title: Prevention of the Evolution of Workers' Hearing Loss from Noise-Induced Hearing Loss in Noisy Environments through a Hearing Conservation Program.
abstract: Introduction Noise-induced hearing loss (NIHL) is a serious problem for workers and therefore for businesses. The hearing conservation program (HCP) is a set of coordinated measures to prevent the development or evolution of occupational hearing loss, which involves a continuous and dynamic process of implementation of hearing conservation routines through anticipation, recognition, evaluation, and subsequent control of the occurrence of existing environmental risks or of those that may exist in the workplace and lead to workers' hearing damage. Objective The aim of this study was to evaluate the effectiveness of the HCP in preventing further hearing loss in workers with audiograms suggestive of NIHL. The audiometric tests and medical records of 28 furniture company workers exposed to noise were reviewed and monitored for 2 years. Methods This retrospective, cross-sectional study examined five audiometric tests in the medical records (on admission and every semester) of 28 workers in a furniture company (totaling 140 audiometric exams) following the introduction of the HCP. Results Data analysis showed no differences between the audiometric tests conducted on admission and those performed every semester. Conclusions The HCP implemented was effective in preventing the worsening of hearing loss in workers already with NIHL when exposed to occupational noise. Therefore, such a measure could be useful for the employment of workers with hearing loss in job sectors that have noise exposure.
authors.affiliation: Otorhinolaryngology, Otorrinos-Hospital da Cruz Vermelha, Curitiba, Paraná, Brazil ; Disciplina de Otorrinolaringologia, Universidade Positivo, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil.
authors.forename: Vinicius Ribas
authors.initials: VR
authors.lastname: Fonseca
authors.affiliation: Department of Audiology, Universidade Tuiuti do Paraná, Curitiba, Brazil ; Mestrado e Doutorado em Distúrbios da Comunicação, Universidade Tuiuti do Paraná, Paraná, Curitiba, Brazil.
authors.forename: Jair
authors.initials: J
authors.lastname: Marques
authors.affiliation: Hospital da Cruz Vermelha Brasileira, Filial do Estado do Paraná, Centro de Estudos Otorrinolaringológicos Lauro Grein Filho, Curitiba, Paraná, Brazil.
authors.forename: Flavio
authors.initials: F
authors.lastname: Panegalli
authors.affiliation: Mestrado e Doutorado em Distúrbios da Comunicação, Universidade Tuiuti do Paraná, Paraná, Curitiba, Brazil.
authors.forename: Claudia Giglio de Oliveira
authors.initials: CG
authors.lastname: Gonçalves
authors.affiliation: Mestrado e Doutorado em Distúrbios da Comunicação, Universidade Tuiuti do Paraná, Paraná, Curitiba, Brazil.
authors.forename: Wesley
authors.initials: W
authors.lastname: Souza
keywords: furniture; hearing conservation program; noise-induced hearing loss