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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