Noise and Military Service: Implications for Hearing Loss and Tinnitus

339 Pages·2005·3.07 MB·English

NOISE
AND
MILITARY SERVICE
Implications for Hearing Loss and Tinnitus
Committee on Noise-Induced Hearing Loss and Tinnitus Associated
with Military Service from World War II to the Present
Medical Follow-up Agency
Larry E. Humes, Lois M. Joellenbeck, and Jane S. Durch, Editors
THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu
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NOTICE: The project that is the subject of this report was approved by the Governing
Board of the National Research Council, whose members are drawn from the councils of
the National Academy of Sciences, the National Academy of Engineering, and the Insti-
tute of Medicine. The members of the committee responsible for the report were chosen
for their special competences and with regard for appropriate balance.
This study was supported by Contract No. V101(93)P-1637 #29 between the Na-
tional Academy of Sciences and the Department of Veterans Affairs. Any opinions, find-
ings, conclusions, or recommendations expressed in this publication are those of the
author(s) and do not necessarily reflect the view of the organizations or agencies that
provided support for this project.
Library of Congress Cataloging-in-Publication Data
Noise and military service : implications for hearing loss and tinnitus
/ Committee on Noise-Induced Hearing Loss and Tinnitus Associated
with Military Service from World War II to the Present, Medical Follow-
up Agency ; Larry E. Humes, Lois M. Joellenbeck, and Jane S. Durch,
editors.
p. ; cm.
Includes bibliographical references.
ISBN 0-309-09949-8 — ISBN 0-309-65307-X
1. Deafness—Etiology. 2. Tinnitus—Etiology. 3. Deafness, Noise
induced. 4. Acoustic trauma. 5. Soldiers—Health and hygiene.
6. Veterans—Health and hygiene. 7. Noise—Health aspects.
I. Humes, Larry. II. Joellenbeck, Lois M. (Lois Mary), 1963- .
III. Durch, Jane. IV. Institute of Medicine (U.S.). Committee on Noise-
Induced Hearing Loss and Tinnitus Associated with Military Service
from World War II to the Present.
[DNLM: 1. Noise—adverse effects. 2. Hearing Loss, Noise-Induced.
3. Military Personnel. 4. Tinnitus. WV 270 N7836 2005]
RF291.5.S65N65 2005
617.8′07—dc22
2005030236
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COMMITTEE ON NOISE-INDUCED HEARING LOSS AND
TINNITUS ASSOCIATED WITH MILITARY SERVICE FROM
WORLD WAR II TO THE PRESENT
LARRY E. HUMES (Chair), Professor, Department of Speech and Hearing
Sciences, Indiana University
ELLIOTT H. BERGER, Senior Scientist, Auditory Research, E•A•R/ Aearo
Company, Indianapolis, Indiana
BARBARA A. BOHNE, Professor, Department of Otolaryngology,
Washington University School of Medicine
ANTHONY T. CACACE, Associate Professor, The Neuroscience Institute
and Advanced Imaging Research Center, Albany Medical College
KAREN J. CRUICKSHANKS, Professor, Department of Ophthalmology
and Visual Sciences and Department of Population Health Sciences,
University of Wisconsin Medical School
RICHARD W. DANIELSON, Manager for Audiology and Hearing
Conservation, National Space Biomedical Research Institute, Baylor
College of Medicine
JUDY R. DUBNO, Professor, Department of Otolaryngology–Head and
Neck Surgery, Medical University of South Carolina
GEORGE A. GATES, Emeritus Director/Professor, Virginia Merrill Bloedel
Hearing Research Center, Department of Otolaryngology–Head and
Neck Surgery, University of Washington School of Medicine
DONALD HENDERSON, Professor, Center for Hearing and Deafness,
State University of New York at Buffalo
JOHN H. MILLS, Professor, Department of Otolaryngology–Head and
Neck Surgery, Medical University of South Carolina
MARK R. STEPHENSON, Senior Research Audiologist, Division of
Applied Research and Technology, National Institute for Occupational
Safety and Health, Centers for Disease Control and Prevention,
Cincinnati, Ohio
RICHARD S. TYLER, Professor and Director of Audiology, Department
of Otolaryngology–Head and Neck Surgery, and Department of
Speech Pathology and Audiology, The University of Iowa
ROBERT B. WALLACE, Irene Ensminger Stecher Professor of
Epidemiology and Internal Medicine, Department of Epidemiology,
The University of Iowa
Project Staff
LOIS JOELLENBECK, Senior Program Officer (Study Director)
JANE DURCH, Senior Program Officer
WILLIAM PAGE, Senior Program Officer
v
SUSAN VAN HEMEL, Senior Program Officer, Board on Behavioral,
Cognitive, and Sensory Science, Division of Behavioral and Social
Sciences and Education
KRISTEN GILBERTSON, Research Assistant
ALLISON BERGER, Program Assistant
KAREN KAZMERZAK, Research Associate
RICK ERDTMANN, Director, Medical Follow-up Agency
PAMELA RAMEY-MCCRAY, Administrative Assistant
ANDREA COHEN, Financial Associate
Data Operations
HARRIET CRAWFORD, IT Project Manager
JOHN LARSON, Records Manager, St. Louis Office
NOREEN STEVENSON, Research Assistant
AL MATTEI, Staff Assistant
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Reviewers
This report has been reviewed in draft form by individuals chosen for
their diverse perspectives and technical expertise, in accordance with proce-
dures approved by the National Research Council’s Report Review Com-
mittee. The purpose of this independent review is to provide candid and
critical comments that will assist the institution in making its published re-
port as sound as possible and to ensure that the report meets institutional
standards for objectivity, evidence, and responsiveness to the study charge.
The review comments and draft manuscript remain confidential to protect
the integrity of the deliberative process. We wish to thank the following
individuals for their review of this report:
Bobby R. Alford, Department of Otolaryngology–Head and Neck Surgery,
Baylor College of Medicine
Robert A. Dobie, Department of Otolaryngology, School of Medicine,
University of California, Davis
Roger P. Hamernik, Auditory Research Laboratories, State University of
New York at Plattsburgh
Richard N. Miller, Institute of Medicine (retired)
Theresa Y. Schulz, James H. Quillen VA Medical Center, Mountain Home,
Tennessee
James B. Snow, Jr., National Institute on Deafness and Other Communication
Disorders, National Institutes of Health (retired)
Evelyn E. Talbott, Department of Epidemiology, University of Pittsburgh
William A. Yost, Parmly Hearing Institute and the Graduate School, Loyola
University of Chicago
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viii REVIEWERS
Although the reviewers listed above have provided many constructive
comments and suggestions, they were not asked to endorse the conclusions
or recommendations nor did they see the final draft of the report before its
release. The review of this report was overseen by Hyla Napadensky,
Napadensky Energetics Inc. (retired), and Linda D. Cowan, Health Sciences
Center, University of Oklahoma. Appointed by the National Research Coun-
cil and Institute of Medicine, they were responsible for making certain that
an independent examination of this report was carried out in accordance
with institutional procedures and that all review comments were carefully
considered. Responsibility for the final content of this report rests entirely
with the authoring committee and the institution.
Preface
This report represents the collective efforts of many people over a pe-
riod of approximately 15 months. First and foremost are the committee
members, who devoted countless hours of volunteer service to address the
committee’s charge. The numerous discussions held, both face to face and
via conference calls, were thorough and, when opinions differed, were al-
ways conducted with respect for divergent views. The report reflects the
broad input and consensus of all committee members and is much stronger
as a result. Clearly, the charge could not be addressed without a panel hav-
ing sufficiently broad areas of expertise, but also a willingness to listen to
sometimes differing perspectives with an open mind before moving to con-
sensus. I truly appreciate not only the amount of expertise available through
the committee, but the manner in which each member shared that expertise
and worked together to meet our collective responsibilities.
Another group central to the committee’s work included the staff mem-
bers from the Institute of Medicine (IOM) and National Research Council
(NRC) who supported our efforts. Lois Joellenbeck, who served as study
director, and Jane Durch were the committee’s principal guides. We were
ably aided as well by research assistant Kristen Gilbertson, whose contribu-
tions included not only research and administrative tasks, but also partici-
pating in the collection and entry of data from veterans’ medical records.
Program assistant Allison Berger managed the logistics of many of the
committee’s earlier meetings. Karen Kazmerzak helped initiate our research
efforts during the first 3 months of the committee’s work. Susan Van Hemel,
a senior program officer with the NRC, contributed advice throughout the
study.
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