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Can You Hear Me? An Introduction to Hearing Loss Prevention In Agriculture Janet Ehlers, R.N., M.S.N. Occupational Health Nurse Pamela S. Graydon, M.S., COHC Electronics Engineer The results reported in this workshop represent the opinions of the authors and do not necessarily represent the policies of the National Institute for Occupational Safety and Health. Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Janet Ehlers, R.N., MSN Occupational Health Nurse [email protected] Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Pamela S. Graydon, M.S., COHC Electronics Engineer [email protected] WHAT WE WILL TALK ABOUT? Damage to Hearing including: Hearing Loss Tinnitus How to Prevent the Damage Hints and Resources Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Disclosure: There is no commercial support for this activity. CDC, our planners, and our presenters wish to disclose they have no financial interests or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters. Presentations will not include any discussion of the unlabeled use of a product or a product under investigational use. Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture For Continuing Nursing Education for Nurses (CNE): 1.2 The Centers for Disease Control and Prevention is accredited as a provider of Continuing Nursing Education by the American Nurses Credentialing Center's Commission on Accreditation. This activity provides 1.2 contact hours. Continuing Education Contact Hours in Health Education (CECH): 1.5 Sponsored by the Centers for Disease Control and Prevention, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designed for Certified Health Education Specialists (CHES) to receive up to 1.5 Category I CECH in health education. CDC provider number GA0082. IACET Continuing Education Units (CEU): 0.1 The CDC has been approved as an Authorized Provider by the International Association for Continuing Education and Training (IACET), 1760 Old Meadow Road, Suite 500, McLean, VA 22102. The CDC is authorized by IACET to offer 0.1 ANSI/IACET CEU's for this program. Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture To receive continuing education – Can You Hear Me? … Hearing Loss Prevention In Agriculture Presented on Tuesday, June 7, 2011 Course number: EV1726R Verification Code: farm_noise (note the underscore) • • • • • Must be completed by July 7, 2011 Go to the CDC Training and Continuing Education Online at http://www.cdc.gov/tceonline Search & register for this course . Complete and submit your evaluation and posttest Your CE certificate will be located at the Transcript and Certificate section of your record Complete application for CE within 30 days For more detailed instructions, e-mail me at [email protected] Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Occupational Safety and Health Act Of 1970 • To ensure safe and healthful working conditions for working men and women. Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Occupational Safety and Health Act Of 1970 • OSHA - U.S. Department of Labor – Develop and enforce workplace safety and health regulations. • NIOSH - U.S. Department of Health and Human Services – Provide research, information, education, and training in the field of occupational safety and health. Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Noise-Induced Hearing Loss • An acquired hearing loss • Begins at the higher frequencies (3,000 to 6,000 Hz) • Develops gradually as a result of chronic exposure to continuous or intermittent noise – Nail Guns, Generator Running, Engine Noise, etc. • Develops suddenly as a result of a single impulsive noise exposure. – Gunfire ,Fireworks, etc. Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Who is at Risk? 33% of all people who are exposed to hazardous noise at work will develop Noise-Induced Hearing Loss. Even young people are at risk: 12-15% of people between 6 and 19 years old show signs of Hearing Loss. Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Bilateral Noise-Induced Hearing Loss in 872 Wisconsin High School Students Live and Work on Farm Little or no Farm Exposure Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Noise-induced hearing loss is: • PAINLESS • PROGRESSIVE • PERMANENT ...but it is also PREVENTABLE Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture How Does Noise Damage Hearing? Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Healthy Cochlea Damaged Cochlea Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture National Hearing Conservation Association Healthy Hair Cells Damaged Hair Cells Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture You Have Killed the Hair Cells Associated With the Nerve Fibers They Have Died. NOW WHAT??? Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture How Do We Measure Sound? Decibels (dB) = How loud it is Frequency = High pitch vs. low pitch Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Hearing Level (decibels) Frequency (Hz) 500 0 1000 10 20 30 40 50 60 70 80 90 Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture 2000 3000 4000 6000 By age 25, the average carpenter or millwright has 50-year old ears! Hearing Level (decibels) Frequency (Hz) 500 1000 2000 3000 4000 6000 0 10 20 30 40 Carpenter, age 25 50 Healthy age 50 non60 noise exposed male 70 Carpenter, age 55 80 90 You do not have to lose your hearing as you get older. Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Tinnitus • One form of damage results in tinnitus • A ringing, buzzing, whistling, clicking, hissing, chirping or other noise, – heard in the ear in the absence of environmental noise. Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Tinnitus: What does it mean when you have it? Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Percent of People With Tinnitus 6% Tinnitus No Tinnitus 94% Non-Noise Exposed Workers 79% Tinnitus 21% American Tinnitus Association Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture No Tinnitus Noise Exposed Workers Hearing Loss Does Not Mean Everything Is Just Quiet “I thought if I lost my hearing, it would be quiet. But that constant ringing keeps me awake at night and I can’t hear my friends very well on my cell phone.” Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Hearing Loss Impacts All Aspects of Life “My little girl doesn’t understand why I can’t hear what she is whispering in my ear. she says . . . Mommy hears me when I whisper.” Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture How Can You Protect Yourself, Students, & Others From Damaging Hearing? Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture What You Should Do To Prevent Hearing Damage Hierarchy of Controls: Reduce the noise or isolate the worker from the noise (Engineering controls) Remove the worker (Administrative controls) Use Hearing protection devices Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Warning Signs of Too Much Noise • • • • • • • Raise your voice to be heard at arms length Feeling of “fullness” in ears Ringing in ears Huh? What? Blasting radio/TV Raised Blood Pressure Tired, Stressed Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Task/Tool Mortising Orb. Sand. Table Saw Planer Belt Sander Router Metal Shear Hand Drill Circular Saw Tile Saw Impact Wrench Miter Saw Chop Saw Chain Saw Hammer Drill Noise Levels for Common Tools 75 80 85 Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture 90 95 100 105 110 115 Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Key Factors for Selecting Hearing Protection Devices – Type – Intermittent or continuous noise – Comfort – RIGHT SIZE – Environment – grease, dirt – Communication - co-workers and equipment NIOSH Hearing Protector Device Compendium Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture The Best choice…The one that is -worn correctly when needed --best suited for the job Over 400 available Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture One-handed The plug is best rolled between the fingertips Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Formable Earplugs Roll down slowly. Make sure you don’t get creases. Reach over you head to straighten the ear canal. Insert and hold for about 10 seconds. ???? Perform the hands over the ears test to determine if you have a good fit. Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Premolded Earplugs Hold the stem of the plug. Reach over you head to straighten the ear canal. Insert so that all flanges are inside the ear canal. Perform the tug test to determine if you have a good fit. Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Bands - Can be labeled with student’s name Teachers can see if they are wearing Hang around neck when not needed and put on quickly Have replaceable tips, no need to replace whole band Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Why do people say they do not wear hearing protection? Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Cost NO EXCUSE – Disposable plugs available for $0.18 – Custom plugs can cost hundreds of dollars but last for years and are tailored to different exposures Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Communication and Hearing Equipment NO EXCUSE – Electronic devices can make communication easier. – Hearing can be temporarily impaired during a day if noise is excessive. Therefore, you may be less able to hear your equipment due to hearing loss later in the same work day than earlier. Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Comfort NO EXCUSE – Over 400 types available – Different sizes available for different size ears – Can be custom fit Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Convenience NO EXCUSE – Easily removed and hung around the neck until needed – Kept on belt or hard hat – Left in the workers’ toolbox – Available at each machine that is excessively noisy Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Culture – Peer Pressure NO EXCUSE Especially for teachers and supervisors – Teachers can eliminate this aspect by requiring hearing protection use in labs and modeling the appropriate use of hearing protection yourself. Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Maintain hearing protection • Keep them clean • Store them appropriately • Replace them when needed • When plugs or seals feel different • When plugs or seals appear dirty • Do not alter them • By cutting flanges • By putting holes in them • By adding your own string Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Other Sources Of Hearing Damage • Pesticides • Organic solvents • Carbon Monoxide • Medications, e.g. aspirin and anti-inflammatories • Smoking • Leisure activities Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture How loud are you listening? Nick tells you Instructions available at dangerousdecibels.org Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Personal Music Players Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Jo Farmer Dave and Shari Kuther - PAF Clinic Nurse Specialist St. Mary’s Hospital & Clinics, ID Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Carlie Amy Rademaker - PAF Farm Safety Specialist Carle Foundation Hospital, IL Hints and Resources Dangerous Decibels Teacher Kit Handout of our slides Posters List of Resources (Websites) Brochures (Hard copy or electronically) Your Local Community Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Free Brochures NIOSH Publication No. 2007-175 Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture NIOSH Publication No. 2007-176 Free NIOSH Companion Brochures • They’re Your Ears – Protect Them (Pub. #2007-175; red) • Have You Heard? (Pub. #2007-176; blue) • Access online at: www.cdc.gov/niosh/topics/noise/pubs/ no pubs.html • Order in bulk via [email protected] Provide complete mailing address and phone number Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Community Resources Volunteers ? • Local large company – Certified Occupational Hearing Conservationist (20 hour course) – Occupational Health Nurse – Safety director • School Speech Pathologist • School nurse – with additional education • Audiologist Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Turn That Down! Before you pop in those EARBUDS Article in FFA New Horizons December 2009 Sound Advice Through the Years A narrative, interactive activity Deborah Reed, RN, PhD; University of KY NAAE Communities of Practice* Classroom-ready resource *National Association of Agricultural Educators. Their website is available free to anyone. Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Hearing Safety Classroom-ready materials http://www.gactaern.org/foundationskills.html. Scroll down to FS7.3 on hearing safety. Georgia (GA) Agricultural Education Curriculum Office. Sound Ideas Program University of Arkansas (AR) Division of Agriculture's Cooperative Extension Service (4-H) Used in AR and Colorado (CO) with the STEM program LaVona Traywick, University of AK Willa Williams, CO State University Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Upcoming dates & times (Eastern Daylight) Can You Hear Me?... Agriculture Tuesday, May 17, 2011 2:30-3:45 pm Hearing Conservation in Schools: What School Nurses Need to Know Tuesday, May 3, 2011 3:00-4:00 pm For additional dates and participation information e-mail: [email protected] for an electronic announcement you can forward to others Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture www.cdc.gov/niosh www.cdc.gov/niosh/topics/noise www.cdc.gov/niosh/topics/youth www.cdc.gov/nasd Janet Ehlers, RN, MSN: [email protected] Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture WHAT WE TALKED ABOUT! Hearing Loss and Tinnitus Noise Hearing Protection Hints and Resources. Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture It’s Really Pretty Simple. . . Wear This Now. . . Or Wear This Later! Per Pair Each Ear Standard issue $0.18-$7 Standard issue ~$300-$600 Newest Technology ~$250 Newest Technology ~$3500-$5000 Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture This is your ear. This is your ear on noise. Any questions? Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture To receive continuing education – Can You Hear Me? … Hearing Loss Prevention In Agriculture Presented on Tuesday, May 17, 2011 Course number: EV1726Q • • • • • Verification Code: farm_noise Must be completed by June 14, 2011 Go to the CDC Training and Continuing Education Online at http://www.cdc.gov/tceonline Search & register for this course . Complete and submit your evaluation and posttest Your CE certificate will be located at the Transcript and Certificate section of your record Complete application for CE within 30 days For more detailed instructions, e-mail me at [email protected] Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture Take Home Message Select appropriately Wear correctly Wear in loud noise - always Have an assortment for students Can You Hear Me? An Introduction to Hearing Loss Prevention in Agriculture