Tag Archive: hearing protection

How loud is too loud?

Photo credit: Your Best Digs licensed under CC BY 2.0

by Daniel Fink, MD, Chair, The Quiet Coalition

How loud is too loud? Probably between 70 A-weighted decibels (dBA) and 75 dBA, the auditory injury threshold, not the occupational noise exposure limit of 85 decibels cited in this article.

We are glad to see any publication warning about the dangers of noise and advocating use of hearing protective devices, as earplugs and earmuff hearing protectors are more broadly known, but this piece just gets the basic science wrong.

As the NIOSH Science Blog discussed in 2016, an occupational noise exposure limit is not a safe noise level for the public.

Smart phone sound level meter apps provide good to very accurate sound level measurements, but you really don’t need a sound meter to know if it’s too loud.

If it’s loud enough that you have to strain to speak or to be heard–a typical noise level when using power equipment or tools, hair dryers, kitchen mixers, or eating in many restaurants–the ambient noise is above 75 dBA and your hearing is being damaged.

And certainly if the sound level is loud enough to cause momentary pain or discomfort, or subsequent muffling or sound or ringing in the ears, you are on your way to hearing loss.

It’s easy to protect your hearing for your whole life. If it sounds too loud, it IS too loud.

Avoid loud noise or use hearing protective devices, or need hearing aids. The choice is yours.

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.

Disturb everyone else with your noise, but protect yourself

Oh the irony.

by Daniel Fink, MD, Chair, the Quiet Coalition

This report at Motorcycle.com lists earplugs good for motorcycle riders.

The idea of protecting your own hearing, while bothering and deafening others with your motorcycle’s noise, is ironic.

Riding a motorcycle is a dangerous pastime, and many riders believe that a louder motorcycle is a safer one because drivers of other vehicles can hear them. Most experts, however, think that’s really not true and posit that many riders just like to make as much noise as possible to show how profoundly anti-social they are.

What they–and most police departments–don’t know is that there are state and federal laws regulating motorcycle exhaust noise, and the best way to avoid noise-induced hearing loss is to reduce the noise level at its source.

So rather than offering advice on protecting hearing to those who would impose their noise on the rest of us, Motorcycle.com, why not tell your readers to respect others by removing the illegal straight-pipe exhaust systems they put on their bikes?

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.

Turn that down! We can prevent hearing loss

Photo credit: Anthony from Pexels

by Daniel Fink, MD, Chair, The Quiet Coalition

Dr. Vic Snyder, a former congressman from Arkansas who is now a medical director at the Blue Cross/Blue Shield affiliate there, has it exactly right: hearing loss (and tinnitus) can be prevented by turning down the volume, walking away from noise sources, and using hearing protection.

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.

Gene therapy is great, but can anyone afford it?

by Daniel Fink, MD, Chair, The Quiet Coalition

Science holds great promise for treatments and cures. Among the areas of research in treating or curing hearing loss or even total deafness is gene therapy. Scientists at Columbia University and Stanford University and elsewhere are already working on this.

The main concern I have about gene therapy is its cost. A new treatment for a rare form of blindness costs $850,000. A recently approved gene therapy for a rare form of leukemia costs $500,000.

No one can predict how much a gene therapy treatment for hearing loss or deafness will cost, but the ballpark is several hundred thousand dollars. For a condition affecting 50 million Americans, that’s more than our country can afford. Insurance premiums would have to increase ten or one hundred times if health insurance or pharmacy benefits paid for the drug, or there would be prohibitive cost sharing. Out of pocket costs would be more than anyone except a few multimillionaires or billionaires could afford.

And the sad part is that the overwhelming majority of hearing loss in adults–I estimate up to 90% of all cases of adult hearing loss–is noise-induced hearing loss, which is 100% preventable.

My advice: avoid loud noise. If it sounds too loud, it IS too loud. Protect your ears. Like your eyes and knees, God only gave you two of them, and they have to last a whole lifetime!

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.

Good advice about how to protect your hearing

by Daniel Fink, MD, Chair, The Quiet Coalition

This report on Fox News, originally posted on AskDrManny.com, contains sound advice about protecting your hearing. Fox (or Dr. Manny) titled it “5 Ways You’re Damaging Your Hearing.”

There is a whole body of research in communications and specifically in health communications about how to transmit information–positive messages, negative messages, warnings, etc. It’s not clear to me that any of it really works, because no health communication effort works particularly well.

Sure, they may work a bit, but if communicating health information changed human behavior no one would smoke, everyone would exercise, and there would be no HIV transmission from unprotected sex.

But at least the information in the report linked above is there. And by writing this short introduction to what Dr. Manny wrote and Fox News reported, I’m doing my part to help people protect their hearing. So do yourself a favor and click the link above and spend two minutes learning how you can protect your hearing.

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.

Hearing loss a big problem for farmers and ranchers

by Daniel Fink, MD, Chair, The Quiet Coalition

This report discusses the problem of occupational hearing loss in farmers and ranchers. You may be confused, thinking farmers and ranchers must surely work in some of the most peaceful workplaces that exist. And that may be true part of the time, but they also use heavy equipment (tractors, harvesters, etc.) for long periods of time. Says Dr. Richard Kopke, M.D., FACS, chief executive officer of the Hough Ear Institute in Oklahoma City, “[e]xposure to tractors, forage harvesters, chain saws, combines, grain dryers, even squealing pigs and guns, can lead to significant hearing loss.”

Dr. Kopke offers advice to farmers and ranchers on how to avoid hearing loss, including the same point I always make: if you have to raise your voice to be heard, the ambient noise is above 75 A-weighted decibels and hearing loss is occurring.

But it’s not just farmers and ranchers at risk of noise-induced hearing loss. It’s everyone.

Hearing is precious. Speech is the main way humans communicate and relate to one another. As Helen Keller said (paraphrasing), “blindness separates people from things, but deafness separates people from people.”

It’s National Protect Your Hearing Month. Once hearing is lost, the only treatment is a hearing aid (or a cochlear implant for the severely impaired). If it sounds too loud, it IS too loud! Turn down the volume, leave or move away, or insert ear plugs or use ear muff hearing protection.

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.

How to motivate millennials to protect their hearing at work

by Daniel Fink, MD, Chair, The Quiet Coalition

The Quiet Coalition doesn’t spend much time worrying about occupational noise because our focus is on protecting the general public from noise. Workers’ ears are protected by regulations drafted and enforced by the Occupational Safety and Health Administration and similar state agencies. Moreover, workers generally have health care for occupational injuries, and are compensated for work-related permanent damage (including hearing loss) by state-administered workers compensation systems. If occupational hearing loss is established, hearing aids may be provided for those with occupational hearing loss.

From time to time we will agree with the many observers who think that the occupational noise exposure limit–90 A-weighted decibels for 40 hours a week, 240 days a year, for 40 years, causing excess hearing loss in 25% of exposed workers–is set too high, but at least workers have that meager protection. There are no such protections for the public, and no compensation for hearing loss, either.

That said, we’re making an exception to share with you this well-written article in Occupational Health & Safety Magazine. It’s focused on preventing hearing loss in younger workers, but it provides good information for everyone who is concerned about their hearing.

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.

“Baby Driver” highlights the problems of tinnitus

Photo credit: leadfoot licensed under CC BY 2.0

Daniel Fink, MD, Chair, The Quiet Coalition

I am not a moviegoer although my wife would say I am a movie critic, but I can’t comment on the new movie “Baby Driver” because I haven’t seen it. What I can say, based on movie reviews and this online article, is that the lead character has tinnitus from head trauma in a motor vehicle crash, and he plays music constantly to mask it.

Although there are many causes of tinnitus, the most common cause is noise, with a strong correlation between noise-induced hearing loss and tinnitus. Most people with tinnitus have at least some hearing loss, and half of people with hearing loss have tinnitus.

So, movie conventions aside, what’s the best way to avoid developing tinnitus? It’s simple–avoid loud noise and wear hearing protection if you can’t.

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.

 

Can fireworks hurt babies’ ears?

Cat Bowen, Romper, looks at whether fireworks can hurt babies’ ears. Bowen, who is deaf, has a daughter who is hard of hearing, so she is particularly concerned about the impact of noisy fireworks, writing “that what little hearing we have, we want to protect at all costs.”

Bowen points to a Boys Town National Research Hospital report which states that “fireworks register at over 140 decibels of sound” and recommends safe distances for adults and children. Bowen writes that adults “need to be about 65 feet away from the fireworks to be considered safe,” but it’s more than double that for a child.

But what about babies? Bowen says that “it’s different with babies,” because there is no hearing protection gear made for infants under six months. So “[c]an fireworks hurt your baby’s ears?” “Absolutely,” says Bowen, who recommends that you limit your baby’s exposure, try using protective headphones, and “keep you and your baby as far from the fireworks as you can while still enjoying the view.”