Uniformed Services University of the Health Sciences, F. Edward Hébert School of Medicine, Department of Preventive Medicine & Biostatistics, Bethesda, MD, USA.
US Army 65th Medical Brigade Camp Humphreys, South Korea.
Ann Work Expo Health. 2019 Mar 29;63(3):316-327. doi: 10.1093/annweh/wxz005.
Personnel assigned to aircraft carriers are exposed to a variety of noise sources from equipment and flight deck operations for durations >12 h. Personnel work and live in environments where hazardous noise areas and hearing recovery spaces such as sleeping and relaxation areas are in proximity to one another which provides little recovery time from hazardous noise. This investigation describes noise levels measured over a 24-h period on a US Navy aircraft carrier during flight operations for different populations of aircraft carrier personnel.
Personal noise monitoring occurred from 23 to 28 January 2014 aboard a US Navy Nimitz-class aircraft carrier during a routine at-sea period. Fifty-nine study volunteers were assigned to similar exposure groups (SEGs). The SEGs were compared to determine which groups were at greatest risk of hazardous noise exposure. Statistical analysis was conducted with SPSS version 24 using an alpha level of 0.05.
Mean 24-h equivalent continuous sound levels Leq(24-h) and on-duty time weighted averages (TWA(on-duty)) ranged from 71 to 127 decibels A weighted (dBA). The 80 dBA American Conference of Governmental Industrial Hygienists (ACGIH) threshold limit value (TLV) for 24-h noise exposure was exceeded by 93% of the study volunteers. The 85 dBA ACGIH TLV and Department of Defense Occupational exposure limit for 8-h noise exposures was exceeded by 68% of the population. Leq(off-duty) ranged from 38 to 102 dBA with 61% of the population exceeding the 70 dBA ACGIH TLV classified as effective quiet to allow for temporary threshold shift recovery. SEG 2 Flight Deck Launch and Recovery had significantly higher 24-h noise exposures than SEG 3 Damage Control Maintenance and Repair (P = 0.01), SEG 5 Supply (P = 0.01), and SEG 7 Administrative/Professional (P = 0.009). Similar results were found for TWA(on-duty) noise exposures. Median TWA(on-duty) and Leq(24-h) for SEG 2 were 16-21 dB higher than SEG 3, 5, and 7. There were no significant differences between off-duty Leq noise exposures according to SEG.
DISCUSSION/CONCLUSIONS: SEGs located on the flight deck (SEGs 1 and 2) and SEGs responsible for maintenance and repair activities (SEGs 3 and 4) supporting flight operations had the highest TWA(on-duty) and Leq(24-h). These findings raise serious concerns because high noise exposures both on- and off-duty may result in immediate acoustic trauma and development of temporary threshold shifts, which, if unresolved with auditory rest, may lead to permanent hearing loss.
在航母上工作的人员会暴露在各种噪声源中,包括设备和飞行甲板作业产生的噪声,工作时间超过 12 小时。人员在工作和生活的环境中,危险噪声区域和听力恢复区域(如睡眠和放松区域)彼此相邻,这使得他们几乎没有时间从危险噪声中恢复。本研究描述了在 2014 年 1 月 23 日至 28 日期间,在美国海军尼米兹级航母上进行飞行作业期间,不同航母人员群体在 24 小时内的噪声水平。
2014 年 1 月 23 日至 28 日,在一艘美国海军尼米兹级航母上进行例行海上作业期间,进行了个人噪声监测。59 名研究志愿者被分配到类似的暴露组(SEG)。比较 SEG 以确定哪些组面临最大的危险噪声暴露风险。使用 SPSS 版本 24 进行统计分析,显著性水平为 0.05。
24 小时等效连续声级 Leq(24-h)和值班时间加权平均值(TWA(on-duty))范围为 71 至 127 分贝 A 加权(dBA)。93%的研究志愿者超过了美国政府工业卫生学家会议(ACGIH)24 小时噪声暴露的 80 dBA 阈值限值(TLV)。68%的人群超过了 85 dBA ACGIH TLV 和国防部 8 小时噪声暴露职业接触限值。Leq(off-duty)范围为 38 至 102 dBA,61%的人群超过了 70 dBA ACGIH TLV,被归类为有效安静,以允许暂时阈移恢复。SEG 2 飞行甲板发射和回收的 24 小时噪声暴露明显高于 SEG 3 损管维护和修理(P = 0.01)、SEG 5 供应(P = 0.01)和 SEG 7 行政/专业(P = 0.009)。TWA(on-duty)噪声暴露也有类似的结果。SEG 2 的中位数 TWA(on-duty)和 Leq(24-h)比 SEG 3、5 和 7 高 16-21 dB。根据 SEG,休息时的 Leq 噪声暴露没有显著差异。
讨论/结论:位于飞行甲板上的 SEG(SEG 1 和 2)和负责维护和修理活动的 SEG(SEG 3 和 4)支持飞行作业的 SEG 具有最高的 TWA(on-duty)和 Leq(24-h)。这些发现引起了严重关注,因为高噪声暴露无论是在工作时还是在休息时,都可能导致立即出现听觉创伤和暂时阈移,如不进行听觉休息,可能导致永久性听力损失。