What is the safe noise level to prevent noise-induced hearing loss?

Abstract

Noise causes short-term mechanical and chemical changes in the cochlea, transduced into electrical signals transmitted to the brain. Excessive noise exposure overwhelms the cochlea’s ability to reverse these changes, causing noise-induced hearing loss (NIHL). The Centers for Disease Control and Prevention state that NIHL is the only completely preventable type of hearing loss. What is the evidence-based safe noise exposure level to prevent NIHL? The National Institute for Occupational Safety and Health (NIOSH) recommended exposure level (REL), 85 dBA, does not prevent NIHL. Occupational exposures are calculated for 8 hours/day, 240 days/year, for 40 years. To calculate the noise exposure level to prevent NIHL in the public, 70 dB for 24 hours (Leq(24) = 70), the Environmental Protection Agency (EPA) adjusted the REL for 24 hours/day, 365 days/year exposure. The actual safe noise exposure must be lower than 70 dB because 1) the EPA did not adjust for lifetime noise exposure, 2) NIOSH based its REL on limited-frequency pure tone audiometry, an insensitive measure of auditory damage, and 3) non-occupational noise exposure has increased. The safe noise level may be as low as 55 dBA, the effective quiet level required for humans to recover from noise-induced temporary threshold shift.