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Patrice Johnson Hearing Protection: the Dangers of Noise Exposure

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Call or visit one of our clinics: Darlinghurst Centre St Vincent's Hospital Victoria St Darlinghurst NSW 2010 Ph: 1300 134 327 Fax: (02) 8382 3092 Double Bay Centre 4/5 Goldman Lane (Between Knox St and Knox Lane)Double Bay NSW 2038 Ph: (02) 9327 3908 Fax: (02) 8382 3092

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Page 1: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Patrice Johnson

Hearing Protection: the Dangers of Noise Exposure

Page 2: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Outer ear: Ear canal

Middle ear: Ear drum (tympanic membrane)

Ossicles

Inner ear: CochleaSemi-circular canalsAuditory nerve

The Ear

Page 3: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

How we hear

Page 4: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Outer ear: Ear canal

Middle ear: Ear drum (tympanic membrane)

Ossicles

Inner ear: CochleaSemi-circular canalsAuditory nerve

The Ear

Page 5: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

How we hear

Page 6: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Outer ear: Ear canal

Middle ear: Ear drum (tympanic membrane)

Ossicles

Inner ear: CochleaSemi-circular canalsAuditory nerve

The Ear

Page 7: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

How we hear

Page 8: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

 

      

             

       

            

Page 9: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Noise

What is noise? Different

sources: Occupational:

Mining Building

industry

Recreational:Personal stereos e.g. Ipods

Power toolsLawn mowersMotor sportsNight clubsConcerts

Page 10: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Risk of damage depends on:

1. Level of noise 2. Time of exposure

(how long and how often)

3. Pitch (frequency) of sounds can also effect the degree of damage. High pitch more damaging.

Noise

Page 11: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

How much noise?

Sound at a distance: As the distance is doubled from the sound

source the sound level decreases 6dB SPL As the distance is halved from the sound

source the sound level increases 6dB SPL What does this mean?

Further you are from the noise source, the better

Page 12: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Hearing damage risk is negligible below 75 dB

A vacuum cleaner emits about 85dB

Page 13: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Noise Levels

Exposure Length: For every 3dB louder, the sound is twice as strong so the exposure time should halve.

Page 14: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Safe exposure limit is 85

decibels for eight hours a

day.

100dB = 15min

Cory Portnuff/Dept. of Speech, Language and Hearing Science, University of Colorado; Brian Fligor/Children's Hospital Boston and Harvard Medical School

iPods

Page 15: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Cory Portnuff/Dept. of Speech, Language and Hearing Science, University of Colorado; Brian Fligor/Children's Hospital Boston and Harvard Medical School

iPod listening time vs % volume

Page 16: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Personal stereos

Ipods at low volumes are fine

Ipods at high volumes for long periods of time can damage your hearing

Page 17: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

What happens when sounds are too loud? Causes damage to the hair cells in the

cochlea This means softer sounds may no longer

be transmitted

Page 18: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Cochlear Hair Cells

Healthy Damaged

Page 19: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Permanent

Hearing Loss

The effect of repeated noise exposure on hearing is usually permanent.

Hair cells can not repair themselves. There is no cure for this hearing loss.

Temporary

Hearing Loss

Noise can temporarily cause a hearing loss by “tiring out” the hair cells

First signs: ringing in the ears after noise exposure.

Page 20: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Typical hearing loss from noise exposure

Page 21: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Hearing Loss and Noise Exposure

Page 22: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Ability to hear soft and medium high pitch tones eg. birds, mobile ringing, is lost

Missing beginning or end of a word or sentence

Conversations in a group or busy environment e.g. restaurant, meetings

Difficulties to differentiate similar words Musical difficulties: melody and pitch

discrimination

How high frequency hearing loss impacts hearing

Page 23: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Judging harmful noise levels

1. Noise is as loud or louder than heavy traffic

2. You have to raise your voice to speak to someone 1 metre away

3. Things sound different after you’ve been exposed to noise

4. You hear ringing or other noises in your ears after you’ve been exposed to noise

Page 24: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Noise Induced Hearing Loss (NIHL)Can NIHL be detected early? Early signs of temporary hearing loss

Tinnitus Muffled hearing e.g. After a loud concert

Usually goes undetected until it affects the ability to follow conversations in noisy environments e.g. Restaurant

Page 25: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

NIHL

Does Noise-Induced Hearing Loss cause Any Pain? Generally no Only very loud sounds such as a bomb result

in pain General loud sounds e.g. lawnmower do not

cause pain, but can result in hearing loss

Page 26: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Impact of Hearing Loss

The Listen Hear! Report (Access Economics February 2006):

Financial cost to Australia of $11.75 billion per annum or 1.4% of GDP

1 in 6 Australians is affected by hearing loss

Expected to increase to 1 in every 4 Australians by 2050

With 36% of hearing loss attributable to excessive noise exposure

Page 27: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Protecting Your Hearing

Avoid loud noises/ music Wear earplugs when exposed to loud

noise/music (eg. Concert and motor races) Loud music can be just as dangerous as

noisy machinery. Balls of cottonwool or paper tissue won’t

protect your hearing. Learn to fit earplugs correctly. Poorly fitted

earplugs offer little protection.

Page 28: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Protecting Your Hearing

Ear Plugs Foam disposable ear plugs Musician’s ear plugs – 3 levels of

attenuation and allow music or voice to be monitored

Noise plugs Ear muffs

Page 29: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Summary

Impact on hearing determined by: How long How loud How often

Avoid loud sounds Use hearing protection

Page 30: Hearing and Balance Centre: 2011 Hearing Awareness Week - Hearing Protection: the Dangers of Noise Exposure - Patrice Johnson

Questions

Any Questions?