CC BY-NC-ND 4.0 · Semin Hear 2023; 44(04): 351-393
DOI: 10.1055/s-0043-1769499
Review Article

Preventing Occupational Hearing Loss: 50 Years of Research and Recommendations from the National Institute for Occupational Safety and Health

Christa L. Themann
1   Noise and Bioacoustics Team, National Institute for Occupational Safety and Health, Cincinnati, Ohio
,
Elizabeth A. Masterson
2   Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, Ohio
,
Jeffrey Shawn Peterson
3   Pittsburgh Mining Research Division, National Institute for Occupational Safety and Health, Pittsburgh, Pennsylvania
,
William J. Murphy
1   Noise and Bioacoustics Team, National Institute for Occupational Safety and Health, Cincinnati, Ohio
4   Stephenson and Stephenson Research and Consulting, LLC, Batavia, Ohio
› Author Affiliations

Abstract

For more than 50 years, the National Institute for Occupational Safety and Health (NIOSH), part of the United States (U.S.) Centers for Disease Control and Prevention (CDC), has been actively working to reduce the effects of noise and ototoxic chemicals on worker hearing. NIOSH has pioneered basic and applied research on occupational hearing risks and preventive measures. The Institute has issued recommendations and promoted effective interventions through mechanisms ranging from formal criteria documents to blogs and social media. NIOSH has conducted surveillance and published statistics to guide policy and target prevention efforts. Over the past five decades, substantial progress has been made in raising awareness of noise as a hazard, reducing the risk of occupational hearing loss, improving the use of hearing protection, and advancing measurement and control technologies. Nevertheless, noise remains a prevalent workplace hazard and occupational hearing loss is still one of the most common work-related conditions. NIOSH continues to work toward preventing the effects of noise and ototoxicants at work and has many resources to assist audiologists in their hearing loss prevention efforts.

Disclaimer

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, or the views of Stephenson & Stephenson Research and Consulting, LLC.




Publication History

Article published online:
03 August 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 American Speech Language Hearing Association. . The Audiologist's Role in Occupational Hearing Conservation and Hearing Loss Prevention Programs [Technical Report]. 2004. Accessed May 10, 2023 at: https://www.asha.org/policy/tr2004-00153/
  • 2 American Academy of Audiology. . Preventing Noise-Induced Occupational Hearing Loss [Position Statement]. 2003. Accessed May 10, 2023 at: https://www.audiology.org/wp-content/uploads/2021/05/niohlprevention.pdf_53996fb4c1ca13.61907521.pdf
  • 3 Carroll YI, Eichwald J, Scinicariello F. et al. Vital signs: noise-induced hearing loss among adults - United States 2011-2012. MMWR Morb Mortal Wkly Rep 2017; 66 (05) 139-144
  • 4 Le TN, Straatman LV, Lea J, Westerberg B. Current insights in noise-induced hearing loss: a literature review of the underlying mechanism, pathophysiology, asymmetry, and management options. J Otolaryngol Head Neck Surg 2017; 46 (01) 41
  • 5 Finklea JF, Cohen A, Henderson TL. Joint testimony presented before the Government Regulations Subcommittee of the Senate Small Business Committee, July 23, 1975. NIOSH Publications on Noise and Hearing; 1991
  • 6 Neitzel R, Seixas N, Goldman B, Daniell W. Contributions of non-occupational activities to total noise exposure of construction workers. Ann Occup Hyg 2004; 48 (05) 463-473
  • 7 Flamme GA, Stephenson MR, Deiters K. et al. Typical noise exposure in daily life. Int J Audiol 2012; 51 (0 1): S3-S11
  • 8 Kerns E, Masterson EA, Themann CL, Calvert GM. Cardiovascular conditions, hearing difficulty, and occupational noise exposure within US industries and occupations. Am J Ind Med 2018; 61 (06) 477-491
  • 9 Nelson DI, Nelson RY, Concha-Barrientos M, Fingerhut M. The global burden of occupational noise-induced hearing loss. Am J Ind Med 2005; 48 (06) 446-458
  • 10 Basner M, Babisch W, Davis A. et al. Auditory and non-auditory effects of noise on health. Lancet 2014; 383 (9925): 1325-1332
  • 11 Johnson AC, Morata TC. . Occupational exposure to chemicals and hearing impairment. Nordic Expert Group for Criteria Documentation of Health Risks from Chemicals. Accessed May 10, 2023 at: https://gupea.ub.gu.se/bitstream/handle/2077/23240/gupea_2077_23240_1.pdf
  • 12 US Congress. The Occupational Safety and Health Act of 1970. Washington, DC: US Congress; 1970. . Public Law 91-596
  • 13 Institute of Medicine and National Research Council. Hearing Loss Research at NIOSH. Committee to Review the NIOSH Hearing Loss Research Program. Report No. 1, Reviews of Research Programs of the National Institute for Occupational Safety and Health. Washington, DC: The National Academies Press; 2006
  • 14 National Institute for Occupational Safety and Health. Hearing Loss Prevention Program. 2022 . Accessed May 10, 2023 at: https://www.cdc.gov/niosh/programs/hlp/default.html
  • 15 Washam C. Working toward a new NIOSH. Environ Health Perspect 1996; 104 (05) 484-486
  • 16 Halperin W, Howard J. Occupational epidemiology and the National Institute for Occupational Safety and Health. MMWR Suppl 2011; 60 (4, Suppl): 97-103
  • 17 Thurston FE. The worker's ear: a history of noise-induced hearing loss. Am J Ind Med 2013; 56 (03) 367-377
  • 18 Jerger J. Audiology in the USA. San Diego, CA: Plural Publishing; 2009
  • 19 Glorig A. The problem of noise in industry. Am J Public Health 1961; 51 (09) 1338-1346
  • 20 Snyder LP. . The National Institute for Occupational Safety and Health: A brief history. Office of the Public Health Service Historian, National Library of Medicine, National Institutes of Health; 1997. Accessed May 10, 2023 at: https://upload.wikimedia.org/wikipedia/commons/2/20/NIOSH_-_A_Brief_History.pdf
  • 21 US Department of Health, Education, and Welfare, Public Health Service, Division of Occupational Safety and Health. A Look at the Division of Occupational Health. Public Health Service Publication no. 1118; 1964
  • 22 Cohen A. U.S. Public Health Service field work on the industrial noise hearing loss problem. Occup Health Rev 1965; 17 (03) 3-10
  • 23 Yaffe CD. A study of industrial noise and hearing loss in a controlled population– a preliminary report. Public Health Rep 1954; 69 (09) 815-817
  • 24 Yaffe CD, Jones HH, Weiss ES. Industrial noise and hearing loss in a controlled population-first report of findings. Am Ind Hyg Assoc J 1958; 19 (04) 296-312
  • 25 Cohen A, Anticaglia JR, Jones HH. Noise-induced hearing loss. Exposures to steady-state noise. Arch Environ Health 1970; 20 (05) 614-623
  • 26 Lempert BL, Henderson TL. Occupational Noise and Hearing 1968 to 1972 - A NIOSH Study. Cincinnati, OH: U.S. Department of Health, Education, and Welfare, Public Health Service, Center for Disease Control, National Institute for Occupational Safety and Health; 1973. Publication no. 74-116
  • 27 Howard J. NIOSH: A short history. Am J Public Health 2020; 110 (05) 629-630
  • 28 Theman CL, Suter AH, Stephenson MR. National research agenda for the prevention of occupational hearing loss - Part 1. Semin Hear 2013; 34 (03) 145-207
  • 29 National Institute for Occupational Safety and Health. . National Occupational Hazard Survey. Vol. 1: Survey Manual. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 1974; DHHS(NIOSH) Publication No. 74-127
  • 30 National Institute for Occupational Safety and Health. . Criteria for a Recommended Standard. Occupational Exposure to Noise. National Institute for Occupational Safety and Health, Health Services and Mental Health Administration, Department of Health, Education, and Welfare; 1972; Publication No. HSM 73011001
  • 31 Occupational Safety and Health Administration. . Occupational Noise Exposure. 1910.95
  • 32 National Institute for Occupational Safety and Health. . Criteria for a Recommended Standard - Occupational Noise Exposure: Revised Criteria 1998. Cincinnati, Ohio: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health; 1998; DHHS (NIOSH) Publication No. 98–126
  • 33 Flamme GA, Deiters KK, Stephenson MR. et al. Population-based age adjustment tables for use in occupational hearing conservation programs. Int J Audiol 2020; 59 (Suppl. 01) S20-S30
  • 34 Schmidek ME, Layne MA, Lempert BL, Fleming RM. Survey of Hearing Conservation Programs in Industry. Cincinnati, OH: U. S. Department of Health, Education, and Welfare; Public Health Service; Center for Disease Control; National Institute for Occupational Safety and Health; 1975. ; HEW Publication no. (NIOSH) 75-178
  • 35 Council for Accreditation in Occupational Hearing Conservation. . History and Bylaws. 2022. Accessed July 12, 2022 at: https://www.caohc.org/about-caohc/history-and-bylaws
  • 36 National Institute for Occupational Safety and Health. . Preventing Occupational Hearing Loss - A Practical Guide. Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health; 1996; DHHS (NIOSH) Publication no. 96-110
  • 37 Salmon V, Mills JS, Petersen AC. Industrial Noise Control Manual. Cincinnati, OH: U.S. Department of Health, Education, and Welfare; Public Health Service; Centers for Disease Control and Prevention; National Institute for Occupational Safety and Health; 1975. ; DHEW (NIOSH) Publication No. 75-183
  • 38 Jensen P, Jokel CR, Miller LM. Industrial Noise Control Manual. Cincinnati, OH: U.S. Department of Health, Education, and Welfare; Public Health Service; Centers for Disease Control and Prevention; National Institute for Occupational Safety and Health; 1978; DHEW (NIOSH) Publication no. 79–117
  • 39 National Institute for Occupational Safety and Health. . Compendium of Materials for Noise Control. Cincinnati, OH: U.S. Department of Health, Education, and Welfare; Public Health Service; Centers for Disease Control and Prevention; National Institute for Occupational Safety and Health; 1975; DHEW (NIOSH) Publication no. 75–165
  • 40 Hedeen RA. Compendium of Materials for Noise Control. Cincinnati, OH: U.S. Department of Health, Education, and Welfare; Public Health Service; Centers for Disease Control and Prevention; National Institute for Occupational Safety and Health; 1980; DHEW (NIOSH) Publication no. 80–116
  • 41 National Institute for Occupational Safety and Health. Implement Engineering Controls. 2023. Accessed July 12, 2023 at: https://www.cdc.gov/niosh/topics/noise/preventoccunoise/implement.html
  • 42 Kroes P, Fleming R, Lempert B. . List of Personal Hearing Protectors and Attenuation Data. Cincinnati, OH: U.S. Department of Health, Education, and Welfare; Public Health Service; Centers for Disease Control and Prevention; National Institute for Occupational Safety and Health; 1975; DHEW (NIOSH) Publication no. 76–120
  • 43 Lempert BL. Compendium of Hearing Protection Devices. Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health; 1984. ; PB84-231288
  • 44 Franks JR, Themann CL, Sherris C. The NIOSH Compendium of Hearing Protection Devices. Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health; 1994; DHHS (NIOSH) Publication no. 94–130
  • 45 American Standards Institute. Method for the measurement of the real-ear attenuation of ear protectors at threshold. ANSI 1957; Z24: 22
  • 46 Environmental Protection Agency. . Product Noise Labeling: Hearing Protective Devices. 40 CFR Chapter I Subchapter G Part 211 Subpart B
  • 47 Michael PL, Kerlin RL, Bienvenue GR, Prout JH, Shampan JI. A Real-Ear Field Method for the Measurement of the Noise Attenuation of Insert-type Hearing Protectors. Cincinnati, OH: National Institute for Occupational Safety and Health; 2016; DHEW (NIOSH) Publication no. 76-181
  • 48 Edwards RG, Broderson AB, Green WW, Lempert BL. A second field investigation of noise reduction afforded by insert type hearing protectors. Noise Control Eng J 1983; 20 (01) 6015
  • 49 Lempert BL, Edwards RG. Field investigations of noise reduction afforded by insert-type hearing protectors. Am Ind Hyg Assoc J 1983; 44 (12) 894-902
  • 50 Occupational Safety and Health Administration. OSHA Technical Manual. Section III: Chapter 5- Noise. Appendix F: Noise Reduction Rating. 2022 . Accessed May 25, 2023 at: https://www.osha.gov/otm/section-3-health-hazards/chapter-5#appendixf
  • 51 National Institute for Occupational Safety and Health. . Health Hazard Evaluations (HHEs). 2022. Accessed May 10, 2023 at: https://www2a.cdc.gov/hhe/search.asp
  • 52 Ramos H, Flesch JP. Health Hazard Evaluation Report 71-1-4. Cincinnati, OH: National Institute for Occupational Safety and Health; 1972. . Accessed July 17, 2022 at: https://www.cdc.gov/niosh/hhe/reports/pdfs/71-1-4.pdf
  • 53 Pryor P, Lybarger JA, Colligan M, Donohue MT. Health Hazard Evaluation Determination Report HE 78-134-630. Cincinnati, OH: National Institute for Occupational Safety and Health; . Accessed July 17, 2022 at: https://www.cdc.gov/niosh/hhe/reports/pdfs/78-134-630.pdf
  • 54 National Institute for Occupational Safety and Health. . A Proposed National Strategy for the Prevention of Noise-Induced Hearing Loss. Association of the Schools of Public Health, under a Cooperative Agreement with the National Institute for Occupational Safety and Health; 1988; DHHS (NIOSH) Publication number 89-135
  • 55 National Institute for Occupational Safety and Health. . National Occupational Exposure Survey (1981-1983): Estimated Numbers of Employees Potentially Exposed to Specific Agents by 2-digit Standard Industrial Classification (SIC). Accessed July 17, 2022 at: https://web.archive.org/web/20110716084755/http:/www.cdc.gov/noes/
  • 56 Themann CL, Masterson EA. Occupational noise exposure: a review of its effects, epidemiology, and impact with recommendations for reducing its burden. J Acoust Soc Am 2019; 146 (05) 3879-3805
  • 57 Dunn DE. Damage to the cells of the organ of Corti. Semin Hear 1988; 9 (04) 267-278
  • 58 Alter S. Ad media group starts hard-hitting war on drugs. Advert Age 1987
  • 59 Atherley GR, Martin AM. Equivalent-continuous noise level as a measure of injury from impact and impulse noise. Ann Occup Hyg 1971; 14 (01) 11-23
  • 60 Dunn DE, Davis RR, Merry CJ, Franks JR. Hearing loss in the chinchilla from impact and continuous noise exposure. J Acoust Soc Am 1991; 90 (4, Pt 1): 1979-1985
  • 61 Taylor W, Lempert B, Pelmear P, Hemstock I, Kershaw J. Noise levels and hearing thresholds in the drop forging industry. J Acoust Soc Am 1984; 76 (03) 807-819
  • 62 Brueck SE, Eisenberg J, Zechmann E, Murphy WJ, Krieg E, Morata TC. Noise exposure and hearing loss among workers at a hammer forge company. Semin Hear 2023; 44 (04) 485-502
  • 63 Erdreich J. A distribution based definition of impulse noise. J Acoust Soc Am 1986; 79 (04) 990-998
  • 64 Erdreich J. Problems and solutions in impulse noise dosimetry. SV. Sound Vibrat 1984; 18 (03) 28-32
  • 65 Greskevitch MF, Bajpayee SS, Hale JM, Gorce DW, Hearl FJ. Results from the National Occupational Health Survey of Mining (NOHSM). Morgantown, West Virginia: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health; 1996; DHHS (NIOSH) Publication no. 96-136
  • 66 Mine Safety and Health Administration. Health standards for occupational noise exposure: final rule. Fed Reg 1999; 64 FR: 49548-49634
  • 67 Mine Safety and Health Administration. . Occupational Noise Exposure 1999. 30 CFR Part 62
  • 68 Suter AH, Franks JR. A Practical Guide to Effective Hearing Conservation Programs in the Workplace. Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health; 1990; DHHS (NIOSH) Publication no. 90-120
  • 69 National Institute for Occupational Safety and Health. . National Occupational Research Agenda. Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health; 1996; DHHS (NIOSH) Publication no. 96-115
  • 70 Lechliter J. National Institute for Occupational Safety and Health. 50 Years of NIOSH. 2021. Accessed July 17, 2022 at: https://www.cdc.gov/niosh/pdfs/NIOSH-50-Year-Timeline2021.pdf
  • 71 Morata TC, Engel T, Durão A. et al. Hearing loss from combined exposures among petroleum refinery workers. Scand Audiol 1997; 26 (03) 141-149
  • 72 Johnson AC, Morata TC, Lindblad AC. et al. Audiological findings in workers exposed to styrene alone or in concert with noise. Noise Health 2006; 8 (30) 45-57
  • 73 Teixeira CF, Augusto LGDS, Morata TC. Occupational exposure to insecticides and their effects on the auditory system. Noise Health 2002; 4 (14) 31-39
  • 74 Morata TC, Dunn DE, Sieber WK. Occupational exposure to noise and ototoxic organic solvents. Arch Environ Health 1994; 49 (05) 359-365
  • 75 Gwin KK, Wallingford KM, Morata TC, Van Campen LE. Health Hazard Evaluation Report 2000–0110–2849. Cincinnati, OH: National Institute for Occupational Safety and Health; 2001. . Accessed May 10, 2023 at: https://www.cdc.gov/niosh/hhe/reports/pdfs/2000-0110-2849.pdf
  • 76 Chen L, Brueck SE. . Health Hazard Evaluation Report 2011-0069-3140. National Institute for Occupational Safety and Health; 2011. Accessed May 10, 2023 at: https://www.cdc.gov/niosh/hhe/reports/pdfs/2011-0069-3140.pdf
  • 77 Carlo RV, Feng HA, Morata TC, Kardous CA. In-Depth Study: An Occupational Exposure Assessment of Styrene and Noise in the Fiber-Reinforced Plastic Boat Manufacturing Industry. Cincinnati, OH: National Institute for Occupational Safety and Health; 2007. . Accessed May 10, 2023 at: https://www.cdc.gov/niosh/surveyreports/pdfs/306-16a.pdf
  • 78 Morata TC, Little MB. Suggested guidelines for studying the combined effects of occupational exposure to noise and chemicals on hearing. Noise Health 2002; 4 (14) 73-87
  • 79 U.S. Army. Hearing Conservation Guidelines. Washington, DC: Department of the Army; 1998. Pamphlet 40-501, 3-3
  • 80 U.S. Army. Occupational Ototoxins and Hearing Loss. Aberdeen Proving Ground, Maryland: U.S. Army Center for Health Promotion and Preventive Medicine; 2003. ; Fact Sheet 51-002-0903
  • 81 American Conference of Governmental Industrial Hygienists. Threshold Limit Values for Chemical Substances and Physical Agents and Biological Exposure Indices. Cincinnati, OH: ACGIH; 2003
  • 82 ACOEM Noise and Hearing Conservation Committee. ACOEM evidence-based statement: noise-induced hearing loss. J Occup Environ Med 2003; 45 (06) 579-581
  • 83 Ehlers JJ, Graydon PS. Noise-induced hearing loss in agriculture: creating partnerships to overcome barriers and educate the community on prevention. Noise Health 2011; 13 (51) 142-146
  • 84 Beckett WS, Chamberlain D, Hallman E. et al. Hearing conservation for farmers: source apportionment of occupational and environmental factors contributing to hearing loss. J Occup Environ Med 2000; 42 (08) 806-813
  • 85 Pedersen DH, Wilkins III JR, Bean TL, Mitchell GL, Crawford JM, Jones LA. Agricultural hazard data from a population-based survey of cash grain farms: Ohio observations. Appl Occup Environ Hyg 1999; 14 (05) 299-305
  • 86 National Institute for Occupational Safety and Health. . They're Your Ears: Protect Them. October 2007. Accessed July 31, 2022 at: https://www.cdc.gov/niosh/docs/2007-175/
  • 87 National Institute for Occupational Safety and Health. . Have you heard? Hearing loss caused by farm noise is preventable. Young farmers' guide for selecting and using hearing protection. October 2007. Accessed July 31, 2022 at: https://www.cdc.gov/niosh/docs/2007-176/
  • 88 Occupational Safety and Health Administration. . Safety and Health Regulations for Construction: Occupational Noise Exposure. 1926.52
  • 89 Tubbs RL. . Memorandum: Close-out of HETA 95-0249; HETA 96-0007: National Institute for Occupational Safety and Health; 2002
  • 90 Stephenson MR. Hearing protection in the 21st century: they're not your father's earplugs anymore. Semin Hear 2009; 30 (01) 56-64
  • 91 Stephenson CM, Stephenson MR. Hearing loss prevention for carpenters: part 1 - using health communication and health promotion models to develop training that works. Noise Health 2011; 13 (51) 113-121
  • 92 National Center for Health Statistics. . Prevalence and Characteristics of Persons with Hearing Trouble: United States, 1990-1991. Hyattsville, MD: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Center for Health Statistics; 1994. Series 10, Publication no. 188
  • 93 Morata TC, Themann CL, Randolph RF, Verbsky BL, Byrne DC, Reeves ER. Working in noise with a hearing loss: perceptions from workers, supervisors, and hearing conservation program managers. Ear Hear 2005; 26 (06) 529-545
  • 94 Verbsky BL. . Effects of conventional passive earmuffs, uniformly attenuating passive earmuffs, and hearing aids on speech intelligibility in noise. Doctoral dissertation. The Ohio State University; 2002
  • 95 Occupational Safety and Health Administration. . Hearing Conservation for the Hearing-Impaired Worker. SHIB 12-27-2005. 2005. Accessed July 31, 2022 at: https://www.osha.gov/sites/default/files/publications/shib122705.pdf
  • 96 Tuchman RJ, Brinkley RF. . A History of the Bureau of Mines Pittsburgh Research Center. January 1990. Accessed July 31, 2022 at: https://www.cdc.gov/niosh/mining/works/coversheet1609.html
  • 97 U.S. Congress. Balanced Budget Downpayment Act, I. Washington, DC: US Congress; 1995. Public Law 104-99
  • 98 Smith AK, Spencer ER, Alcorn LA, Kovalchik PG. . Underground evaluation of coated flight bars for a continuous mining machine. Paper presented at: Proceedings of InterNoise 2006: The 35th International Congress and Exposition on Noise Control Engineering, December 3-6, 2006, 2007; Honolulu, HI
  • 99 Peterson JS, Azman AS. NIOSH hearing loss prevention program for mining. Semin Hear 2023; 44 (04) 394-411
  • 100 Royster JD, Berger EH, Merry CJ. et al. Development of a new standard laboratory protocol for estimating the field attenuation of hearing protection devices. Part I. Research of Working Group 11, Accredited Standards Committee S12, Noise. J Acoust Soc Am 1996; 99 (03) 1506-1526
  • 101 Berger EH, Franks JR, Behar A. et al. Development of a new standard laboratory protocol for estimating the field attenuation of hearing protection devices. Part III. The validity of using subject-fit data. J Acoust Soc Am 1998; 103 (02) 665-672
  • 102 American National Standards Institute. Methods for Measuring the Real-Ear Attenuation of Hearing Protectors. New York: Acoustical Society of America; 1997. ANSI S12.6-1997
  • 103 Environmental Protection Agency. Product noise labeling hearing protection devices. Fed Reg 2009; 74 FR: 39149-39196
  • 104 Prince MM, Stayner LT, Smith RJ, Gilbert SJ. A re-examination of risk estimates from the NIOSH Occupational Noise and Hearing Survey (ONHS). J Acoust Soc Am 1997; 101 (02) 950-963
  • 105 Themann CL, Morata TC, Afanuh S. Using Total Worker Health® Concepts to Address Hearing Health. Cincinnati, OH: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health; 2019. DHHS (NIOSH) Publication number 2019-155
  • 106 Tak S, Davis RR, Calvert GM. Exposure to hazardous workplace noise and use of hearing protection devices among US workers – NHANES, 1999-2004. Am J Ind Med 2009; 52 (05) 358-371
  • 107 Occupational Safety and Health Administration. (OSHA), Department of Labor. Occupational injury and illness recording and reporting requirements. Final rule. Fed Regist 2002; 67 (126) 44037-44048
  • 108 Hager LD. . Recordable hearing loss in the United States 2004. 2006; presentation at the annual conference of the National Hearing Conservation Association, Tampa, FL
  • 109 Office of Disease Prevention and Health Promotion. . Healthy People 2020. Occupational Safety and Health. February 6, 2022. Accessed July 31, 2022 at: https://www.healthypeople.gov/2020/topics-objectives/topic/occupational-safety-and-health/objectives
  • 110 Office of Disease Prevention and Health Promotion. . Healthy People 2030. Workplace. July 31, 2022. Accessed July 31, 2022 at: https://health.gov/healthypeople/objectives-and-data/browse-objectives/workplace
  • 111 Environmental Protection Agency. . Workshop on Hearing Protector Devices. March 27-28, 2003. Proceedings prepared by Alice H. Suter, Ph.D. under NIOSH contract order number 0000336337. Washington, DC: National Institute for Occupational Safety and Health; 2003. Accessed May 10, 2022 at: https://www.nonoise.org/epa/hearingpro.pdf
  • 112 Murphy WJ, Byrne DC, Gauger D. et al. Results of the National Institute for Occupational Safety and Health-U.S. Environmental Protection Agency interlaboratory comparison of American National Standards Institute S12.6-1997 Methods A and B. J Acoust Soc Am 2009; 125 (05) 3262-3277
  • 113 American National Standards Institute. Method for Measuring the Real-Ear Attenuation of Hearing Protectors. New York: Acoustical Society of America; 2008. ANSI S12.6-2008
  • 114 Gauger D, Berger EH. . A new hearing protector rating: the noise reduction statistic for use with A weighting (NRSA). A Report Prepared at the Request of the U.S. Environmental Protection Agency. Indianapolis, IN: Reviewed and approved by ANSI S12/WG11. 1, E•A•R 04-01/HP; 2004
  • 115 American National Standards Institute. Methods of Estimating Effective A-Weighted Sound Pressure Levels When Hearing Protectors Are Worn. New York: Acoustical Society of America; 2007. ANSI S12.68-2007
  • 116 American National Standards Institute. Microphone-In-Real-Ear and Acoustic Test Fixture Methods for the Measurement of Insertion Loss of Circumaural Hearing Protective Devices. New York: Acoustical Society of America; 1995. ANSI S12.42-2095 (R1999)
  • 117 American National Standards Institute. Methods for the Measurement of Insertion Loss of Hearing Protective Devices in Continuous or Impulsive Noise Using Microphone-In-Real-Ear and Acoustic Test Fixture Procedures. New York: Acoustical Society of America; 2010. ANSI S12.42-2010
  • 118 National Institute for Occupational Safety and Health. . HLSim - NIOSH Hearing Loss Simulator. December 2010. Accessed July 31, 2022 at: https://www.cdc.gov/niosh/mining/works/coversheet1820.html
  • 119 National Institute for Occupational Safety and Health. . How to Wear Soft Foam Earplugs (Roll-Pull-Hold). March 2003. Accessed July 31, 2022 at: https://www.cdc.gov/niosh/mining/works/coversheet1840.html
  • 120 National Institute for Occupational Safety and Health. . Inquiring Ears Want to Know: A Fact Sheet about Your Hearing Test. By Hudak RL, Schulz TY, Randolph RF. November 2007. Accessed July 31, 2022 at: https://www.cdc.gov/niosh/mining/works/coversheet780.html
  • 121 National Institute for Occupational Safety and Health. . CAP the Noise to Save your Hearing! By Hudak RL, Margolis KA, Randolph RF. November 2010. Accessed July 31, 2022 at: https://www.cdc.gov/niosh/mining/works/coversheet1703.html
  • 122 National Institute for Occupational Safety and Health. . Infographic: Now Hear This! Take Action to Protect Your Hearing. By Azman A. February 2020. Accessed July 31, 2022 at: https://www.cdc.gov/niosh/mining/works/coversheet2139.html
  • 123 Bauer ER, Babich DR. Worker exposure and equipment noise in large surface coal mines. Min Eng 2004; 56 (04) 49-54
  • 124 Bauer ER, Babich DR. Noise assessment of stone/aggregate mines: six case studies. Min Eng August 2007; 59 (08) 55-63
  • 125 Bauer ER, Spencer ER. Snapshot of noise and worker exposures in sand and gravel operations. Min Eng 2008; 60 (03) 50-57
  • 126 Reinke DC. Technology News 527 - The Partial Cab: A New Noise Engineering Control for Surface Drill Rigs. 2007 . Accessed July 31, 2022 at: https://www.cdc.gov/niosh/mining/works/coversheet1325.html
  • 127 Kovalchik PG, Smith A, Matetic R, Peterson J. Noise controls for roof bolting machines. Min Eng 2009; 61 (01) 74-78
  • 128 Lowe MJ, Yantek DS, Yang J, Schuster KC, Mechling JJ. A noise control package for vibrating screens. Noise Control Eng J 2013; 61 (02) 127-144
  • 129 Camargo HE, Peterson JS, Kovalchik PG, Alcorn LA. . Acoustic comparison of pneumatic and electric jackleg drills used in the mining industry. 2010; presentation at NOISE-CON 2010: Proceedings of the 2010 National Conference on Noise Control Engineering and 159th Meeting of the Acoustical Society of America, 2010; Baltimore, MD
  • 130 National Institute for Occupational Safety and Health. . Noise Control in Underground Metal Mining. By Reeves ER, Randolph RF, Yantek DS, Peterson JS. Pittsburgh, PA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health; 2009. DHHS (NIOSH) Publication No. 2010-111
  • 131 Rosenstock IM. The health belief model and preventive health behavior. Health Educ Monogr 1974; 2: 354-386
  • 132 Joseph A, Punch J, Stephenson M, Paneth N, Wolfe E, Murphy W. The effects of training format on earplug performance. Int J Audiol 2007; 46 (10) 609-618
  • 133 Murphy WJ, Stephenson MR, Byrne DC, Witt B, Duran J. Effects of training on hearing protector attenuation. Noise Health 2011; 13 (51) 132-141
  • 134 Murphy WJ, Gong W, Karch SJ, Federman J, Schulz TY. Personal attenuation ratings versus derated noise reduction ratings for hearing protection devices. J Acoust Soc Am 2022; 152 (02) 1074-1089
  • 135 Safe-In-Sound Excellence in Hearing Loss Prevention Award. 2022. Accessed July 31, 2022: http://safeinsound.us/index.html
  • 136 Meinke DK, Morata TC. Awarding and promoting excellence in hearing loss prevention. Int J Audiol 2012; 10 (51) S63-S70
  • 137 Morata TC, Meinke D. Uncovering effective strategies for hearing loss prevention. Acoust Aust 2016; 44 (01) 67-75
  • 138 National Institute for Occupational Safety and Health. Notable Milestones in NIOSH History. 2021 . Accessed July 31, 2022 at: https://www.cdc.gov/niosh/timeline.html
  • 139 National Institute for Occupational Safety and Health. . YouTube. NIOSH. October 19, 2007. Accessed July 31, 2022 at: https://www.youtube.com/user/NIOSHSafetyVideos/about
  • 140 National Institute for Occupational Safety and Health. . NIOSH Science Blog: Hearing Loss. May 31, 2022. Accessed July 31, 2022 at: https://blogs.cdc.gov/niosh-science-blog/category/hearing-loss/
  • 141 Shafee T, Masukume G, Kipersztok L, Das D, Häggström M, Heilman J. Evolution of Wikipedia's medical content: past, present and future. J Epidemiol Community Health 2017; 71 (11) 1122-1129
  • 142 Themann CL, Tisdale-Pardi J, Kardous CA, Masterson EA, Morata TC, Murphy WJ. NIOSH noise: a 50-year timeline of research and intervention. NIOSH Science Blog 2022 at Accessed July 31, 2022 : https://blogs.cdc.gov/niosh-science-blog/2022/01/19/noise-50/
  • 143 Ceballos DM, Herrick RF, Carreón T. et al. Expanding reach of occupational health knowledge: contributing subject-matter expertise to Wikipedia as a class assignment. Inquiry 2021; 58 (Jan-Dec): 469580211035735
  • 144 Morata TC, Lum M, Sadowski J. et al. The powerhouse: students' contributions towards expanding and improving occupational safety and health content in Wikipedia. NIOSH Science Blog 2018 . Accessed July 31, 2022 at: https://blogs.cdc.gov/niosh-science-blog/2018/07/30/osh-wikipedia2/
  • 145 Webb S, Siordia C, Bertke S, Bartlett D, Reitz D. Artificial intelligence crowdsourcing competition for injury surveillance. NIOSH Science Blog 2020 . Accessed July 31, 2022 at: https://blogs.cdc.gov/niosh-science-blog/2020/02/26/ai-crowdsourcing/
  • 146 Howard J. Artificial intelligence: implications for the future of work. NIOSH Science Blog 2019 . Accessed July 31, 2022 at: https://blogs.cdc.gov/niosh-science-blog/2019/08/26/ai/
  • 147 National Institute for Occupational Safety and Health. . Worker Health Charts. 2022. Accessed July 31, 2022 at: https://wwwn.cdc.gov/niosh-whc/
  • 148 National Institute for Occupational Safety and Health. . Prevention through Design: Plan for the National Initiative: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health; 2010; DHHS (NIOSH) Publication no. 2011–121
  • 149 Howard J, Murashov M, Cauda E, Snawder J. Advanced sensor technologies and the future of work. NIOSH Science Blog 2021 . Accessed July 31, 2022 at: https://blogs.cdc.gov/niosh-science-blog/2021/10/21/sensors-fow/
  • 150 National Institute for Occupational Safety and Health. . Productive Aging and Work. November 18, 2018. Accessed July 31, 2022 at: https://www.cdc.gov/niosh/topics/productiveaging/default.html
  • 151 National Institute for Occupational Safety and Health. . Safe • Skilled • Ready Workforce Program. May 31, 2022. Accessed July 31, 2022 at: https://www.cdc.gov/niosh/programs/ssrw/
  • 152 National Institute for Occupational Safety and Health. . Talking Safety: Teaching Young Workers about Job Safety and Health. July 1, 2014. Accessed July 31, 2022 at: https://www.cdc.gov/niosh/talkingsafety/default.html
  • 153 National Institute for Occupational Safety and Health. . Center for Workers' Compensation Studies. April 10, 2020. Accessed July 31, 2022 at: https://www.cdc.gov/niosh/topics/workercomp/cwcs/default.html
  • 154 Masterson EA, Wurzelbacher SJ, Bushnell PT, Tseng CY. Workers' compensation costs for occupational hearing loss claims in the United States, 2009–2013. Semin Hear 2023; 44 (04) 412-436
  • 155 Masterson EA, Tak S, Themann CL. et al. Prevalence of hearing loss in the United States by industry. Am J Ind Med 2013; 56 (06) 670-681
  • 156 General Services Administration, Office of Information and Regulatory Affairs. . Unified Agenda of Regulatory and Deregulatory Actions. DOL/OSHA: Noise in Construction. Spring 2016. Accessed July 31, 2022 at: https://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201604&RIN=1218-AD06
  • 157 Masterson EA, Sweeney MH, Deddens JA, Themann CL, Wall DK. Prevalence of workers with shifts in hearing by industry: a comparison of OSHA and NIOSH hearing shift criteria. J Occup Environ Med 2014; 56 (04) 446-455
  • 158 Masterson EA. A story of impact. NIOSH Science Blog 2015 . Accessed September 9, 2022 at: http://blogs.cdc.gov/niosh-science-blog/2015/03/25/hl-impact-story/
  • 159 Masterson EA, Deddens JA, Themann CL, Bertke S, Calvert GM. Trends in worker hearing loss by industry sector, 1981-2010. Am J Ind Med 2015; 58 (04) 392-401
  • 160 Sekhon NK, Masterson EA, Themann CL. Prevalence of hearing loss among noise-exposed workers within the services sector, 2006-2015. Int J Audiol 2020; 59 (12) 948-961
  • 161 Masterson EA, Themann CL, Calvert GM. Prevalence of hearing loss among noise-exposed workers within the Health Care and Social Assistance Sector, 2003 to 2012. J Occup Environ Med 2018; 60 (04) 350-356
  • 162 Masterson EA, Themann CL, Calvert GM. Prevalence of hearing loss among noise-exposed workers within the Agriculture, Forestry, Fishing, and Hunting Sector, 2003-2012. Am J Ind Med 2018; 61 (01) 42-50
  • 163 Lawson SM, Masterson EA, Azman AS. Prevalence of hearing loss among noise-exposed workers within the Mining and Oil and Gas Extraction sectors, 2006-2015. Am J Ind Med 2019; 62 (10) 826-837
  • 164 Masterson EA, Themann CL, Luckhaupt SE, Li J, Calvert GM. Hearing difficulty and tinnitus among U.S. workers and non-workers in 2007. Am J Ind Med 2016; 59 (04) 290-300
  • 165 Kardous CA, Shaw PB. So how accurate are these smartphone sound measurement apps?. NIOSH Science Blog 2014 . Accessed July 31, 2022 at: https://blogs.cdc.gov/niosh-science-blog/2014/04/09/sound-apps/
  • 166 Kardous CA, Shaw PB. Evaluation of smartphone sound measurement applications. J Acoust Soc Am 2014; 135 (04) EL186-EL192
  • 167 Kardous CA, Shaw PB. Evaluation of smartphone sound measurement applications (apps) using external microphones - a follow-up study. J Acoust Soc Am 2016; 140 (04) EL327-EL333
  • 168 Kardous CA, Celestina M. New NIOSH sound level meter app. NIOSH Science Blog 2017 . Accessed July 31, 2022 at: https://blogs.cdc.gov/niosh-science-blog/2017/01/17/slm-app/
  • 169 Kardous CA, Willson RD, Murphy WJ. Noise dosimeter for monitoring exposure to impulse noise. Appl Acoust 2005; 66 (08) 974-985
  • 170 Price GR, Kalb JT. . New approach: the auditory hazard assessment algorithm (AHAA). Paper presented at: International Conference on Biological Effects of Noise, 1998; Australia
  • 171 McGregor KD, Flamme GA, Tasko SM. et al. Acoustic reflexes are common but not pervasive: evidence using a diagnostic middle ear analyser. Int J Audiol 2018; 57 (Suppl 1): S42-S50
  • 172 Deiters KK, Flamme GA, Tasko SM. et al. Generalizability of clinically measured acoustic reflexes to brief sounds. J Acoust Soc Am 2019; 146 (05) 3993-4006
  • 173 Flamme GA, Deiters KK, Tasko SM. et al. Pervasiveness of early middle ear muscle contractions. Fort Rucker, Alabama: US Army Aeromedical Research Laboratory (USAARL); 2020; Technical Report 2021-05
  • 174 Tubbs RL, Murphy WJ. . NIOSH Health Hazard Evaluation Report: Fort Collins Police Services, Fort Collins, Colorado. Cincinnati, OH: National Institute for Occupational Safety and Health; 2003; HETA #2002-0131-2898
  • 175 Harney J, King B, Tubbs R. et al. Immigration and Naturalization Service (INS) National Firearms Unit (NFU), Altoona, Pennsylvania. Cincinnati, OH: National Institute for Occupational Safety and Health; 2005. . HETA #2000-0191-2960.
  • 176 Brueck SE, Eisenberg J, Zechman EL, Murphy WJ, Morata TC, Krieg EF. NIOSH Health Hazard Evaluation Report: Evaluation of Impact and Continuous Noise Exposure, Hearing Loss, Heat Stress, and Whole Body Vibration at a Hammer Forge. Cincinnati, OH: National Institute for Occupational Safety and Health; 2016. . HETA #2007-0075
  • 177 Yan HQ, Kardous CA, Murphy WJ. . NIOSH Impulsive Noise Measurement System (NIMS). Paper presented at: Proceedings of NOISE-CON, 2004; Baltimore, MD
  • 178 Murphy WJ, Themann CL, Murata TK. . Field Testing NIOSH HPD Well-Fit: Off-Shore Oil Rig Inspectors in Texas & Louisiana. Cincinnati, OH: National Institute for Occupational Safety and Health, Division of Applied Research and Technology, Engineering and Physical Hazards Branch; 2015; EPHB Report no. 360-11a
  • 179 Roggia SM, Zucki F, Fuente A, Lacerda A, Gong W, Carlson K, Morata TC. Audiological tests used in the evaluation of the effects of solvents on the human auditory system: a mixed methods review. Semin Hear 2023; 44 (04) 437-469
  • 180 Occupational Safety and Health Administration and the National Institute for Occupational Safety and Health. . Preventing Hearing Loss Caused by Chemical (Ototoxicity) and Noise Exposure. DHHS (NIOSH) Publication Number 2018-124. March 2018. Accessed July 31, 2022 at: https://www.cdc.gov/niosh/docs/2018-124/
  • 181 Hammer MS, Swinburn TK, Neitzel RL. Environmental noise pollution in the United States: developing an effective public health response. Environ Health Perspect 2014; 122 (02) 115-119
  • 182 National Academies of Sciences, Engineering, and Medicine. Hearing Health Care for Adults: Priorities for Improving Access and Affordability. Washington, DC: The National Academies Press; 2016. Accessed May 10, 2023 at: https://doi.org/10.17226/23446
  • 183 CDC. Vital Signs. Too Loud for Too Long: Loud Noise Damages Hearing. February 2017. Accessed July 31, 2022 at: https://www.cdc.gov/vitalsigns/hearingloss/index.html
  • 184 NCEH/ATSDR. Board of Scientific Counselors Meeting Minutes. November 15-16, 2017. Accessed July 31, 2022 at: https://www.atsdr.cdc.gov/science/docs/BSC_Meeting_Minutes_November2017-508.pdf
  • 185 CDC Public Health Grand Rounds. . It's Loud Out There: Hearing Health Across the Lifespan. June 20, 2017. Accessed July 31, 2022 at: https://www.cdc.gov/grand-rounds/pp/2017/20170620-hearing-health.html
  • 186 National Center for Environmental Health. . Hearing Loss Toolkit. 2022. Accessed July 31, 2022 at: https://www.cdc.gov/nceh/hearing_loss/toolkit/index.html
  • 187 Suter AH. The hearing conservation amendment: 25 years later. Noise Health 2009; 11 (42) 2-7
  • 188 Green DR, Masterson EA, Themann CL. Prevalence of hearing protection device non-use among noise-exposed US workers in 2007 and 2014. Am J Ind Med 2021; 64 (12) 1002-1017