Occupational hearing loss (OHL) is hearing loss that occurs as a result of occupational hazards, such as excessive noise and ototoxic chemicals. Noise is a common workplace hazard, and recognized as the risk factor for noise-induced hearing loss and tinnitus but it is not the only risk factor that can result in a work-related hearing loss. Also, noise-induced hearing loss can result from exposures that are not restricted to the occupational setting. OHL is a prevalent occupational concern in various work environments worldwide. In the United States, organizations such as the Occupational Safety and Health Administration (OSHA), the National Institute for Occupational Safety and Health (NIOSH) and the Mine Safety and Health Administration (MSHA) work with employers and workers to reduce or eliminate occupational hearing hazards through a hierarchy of hazard controls. OHL is one of the most common work-related illness in the United States. Occupational hearing hazards include industrial noise, and exposure to various ototoxic chemicals. Combined exposure to both industrial noise and ototoxic chemicals may cause more damage than either one would in isolation. Many chemicals have not been tested for ototoxicity, so unknown threats may exist. A 2016 study by NIOSH found that the mining sector had the highest prevalence of hearing impairment at 17%, followed by the construction sector (16%) and the manufacturing sector (14%). The public safety sector had the lowest rate of hearing impairment, at 7%. Overall, audiometric records show that about 33% of working-age adults with a history of occupational noise exposure have evidence of noise-induced hearing damage, and 16% of noise-exposed workers have material hearing impairment. In the service sector the prevalence of hearing loss was 17% compared to 16% for all industries combined. Several sub-sectors however exceeded the overall prevalence (10-33% higher) and/or had adjusted risks significantly higher than the reference industry. Workers in Administration of Urban Planning and Community and Rural Development had the highest prevalence (50%), and workers in Solid Waste Combustors and Incinerators had more than double the risk, the highest of any sub-sector. Some sub-sectors traditionally viewed as "low-risk" such as Real Estate and Rental and Leasing, and financial sub-sectors (Credit Unions, Call centers), and also had high prevalences and risks. Personal protective equipment, administrative controls, and engineering controls can all work to reduce exposure to noise and chemicals, either by providing the worker with protection such as earplugs, or by reducing the noise or chemicals at the source or limiting the time or level of exposure.
Background
OHL is defined as any type of hearing loss, i.e. sensorineural, conductive, or mixed hearing loss, that occurs due to hazardous characteristics of a work environment. The hearing loss can range in severity from mild to profound and can be accompanied by tinnitus. Hazards of a work environment that can result in OHL include excessive noise, ototoxic chemicals, or physical trauma. OHL caused by excessive exposure to noise is also known as noise-induced hearing loss (NIHL). Noise exposure combined with ototoxic chemical exposure can results in more damage to hearing. OHL caused by physical trauma may include foreign bodies in the ear, vibration, barotrauma, or head injury. OHL, as well as hearing loss in general, can cause negative secondary social and emotional effects that can impact quality of life. Within the United States of America, approximately 10 million people have NIHL. Over twice that number (~22 million) are occupationally exposed to dangerous noise levels. Hearing loss accounted for a sizable percentage of occupational illness in 2007, at 14% of cases. United States government agencies such as OSHA, NIOSH and MSHA are working to understand the causes of OHL and how it can be prevented while providing regulations and guidelines to help protect the hearing of workers in all occupations.
Causes
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![Occupational hearing loss: Graph of prevalence of hearing loss over time for workers in various sectors in the United States[1]](https://upload.wikimedia.org/wikipedia/commons/thumb/5/54/Prevalence_of_Hearing_Loss_by_Time_Period_and_Industry_Sector%2C_1981_-_2010_for_1%2C816%2C812_workers.png/500px-Prevalence_of_Hearing_Loss_by_Time_Period_and_Industry_Sector%2C_1981_-_2010_for_1%2C816%2C812_workers.png?utm_source=en.wikipedia.org&utm_campaign=parser&utm_content=thumbnail)


