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COVID-19 and hearing loss: What we know

Contributed by Joy Victory, managing editor, Healthy Hearing
Last updated 

COVID-19, also known as the coronavirus, has now been linked to many long-term complications, including heart damage, lung damage and neurological disorders. One emerging area of research is whether hearing loss and tinnitus (ringing in the ears) can result from coronavirus infection—either as a symptom or as a complication days or weeks later.

We do know that many different types of viral and bacterial infections can cause sudden hearing loss. But older coronaviruses that triggered epidemics, such as SARS and MERS, did not appear to cause hearing problems. What about SARS-CoV-2, the current coronavirus that’s causing a global pandemic?

Rest of article: COVID-19 and hearing loss: What’s the connection? (healthyhearing.com)

WOW, THAT’S LOUD!

Noise Exposure and Hearing Loss Prevention

by Josh Frantz, Board Certified Hearing Instrument Specialist and Occupational Hearing Conservationist

We have all heard that car with the huge speakers turned all the way up roll by, rattling the windows of nearby buildings. Or we have been to a concert (maybe stood a little too close to the stage) with the music blaring so loud our ears were left ringing for hours afterward. These are the obvious, rare, and usually avoidable overly loud situations. But what about the noise our employees may be exposed to on a regular basis? How do we know when the volume is too loud, and more importantly, what can we do about it?

According to the CDC (The Centers for Disease Control and Prevention), “Hearing loss is the third most common chronic physical condition in the United States, and is more prevalent than diabetes or cancer. Occupational hearing loss, primarily caused by high noise exposure, is the most common U.S. work-related illness. Approximately 22 million U.S. workers are exposed to hazardous occupational noise.”

How much volume is too much?

Measuring the sound level in the work environment is how we determine if an employee may be one of those people regularly exposed to excessive loud noise. Government agencies, such as OSHA (The Occupational Safety and Health Administration) and the DOE (Department of Energy), each have their own standards that are similar but do have important differences.

Sound is measured in decibels (dB), and the higher the number of decibels the louder the sound is. The generally accepted level and exposure time to limit potential damage to a person’s hearing is 85 decibels over an 8-hour work day. As the noise level increases, the amount of allowable exposure time goes down. OSHA mandates that for every 5 dB louder, the exposure time is cut in half. The DOE exchange rate stipulates to cut the exposure time in half for every 3 dB increase in volume. This means that with 100 dB noise level (which is the noise level at a typical construction site with several tools and machines running), OSHA allows for one hour of exposure while the DOE allows for just 15 minutes.

How do I know if the work environment is too loud?

OSHA documents refer to a “quick and dirty” method of making a rough estimate as to the loudness of the work area. “A good rule of thumb to determine if a noise is too loud is the 3-foot rule. If an employee is standing 3 feet from someone and must shout to be heard, the noise level is probably over the OSHA action level and DOE exposure limit.” Here is my personal unwritten rule; if the noise is so loud that I involuntarily scrunch my face up like I just ate a lemon, it’s too loud! This amount of loudness likely requires hearing protection.

The most accurate way to measure noise at a work site is to use a noise dosimeter. These instruments are designed to measure the weighted noise level over a specific period of time and compare them to the standards provided by the government. This testing should be arranged if it is believed the work environment may be louder than 85 dB.

We have a loud area, what do we do now?

If a workplace is over the threshold for loudness, the employer should institute a Hearing Conservation Program. This type of program has many components, including regular employee hearing screening, record keeping and reporting, as well as hearing loss prevention. NIOSH (The National Institute for Occupational Safety and Health) recommends a three-step approach to controlling noise:

1. First, prevent or contain the escape of the hazardous workplace noise at its source (Engineering control)
2. Control exposure by relocating the worker to a safe area or creating shorter shifts in the loud workspace (Administrative controls)
3. Control the exposure with barriers between the worker and the noise (personal protective equipment)

It all adds up!

Our hearing is precious and should be conserved as much as and whenever possible. Be aware of the noise level in the work environment and the steps an employee can take to limit exposure. Most noise-induced hearing loss is permanent, not repairable, and most importantly, preventable.

About the author: Josh Frantz, NBC-HIS/COHC is Certified by the National Board for Certification in Hearing Instrument Sciences, a Certified Occupation Hearing Conservationist and co-founder of Advanced Hearing Providers. Advanced Hearing Providers delivers hearing claims administration and cost containment in the workers’ compensation space. Any questions can be directed to Josh at: jfrantz@hearingprovider.com

Works Cited

Blackwell DL, Lucas JW, Clarke TC. Summary health statistics for US adults: National Health Interview Survey, 2012. Vital health statistics, series 10, no. 260. Atlanta, GA: National Center for
Health Statistics, CDC; 2014. http://www.cdc.gov/nchs/data/series/sr_10/sr10_260.pdf
Themann CL, Suter AH, Stephenson MR. National research agenda for the prevention of occupational hearing loss—part 1. Semin Hear 2013;34:145–207.
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;52:358–71.
National Institute for Occupational Safety and Health Education and Information Division, Preventing Occupational Hearing Loss – A Practical Guide

Occupational Audiologist Tamara Thompson Joins Workplace Integra

We welcome Tamara Thompson, MA/CCC-A, CPS-A to Workplace INTEGRA, Inc.  Tami has over 20 years of experience in Occupational Audiology.  She has worked in all facets of hearing conservation from providing hearing tests and training to individual employees to providing extensive training to corporate personnel and hearing conservation audits.  Tami assists clients not only in developing or improving their hearing conservation programs but works to educate people of all ages about the dangers of exposure to loud noise.

Tami is knowledgeable of OSHA, MSHA, FRA and DOD regulations and provides work relatedness evaluations and hearing protection recommendations and troubleshooting. She enjoys visiting clients to see the different types of work areas and exposures that are involved in all types of industry.   More information on Tami: Click here

Do You Need a New Audiometer?

Maico audiometer circa 1960

Do You Need a New Audiometer?

How is the old audiometer working these days?  Is it time for an upgrade? Speaking of upgrades, take a look at the Tremetrics RA 660 Audiometer-

This device is a combination:

Audiometer

Bio-Acoustic Simulator

HearCon Software

Optional – External Type 2 Microphone, (no booth, no problem)

This audiometer sells for $4,495.00. Add a second audiometer to the same location for $2,495.00.  Don’t have a booth, add the external Type 2 microphone for background noise monitoring for $1,195.00. The audiometer has the option to pause the test if the background noise levels exceed the allowable levels per the OSHA Standard.

With HearCon software (and if you already have Workplace Applications or HT Pro software), this audiometer works by showing the baseline and the live test results on the screen as the person is taking the test.

Tired of giving the same test instructions? Set the instructions to be presented to the individual prior to the start of testing under the headset, oh and you can set the instructions to be given in the language of your choice.

Are you testing in a mobile environment?  This audiometer can be used in a mobile environment with separate booths, or a single testing room with multiple audiometer stations.

Contact us at info@wpintegra.com  to answer any questions you may have, set up a complimentary demonstration via GoToMeeting, or for a formal quote.

 Following are the features and specifications for

The RA660- “Total Hearing Conservation in One Box”

  • Fully integrated Bio-Acoustic Simulator
  • Quickly test up to 8 people simultaneously using the easy & intuitive HearCon Software Package
  • Wall mount included, which conveniently houses the audiometer, patient response switch, & headset
  • Simplified installation, with only one cable into the sound booth
  • Lightweight and portable, weighing only 1 pound
  • Optional real time OSHA and ANSI compliant octave band monitor

With the ability to test as many as 8 people simultaneously, the RA660 will save your hearing conservation program time & money.

This innovative audiometer also features a built-in Bio-Acoustic Simulator, which saves space, and will simplify the functionality of the system. With HearCon Software your hearing conservation program will be up and running quickly & easily.

The Tremetrics RA660 also features an optional integrated real time octave band monitor to constantly analyze the ambient conditions in your environment. This ensures full compliance by both OSHA and ANSI standards. The included wall mount and single ethernet wire system facilitates a clean and simple installation.

 Quality designed PC based audiometer with combination Bio-Acoustic Simulator

RA660

System Features

  • Includes HearCon Software Program, which requires minimal operator training
  • The PC monitors progression of test and automatically instructs subject as required
  • Flexible group testing – audiometer modules can be added as needed
  • Fully automatic, semi-automatic, or manual testing operation
  • Independent error checking with automatic test restart
  • Selectable retest criteria
  • Intercom – talk-over communication with any or all test subjects
  • Distinctive graphic symbols and color coding for quick and accurate set up
  • Automatic pre-test instructions
  • Integrated Bio-Acoustic Simulator
  • Optional room monitor with zoning

Printer Requirements

Windows compatible, laser or ink jet recommended

Computer Requirements

Windows 7 or 10 PC required to run RA660 Software.

ONE YEAR LIMITED WARRANTY: This warranty is extended to the original purchaser of the instrument, by Tremetrics, through Workplace Integra or manufacturer from whom it was purchased.

The warranty covers defects in material and workmanship for a period of one year from date of delivery of the instrument to the original purchaser. Accessories which are purchased from Tremetrics at the same time as the instrument are warranted for one year from the date of purchase.

Interface Module

  • RA660 Interface Module provides power and communication for up to a maximum of eight (8) RA660 audiometer modules
  • USB Interface to PC
  • Power: Auto-selectable 90-240 VAC ± 10%, 50-60 Hz
  • Dimensions: 8.5” W x 4.5” D x 1.5” H
  • Weight: 1 lb

Audiometer Module

  • Equals or exceeds ANSI S3.6-1969-2010
  • Test frequencies: 250, 500, 1000, 1500, 2000, 3000, 4000,6000, 8000 Hz (selectable)
  • Frequency accuracy: Better than 1%, crystal controlled
  • Distortion: Total harmonic distortion below -40 dB (1%)
  • HL attenuator: -10 to 100 dB in 5 dB steps
  • HL accuracy: ±1 dB
  • Rise/Fall time: Meets ANSI specifications
  • Earphones: Telephonics TDH-39, 10 ohm earphones in Model 41 cushions
  • Includes wall mount bracket
  • Dimensions: 7” W x 7” D x 4” H
  • Weight: 1 lb
  • Power supplied by Interface Module
  • Optional Room Monitor
  • Interface Module

 

Your Skull Shapes Your Hearing

Scientific American By Christopher Intagliata on October 17, 2019

The resonant properties of your skull can amplify some frequencies and dampen others—and, in some cases, affect your hearing. Christopher Intagliata reports. 

Certain concert venues, like Boston’s Symphony Hall, are known to beautifully reflect the sounds of an orchestra. It turns out there’s a similar process at play in your cochlea, deep inside your ear—where a tiny bony cavity houses the organ that allows you to hear.

“It’s like its own tiny little acoustics chamber, if you will. So anything and everything you hear is going into our ear and then going into this little bony chamber.”

Mike Gordon, a psychologist at William Paterson University in New Jersey. But while studying this process, he also found there’s actually a lot of variability in the way people hear. Some frequencies can appear tens of decibels louder or quieter than average—based on the resonant properties of a person’s skull. 

See full article here.

TREMETRICS ACQUIRES MONITOR INSTRUMENTS

Tremetrics Acquires Monitor Instruments Eden Prairie, MN – December 16th 2019 – Tremetrics has acquired Monitor Instruments Inc, effective today. Since the early 1980’s, Monitor Instruments, a North Carolina based company, has been a manufacturing industrial audiometers and audiometric accessories. The product line offers quality instruments and professional calibration services for audiometers and acoustic safety equipment. Tremetrics designs and manufactures OSHA compliant hearing test devices for the occupational market. From PC-based audiometers, mobile testing systems, hearing test booths, and health database management software, Tremetrics is a proven leader in providing the right solution for all occupational health screening situations. The Monitor line of instruments will no longer be manufactured as a result of this acquisition. All support and warranty inquiries for Monitor Instruments will be handled out of the corporate office of Tremetrics. For any questions or to learn more about Tremetrics offerings, visit tremetrics.com. 

For any further information regarding this announcement, please contact Jim Kurzec at Workplace Integra, jauz@wpintegra.com

Welcome Nelson Soto!

It is our pleasure to welcome Nelson Soto to Workplace Integra.

Nelson is the Coordinator for Workplace Integra and will be working closely with our clients.

His friendly personality and strong work ethic enable him to excel in this newly created position.

The Coordinator works to alleviate capacity and resource concerns by proactively guiding clients throughout the testing process and beyond.

Guidance includes explanation of Mobile Hearing test requirements, post-test dispositions and scheduling further re-tests and evaluations.

The Coordinator is the first point of contact for all questions concerning the services within our Hearing Healthcare Program. Services include; Area Noise Survey, Sound and Dosimetry Studies, software, equipment, calibrations and more.

Please consider Nelson the Mobile client’s “personal concierge”. He can be reached out with any questions at 336-517-0740.

In his spare time, Nelson will rip on his guitar playing for enjoyment as well as playing live.  A few months ago; Nelson became a first-time father to a baby girl, Aubrey Hope Soto.