* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download View/Open
Sound localization wikipedia , lookup
Auditory system wikipedia , lookup
Hearing loss wikipedia , lookup
Olivocochlear system wikipedia , lookup
Audiology and hearing health professionals in developed and developing countries wikipedia , lookup
Sensorineural hearing loss wikipedia , lookup
Noise-induced hearing loss wikipedia , lookup
Evaluation of Noise Pollution Levels in Manufacturing Sectors in Thika District-Kenya James Mithanga A Thesis Submitted in Partial Fulfillment for the Degree of Master of Science in Occupational Safety and Health in the Jomo Kenyatta University of Agriculture and Technology 2013 i DECLARATION This thesis is my original work and has not been presented for a degree in any other university. Sign…………………………… Date……………………… James Mithanga Njeri This thesis has been submitted for examination with our approval as the University Supervisors: Signature ……………………….. Date……………………… Prof. Erastus Gatebe JKUAT, Kenya Signature ……………………….. Date……………………… Mrs. Margaret Gichuhi JKUAT, Kenya ii DEDICATION To my family for their support and encouraging words as I pursued my degree iii ACKNOWLEDGEMENT I would like to express my earnest gratitude and appreciation to my supervisors Prof. Gatebe and Mrs. Gichuhi. I thank them for their constructive comments and corrections on the thesis. I also want to thank my family and friends who gave me encouragement during the research. I particularly want to thank my wife Eunice Wandia and my son Lincoln Njega. Thank you all for the support you gave me through this period and God bless you. A project of this magnitude generally required support of different forms from many other colleagues and experts who will remain anonymous out of brevity rather than ingratitude. iv TABLE OF CONTENTS DECLARATION ......................................................................................................... ii DEDICATION ............................................................................................................ iii ACKNOWLEDGEMENT .......................................................................................... iv TABLE OF CONTENTS ............................................................................................. v LIST OF TABLES ...................................................................................................... ix LIST OF FIGURES ...................................................................................................... x LIST OF PLATES ....................................................................................................... xi LIST OF APPENDICES ............................................................................................ xii LIST OF ABBREVIATIONS ................................................................................... xiii OPERATIONAL DEFINITIONS ............................................................................. xiv ABSTRACT .............................................................................................................. xvi CHAPTER ONE .......................................................................................................... 1 INTRODUCTION ........................................................................................................ 1 1.1 Background Information .................................................................................... 1 1.2 Statement of the problem ................................................................................... 3 1.3 Justification ........................................................................................................ 4 1.4 Hypotheses ......................................................................................................... 6 1.5 Objectives ........................................................................................................... 6 1.5.1 General objective......................................................................................... 6 1.5.2 Specific objectives....................................................................................... 6 1.6 Scope of the study .............................................................................................. 7 1.7 Limitation of the study ....................................................................................... 7 CHAPTER TWO.......................................................................................................... 8 v LITERATURE REVIEW ............................................................................................. 8 2.1 Sound and noise ................................................................................................. 8 2.2 Measurement of noise ........................................................................................ 9 2.2.1 Instrumentation for noise measurement .................................................... 12 2.3 Noise exposure ................................................................................................. 14 2.4 The anatomy and physiology of the ear ........................................................... 15 2.5 Effects of noise ................................................................................................. 18 2.5.1 Health effects............................................................................................. 18 2.5.2 Noise induced hearing loss ........................................................................ 19 2.5.3 Occupational hearing loss ......................................................................... 19 2.5.4 Non occupational hearing loss .................................................................. 20 2.6 Noise standards and protocols .......................................................................... 20 2.6.1 ISO and OSHA permissible exposure levels ............................................ 20 2.6.2 NIOSH Recommended exposure limit ...................................................... 20 2.7 Noise control in industrial premises ................................................................. 21 2.7.1 Introduction ............................................................................................... 21 2.7.2 Noise control at the source ........................................................................ 21 2.7.3 Noise control in a transmission path ......................................................... 22 2.7.4 Protecting the receiver ............................................................................... 22 2.8 Prevention of noise induced hearing loss ......................................................... 23 CHAPTER THREE .................................................................................................... 25 MATERIALS AND METHODS ............................................................................... 25 3.1 Research design ................................................................................................ 25 3.2 Target population ............................................................................................. 25 vi 3.3 Sampling frame ................................................................................................ 25 3.4 Sample size and sampling techniques .............................................................. 26 3.5 Data collection instruments .............................................................................. 27 3.6 Pilot survey....................................................................................................... 27 3.7 Data collection procedure................................................................................. 28 3.8 Data processing and analysis............................................................................ 30 CHAPTER FOUR ...................................................................................................... 31 RESULTS AND DISCUSSIONS .............................................................................. 31 4.1. Socio-economical characteristics of the participants ...................................... 31 4.1.1 Age categorization of employees .............................................................. 31 4.1.2 Gender categorization of employees ......................................................... 32 4.1.3 Educational level of the employees ........................................................... 34 4.2 Effects of occupational noise levels on communication and work among employees in the manufacturing sectors sampled ............................................ 36 4.3 Noise compliance levels against set standard for the manufacturing sectors sampled............................................................................................................. 43 4.3.1 Compliance to set standards ...................................................................... 43 4.3.2 Permissible Noise levels............................................................................ 44 4.3.3 Noise prevention program ......................................................................... 45 4.3.4 Noise measurements records ..................................................................... 46 4.3.5 Information and training of workers ......................................................... 47 4.3.6 Medical examinations and hearing tests.................................................... 49 4.4 Noise intensity in different departments of the selected manufacturing industries .......................................................................................................... 51 vii 4.4.1 Noise levels in departments....................................................................... 51 4.4.2 Noise levels in the office department ........................................................ 52 4.4.3 Noise levels in the production departments .............................................. 53 4.4.4 Noise levels in the generator department .................................................. 54 4.5 Magnitude of occupational noise exposures of workers in different categories of manufacturing industries .............................................................................. 56 CHAPTER FIVE ...................................................................................................... 59 CONCLUSIONS AND RECOMMENDATIONS ................................................. 59 5.1 Conclusions ...................................................................................................... 59 5.2 Recommendations ............................................................................................ 59 5.3 Suggestions for further research ....................................................................... 61 REFERENCES ......................................................................................................... 62 APPENDICES .......................................................................................................... 69 viii LIST OF TABLES Table 2. 1: Volume of different sounds encountered commonly, expressed in dB (A) (MoL, 2010). ................................................................................... 12 Table 3. 1: Different categories of manufacturing industries that were sampled... 26 Table 4.1: Chi-Square tests for number of years worked in the company ............ 31 Table 4.2: Chi-Square tests on the gender of employees in the selected companies33 Table 4.3: Chi-Square on workers qualification of the selected companies .......... 35 Table 4.4: Companies compliance to the set standards/rules on noise ................. 44 Table 4.5: Analyzed data for compliance levels in different companies ............. 46 Table 4.6: Analyzed noise level in the office department of the selected companies ............................................................................................ 52 Table 4.7: Analyzed noise levels in the production department of the selected companies ............................................................................................ 54 Table 4.8: Analyzed noise levels in the generator department of the selected companies ............................................................................................ 55 Table 4.9: Number of workers exposed to noise in 3 departments of the selected companies ............................................................................................ 56 Table 4.10: Noise exposure magnitude among employees in the selected companies ........................................................................................... 57 ix LIST OF FIGURES Figure 4. 1: Age categorization of employees ...................................................... 32 Figure 4. 2: Gender percentage of the employees. ................................................ 33 Figure 4. 3: Educational level of the resoponents in the eight companies ............ 35 Figure 4. 4: Compliance to hearing PPE at work .................................................. 48 Figure 4. 5: Compliance on training regarding noise ............................................ 49 Figure 4. 6: Pre-employment hearing test ............................................................. 50 x LIST OF PLATES Plate 2. 1: Digital sound level meter, IEC 651, type 2, model: SL-4001. .............. 14 Plate 2. 2: Anatomical division of the Human ear ................................................. 17 xi LIST OF APPENDICES Appendix 1: Questionnaire .................................................................................... 69 Appendix 2: Industries compliance with the set rules and regulations on noise ... 73 Appendix 3: Questionnaire response ..................................................................... 74 xii LIST OF ABBREVIATIONS ACGIH American conference of governmental industrial hygienist ANSI American national standard institute dB(A) Average weighted sound level in decibel unit DOSHS Directorate of Occupational safety and health services HCP Hearing conservative program HPD Hearing protective devices ISO International standards organization KAM Kenya association of Manufacturers MOL Ministry of labour NIHL Noise induced hearing loss NIOSH National institute of occupational safety and health NIPTS Noise induced permanent threshold shift NITTS Noise induced temporary threshold shift OEL Occupational Exposure Levels OSHA Occupational safety and health Act PPE Personal Protective Equipments REL Recommended exposure limit SLM Sound level meter SPL Sound pressure level TWA Time weighted average WHO World health organization xiii OPERATIONAL DEFINITIONS Acoustics: the science of sound dealing with vibratory motion perceptible through the organ of hearing. Continuous noise: noise with negligibly small fluctuations of level within the period of observation (ANSI S3.20-1995: stationary noise; steady noise) Decibel (dB): unit measurement of sound pressure level (SPL) or intensity. Exchange rate: An increment of decibels that requires the halving of exposure time or a decrement of decibels that requires the doubling of exposure time. Impulsive noise: a type of noise characterized by a sharp rise and rapid decay in sound levels and is less than 1 second in duration. It also refers to impact noise Intermittent noise: noise levels that are interrupted by intervals of relatively low sound levels. Permanent threshold shift (PTS) or permanent hearing loss: Permanent increase in the threshold of audibility for an ear. Unit ‘dB’ (ANSI S3.20-1995) Slow time weighting response: is a detector response on a sound level meter recommended for occupational noise measurements (by NIOSH) as it is useful to get the average values of vibration sound level. Sociacusis: hearing impairment because of noise of recreational places like pop music and car races. Temporary threshold shift (TTS) or temporary hearing loss: Temporary increase in the threshold of audibility for an ear caused by exposure to high intensity acoustic stimuli. Such a shift may be caused by other means such as use of aspirin or other drugs, Unit, dBs (ANSI S3.20-1995). xiv Tinnitus: often called ‘ringing or buzzing in the ears’. Onset may be due to noise exposure and persist after a causative noise has ceased. It can also be induced by several drugs like salicylates which induce vasoconstriction of the small vessels of the cochlear microvasculature but the effects are reversible. Tinnitus is often a precursor to NIHL and therefore an important warning signal. xv ABSTRACT Noise is considered as any unwanted sound that may adversely affect the health and wellbeing of individuals or populations exposed. This study assessed the magnitude of occupational noise exposures to workers in different manufacturing sectors in Thika District-Kenya. Systematic random sampling was used to select eight manufacturing companies (one per sector) from Directorate of Occupational Safety and Health Services and Kenya Association of Manufacturers registered workplaces in Thika District. Thika district was selected because of its high concentration of manufacturing companies. Data was collected through; environmental noise survey, questionnaire survey, observation and secondary data for comparison. A sample size of 400 (out of 2400 employee) participants from the eight selected manufacturing industries were randomly recruited in this study as per the table of maximum return of sample. In this study the males population was high (82%) as compared to females (18%), hence gender had a significant association between the companies sampled. This study also found that the generator department recorded the highest values of between 88.7–96.4 dBs (χ2 = 2.40; p < 0.05, df = 1.00) while the office department recorded the lowest values of between 38.1–50.1 dBs (p < 0.05) in all the selected companies. The production department had the highest exposure magnitude in relation to employees. The companies’ noise exposure levels had significant association in terms of office departments (p = 0.04). The study concludes that magnitude of noise exposure to the workers in generator and production units of manufacturing industries in Thika District is high and recommends strict enforcement of noise control regulations supported by necessary trainings, policies and personal protective equipments. xvi CHAPTER ONE 1 INTRODUCTION 1.1 Background Information Working environments and conditions for over three billion workers worldwide do not meet the minimum standards and guidelines set by the World Health Organization and the International Labour Organization for occupational health, safety and social protection (WHO, 2007). The majority of the work forces around the world do not have access to occupational health services. Only 5 to 10 percent of work force in developing countries and 20 to 50 in the developed countries have access to some kind of occupational health services. Due to this fact, presence of hazards in the work place due to factors such as dust, heat stress, noise, toxic chemicals, and dangerous machines which leads to huge burden of work-related injuries, death and diseases is very common (Skanberg and Ohrstrom, 2002). The occupational environment, as a subset of the general environment, is affected by noise pollution in most of the undertakings around the world. This is mainly due to the fact that man has been using different material aids, from industrial revolution to date, such as machineries, equipments, devises, instruments among others, to make the laborious working conditions simple, faster, economical and more productive (Erdoğan and Yazgan, 2009). In this dynamic process of technological innovations, however, men inevitably become victims of various hazards including noise. To this effect, noise is one of the commonest occupational hazards of the modern world and there is evidence to support the increasing prevalence of high level noise in the work place. In many developing countries, including Kenya, occupational diseases in particular and occupational safety and health issues in general have not, so far, been 1 given attention due probably, to lack of awareness. In many developed countries, however, there are reported cases which show the effect of various industrial hazards (physical, chemical, biological, ergonomical and psychosocial) on the work force exposed to them and the consequence exhibited on the productivity and socioeconomic dimensions (Özer and Irmak 2008). Occupational health is concerned with health of workers in its relation to work and the working environment. It aims at the promotion and maintenance, to the highest degree, of physical, mental, and social well-being of workers in all occupations (MoL, 2010). Noise, categorized as physical hazard, is known to cause workers hearing loss and affect body parts other than the hearing organ. Some reports revealed that it causes mental disturbances, masking of speech communications, and disturbance of work performance, rest and sleep (Özer and Irmak 2008). Studies conducted in various countries revealed that the effect of exposure to high noise levels with various frequencies causes’ noise induced hearing losses of exposed workers (Bies and Hansen, 2000; Yılmaz and Özer, 2005). Hearing loss is also caused by exposure to non occupational noise, collectively known as sociacusis. It includes recreational and environmental noises like loud music, guns and power tolls (NIOSH, 2010). Combined exposures to noise and certain physical or chemical agents (vibration, organic solvents such as Styrene Toluene, Zylene, N-hexane, Carbon di sulfide carbon monoxide, ototoxic drugs, and certain metals) appear to have synergistic effects on hearing loss (Starck, 2006). Some sensorineural hearing loss occurs naturally because of aging; a condition termed as presbycusis. Conductive hearing 2 losses, as opposed to sensorineural hearing losses, are usually traceable to diseases of the outer and middle ear (Zannin et al., 2003; Tang and Tong, 2004; Abo-Qudais and Alhiary, 2004; Piccolo et al., 2005; Zannin et al., 2006; Pathak et al., 2008; Özer et al., 2009). Noise exposure is also associated with non auditory effects such as psychological stress and disruption of job performance (Barboza et al., 1995) and possibly hypertension. Noise may also be a contributing factor in industrial accidents. Nevertheless, data are insufficient to endorse specific damage risk criteria for these non auditory effects. It is also reported that many undertakings are affected by unnecessary expenditures incurred as a result of noise exposure (NIOSH, 2000). This study was carried out in manufacturing sector in Thika district. The study was designed to investigate the noise levels of the working environment, hearing conditions of the work force, level of awareness of the workers and finally to evaluate the overall safety climate of the undertakings, as far as actions to prevent noise as hazardous ambient factor is concerned. In relation to this, the study developed some technical solutions to the existing noise problem in the working premises which ultimately targeted to protect the vast work force under this hazardous situation. 1.2 Statement of the problem Works carried out in manufacturing sector require large number of employees and heavy machines. An increase in mechanization also has resulted in an increase in noise levels, leading manufacturing companies to generate enormous levels of noise. Occupational noise in manufacturing sectors has reached unbearable levels due to the 3 reverberant nature of the narrower spaces. Therefore, it is hard to find a relatively low-noise environment for workers. Although the equipment employed in manufacturing are comparatively larger in size than the ones encountered in production, they may be said to be less significant as the noise emitted from them easily spreads hemi-spherically in the free sound field. In reality, the noise occurring during production works that take place in manufacturing industries is noteworthy when considering labour health and job performance as the highest disease and illness rates in manufacturing continue to be worker’s permanent or temporary hearing loss (Scott et al., 2004). Additionally, it appears that noise can account for quickened pulse rates, increased blood pressure and a narrowing of the blood vessels. Workers exposed to noise sometimes complain of nervousness, sleeplessness and fatigue (U.S department of labour). Therefore, it is of foremost importance to conduct research on this matter to give suggestions to manufacturing management with respect to the health of workers and maximizing the competence in productiveness. Noise-induced hearing loss usually occurs initially at high frequencies (3k, 4k, or 6k Hz), and then spreads to the low frequencies (0.5k, 1k, or 2k Hz) (Chen and Tsai, 2003). 1.3 Justification Safety is a basic human need and right. Safety created the very foundation for our wellbeing. Everyone should have the chance to live the whole life-cycle from infancy to youth, from adulthood to old age, without suffering any preventable, human induced accidents (Saari, 2006). However, in many developing countries, including Kenya, occupational diseases in particular and occupational safety and 4 health issues in general have not, so far, been given attention due probably, to lack of awareness. Hence, the majority of the working conditions are unsafe and highly vulnerable to serious occupational injuries and death. In relation to this, the economic costs of occupational injuries and accidents, reduction of productivity, loss of production time are some of the impacts associated with it. Information on occupational health and safety services is helpful in raising awareness at all levels and making the problem of injuries more visible to the employees, employers, policy makers and managers. In general the assessment made on occupational hazards like excessive noise among workers is useful in the development of injury prevention strategy for the worker. Here lies the significance of doing researches and surveys to contribute to the safety of workers and improvement of productivity for the factories. The progress of occupational noise induced hearing loss is insidious in that it creeps up gradually over the months and years, largely unnoticed until it reaches handicapping proportions. Despite it is a serious health threat, little attention is given to hearing loss due to occupational exposures. The time to take preventive steps should be before the hearing losses begin. Thika has many manufacturing sectors compared to other towns and hence it is referred to as an industrial hub. Lots of noises are emitted from machinery and hence causing noise pollution in the sector and its environs. This research assessed this crucial problem of the vast productive force to suggest possible solutions for it. Besides this it also served as base line information to undertake further studies on similar settings in the future. 5 1.4 Hypotheses 1. The noise levels in the manufacturing sector in Thika District do not affect communication and work among employees 2. The manufacturing industries in Thika District do not comply with the set standard on noise levels 3. The noise intensity in different departments of the selected manufacturing sectors in Thika District is not above the occupational exposure limits 4. The magnitude of occupational noise exposures of workers is not high in different categories of manufacturing sectors in Thika District. 1.5 Objectives 1.5.1 General objective The general objective of this study was to assess the magnitude of occupational noise exposures of workers in different manufacturing sectors in Thika District. 1.5.2 Specific objectives 1. To determine the effects of occupational noise levels on communication and work among employees in different manufacturing sectors in Thika District. 2. To assess the noise compliance levels against set standard within the manufacturing sector in Thika District. 3. To establish the level of noise intensity in different departments of the selected manufacturing sectors in Thika District. 6 4. To compare the magnitude of occupational noise exposures of workers in different categories of manufacturing sectors in Thika District. 1.6 Scope of the study The research was conducted to investigate the noise levels in different manufacturing industries in Thika District. It covered eight manufacturing industries within the District registered by both KAM and DOSH. The total sample size was 400 participants all distributed in three sections such as office, generator unit and production departments. Noise levels were measured in all the three departments in the eight selected manufacturing industries and compared accordingly. 1.7 Limitation of the study Some of the limitations encountered in this study were; failure by the respondents to return the filled questionnaires in time, management were hesitant in allowing measurements of noise levels in some sections of the manufacturing sectors and financial constraints on the side of the principal investigator since the was not funded. 7 CHAPTER TWO LITERATURE REVIEW 2.1 Sound and noise Physically, sound is a mechanical disturbance propagated as a wave motion in air and other elastic or mechanical media such as water or steel (Liu, 1999). Physiologically, sound is an auditory sensation evoked by this physical phenomenon (Özer and Irmak 2008). However, not all sound waves evoke an auditory sensation: for example, ultrasound has a frequency too high to excite the sensation of hearing. This means that all sound waves are not heard by human beings. The number of vibrations of the sound waves per second (frequency) determines what we hear and do not hear (Charante et al., 1990). The acoustic vibrations are divided into three frequency regions, namely the infra(audible) sound vibrations with a frequency of up to 20 Hz; sound (acoustic) vibrations in the frequency range from 20 to 20,000 Hz, and ultrasonic vibrations of a frequency higher than 20,000 Hz. A young man, on the average, percepts sound vibrations in the frequency range from 20 to 20,000 Hz. The range of human conversation is from about 300 to 3,000 Hz. (Charante et al., 1990; Cheremisinoff, 1996; Liu, 1999). Noise is considered as any unwanted sound that may adversely affect the health and wellbeing of individuals or populations by causing disturbance of human work, rest, sleep and communication; or by damaging his hearing and evoke other psychological, physiological, and possibly pathological reactions. It can also be considered as a wrong sound, in the wrong place at the wrong time. Similarly, noise 8 pollution is defined as unwanted electromagnetic signal that produces a jarring or displeasing effect and which interferes with human communication, comfort and health (Bahita, 2001). Hence, from the acoustics point of view, sound and noise constitute the same phenomenon of atmospheric pressure fluctuations about the mean atmospheric pressure; the differentiation is greatly subjective. What is sound to one person can very well be noise to somebody else (Nelson and Schwela, 1995). 2.2 Measurement of noise Sound pressure level (SPL), expressed in decibels, is a measure of the amplitude of the pressure change that produces sound. This amplitude is perceived by the listener as loudness due to high noise intensity. In sound-measuring instruments, weighting networks are used to modify the SPL. This is achieved by building a filter into the instrument with a similar frequency response to that of the ear. This is called an Aweighting filter because it confirms with the internationally standardized Aweighting curves. Measurement done with this filter is usually written as dBs (A) (Charante et al., 1990). Disturbing sound is referred to as noise and it is also measured in A-weighting frequencies. A-weighting is the most commonly used of a family of curves defined in the International standard IEC 61672:2003 and various national standards relating to the measurement of sound pressure level. A-weighting is applied to instrumentmeasured sound levels in effort to account for the relative loudness perceived by the human ear, as the ear is less sensitive to low audio frequencies (Richard et al., 2004). It is employed by arithmetically adding a table of values, listed by octave or third9 octave bands, to the measured sound pressure levels in dB. The resulting octave band measurements are usually added (logarithmic method) to provide a single Aweighted value describing the sound; the units are written as dB (A). Other weighting sets of values - B, C, D and now Z - are discussed below (Richard et al., 2004). A-frequency-weighting is mandated by the international standard IEC 61672 to be fitted to all sound level meters. The old B- and D-frequency-weightings have fallen into disuse, but many sound level meters provide for C frequency-weighting and its fitting is mandated — at least for testing purposes — to precision (Class one) sound level meters. D-frequency-weighting was specifically designed for use when measuring high level aircraft noise in accordance with the IEC 537 measurement standard. The large peak in the D-weighting curve is not a feature of the equalloudness contours, but reflects the fact that humans hear random noise differently from pure tones, an effect that is particularly pronounced around 6 kHz. This is because individual neurons from different regions of the cochlea in the inner ear respond to narrow bands of frequencies, but the higher frequency neurons integrate a wider band and hence signal a louder sound when presented with noise containing many frequencies than for a single pure tone of the same pressure level (Richard et al., 2004). Following changes to the ISO standard, D-frequency-weighting should now only be used for non-bypass engines and as these are not fitted to commercial aircraft — but only to military ones — A-frequency-weighting is now mandated for all civilian aircraft measurements (Charante et al., 1990). 10 Z- or ZERO frequency-weighting was introduced in the International Standard IEC 61672 in 2003 and was intended to replace the "Flat" or "Linear" frequency weighting often fitted by manufacturers. This change was needed as each sound level meter manufacturer could choose their own low and high frequency cut-offs (–3dB) points, resulting in different readings, especially when peak sound level was being measured. As well, the C-frequency-weighting, with –3dB points at 31.5Hz and 8 kHz did not have a sufficient bandpass to allow the sensibly correct measurement of true peak noise (Ronald 2010). B- and D-frequency-weightings are no longer described in the body of the standard IEC 61672 : 2003, but their frequency responses can be found in the older IEC 60651, although that has been formally withdrawn by the International Electrotechnical Commission in favour of IEC 61672 : 2003. The frequency weighting tolerances in IEC 61672 have been tightened over those in the earlier standards IEC 179 and IEC 60651 and thus instruments complying with the earlier specifications should no longer be used for legally required measurements (Charante et al., 1990; Ronald 2010). Table 2.1 shows volumes of different sounds encountered daily. 11 Table 2.1: Volumes of different sounds encountered daily, dB (A) Effect of human being Highly injurious Sound level in dB(A) 140 Sound source Jet engine Rivet hammer Pain threshold 120 propeller plane 110 Rock drill, chain saw 100 Sheet metal workshop 90 Heavy truck Risk 80 Heavily - trafficked street Speech masking 70 Salon car Irritating 60 loud conversation 50 Low conversation 40 Quite radio music 30 Whispering 20 quite urban apartment 10 Rustling leaves Injurious Hearing threshold (Adapted from MoL, 2010) Sound level meters have an A-weighting network for measuring A-weighted sound level (NIOSH, 2010). Exposure limits are commonly measured in dB (A). When used without a weighted network suffix, the expression should be dB SPL. Sound intensity level and sound pressure level are expressed as logarithmic quantities, in decibels (Poltev, 1985). 2.2.1 Instrumentation for noise measurement According to NIOSH, (2010), noise measurement methods should conform to the American National Standard Measurement of Occupational Noise Exposure, (ANSI 12 1996). The two most commonly used instruments for measuring noise exposures are the sound level meter (SLM) and the noise dosimeter; is an instrument designed to respond to sound in approximately the same way as the human ear and to give objective, reproducible measurements of sound pressure level. Generally, all sound measuring systems consist of a microphone, a processing section and a read-out unit. Integrating-averaging sound level meters and noise dosimeters with Type 2 Classification or better are the preferred instruments for occupational surveys (Bruel and Kjaer, 1984; Liu, 1999; ACGIH, 2006). Sound Pressure Level (SPL) measurements are made with instruments which respond to all frequencies in the audible range; but since the sensitivity of the ear varies with both frequency and level, the SPL does not accurately represent the ear’s response. This condition is corrected by weighting characteristics in sound level (NIOSH, 2010). The "A" weighting network approximates the ears response to moderate-level sounds and is commonly used in measuring noise to evaluate its effect on humans and has been incorporated in many occupational noise standards (Bruel and Kjaer, 1984). The response of a sound level meter’s is generally based on either a FAST or SLOW exponential averaging. For typical occupational noise measurements, NIOSH recommends that the meter response on a sound level meter be set at slow (NIOSH, 2010; Amedofu, 2002). Sound level meters (Plate 2.1) should be calibrated in order to provide precise and accurate results. Noise exposure measurements on individuals who move between many different noisy environments during the working day can be obtained using Noise Dose Meters. The noise dosimeter may be thought of as a sound level meter with an additional storage and computational function. It measures 13 and stores the sound levels during an exposure period and computes the readout as a percent dose or Time Weighting Average (TWA) (NIOSH, 2010). Plate 2.1: Digital sound level meter, IEC 651, type 2, model: SL-4001. Source: (Nelson and Schwela, 1995). 2.3 Noise exposure The sound from noise sources often fluctuates widely during a given period of time. An average value can be measured, the equivalent sound pressure level (LAeqT). The LAeqT is the equivalent continuous sound level which would deliver the same sound energy as the actual A-weighted fluctuating sound measured in the same time period (T). Noise health effects are the health consequences of elevated sound levels. Elevated workplace or other noise can cause hearing impairment, hypertension, ischemic heart disease, annoyance, and sleep disturbance. Changes in the immune system and birth 14 defects have been attributed to noise exposure (Passchier-Vermeer and Passchier 2000). Although some presbycusis may occur naturally with age, (Rosenhall et al., 2010) in many developed nations the cumulative impact of noise is sufficient to impair the hearing of a large fraction of the population over the course of a lifetime (Schmid 2007). Noise exposure also has been known to induce tinnitus, hypertension, vasoconstriction, and other cardiovascular adverse effects (Rosenhall et al., 2010). Beyond these effects, elevated noise levels can create stress, increase workplace accident rates, and stimulate aggression and other anti-social behaviors (Kryter and Karl 2000). The most significant causes are vehicle and aircraft noise, prolonged exposure to loud music, and industrial noise. In Norway, road traffic has been demonstrated to cause almost 80% of the noise annoyances reported (Schmid 2007). There may be psychological definitions of noise as well. Firecrackers may upset domestic and wild animals or noise-traumatized individuals. The most common noise-traumatized persons are those exposed to military conflicts, but often loud groups of people can trigger complaints and other behaviors about noise. Infants are easily startled by noise. Traffic noise alone is harming the health of almost every third person in the WHO European Region. One in five Europeans is regularly exposed to sound levels at night that could significantly damage health (PasschierVermeer and Passchier 2000). 2.4 The anatomy and physiology of the ear In terms of sound pressure level, audible sounds range from the threshold of hearing at 0 dB to the threshold of pain which can be 130 dBs and above. The subjective or perceived loudness of a sound is determined by several complex factors. One such 15 factor is that the human ear is not equally sensitive at all frequencies. It is most sensitive to sounds between 2 kHz and 5 kHz, and less sensitive at higher and lower frequencies (Amedofu, 2002). According to Liu (1999), sound reaches the ear usually through pressure waves in air; a remarkable structure converts this energy to electrical signals which are transmitted to the brain through the auditory nerves. The human ear is capable of detecting vibratory motion as small as the molecular motion of the air. The human ear consists of three main parts; the outer ear, middle ear and inner ear. The outer ear, consisting of the pinna (auricle) and auditory canal, collects the airborne sound waves which then vibrate the eardrum or tympanic membrane, which is the interface with the middle ear. The middle ear has three small bones, the ossicles (the malleus, the incus, and the stapes), that transfer the vibration to the inner ear which consists of two separate systems, the semicircular canals for controlling balance and the cochlea. The cochlea is a fluid-filled, snail shaped tube. In response to an acoustic stimulus the fluid in the cochlea is disturbed and this distorts the basilar membrane (corti) on whose upper surfaces are thousands of very sensitive hair cells. The hair cells register this distortion and transform it into nerve impulses which are then transmitted to the brain. Hence, the cochlea or cochlear canal functions as a transducer; mechanical vibrations enter it; electrical impulses leave it through the auditory nerve (Nelson and Schwela, 1995). The anatomical division of different parts of the ear is presented in Plate 2.2. Prolonged exposure to loud sounds causes damage to the hair cells with the result that hearing ability 16 becomes progressively impaired. At first, damage to a few hair cells is not noticeable, but as more of the hair cells become damaged, the brain can no longer compensate for the loss of information. Words run into each other, speech and background noise cannot be distinguished and music becomes muffled. Considerable and irreparable damage will have occurred by the time the listener becomes aware of the loss. Loss of hearing caused by noise exposure is normally greatest at those frequencies (around 4 kHz) where the ear is most sensitive (Guyton, 1987). Plate 2.2: Anatomical division of the Human ear Source: (Nelson and Schwela, 1995) 17 2.5 Effects of noise 2.5.1 Health effects Negative effects of noise on human beings are generally of a physiological and psychological nature. Hearing losses are the most common effects among the physiological ones. It is possible to classify the effects of noise on ears in three groups: acoustic trauma, temporary hearing losses and permanent hearing loss (Boateng and Amedofu, 2004). Blood pressure increases, heart beat accelerations, appearance of muscle reflexes, sleeping disorders may be considered among the other physiological effects. The psychological effects of noise are more common compared to the physiological ones and they can be seen in the forms of annoyance, stress, anger and concentration disorders as well as difficulties in resting and perception (Cheremisinoff, 1996; Atmaca et al., 2005; Guerra et al., 2005; Bedi, 2006). The health effects of noise exposure can also be classified as non-auditory and auditory. Non-auditory effects include stress, related physiological, behavioral effects and safety concerns. Auditory effects include hearing impairment resulting from excessive noise exposure. Noise-induced permanent hearing loss is the main concern related to occupational noise exposure. The main auditory effects include acoustic trauma that refers to sudden hearing damage caused by short burst of extremely loud noise such as a gun-shot that rupture the tympanic membrane or dislocate the ossicular chain and results in permanent hearing loss, tinnitus (ringing or buzzing in the ear) and temporary hearing loss (Ladou, 1997; Liu, 1999; Amedofu, 2002). Noise is not the only industrial hazard to hearing. 18 2.5.2 Noise induced hearing loss Noise induced temporary threshold shift (NITTS) occurs immediately after exposure to a high level of noise. There is gradual recovery when the affected person spends time in a quiet place, however complete recovery may take several hours. Permanent hearing loss, also known as noise induced permanent threshold shift (NIPTS), progresses constantly as noise exposure continues month after month and year after year. The hearing impairment is noticeable only when it is substantial enough to interfere with routine activities. At this stage, a permanent and irreversible hearing damage has occurred. Noise-induced hearing damage cannot be cured by medical treatment and worsens as noise exposure continues. Generally, noise-induced hearing loss (NIHL) is a cumulative process which comes as a result of both high levels of noise and exposure times over a worker’s work history (Levy and Wegman, 1995). 2.5.3 Occupational hearing loss In the workplace, hearing loss can be caused by blunt or penetrating head injuries, explosions, and thermal injuries such as slag burns sustained when a piece of welder’s slag penetrates the ear drum. All these conditions are treatable and reversible. Sensori neural hearing loss results from deterioration of the cochlea, usually due to loss of delicate hair cells from the organ of corti. Among the many common causes of sensory hearing loss are continuous exposure to noise in excess of 85 dB, blunt head injury and exposure to ototoxic substances. Impulsive noises, such as gunfire, appear to be particularly damaging (Passchier-Vermeer and Passchier 2000). 19 2.5.4 Non occupational hearing loss Among the non occupational hearing disorders are presbycusis, hereditary hearing impairment (HHI), metabolic disorder, sudden sensorineural hearing loss, infectious origin, central nervous system disease and drug induced hearing loss are worth mentioning. As a rule, hearing sensitivity diminishes with age, a condition known as presbycusis (Levy and Wegman, 1995). Presbycusis (sometimes called senile deafness) is a slow and progressive deterioration of hearing that is associated to aging. Sociacusis refers to hearing impairment because of noise of recreational places like pop music in bars and restaurants, snow mobile and car races (Neitzel, 2004). 2.6 Noise standards and protocols 2.6.1 ISO and OSHA permissible exposure levels The International Standards Organization (ISO) (1999) sets energy criteria which states that an increase in sound level from the permissible exposure 90 dB(A) to 93 dB(A) must be accompanied by a halving of the permissible exposure duration from 8 hours to 4 hours. In the United States, the OSHA defines another relationship which permits that an increase in sound level from 90 dB(A) to 95 dB(A) is accompanied by a halving of the allowable exposure duration from 8 to 4 hours (NIOSH, 2010). 2.6.2 NIOSH Recommended exposure limit The national institute for occupational safety and health (NIOSH) of the US government communicates recommended standards to regulatory agencies (including 20 the Occupational Safety and Health Administration (OSHA) and to the Department of Labour of the US government, health professionals in academic institutions, industries, public interest groups and other government agencies in the occupational safety and health community. In 2010, NIOSH published criteria for a recommended standard: Occupational exposure to noise which provided the basis for a recommended standard to reduce the risk of developing permanent hearing loss as a result of occupational noise exposure. 2.7 Noise control in industrial premises 2.7.1 Introduction In the industrial premises, it is important to remember that the objective of noise control is not to reduce noise for its own sake, but for the sake of the receiver, usually the human ear. Hence the straight forward approach recommended to be used for noise control is the source-path-receiver concept (Liu, 1999). 2.7.2 Noise control at the source As far as industrial setting is concerned, the most effective approach to noise control is to redesign or replace noisy equipment. If this is not possible, significant reductions in noise levels can be achieved by structural and mechanical modifications or the use of mufflers, vibration isolators and noise protection enclosures (Nelson and Schwela, 1995). The best way of controlling noise at its source is to replace noisy machines with quieter machines or trying to reduce noise by redesigning the machine after purchase. Substituting a quieter process, machine, or tool is another method of controlling noise. For instance welding is a quieter 21 substitute for riveting, drilling for punching, pressing and rolling for forging. Besides engineering controls noise reduction and isolation can be approached through machine mounting or by architectural means. If machines are spaced adequately apart noise levels can be within acceptable limits. 2.7.3 Noise control in a transmission path Noise control in a transmission path can be achieved by absorbing the sound along the path or by deflecting the sound in some other direction by placing a reflecting barrier in its path. Using the absorptive capacity of the atmosphere is a simple and economical method of reducing the noise level. If enough distance is available between machines, the amount of noise produced becomes minimized (Cheremisinoff, 1996). The distance from a point source is doubled; the sound pressure level is lowered by 6 dB. If a soft, spongy material is placed on the walls, floors and ceiling the reflected sound is diffused and soaked up (absorbed). Soundabsorbing materials such as acoustical tile, carpets, and drapes placed on ceiling, floor, or wall surfaces can reduce the noise level (Nelson and Schwela, 1995; Cheremisinoff, 1996). Placing physical barriers, screens, or deflectors in the noise path is an effective way of reducing noise transmission. Sometimes enclosing a noisy machine in a separate room or box is more practical and economical than quieting it by altering its design, operation, or component parts. 2.7.4 Protecting the receiver As an administrative approach of noise regulation for the workers, the amount of continuous exposure to high noise levels must be limited. For hearing protection, 22 scheduling noisy operation for short intervals of time each day over several days is preferable to a continuous eight-hour run for a day or two (Cheremisinoff, 1996). In industrial or construction operations an intermittent work schedule benefits not only the operator of the noisy equipment but also other workers in the vicinity. A personal hearing protection devise is any devise designed to reduce the level of sound reaching the ear drum. Ear muffs and ear plugs are the main types of hearing protectors. Molded and pliable earplugs, cup-type protectors and helmets are commercially available as hearing protectors. Such devices provide noise reductions from 15 to 35 dB (Sound Research Laboratories, 1991). 2.8 Prevention of noise induced hearing loss The OSHA has mandated that the presence of occupational noise at or above an 8hour time TWA exposure of 85 dB (A) is the threshold that triggers the need to implement a hearing conservation program (HCP). The HCP is the recognized method of preventing noise induced hearing loss in the occupational environment. An effective HCP integrates noise monitoring, engineering controls, administrative controls, worker education, selection and use of hearing protection devises (HPDs) and periodic audiometric evaluations as important elements (Ladou,1997). Moreover the presence of policy on the HCP and record keeping on all the above mentioned elements is very important (Ismail and Elias, 2006). If workers noise exposure will equal or exceed a TWA of 85 dB (A), then noise monitoring is required. This collected information may be used by designers to conceptualize possible engineering solutions which may involve the use of enclosures (to isolate sources or receivers), barriers (to reduce acoustic energy along the path), or distance (to 23 increase the path and ultimately reduce the acoustic energy at the receiver) to reduce worker noise exposure. Administrative controls include reducing the amount of time a given worker might be exposed to a noise source in order to prevent the TWA noise exposure from reaching 85 dB(A) and establishing purchasing guidelines to prevent introduction of equipment that would increase worker noise dose. The implementation of administrative controls requires management’s commitments and constant supervision, particularly in the absence of engineering or personal protection controls. Workers and management must understand the potentially harmful effects of noise to ensure that the HCP is successful. Training is required to be provided annually to all workers included in the HCP. Opportunities for maintaining awareness occur during periodic safety meetings, as well as during audiometric testing appointment when testing results are explained. Hearing protection devises are used to attenuate high noise levels which expose workers and are available in a variety of types from a number of manufacturers. 24 CHAPTER THREE MATERIALS AND METHODS 3.1 Research design This study employed a descriptive cross-sectional study designs. Key issues evaluated were noise levels and compliance with set standards in the manufacturing industries in 2012 and compared with the recorded data in 2011. 3.2 Target population The study population was employees from different manufacturing sectors in Thika Town. A total of eight industries were sampled and each industry employee who participated in the study were sampled totaling to 400 employees shown in Table 3.1. 3.3 Sampling frame The 8 selected manufacturing companies registered by both DOSHS and KAM were sampled for this study. Simple random sampling was used to select the eight manufacturing companies. To select participants in each company clustering was done in which three clusters per company were sampled. The clusters were office department, generator unit and the production department. To get the total sample size, participants were selected using simple random sampling. Respondents meeting accepting to participate in the study were assigned roman numbers and those who picked even numbers were sampled for the study. 25 Table 3.1: Different categories of manufacturing industries that were sampled Category Code Total number of employees Employees directly affected by noise Sampled number Chemical and allied (2) MC1 78 56 27 Food and beverages and tobacco (1) MC2 167 142 68 Texture and apparels (3) MC3 1355 177 85 Plastics and rubbers (1) MC4 126 97 47 Paper and paperboard (2) MC5 136 130 63 Motor vehicle and assembly and accessories (1) MC6 358 137 66 Metal and allied industries (1) MC7 150 80 39 Leather products and footwear (1) MC8 30 10 5 400 Total *Key: Figures in bracket refers to the total number of industries per category 3.4 Sample size and sampling techniques The sample size was determined using Fischer et al., (1998) equation which uses the prevalence but in this study the prevalence is not known and therefore proportion which uses 50% was used. Equation 3.1: N = Z2Pq/d2 In equation (3.1) N is the sample size; Z is the value of standard variance of 1.96 at 95% confidence interval while P is the proportionate target population with the 26 particular characteristic, 50% is recommended by Fisher et al., (1998), d is the level of statistical significance set and q is 1-p Based on the equation a sample size of 384 employees was computed for this study. A total of 400 questionnaires were administered for this study allowing 5% for attrition and distributed according to the levels of exposure to noise and the size of employees per company (Table 3.1) with a return rate of 100%. The sample sizes per company were 27, 68, 85, 47, 63, 66, 39 and 5 participants for MC1, MC2, MC3, MC4, MC5, MC6, MC7 and MC8, respectively. 3.5 Data collection instruments The study captured both primary and secondary data. For primary data the study employed the following instruments for data collections; - Noise level meter which measures noise in dBs (A), structured questionnaires were also used- the questionnaires were in 5 likert scale in which respondents had to tick one answer per question out of the five provided alternative (strongly agree, agree, uncertain, disagree and strongly disagree). Data retrieved from previous noise survey from records formed the secondary data. 3.6 Pilot survey The main purpose of the pilot survey was to pretest the questionnaire and other data collection tools before the main study. After the pilot study, the questionnaires were revised accordingly before the main study as described by Ahmed et al., (2004), Atmaca et al., (2005), Guerra et al., (2005) and Bedi, (2006). 27 3.7 Data collection procedure Data for this study was collected using the following instruments; - environmental noise survey and questionnaires. Secondary data was also retrieved from record in all the respective manufacturing companies. Noise levels were measured in work stations corresponding to each sampled workers position using a digital sound level meter, Bruel and Kjaer (2002) type-SL-4001, with a range from 35- 130 db, whose frequency weighting networks were designed to meet the IEC 651 type 2. This sound level meter has ‘A’ and ‘C’ frequency weighting networks which are conformity to standards. It has also time weighting (SLOW and FAST) which are dynamic characteristic modes. Moreover, the sound level meter was calibrated at 94±0.2 dB before each measurement was conducted in accordance to the procedure outlined in the standard manual of 9412-Sl-4001 for precise and accurate results (Bruel and Kjaer 2002). Since the characteristic A weighting was simulated as at the ‘Human Ear Listening’ response, it was recommended to be used for environmental noise level measurements (Bruel and Kjaer, 1984). The SLOW time weighting range was used as recommended by NIOSH (2010) and the standard procedure of the meter. Measuring considerations like keeping the microphone dry, avoiding serious vibrations during measurement, keeping conditions of temperature and humidity were followed according to manufacturer instructions. Measurements were recorded by holding the instrument at a height of 1.5 meters from the ground in the working 28 environments of the workers in order to properly determine the noise level to which the workers are exposed, Atmaca et al., (2005). Noise level measurements were made at each selected working site on three different days and the averages of these were taken. For a working site, measurements were done four times on the first day; two in the morning and two in the afternoon. These measurements were averaged and taken as the noise level measurement of the first day of that site. In a similar fashion, the averages of the second and third day measurements were calculated. Finally, the averages of these three day measurements represented the noise level of that specific working site. These measurement procedures are similar to approaches employed in Atmaca et al. (2005) and Bedi (2006). Noise surveys were carried out for each company for three major departments: offices, production area and the compound area (major emphasizes on the Generator room). The main purpose of the questionnaire was to subjectively list out the presence of factors that leads to hearing loss among workers, to identify the status of working areas (noisy or not), to examine the provision and usage of hearing protection devises among the workers in their respective working sites. For each respondent, the purpose of the study was explained and a written consent was obtained on voluntary bases from them before the questionnaire was administered. The questionnaire captured administrative staffs (management) and general employees in office, production and generator unit since they were all exposed to occupational noise. A total of 400 questionnaires were administered. The researcher explained the 29 objective of the study to those participants who accepted to take part in the study before signing of the consent form and there after giving the questionnaires to the supervisors to be distributed to the employees in the various departments. Secondary data from the noise measurements taken by the companies in the previous year (2011) were considered for collaboration. This was mainly for the three major departments: office, production and generator. 3.8 Data processing and analysis Data was analyzed using SPSS version 16(TM) statistical package for comparison of the occupational noise measurements against the standards of NIOSH, OSHA 2007 and Legal Notice number 25 of 2005. Five compliance items were identified from the standards as: permissible noise levels, noise prevention program, noise measurements records, information and training of workers, medical examinations and hearing tests. The results of the statistical tests were analyzed at the 95% confidence level to test the level of significance using Pearson chi square test. Descriptive statistics was used to test research hypotheses. Data was interpreted for frequencies, percentage distributions, trends and comparisons on different aspects such as noise levels, the use of PPE, pre employment and post employment training of staff on noise exposure and 30 then conclusions were drawn. CHAPTER FOUR RESULTS AND DISCUSSIONS 4.1. Socio-economical characteristics of the participants The employee participant’s residence was categorized as Kiganjo 143 (35.5%), Makongeni 135 (34.0%) and other areas of Thika 122 (30.5%). Majority of the workers (69.55) resided in Makongeni and Kiganjo while a small percentage lived in other areas. A total of 306 (76.5%) were married while the 94 (23.5%) were single. The worker's qualification, gender and work experience showed that each was dependent of the type of organization that the employee works in. All these parameters have significant association between the organizations since the p - value is less than 0.05. This implies that experienced workers are more informed on noise hazards (Table 4.1). Table 4.1: Chi-Square tests for number of years worked in the company Value Df Asymp. Sig. (2-sided) Pearson Chi-Square 41.385a 28 .049 Likelihood Ratio 50.834 28 .005 Linear-by-Linear Association .022 1 .881 N of Valid Cases 400 a. 15 cells (37.5%) have expected count less than 5. The minimum expected count is .26. 4.1.1 Age categorization of employees The participants were distributed in different ages in which the youngest age group was 24 years while the oldest age category was 60 years (Figure 4.1). The employees were 31 categorized either as general employees 61.0% (244) or managerial staff 29.0% (156). A total of 33.8% (135) employees reported to have worked for 1-5 years in their respective companies, 145 had worked for 6-10 years, 54 had worked for 11- 15 years, 21 for 1620 years and 44 had worked for over 20 years. The workers age has a direct relation to noise exposures resulting to hearing loss. Figure 4. 1: Age categorization of employees 4.1.2 Gender categorization of employees The majority of respondents were male employees 328(82 %) while the females were minority 72(18%) as shown in Figure 4.2. 32 Figure 4. 2: Gender distribution of the employees. Pearson Chi-square test was used to determine the association and the level of significance at 95% confidence interval. The gender having statistical significant association with the type of company in which an employee belongs was determined. The p value calculated was 0.040 therefore the gender has a significant association between the organizations since the p-value is less than 0.05 (Table 4.2). Table 4.2: Chi-Square tests on the gender of employees in the selected companies Value Df Asymp. Sig. (2-sided) p value Pearson Chi-Square 14.719a 7 .040 Likelihood Ratio 14.668 7 .040 Linear-by-Linear .788 1 .375 Association N of Valid Cases 400 a. 3 cells (18.8%) have expected count less than 5. The minimum expected count is .90. 33 The work in the factories is mostly labour intensive which attracts most men hence noise exposure in males is high. In a study done by Eurostat Company (2002), 43.0 % of the workforces in the manufacturing sectors were female, with the percentage of women in the workforce increasing. Men are exposed to noise more than twice as often as women and men report that their health is at risk from their work in the form of hearing disorders more than three times as often as women as reported by Eurostat Company (2002). About 97.0 % of cases of noise-induced hearing loss reported were male. This is no surprise as the sectors with exposure to the highest noise levels have a predominantly male workforce. Majority of workers in the production department were males. In studies, once noise exposure is controlled for, no gender difference is found in the incidence of hearing disorders between men and women (Davis 1998). There is some evidence that there may be gender differences in the experience of tinnitus (EstolaPartanen 2000). This is because industrial work attracts more males than females as seen in this study. 4.1.3 Educational level of the employees The results show that majority of the employees had certificates 212 (53.0%), diploma holders were 163 (40.8%) while degree holders were the least 25 (6.2%) as presented in Figure 4.3. The Pearson Chi-square for the workers qualifications and the type of organization was determined and the values were 0.289. The p - value calculated is greater than 0.05 therefore worker’s qualification have insignificant dependency on the type of organizations (Table 4.3). 34 Figure 4.3: Educational level of the resoponents Table 4.3: Chi-Square on workers qualification of the selected companies Value Df Asymp. Sig. (2-sided) Pearson Chi-Square 16.403a 14 .289 Likelihood Ratio 19.463 14 .148 Linear-by-Linear Association .259 1 .611 N of Valid Cases 400 Exposure to noise is independent of workers’ qualifications and thus working in factories does not require a lot of skills especial when doing manure work, which is why majority of the workers highest education attained was certificates followed by diplomas and the degree holders were the least. In this study manual workers, machine operators, office staff and managerial staffs in all the departments participated in the study, Ahmed 35 et al., (2001) also did the same categorisation in his study on noise exposure levels in the factories and found that similar results. 4.2 Effects of occupational noise levels on communication and work among employees in the manufacturing sectors sampled A total of 125 (31.2%) of the respondents had no communication problems in a noisy environment while 225 (56.5%) agreed and 49 (12.2%) strongly agreed that communication was hard in a noisy environment. A question was also asked to ascertain the individuals who realize that it is noisy while communicating. The response was 45 (11.2%) strongly disagree and 179 (44.8%) disagree while 68 (17.0%) were not sure and 90 (22.5%) agree to this effect. On communications when machines were on 169 (42.2%) disagree that they do not communicate well while machines are on, 25 (6.2%) were not sure, 189 (47.2%) agreed and 17 (4.2%) strongly disagreed. A total of 202 (50.5%) agreed that industry noise interferes with conversation and 89 (22.2%) strongly agreed, 45 (11.2%) were not sure while 64 (16.0%) disagreed completely. On whether it was easy or hard to follow conversation while machines were on 184 (46.0%) agreed, 40 (10.0%) were uncertain while 176 (44.0%) disagreed. On whether loud noise in the industry makes one stops conversation 166 (29.0%) agreed, 25 (6.2%) strongly agreed, 15 (3.8%) were not sure while 222 (55.5%) disagreed and 22 (5.5%) strongly disagreed. On whether high levels of noise in the industry makes it hard to concentrate in conversation 207 (51.8%) agreed, 64 (16.0%) strongly 36 agreed, 45 (11.5%) were uncertain while 62 (15.5%) disagreed. Workers who, while communicating don’t realize its noisy is dependent on the type of organization. Pearson Chi-square value=67.387a, df = 21, p = 0.0001 thus the variable have significant dependency on the type of organizations since the p - value is less than p = 0.05. The Pearson Chi-square on workers concentrating well while machines are on is independent on the type of organization. Pearson Chi-square value = 22.281a, df = 21, p = 0.383 thus those who do not communicate well while machines are on have insignificant dependency on the type of organizations since the p-value is greater than p = 0.05. The Pearson Chi-square on the workers industry noise interfering with conversation is dependent on the type of organization. Pearson Chi-square value = 40.196a, df = 21, p = 0.007 thus the industry noise interferes with conversation have significant dependency on the type of organizations since the p - value is less than p = 0.05. In addition noise interferes with verbal communications leading to errors and failures to respond to warning signs. In this study 225 (56.5%) respondents agreed to having communication problems in noisy environment and 49 (12.2%) strongly agreed that communication was hard in a noisy environment. This is a big percentage hence in case of an accident; a big number of workers will be affected due to their inability to respond to warning signs. There were several questions asked to the respondents regarding communication in noisy environment, the response was overwhelming more than fifty percent agreed to have problems in communicating in a noisy environment. Rule 11 of the Kenya Subsidiary Legislation, 2005; Legal Notice No. 25 state that’s ‘The occupier 37 shall install where noise gives rise to difficulties in verbal or sound communication, a visual warning system or any other means of communication’. In this study there were no such signs in all the companies sampled except one company which was compliant. On the effect of dangerous noise on the work environment 239 (59.8%) of the respondents out of 400 (100.0%) agreed that they need a peaceful and quiet place to perform their jobs. On the effect of high noise on the work environment 108 (27.0%) agreed, 129 (32.2%) strongly agreed that they need a peaceful and quite place to perform jobs that required a lot of concentration while the rest 129 (32.3%) disagreed. On doing routine work in a noisy environment 112 (28.0%) had problems, 49 (12.2%) were not sure while 218 (54.5%) were comfortable doing work in a noisy environment. On the need to have a quite work environment while performing new tasks 192 (48.0%) agreed, 38 (9.5%) strongly agreed, 69 (17.2%) were not sure while 101 (25.2%) disagreed. On doing difficult work when heavy and noisy machine are running 196 (49.0%) agreed, 42 (10.5%) were not sure while the rest disagreed meaning it is hard for them to work while heavy machines are running. On the sensitivity to industry noise 138 (34.5%) agreed, 35 (8.8%) strongly agreed, 25 (6.2%) were not sure while 180 (45.0%) disagreed and 22 (5.5%) strongly disagreed that they were sensitive to industrial noise. Half of the respondents’ agreed that they were accustomed to industry noise while half of them disagreed with this issue. 38 The Pearson Chi-square the worker's need a quiet place to do difficult work is independent on the type of organization. Pearson Chi-square value = 34.403a, df = 28, p = 0. 188 therefore this variable has insignificant dependency on the type of the organizations since the p-value is greater than 0.05. The Pearson Chi-square that “Worker's have had no problem while doing routine work in noisy environment” is independent on the type of organization one is working in. Pearson Chi-square value = 20.809a, df = 21, p = 0. 471 thus this variable has no significant dependency on the type of organizations since the p-value is greater than 0.05. The Pearson Chi-square the “Worker's Performance is worse in noisy places” is independent on the type of the organization one is working in. Pearson Chi-square value = 20.979a, df = 21, p = 0. 460 therefore it has no significant dependency on the type of organizations since the p value is greater than 0.05. Majority of the participants agreed to have problems working and concentrating when heavy and noisy machines were running. Injuries have been shown to have a high prevalence in noisy workplaces. Barreto, (1997) showed that the risks attributable to noise and hearing loss together accounted for nearly half the injuries (Charante and Mulder 1996) and a Brazilian study showed that intensity of noise was significantly related with the risk of fatal injury in the steelworks (Barreto, 1997). Noise may not only impede critical communication, but cause people to lose focus during dangerous tasks. About 30.0% of the workers agreed that industrial noise had led to ear ache and ear allergies (ringing of the ears due to high noise levels). Majority of the workers agreed 39 that the noise has lead to ear infection and trauma hence resulting to the use of medications. The pattern of induced hearing problems and the need to use medication is consistent with the finding of Boateng and Amedofu, (2004) in their study on noise effects on hearing. Exposure to loud, destructive and hazardous noise is a common experience in our day to day life. To allow such exposure to harm once hearing is a personal choice. Studies have shown that for the 90th percentile exposed population, the risk of presumed noise induced hearing loss (NIHL) increases exponentially for noise levels beyond 85 dBs (A) and over a prolonged period (Gierke and Johnson 1978). The NIHL manifest irreversible subtle change in the sensory cells and other structures in the organs of corti in the cochlea. As a results the hair cells and supporting cells disintegrate and the nerve fibres that innervate the hair cells disappear resulting in permanent threshold shift and hence irreversible hearing loss at high frequencies (Lim and Dunn 2000; Bahadovi and Bohne 2005). Family history on loss of hearing due to industrial noise 44(11.0%) were not sure while the rest 356 (89.0%) disagreed. None agreed when asked whether industry noise had led to head injuries before. When asked if industrial noise has resulted to ear allergies 15 (3.8%) agreed, 37 (9.2%) were uncertain while the rest 348 (87.0%) disagreed. On whether industrial noise have led to ear infections and trauma 21 (5.2%) strongly disagree, 15 (3.8%) were not sure while the rest either agreed or strongly agreed 364 (91.0%). On whether the industrial noise has lead one to be taking drugs, antibiotics or any other medication regularly 50 (12.5%) agreed, 20 (5.0%) were not sure while 202 40 (50.5%) disagreed and 128 (32.0%) strongly disagreed (Appendix 4). Some medications can result in damage to the auditory system with prolonged use and are referred to as ototoxic. Exposure to certain chemicals such as toluene and trichloroethylene can produce hearing loss. More important, the interaction between noise and different chemicals may produce more hearing loss than expected because they act synergistically (WHO, 2007; Levy and Wegman, 1995; NIOSH, 2010). The Pearson Chi-square for Members in a my family who had lost hearing before the age of 50 has a significant dependency on the type of organization since p < 0.05 (Pearson Chi-square value = 26.664a, df = 14, p = 0.021). Those who have had head injuries before had a significant dependency on the type of organizations since the p-value is less than 0.05 (The Pearson Chi-square. Value = 26.968a, df = 14, p = 0 .019). The Pearson Chi-square for workers who have had ear ache before is dependent on the type of organization (Pearson Chi-square value = 54.092a, df = 28, p = 0.002) since the p - value is less than 0.05. The Pearson Chi-square for workers who have had ear allergies before is dependent on the type of organization (Pearson Chi-square value = 67.264a, df = 21, p = 0.0001) since the p - value is less than 0.05. The Pearson Chi-square for workers who have had ear infections and trauma before is dependent on the type of organization (Pearson Chi-square value = 46.019a, df = 21, p = 0.001) since the p - value is less than 0.05. 41 The adverse effect of noise on hearing loss is categorized into; temporary threshold shift, permanent threshold shift and a coustic trauma (Miller et al., 2006). Our sense of hearing has evolved from the time where our survival depended of our hearing perception of surrounding predators until today where noise’s amplitude has increased much faster than our ear adaptability. Consequently, our cochlea, or “inner ear”, is not designed to cope with highway traffic, loud music and industrial noise. This mismatch between the auditory apparatus and the magnitude of noise stimuli constitutes a source of stress for our ears, leading to what has become almost common knowledge: a diminished hearing perception. Yet, there are health effects other than hearing damage that are related to the fact that noise is a source of stress. Usually called “non auditory” health effects, they have pervasive physiological consequences. Non auditory health effects are considered one of the psychosocial stressors in the etiology of coronary heart disease (Passchier-Vermeer and Passchier 2000). It is hypothesized that noise leads to perturbation in hormonal balance and autonomic nervous system which lead to chronic disease. For example, the inherent function of hearing is to warn and produce normal stress reaction through the sympathetic and endocrine systems. But when noise activates stress pathways continually, the response may become pathogenic. Occupational epidemiology studies have shown strong evidence for the effects of noise on the cardiovascular system through elevated rates of blood pressure (Kempen 2002). The recognition of the effect of noise exposure on physiological responses is not limited to pressure changes but also includes ischemic 42 heart disease (Babish 2005). None auditory health effects were not investigated in this study although a high percentage of the respondents agreed that noise affects their social life and has lead to stressful situations in one way or another. Noise also interferes with activities and communications, therefore causing annoyance and cognitive performance has been shown to be impaired in both adults and children (Stansfeld and Matheson 2003). There have been investigations of links between noise and reproductive impairments, but these results have been inconclusive (Passchier-Vermeer and Passchier 2000). 4.3 Noise compliance levels against set standard for the manufacturing sectors sampled 4.3.1 Compliance to set standards The noise levels were measured against set standards of NIOSH, OSHA 2007 and Legal Notice number 25 of 2005 on Noise. Five compliance items were identified from the standards as: permissible noise levels, noise prevention program, noise measurements records, information and training of workers, medical examinations and hearing tests. 43 Table 4.4: Companies compliance to the set standards/rules on noise No. Compliance items Workplace complying with set Percentage standards 1. Permissible Noise levels 5 62.5% 2. Noise prevention 2 25% programme 3. Noise measurement records 8 100% 4. Information and training of 1 12.5% 3 37.5% workers 5. Medical examinations and hearing tests 4.3.2 Permissible Noise levels On the compliance on permissible noise levels 5 companies (62.5%) complied while the rest were not (Table 4.4). The p value for the permissible Noise levels was more than 0.05 (p = 0.087) hence there is no significant association between the companies complying (Table 4.5) and those that were not complying (MC3 and MC 4). In industrially advanced countries, attempts have been made through legislation or codes of practice to protect the workers from noise pollution (NIOSH, 1999). In the United States of America, the NIOSH recommended exposure limit (REL) is stated to be 85 dB(A), A-weighted 85 dBA as an 8 hour Time Weighted Average (TWA) and the OSHA threshold limit value (TLV) is 90 dB(A) for compliance issues such that no worker shall be exposed to a noise level equal to or above 85 dB(A) for eight hours of working time 44 as it is considered as hazardous (Boer and Schroten, 2007). No worker is to be exposed to noise levels in excess of 90dB (A) in eight hours within any 24 hours duration or 140dB (A) maximum instantaneous sound level at any given time. Noise transmitted outside the workplace should not exceed 55dB (A) during the day and 45dB (A) at night (Rule 4, Legal Notice 25 of 2005). Hence permissible exposure levels, according to ISO and OSHA, are both based on 90dB (A) as an 8-hr TWA with 3dB and 5dB exchange rates, respectively (Bruel and Kjaer, 1984). 4.3.3 Noise prevention program Only two companies (25%) had a noise control program in place (Table 4.5). The p value for the noise prevention program for all companies was more than 0.05 except MC7, hence there is was no significant association between the companies complying and those that were not complying (MC1,2,3,4,5,6,8). The employer is required to adopt methods of work, which shall reduce noise exposure of workers to the recommended noise levels and as far as practicable, walls and ceilings of workplaces shall be lined with suitable sound absorbing material to prevent reflection of noise. Where noise in a workplace exceeds the continuous equivalent of 85 dB (A) the employer must develop and implement an effective noise control and hearing conservation program. The program must be in writing and should address; - noise measurement, education and training, engineering noise control, hearing protection, and 45 posting of notices in noisy areas, hearing tests and annual program review (Rule 5, Legal Notice 25 of 2005). Table 4.5: Analyzed data for compliance levels in different companies Rule No. Companies Percentage complying P - value 4 MC1, 2,5,6 and 7 62.5 0.087 5 MC1 and 7 25 0.062 6 MC1 – 8 100 0.049 7 MC7 12.5 0.024 16 MC1, 2 and 7 37.5 0.055 4.3.4 Noise measurements records The results showed that all the 8 companies (100%) carried out noise surveys as per the requirements of the Legal Notice number 25 of 2005 on Noise. There was significant association/relationship in all the companies studied regarding Rule No.6 as stated in Table 4.5 with p-value of 0.049. Compliance with this Rule could be attributed to the fact that most regulatory officers were keen on noise measurements record. The results of the measurements carried out should be kept by the employer for a period of two years and should be communicated to the workers (OSHA, 2007). It is the duty of employers to carry out measurements of noise at least once in every period of twelve months in order to determine the prevailing noise conditions. Noise exposure measurement results is recorded and should specify: the date and time of the noise measurement, the names and numbers of workers exposed, types of occupations 46 evaluated, measuring conditions, measuring method, measuring equipment, recommended remedial measures taken and name of person taking the measurements. 4.3.5 Information and training of workers On the compliance on personal protective equipments on noise 201 (50.2%) agreed, 92 (23.0%) were uncertain while the rest 107 (5.8%) disagreed. Those working in production department and generator area agreed to be complying with noise PPE use while those in the office departments were not required to use the PPE. Employers should inform in writing all the workers in any process where noise level is above 90 dB (A) on:- the results of any noise exposure measurements, the significance of those results to the risk of hearing loss and at the request of the worker, the purpose of hearing protection and testing. In addition the employer should also ensure that all workers exposed to noise are fully trained on the hazards involved and instructed in the measures available for the prevention, control and protection against noise exposure (Rule 7, Legal Notice 25 of 2005). The results are shown in Figure 4.4. 47 Participant’s response on Industrial noise Figure 4.4: Compliance to hearing PPE at work On whether they have had any training regarding noise hazards at work 225 (56.2%) agreed, 37 (9.2%) strongly agreed while 94 (23.5%) disagreed and 44 (11.0%) strongly disagreed (Figure 4.5). Another aspect evaluated was on training regarding noise hazards at work only one company (12.5%) had carried such a specialized training. Early recognition and elimination of noise sources or the wearing of protective devices such as those used in industrial settings may prevent hearing loss (Ladou, 1997). 48 Participant’s response on Industrial noise Figure 4.5: Compliance on training regarding noise There was no significance association in compliance with the rules between MC7 and the other companies but within MC7 there was significant association in complying with all the rules with Pearson chi-square value of 0.024 (Table 4.5). In this study only one company MC7 was compliant with all of the requirements of the legal notice no. 25 of 2005 on Noise. 4.3.6 Medical examinations and hearing tests A total of 66 (16.4%) agreed to have had this test, 20 (5.0%) were uncertain while the rest 314 (78.6%) disagreed. Before employment in a noisy environment employees 49 should undertake pre employment hearing test. In every workplace where the level of sound energy or vibration emitted can result in hearing impairment or be harmful to health or otherwise dangerous, all practicable measures shall be taken by the employer to ensure the elimination or control of such sound energy for purposes of protecting any person who may be exposed (OSHA,2007) Rule 16. (1) The occupier shall provide medical examinations and hearing tests for workers to noise above 85 dB(A) limit as follows: an initial test upon employment; annual tests thereafter or at such an interval as may be required by the directorate; Occupational hearing impairment shall be compensated as an occupational disease. The result is shown in Figure 4.6. Participant’s response on Industrial noise Figure 4.6: Pre-employment hearing test A total of 3 companies (37.5%) agreed to have done this test. The p value for the medical examinations and hearing test was more than 0.05 (p = 0.055) hence there is no 50 significant association between the companies complying and those that were not complying (Table 4.5). This study shows that the employees exposed to high noise thresholds were not aware of the dangers such as accidents that they may be exposed to if the management does not comply with the law. The need to raise the level of awareness is critical. Experts in occupational Health and Safety firmly believe that information and knowledge are powerful tools to support preventive initiatives. There is need for the management to involve the employees exposed to high noise thresholds in risk assessment, management and mitigations. 4.4 Noise intensity in different departments of the selected manufacturing industries 4.4.1 Noise levels in departments Three departments (offices, production area and the compound where the Generator is located) were identified as common in all the companies and their Noise levels measured to determine which department had the highest levels. The highest Noise level in each of the department was recorded as the measured level for that department and compared with the recorded values in 2011 in which the mean values were missing. The occupational exposure limit for office departments, generator unit and production department are 55dBs, 90dBs and 90dBs, respectively. Repetitive sounds are easier to handle than continuous sounds. Employees in different departments were exposed to different noise levels. Those working in the production departments were exposed to 51 noise above occupational exposure limits while those working in offices far away from the machinery were exposed to low noise levels. 4.4.2 Noise levels in the office department The noise level measured in 2012 in the offices was within the set standards except for one company which was above the OEL. The noise levels in the office department in all the selected companies were below the occupational exposure limit. The office department in MC6 had noise levels above the OEL limits while the rest had noise levels within the limits (Table 4.6). Table 4.6: Analyzed noise level in the office department of the selected companies Company Office department Pearson chi square Measured values 2012 (mean values +/-1 ) 2011 P – values MC1 48.6 54.1 0.04 MC2 47.6 47.0 0.04 MC3 39.6 40.1 0.01 MC4 50.1 49.0 0.03 MC5 42.4 42.0 0.02 MC6 55.6 56.7 0.06 MC7 38.1 40.3 0.04 MC8 49.9 45.6 0.04 The MC6 had a p - value of 0.06 while the other companies’ p - values were below 0.05 thus being significant at 95% confidence level. The occupational exposure limits as per the set standards for the office departments globally is 55dBs. The study measured and 52 compared the noise levels with this OEL. The measured values for the year 2011 were extracted from the records in the manufacturing companies under investigation and hence the means values were not available. Table 4.7 shows the p value and the degree of freedom of all the selected companies. It was found that the noise levels in the offices in all the companies were within the limit except MC6 which had noise levels slightly above the OEL. 4.4.3 Noise levels in the production departments Noise levels in the production area (2012) were measured, recorded and compared with those of 2011 measurements. In most of the companies the noise levels were above the OEL except MC1 2011 (84dBs) and MC7 2011 which was 88.2dBs. The production department recorded noise levels above the OEL except MC7 whose noise levels were within the expected limits. The production department recorded the highest noise levels in all the selected companies. There was no significant difference in the noise levels in all the companies in the production department except the MC7 whose p - value was below 0.05. The p - value of the other companies was above 0.05 (Table 4.7). 53 Table 4.7: Analyzed noise levels in the production department of the selected companies Company Production department Pearson chi square Measured values 2012 (mean values +/-1) 2011 f P – values MC1 91.6 84.0 2.00 0.0581 MC2 92.4 93.1 2.83 0.0981 MC3 95.3 95.3 2.83 0.0981 MC4 91.3 93.8 2.83 0.0981 MC5 94.7 94.5 2.83 0.0981 MC6 91.0 92.0 2.83 0.0981 MC7 90.0 88.2 2.03 0.0481 MC8 93.7 94.1 2.83 0.0981 4.4.4 Noise levels in the generator department The noise levels in the generator department in all the 8 companies were above the set standards except MC1 2011 at 89.4 dBs and MC7 which were recorded at 88.7 dBs and 89.0 dBs in 2012 and 2011, respectively. The generator department in all the selected companies recorded the highest noise level which was above the occupational exposure limit except MC7 which was within the limits of exposure. The generator area in the 7 companies is not compliant to the legal notice 25 of 2005 (Table 4.8). 54 Table 4.8: Analyzed noise levels in the generator department of the selected companies Company Generator department Measured value 2012 (mean values +/-1) Pearson chi square Statistical data analysis 2011 f P – values MC1 92.0 89.4 2.41 0.1268 MC2 93.7 91.2 2.41 0.1268 MC3 94.1 98.6 2.42 0.1268 MC4 95.2 97.1 2.45 0.1268 MC5 94.8 94.7 2.44 0.1268 MC6 97.0 98.2 2.49 0.1268 MC7 88.7 89.0 2.40 0.0268 MC8 96.4 94.9 2.41 0.1268 The p value for the companies with limits above OEL was above 0.05 while the p value for MC7 was below 0.05. The noise levels over time in the different departments are not statistically significant therefore the departments in the category of 90dBs and 55dBs, respectively have no statistical difference except in one company per category. The statistical analysis of data in this study has showed that noise levels in different departments within the manufacturing industries are independent of each other while the exposure level to different employees is dependent on the department one is working in. Those employees working in the generator areas in this study are highly exposed to noise levels above the OEL. This result are in agreement with the findings of Barreto et al., (1997) who found out that employees operating heavy machines and those working 55 in generator departments were exposed to high levels of noise as compared to those working in the office departments. 4.5 Magnitude of occupational noise exposures of workers in different categories of manufacturing industries Most of the workers were identified to be in the production area which had a high number of employees in the companies studied (Table 4.12). Noise levels in the production area were therefore used to assess the magnitude of occupational noise exposure to the workers. The number of employees exposed were highest in MC3 (63) while MC8 (3) had the least number of employees exposed to high noise levels as shown in Table 4.9. Table 4.9: Number of workers exposed to noise in 3 departments of the selected companies Company Number of employees Office Production Generator Total employees MC1 5 20 2 27 MC2 8 55 5 68 MC3 15 63 7 85 MC4 6 37 4 47 MC5 10 47 6 63 MC6 12 48 6 66 MC7 6 30 3 39 MC8 1 3 1 5 TOTAL 63 303 34 400 56 The MC8 exposure magnitude in terms of employees was low since only 3 (10.0%) were in production, 1(0.3%) in the generator and 1 (0.3%) in the office. The MC3 had the highest number of employees exposed to noise since 68(22.4%) worked in production department, 7(2.3%) worked in the generator while 15(5.0%) worked in the offices. Stansfeld and Matheson (2003) in their study on noise levels found out that the bulk of workers in industries worked in the production department thus being exposed to high noise levels. The results in this study confirm with their findings. The magnitude of the exposure limit in the 8 selected companies showed that MC8 had the least number of employee exposed to noise levels while MC3 had the highest number of employees exposed to high noise levels. The p - value for the exposure magnitude is 0.49 for all the companies therefore there is no association in terms of noise exposure from one company to the other. The p - value for the number of employees exposed is 0.041 therefore the exposure level is dependent on the company one is working for while the exposure magnitude depend on the department and the company one is working in (table 4.10). Table 4.10: Noise exposure magnitude among employees in the selected companies Asymp. Sig. (2-sided) P – values Pearson Chi-Square (7 comp) 41.385a 28 .049 0.049 Pearson for MC3 .041 0.041 Value Likelihood Ratio 50.834 Linear-by-Linear Association .022 N of Valid Cases Df 28 .005 1 .881 400 57 The exposure magnitude depends on the company one is working in. The companies that employees more people exposes many peoples to noise levels above the OEL while the companies that employs few people exposes less people to hazardous noise levels. If the companies are compliant with the set standards then the magnitude of noise exposure is low irrespective of the number of employees in a given time. 58 CHAPTER FIVE CONCLUSIONS AND RECOMMENDATIONS 5.1 Conclusions The results of this study showed that 1) Majority (68.5%) of the employees indicated that high occupational noise levels in the manufacturing industries affect the work performance and communication among them 2) Most (62.5%) of the manufacturing industries do not comply with set standards on noise especially OSHA, 2007 and Legal Notice number 25 of 2005. 3) According to this study it is clear that employees working in the generator department (88.7 – 97 dBs) were exposed to noise levels far beyond the Occupational Exposure Limit while others in the office department (38.1 – 55.6 dBs) enjoy low levels of noise. 4) The majority (75.8%) of employees work in the production areas where the noise levels in most of the companies was above the standards. This indicates that the magnitude of occupational noise exposures of workers is high especially among the males (82.0%) who are the majority in the industries as compared to their female counterparts. 5.2 Recommendations a) It is evident that majority of the employees in the selected industries not aware of the risk associated with excessive noise in their work environment because they fail to utilize the PPE provided and thus the organization should be conducting 59 regular education on noise hazards and the need to use noise PPEs such as earplugs and muffs. b) In conformity with ‘the factories and other places of work act’ (OSHA, 2007) Kenya Subsidiary Legislation, 2005, Legal Notice No. 25. The ministry which oversees the implementation of this rules and regulations should strictly enforce the law in order to safe innocent employees who are being exposed to high levels of noise yet they are not aware of the dangers of high noise levels. c) It is recommended that sound absorbing and soundproof finishing of workroom surfaces should be provided to place impermeable obstacles in the way of the propagation of sound waves especially where sound limit are beyond the exposure limits. Noise silencers and sound absorbers must be installed as specified by the standard to suppress aerodynamic noises. Soundproofing include the construction of barrier structures, such as walls or partitions, to safeguard the workers from external noise. d) To assess noise levels that spills over to the neighborhood from manufacturing processes that are likely to produce much noise, more than 90 dBs. e) Sound audits in the industries are important to prevent high level intensity of noise, damaging the ear drums of the worker. In these connections all the companies should measure the noises in different departments and ensure that the levels are within the set standards. 60 5.3 Suggestions for further research The study suggests further research to enhance knowledge on noise and in particular on: a) Establishment of actual number of employees suffering from NIHL in the manufacturing sectors. b) Investigate the effectiveness of the regulatory bodies in the enforcement of the Noise standards c) Magnitude of noise exposure in other sectors of economy especially transports agriculture and entertainment. d) Establish none auditory health effects due to exposure of noise above the OEL in the manufacturing industries. e) A study on efficiency and effectiveness of the provided PPEs for Noise control. 61 REFERENCES Abo-Qudais S. and Alhiary A. (2004). Effect of distance from road intersection on developed traffic noise levels. Canadian J. Civil Eng., 31(4): 533-538. ACGIH (2006). (American conference of Governmental Industrial Hygenists) Threshold limit values (TLVs) for chemical substances and physical agents and biological exposure indices (BEIs), pp.113-114. Addis Ababa, Ethiopia, (1997). Training package. For occupational health and safety; Ethiopian journal. 20 (5); 123-129 Ahmed H.O., Dennis J.H. and Ballal S.G. (2004). The accuracy of self reported high noise exposure level and hearing loss in a working population in Saudi Arabia,United Arab Emerates. Int. J. Hyg. Environ. Health. 207, pp.227-234. Amedofu G.K. (2002). Hearing impairment among workers in gold mining in Ghana. Afr Newslett on Occup Health and Safety. 12 (3), pp.65-68. ANSI (1996). (American National Standard Institute). Measurement of Occupational Noise Exposure. ( pp.33). Atmaca E., Peker, I. and Altin A. (2005). Industrial noise and its effect on humans. Polish Journal of Environmental Studies. 14(6), pp.721-726. Babish W. (2005). Noise and Health. Environmental Health Perspectives; 113: 14 – 15. Bahadovi R.S. and Bohne B.A. (2005). Adverse effects of noise on hearing. American Family Physicians j: 47 (5): 1219 – 1229. Bahita S.C. (2001). Environmental pollution and control in chemical process industries. Khanna journal, pp.365-391. 62 Barboza M.J. Carpenter S.P. and Roche L.E. (1995). Prediction of traffic noise: A screening technique. J. of Air and Waste Manage. Assoc., 45: 703-708. Barreto S.M., Swerdlow A.J., Smith P.G. and Higgins C.D. (1997). A nested casecontrol study of fatal work related injuries among Brazilian steel workers. Occupational and Environmental Medicine; 54 : 599 – 604. Bedi R. (2006). Evaluation of Occupational Environment in two Textile plants in Northern India with specific reference to Noise. Ind Health j. 44, pp.112-116. Bies D.A. and Hansen C.H. (1996). Engineering Noise Control: Theory and Practice, 2nd ed. E and FN SPON, London. Pp 189. Boateng C.A and Amedofu G.K (2004). Industrial Noise pollution and its effects on the hearing capabilities of workers: A study from saw mills, printing presses and corn mills. Afri J Health Sci; 11: 5-60 Boer L.C. and Schroten Den A. (2007). Traffic noise reduction in Europe, CE Delft. Martens MJM (1981). Noise abatement in plant monocultures and plant communities. Appl. Acoust., 14(3): 167-189. Bruel A. and Kjaer C. (1984). Measuring sound. Larson and Son Printers, pp.7-13. Denmark. Bruel A. and Kjaer C. (2002). Standard Operation manual of digital sound level meter. Denmark. Charante A.W. and Mulder P.G. (1996). The risk of industrial accidents. American Journal of Epidemiology; 331(14):702 – 713. 63 Charante A.W. Moll van and Mulder P.G.H (1990). Perceptual acuity and the risk of industrial accidents. American Journal of Epidemiology; 131(4): 652 – 663. Chen, J.D. and Tsai J.Y. (2003). Hearing Loss among Workers at an Oil Refinery in Taiwan. Archives of Environmental Health, ISSN 003-996, 58, (1), 55, Cheremisinoff N.P. (1996). Noise control in industry: A practical guide. New Jersey. pp1-5,17-32. Davis A., Smith P. and Wade A. (1998) ‘A longitudinal study of hearing — Effects of age, sex, and noise’, Proceedings of ‘Nordic noise’1998, Erdoğan E. and Yazgan M. (2009). Landscaping in reducing traffic noise problem in cities: Ankara case. Afr. J. Agric. Res., 4 (10): 1015-1022. Estola-Partanen M. (2000). Muscular tension and tinnitus. An experimental trial of trigger point injections on tinnitus, academic dissertation, 2000, University of Tampere, Medical School, Tampere University Hospital, Department of Otorhinolaryngology, Vammala, Vammalan Kirjapaino Oy. Eurostat Company, (2002). Main data source for statistics on gender: Work and health in the EU — A statistical portrait. Data, Fisher A., Laing J. and Townsend J. (1998). Hand Book of Family Planning Operations Research Design, 2nd Edition Population Council, New York. 1-45. Gierke H. and Johnson L. (1978). Summary of present day criteria. Effects of noise on hearing; New York; Ravens press: pg 457 -560. Guerra M., Lourenco P., Teixeira M. and Alves M. (2005). Prevalence of noiseinduced hearing loss in metallurgical company. Rev Saude Publica. 39(2):1-7. 64 Guyton A.C. (1987). Human Physiology and mechanisms of diseases.4th ed pp. 476477 http://Staff.Washington.edu/rneitzel.Accessed Feb 15, 2010. Ismail N. and Elias A. (2006). Noise-induced hearing loss and compliance with the hearing conservation programme in Malaysia. In: Asian-Pacific News Letter on OHS. 13 (2), pp.33-34. Kempen E., Kruize H., Boshuizen H., Ameling C., Staatsen B. and de Hollander A. (2002). The Association between Noise Exposure and Blood Pressure and Ischemic Heart Disease: a Meta-Analysis. Environmental Health Perspectives; 110: 307–317. Kenya Subsidiary Legislation, (2005). Legal Notice No. 25 ‘’THE FACTORIES AND OTHER PLACES OF WORK ACT’’ (Cap. 514) Kryter K. and Karl D. (1994). The handbook of hearing and the effects of noise: physiology, psychology, and public health. Boston: Academic Press. Ladou J. (1997). Occupational and environmental medicine. 2nd edt, pp.123-132. Levy B. and Wegman D. (1995). Occupational Health, Recognizing and Preventing Work Related diseases, 3rd Ed, U.S.A. pp 189-190. Lim D. and Dunn D. (2000). Anatomical covrelates of noise – induced hearing loss. Otolaryngology Clinics of North America. 12:493 – 513 Liu D. (1999). Environmental Engineers. hand book. Noise pollution. CRC Press LLC. (Eds), pp. 470-525. New Jersey. Miller J., Watson C. and Cowel W. (2006). Deafening effects of noise on cats; Acta Ontolanyngologica (stock holding): 176; 1 – 91. 65 Ministry of Labour (MoL) (2010). Occupational Health and Safety Neitzel, R. (2004). Contribution of Non Occupational activities to total noise exposure of construction workers. British Occupational hygiene society. Oxford University press. Ann. Occup.Hyg., Vol 48, pp.463-473. Nelson D. and Schwela D. (1995). Occupational exposure to noise: Evaluation, Prevention and Control(ed.).WHO. Occupational and Environmental Health. Geneva, Switzerland, PP. 183-196. NIOSH (National inistitute of occupational safety and health) (2010). Criteria for a recommended standard. Occupational noise exposure, revised criteria. U.S. Department of Health and Human Services. Press release. Cincinnati, Ohio. NIOSH. (1999). NIOSH Proceedings: Best Practices in hearing loss Prevention. Detroit, Michigan. Özer S. and Irmak M. (2008). Determination of roadside noise reduction effectiveness of Pinus sylvestris L. and Populus nigra L. in Erzurum, Turkey. Environ. Monit. Assess., 144:191-197 Özer S., Yılmaz H., Yeşil M. and Yeşil P. (2009). Evaluation of noise pollution caused by vehicles in the city of Tokat, Turkey. Sci., Res. Essay., 4 (11): 1205-1212. Passchier-vermeer and Passchier W. (2000). Noise Exposure and Public Health. Environmental Health Perspectives; 108 (1): 123 – 131. Passchier-Vermeer W. and Passchier W.F. (2000). "Noise exposure and public health". Environ. Health Perspect. 108 Suppl 1: 123–31 66 Pathak V., Tripathi B. and Mishra V. (2008). Evaulation of traffic noise pollution and attitudes of exposed individuals in working place. Jr Atmosp of Environ., 42 : 3892-3898. Piccolo A., Plutino D. and Cannistraro G. (2005). Evaluation and analysis of the environmental noise of Messina, Italy. Appl. Acoust., 66: 447-465. Poltev M. (1985). Occupational Health and Safety in manufacturing industries. pp.321325. Richard L. St. Pierre, Jr. and Daniel J. Maguire (2004), The Impact of A-weighting Sound Pressure Level Measurements during the Evaluation of Noise Exposure Ronald M. Aarts (2011). A Comparison of Some Loudness Measures for Loudspeaker Listening Tests, pg 102. Rosenhall U., Pedersen K. and Svanborg A. (1990). "Presbycusis and noise-induced hearing loss". Ear Hear 11 (4): 257–63. Saari J. (2006). Zero accident vision. Afr Newslett on Occup Health and Safety. 16(1), pp.7-8. Schmid, R.E. (2007). "Aging nation faces growing hearing loss". CBS News. Retrieved 2007-02-18. Schwela (1995) Adverse health effects in relation to urban residential soundscapes. J. Sound Vib., 200(1): 16 - 39. Scott D., Gray Son R. and Edwa R. (2004). Disease and Illness in U.S. Mining, 1983J. of Occup. & Env. Medicine 46 (12), 1272, Dec. 67 Skanberg A. and Ohrstrom E. (2002). Adverse health effects in relation to urban residential soundscapes. J. Sound Vib., 250(1): 151-155. Sound Research Laboratories Limited Staf. (1991). Noise Control in Industry.3rd Ed., London. Stansfeld S. and Matheson M. (2003). Noise Pollution: non-auditory effects on health. British Medical Bulletin, 68: 243 – 257. Starck J. (2006). Observation on the International Congress on Occupational Health Sessions dealing with Noise. Afr Newslett on Occu Health and Safety. 16(2),pp.47. Tang S. and Tong K. (2004). Estimating traffic noise for inclined roads with freely flowing traffic. Appl. Acoust. 65: 171-181. WHO, (2010). International Programme on Chemical Safety. Environmental Health Criteria 12, Noise. Geneva. Yılmaz H. and Özer S. (2005). Evaluation and analysis of environmental noise pollution in the city of Erzurum, Turkey. Int. J. Environ. Pollut., 23(4): 438-448. Zannin P., Calixto A., Diniz F. and Ferreira J. (2003). A survey of urban noise annoyance in a large Brazilian city: the importance of a subjective analysis in conjunction with an objective analysis. Environ. Impact Asses, 23(2): 245-255 Zannin P., Ferreira A. and Szeremetta B. (2006). Evaluation of noise pollution in urban parks. Environ. Mon. Asses. 118: 423-433. 68 APPENDICES Appendix 1: Questionnaire Introduction and consent form Hello, my name is JAMES MITHANGA a Masters student at Jomo Kenyatta University of Agriculture and Technology, pursuing a Msc. Occupational safety and health. I would like to understand how big the problem of occupational noise exposure is and how can it be tackled ultimately to improve the occupational safety and health service in the respective enterprises. In line with these clear objectives, I would like to ask you some questions related to hearing associated with noise exposures at work. The information that you tell me on this questionnaire will be kept strictly confidential. You don’t need to write your name. a) Thank you in advance for your cooperation. Questionnaire identification number........... A. GENERAL INFORMATION i. Name of the organization........................................................................................ ii. Place of work.......................................................................................................... iii. Department............................................................................................................. iv. Area of residence.................................................................................................... v. Marital status vi. Sex 69 vii. Age........................................................................................................................... ......... viii. Worker’s qualification………………………………………………………………........ ix. Are you in management or a general employee…………………………………………. x. Number of years you have worked in the industry……………………………………… Please mark only the box you feel best fits the statements below. There are no wrong answers. Strongl y disagre e 1 2R 3 4 6 7 A. COMMUNICATION I find it hard to communicate while it is noisy When am absorbed in a conversation I do not notice if it is noisy around me In the industry I cannot concentrate well on my conversation when machines are on I think industry noise interferes with conversations I find it very hard to follow a conversation when the machines are running Loud sounds in the industry makes me stop my conversation High noise levels make it hard for me to concentrate on my conversation 70 disagre e Uncertai n Agre e Strongl y agree 8 9R 10 11 12 13 14 R 15 16 17 R 18 R 19 20 21 22 23 24 B. WORK I need peace and quiet place to do difficult work I have no problem to do routine work in a noisy environment My performance is much worse in noisy places I need quiet surroundings to be able to work on new tasks When people around me are noisy I don’t get on with my work If my work place was noisy I would always try to find a way for me to change this I can do complicated work even while heavy machines are running C. HABITAT For a quiet place to live I would accept other disadvantages I am very sensitive to industry noise When I am at work I become accustomed to industry noise It would not bother me to live in a noisy surrounding When children are noisy, I prefer them not to play around my surroundings I don’t like noise activities in my residential area Noise from neighbours can be extremely disturbing D. LEISURE I find it hard to relax in a noisy environment Listening to loud music helps me relax after work In the cinema I am annoyed by other people whispering and 71 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 by rustling paper When dancing I don’t mind how loud the music is At weekends I prefer quiet surroundings I avoid leisure activities which are loud E. SLEEP I become very agitated if I can hear someone talking while I am trying to fall asleep I can fall asleep even when it is noisy I need an absolutely quiet environment to get a good night’s sleep Even the slightest noise can prevent me from falling asleep I do not feel well rested if there has been a lot of noise the night before I wake up at the slightest noise The sound of loud thunder does not usually wake me up F. INDUSTRY NOISE/HEARING Members in my family have lost hearing before age of 50 I have had head injuries before I have had an ear ache before I have had ear allergies before I have had ear infections and trauma before Do you take drugs, antibiotics or medication regularly Have you had pre-employment hearing test Do you usually wear hearing protector at work Have you ever been trained regarding noise hazards at work 72 Appendix 2: Industries compliance with the set rules and regulations on noise RULE Compliance MC1 MC2 MC3 MC4 MC5 MC6 MC7 MC8 √ √ X X √ √ √ X √ X X X X X √ X √ √ √ √ √ √ √ √ Information and X X X X X X √ X √ X X X X √ X NO. Items 4 Permissible noise levels 5 Noise prevention programme 6 Noise measurements and records 7 training of workers 16 Medical √ examination and hearing test 73 Appendix 3: Questionnaire response Question Communication Work Industry noise Response Agree Strongly Disagree Strongly Uncertain agree disagree Is Hard while in noisy place 226 0 125 49 0 Don't concentrate well while machines on 189 17 169 0 25 Industry noise interferes with conversation 202 89 64 0 45 Need peace and quiet place to do difficult work 108 129 83 46 34 Performance is worse in noisy places 137 0 84 36 143 Need quiet surrounding to be able to work on new tasks 192 38 0 101 69 Can do complicated work even when heavy machines are running 196 21 84 57 42 Members in my family have lost hearing before age of 50 0 0 173 183 44 Have had ear ache due to industrial noise 0 21 190 42 24 Have had ear allergies before 15 0 258 90 37 Have had ear infections and trauma 0 21 212 152 15 Take drugs, antibiotics or medication regularly 20 0 202 128 20 Have had pre-employment hearing test 49 17 291 23 20 Usually wear hearing protector at work 156 45 84 23 92 Ever been trained regarding noise hazards at work 225 37 94 44 0 74 Total 400 400 400 400 400 400 400 400 400 400 400 400 400 400 400