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Course #2430: Hearing Conservation [Slides]

Occupational hearing loss is one of the most common work-related illnesses in the United States (US). According to OSHA, 22 million US workers are exposed to hazardous noise levels at work, and 25% of these workers will develop permanent hearing loss. Hearing loss from noise is slow and painless, and you can have a disability before you notice it. This course presents the hazards associated with workplace noise, the purpose and elements of the Los Alamos National Laboratory (LANL) Hearing Conservation Program (HCP), and controls that are available to reduce your exposure to hazardous levels of noise.

59 BASIC BIOLOGICAL SCIENCES↗

Prevalence of Self-Reported Bothersome Tinnitus in U.S. Army Soldiers From January 1, 2015, Through September 30, 2019

Purpose: Tinnitus is a symptom of auditory dysfunction or injury and can be a precursor to permanent hearing loss. Tinnitus can interfere with communication, sleep, concentration, and mood; when this occurs, it is referred to as bothersome tinnitus. Annual hearing surveillance in the U.S. Army includes screening for bothersome tinnitus. Estimating the prevalence of self-reported bothersome tinnitus can facilitate prioritization of prevention and education efforts. The objective of this study was to examine Army hearing conservation data to estimate the prevalence of self-reported bothersome tinnitus as a function of age, hearing, sex, service component, and pay grade. Method: The study employed a cross-sectional, retrospective design. Records from 1,485,059 U.S. Army Soldiers retrieved from the Defense Occupational and Environmental Health Readiness System–Hearing Conservation were analyzed. Descriptive statistics and multinomial logistic regression analysis were used to estimate the prevalence of bothersome tinnitus and its associations with Soldiers' demographic characteristics. Results: The estimated prevalence of self-reported bothersome tinnitus was 17.1% between January 1, 2015, and September 30, 2019; 13.6% of the Soldiers reported “bothered a little” and 3.5% reported “bothered a lot.” Proportionally, the prevalence of self-reported bothersome tinnitus was higher for males, older Soldiers, and Reserve Component Soldiers. For every 1-year increase in age, the odds of self-reporting “bothered a little” tinnitus relative to “bothered not at all tinnitus” would be expected to increase by 2.2% (2.1%, 2.3%), and the odds of self-reporting “bothered a lot” tinnitus relative to “bothered not at all” tinnitus would be expected to increase by 3.6% (3.5%, 3.7%). Conclusions: The self-reported prevalence of bothersome tinnitus in the U.S. Army (17.1%) is substantially higher than that of the general population, where prevalence of bothersome tinnitus is estimated at 6.6%. Examination of bothersome tinnitus among Soldiers is an important step toward optimizing prevention, education, and intervention efforts.

Audiology & Speech-Language Pathology↗

Prevalence of Self-Reported Voice Concerns and Associated Risk Markers in a Nonclinical Sample of Military Service Members

Introduction: Difficult communication environments are common in military settings, and effective voice use can be critical to mission success. This study aimed to estimate the prevalence of self-reported voice disorders among U.S. military service members and to identify factors that contribute to their voice concerns. Method: A nonclinical sample of 4,123 active-duty service members was recruited across Department of Defense hearing conservation clinics. During their required annual hearing evaluation, volunteers provided responses to voice-related questions including a slightly adapted version of the Voice Handicap Index-10 (VHI-10) as part of a larger survey about communication issues. Changepoint detection was applied to age and years of service to explore cohort effects in the reporting of voice concerns. Logistic regression analyses examined multiple available factors related to communication to identify factors associated with abnormal results on the VHI-10. Results: Among the respondents, 41% reported experiencing vocal hoarseness or fatigue at least several times per year, and 8.2% ( n = 336) scored above the recommended abnormal cut-point value of 11 on the VHI-10. Factors independently associated with the greatest risk for self-reported voice concerns were sex (female), cadmium exposure, vocal demands (the need for a strong, clear voice), and auditory health measures (frequency of experiencing temporary threshold shifts; self-reported hearing difficulties). Conclusions: Based on self-reported voice concerns and false negative rates reported in the literature, the prevalence of dysphonia in a large sample of active-duty service members is estimated to be 11.7%, which is higher than that in the general population. Certain predictors for voice concerns were expected based on previous literature, like female sex and voice use, but frequency of temporary threshold shifts and exposure to cadmium were surprising. The strong link between voice and auditory problems has particular implications regarding the need for effective communication in high-noise military and other occupational environments.

Audiology & Speech-Language Pathology↗

DUKE PRO STI TEST at 9965 - RANGE 1 (IMPACT NOISE). Survey Profile Report

Members of the Workforce (MOW) who are exposed to noise levels above 140 dBC, regardless of hearing protection worn, are required to be enrolled into the SNL Hearing Conservation Program which includes audiometric testing, online training (HCP100) and wearing hearing protection. Based on the area impact noise sample results, the attenuation provided by the MFCP was protective for mitigating noise to levels below the ACGIH TLV of 140 dBC. The results also validated the scaled distance equation in an open-air environment as the results at K635 (864 feet) were below 140 dBC.

54 ENVIRONMENTAL SCIENCES↗

Impulse Noise Sampling at 9965 - Armag

One detonation test was monitored for impulse noise at Thunder Range on November 6, 2020. The TNT equivalency for this shot was 100 lbs. Ground zero for this test was located at an open area of Range 7. The Armag, where MOW were remotely located, was just south of the east end of the TR shock tube The purpose of this sampling event was to characterize the noise attenuation provided by the Armag which will be used as the primary firing location in a future test series. To determine attenuation provided by the Armag, one sound level monitor was placed inside and a second monitor was placed outside the hardened structure at the same distance from ground zero. The Armag was located 1300 feet from ground zero. Essential personnel performing these tests were remotely located inside the Armag and wore hearing protection with a minimum NRR of 23. Members of the Workforce (MOW) who are exposed to noise levels above 140 dBC, regardless of hearing protection worn, are required to be enrolled into the SNL Hearing Conservation Program which includes audiometric testing, online training (HCP100) and wearing hearing protection.

42 ENGINEERING↗

Hearing impairment and tinnitus among older construction workers employed at DOE facilities

Few studies have defined the risk of hearing impairment and tinnitus after retirement. This report measures hearing impairment and tinnitus prevalence among older construction trades workers. The study cohort included 21,340 participants in a national medical screening program. Audiometric hearing impairment was classified according to the Global Burden of Disease Study. Tinnitus was determined by self-report. An internal subcohort of nonconstruction trades workers served as a reference group. Stratified analyses and multivariate analyses were used to measure the prevalence of hearing impairment and tinnitus by age, sex, and job category. Prevalence of any hearing impairment was 55.2% (males, 57.7%; females, 26.8%) and increased rapidly with age. Construction trades workers were 40% more likely to have hearing impairment than the reference group. The overall prevalence of tinnitus was 46.52% and followed patterns similar to hearing impairment. Workers with hearing impairment were more likely to also have tinnitus, but tinnitus was frequently reported in the absence of measured hearing impairment. Hearing impairment and tinnitus prevalence were much higher in this study than in previous research. A significant reason for the difference is that BTMed follows participants after they have retired. To draw conclusions about the risk for work-related chronic diseases and disorders it is important to monitor workers through their lifetimes. Also, tinnitus by itself should be given greater significance. We report the findings reinforce the need to promote noise reduction and hearing conservation in construction.

60 APPLIED LIFE SCIENCES↗

Hearing Loss and Dementia

This report is an OSH-DO Safety Action Bulletin that briefly discusses the link between dementia and hearing loss. The bulletin provides some basic statistics, hearing loss protection guidelines and resources for more information on the topic.

99 GENERAL AND MISCELLANEOUS↗

The Hydrofluorocarbon Phasedown and Commercial Space Conditioning: A Guide to the Transition

You may be aware of the hydrofluorocarbon (HFC) phasedown, but the details and its impact on your operations may still be unclear. Or perhaps this is the first you're hearing about the phasedown. In either case, this guide provides information to aid conversations with facility managers and engineers and provides an explanation of how the phasedown affects equipment in commercial buildings. It also includes actions you and your organization can take now to properly plan and prepare.

ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATION↗

Illinois Storage Corridor CarbonSAFE Phase III: Stakeholder Engagement and Outreach Plan

The Stakeholder Engagement and Outreach Plan provides a comprehensive framework for engaging stakeholders of the Illinois Storage Corridor (ISC) project. The ISC project is a CarbonSAFE Phase III project designed to facilitate commercial deployment of carbon capture, utilization, and storage (CCUS) in Illinois. The project aims to establish a multi-industry carbon storage corridor through development of storage sites near the One Earth Energy (OEE) ethanol production facility in north-central Illinois and the Prairie State Generating Company (PSGC) coal-fired power plant in south-central Illinois, with combined annual CO 2 capture ultimately exceeding 8.6 million tons per year. Stakeholder engagement is recognized as a critical component for successful CCUS deployment, alongside technical and economic considerations. As an emerging technology, CCUS may not be well understood by the general population, and lack of public awareness can lead to opposition that poses significant barriers to project development. This plan addresses this challenge through systematic stakeholder identification, analysis, planning, and implementation of engagement actions. The plan is structured around four main sections: Communication, Stakeholder Analysis, Stakeholder Engagement, and Environmental Justice. Activities will be conducted under Tasks 1 and 4 of the project's Statement of Project Objectives, with two key subtasks: (1) developing a stakeholder analysis and engagement plan through face-to-face meetings, facilitated discussions, and surveys; and (2) implementing stakeholder engagement and public outreach activities including meetings, open houses, and permit hearings. The Illinois State Geological Survey (ISGS) will manage engagement activities following DOE-NETL best practices, focusing on providing objective, fact-based information about CCUS and the ISC project. A comprehensive Communication Plan establishes protocols for media contacts, site visits, and crisis communications. The stakeholder analysis follows a structured workflow process divided into Pre-feasibility and Feasibility phases, incorporating contextual understanding, assessment, data collection, and analysis. Key stakeholder groups include government bodies, educational organizations, conservation and environmental groups, agricultural communities, and religious organizations. The plan addresses common stakeholder questions regarding project risks, benefits, safety, property values, liability, and environmental impacts. Recommendations emphasize developing clear messaging, creating informational materials, and preparing to address both project-specific and broader environmental concerns to ensure transparent communication and build stakeholder support throughout project implementation.

25 ENERGY STORAGE↗

La Reduccion Gradual de Refrigerantes de Hidrofluorocarburos y el Acondicionamiento de Espacios Comerciales: Guia para la Transicion

You may be aware of the hydrofluorocarbon (HFC) phasedown, but the details and its impact on your operations may still be unclear. Or perhaps this is the first you're hearing about the phasedown. In either case, this guide provides information to aid conversations with facility managers and engineers and provides an explanation of how the phasedown affects equipment in commercial buildings. It also includes actions you and your organization can take now to properly plan and prepare. This is the Spanish translation of NREL/FS-5500-85155: The Hydrofluorocarbon Phasedown and Commercial Space Conditioning: A Guide to the Transition.

ENERGY CONSERVATION, CONSUMPTION, AND UTILIZATION↗