Lowering the volume of sound at its source, limiting the time of exposure and physical protection can reduce the impact of excessive noise.
[5] It is estimated that 15% of young people are exposed to sufficient leisure noises (i.e. concerts, sporting events, daily activities, personal listening devices, etc.)
As many as 2 million become so debilitated by the unrelenting ringing, hissing, chirping, clicking, whooshing or screeching, that they cannot carry out normal daily activities.
Hearing loss, in general, is not just an issue of volume; individuals may experience difficulty in understanding what is said over the phone, when several people are talking at once, in a large space, or when the speaker's face cannot be seen.
In addition to the interpersonal social benefits, new studies suggest the effects of nature sounds, such as birds chirping and water, can positively affect an individual's capacity to recover after being stressed or to increase cognitive focus.
[27] The impact that NIHL can have on daily life and psychosocial function can be assessed and quantified using a validated questionnaire tool, such as the Hearing Handicap Inventory for the Elderly (HHIE).
This form of NIHL commonly results from exposure to high-intensity sounds such as explosions, gunfire, a large drum hit loudly, and firecrackers.
[33] Gradually developing NIHL refers to permanent cochlear damage from repeated exposure to loud sounds over a period of time.
[35][36] A systematic review of adolescents and young adults reports that over half of the research subjects had been exposed to sound through music exposure on personal devices greater than recommended levels.
[38] In January 2024, BMJ Public Health published a systematic review of 14 studies investigating associations between sound-induced hearing loss and playing video games and esports that found a significant association between gaming and hearing loss or tinnitus and that the average measured sound levels during gameplay by subjects (which averaged 3 hours per week) exceeded or nearly exceeded permissible sound exposure levels.
A screening program focused on construction workers employed at US Department of Energy facilities found 58% with significant abnormal hearing loss due to noise exposures at work.
[44] The following is a list of occupations that are most susceptible to hearing loss:[41] Musicians, from classical orchestras to rock groups, are exposed to high decibel ranges.
Despite concerns about the proliferation of personal music players, there is only scarce evidence supporting their impact on hearing loss, and some small-sample studies suggest that only a fraction of users are affected.
OSHA states that an employer must implement hearing conservation programs for employees if the noise level of the workplace is equal to or above 85 dB(A) for an averaged eight-hour time period.
[65] Studies are still being done on fan exposure, but some preliminary findings show that there are often noises that can be at or exceed 120 dB which, unprotected, can cause damage to the ears in seconds.
[87] Prolonged exposure to high intensity noise has also been linked to the disruption of ribbon synapses located in the synaptic cleft between inner hair cells and spiral ganglion nerve fibers, leading to a disorder referred to as cochlear synaptopathy or hidden hearing loss.
For the average person, there are three basic things that one can do to prevent NIHL: turn down the volume on devices, move away from the source of noise, and wear hearing protectors in loud environments.
A 2017 Cochrane review found that hearing loss prevention programs suggest that stricter legislation might reduce noise levels.
External solutions such as proper maintenance of equipment can lead to noise reduction, but further study of this issue under real-life conditions is needed.
Other possible solutions include improved enforcement of existing legislation and better implementation of well-designed prevention programmes, which have not yet been proven conclusively to be effective.
Dangerous Decibels aims to significantly reduce the prevalence of noise induced hearing loss and tinnitus through exhibits, education and research.
There is evidence that hearing loss can be minimized by taking high doses of magnesium for a few days, starting as soon as possible after exposure to the loud noise.
[citation needed] Several clinical trials have been conducted to treat temporary NIHL occurring after a traumatic noise event, such as a gunshot or firework.
[124] Additionally, clinical trials using antioxidants after a traumatic noise event to reduce reactive oxygen species have displayed promising results.
An oral administration of ebselen in both preclinical tests on guinea pigs and human trials indicate that noise induced TTS and PTS was reduced.
[141][142] The World Health Organization estimated in 2015 that 1.1 billion young people are at risk for hearing loss caused by unsafe listening practices.
[35] The over-exposure to excessive loud noise is partially attributed to recreational exposure, such as the use of personal audio devices with music at high volumes for long durations, or social settings such as bars, entertainment and sporting events.
As race and ethnicity are some of the factors that can affect the expected distribution of pure-tone hearing thresholds several other national or regional datasets exist, from Sweden,[146] Norway,[147] South Korea,[148] the United States[149] and Spain.
[154] The overall prevalence of hearing loss (defined as a pure‐tone average threshold across frequencies 1000, 2000, 3000, and 4000 Hz of 25 dB or more in either ear) was 15% but that rate was exceeded in several of the subsectors of those industries.
The Child Day Care Services subsector had a 52% higher risk than the reference industry of workers who are not exposed to noise at work (Couriers and Messengers).