Studies having important implications for industrial hearing conservation programs and for the future development of noise damage risk criteria are summarized. Topics include complicating problems involved in determining the effects of impulse noise, the potentiating effects of impulse noise plus continuous noise, the potentiating effect of noise plus vibration, and noise and drug interactions. It is brought out that impulses that look nearly the same cannot be grouped and will not produce the same effects. The detailed structure of the impulse is important. It is stressed that in an industrial setting a variety of physical factors should be evaluated in order to best assess the traumatic potential of a particular noise environment. Regarding workers' use of drugs in a noisy environment, studies imply that persons working or living in high level noise environments may run an increased risk of auditory damage when they are on a schedule of aminoglycoside antibiotic therapy, such as neomycin (1404042) or kanamycin (8063078). (Grant No. OH-00364)
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