overview of niosh hearing loss research program
DESCRIPTION
Overview of NIOSH Hearing Loss Research Program. W. Gregory Lotz, Ph.D. Captain, U.S. Public Health Service Division of Applied Research and Technology January 5, 2006. Objectives. Overview of Hearing Loss Research Program Summary of Important Accomplishments - PowerPoint PPT PresentationTRANSCRIPT
Overview of NIOSH Hearing Loss Research
Program
Overview of NIOSH Hearing Loss Research
Program
W. Gregory Lotz, Ph.D.
Captain, U.S. Public Health Service
Division of Applied Research and Technology
January 5, 2006
W. Gregory Lotz, Ph.D.
Captain, U.S. Public Health Service
Division of Applied Research and Technology
January 5, 2006
ObjectivesObjectives
Overview of Hearing Loss Research Program
Summary of Important Accomplishments
Introduction of NIOSH Presentations
Overview of Hearing Loss Research Program
Summary of Important Accomplishments
Introduction of NIOSH Presentations
The Occupational Hearing Loss Problem
The Occupational Hearing Loss Problem
30 million workers in U.S. at risk
Cross-cutting issue, affects workers in nearly every sector
Currently no recovery; severely impairs quality of life
One of most common workplace illnesses/injuries
30 million workers in U.S. at risk
Cross-cutting issue, affects workers in nearly every sector
Currently no recovery; severely impairs quality of life
One of most common workplace illnesses/injuries
Mission of NIOSH Hearing Loss Research Program
Mission of NIOSH Hearing Loss Research Program
To provide national and world leadership to reduce the prevalence of occupational hearing loss through a focused program of research and prevention
To provide national and world leadership to reduce the prevalence of occupational hearing loss through a focused program of research and prevention
Landmarks in NIOSH HLR Program
Landmarks in NIOSH HLR Program
1973 – Criteria Document
1976 – Compendium of Hearing Protector Devices (revised in 1984, 1995,
2003)
1990 – Preventing Occupational Hearing Loss: A Practical Guide (revised 1996)
1996 – Pittsburgh Research Lab joined NIOSH
1998 – Revised Criteria Document
2000 – NORA Intramural Noise Research Program Proposed; funded in
2001
1973 – Criteria Document
1976 – Compendium of Hearing Protector Devices (revised in 1984, 1995,
2003)
1990 – Preventing Occupational Hearing Loss: A Practical Guide (revised 1996)
1996 – Pittsburgh Research Lab joined NIOSH
1998 – Revised Criteria Document
2000 – NORA Intramural Noise Research Program Proposed; funded in
2001
HLR Challenges – NIOSH approach
HLR Challenges – NIOSH approach
Surveillance – understanding HL in today’s workforce and providing better data for risk assessment
Hazard characterization – filling knowledge gaps for hazards that are not well understood
Intervention – developing solutions to prevent injury from known hazards to hearing
Surveillance – understanding HL in today’s workforce and providing better data for risk assessment
Hazard characterization – filling knowledge gaps for hazards that are not well understood
Intervention – developing solutions to prevent injury from known hazards to hearing
HLRP Operational Logic ModelHLRP Operational Logic Model
Inputs ActivitiesCustomer Activities and Outputs
Intermediate customers → Outputs → Final customers(transformation) (implementation)
OutcomesOutputs
Transfer
Inputs
Divisions/Labs/OfficesInvolvement
Divisions/Labs/OfficesInvolvement
Division of Applied Research and Technology (DART)
Division of Surveillance, Hazard Evaluation and Field Studies (DSHEFS)
Education and Information Division (EID)
Pittsburgh Research Laboratory (PRL)
Office of Extramural Programs (OEP)
Division of Applied Research and Technology (DART)
Division of Surveillance, Hazard Evaluation and Field Studies (DSHEFS)
Education and Information Division (EID)
Pittsburgh Research Laboratory (PRL)
Office of Extramural Programs (OEP)
Acoustic Test Chamber - PRLAcoustic Test Chamber - PRL
Sound power measurements
Large equipment capability
Precision-grade measurements
Engineering control of noise
Sound power measurements
Large equipment capability
Precision-grade measurements
Engineering control of noise
Audiometric FacilitiesAudiometric Facilities
Hearing protector laboratory Audiometric suites Semi-anechoic chamber
Hearing protector laboratory Audiometric suites Semi-anechoic chamber
Mobile Audiometric Research Facility
Mobile Audiometric Research Facility Hearing screening
Hearing protector fit-testing
42 sites nationwide
Hearing screening
Hearing protector fit-testing
42 sites nationwide
(X
(X
(X
(X
(X
(X(X(X(X (X(X(X
(X (X(X
(X(X
(X
(X(X
(X
(X(X
(X
(X(X(X(X(X(X
(X
(X
(X
(X
(X
(X
Field Study CapabilitiesField Study Capabilities
Noise level assessments
Hearing protector research
Impulsive noise recording/analysis
Audiometric database analysis
Noise level assessments
Hearing protector research
Impulsive noise recording/analysis
Audiometric database analysis0.357 caliber Smith & Wesson 686
Time (msec)
0 5 10 15 20
So
un
d P
ress
ure
Le
vel (
kPa
)
-3
-2
-1
0
1
2
3
4
5
6
7
169 dB SPL
NIOSH HLR Program ResourcesNIOSH HLR Program Resources
Intramural research FY05 funding = $ 4.1 M
Extramural research FY05 funding = $1.9 M
Staffing FY05: approximately 30 FTEs
Interdisciplinary: 14 engineers, 5 audiologists, 4 psychologists, 7 other disciplines
Two teams (Cincinnati and PRL) have complementary strengths, coordinated research activities and plans
Intramural research FY05 funding = $ 4.1 M
Extramural research FY05 funding = $1.9 M
Staffing FY05: approximately 30 FTEs
Interdisciplinary: 14 engineers, 5 audiologists, 4 psychologists, 7 other disciplines
Two teams (Cincinnati and PRL) have complementary strengths, coordinated research activities and plans
HLR Program Funding1997-2005
HLR Program Funding1997-2005
$0
$1
$2
$3
$4
$5
$6
$7
1997 1998 1999 2000 2001 2002 2003 2004 2005
Millions
Intramural
Extramural
TotalBudget
$0
$1
$2
$3
$4
$5
$6
$7
1997 1998 1999 2000 2001 2002 2003 2004 2005
Millions
Intramural
Extramural
TotalBudget
Planning InputsPlanning Inputs
Surveillance data – derived internally and externally
Stakeholder input – workshops, NORA team, partnership activities
Risk assessment – criteria document, consensus committees
Scientific knowledge gap assessment
Surveillance data – derived internally and externally
Stakeholder input – workshops, NORA team, partnership activities
Risk assessment – criteria document, consensus committees
Scientific knowledge gap assessment
Program Development
Research Activities
Program Development
Research Activities
Establishing Program GoalsEstablishing Program Goals
Criteria Document 1998 Defined nine areas of research need
NORA Intramural Program 2001-2005
New areas emphasized; increased coordination across divisions
Planning for next five years Futures workshop Four research goals defined
Criteria Document 1998 Defined nine areas of research need
NORA Intramural Program 2001-2005
New areas emphasized; increased coordination across divisions
Planning for next five years Futures workshop Four research goals defined
Training &Motivation
NoiseControl
ProgramEvaluation
HearingProtectors
ExposureMonitoring
OtotoxicChemicals
HL PreventionPrograms
Causative Mechanisms
Hearing Protectors
Rehabilitation
Impulsive Noise
NonauditoryEffects
Engineering Controls
Funding OpportunitiesPartnerships
NORAExpertise Facilities
Research Needs (1998)
Research Goals (2005)
4 Research Goals4 Research Goals
1. Contribute to the development, implementation and evaluation of effective hearing loss prevention programs
2. Reduce hearing loss through interventions targeting personal protective equipment
3. Develop engineering controls to reduce noise exposures
4. Contribute to reductions in hearing loss through understanding causative mechanisms
1. Contribute to the development, implementation and evaluation of effective hearing loss prevention programs
2. Reduce hearing loss through interventions targeting personal protective equipment
3. Develop engineering controls to reduce noise exposures
4. Contribute to reductions in hearing loss through understanding causative mechanisms
Major Changes 1996-2005Major Changes 1996-2005
Growth in mining and construction research
Increased collaboration/interaction among NIOSH division and labs
Increased utilization of partnerships
Increased emphasis on engineering controls
Discontinuation of laboratory animal research in HLR program
Information dissemination through internet
Growth in mining and construction research
Increased collaboration/interaction among NIOSH division and labs
Increased utilization of partnerships
Increased emphasis on engineering controls
Discontinuation of laboratory animal research in HLR program
Information dissemination through internet
Program OutputsProgram Outputs
Types of OutputsTypes of Outputs
Scientific research reports: journal articles, technical reports, presentations, proceedings
Technology and Control Products: engineering designs, patents, prototypes
Recommendations: criteria documents, best-practices workshop proceedings, HHE reports, NIOSH alerts
Information dissemination: web-based information, pamphlets, videos, partner briefings
Scientific research reports: journal articles, technical reports, presentations, proceedings
Technology and Control Products: engineering designs, patents, prototypes
Recommendations: criteria documents, best-practices workshop proceedings, HHE reports, NIOSH alerts
Information dissemination: web-based information, pamphlets, videos, partner briefings
Balancing the Focus on Product Development
Balancing the Focus on Product Development
Scientific publications are essential to advancing scientific knowledge maintaining professional credibility supporting evidence for recommendations
Worker-friendly products are essential to meet customer needs
translate technical material into information workers and employers can use
transfer knowledge to those who can implement it
Scientific publications are essential to advancing scientific knowledge maintaining professional credibility supporting evidence for recommendations
Worker-friendly products are essential to meet customer needs
translate technical material into information workers and employers can use
transfer knowledge to those who can implement it
Partnerships and r2p for HLRPartnerships and r2p for HLR
Open doors to work sites, equipment, interaction with workers and employers, and stakeholder investment
Provide collaborative research
Create opportunities for transfer of NIOSH HLR Program outputs
Open doors to work sites, equipment, interaction with workers and employers, and stakeholder investment
Provide collaborative research
Create opportunities for transfer of NIOSH HLR Program outputs
External FactorsExternal Factors
Limited resources
Legislative directives or earmarks
Regulatory environment
Lack of surveillance data
Economic pressures, business climate for potential customers and partners
Nature of HL, low sense of urgency for hearing loss prevention in workplace
Limited resources
Legislative directives or earmarks
Regulatory environment
Lack of surveillance data
Economic pressures, business climate for potential customers and partners
Nature of HL, low sense of urgency for hearing loss prevention in workplace
Important ContributionsImportant Contributions
Two Criteria Documents – set policies, guide regulations and research directions
HPD Testing Standard and Rating System – basis of revised ANSI standard
Training and Education Programs – 13 ERCs trained over 1000 professionals per year over last 10 years
Two Criteria Documents – set policies, guide regulations and research directions
HPD Testing Standard and Rating System – basis of revised ANSI standard
Training and Education Programs – 13 ERCs trained over 1000 professionals per year over last 10 years
NIOSH ERC Training in HLNIOSH ERC Training in HL
Over 1000 students trained per year over the last decade
Important Contributions (continued)Important Contributions (continued)
Engineering Noise Controls in Mining and Construction – coated flight bars for continuous mining machines; database for powered hand tools
Ototoxic Chemical Effects – hazard identification; influenced guidelines, policies
Development of HL Surveillance Activities – NHANES, OSHA 300 log input, and others
Leadership and Support for HL Research – workshops, best practices, participation in consensus and advisory panels
Engineering Noise Controls in Mining and Construction – coated flight bars for continuous mining machines; database for powered hand tools
Ototoxic Chemical Effects – hazard identification; influenced guidelines, policies
Development of HL Surveillance Activities – NHANES, OSHA 300 log input, and others
Leadership and Support for HL Research – workshops, best practices, participation in consensus and advisory panels
HLR Program PresentationsHLR Program Presentations
RG1: Effective Hearing Loss Prevention Programs (C. Stephenson)
RG2: Hearing Protection Devices (W. Murphy)
RG3: Engineering Controls (R. J. Matetic)
RG4: Causative Mechanisms (R. Davis)
RG1: Effective Hearing Loss Prevention Programs (C. Stephenson)
RG2: Hearing Protection Devices (W. Murphy)
RG3: Engineering Controls (R. J. Matetic)
RG4: Causative Mechanisms (R. Davis)