Combined exposure to Noise and Ototoxic Substances
Noise-induced hearing loss remains one of the most prominent occupational diseases in Europe. However, noise is no longer perceived as the only source of work-related hearing damage and increasing attention is being paid to the risks of combined exposure to high-level noise and ototoxic substances, that is, those which can affect the structures and/or the function of the inner ear and the associated signal transmission pathways in the nervous system.
This publication aims to provide an up-to-date picture of our knowledge in this field. It includes: a description of the basic features of the physiological mechanisms leading to hearing impairment, current diagnostic tools, and an overview of the chemicals that may be deleterious to the inner ear, ranking the certainty of their ototoxic properties in a defined weight-of-evidence approach. The review also identifies the health effects resulting from exposure to multiple ototoxic substances and also from the interaction of ototoxic substances and noise, pointing out the work areas where exposure to ototoxic substances is likely. Finally, the report highlights gaps in our current knowledge for proposed future action and research.
:
European Agency for Safety and Health at Work
:
10.12.2009
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One conclusion from the EU-OSHA economic incentives project is that incentives schemes should not only reward past results of good OSH management (such as accident numbers in experience rating), but should also reward specific prevention efforts that aim to reduce future accidents and ill-health. Experts from the economic incentives project therefore suggested the development of compilations of innovative and evidence-based preventive solutions, starting with the three sectors construction, health care and HORECA (hotels, restaurants, catering). The preventive measures from these compilations are worth promoting in their own right, as well as being applied in economic incentives schemes. These preventive solutions can be used as a basis for incentive-providing organisations to develop their own incentive scheme, adapted to the specific situation in their sector and country.
This Guide on Economic Incentives Schemes is intended to serve as a practical and user-friendly guide to help incentive providers to create or optimise their own economic incentive schemes. Incentives schemes should not only reward past results of good OSH management (such as low accident numbers), but should also reward specific prevention efforts that aim to reduce future accidents and ill-health. Therefore the expert group suggested the development of compilations of innovative and evidence-based preventive solutions, starting with the three sectors construction, health care and HORECA.
The report shows that emergency workers have a high risk of suffering fatal accidents, injuries and other occupational diseases. Past disasters demonstrate that both communities and companies are often not fully prepared for major accidents and catastrophes. Better protection for emergency workers against occupational hazards should be given high priority, as current environmental, economic, and political developments suggest an increase in the severity and frequency of future disasters.
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