Tuesday, April 18, 2017

Wildland fire fighters may be considered at risk of noise-induced hearing loss




Noise Exposure Among Federal Wildland Fire FightersPosted on April 17, 2017 by George Broyles , LCDR Corey Butler, CAPT Chuck Kardous


Hearing loss is one of the most common work-related illnesses in the United States. NIOSH estimates that 22 million U.S. workers encounter noise exposures loud enough to be hazardous. Wildland fire fighting (vs. urban/ structural fire fighting), aims to suppress grass, brush, or forest fires (see Figure 1). Wildland fire fighting is considered a high-risk emergency response occupation requiring considerable physical and psychological demands. Wildland fire fighters often work 12 to more than 16 hours per shift for up to 14 consecutive days over a 3- to 9-month period [U.S. Department of Agriculture (USDA), 2008]. Figure 1. Wildland fire fighters during various fire suppression activities.



Wildland fire fighters often have extreme exposures to many physical agents and occupational hazards [Britton et al., 2013]. Similar to other high-risk occupations, research efforts and occupational safety and health programs have historically focused on identifying and preventing acute injuries and exposures, but less emphasis has been placed on research and prevention programs relating to chronic diseases or injuries such as occupational noise-induced hearing loss.

Although noise exposures and hearing loss among structural fire fighters have been well studied [Hong et al., 2008] and documented [National Institute for Occupational Safety and Health (NIOSH), 2013), wildland fire fighters have not received the same attention, nor have their noise exposures been empirically researched and studied. Wildland fire fighters may be repeatedly exposed to known sources of noise including chainsaws, aircraft, wood chippers, audio equipment, portable pumps and engine pumps, heavy equipment (e.g., bulldozers), and ambient noise from the wildfire itself.

In an effort to address noise exposures within this population, the United States Forest Service, Technology and Development Program, in partnership with NIOSH, conducted a 3-year study to assess wildland fire fighters’ noise exposures during training and fire suppression tasks and to identify which jobs put these fire fighters at increased risk for NIHL. A recently published paper by USDA and NIOSH researchers on wildland fire fighters [Broyles et al., 2016] in the Journal of the Acoustical Society of America reports on the initial results from the study, characterizes the most hazardous noise sources and job tasks based on personal dosimetry measurements, and provides specific and practical recommendations for protecting the hearing health of these fire fighters.

Noise exposure measurements were collected at 10 different fire locations during the 2014–2015 fire seasons. A total of 174 full-shift personal noise dosimetry measurements were conducted on 156 fire fighters in 14 different wildland fire fighting job categories. Overall, 85 of the 174 measurements were above the NIOSH maximum allowable daily dose. Almost all masticator/chipper operators, pilots, pump operators, leaf blowers, sawyers and swampers, and bulldozer operators had TWAs that exceeded the NIOSH recommended exposure level (REL) of 85 dBA (masticators/chippers TWAs reaching 105 dBA, sawyers and swampers TWAs reaching 106 dBA, and bulldozer operator TWAs reaching 112 dBA). Fire fighters exposed to TWA of 105–106 dBA would exceed their maximum daily limit in just 4–5 minutes. At 112 dBA, a bulldozer operator exceeded 100% noise dose in 56 seconds. Bulldozer operators received the highest possible daily noise dose, some exceeding the OSHA maximum daily dose by 20-fold and the NIOSH maximum daily dose by 500-fold. It is interesting to note that four of the bulldozer operators had TWAs well below the NIOSH REL, most likely because they operated in a closed or environmental cabs which isolated the bulldozer operator from much of the noise generated from the heavy equipment. Figure 2 contains the percentage of fire fighters’ personal dosimetry measurements that exceeded the NIOSH REL or the OSHA permissible exposure level (PEL) based on their specific activities or tasks. Figure 2. Percentage of dosimetry samples exceeding the OSHA PEL and NIOSH REL per work category.



On the basis of these study results, wildland fire fighters may be considered at risk of noise-induced hearing loss. To prevent fire fighters from developing a hearing impairment, NIOSH recommends that all wildland fire fighters be enrolled in a hearing conservation program and that fire agencies establish and maintain fire service specific hearing loss prevention programs. In addition, the authors recommend additional studies to examine targeted approaches to mitigate risk among fire fighters with highest exposures. See the full list of recommendations and read more about the noise exposures of wildland fire fighters in our recent paper: Noise exposure among federal wildland fire fighters. If you are a wildland fire fighter or you work with wildland firefighters, please share your experiences with our readers.

George Broyles is a Fire and Fuels Project Leader with the Technology and Development Program, USDA Forest Service.

LCDR Corey Butler is an Occupational Safety and Health Specialist with the NIOSH Western States Division.

CAPT Chuck Kardous is a senior research engineer with the NIOSH Division of Applied Research and Technology.


References

Britton, C., Ramirez, M., Lynch, C. F., Torner, J., and Peek-Asa, C. (2013). “Risk of injury by job assignment among federal wildland firefighters, United States, 2003-2007,” Int. J. Occup. Environ. Health 19, 77–84. doi: https://doi.org/10.1179/2049396713Y.0000000019

Broyles, G., Butler, C.R., Kardous, C.A. (2016). “Noise exposure among federal wildland fire fighters” J. Acoust. Soc. Am. 141, EL177); doi: http://dx.doi.org/10.1121/1.4976041

Hong, O., Samo, D. , Hulea, R. , and Eakin, B. (2008). “Perception and attitudes of firefighters on noise exposure and hearing loss” J. Occup. Environ. Hyg. 5(3), 210–215. doi: https://doi.org/10.1080/15459620701880659

National Institute for Occupational Safety and Health (2013). Promoting Hearing Health among Fire Fighters. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Cincinnati, OH. https://www.cdc.gov/niosh/docs/wp-solutions/2013-142/pdfs/2013-142.pdf

U.S. Department of Agriculture (2008). Fact Sheet – The basics of wildland firefighting. U.S. Department of Agriculture, Office of Communications Washington, DC).