Noise-Induced Hearing Loss and Associated Factors Among Vector Control Workers in a Malaysian State (original) (raw)
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Burden of Noise Induced Hearing Loss among Manufacturing Industrial Workers in Malaysia
Background: Noise induced hearing loss (NIHL) is the highest reported occupational disease among industrial workers but there is scarcity of data on disease burden in Malaysia. This study estimated the risks and burden of NIHL in manufacturing industries in Malaysia. Methods: This cross-sectional industrial survey was conducted by interviewing OSH practitioners at 26 industries categorized as food, tobacco, textile, wearing apparel, wood products except furniture, paper, refined petroleum, chemicals, non-metallic mineral, basic metal, fabricated metal, motor vehicle parts. The catchment population is imputed based on stratified sampling design involving 60% of workers diagnosed with NIHL. Results: A total of 18 industries exposed to noise level of 86-90dBA and 8 industries at more than 91dBA were identified. All industries provide regular awareness training and hearing protection device to their workers but none of them implement attenuation, majority of them (81%) conduct onsite audiometric test annually. In overall, the risk of NIHL and incidence per 100,000 manufacturing workers projected is 8% (139 new cases), the highest risk and incidence is 32% (26) in motor vehicle parts industry; followed by 23% (1140 new cases) in tobacco industry and 23% (269 new cases) in fabricated metal industry. Male workers (89%) were exposed to a greater risk compared to female (11%). It was estimated that 103,000 workers were potentially affected by NIHL in Malaysia. Conclusion: NIHL is a major burden among industrial workers in Malaysia. Implementation of effective hearing conservation program and self-enforcement of noise regulations by the employer could potentially reduce the burden.
Madridge Journal of Otorhinolaryngology, 2016
Introduction: Excessive noise is an important health hazard at the present time. It can lead to auditory and extra-auditory effects which affect the welfare of individuals and groups exposed. We carried out this study to understand the prevalance of Noise Induced Hearing-Loss (NIHL) in workers of an automobile manufacturing unit in Karachi, Pakistan. Method: The study consisted of the following: 1. Determination of noise levels during different stages of work. 2. A questionnaire regarding subjective hearing loss of the workers; as well as their knowledge, attitude and behavior regarding excessive noise. 3. Tympanometry and Audiometry. 4. Health and safety survey. Two hundred and seventy two workers participated in the study and out of them 206 underwent audiometric evaluation. Results: The basic demographic, professional data and smoking habits of 272 workers participating in the study is as follows: 34.92% of workers belong to 41-50 years of age, 58.8% belong to Mohajir ethnic group, 19.1% were smoker/ex-smokers, 62% earned less than Rs 10,000/month, 87.5% received education for 0-10 years and 40% had work experience of 0-10 years. The majority of the workers were exposed to noise level higher than the safe limit of 85 dBA. According to the WHO criteria [1] 61% of the workers were suffering from hearing loss. Those who were suffering from hearing loss were further evaluated according to Cole's criteria for NIHL [2]. Of the total number of workers who underwent audiometry 25% fulfilled the Coles' criteria [2] for NIHL. The age, duration of exposure and severity of exposure were important determinants of NIHL. The workers had insufficient knowledge regarding prevention of NIHL. The personal protective equipments were used inadequately. There was no clinical follow up or monitoring of hearing among the workers. Conclusion: There is an urgent need for the government to take practical steps for making a policy and implement it so that occupational hearing loss can be prevented.
Oman Medical Journal, 2013
Objectives: Noise is known to be one of the environmental and occupational hazards listed in the Factory and Machinery Act 1967. Quarries with loud deafening sounds from trucks and machineries pose the risk of noise-induced hearing loss to workers. This study was designed to assess the knowledge, attitude and practice towards noise-induced hearing loss and to determine the prevalence of noise-induced hearing loss and its associated factors among quarry workers in a northeastern state of Malaysia. Methods: A cross-sectional study was conducted at six quarries in a northeastern state of Malaysia, with 97 consented respondents who answered a validated version of a questionnaire and underwent pure tone audiogram. The respondents were male, aged between 18 to 50 years, working in the quarry area for at least 6-months duration with no family history of ear diseases. Results: The mean percentage scores of knowledge, attitude and practice were 44 (11), 70 (10) and 28 (16) percent, respectively. The prevalence of noise-induced hearing loss was found to be 57 (95% CI: 47, 67) with 46 (84%) having mild and moderate noise-induced hearing loss, and 34 (62%) involved both ears. Multiple logistic regressions showed that age and practice score were the associated factors with odd ratios of 1.1 (95% CI: 1.1, 1.2; p<0.001) and 0.9 (95% CI: 0.8, 1.0; p=0.008), respectively. Conclusion: The knowledge, attitude and practice scores of the respondents were poor and the high prevalence of noise-induced hearing loss was contributed by factors such as poor practice and old age.
ESTIMATES OF WORKERS WITH NOISE-INDUCED HEARING LOSS AND POPULATION AT RISK
Journal of Sound and Vibration, 1997
Towards the goal of protecting workers from damage due to noise exposure, a vast store of knowledge has been generated about its nature, etiology and time course. There still exists, however, a strong need to reclarify the locations, nature and magnitude of the problem of noise-induced hearing loss (NIHL). Based on the rate of positive results in a hearing screening test in the workplace, this paper presents an attempt to estimate the total number of workers with more than 40 dB hearing loss at 4 kHz caused by occupational noise exposure. The estimated values in major industry groups were as follows: about 780 000 in manufacturing; 410 000 in construction; 360 000 in agriculture; forestry and fishing; and around 2 million in total. Although it is rather difficult to estimate the number of workers exposed to noise above 85 dB(A), it may be reasonable to believe that at least several million workers exposed to noise should be covered by the 1992 guidelines for the prevention of noise hazards.
Characteristic of Noise-induced Hearing Loss among Workers in Construction Industries
E3S Web of Conferences, 2018
Noise-induced hearing loss (NIHL) is among the most common occupational disease in industries. This paper investigates NIHL in construction related industries in Malaysia with particular emphasis on its relation with risk factors. The objectives of this research were to (1) quantify the prevalence of NIHL in construction related industries, and (2) assess the relationship between hearing loss and risk factors and it’s characteristic. The study was conducted using 110 NIHL compensation record collected from Social Security Organisation (SOCSO), Malaysia. Risk factors namely area noise, age, temperature, smoking habit, hobby, diabetic and cardiovascular disease were identified and analysed. Results showed that there was no direct relationship between area noise with hearing impairment while there was only low relationship between age and hearing impairment. The range for area noise and age were between 70 to 140 dB(A) and 20 to 70 years, respectively. The other risk factors classified...
Noise & Health, 2017
Aims: To survey current, Danish industrial noise levels and the use of hearing protection devices (HPD) over a 10-year period and to characterise the association between occupational noise and hearing threshold shift in the same period. Furthermore, the risk of hearing loss among the baseline and the follow-up populations according to first year of occupational noise exposure is evaluated. Materials and Methods: In 2001–2003, we conducted a baseline survey of noise- and hearing-related disorders in 11 industries with suspected high noise levels. In 2009–2010, we were able to follow up on 271 out of the 554 baseline workers (49%). Mean noise levels per industry and self-reported HPD use are described at baseline and follow-up. The association between cumulative occupational noise exposure and hearing threshold shift over the 10-year period was assessed using linear regression, and the risk of hearing loss according to year of first occupational noise exposure was evaluated with logis...
Analysis of the Relationship of Noise Exposure and Hearing Loss in PPSU Workers in North Jakarta
Science Journal of Public Health
Hearing loss is one of the many health problems experienced by workers in high noise exposure areas. The purpose of this study was to analyze the relationship between noise intensity and hearing loss in PPSU workers in North Jakarta. This type of research is quantitative analytic using cross-sectional design involving 45 PPSU workers in North Jakarta. Hearing loss was identified by audiometric examination with air conditioning (AC), while noise intensity in the worker's area was measured using a sound level meter. The results of this study showed that 60% of respondents experienced hearing loss, and 51.1% of the areas had noise intensity ≥ 75 dB. The results of categorical analysis showed that there is a relationship between noise intensity and hearing loss with prevalence of ratio was 5.2. Logistic regression analysis showed that respondents who work in areas with noise intensity ≥ 75 dB had the opportunity 7 times to experience hearing loss after being controlled by variable smoking behavior, and hobbies towards noise. Exposure to high noise is something that cannot be avoided by PPSU workers, therefore to reduce or prevent the occurrence of hearing loss, the workers should use earplugs while working, and should reduce smoking and listening music with earphones. In addition, the workers should conduct regular audiometric examinations and attend health counseling at the workplace.
Environmental Health and Preventive Medicine
Occupational noise-induced hearing loss (ONIHL) is the most prevalent occupational disease in the world. The goal of this study was to review the epidemiology, pathogenesis, and preventive measures of ONIHL among workers and provide evidence for the implementation of control measures. Literature studies were identified from the MEDLINE, PubMed, Embase, Web of Science, and Google Scholar using the search terms “noise-induced hearing loss” “prevalence”, “pathogenesis”, and “preventive measures”. The articles reviewed in this report were limited from 2000 to 2020. Articles that were not published in the English language, manuscripts without an abstract, and opinion articles were excluded. After a preliminary screening, all of the articles were reviewed and synthesized to provide an overview of the current status of ONIHL among workers. The mechanism of ONIHL among workers is a complex interaction between environmental and host factors (both genetic and acquired factors). The outcomes o...