Prevalence of Hearing Loss among Noise Exposed Industrial Workers

Md Shafiq Ur Rahman, Nripendra Nath Biswas, Shahbub Alam, Debabrota Roy, ATM Sumaief Ur Rahman, Ranjit Kumar Rudra, BM Lutfar Rahman, Md Muktadir Arefin, Molla Sharfuddin Ahmad, S M Munawar Murshed
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Abstract

Exposure to any type of noise has a potential risk. Higher the level of noise and longer duration of exposure, more the risk for hearing sensitivity and health as a whole. Occupational noise induced hearing loss (ONIHL) is a major cause of disability throughout the world. So this study was designed to know the prevalence of NIHL among the noise exposed industrial workers in Bangladesh. A prospective observational study of 377 People working at industrial environment in Jute mills at Faridpur region were studied between January 2021 to June 2021. Data collected from each respondent recorded on a predesigned data collection form. Pure tone audiometry was performed in both ears. Among 377 study population, 157(41.6%) subjects had hearing loss and 220 subjects (58.4%) had no loss. Among the workers with hearing loss, 98(62.4%) got hearing loss on both sides, 32(20.4%) on the right side and 27(17.2%) on the left side. Among them 83(52.9%) had mild hearing loss, 37(23.6%) had moderate hearing loss, 31(19.7%) had severe hearing loss and 6(3.8%) had profound hearing loss. The average duration of work in the industry was 6.94±5.64 years and majority (78.5%) had 8 hours working hour per day and 21.5% had more than 8 hours. The average sound intensity was 91.51±8.12 dB(A) with 10.9% exposed to <_85 dB(A) and 89.1% to >85 dB(A). This study shows Noise-induced hearing loss (NIHL)as highly prevalent among noise-exposed workers in Bangladesh. Age >35 years, high noise level, exposure of more than 10 years, were significantly associated with increased risk of hearing loss. The local and national authority should focus on noise monitoring, engineering modifications of buildings and machinery, occupational safety policies, administrative controls, providing education on NIHL, periodic audiometric assessments and follow-up evaluation for hearing threshold shift. This study supported the elements for further research studies related to the employer compliance with occupational health and safety regulations to address awareness of their responsibility in minimizing hazards in workplaces. Bangabandhu Sheikh Mujib Med. Coll. J. 2022;1(1):90-95
受噪音影响的工业工人听力损失的患病率
接触任何类型的噪音都有潜在的危险。噪音水平越高,暴露时间越长,听力灵敏度和整体健康的风险就越大。职业性噪声引起的听力损失(ONIHL)是全世界致残的一个主要原因。因此,本研究旨在了解噪声暴露的孟加拉国工业工人中NIHL的患病率。在2021年1月至2021年6月期间,对在法里德普尔地区黄麻厂工业环境中工作的377人进行了前瞻性观察研究。从每个受访者收集的数据记录在预先设计的数据收集表格上。双耳纯音测听。在377例研究人群中,157例(41.6%)有听力损失,220例(58.4%)无听力损失。听力损失工人中,两侧听力损失98人(62.4%),右侧听力损失32人(20.4%),左侧听力损失27人(17.2%)。其中,轻度听力损失83例(52.9%),中度听力损失37例(23.6%),重度听力损失31例(19.7%),重度听力损失6例(3.8%)。该行业的平均工作时间为6.94±5.64年,大多数(78.5%)每天工作时间为8小时,21.5%的人每天工作时间超过8小时。平均声强为91.51±8.12 dB(A),其中10.9%暴露于<_85 dB(A), 89.1%暴露于>85 dB(A)。本研究表明噪声性听力损失(NIHL)在孟加拉国噪声暴露工人中非常普遍。年龄35岁,高噪音水平,接触超过10年,与听力损失风险增加显著相关。地方和国家当局应侧重于噪音监测、建筑物和机械的工程改造、职业安全政策、行政控制、提供关于非自然灾害的教育、定期听力学评估和听力阈值转移的后续评价。这项研究支持了与雇主遵守职业健康和安全条例有关的进一步研究的要素,以提高他们在尽量减少工作场所危害方面的责任意识。Bangabandhu Sheikh Mujib Med. col。j . 2022; 1 (1): 90 - 95
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