Eight years ago, Jeff Ammon, now 55, began noticing a feeling of pressure in his ears every day after work.
Over the next months, when his symptoms progressed into a slight loss of hearing and sensitivity to noise, he became worried. Ammon, a construction worker for 32 years, eventually started wearing ear protection hoping this would address these complaints 鈥斅燽ut it was too late.
From that point on, sounds ranging from the hum of a lawnmower to normal tones of conversation caused a piercing, jabbing pain in his inner ear. He stopped working in 2011, when the pain became unbearable. He also hears ringing in his ears and experiences dizziness, both side effects of the auditory damage.
鈥淚t鈥檚 debilitating 鈥� completely,鈥� he said.
Ammon spent almost all of his working life surrounded by the loud noises of jackhammers, saws and air compressors.听Now he avoids going outdoors, choosing instead to stay in his soundproof basement in Lebanon, Pennsylvania, and communicate with his doctor mostly through an online patient portal.
鈥淭he medication to address pain has not been very successful at all. 鈥� I鈥檓 also on some medication for stress, anxiety and depression,鈥� he said. 鈥淚t has isolated me from society.鈥�
Ammon is not alone in suffering from workplace-related hearing loss. In fact, according to the , it is the most common work-related injury with approximately 22 million workers exposed annually to hazardous levels of occupational noise. Workers in the mining sector, followed by those in construction and manufacturing, are most likely to suffer from hearing impairment. An is spent on worker鈥檚 compensation annually for hearing loss disability, according to the Department of Labor.
In an effort to reduce these numbers, the Labor Department launched a challenge earlier this summer called 鈥� in which it is soliciting pitches for innovative ideas and technology to better alert workers of hazardous noise levels.
But critics say that while these efforts might help, technology to reduce hearing injuries already exists. They contend that the maximum level of noise exposure allowed before employers are required to provide sound-protection equipment is too low, and the regulations developed by the Occupational Safety and Health Administration are outdated. For example, those regulations use sound level limits that don鈥檛 factor in the noise exposures that occur beyond the workplace 鈥斅燼t and for instance聽鈥斅� that can add to workers鈥� cumulative risks of harm.
According to OSHA officials, the agency will issue a request for information later this year about current regulations at construction sites to figure out if more stringent protections are needed and how companies are complying. (The construction industry has often been held to noise-related rules and requirements than those in place for other industries.)聽The review may lead to an update to these rules, most of which聽. A聽聽was issued in 2002, but聽聽resulted from the action.
Employers may also have to shoulder the responsibility of instilling more awareness and education among their workers. For example, workers sometimes choose not to wear hearing protection at work sites because they are not aware of their risks 鈥斅爀specially when they are not operating loud equipment.
, a professor at Stanford University who explores workplace hazards, that the employees who suffer most from hearing loss were those who were working in jobs involving moderate noise levels instead of high-noise environments.
鈥淎t very high noise exposures, people very faithfully wear hearing protection and at low noise situations, people don鈥檛,鈥� he said.
For general industry workers who are exposed to noise for eight hours a day at or above a time-weighted average of 85 decibels, employers to provide notification, audiometric testing and free hearing protectors. Employers also have to offer training programs for affected workers. The limit is 90 decibels for an eight-hour exposure for construction industry workers.
Cullen said employers could build noise barriers or eliminate noisy equipment, but old factories often choose to just offer hearing protection gears.
鈥淏ut the problem with hearing protections is it is way too easy, unsupervised, to take it off,鈥� he said. 鈥淲hat would really make a difference is to train employers.鈥�
He said there is also that will measure noise exposure in real time in each worker鈥檚 hearing protection gear, with lights that will flash when the level becomes hazardous. The data can be downloaded each day to monitor daily exposures.
, hearing conservation manager at Honeywell Safety Products, said many companies, including hers, already have such products. While she sees more large employers expressing interest in these technologies, the cost might be a deterrent for others.
鈥淏ut when you think about it 鈥� the cost of having these electronics to protect the workers is nothing compared to the damage after that,鈥� she said.
Meanwhile, the CDC, as part of its has an online with information about sound levels of different tools to encourage businesses to invest in quieter tools and machinery.
Ammon worked for several small construction companies building houses. He said he was never told to wear ear protection. His colleagues didn鈥檛 wear it either. No one talked about it and, even when he worked with loud equipment, he wasn鈥檛 aware of the need for it.
鈥淚t costs money. That鈥檚 my opinion on why it鈥檚 gotten as bad as it has, at least for small construction companies,鈥� Ammon said, and the rules are 鈥渏ust not enforced.鈥�
Some of the steps taken by the federal government to move toward tightening regulations and increasing awareness suggest this might be changing. But in the meantime, people like Ammon, who feel disabled by their condition, might face difficulties in getting recognition for their symptoms and financial support.
He applied for Social Security disability benefits but was rejected because his condition was not on the Social Security Administration鈥檚 considered disabling. When he first experienced his symptoms, he visited dozens of audiologists who only told him he had slight hearing loss. Research linking 聽鈥� unusual tolerance towards ordinary sounds 鈥斅燼nd pain was .听 still are not available for people with this type of hearing damage.
These days, he experiments with new medications or therapies, hoping for more awareness about the illness 鈥� and about protecting hearing at the workplace. He is waiting for the third appeal for Social Security disability benefits.
鈥淚鈥檓 hearing a little more about it, but not nearly enough,鈥� he said. 鈥淎nd it needs to start at the workplace.鈥�