title: [Noise and ototoxic chemicals. State of the art and operative strategies for health surveillance].
abstract: European (Directive 2003/10/CE) and italian rules (DLgs 81/08), both establish that "as far as technically achievable, any effects on workers' health and safety resulting from interactions between noise and work-related ototoxic substances, and between noise and vibrations". The scientific knowledge on this subject is still lacking, but are generally considered as ototoxic, either alone or in concert with noise, toluene, styrene, ethylbenzene, carbon disulphide, lead, mercury and carbon monoxide. With particular reference to health surveillance we propose yearly audiograms for workers whose exposures are at 50% or more of the specific OEL, for noise LEPd less than 85 dB(A); for concomitant noise LEPd greater than 85 dB(A) (by wich workers are normally submitted to an yearly audiogram) the occupational physician will consider if shorten the time between audiograms.
authors: Dipartimento di Ortopedia, Traumatologia e Medicina del lavoro dell'Università di Torino, Via Zuretti 29 -10126 Torino, Italy.
authors: G
authors: G
authors: Discalzi
authors: V
authors: V
authors: Accomazzo
authors: M
authors: M
authors: Banchio
mesh_terms: D006311:Hearing Disorders / Q000139:chemically induced / Q000209:etiology*; D006801:Humans; D009623:Noise, Occupational / Q000009:adverse effects*; D009784:Occupational Diseases / Q000139:chemically induced / Q000209:etiology*; D016273:Occupational Exposure / Q000009:adverse effects*; D016272:Occupational Health; D011159:Population Surveillance