Noise & health
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Currently, there are more than 445,000 veterans receiving compensation for hearing loss associated with military service, and 395,000 receiving compensation for service-related tinnitus. In addition to compensation payments, service-related hearing disorders cost the US Department of Veterans Affairs in terms of provision of hearing aids, hearing aid-related services, and clinical services at its 220 facilities nationwide. ⋯ In this paper, we describe the rationale for and the development of a multimedia Hearing Loss Prevention Program aimed at preventing the progression of hearing loss among veterans associated with social, recreational, and nonmilitary occupational noise exposure. The program was developed based on the principles outlined in the Health Belief Model of Rosenstock (1966) and the Health Promotion Model of Pender et al. (2002).
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It has been twenty-five years since the final version of the Hearing Conservation Amendment was issued by the Occupational Safety and Health Administration in the U. S. Department of Labor. ⋯ Some of the noise regulation's provisions are embarrassingly outdated, some are in dire need of improvement, and others, such as the requirements for engineering noise control, are not being enforced. Sadly, there seems to be little progress in reducing overall noise exposure levels. What needs to be done at this point is a major overhaul of the noise regulation: recommitment to engineering noise control; reduction of the permissible exposure limit (PEL) to 85 dBA; a shift to the 3-dBA exchange rate; and a nationwide assessment of hearing loss in American workers to determine the effectiveness of current hearing conservation measures to identify and address the weaknesses in programs and regulations.