting devices and learning to embrace quiet time.

Lindley’s article is an interesting read and well worth your time. Click the link above to read it in full.

 

 

NYC’s DEP launches sound and noise education program

Photo credit: Arline Bronzaft, PhD

By Arline Bronzaft, PhD, Board of Directors, GrowNYC, and Co-founder, The Quiet Coalition (introduction by G.M. Briggs, Editor)

The educational arm of New York City’s Department of Environmental Protection (DEP) has recently launched a sound and noise education module.The module consists of:

Interactive, multi-disciplinary, STEM lessons and activities [that] introduce students and teachers to the study of the New York City sound environment, New York City’s Noise Code, and the public health issues, both mental and physical, associated with noise.

One element of the elementary lesson plan is the book “Listen to the Raindrops,” by Dr. Arline Bronzaft, noted noise activist, GrowNYC board member, and a co-founder of The Quiet Coalition. Dr. Bronzaft writes about her involvement in the DEP’s groundbreaking noise education efforts:

For years I have conducted research and written on the adverse effects of noise on mental and physical health, including the impacts of noise on children’s learning. One day discussing noise with a children’s book writer, she suggested that I take a stab at writing a book to teach children about the dangers of noise. My first response was that I was not suited for the task, but she said, “if not you, who?” When I left her apartment, I took pencil to paper and during the hour trip back to my home I completed the book “Listen to the Raindrops.” The book, which was written in rhyme, aimed to teach children about the beauty of the good sounds around them and the dangers of noise, especially to their ears.

A children’s book requires illustrations, of course, and I was fortunate that Steve Parton, an illustrator, and the father of a daughter who had received one of the first cochlear implants, agreed to provide the illustrations. After reading the book to a number of classes and listening to the children’s comments, it was clear that Steve’s illustrations beguiled the children.

For years I have worked closely with DEP in our joint efforts to bring the decibel level down in this city. Much still needs to be done, but I was delighted when the DEP’s educational arm added a sound/noise component to its website and asked to include “Listen to the Raindrops” to its curriculum.

The DEP has recently launched its sound and noise curriculum–it is online and all are invited to go to the site to see it. Now we need you to spread the word about the curriculum. Noise is not just a New York City problem. Cities and towns worldwide can include noise education in their school curricula. The federal Environmental Protection Agency also has materials on its website that educate elementary school children about the harmful effects of noise ( e.g., Listen Up!), but at one time the agency made a greater effort than today to reach out to schools nationwide about teaching children about the dangers of noise.

Let us alert public officials, educators, and all citizens to the importance of teaching children early on that noise will harm their ears, their learning ability, and their overall health. Promoting these educational materials will also inform the general public about the deleterious impacts of noise, as the children will undoubtedly bring home the sound and noise information they learn at school and become spokespersons for quieting our surroundings. And the children shall lead!

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.