Reinvigorating engineered noise controls: a systems approach.

OBJECTIVES: Hearing loss is a major worldwide health issue affecting an estimated 1.5 billion people. Causes of hearing loss include genetics, chemicals, medications, lifestyle habits such as smoking, and noise. Noise is probably the largest contributing factor for hearing loss. Noise arises from the workplace, ambient environment, and leisure activities. The easiest noise sources to control are workplace and environmental. Workplace noise is unique in that the employer is responsible for the noise and the worker. Also, workers may be exposed to much higher levels of noise than they would accept elsewhere. Employers follow the traditional hierarchy of controls (substitution/engineering, administrative, personal protective equipment [PPE]). Substituting or engineering a lower noise level actually reduces the hazard present to the worker but demand more capital investment. Administrative and PPE controls can be effective, but enforcement and motivation are essential to reducing risk and there is still some hearing loss for a portion of the workers. The challenge is to estimate the costs more clearly for managers. A systems engineering approach can help visualize factors affecting hearing health. MATERIAL AND METHODS: In this study, a systems engineering causal loop diagram (CLD) was developed to aid in understanding factors and their interrelationships. The CLD was then modeled in VenSim. The model was informed from the authors' expertise in hearing health and exposure science. Also, a case study was used to test the model. The model can be used to inform decision-makers of holistic costs for noise control options, with potentially better hearing health outcomes for workers. RESULTS: The CLD and cost model demonstrated a 4.3 year payback period for the engineered noise control in the case study. CONCLUSIONS: Systems thinking using a CLD and cost model for occupational hearing health controls can aid organizational managers in applying resources to control risk. Int J Occup Med Environ Health. 2023;36(5):672-84.

Development of a methodology for the quantification of reaerosolization of a biological contaminate surrogate particle from a military uniform fabric.

In a mass casualty medical evacuation after a bioaerosol (BA) dispersal event, a decontamination (DC) method is needed that can both decontaminate and prevent biological particle (BP) re-aerosolization (RA) of contaminated clothes. However, neither the efficacy of current DC methods nor the risk of BP RA is greatly explored in the existing literature. The goals of this study were to develop a repeatable method to quantify the RA of a biological contaminant off military uniform fabric swatches and to test the efficacy of one DC protocol (high-volume, low-pressure water) using 1 µm polystyrene latex (PSL) spheres as a surrogate. A four-step methodology was developed: contamination using a Collison Nebulizer; RA using a laboratory mixer and aerosol collection using an inhalable air sampler with a polyvinyl chloride filter; DC using a gravity-fed water shower; and quantification using ultraviolet microscopy via both visual and computer techniques. All results for uncontaminated control samples showed little to no presence of PSL sphere-like particles, while the contaminated experimental trials showed that RA was much lower after DC with water at the 99% confidence level (p-value = 0.0081). The water DC showed an average ∼73% reduction in particle RA, along with a change in air sampler filter deposition patterns from aerosol-like (before DC) to droplet-like (after DC). The fluorescent sphere contamination method for testing the DC residual risk of RA was repeatable and successful.

Method development for the evaluation of emergency decontamination protocol effectiveness using an ultraviolet fluorescent aerosol.

After hazardous material incidents, it is important to perform emergency decontamination procedures to remove contamination from the body. As these emergency decontamination procedures are developed, it is important to understand the efficacy of a given protocol. This study discusses a method that was developed to evaluate the efficacy of decontamination procedures by using an ultraviolet fluorescent aerosol and an image analysis protocol. This method involves imaging a mannequin while both unclothed and clothed prior to exposure to the fluorescent aerosol. After exposure, it was imaged again, disrobed, and decontaminated following an unconscious patient wet decontamination method. This work describes in detail the materials and methods used to develop the final methodology. Two clothing types (black cotton and Tyvek) were used to simulate civilian and first responder casualties. Image analysis was used to measure the extent of contamination on the mannequin at each stage of the procedure. These measurements were then compared to determine decontamination efficacy for each step (disrobing, wet decontamination, and total removal). The exposure protocol was shown to provide repeatable deposition of aerosol onto the mannequin. Decontamination was also shown to be repeatable, with no trends toward efficacy changing over time.

Pure Tone Audiometry Evaluation Method Effectiveness in Detecting Hearing Changes Due to Workplace Ototoxicant, Continuous Noise, and Impulse Noise Exposures.

OBJECTIVES: The purpose of this retrospective cohort study was to compare the relative risks (RR) of hearing impairment due to co-exposure of continuous noise, impulse noise, metal ototoxicants, and organic solvent ototoxicants using several pure tone audiometry (PTA) evaluation methods. DESIGN: Noise and ototoxicant exposure and PTA records were extracted from a DoD longitudinal repository and were analyzed for U.S. Air Force personnel (n = 2372) at a depot-level aircraft maintenance activity at Tinker Air Force Base, Oklahoma using an historical cohort study design. Eight similar exposure groups based on combinations of ototoxicant and noise exposure were created: (1) Continuous noise (reference group); (2) Continuous noise + Impulse noise; (3) Metal exposure + Continuous noise; (4) Metal exposure + Continuous noise + Impulse noise; (5) Solvent exposure + Continuous noise; (6) Solvent exposure + Continuous noise + Impulse noise; (7) Metal exposure + Solvent exposure + Continuous noise; and (8) Metal exposure + Solvent exposure + Continuous noise + Impulse noise. RR of hearing impairment compared to the Continuous noise-exposed reference group was assessed with five PTA evaluation methods including (1) U.S. Department of Defense (DoD) Significant Threshold Shift (STS), (2) Occupational Safety and Health Administration (OSHA) age-adjusted STS, (3) National Institute for Occupational Safety and Health (NIOSH) STS, (4) NIOSH Material Hearing Impairment, and (5) All Frequency Threshold Average. RESULTS: Hearing impairment was significantly worse for SEG (2) combined exposure to continuous noise and impulse noise only for the PTA evaluation method (2) OSHA Age Adjusted with an RR of 3.11, [95% confidence interval (CI), 1.16-8.31] and was nearly significantly different using PTA evaluation method (4) NIOSH Material Hearing Impairment with an RR of 3.16 (95% CI, 0.99-10.15). Despite no significant differences for SEGs with an ototoxicant exposure, PTA evaluation method (3) NIOSH STS was most sensitive in detecting hearing changes for SEG (8) Metal exposure + Solvent exposure + Continuous noise + Impulse noise as demonstrated by a RR of 1.12 (95% CI, 0.99-1.27). CONCLUSIONS: Results suggest that a single PTA evaluation technique may not be adequate in fully revealing hearing impairment risk due to all stressors and tailoring the PTA evaluation technique to the hazards present in the workplace could better detect hearing impairment. Additionally, results suggest that PTA may not be effective as the sole technique for evaluating hearing impairment due to ototoxicant exposure with continuous noise co-exposure.

Effect of noise and ototoxicants on developing standard threshold shifts at a U.S. Air Force depot level maintenance facility.

Noise exposure has traditionally been considered the primary risk factor for hearing loss. However, ototoxicants commonly found in occupational settings could affect hearing loss independently, additively, or synergistically when combined with noise exposures. The purpose of this investigation was to determine the combined effect of metal and solvent ototoxicants, continuous noise, and impulse noise on hearing loss. Noise and ototoxicant exposure and pure-tone audiometry results were analyzed for U.S. Air Force personnel (n = 2,372) at a depot-level aircraft maintenance activity at Tinker Air Force Base, Oklahoma. Eight similar exposure groups based on combinations of ototoxicant and noise exposure were created including: (1) Continuous noise (reference group); (2) Continuous noise + Impulse noise; (3) Metal exposures + Continuous noise; (4) Metal exposures + Continuous noise + Impulse noise; (5) Solvent exposure + Continuous noise; (6) Solvent exposures + Continuous noise + Impulse noise; (7) Metal exposure + Solvent exposures + Continuous noise; and (8) Metal exposure + Solvent exposures + Continuous noise + Impulse noise. Hearing loss was assessed at center octave band frequencies of 500-6,000 Hz and using National Institute for Occupational Safety and Health Standard Threshold Shift (STS) criteria. Hearing changes were significantly worse at 2,000 Hz in the Metal exposure + Solvent exposure + Continuous noise group compared to the Continuous noise only reference group (p = 0.023). The Metal exposure + Solvent exposure + Continuous noise group had a significantly greater relative risk (RR) of 2.44; 95% CI [1.24, 4.83] for developing an STS at 2,000 Hz. While not statistically significant, the Solvent exposure + Continuous noise group had a RR of 2.32; 95%CI [1.00, 5.34] for developing an STS at 1,000 Hz. These results indicate that noise exposure may dominate hearing loss at ≥3,000 Hz while combined effects of concomitant exposure to ototoxic substances and noise are only noticeable at ≤2,000 Hz. These results also suggest combined exposures to ototoxicants and noise presents a greater hearing loss risk than just noise.

External Dose to Recovery Teams Following a Wide-area Nuclear or Radiological Release Event.

ABSTRACT: The common radionuclide 137Cs is a gamma-ray source term for nuclear reactor accidents, nuclear detonations, and potential radionuclide dispersal devices. For wide-area contamination events, one remediation option integrates water washing activities with on-site treatment of water for its immediate reuse. This remediation option includes washing building and roadways via firehose, collecting the wash water, and passing the contaminated water through chemical filtration beds. The primary objective of this study was to quantify the dose incurred to workers performing a remediation recovery effort for roadways and buildings following a wide-area release event. MicroShield® was employed to calculate the dose to workers at the roadway level and to calculate total dose rates while performing washing activities. This study finds that for a realistic contamination scenario for a wide area of a large urban environment, decontamination crews would be subjected to <220 µSv per person, much less than the 50,000 µSv limit for occupational dose. By extrapolation, one decontamination team of 48 people could continue washing operations on a total of 2.8 km2 before reaching their incurred annual dose limits. Though it is unrealistic to assign one team that entire area, we can conclude external dose will not limit worker deployment given the range of contamination levels adopted in this study.

A review of CBRN topics related to military and civilian patient exposure and decontamination.

Chemical and biological (CB) warfare have long been practiced, and although these types of warfare are not acceptable in modern times, this does not prevent them from occurring. This makes it important for societies to be able to appropriately respond to these events, including the best way to decontaminate victims to keep them and emergency responders safe. Decontamination methods such as chemical, physical, wet, and dry methods are discussed, as well as their downsides. Secondary contamination, which played a significant role in the Tokyo sarin attacks, has long been noted by anecdotal evidence, although it has been little studied. Biological agents cause more problems after infection has taken place, and thus preventing the spread of infection is the largest concern. There are many differences between military and civilian populations, and the response to mass casualty attacks differs accordingly. There are several emerging technologies that can make this process easier on all parties, such as bioscavengers, antitoxins, and color changing bleach for visualization. A reliable way to quantify decontamination is also needed, which would allow for better care of victims both in normal hospital situations, as well as during aeromedical transport. In addition, several gaps were identified, such as the lack of scientific basis for 90 percent reduction during decontamination, a way to quantify decontamination, and the lack of studies on toxic industrial chemicals and secondary contamination.

Noise concerns of residents living in close proximity to hydraulic fracturing sites in Southwest Pennsylvania.

OBJECTIVE: Noise associated with nontraditional gas industry (NTGI) sites (e.g., hydraulic fracturing well pads, compressor stations, processing plants) may create disturbances and anxiety in rural populations. This study evaluated levels of concern among residents of Southwestern Pennsylvania residing near NTGI sites. DESIGN: Noise measurements were collected inside and outside residences, and surveys were administered to residents. RESULTS: Daytime instantaneous sound levels ranged between 45.0 and 61.0 dBA. Dosimeter studies recorded day-night levels (Ldn ) of 53.5-69.4 dBA outside and 37.5-50.1 dBA inside, exceeding United States Environmental Protection Agency guidelines. Respondents indicated the NTGI noise disturbed their sleep, and the majority of respondents (96%) reported being worried about their overall health as a result of the noise. CONCLUSIONS: Health care professionals serving rural areas impacted by hydraulic fracturing (fracking) should be aware of potential noise stressors on the populations they serve.

Chemical-Induced Hearing Loss in Shipyard Workers.

OBJECTIVE: The aim of this study was to determine the effect of lead, cadmium, arsenic, toluene, and xylene exposure on hearing compared with noise exposures alone. METHODS: Personnel at a shipyard (n = 1266) were divided into four exposure groups on the basis of concentrations: low metals/low solvents/high noise (reference group), high metals/high solvents/low noise, high metals/low solvents/high noise, and high metals/high solvents/high noise. Hearing changes occurring from the years 2004 to 2015 were analyzed. RESULTS: Hearing changes were significantly worse at 1000 Hz (P = 0.007), averaged across 2000 to 4000 Hz (P = 0.014), and averaged across 500 to 6000 Hz (P = 0.014) for the high metals/high solvent/high noise group compared with the low metals/low solvents/high noise only reference group. CONCLUSION: Simultaneous exposures classified as high for metals/solvents/noise appear to damage hearing more than exposure to noise alone. Hearing conservation programs should take into consideration combined exposures to metals, solvents, and noise, not simply exposure to noise.

Effects of combined exposure to metals, solvents, and noise on permanent threshold shifts.

BACKGROUND: Studies suggest metal and solvent exposure may damage hearing. This study evaluated the association between exposures classified as high for metals, solvents, and noise on permanent threshold shift (PTS) development. METHODS: A total of 1,546 personnel at an industrial shipyard were divided into five exposure groups based on level of concentration: high noise, high metals/solvents, high metals/noise, high metals/solvents/noise, and a low metals/solvents/noise reference group. Hearing threshold changes were analyzed to identify development of a PTS. RESULTS: Logistic regression indicated high metals/solvents and high metals/solvent/noise groups had significantly greater odds ratios of 2.4; 95%CI [1.02, 2.85] and 1.7; 95%CI [1.46, 3.94], respectively, compared to a reference group. Both groups were associated with PTSs while controlling for age, gender, and exposure duration. CONCLUSIONS: Simultaneous exposures classified as high for metals and solvents may damage hearing. Results suggest the need for expanding hearing conservation programs to consider combinations of exposures to metals, solvents, and noise. Am. J. Ind. Med. 60:227-238, 2017. © 2017 Wiley Periodicals, Inc.

A noise delivery system for multi-animal multi-level whole body ototoxicity studies.

The Naval Medical Research Unit Dayton (NAMRU-D) at Wright-Patterson Air Force Base, Ohio, in conjunction with the U.S. Air Force, studied ototoxic effects of JP-8 in rats. NAMRU-D used a multi-chamber whole body exposure facility for up to 96 test animals and 32 control animals at different exposure levels. The objective was to design a noise delivery system that could provide a white noise source one octave band wide, centered at 8 kHz frequency, delivered from outside the exposure chambers. Sound pressure levels were required to be within ±2 dB at all exposure points within each chamber and within ±2 dB over a 6-h run. Electrodynamic shakers were used to produce input noise in exposure chambers by inducing vibration in chamber plenums. Distribution of sound pressure levels across exposure points was controlled within a ±1.5dB prediction interval (α = 0.05) or better. Stability at a central reference point was controlled over 6-h runs within a ±1 dB prediction interval (α = 0.05) or better. The final system allowed NAMRU-D to deliver noise and whole-body aerosol exposures to multiple animals at different levels simultaneously and study the effects that ototoxins may have on hearing loss.

Laboratory evaluation of airborne particulate control treatments for simulated aircraft crash recovery operations involving carbon fiber composite materials.

OBJECTIVE: This study compared four treatment protocols to reduce airborne composite fiber particulates during simulated aircraft crash recovery operations. DESIGN: Four different treatments were applied to determine effectiveness in reducing airborne composite fiber particulates as compared to a "no treatment" protocol. Both "gold standard" gravimetric methods and real-time instruments were used to describe mass per volume concentration, particle size distribution, and surface area. The treatment protocols were applying water, wetted water, wax, or aqueous film-forming foam (AFFF) to both burnt and intact tickets of aircraft composite skin panels. The tickets were then cut using a small high-speed rotary tool to simulate crash recovery operations. SETTING: Aerosol test chamber. SUBJECTS, PARTICIPANTS: None. INTERVENTIONS: Airborne particulate control treatments. MAIN OUTCOME MEASURES: Measures included concentration units of milligrams per cubic meter of air, particle size distribution as described by both count median diameter and mass median diameter and geometric standard deviation of particles in micrometers, and surface area concentration in units of square micrometers per cubic centimeter. Finally, a Monte Carlo simulation was run on the particle size distribution results. Comparison was made via one-way analysis of variance. RESULTS: A significant difference (p<0.0001) in idealized particle size distribution was found between the water and wetted water treatments as compared to the other treatments for burnt tickets. CONCLUSIONS: Emergency crash recovery operations should include a treatment of the debris with water or wetted water. The resulting increase in particle size will make respiratory protection more effective in protecting the response crews.

Laboratory evaluation of airborne particulate control treatments for simulated aircraft crash recovery operations involving carbon fiber composite materials.

OBJECTIVE: This study compared four treatment protocols to reduce airborne composite fiber particulates during simulated aircraft crash recovery operations. DESIGN: Four different treatments were applied to determine effectiveness in reducing airborne composite fiber particulates as compared to a "no treatment" protocol. Both "gold standard" gravimetric methods and real-time instruments were used to describe mass per volume concentration, particle size distribution, and surface area. The treatment protocols were applying water, wetted water, wax, or aqueous film-forming foam (AFFF) to both burnt and intact tickets of aircraft composite skin panels. The tickets were then cut using a small high-speed rotary tool to simulate crash recovery operations. SETTING: Aerosol test chamber. SUBJECTS, PARTICIPANTS: None. INTERVENTIONS: Airborne particulate control treatments. MAIN OUTCOME MEASURES: Measures included concentration units of milligrams per cubic meter of air, particle size distribution as described by both count median diameter and mass median diameter and geometric standard deviation of particles in micrometers, and surface area concentration in units of square micrometers per cubic centimeter. Finally, a Monte Carlo simulation was run on the particle size distribution results. Comparison was made via one-way analysis of variance. RESULTS: A significant difference (p < 0.0001) in idealized particle size distribution was found between the water and wetted water treatments as compared to the other treatments for burnt tickets. CONCLUSIONS: Emergency crash recovery operations should include a treatment of the debris with water or wetted water. The resulting increase in particle size will make respiratory protection more effective in protecting the response crews.

Comparison of high-volume air sampling equipment for viral aerosol sampling during emergency response.

OBJECTIVE: This study compared the performance of two high-volume bioaerosol air samplers for viable virus to an accepted standard low-volume sampler. In typical bioaerosol emergency response scenarios, highvolume sampling is essential for the low infective concentrations and large air volumes involved. DESIGN: Two high-volume air samplers (XMX/2LMIL and DFU-1000) were evaluated alongside a lowvolume sample (BioSampler). Low and high concentrations (9.3-93.2 agent containing particles per liter of air [ACPLA]) of male-specific coliphage 2 (MS2) virus were released into a 12 m3 aerosol test chamber and collected using the air samplers. The collection media from the samplers were then processed and viable virus was assessed via plaque assay. SETTING: Aerosol test chamber. SUBJECTS, PARTICIPANTS: None. INTERVENTIONS: Collection media and flow rate were modified for the XMX/2L-MIL sampler for viable analysis. MAIN OUTCOME MEASURES: Concentration estimates in units of plaque forming units per liter of air (PFU/liter) assessed by the samplers as compared to the levels inside the chamber as evaluated with a slit to agar plate in units of ACPLA. Comparison was made via one-way analysis of variance. RESULTS: Both the XMX/2L-MIL and DFU-1000 achieved collection effectiveness equal to or greater than the low-volume air sampler for the evaluated MS2 concentrations. The XMX/2L-MIL reliably collected quantifiable low concentrations of MS2, but the DFU-1000 was unable to do so. CONCLUSIONS: For emergency response to suspected bioaerosols, the evaluated high-volume samplers are as effective as the standard low-flow sampler and should be considered in conducting a health risk assessment. If low concentrations are expected, then high-flow samplers using liquid collection are preferred.

Insertion loss of noise barriers on an aboveground, full-scale model longwall coal mining shearer.

The U.S. mining industry struggles with hazardous noise and dust exposures in underground mining. Specifically, longwall coal mine shearer operators are routinely exposed to noise levels at 151% of the allowable daily dose, and approximately 20% exceed regulatory dust levels. In the current study, a partial barrier was mounted on the full-scale mock shearer at the National Institute for Occupational Safety and Health Pittsburgh Research Laboratory. A simulated, full-scale, coal mine longwall shearer operation was employed to test the feasibility of utilizing a barrier to separate the shearer operator from the direct path of the noise and dust source during mining operations. In this model, noise levels at the operators' positions were reduced by 2.6 to 8.2 A-weighted decibels (dBA) from the application of the test barriers. Estimated insertion loss underground was 1.7 to 7.3 dBA. The barrier should be tested in an underground mining operation to determine if it can reduce shearer operators' noise exposure to below regulatory limits.

Effects of cross-sectional partitioning on active noise control in round ducts.

Active noise control (ANC) is particularly useful in hard-walled ducts where plane waves propagate. Higher order mode waves are much more difficult to control. Basic acoustic principles dictate that the cut-on frequency at which higher order modes will first begin to eclipse simple plane waves in a duct will be determined by the cross-sectional diameter of the duct. The lowest frequency for higher order modes will increase as duct diameter decreases. Therefore, the range of frequencies where plane waves dominate will be greater, and effective control using ANC will be better as duct diameter decreases. The result is that somewhat higher frequencies can be controlled with ANC for smaller diameters. If smaller diameters have broader frequency ranges that can be controlled with ANC, perhaps one could extend the frequency range for a large cross section by partitioning it into smaller cross sections using axial vane splitters. This hypothesis was tested by two methods of cross-sectional partitioning. Partitioning was achieved in one design by inserting a smaller duct inside a large duct. In a second design, a cross-shaped splitter was inserted inside the large duct. Summed ANC insertion loss (IL) at low frequencies (< or =250 Hz) was at least 16 dB and at least 14 dB at middle frequencies (> or =315 Hz). ANC IL results were 1.7 to 2 dB better for the large duct partitioned by a smaller inner duct than the large duct alone (p = 0.0146 for low frequency and p = 0.0333 for middle frequency). ANC insertion loss was 5.6 dB better for the large duct partitioned by a cross-shaped splitter at high frequencies than the large duct alone (p = 0.0003). However, the cross-shaped partition system was 5.8 dB less effective at low frequencies than the large duct ANC IL alone (p < 0.0001).

Effects of cross-sectional dimensions on active noise control in rectangular and round ducts.

Active noise control (ANC) works best to reduce low frequency noise. Because many industrial noise sources are broadband, ANC may be used more if it can be successfully applied to higher frequency ranges. This study explored one method to increase ANC effectiveness at higher frequencies. ANC is particularly useful in hard-walled ducts where plane waves propagate. Higher order mode waves are much more difficult to control. Basic acoustic principles dictate that the cut-on frequency at which higher order modes will first begin to eclipse simple plane waves in a duct will be determined by the cross-sectional geometry of the duct. The lowest frequency for higher order modes increases as duct diameter decreases; therefore the range of frequencies where plane waves dominate will be greater and effective control using ANC will be better as duct diameter decreases. The result is that somewhat higher frequencies can be controlled with ANC for smaller diameters. Below the first higher order mode cut-on frequency for the largest size studied, there should be little difference in ANC effectiveness between the duct sizes. To test those suppositions, a commercially available ANC system was used to reduce random noise in rectangular and round ducts having different diameters. Results showed that insertion loss (IL) ranged from 5 dB to 29 dB in frequencies ranging from 40-1000 Hz and varied inversely with cross-sectional size as expected. There was no difference in IL below 280 Hz (p = 0.7751) between the different diameter ducts. There was a significant difference between duct diameters above 280 Hz (p < 0.0001). The same tests were conducted on a rectangular duct with one cross-sectional dimension fixed and one varied at seven different sizes. Results showed similar IL from 5 dB to 29 dB that varied inversely with size.

Photometer response determination based on aerosol physical characteristics.

Aerosol photometers often are calibrated against field measurements of total or respirable aerosol concentrations. However, the response of these instruments to a particular aerosol concentration level will change if there is a change in aerosol size distribution. To determine a predictable correction factor that relates photometer to gravimetric measurements of an aerosol, the authors performed an analysis of photometer response relative to particle size distribution, density, and refractive index. A series of trials was performed at different concentration levels using both Arizona road dust and ground corn dust. The correction factor was calculated from a knowledge of the instrument response pattern relative to particle size, as well as the ratios of actual dust density and refractive index relative to that of the dust used to calibrate the instruments. Results demonstrated that the calculated correction factors were within 10% of a correction factor predicted from the slope of a linear regression relating gravimetric measurements to the average of photometer readings taken during the sample period.