EFFECTS OF  NOISE  ON PEOPLE
       DECEMBER 31, 1971
 U.S. Environmental Protection Agency
      Washington, D.C. 20460

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       EFFECTS OF NOISE ON PEOPLE
                 DECEMBER 31. 1971
                     Prepared by

   THE CENTRAL  INSTITUTE FOR THE DEAF
                        under
              CONTRACT 68-01-05000
                       for the
        U.S. Environmental Protection Agency
       Office of Noise Abatement and Control
               Washington, D.C. 20460
This report has been approved for general availability. The contents of this
report reflect the views of the contractor, who is responsible for the facts
and the accuracy of the data presented herein, and do not necessarily
reflect the official views or policy of EPA. This report does not constitute
a standard, specification, or regulation.

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                    PREFACE
This manuscript was prepared by Dr. James D. Miller,
Central Institute for the Deaf, St. Louis, Missouri
and has been reviewed and approved for publication
by the following members of the NAS-NRC Committee
on Hearing, Bioacoustics, and Biomechanics:  Hallowell
Davis, Karl D. Kryter, William D. Neff, Wayne Rudmose,
W. Dixon Ward, Harold L. Willima, and Jozef J. Zwislocki,
Of course, the final responsibility for the contents
of this paper lies with Dr. Miller as author.
                      111

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                           FOREWORD




    It has not been demonstrated that many people have had their lives



shortened by noise.  While undoubtedly there have been accidental in-



juries and deaths when auditory warning signals were misunderstood or



not heard because of the effects of noise, the prevalence of these has



not been evaluated.  Perhaps the stress of continued exposure to high



levels of noise can produce disease or make one more susceptible to



disease, but the evidence is not convincing.  There are only hints of



relations between exposure to noise and the incidence of disease.  In



other words, the effects of noise on people have not been successfully



measured in terms of "excess deaths" or "shortened lifespan" or "days



of incapacitating illness."  The only well-established effect of noise



on health is that of noise-induced hearing loss.



     There is clear evidence to support the following statements about



the effects on people of exposure to noise of sufficient intensity and



duration.



     Noise can permanently damage the inner ear with resulting permanent



hearing losses that can range from slight impairment to nearly total



deafness.




     Noise can result in temporary hearing losses and repeated exposures



to noise can lead to chronic hearing losses.




     Noise can interfere with speech communication and the perception



of other auditory signals.



     Noise can disturb sleep.



     Noise can be a source of annoyance.




     Noise can interfere with the performance of complicated tasks and,



of course, can especially disturb performance when speech communication
                               iv

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or response to auditory signals is demanded.



     Noise and other acoustical considerations can reduce the opportunity



for privacy.



     Noise can adversely influence mood and disturb relaxation.



     In all of these ways noise can affect the essential nature of human



life—its quality.  It is for these reasons that the recitation of facts



and hypotheses that follow may be of some importance.

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                          TABLE OF CONTENTS
INTRODUCTION	1


                      PART I.  AUDITORY EFFECTS

     Preliminary Statement	6

Section 1.  EAR DAMAGE AND HEARING LOSS

     Introduction	6

  A.  Ear Damage	7

         How ear damage from noise is studied	.7

         Kinds of ear damage and major findings	9

  B.  Hearing Loss	.15

         How hearing loss due to noise is studied	15

         Temporary, compound, and permanent
         threshold shifts—single exposures.	....16

         Noise-induced permanent threshold
         shifts—repeated exposures	24

         Threshold shifts from impulsive noise	28

  C.  Implications of Ear Damage and Hearing Loss	33

         Interpretation of noise-induced hearing loss	33

         Hearing aids and noise-induced hearing loss	38

         Presbyacusis and environmental noise	go

  D.  Prevention of Ear Damage and Hearing Loss from Noise	39

Section 2.  MASKING AND INTERFERENCE WITH SPEECH COMMUNICATION

     Introduction	43
                              VI

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  A.  Interference with Speech Communication	44

         Speech and understanding speech	44

         How speech reception in noise is studied	45

         The major effects of noise on speech communication	48

         Characteristics of people and speech
         interference by noise	52

         Situational factors and speech
         interference by noise	52

  B.  Implications of Masking and Interference
      with Speech Communication	 54

         Masking of auditory signals	54

         Interference with speech communication	54


      PART II.  GENERAL PSYCHOLOGICAL AND SOCIOLOGICAL EFFECTS

     Preliminary Statement	58

(|ection 3^) INTERFERENCE WITH SLEEP

     Introduction	58

  A.  Methods for Studying Sleep Disturbance by Noise.	60

         Field studies	60

         Laboratory studies	•	60

  B.  General Properties of Sleep	61

         Sleep stages and a night of sleep	61

         Sensory responses to stimulation during sleep	65

         Arousal.	66

  C.  Noise and Sleep	66

         Effects of brief noises	66
                                  vii

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         Motivation to awake and intensity level of the noise	 69

         Fluctuating noise levels	 70

         Steady and rhythmic sounds	 72

         Sound quality and sleep disturbance	 73

         Sleep deprivation and sleep disturbance	 73

         Difference between men and women	 73

         Age and sleep disturbance by noise	 74

         Sleep stage and accumulated sleep.	 75

         Stimulus meaning and familiarity	 75

         Adaptation to sleep disturbance by noise.	 75

         Other factors	 76

  D.  Noise, Sleep Disturbance, Health, and the Quality of Life.... 77

Section 4.  LQUBNESS, PERCEOTSD NOISINESS, AND UNACCEPTABILm

     Introduction.		 79

  A.  Measurement of Auditory Dimensions	 80

         Field studies.	 80

         Laboratory methods.	 81

  B.  Loudness, Perceived Noisiness, and the
      Physical Characteristics of Sounds.	 83

         Loudness	 83

         Perceived noisiness (unacceptability)	,	 84

  C.  Verbal Descriptions of Sound and Auditory Experience	90

Section 5.  ANNOYANCE AND COMMUNITY RESPONSE

     Introduction	«,	 93
                                viil

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 A.   How Annoyance and Community Response
     to Noise are Studied	•	   93

        Case histories.	•	•	   93

        Social surveys	   94

 B.   Acoustical and Situational  Factors.	   95

        Acoustical factors	   95

        Relations between situational and
        acoustical variables	   98

        Physical measurements of noise exposure	   99
  \
^'CV  Annoyance, Attitudes, and Disruption of Activities	  101
\_y
        Annoyance and noise	  101

        Annoyance and attitudes	102

        Examples of activities disturbed  by aircraft  and
        traffic noises as measured in social surveys	  107

        Adaptation to noise	  108

 D.   Community Response	  108

 E.   Concluding Statement	  113

           OTHER POSSIBLE PSYCHOLOGICAL AND SOCIOLOGICAL EFFECTS

    Introduction	  117

 A.   Noise and Performance	  118

 B.   Acoustical Privacy	  121

 C.   Time Judgments	  122

 D.   Effects on Other Senses	  122

 E.   Mental Disorders	  123

 F.   Anxiety and Distress	  123
                                IX

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              PART III.  GENERAL PHYSIOLOGICAL

     Preliminary Statement
Section ?.  TRANSIENT AND POSSIBLE PERSISTENT PHYSIOLOGICAL RESPONSES
            TO NOISE

  A.  Transient Physiological Responses to Noise ................... 125

         Responses of the voluntary musculature .................... 125

         Responses of the smooth muscles and glands ................ 129

         Orienting and defense reflexes ............................ 129

         Neuro-endocrine responses ..... ........................ .... 130

  B.  Possible Persistent Physiological Responses to Noise ......... 130

Section 8.  STRESS THEORY, HEALTH, AND NOISE

  A.  Stress Theory ................................................ 133

  B.  Noise and General Health ..................................... 135


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                           LIST OF FIGURES
Figure 1.  Drawings of the human organ of Corti are shown that
     illustrate the normal state, Panel A, and increasing degrees
     of noise-induced permanent injury, Panels B, C, and D	10

Figure 2.  Photomicrographs of cross-sections of the human organ
     of Corti	12

Figure 3-  Hypothetical growth of threshold shift after various
     single and continuous exposures to noise	20

Figure 4»  Hypothetical recovery from threshold shift after
     various single and continuous exposures to noise	22

Figure 5«  Median noise-induced threshold shifts for jute weavers
     with one to over 40 years of occupational exposure to noise
     with an A-weighted sound level of about 98 decibels	26

Figure 6.  Noise-induced permanent threshold shifts (NIPTS)
     plotted against years of occupational exposure to noise
     for workers in three levels of noise	27

Figure 7«  The distribution of noise-induced threshold shifts
     of jute weavers exposed for various numbers of years	29

Figure 8.  Idealized pressure waveforms of impulse sounds.....	31

Figure 9-  Upper limits of acceptable exposure to impulse noise
     as defined by Working Group 57 of the NAS-NRC Committee on
     Hearing, Bioacoustics, and Biomechanics	32

Figure 10.  Permanent threshold shifts produced by a single
     exposure to a firecracker explosion	34

Figure 11.  Median hearing loss in habitual sports shooters and
     age-matched controls	35

Figure 12.  Guideline for the relations between the average
     hearing threshold level for 500, 1000, and 2000 hertz and
     degree of handicap as defined by the Committee on Hearing
     of the American Academy of Ophthalmology and Otolaryngology	36
                                XI

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Figure 13.  The dependence of the accuracy of speech communica-
     tion on the relations between the intensity level of the
     speech in relation to the intensity level of the noise .....
Figure 14.  Quality of speech communication as dependent on the
     A-weighted sound level (dBA) of the background noise and
     the distance between the talker and listener ................... 49

Figure 1$.  Simplified chart that shows the quality of speech
     communication in relation to the A-weighted sound level of
     noise (dBA) and the distance between the talker and the
     listener ........................ ...... ......... ..... ........... 50

Figure 16.  The nocturnal sleep pattern of young adults ............. 64

Figure 1?.  Awakenings to sound from various laboratory and
     questionnaire studies .................................... • ..... 68

Figure 18.  Average scores on an annoyance scale for persons
     exposed to various levels of aircraft noise ............. . ..... 103

Figure 19.  Average annoyance scores for persons exposed to
     various levels of traffic noise ....... . ........ . ....... . ...... 104

Figure 20.  The relation between community response and noise
     exposure ........... . ...................... . .......... ... ...... 109

Figure 21.  Relations between community noise levels (measured
     in CM or NEF), judgments of unacceptability^ and community
     responses ............................ ........ . ..... . .......... no

Figure 22.  Differences between the percentages of physiological
     problems of those who work in two different levels of noise... 132
                                  XII

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                      INTRODUCTION
An old riddle asked, "What comes with a carriage and goes with
a carriage, is of no use to the carriage and yet the carriage
cannot move without it?"  The answer: "A noise."

And yet (sound) is of great use to us and to all animals.
Many events of nature, whether the meeting of two objects or
the turbulent flow of air, radiate a tiny part of their energy
as pressure waves in the air.  A small fraction of the energy
that is scattered enters our ears, and we hear it and thus we
know of the event.  Hearing is a late development in evolution
but it has become the sentinel of our senses, always on the
alert.

But hearing does more.  The ear and the brain analyze these
sound waves and their patterns in time, and thus we know that
it was a carriage, not footsteps that we heard.  What is more,
we can locate the position of the carriage, and tell the direc-
tion in which it is moving.
Many birds and animals have also learned to signal one another
by their voices, both for warning and for recognition.  But we
humans, with good ears and also mobile tongues and throats, and
above all, our large complex brains, have learned to talk.  We
attach arbitrary and abstract meanings to sounds, and we have
language.  We communicate our experiences of the past and also
our ideas and plans for future action.  For human beings, then,
the loss of hearing brings special problems and a special tragedy-
... human society creates a special problem even for those
with perfect hearing—the problem of unwanted sound, of noise,
which is as much a hazard of our environment as disease germs or
air pollution.

	 All of (these subjects) are important.  Sounds may
be small and weak, but civilization could not have grown without
them.

(introduction by Hallowell Davis, M.D., to Sound and Hearing,
1965, Time, Inc., courtesy of TIME-LIFE BOOKS.)

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     Biologically, man has not changed for many thousands of years.



His responses to sound today rest on the same biological heritage as they



did in the far distant past.  The ear, the auditory nervous system, and



the interrelations between the auditory system and the remainder of man's



bodily and behavioral functions developed to meet the demands for adapta-



tion to the environment—the environment of the past.



     It is interesting to contrast the visual and auditory systems in



this regard.  ¥ith each day there are and have been enormous, sustained



changes in the amount of light at any point on the surface of the earth.



Visual animals that engage in important activities during both day and



night developed visual mechanisms that function, without damage, during



sustained periods that differ greatly in luminance.  Daily changes of



luminance equivalent to about 100 decibels have occurred for as long as



the earth has rotated on its axis.  The eyes are provided with lids that



can block out light, pupils  which vary   in size and thus control  the



amount of light entering the eyes, and sensory receptors that have mecha-



nisms to alter their sensitivity with these very large changes in luminance.



     The situation for sound and hearing is quite different.  As the ear



developed it did not need to contend with large daily variations in aver-



age sound levels.  Indeed, one imagines that only rarely were intense



sounds sustained for very long periods of time.  To be sure, the ear had



to be able to withstand the intense but brief sounds of thunder, the mod-



erately intense sounds of windstorms and sustained rain, but these rarely

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lasted more than a few hours.  In general, the evolving ear did not have



to cope with either frequent, very intense sounds or even moderately



intense sounds that were maintained day after day.  Only near some beaches,



waterfalls, or areas with sustained winds would moderately intense sound



levels have continued for prolonged periods of time.  It is interesting in



this regard that ancient travelers noted that villagers who lived near the



cataracts of the Nile appeared to have hearing loss (Ward, 19?0a).



     Hearing evolved to play a role in both individual and social adapta-



tion to the environment.  For individual efforts at survival, hearing is



indeed the "sentinel of our senses, always on the alert."  By hearing, man



can detect a sound-making object or event, day or night.  Often man can



localize the direction of an object or event and sometimes identify it by



its sound alone.  To increase the chances of identifying objects or events



and to insure appropriate preparation for response, evolution has closely



tied hearing to man's activating and arousal systems.  These systems ener-



gize us.  In addition, specific auditory-muscular reflexes cause one to



orient his head and eyes in an appropriate direction to aid recognition



and identification of the sound-making object or event.



     Hearing is also involved in social mechanisms of adaptation to the



environment.  With our voices and ears we can "communicate our experiences



of the past and also our ideas and plans for future action."  In addition,



language, dialect, and manner of speech are important determiners of the



actions and cohesiveness of social groups.

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     The close ties of hearing to arousal, muscular actions, and social
relations provide the biological foundations for the mood-influencing
esthetic properties of auditory experience.  For hearing not only serves
as an ever-vigilant warning system and as the avenue of speech reception,
but also acts to influence man's moods, feelings of well-being, and
esthetic sensibilities.  Many of these responses to sound are culturally
determined and represent learned attitudes, but surely there are biological
bases for development of music with its associated emotional responses along
with the muscular responses of rhythmic movement and dance.   Some of these
biological bases stem from adaptative interrelations between the auditory
system and the arousal and muscular systems.   Others may be  simply acci-
dents of the evolution of the auditory system.
     Thus, it is clear that sound is of great value to man.   It warns him
of danger and appropriately arouses and activates him.  It allows him the
immeasurable advantage of speech and language.  It can be beautiful.   It
can calm, excite, and it can elicit joy or sorrow.  The recent discovery
that five-day-old infants will work to produce a variety of  sounds
(Butterfield and Siperstein, 1970) only reinforces our everyday observa-
tions that man enjoys hearing and making sounds.
     But not all sound is desirable.  Unwanted sound is noise.   The defi-
nition of noise includes a value judgment, and for a society to brand
some sounds as noises requires an agreement among the members of that
society.  Sometimes such agreements can be achieved readily.   Other times

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considerable analysis and debate is required before agreement can be
reached.
     For example, while machines are useful and valuable, they often pro-
duce as a by-product too much sound, noise.  On the other hand, since
machines can be dangerous, undoubtedly they should make enough sound to
warn us of their approach or of the danger from their rapidly moving,
powerful parts.  But how much and what kinds of sound?  Also, sounds that
are valuable in one location may travel to places where they may not only
serve no desirable purpose, but they may interfere with and disrupt useful
and desirable activities.  Some sounds seem to serve no useful purpose,
anywhere or anytime to anyone.  These sounds are unwanted and they clearly
are noises.  Other sounds are noises only at certain times, in certain
places, to certain people.  It is these complexities that require consid-
erable analysis and thought to enable us to reach agreement about what is
noise and what is not.  Scientists and citizens have engaged in such anal-
ysis and thought and some of the results of their efforts are described in
this report.
     The effects of noises of such low frequency (infra-sound) or of such
high frequency (ultra-sound) that they cannot be heard by people are not
considered in this paper.  Furthermore, this paper is not addressed to
the extent of the noise problem either in terms of the number of people
affected or in terms of the resulting social or economic costs of noise.
Rather it is the relations between the properties of noise and its effects
on people that are presented.

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                      PART I.  AUDITORY EFFECTS



                        Preliminary Statement



     The auditory system is exquisitely sensitive to sound.  The acousti-



cal power at the eardrum associated with a sound so loud as to produce



discomfort (120 decibels) is only about 1/10,000 of a watt.  The sound



power of the same sound impinging over the entire surface of the body is



of the order of 1.0 watt.  Furthermore, the boundary between the skin of



the body and the surrounding air is such that little of the acoustical



power of audible sound is actually transmitted into the body.  Even for



very loud sounds only a small amount of acoustical power actually reaches



the body.  Therefore, it is not surprising that noise has its most obvious



effects on the ear and hearing since these are especially adapted to be



sensitive to sound.



     One set of auditory effects is noticeable after a noise has passed;



these are temporary hearing loss, permanent hearing loss, and permanent



injury to the inner ear.  Another set of auditory effects is noticeable



while a noise is present; these are masking and interference with speech



communication.  Both of these sets of adverse auditory effects are discus-



sed below.






               Section 1.  EAR DAMAGE AND HEARING LOSS



                            Introduction




     Exposure to noise of sufficient intensity for long enough periods of



time can produce detrimental changes in the inner ear and seriously

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decrease the ability to hear.  Some of these changes are temporary and



last for minutes, hours, or days after the termination of the noise.



After recovery from the temporary effects, there may be residual permanent



effects on the ear and hearing that persist throughout the remainder of



life.  Frequent exposures to noise of sufficient intensity and duration



can produce temporary changes that are chronic, though recoverable when



the series of exposures finally ceases.  Sometimes, however, these chron-



ically maintained changes in hearing lose their temporary quality and



become permanent.



     The changes in hearing that follow sufficiently strong exposure to



noise are complicated.  They include distortions of the clarity and quality



of auditory experience as well as losses in the ability to detect sound.



These changes can range from only slight impairment to nearly total deaf-



ness.



                           A.  Ear Damage



     How ear damage from noise is studied.  Conclusive evidence of the



damaging effects of intense noise on the auditory system has been obtained



from anatomical methods applied to animals.  One group of animals is exposed



to noise and a comparable control group is not.  After a wait of a few



months, both groups of animals are sacrificed and their inner ears are



prepared for microscopic evaluation.  The primary site of injury is found



to be in the receptor organ of the inner ear.  Modern quantitative methods



allow an almost exact count of the numbers of missing sensory cells in the

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inner ears of noise-exposed animals.  These can be compared to the num-
bers of missing cells in the inner ears of control animals.  Other signs
of injury such as changes in the accessory structures of the inner ear
can also be observed.
     These anatomical methods are limited for two reasons.  The integrity
of crucial structures, such as the connections between the hairs of the
hair cells and the tectorial membrane, cannot be evaluated, and also the
functional properties of cells that are clearly present cannot be assessed.
That is,when a cell is clearly present, the anatomist can only guess at
its functional state.  The absent cell is clearly identifiable and the
interpretation of its function is obvious.
     The inner ears of human beings have also been examined.  Some patients
 with terminal illness have volunteered their inner ears to temporal bone
banks.  Such specimens are collected at the time of a post-mortem examina-
tion.   The anatomist tries to relate the condition of the human ear to the
patient's case history after making allowances for post-mortem changes in
the inner ear and possible pre-mortem changes associated with the terminal
illness or its treatment.  In spite of these difficulties, observations
of human cochleas are extremely important and in combination with animal
experiments provide a fairly clear description of the damaging effects of
noise on the inner ear.
     Because of the limitations of anatomical methods and the lack of
complete knowledge of the relations between hearing abilities and the

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anatomy of the auditory system, it is not possible to predict completely



the hearing changes from the anatomical changes.  However, physiological



observations which include measurement of changes in biochemical state



and electrical responses of the cochlea and auditory nerve help to reveal



the functional changes produced by exposure to noise.



     Kinds of ear damage and major findings.  The outer ear, eardrum, and



middle ear are almost never damaged by exposure to intense noise.  The ear-



drum, however, can be ruptured by extremely intense noise and blasts



(von Gierke, 1965).  The primary site of auditory injury from excessive



exposure to noise is the receptor organ of the inner ear.  This has been



known for many years, and excellent illustrations of such damage were pub-



lished near the turn of the century (Yoshii, 1909).



     The receptor organ of the inner ear is the organ of Corti, and its



normal structure is illustrated in cross-section in Panel A of Figure 1.



Here one can identify the auditory sensory cells (hair cells) and the



auditory nerve fibers attached to them, as well as some of the accessory



structures of the receptor organ.  A brief account of the function of the



organ of Corti is as follows.  Through a complicated chain of events,



sound at the eardrum results in an up-and-down movement of the basilar



membrane.  The hair cells are rigidly fixed in the reticular lamina of




the organ of Corti which in turn is fixed to the basilar membrane.  As



the basilar membrane is driven up and down by sound, a shearing movement



is generated between the tectorial membrane and the top of the organ of

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                HAIR CELLS
               INNER OUTER
TECTORIAL MEMBRANE
                              RETICULAR
                              LAMINA
                                   SUPPORTING
                                   CELLS
          NERVE FIBERS

            (A)  NORMAL ORGAN OF CORTI
                              3 OUTER HAIR CELLS ABSENT
                                                          DISTORTED
                                                          PILLAR CELL
                                                                         SWOLLEN
                                                                         SUPPORTING CELLS
                               (B) PARTIAL INJURY
                 COLLAPSE OF ORGAN OF CORTI-
                 HAIR CELLS ABSENT - ACCESSORY
                 CELLS SWOLLEN AND DISTORTED
                                                             ORGAN OF CORTI ABSENT
        NERVE FIBERS REDUCED
        IN NUMBER

               (C) SEVERE INJURY
                       NERVE FIBERS ABSENT

                              (o) TOTAL DEGENERATION
Figure 1.    Drawings of the human organ of  Corti  are  shown  that illustrate
the normal  state,  Panel A, and  increasing  degrees of noise-induced  perma-
nent  injury,  Panels B, C,  and D.
                                             10

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Corti.  This movement bends the hairs at the top of the hair cells.  This



bending, in turn, causes the hair cells to stimulate the auditory nerve



fibers.  As a result, nerve impulses arise in the nerve fibers and travel



to the brain stem.  From the brain stem, the nerve impulses are relayed



to various parts of the brain and in some unknown way give rise to auditory



 sensations.  The point to be made is that the integrity of the sensory



cells and the organ of Corti is important for normal hearing.



     Excessive exposure to noise can result in the destruction of hair



cells  and collapse or total destruction of sections of the organ of



Corti.  In addition, auditory neurons may degenerate.  Figure 1 illustrates



these injuries.  The injury illustrated in Panel B includes absence



of 3 outer hair cells, distortion of a pillar cell, and swelling of the



supporting cells.  In Panel C there is a complete collapse of the organ



of Corti with the absence of hair cells, distortion of the accessory



structures, and a reduction in the number of nerve fibers.  This section



of the organ of Corti is almost certainly without auditory function.  The



injury shown in Panel D is obvious; there is complete degeneration of the



organ of Corti.



     On Figure 2 are shown actual photomicrographs of cross-sections of



the organ of Corti from post-mortem human specimens.   These photographs




were provided by Dr. Harold F. Schuknecht of the Massachusetts 3ye and



Ear Infirmary of Boston, Massachusetts.  The organ of Corti in Panel A of



Figure 2 is essentially normal and can be compared with the drawing on
                                  11

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           (A)
                        • *

                              NORMAL ORGAN OF CORTI
          (B)
               .
                              OUTER HAIR CELLS ABSENT
          (0
                      • » .  • .
v-v--
 •  .*. ^
                      COLLAPSE OF ORGAN OF CORTI
Figure 2.  Photomicrographs of cross-sections of the human organ of
Corti are shown: Panel A, normal; Panels B and C, injuries most probably
produced by exposure to noise.  Similar injuries have frequently been
seen in experimental animals after exposure to noise.  (These photographs
were provided by Dr. Harold F. Schuknecht of the Massachusetts iye and
Zar Infirmary of Boston, Massachusetts.)
                                   12

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Panel A of Figure 1.  Shown on Panel B of Figure 2 is a cross-section of

the organ of Corti from a man who worked for a few years in small compart-

ments of boilers where for prolonged periods of time he was exposed to

the noise of riveting machines.  In this cross-section the inner hair ceU

is present but only one outer hair ceU can be seen where one would nor-

mally expect to see four.  The example in Panel C is from a man who worked

in the noisy environment of a steel factory.  There is collapse of the

organ of Corti with complete absence of normal receptor cells.

     The injuries on Figures 1 and 2 are froa selected locations within

the ear.   For proper perspective it is important to know that the human

organ of Corti is about 34 millimeters in length with about 395 outer hair
                                            (Bredberg,  196£).
cells and 100 inner hair cells per millimeter/  These total about 17,000.

Thus, the five hair cells shown in a single location represent but a small

fraction of the receptor organ.  The magnitude of injury to the inner ear

and the associated hearing loss depend not only on the severity of the

injury at any one location but also on the spread of the injury along the

length of the organ of Corti.

     The loss of hearing abilities depends, in a complicated way, on the

extent of the injury along the organ of Corti.  Total destruction of the

organ of Corti for one or two millimeters of the total 34 millimeters may

or may not lead to measurable changes in hearing.  Recent evidence from

human cases and animal experiments suggests that the loss of sensory cells

must be quite extensive in the upper part of the cochlea (that part which
                                   13

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is important for the perception of low-frequency sounds) before this damage
is reflected as a change in threshold.  In the lower part of the cochlea
(that part which is important for the perception of high-frequency sounds)
losses of sensory cells over a few millimeters are sometimes reflected in
changes in hearing (Bredberg, 1968).
     The mechanism by which over-exposure to noise damages the auditory
receptor is not well understood.  Very intense noise can mechanically
damage the organ of Corti.  Thus, loud impulses such as those associated
with explosions and firing of weapons can result in vibrations of the organ
of Corti that are so severe that some of it is simply torn apart.  Other very
severe exposures to noise may cause structural damage that leads to rapid
"break-down" of the processes necessary to maintain the life of the cells
of the organ of Corti.  Such an injury is an acoustic trauma.
     Over-exposure to noise of lower levels for prolonged periods of time
also results in the degeneration of the hair cells and accessory structures
of the organ of Corti.  Such injuries are called noise-induced cochlear
injuries.  Many theories have been proposed to explain noise-induced cochlear
injuries.  One notion is that constant over-exposure forces the cells to
work at too high a metabolic rate for too long a period of time.  As a
result the metabolic processes essential for cellular life become exhausted
or poisoned, and this leads to the death of the cells.  In a sense  the
receptor cells can die from overwork.
                                   14

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     No matter what theory is eventually found to be correct, certain facts



are established beyond doubt.  Excessive exposure to noise leads to the



destruction of the primary auditory receptor cells, the hair cells.  There



can be other injuries to the organ of Corti that can range from mild dis-



tortion of its structure to collapse or complete degeneration.  The auditory



neurons may also degenerate.  All of these cells are highly specialized.



Once these cells are destroyed, they do not regenerate and cannot be stim-



ulated to regenerate? they are lost forever.



                          B.  Hearing Loss



     How hearing loss due to noise is studied.  Experiments on hearing loss



are sometimes done with animals because one would not deliberately deafen



a human subject.  For these experiments it is necessary to train the animal



subjects so that their ability to detect faint tones can be measured.  The



measure of this ability is the intensity level of the faintest tone that



can be detected.  This is called the hearing threshold level.  The greater



the hearing threshold level, the poorer the ability to hear.  The hearing



thresholds of trained animals are measured by methods similar to those used



with human patients.  After the animal's normal thresholds have been




measured, it is exposed to noise under controlled laboratory conditions.



After the cessation of the noise, changes in the animal's thresholds are



measured.  Subsequently, its ears are evaluated by physiological and




anatomical methods.



     Experiments with human subjects are limited to exposures to sound



that produce only temporary changes in the hearing mechanism.  In such
                                  15

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experiments, measures of some auditory capability are made prior to ex-



posure and also at Tarious specified times after its termination.  One



of the advantages of laboratory studies is the fact that precise measures



of hearing are made before and after exposures to a noise whose properties




are exactly known.



     Measurements of the effects of noise on human hearing are also



collected in field and clinical case studies.  These data are subject



to considerable error, but several well-done field studies have been



completed or are now in progress.  Threshold measurements are made on



persons who are regularly exposed to noise.  These exposures usually



occur in an occupational setting.  Noise levels are measured and the



progress of hearing thresholds is followed.  While it is true that the



actual occupational exposures vary from day to day and moment to moment



within a day, some rather clear trends emerge when a sufficient number



of persons are carefully studied.  For comparison, similar measurements



are made on persons whose life patterns include very little exposure to



noise.




     Well-done studies of individual patients in the clinic have suggested



hypotheses and have also been an important source of data.




     Temporary, compound, and permanent threshold shifts—single exposures.



The primary measure of hearing loss is the hearing threshold level.  The



hearing threshold level is the level of a tone that can just be detected.
                                   16

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The greater the hearing threshold level, the greater the degree of hearing



loss or partial deafness.  An increase in a hearing threshold level that



results from exposure to noise is called a threshold shift.



     Some threshold shifts are temporary and they diminish as the ear



recovers after the termination of the noise.  Frequently-repeated exposures



can produce temporary threshold shifts that are chronic though recoverable



when the exposures cease.  When a threshold shift is a mixture of temporary



and permanent components, it is a compound threshold shift.  When the tem-



porary components of a compound threshold shift have disappeared (that is,



when the ear has recovered as much as it ever will), the remaining thresh-



old shift is permanent.  Permanent threshold shifts persist throughout the



remainder of life.



     Temporary threshold shifts can vary in magnitude from a change in



hearing sensitivity of a few decibels restricted to a narrow region of



frequencies  (pitches) to shifts of such extent and magnitude that the ear



is temporarily, for all practical purposes, deaf.  After cessation of an



exposure, the time for hearing sensitivity to return to near-normal values



can vary from a few hours to two or three weeks.  In spite of efforts in



many laboratories, the laws of temporary threshold shifts have not yet been



completely determined.  There are large numbers of variables that need to



be explored.  Also, there are probably several different underlying
                                    17

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processes that influence the measured threshold shifts.  It may be nec-



essary to sort out the influence of each of these underlying processes



before the laws of noise-induced temporary threshold shifts will be com-




pletely understood.



     Nonetheless, certain generalizations seem to be correct (Ward, 1963).



Noises with energy concentrations between about 2000 and 6000 hertz



probably produce greater temporary threshold shifts than noises concen-



trated elsewhere in the audible range.  In general, A-weighted sound levels



must exceed 60-80 decibels before a typical person will experience tempo-



rary threshold shifts even for exposures that last as long as 8-16 hours.



All other things being equal, the greater the intensity level above 60-80



decibels and the longer the time in noise, the greater the temporary



threshold shift.  However, exposure durations beyond 8-16 hours may not



produce further increase in the magnitude of the shift (Mills et al.,



1970; Mosko et_ al., 1970).  It is also an interesting property of temporary



threshold shifts that such shifts are usually greatest for test tones 1/2-1



octave above the frequency region in which the noise that produces the shift



has its greatest concentration of energy.  Finally, there is less temporary



shift when an exposure has frequent interruptions than when an exposure is



continuous.




     People differ in their  susceptibility to temporary threshold shifts.



Unfortunately, these differences in susceptibility are not uniform across
                                   18

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the audible range of frequencies (pitches).  Indeed, one person may be



especially susceptible to noises of low pitch, another to noises of



medium pitch, and another to noises of high pitch.  In general, women



appear to be less susceptible to temporary threshold shifts from low-



frequency noises than are men, and this relation is reversed for high-



frequency noises (Ward, 1966; Ward, 1968a).



     An impression of the quantitative facts of temporary threshold



shifts can be obtained from Figures 3 and 4-  All of the dashed lines



indicate extrapolations based on current research.  While it is likely



that the general trends shown on these figures will be verified by addi-



tional research, the exact values cannot be expected to be accurate.



For short durations of exposures to high intensities there may even be



some changes in the rank ordering of the initial segments of curves.



Nonetheless, these graphs provide an adequate summary of reasonable ex-



trapolations of available data.



     Consider Figure 3.  The time in noise is plotted along the horizontal




axis, while the amount of threshold shift measured in decibels at two



minutes after the cessation of the exposure is plotted on the vertical



axis.  These curves represent probably the worst possible situation in



that the noise is in the region, 2400-4800 hertz, to which the ear is



most susceptible, and the test tone is at 4000 hertz where threshold



shifts are often large.  Certain facts are obvious from the graph.  The
                                   19

-------
           120
         M
         LLJ
           110
         O
         O
           100
         UJ 90-3
         (A
         O on
         O. 8O
         X
           70 -
         to 60
         UJ
           SO
         CJ

         a 40
         UJ
         a:

         to 30
         LU
         to
o
X
to
LU
CC.
X
            20
            10
         HYPOTHETICAL GROWTH OF THRESHOLD
         SHIFT MEASURED 2 MINUTES AFTER
         A SINGLE CONTINUOUS EXPOSURE
         TO NOISE

         PARAMETER-- LEVEL OF NOISE      -
                                                               K
     O
     z
     o
     o
     UJ
     cr


     t
                                     30 45 1
                                                  8 12
               SECONDS
                     MINUTES
                    	I
                                              HOURS
                                                           DAYS
              0.3 0.5 0.8
                            5  8
                               10
                            30 50 80
                                  100
300 500 800
      IK
3K 5K 8K
     10K
                             TIME  IN NOISE ( MINUTES )
Figure 3.   Hypothetical growth of threshold shift  after various  single
and continuous exposures to  noise.  These curves represent predictions
for an average, normally-hearing young adult exposed to a band of noise
or pure  tone centered near  4000  hertz.  These  are "worst-case"  condi-
tions as the ear is most susceptible to noise in this region.  These
hypothetical curves were drawn to be consistent with current facts and
theory.   They are for an average ear; wide differences among individuals
can be expected.  In many cases extrapolations  had to be made from appro-
priately corrected data from animals (cats and  chinchillas).  The data
points are from Ward, Glorig, and Sklar (l959a).   Other relevant data can
be found in papers by Botsford (1971), Carder and  Miller (in press).
Davis et al. (1950), Miller  et al. (1963), Miller  et al. (1971),
Mills et al. (1970), Mosko et al. (1970), and Ward~Tl9o~0, 1970b).
                                     20

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more intense the noise, the more rapidly threshold shifts accumulate as



the time in noise is extended.  When the noise is only 65 decibels, a



typical person has to be exposed for several hours before any significant



threshold shift can be detected.  However, when the noise is very intense,



say 130 decibels, a typical person exposed for only 5 minutes reaches



dangerous levels of threshold shift.  Notice that the combinations of



intensity level and duration that produce threshold shifts greater than



about 40 decibels are said to be in the region of possible acoustic trauma.



In this region, for some people, the normal processes of the ear may



"break down" and permanent threshold shifts—hearing loss—may result from



even a single exposure to noise.  Remember, however, that these relations



are for the worst possible situation where the noise is concentrated in



the region from 2400 to 4800 hertz.  While exposures to other noises lead



to qualitatively similar changes in hearing thresholds and to similar



risks, the quantitative relations (even when the noise is measured in



A-weighted sound level) may be  different.



     Recovery from threshold shifts after the cessation of an exposure to



noise depends on a variety of factors and is not completely understood.



Sometimes recovery from a threshold shift is complete in 50 or 100 minutes.



Such rapid recovery from a threshold shift has been observed when the



threshold shift is small, less  than 40 decibels, and the duration of the



exposure is short, less than B  hours (Ward, e_t al., 1959a).  Less rapid



recovery from threshold shifts  is illustrated on Figure 4«  The straight
                                   21

-------
120
110
100
 90
UJ
CD
a so
o
z
70
N
X
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8 60
t 50
X
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Q
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tn
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H 20
10
	 , 	 1 | | ||||| 	 1 	 1 1 	 | 	 1 	 	 "1 	 ' 	 ' ' ' ""1 ' 	
HYPOTHETICAL RECOVERY AFTER A
SINGLE CONTINUOUS EXPOSURE TO ~
NOISE
„„.„_ PARAMETER: LEVEL AND DURATION
120 dB, 3 DAYS
ION OF POSSIBLE ACOUSTIC TRAUMA
1 a:
:t
•
100 dB, 3 DAYS \
"^X \
90 dB, 3 DAYS \ \
-x \ V-l
80 dB, 3 DAYS "\ \
'"''••Pi '*, ~"~~"*^. \ \ PERMANE
'••** X \ \ THRESHOLD
'".. N \ \ 40 dB
70 dB, 3 DAYS '''••. 4 \ \ \
*"**~". — --- SN>\ v
-------
dotted line indicates the course of recovery from a threshold shift that
has often been assumed (Ward et al., 1959a» 1959bj  Kryter et al.,  1966).  The
data points (filled circles) represent the decline of threshold shift after
an exposure at 95 decibels for 102 minutes as actually measured for human
listeners.  The accuracy of the extrapolation of the dotted lines beyond
the data points is unknown.  Clearly, however, recovery from the exposure
of 95 decibels for 102 minutes (dotted line) is more rapid than recovery
from the exposures for 3 days (dashed lines).
     The slow recovery from noise-induced threshold shifts illustrated on
Figure 4 by the dashed lines probably holds whenever the exposure is severe
either in terms of the total duration or in terms of the amount of thresh-
old shift present a few minutes after the termination of the noise.
Recovery from temporary threshold shift appears to be very slow when the
initial threshold shift exceeds 35-45 decibels (Ward, I960), when the expo-
sure lasts as long as about 12 hours (Mills et al., 1970; Mosko et al.,
1970), or after some long but intermittent exposures to noise (Ward, 1970b).
For example, it has been shown that exposure to a noise with an A-weighted
sound level of about 80 decibels for two days results in small temporary
threshold shifts that do not completely disappear for several days (Mills
et al., 1970).
   Very severe exposures to noise can produce compound threshold shifts
from which complete recovery is impossible.  After recovery from the tem-
                                   23

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porary component of a compound threshold shift, there remains a permanent



threshold shift.  Some examples are shown on Figure 4.  The ear's recovery



from compound threshold shifts is often quite slow and this recovery prob-



ably represents a "healing" process.   There can be no additional recovery



(healing) beyond two to twelve weeks  after an exposure (Miller et al.. 1963).



   Noise-induced permanent threshold  shifts—repeated exposures.  Some-



times people encounter single exposures to steady noises that produce



permanent threshold shifts.  This only happens rarely as people usually



will not tolerate such severe exposures (see Figures 3 and 4)»



   More commonly, noise-induced permanent threshold shifts accumulate



as exposures are repeated on a near-daily basis over a period of many



years.  The best examples of such cases are from field studies of occupa-



tional deafness.



   An unusually thorough study was done of jute weavers (Taylor et al.,



1965).  These weavers were all women with little exposure to noise other



than that received on the job.  The noise exposures had been nearly constant



in the mills for almost 52 years, and employees who had worked in the mills



for 1-52 years were available for testing.   All audiometry (measurement



of hearing thresholds) was done with  a properly calibrated instrument by



a trained physician.  Hearing thresholds were measured after a weekend



away from the noise.  This means that about 2-1/2 days of recovery were



allowed and probably only a small recoverable component remained in the



measured threshold shift (see Figure  4).  Since the noise in the mill had
                                   24

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an A-weighted sound level of about 98 decibels, a working-day exposure of



eight hours would be expected to produce 35-65 decibels of temporary thresh-



old shift in a typical, young adult female for a test tone of 4000 hertz.



In 2-1/2 days, this threshold shift would be expected to decay to within



about five decibels of normal (see Figures 3 and 4).  Of course, wide



variations can be expected.  What happens when such an exposure is repeated



about five days a week, 50 weeks a year, year after year?  The results are



shown on Figure 5-  These thresholds are typical for the jute weavers and



the expected changes with age have been subtracted.




     Evidently, as the exposures are repeated year after year, the ear



becomes less and less able to recover from the temporary threshold shift



present at the end of each day.  It also seems likely that as the exposures



are repeated, the amount of threshold shift present at the end of each



day's work might creep upward toward the asymptote appropriate to the level



of the noise as indicated on Figure 3«



     In any case, as the exposures are repeated, the noise-induced tem-



porary threshold shifts become permanent or nearly so.  It is also signif-



icant that on weekdays there are only 16 hours of recovery between work



exposures.  Therefore, from the first day of employment, most of these



weavers will be living with a chronic threshold shift of 25-55 decibels



at 4000 hertz (see Figures 3 and 4).  Only on Saturday and Sunday will



their hearing be near normal even during the first year of employment.
                                   25

-------
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00
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40


3O


20


  IO
         -IO
                             4000 Hz

/  3000 Hz
                             2000 Hz
                     1000 Hz
                        10
                            20
                      30
40
50
                               EXPOSURE  -  YEARS
    Figure 5.  Median noise-induced threshold shifts for jute weavers with
    one to over 40 years of occupational exposure to noise with an A-weighted
    sound level of about 98 decibels.  These threshold shifts have been
    corrected for the expected changes in thresholds with age in persons who
    are not exposed  to noise.  (From Taylor ej, al.}  1965, with permission of
    the authors and  the Journal of the Acoustical Society of America*)
    As the years roll by, these jute  weavers become partially deaf even on the

    weekends.

         Similar data have been gathered on male workers in noisy industries

    in the United States (Nixon and Glorig, 196l).  Age-corrected threshold

    shifts at 4000 hertz are shown for these workers on Figure  6.  The average
                                      26

-------
        50
      N
      040
      O
       CD
       O
       (ft

       Q.
       Z
         10
                I   I  I I ' '"I
        20-

                     I I
1 ml
 i   i  i  i
                                 2  345
                                  EXPOSURE
   10
   TIME
20     50
IN  YEARS
100
Figure 6.  Noise-induced permanent threshold shifts (NIPTS) plotted
against years of occupational exposure to noise for workers in three
levels of noise.  These threshold shifts have been corrected for the
changes with age found in persons without occupational exposure to noise.
The graphs are for a test tone of 4000 hertz and the data points are
medians.  The average A-weighted sound levels were 83 decibels for
group A, 92 decibels for group B, and 97 decibels for group C.
(Reprinted from Nixon and Glorig, 1961, with permission of the authors
and the Journal of the Acoustical Society of America.)
A-weighted noise levels for the workers in environments A, B,  and C were

about 83, 92, and 97 decibels, respectively.  Presumably, most of the

threshold shifts were measured 2-1/2 days after the last workday and prob-

ably contain temporary components of less than 7-10 decibels.
                                   27

-------
     The important points to notice on Figure 6 are: (a) there is an

orderly relation between the median amount of noise-induced threshold

shift and the intensity level of the noise; and (b) the amount of threshold

shift at 4000 hertz from these occupational exposures shows no further

increase after about ten years of exposure although the threshold shifts

for lower frequencies (not shown) continue to increase.

     The results shown on Figures 5 and 6 are medians.   These orderly

trends do not reflect the large differences among  individual ears in

susceptibility to noise-induced hearing loss.  In fact,  within a group

of similarly exposed people some will exhibit very large threshold shifts

while others will exhibit only small threshold shifts.   The extent of

these differences is shown on Figure 7«   Some of the differences between

similarly exposed people are due to differences  in susceptibility to noise,

and some are due to actual differences in the noise levels encountered.   In
                                                                      and time,
an industrial situation the measurement of noise is an average over space/

and, therefore, all workers do not necessarily receive the same exposure.

     Threshold shifts, from impulsive noise.  Intense impulsive noise can

be particularly hazardous to hearing.  The reason is that in addition to

the processes involved in noise-induced threshold shifts there is the

added risk of a "breakdown" in the inner ear.  Permanent threshold shift

due to acoustic trauma may result.  Since an acoustical  impulse may con-

tain only a small amount of total energy because of its  limited duration,
                                  28

-------
                        2000 Hz
         cc
         <
         yj
         LL
         O
         LJ
         O
         o:
         LJ
         o.
20
IO
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2O
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2O
10
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20
 10
 o
20
IOH
 o
20-
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                    n
                     n
                                    15-19YR
                                    N=32
                                    2O-24YR
N=39
25-29YR
                                    N=4O
                                    3O-34YR
 N=27
 35-39YR
                                    N=32
                                    4O-52YR
                   •  If  T   *  " T   I  *  I
                   O  IO2O3O4O5O6O7O8OdB

                ESTIMATED  NOISE-INDUCED
                    THRESHOLD SHIFT
Figure 7.  The distribution of noise-induced threshold shifts of jute
weavers exposed for various numbers of years (parameter).  The test fre-
quency is 2000 hertz.  Notice the large differences among people with
regard to the effects  of noise on the magnitude of the threshold shift.
(Reprinted from Taylor et al., 1965 f with the permission of the authors
and the Journal, of the Acoustical Society of America.)
                             29

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the predicted threshold shift might be small.  At the same time, a  single



impulse because of its high amplitude might rip or tear a crucial tissue




barrier (say the reticular lamina which protects the hair cells and nerves



from the fluids of scala media) and a considerable degeneration of the



organ of Corti may result.  Therefore, it is unlikely that description



of impulsive noise in terms of equivalent spectrum and energy of "steady



sounds" will be successful in predicting the enormous variability in



response to impulses with high peak levels.   With these impulses occasional



cases of sudden severe hearing loss are observed,  and these can be explained



in terms of direct mechanical injury.  It may be possible that expressing



impulses in terms of equivalent spectrum and energy with steady sounds



may be successful in predicting median trends (Kryter, 1970).



     When a gun is fired or a hammer strikes metal,  very large peak sound



pressures may be generated at the eardrum.  To follow the time course of



an impulse accurately, one records the output of a good microphone on an



oscilloscope.  Idealized waveforms of impulse noises are shown on Figure 8.



On Figure 9 are shown the combinations of peak sound pressure and duration



that can be allowed if as many as 100 impulses were  delivered to the ear



over a period of four minutes to several hours each day.   It  is presumed



that only 5% of the persons receiving a criterion exposure would have tem-



porary threshold shifts that exceed ten decibels at  1000 hertz or below,



15 decibels at 2000 hertz, or 20 decibels at 3000 hertz or above.  Details
                                  30

-------
          to
          _l
          ID
          QL
          LU
          CC
          D
          co
          CO
          LU
          CC
          Q_

          co
          ID
          O
          f
          CO
                                                         (a)
                               B =
                                   1   2

                                     TIME
Figure 8.  Idealized pressure waveforms of impulse sounds.  On line (a)
is shown a single, well-damped impulse.  Its duration is taken as the time
period indicated by the letter A.  On line (b) is shown an impulse that
has several oscillations.  Also shown is a single reflection.  Its dura-
tion is taken as the time period B » bi + ... + bn.  The amplitudes of
both types of impulse noises is taken as the peak value, P, expressed in
decibels.  For more details see Ward (I968b).
                                    31

-------

-------
of these criteria and their derivation can be found elsewhere (Ward,



1968b).



     Samples of permanent threshold shifts produced by a single fire-



cracker explosion or the repeated firing of guns are shown on Figures



10 and 11.




           C.  Implications of Sar Damage and Hearing Loss



     Interpretation ofnoise-induced hearing loss.  There has been and



continues to be considerable debate about the implications and signifi-



cance of small amounts of ear damage and hearing loss.  The most recent



statement of the Committee on Hearing of the American Academy of



Ophthalmology and Otolaryngology on Hearing Handicap is given on Figure 12.




Prior to 1965, this group had used the terms hearing impairment, hearing



handicap, and hearing disability almost synonymously and in accordance



with the categories displayed in Figure 12.



     In 1965, this committee offered these definitions of terms related



to hearing loss.  Hearing Impairment; a deviation or change for the worse



in either structure or function, usually outside the normal range.  Hearing





Handicap: the disadvantage imposed by an impairment sufficient to affect



one's efficiency in the situation of everyday living.  Hearing Disability;



actual or presumed inability to remain employed at full wages.



     By these definitions, any injury to the ear or any change in a hearing



threshold level that places it outside of the normal range constitutes a
                                   33

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                  FREQUENCY OF TEST TONE IN HERTZ
              250      500     1000    2000     4000    8000
          10
       LU
       59 20
       o
       UJ
       5  30
          40
       o
       I 50
       cr
       I
          60
          70
          80
                  TIME AFTER ACCIDENT
         1 WEEK

   •—• 1 MONTH

   X	x 2 YEARS



HEARING  LOSS FROM

FIRECRACKER EXPLOSION

NEAR THE EAR
              250
    500
1000
2000
4000    8000
Figure 10.  Permanent threshold shifts produced by a single exposure to
a firecracker explosion.  The change in hearing is shown by the difference
between the thresholds taken before and after  the accident.  The firecracker
was an ordinary flashlight cracker about two inches in length and 3/16
inch in diameter.  It was about 15 inches from the patient*s right ear
when it exploded.   (After Ward and Glorig,  1961, with the permission of
the authors and Laryngoscope.)
                                 34

-------
                         HUNTERS N«3Z
                        OL GROUP N'9
          70
                      50
                      FREQUENCY
TONE  IN
  4000   6000
HERTZ
                     8000
Figure 11.  Median hearing loss in habitual sports shooters and age-matched
controls.  (From Taylor and Williams, 1966, with the permission of the
authors and Laryngoscope.)
                                   35

-------
CLASS
A
B
C
D
E
F
DEGREE OF
HANDICAP
Not significant
Slight Handicap
Mild Handicap
Marked Handicap
Severe Handicap
Extreme Handicap
AVERAGE HEARING
THRESHOLD LEVEL FOR
500, 1000 AND 2000 Hz
IN THE BETTER EAR
MORE THAN

25 dB
40 dB
55 dB
70 dB
90 dB
NOT
MORE THAN
25 dB
40 dB
55 dB
70 dB
90 dB

ABILITY TO
UNDERSTAND SPEECH
No significant difficulty
with faint speech
Difficulty only with
faint speech
Frequent difficulty with
normal speech
Frequent difficulty with
loud speech
Can understand only
shouted or amplified speech
Usually cannot understand
even amplified speech
Figure 12,   Guideline for the relations between the  average  hearing
threshold level for 500,  1000, and 2000 hertz and degree  of handicap
as defined by the Committee on Hearing of the American Academy of
Ophthalmology and Otolaryngology.   (From Davis,  1965, with the permission
of the author and the Transactions of the American Academy of Ophthalmology
and Otolaryngology.)
                                  36

-------
hearing impairment*  Whether a particular impairment constitutes a hearing

handicap or a hearing disability can only be judged in relation to an

individual's life pattern or occupation.

     The guideline for the evaluation of hearing handicap shown on Figure 12

uses only thresholds for tones in the region most important for the recep-

tion of speech (500, 1000, and 2000 hertz), and judgments of handicap are

based on the associated ability to understand connected speech in quiet

surroundings.  While most authorities agree that a person in Category B

or worse has a hearing handicap, there is debate over whether handicap

exists when a person in Category A also has large hearing threshold levels

above 2000 hertz.

     Examples of audiograms that would fall into Category A and also exhibit
                        levels
large hearing threshold/ above 2000 hertz are shown on Figures 10 and 11.

Notice that the guideline of Figure 12 indicates that such audiograms do

not represent a significant handicap.  Those who question the guideline

of Figure 12 rally certain facts.  For example, some individuals with

sizable hearing threshold levels above 2000 hertz may experience consider-

able difficulty in understanding speech in moderate levels of background


noise even though their average hearing threshold levels at 500, 1000,

and 2000 hertz do not exceed 25 decibels (Niemeyer, 1967).  Also, persons

with hearing loss primarily above 2000 hertz may not be able to distinguish

the sounds of certain consonants.  Sometimes hearing loss above 2000 hertz
                                   37

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may be especially important to a person; for example, piccolo players or
specialists concerned with bird song may experience handicap whereas many
others might not.
     More generally, individuals will react differently to a hearing loss.
One may be particularly upset by his inability to understand his children;
another may feel handicapped by his inability to participate in rapid
verbal patter; and others may miss the sounds of music or those of nature.
     There is little room for controversy over the question of handicap
when losses become as severe as those of Category C of Figure 12.  Persons
with losses this severe or worse are aware that they have lost part or all
of a precious gift.
     Hearing aids and[ noise-induced hearing loss.  People with partial
deafness from exposure to noise do not live in an auditory world that is
simply "muffled."  Even those sounds that are heard may be distorted in
loudness, pitch, apparent location, or clarity.  While a hearing aid some-
times can be useful to a person with noise-induced hearing loss, the result
is not always satisfactory.  The modern hearing aid can amplify sound and
make it audible, but it cannot correct for the distortions that often
accompany injury to the organ of Corti.
     Presbyacusis and environmental noise.  With age, people almost
uniformly experience increasing difficulty in understanding speech.
Undoubtedly, some of this loss is due to the degeneration of neurons in
                                   38

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the brain which generally accompanies advancing age.  Some  of this loss



is due to changes in middle or inner ears.  Some of the changes in the



inner ear are due to normal aging processes} some are undoubtedly due to



toxic'drugsj some are due to disease processes; and some are due to inci-



dental, recreational, and occupational exposures to noise.  Clear evidence



is available that noises with A-weighted  sound levels,above 80 decibels



can contribute to inner ear damage and eventual heardjng handicap if such



noises are frequently and regularly encountered.  Beyond this, the evidence



does not warrant stronger statements about the role of noise in progressive



hearing loss with age.  Theoretical grounds do suggest that frequent expo-



sures of sufficient duration to noises with A-weighted sound levels greater



than 70-&0 decibels could contribute to the "normal loss of hearing with



age."



     At least some aspects of hearing loss with age seem to add to hearing



loss from noise exposure (Glorig and Davis, 196l).  This means that a small



loss of hearing from exposure to noise may be insignificant when one is



middle-aged, but might, when combined with other losses due to age, become



significant * as one reaches an advanced age.



       D.  Prevention of Ear Damage and Hearing Loss from Noise  •



     Hearing loss and ear damage due to noise can be eliminated if




exposures to noise are: (l) held to sufficiently low levels; (2) held to



sufficiently short durations; or (3) allowed to occur only rarely.
                                   39

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     The regulation of the acoustic environment in such a way that hearing



loss and ear damage from noise are eliminated poses several problems.  For



example, the chances that a person will develop a hearing impairment due



to noise depends on the pattern of exposure from all sources of noise that



he happens to encounter.  Some of these exposures from particular sources may



be innocuous in isolation.  But these same noises, which are innocuous by



themselves, may combine with noises from other sources to form a total sequence



of noises sufficient to produce hearing impairment (Cohen et al., 1970).



While it may be possible to control the total exposure in an occupational



setting during a day's work, it is nearly impossible to control an individual's



activities and exposure to noise while he is away from work.  Thus, one must



turn to the regulation of sources of noise.



     In general, any source with an A-weighted sound level of 70-80 decibels



has the potential to contribute to a pattern of exposure that might produce



temporary threshold shifts (see Figure 3) and this could lead to permanent



hearing impairment.  Therefore, it seems desirable to have as few sources



as possible that expose people to A-weighted sound levels in excess of 70-80



decibels.  But people can tolerate many brief exposures in excess of 70-80



decibels if they are widely spaced in time.  For example, a shower bath may



have an A-weighted sound level of about 74 decibels, but one would have to



shower for over an hour before a temporary threshold shift would appear
                                   40

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(see Figure 3).  Clearly, regulation must not eliminate all sources of noise
with A-weighted sound levels in excess of 70-80 decibels.  On the other
hand, if such sources are allowed to proliferate without bound, then vast
numbers of persons will suffer chronic threshold shifts.
     Sources with A-weighted sound levels in excess of 80 decibels have the
potential to contribute to the incidence of hearing handicap.  The argument
about regulation of such sources runs exactly parallel to that of the pre-
vious paragraph.
     Finally, from studies of hearing loss from occupational exposures to
noise, one can identify exposures that, in and of themselves, increase the
incidence of hearing handicap (Kryter et al., 1966; Radcliff, 1970).  Sources
that provide exposures as severe as these should be avoided, eliminated, or
controlled.
     Part of the problem of the evaluation of hearing hazard from various
sources of noise is this.  While knowledge has accumulated about the effects
of schedules of noise exposure such as those encountered in the occupational
setting, very much less is known about the effects of other, irregular
schedules such as those associated with occasional use of home tools and
recreational devices (snowmobiles,for example).  Here much more research is
needed.
     Another approach to the protection of hearing from noise is the use
of ear plugs and earmuffs when hazardous noises are encountered.  Effective
devices are available for this purpose, but they must be carefully selected
                                   41

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and properly used.  In spite of the effectiveness of earplugs and earmuffs,



people will often refuse or neglect to use them for reasons of appearance,




discomfort, and bother.

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     Section 2.   MASKING AND INTERFERENCE WITH SPEECH COMMUNICATION
                              Introduction
     Man has a formidable ability to "hear out" one sound from a background
of other sounds.  For example, often one can hear the doorbell over a back-
ground of music and conversation.  But there are very definite limits to
this ability to "hear out" a signal.  Unwanted sounds, noises. can interfere
with the perception of wanted sounds, signals.  This is called masking.  By
masking, an auditory signal can be made inaudible or the signal can be changed
in quality, apparent location, or distinctiveness.  Masking has been studied
extensively in the laboratory, and, consequently, the effects of noise on the
perception of auditory signals can be calculated for many environmental
conditions.  Descriptions of the masking of auditory signals by noise can be
found elsewhere (Hirsh, 1952; Jeffress, 1970; Kryter, 1970; Scharfj 1970,
and Ward, 1963).
     Much of the research on auditory masking has been motivated by auditory
theory.  From their research, scientists hope to learn the basic laws of
the analytic capacities of human hearing.  The study of the masking of speech
by noise has been undertaken to meet both practical and theoretical goals.
While it is important for everyday life to be able to understand generally
the perceptibility of auditory signals, most would agree that the understand-
ing specifically of the problem of speech perception has great significance
for the quality of human life.  If speech is totally drowned out by a masker,
                                   43

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the speech is said to be inaudible or below the threshold of detectability.



If the presence of the speech can be detected, but it is indistinct or



difficult to understand, the speech is said to be above the threshold of



detectability and to have poor intelligibility or discriminability.  Intel-



ligibility or discriminability refers to the clarity or distinctness with



which speech can be heard over a background noise and it is usually measured



in the percentage of messages that a listener can understand.



               A.  Interference with Speech Communication



     Speech and understanding speech.  A talker generates a complicated



series of sound waves.  This series is called the speech stream.   It is



not possible to assign a particular acoustic pattern to each of the "sounds"



of the English language in a one-to-one fashion.  Rather, the  "speech stream"



carries the cues for the "sounds" of English and the listener  decodes the



"speech stream" by a complicated, synthetic process that not only relies



on the acoustic cues carried by the "speech stream," but also  relies on the



listener's knowledge of the language and the facts of the situation.  Not



all of the cues carried by the "speech stream" are known.  Also,  the syn-



thetic processes by which the "speech stream" is decoded and "heard as



speech" are not fully understood.  Nonetheless, much is known  about which



regions of the audible range of frequencies carry the cues for the intel-



ligibility of speech.



     Cues in the speech stream can be found at frequencies as  low as about



100 hertz to as high as about 8000 hertz.   Most of the acoustical energy
                                  44

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of the speech stream is concentrated between 100 and 6000 hertz.  But,



the most important cue-bearing energy falls between about 500 and 2000



hertz.  The speech stream carries much extra information.  It is redundant.



Therefore, speech can be heard with high intelligibility even when some of



the cues have been removed.



     How speech reception in noise is studied.  There are many variables



that iJafluence the accuracy of speech communication from talker to listener



in an experiment.  The characteristics of the talker; the test materials;



the transmission path from talker to listener; the background noise; the



spatial locations of the talker, noise source, and listener; and the in-



tegrity of the listener's auditory system all can be important.  The outcome



of such an experiment is usually measured in the percentage of messages



understood, and this percentage is taken as a measure of intelligibility



or discriminability of the speech.  Other measures are sometimes used.



Among these are ratings of the quality or the naturalness of speech, recog-



nition of the talker, or recognition of the personality or psychological



state of the talker.



     In no one experiment are all of the variables studied.  Rather, most



are held constant and the effects of a few are evaluated.  The experiments



of Miller e_t al. (1951) provide a good illustration.  Only two subjects



were used and they alternated roles as talker and listener.  The subjects



were located in different rooms and could only communicate via a microphone-
                                   45

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amplifier-earphone system which passed only frequencies between 200 and

3000 hertz.  Noise could be added into this communication link and the
                                                                       •
ratio of speech power to noise power could be controlled.  In one experi-

ment, the test materials were one-syllable words.  The talker always said,

"You will write	," with the test item read at the blank.  He monitored

his voice level with an appropriate meter and, thus, the speech intensity

at the microphone was held constant.  The level of the speech and noise at

the listener's ear was controlled by the experimenter through appropriate

adjustments of the electronic equipment.  Of major interest in this experi-

ment were the relations between the speech power and noise power, the number

of possible messages (one-syllable words), and the percentage of messages

understood.  For some tests, the message could be one of two alternatives

known to the listener; for other tests the message could be one of four,

eight, sixteen, thirty-two, two hundred fifty-six, or any of one thousand

possible one-syllable words.  The results are shown on Figure 13.


     It can clearly be seen that the more intense the speech in relation

to the noise the greater the percentage of messages correctly understood.

Also, the fewer the number of alternative messages the greater the per-

centage of correctly understood messages.  It is important to realize that

the absolute percentage of correct messages transmitted for each speech-to-
                                   46

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                                        MONOSYLLABLES
             •15    -12     -9     -6    -3
              SIGNAL-TO-NOISE  RATIO
   0    + 3    +6
IN   DECIBELS
figure 13.   The dependence of the accuracy of speech communication on the
relations between the intensity level of the speech in relation to the
intensity level of the noise.   The several curves are for various numbers
of possible  messages.  When the message could be one of two possible
words, the scores were high.   When the message could be one of approximately
1000 one-syllable words, the scores were low.   (From Miller et al., 1951,
with permission of G. A. Miller and the Journal _of Experimental'^sychology.)
                                47

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noise ratio will depend on the talker, the exact nature of the noise, its



spectrum and intensity, and on the way in which the speech and noise intensities



are measured.



     The ma.ior effects of noise on speech communication.  Many of the facts



of speech communication in noise can be understood in terms of a single



graph.  This graph is given on Figure 14 and in simplified form on Figure 15.



The vertical axis is the A-weighted sound level of background noise measured



in decibels.  The horizontal axis is the distance between talker and listener




in feet.  The regions below the contours are those combinations of distance,



background noise levels, and vocal outputs wherein speech communication is



practical between young adults who speak similar dialects of American-English.



The line labelled "expected voice level" reflects the fact that the usual



talker unconsciously raises his voice level when he is surrounded by noise.



Consider the example of a talker in the quiet who wishes to speak to a



listener near a running faucet.  The A-weighted sound level of the back-



ground noise may be about 74 decibels for the listener.  If the talker is



20 feet awayy it is clear from Figures 14 and 15 as well as from everyday



experience that communication would be difficult even if the talker were



to shout.  But, if the talker were to move within one foot of the listener,



communication would be practical even when a normal voice is used.  It can




be seen that at 15-20 feet, distances not uncommon to many living rooms or



classrooms, A-weighted sound levels of the background noise must be below



50 decibels if speech communication is to be nearly normal.
                                  48

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          X
          C3

          X
            110 -
                     TALKER TO LISTENER DISTANCE IN  FEET

                       5      10     15     20     25     30
         co
         T3
         LU
         CO

         o
         z

         Q
         Z
         3
         O
         EC
         O

         o

         CO
                    AREA OF

                    NEARLY NORMAL

                    SPEECH COMMUNICATION
          INTIMATE
            PERSONAL-
USUAL TYPE OF COMMUNICATION
Figure 14.  Quality of speech communication as dependent on the A-weighted
sound level (dBA) of the background noise and the distance between the
talker and listener.  (Modified from Webster, 1969.)  The heavy data
points represent scores of 90fo correct with tests done with phonetically
balanced lists of one-syllable words (Waltzman and Levitt, 1971).  The
types of speech communication typical of various talker-listener dis-
tances are based on observation (Hall, 1959).
                                   49

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                                 COMMUNICATION
                                   IMPOSSIBLE
                                 COMMUNICATION
                                   DIFFICULT
                         EH™™-- COMMUNICATION ESK^S^vv^^vviS^
                              ™   POSSIBLE
                 %AREA OF
                -^NEARLY NORMAL
                 ^SPEECH COMMUNICATION
                 ^SJ
                0      5     10     15      20     25     30

                    TALKER  TO LISTENER  DISTANCE IN FEET
Figure 15.  Simplified chart that  shows  the  quality of speech communica-
tion in relation to the A-weighted sound level of noise (dBA) and the
distance between the talker and the listener.
                                   50

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     People vary their voice levels and distances not  only in accordance



with the level of background noise and physical  convenience, but also in



accordance with cultural standards (Hall,  1959).  Distances less than about



4-1/2 feet are reserved for confidential or personal exchanges usually with



a lowered voice.  Distances greater than about 5 feet  are usually associated



with a slightly raised voice and reserved  for messages that others are



welcome to hear.  Thus, levels  of background noise that require the talker



and listener to move within less than 4 feet will be upsetting to persons



who do not normally have an intimate  association.  Even for close friends



there may be some embarrassment if the message would not normally require



such nearness.  When the content of the message  is personal, there will be



reluctance to raise the voice level even if the  background noise demands



it for intelligibility.



     In one-to-one personal conversations  the distance from talker to



listener is usually of the order of 5 feet and nearly  normal speech com-



munication can proceed in A-weighted  noise levels as high as 66 decibels.



Many conversations involve groups and for  this situation distances of 5-12



feet are common and the intensity level of the background noise should be



less than 50-60 decibels.  At public  meetings or outdoors in yards, parks,



or playgrounds distances between talker and listener are often of the order
                                   51

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of 12-30 feet and the A-weighted sound level of the background noise must



be kept below 45-55 decibels if nearly normal speech communication is to




be possible.



   Characteristics of people (speech, age, and hearing) and speech



interference by noise.  The contours on Figures 14 and 15 represent conditions



for young adults who speak the same dialect when they are in a diffuse noise



field.  The location of these contours would shift in accordance with many



variables.  Lower noise levels would be required if the talker has imprecise



speech (poor articulation) or if the talker and the listener speak different



dialects.  Children have less precise speech than do adults (Eguchi and Hirsh,



1969) and also their knowledge of language often makes them less able to "hear"



speech when some of the cues in the speech stream are lost.  Thus, adequate



speech communication with children under about 13 years of age probably requires



lower noise levels than are required for adults.  One's ability to understand



partially masked or distorted speech seems to begin to deteriorate at about



age 30 and declines steadily thereafter (Palva and Jodinen, 1970).  Generally,



the older the listener, the lower the background noise must be for nearly



normal communication.  It is well known that persons with hearing losses



require more favorable speech-to-noise ratios than do those with normal



hearing.  This group again requires lower noise levels for adequate speech



communication than do young adults with normal hearing.



   Situational..factors, (message predictability, opportunity for lip



reading,, spatial arrangements and reverberation, and kinds of noise) and
                                   52

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speech interference by noise.  Of course, adequate communication in higher



noise levels than those indicated on Figures 14 and 15 can occur if the



possible messages are predictable.  Thus, at ball games, vie may be able to



discriminate the umpire's "ball" and "strike" at much greater distances and



in more intense levels of noise than indicated on the chart.  This factor



accounts for the success of communication in many industrial situations



with high levels of noise.  Success may give way to failure, however, when



an important but unpredictable message must be coraaunicated.  For example,



firemen in a high-level noise may have little difficulty with standard



communications about the use of equipment, but may encounter grave difficulty



communicating about unexpected events that occur at the scene of the fire.



     The opportunity to lipread  or use facial or bodily gestures in support



of hearing will improve the success of communication in background noise.



Almost everyone has some small amount of lipreading  skill which they often



use without awareness of its contribution to intelligibility.



     Spatial variables also may facilitate speech communication in noise.



If the source of noise is clearly localized in a position different from



that of the talker, speech communication may be possible under noise condi-



tions less favorable than those indicated on Figures 14 and 15.  On the other



hand, spatial factors can sometimes reduce the intelligibility of speech.



If a space produces many reflections of sound it is said to be reverberant



or lively.  Noise interferes with speech communication more in a very rever-



berant space than in one that is not.
                                   53

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     Sometimes unusual acoustic conditions can make our voices clearly

audible at great distances.   If one raises his voice to talk to a nearby

person over the sound of a power lawn mower or outboard motor, he can

sometimes be heard more clearly by a distant accidental spectator than

by the nearby friend.

     The exact characteristics of the noise are also important for pre-

dicting speech communication.  While the A-weighted noise level is an

adequate measure of many noises, some situations and noises demand a more

complicated analysis of the noise.  A discussion of the use of the various

methods of measuring noise to predict speech interference can be found

elsewhere (Kryter, 1970, p.  70-91).

              B.  Implications of Masking and Interference
                        with Speech Communication

     Masking of auditory signals.  Many auditory signals serve important

functions in our lives and these functions may be lost in noise.  While

the masking of a doorbell because of noise may only be a source of incon-

venience and annoyance, the masking of signals can interfere with the per-

formance of tasks.  In some cases, the masking of a signal such as that of

an approaching vehicle can lead to property damage, personal injury, or

even death.

     Interference with speech  communication.  The implications of reduced

opportunity for nearly normal  speech  communication are  considerable.

     Those who must work in high levels of background noise claim that

they "get used to it."  There  is evidence, however, that they adopt  a
                                   54

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"non-communicating life style" and increase their use of non-verbal




communication through gestures, posture, and facial expression.  Even



though non-verbal communication is important, it is unlikely that it is




nearly as important as verbal communication.  Many subtleties of life are



lost when verbal communication is restricted.




     Among adults, free and easy speech communication is probably essential



for full development of social relations and self.



     For very young children, there may be an additional problem.  They



gradually induce their knowledge of language and its subtleties from the



speech to which they are exposed.  Also, as previously stated, because



their knowledge of language is still developing, children probably have



more difficulty understanding speech in noise than do adults.  Because noise



can reduce the amount of speech used at home, in the yard, or on the play-



ground and because noise can make speech difficult to understand, it is



possible, though unproven, that the language development of early childhood



might be adversely affected.  From this, difficulty in learning language



and learning to read may ensue.  One can only guess at how severe the noise



must be to produce such effects; nearly continuous A-weighted sound levels



in excess of 70 decibels might be required.  Such conditions do exist at



some residences in urban areas near freeways.  When contemplating possible



increases in general levels of community noise, one should give considera-



tion to these possible effects on the linguistic development of children.



     Later, school-age children probably encounter more difficulty in
                                   55

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noisy classrooms than, for example, do sailors in noisy enginerooms who

exchange a limited number of prescribed technical messages.  With regard

to the impact of noise on formal education, the Jamaica Bay Environmental

Study Group of the National Academy of Sciences summarized their findings

as follows:

     Within the present impacted area (NEF 30 or greater) there
     are 220 schools attended by 280,000 pupils.  With normal
     school-room usage, this implies about an hour's interruption
     of classroom teaching each day and the development by the
     teachers of the "jet pause" teaching technique to accomodate
     the impossibility of communicating with the pupils as an
     aircraft passes overhead.  The noise interference goes beyond
     the periods of enforced non-communication, for it destroys
     the spontaneity of the educational process and subjects it to
     the rhythm of the aeronautical control system.  Given the
     advanced age of many of these schools, noise-proofing (where
     possible) would cost an appreciable fraction of their replace-
     ment cost.

     Any casual observer of intimate family life is aware of the irritation

and confusion that can arise when simple, everyday messages need frequent

repetition in order to be understood.  Noise does not cause all of these

occurrences, but surely it causes some.

     The enjoyment of retirement and later life can be hampered by masking

noises.  It is well known that speech reception abilities deteriorate with

age and clinical observations clearly indicate that older persons are more

susceptible to the masking of speech by noise than are young adults.

     It is likely that one must somehow "work harder" to maintain speech

reception in noise than in quiet.  Thus, successful speech communication

in noise probably has its cost.  If the cost is too high, the number of
                                   56

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verbal exchanges probably declines.



     In a highly intellectual, technical society, speech communication



plays an extremely important role.  Background noise can influence the



accuracy, frequency, and quality of verbal exchange.  In excessive back-



ground noise, formal education in  schools, occupational efficiency,



family life styles, and the quality of relaxation can all be adversely



affected.
                                    57

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        PART II.  GENERAL PSYCHOLOGICAL AND SOCIOLOGICAL EFFECTS

                         Preliminary Statement

     Noise not only has direct effects on auditory function as decribed

in PART I, but it also produces other behavioral effects of a more general

nature.  Included among these effects are INTERFERENCE WITH SLEEP, Section

3j the general evaluation of auditory experience included under LOUDNESS,

PERCEIVED NOISINESS, AND UNACCEPTABILITY, Section 4»  and ANNOYANCE AND

COMMUNITY RESPONSE, Section 5.  All of these areas have been investigated

and certain clearcut patterns have emerged.  Plausible, but less thoroughly

studied behavioral effects of noise are discussed under OTHER POSSIBLE

PSYCHOLOGICAL AND SOCIOLOGICAL EFFECTS, Section 6.

     Many of the psychological and sociological effects of noise can be

traced to the role of hearing in man's evolutionary development as described

in the INTRODUCTION.  Others may be linked more specifically to the auditory

effects described in PART I or to the general physiological responses to be

described in PART III.  Because of these interrelations among the effects

of noise on people, the organization of topics is necessarily somewhat

arbitrary.

                  Section 3.  INTERFERENCE WITH SLEEP^

                              Introduction

     From everyday experience it is evident that sound can interfere with


3JThe effects of noise on sleep are discussed at greater length in this
  paper than are other effects of equal or greater importance.  This was
  done because other revie\irs of the effects of noise on people have given
  relatively less attention to the subject of sleep disturbance.
                                   58

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sleep.   Almost all have been waked or kept from falling to sleep by loud,



strange, frightening, or annoying sounds and it is commonplace to be waked



by an alarm clock or clock radio.  But it also appears that one can "get



used to"sounds and sleep through them.  Possibly, environmental sounds only



disturb sleep when they are unfamiliar.  If so, disturbance of sleep would



depend only on the frequency of unusual or novel sounds.  Everyday experience



also suggests that sound can help to induce sleep and, perhaps, to maintain



it.  The soothing lullaby, the steady hum of a fan, or the rhythmic sound of



the surf can serve to induce relaxation.  Perhaps certain steady sounds can



serve as an acoustical eyeshade and mask possibly disturbing transient sounds.



     Common anecdotes about sleep disturbance suggest an even greater



complexity.  A rural person may have difficulty sleeping in a noisy urban



area.  An urban person may be disturbed by the quiet, the sounds of animals,



and so on when sleeping in a rural area.  And how is it that a mother may



wake to a slight stirring of her child, yet sleep through a thunderstorm?



These observations all suggest that the relations between exposure to sound



and the quality of a nightfs sleep are complicated.  They are.  Nonetheless,



research is beginning to untangle the story and certain trends do appear.



     Before these studies are described, it will be necessary to consider



the problem of the nature of sleep.  There has been significant headway



in the description of a night of sleep.  Sleep is a complicated series of



states rather than a single, uniform state.  Experiments verify the common



belief that sleep is essential for normal functions while awake.  But the
                                   59

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"hows" and "whys" are unknown and therefore it is difficult to state flatly



that this or that alteration in sleep is harmful.  One must rely on every-



day wisdom for these judgments.



          A.  Methods for Studying Sleep Disturbance by Noise



     Field studies.  One of the most obvious and direct methods is to



interview people who live in areas that receive various exposures to noise.



People can be asked whether the noise either prevents them from falling



asleep or whether it wakes them from sleep.  Of course, if such direct



questions are embedded in a series of questions concerning noise and



sound, the answers may be biased by the person's attitude toward the source



of sound.  It may be better to ask about the quality of sleep, the number



of hours slept, judgments about well-being upon arising, and so on in the



context of a survey unrelated to noise.



     Laboratory studies.  Topically, a subject sleeps in a special laboratory



bedroom where his physiological state can be monitored from electrodes attached



to his body, and calibrated sounds can be presented by loudspeakers or by



other sound-making instruments.   By these techniques subtle responses to



sounds or subtle changes in the pattern of sleep can be recorded and measured,



Furthermore, a variety of instructions and adaptation procedures can be tested.



However, such research is very slow, hard work; the required apparatus is



expensive! usually only a few subjects can be studied; and the routine is



demanding on the experimenter.  Furthermore, even though the subjects are



adapted to the routine, they are not at home and they are constrained by
                                   60

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electrodes and wires.  In spite of these difficulties, however, some rather



clear trends have emerged.



                    B.  General Properties of Sleep



     Sleep stages and a night of sleep.  Examination of brain waves,



other physiological measures, responsiveness, behavior, and the sequence



of events during a night's sleep have led to the concept of sleep stages



or states.  There are recognizably different patterns that occur during a



period of sleep.  Since these patterns blend from one to another, there are



several schemes for categorizing them into sleep stages or states.  A popular



set of categories is labelled I, II, III, IV, and I-REM.  Another set of



stages is defined in a slightly different manner.  They are labelled A, B,



C, D, and 3.  Some authors even combine the two sets of definitions.



     Perhaps the easiest approach to these stages is to follow an idealized



progression as one falls asleep.  As one relaxes and enters a stage of



drowsiness, the pattern of the electroencephalogram (EBG) changes from a



jumble of rapid, irregular waves to the regular 9-12 hertz pattern known



as the alpha rhythm.  One is relaxed, but not asleep.  Later, the alpha



rhythm diminishes in amplitude and intermittently disappears.  This is sleep



stage A.  As time progresses, the alpha rhythm is present less and less



often until it disappears and is replaced by a low-voltage, fast, irregular



pattern in the BEG; this is stage B.  In the Roman numeral system, stage I



corresponds to the late portions of stage A and all of stage B.



     Next, there appear quick bursts of larger amplitude waves known as
                                   61

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spindles or the spindles of sleep.  Mixed with these spindles there will



appear small-amplitude, low-frequency (1-5-3 hertz) waves known as delta



waves.  This stage is known as stage C or stage II.  In the next stage of



sleep, the spindles disappear and the delta waves become more regular and



grow in amplitude.  This is known as stage D.  Later, the delta waves become



even larger and of lower frequency (0.6-1 hertz).  This is stage B.  The



Roman numeral system III and IV include stages D and S but the criterion



for division is different.  Stages D and S or III and IV are often referred



to as deep or delta sleep.



     The purpose is not to confuse the reader with two sets of sleep stages,



but rather to communicate the idea that there is a progression of sleep



stages.  One can reasonably divide this progression by various criteria.



Generally, in stage A or early I, man is drowsy, but awake.  In stage B,



or late I, one drifts or "floats" back and forth between waking and sleeping.



When awakened at this stage of sleep, one is not quite sure whether he has



been asleep.  Stages C, D, and E or II, III, and IV represent definite sleep.



     The remaining stage, which has been of great interest, is the so-called



Rapid Eye Movement (REM) stage of sleep.  In REM sleep, the sleeper exhibits



characteristics of stage I (late A and B).  There are:  fast, low-voltage



brain waves; other evidence of variable but definite physiological activa-



tion; and rapid eye movements.  Consequently, this stage is usually tagged



I-REM.  While dreaming and mental activity can take place in all sleep stages,



it is during I-RSM that most dreams occur.
                                   62

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     A typical night's sleep initially follows a progression, with



occasional reversals, from stages A (l) to stages D and E (IV).  This



progression usually occurs within the first 80 minutes of sleep.  After



about 90 minutes of sleep, one has left stage IV and has had a period of



I-REM.  A 90-minute cycle from I-REM to I-RM tends to recur throughout



the period of sleep.  There are, however, some irregularities and some



systematic changes.



     Roughly equal amounts of time are spent in I-RM and in IV.  Early



in the sleep period more time is spent in IV than in I-REM and later in



the sleep period more time is spent in I-REM than in IV.  Generally, after



the first 80-90 minutes of sleep, more and more time is spent in the



"lighter" stages of sleep.  These facts are summarized in Figure 16.



Overall, sleeping young adults distribute sleep as follows:  Stage I—5$;



Stage I-REM— 20-25$; Stage 11—50$; and Stages III and IV—20$ (Berger,




1969).




     Even after falling asleep, one awakens during the night.  Roughly, five



per cent of the total period of "sleep" is spent awake from adolescence to



about age 40.  From ages 40 to 90 the time awake during "sleep" increases to



nearly 20 per cent (Feinberg, 1969).  The number of awakenings that occur after



falling asleep increases from an average of about two at age six to six at





 age  90 (Feinberg,  1969).
                                  63

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AWAKE
  REM-
          YOUNG  ADULTS
                                345

                             HOURS  OF  SLEEP
8
   Figure 16.  The nocturnal sleep pattern of young adults is  shown.  During
   the later part of the sleep period stage IV is absent and more time is
   spent in stage II and in REM.  Notice the two brief periods that the
   sleeper spontaneously awoke,  (From Berger, 1969, in Sleep;  Physiol-
   ogy and Pathology. A. Kales, Editor, with the permission of the author,
   editor, and the J. B. Lippincott Company.)
                                     64

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     Sensory responses to stimulation during sleep.  The sense organs are



just as sensitive to their appropriate physical stimuli during sleep as



they are during wakefulness.  One may wonder whether mechanisms near the



periphery of the nervous system somehow "block" the sensory pathways



during sleep.  Such mechanisms would prevent the neural messages from the



sense organs from reaching the higher centers of the brain.  Available



research (Koella, 196?) does not support this view.  Rather, one can state



quite strongly that information from the sense organs does reach the highest



centers of the brain even during deepest sleep.  This conclusion is based



on the fact that electrical responses to stimuli can be recorded in the



highest centers of the brains of sleeping or anesthetized men and animals.



These responses usually are of brief duration and have latencies of 0.01-



0.8 second.



     Therefore, the apparent indifference to stimulation during sleep is



not a simple "shutting out" of the neural messages at or near the periphery



of the nervous system close to the sense organ.  Rather, this apparent



indifference to external stimulation is due to a complicated reorganization



of brain processes during sleeping as opposed to waking states.  It is also



true that when the eyelids are closed, an ear is on a pillow, or the middle-



ear muscles are contracted, responsiveness to the environment can be reduced



because the magnitude of the stimulus that reaches the sense organ is not



as great.  But these physical conditions are no more related to the basic
                                    65

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nature of sleep tnan are reduction of light by eye patches or the attenua-




tion of sound by ear plugs.



     Arousal.  Sensory messages reach the highest centers of the brain,



but whether or not they influence the sleeper will depend on a compli-



cated set of circumstances.  Many theorists believe that mechanisms in



the brain busily carry out "sleep work" throughout the sleeping period.



These mechanisms assess the significance of incoming sensory messages and



adjust the state of the brain in accordance with the sensory message and the



whole situational complex.  This view is supported by everyday experience



as well as by scientific investigation.



     Arousal from sleep can be recognized by brief changes in physiological



function? by shifts from deeper to lighter stages of sleep;  or by behavioral



evidence of awakening.   Some of the properties of arousal mechanisms will



become apparent as the effects of noise on sleep are discussed.



                          C.  Noise and Sleep



     Effects of brief noises.   In the area of sleep disturbance by noise



it is the effects of relatively brief noises (about 3 minutes or less) on



a person sleeping in a quiet environment that have been studied most



thoroughly.  Typically, presentations of the sounds are widely spaced



throughout a sleep period of 5-7 hours.



     A summary of some of these observations is presented on Figure 1?.



The heavy dashed lines are hypothetical curves which represent the per cent



awakenings under conditions in which the subject (l) is a normally rested
                                  66

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young adult male who has been adapted for  several nights to the procedures



of a quiet sleep laboratory, (2) has been instructed to press an easily-



reached button to indicate  that he has awakened, and (3) has been moderately



motivated to awake and respond to the noise  (such motivation can be estab-



lished by instructions which imply that  somehow the subject's ability is



being tested).  A datum for sleep stage  II is  indicated by an Arabic two,



2.  A datum for sleep stages III and IV  is indicated by a Greek delta, ,A.



While in stage II, subjects can awake to sounds that are about 30-40 deci-



bels above the level at which they can be  detected when subjects are con-



scious, alert, and attentive.  While in  deep sleep, stages III or IV, the



stimulus may have to be 50-80 decibels above the level at which they can



be  detected by conscious, alert, attentive  subjects before they will awaken



the sleeping subject.




     The solid lines are  data from questionnaire studies of persons who



live near airports.  The  percentage  of respondents who claim that flyovers



wake them or keep them  from falling asleep is  plotted against the A-weighted



sound level of a single flyover  (Wyle Staff, 1971).  These curves are for



the case of approximately 30 flyovers spaced over the normal sleep period



of  6-8 hours.  The  filled  circles represent the per-



centage of sleepers that  awake to a 3-minute sound at each A-weighted




sound level  (dBA) or lower.  This curve  is based on data from 350 persons,



each tested in his  own  bedroom  (Steinicke, 1957).  These measures were
                                   67

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         100

          90

          80
       O  70
          60


          50
       LU

       cr
       LU
          30


          20


          10


           0
AWAKENING  1
FROM STAGE II —v
SINGLE NOISE J  \

              V
                                              AWAKENING
                                              OVERALL
                                              SINGLE NOISE
                              NOISE WAKES
                              ME UP"
                              30 NOISES
                              "NOISE KEEPS
                              ME FROM GOING
                              TO SLEEP"
                              30 NOISES
                             AWAKENING
                             STAGES III & IV
                             SINGLE NOISE
               10   20  30  40  50  60  70  80   90  100  110  120

             dBA-HMOOORS-BRIEF  SOUNDS {UNDER 3 MINUTES)
Figure !?•  Awakenings to sound from various laboratory and questionnaire
studies are shown. The horizontal axis gives the approximate A-weighted
sound level (dBA) of the noise.  The curves labelled "awakening" are from
normally rested young adults who were sleeping in a laboratory and were
moderately motivated to awake in response to sound.  The percentage of
awakening responses will depend not only on the intensity of the sound
but also on the definition of "awakening," the motivation of the subject
to awake in response to sound, and the sleep stage (I, II, III, IV, or
I-REM) when the stimulus is presented.  The questionnaire results, "Noise
wakes me up/1 and"Noise keeps me from going to sleep," are derived from the
Wilson Report (1963) for the case of 30 brief noises distributed through-
out the night.  The laboratory results are from various studies.  The
filled circles were gathered throughout the night without regard to sleep
stage (Steinicke, 1957)•   Data from sleep stage II are represented by
2's; those from sleep stages III and IV by deltas,-A?s.  The circles with
unbroken borders are from Williams et al. (1964).  The circles with bro-
ken borders are from Williams et al. (1965).  The boxes with solid borders
are from Rechtshaffen et al. (1966"7«  The boxes with broken borders are
from Lukas and Kryter TT970).  The broken arrow is from Watson and
Rechtshaffen (1969).  The solid arrows are from Kryter and Williams  (1970).
                                   68

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made between 2:00 and ?:00 AM, and it is reasonable to assume that most of



the subjects were roused from stages II or I-EEM.




     Motivation to awake and intensity level of the noise.  There is clear



evidence that motivation to awake can influence the probability of awaken-



ing to noise (Williams et al., 1965; Watson and Rechtschaffen, 1969; and



Wilson and Zung, 1966).  The effects of motivation, however, depend on the



stage of sleep and the intensity level of the noise.  For weak stimuli,



motivation may have a strong influence on arousal only during light sleep



(Williams et al., 1965).  For moderately strong stimuli, motivation to



awake may have a powerful effect on the probability of an upward shift in



sleep stage (probably awakening also) from all depths of sleep (Wilson and



Zung, 1966).  With very intense stimuli it is likely that motivation would



have little influence; for example, brief noises with A-weighted sound



levels of 100-120 decibels awaken nearly everyone from any stage of sleep.



     The effects of motivation are illustrated indirectly on Figure !?•



The results of Lukas and Kryter (1970) are the boxes with broken borders



that lie towards the lower right of the graph.  Here awakening is defined



in the experimental setting by instructions that imply "if you happen to



wake up^push the button."  The button is located on the headboard of the



bed and requires that the subject find it (often having to turn over to



do so) and press it.  This definition of awakening is similar to a typical




kind of night awakening.
                                   69

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     The ascending series of stage 2 awakenings for stimuli of 30-40



decibels (encircled by broken lines on Figure 1?) are from Williams et al.



(1965).  The ascending percentage of awakenings is correlated with the



sleeper*s motivation as controlled by instructions and punishments for



failure to respond by pushing a convenient button.  As the motivation to



awake was increased, the percentage of awakenings showed a five-fold increase




from less than 11$ to about  55$ of the presentations  of the  same noise  at  the



same stage of sleep.



     Fluctuating noise levels.  A very important and extensive study of



the effects of noise on sleep was done at the Centre d'Etudes Bioclimatiques



du CNRS in Strasbourg, France (Schieber,  Mery, and Muzet, 1968).   Several



measures of the quality of sleep were used.  These included:  the amount



of time in each of the sleep stages; the  numbers of brief awakenings as



evidenced by the appearance of alpha waves in the electroencephalogram;



the number of bodily movements; the degree of muscular tension;  the occur-



rence of perturbations in heart rate; the presence of eye movements; and



the occurrence of various components of the electroencephalogram such as



K-complexes, sleep spindles, alpha waves, theta waves, and delta waves.



Artificial sounds (crescendos of white noise that rose to about 80 decibels



in 10 seconds and were terminated abruptly), sounds of aircraft flyovers



with peak values of 72 and 89 decibels (either 16 or 33 per night), or



traffic noises were used in various experiments.  The time required to fall
                                  70

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asleep was longer for noise than  control  conditions.   Under  control



conditions, about 26 minutes elapsed between going to bed and the first



occurrence of stage IV.  Under  traffic  noise,  the  delay between going to bed



and the first occurrence of stage IV was  33  or 52  minutes depending on



the type of noise.  When noises were presented,  there was a  tendency for



sleep to be much lighter than normal for  the first half of the night and



slightly deeper than normal for the  second half of the night.  Thus, there



was a tendency to compensate for  the loss of deep  sleep in the early part



of the night by an increase in  deep  sleep in the later part  of the night.



Nonetheless, almost all measures  of  sleep disturbance indicated that sleep



was disturbed overall and  throughout the  sleep period.



     The results with traffic noise  were  of  particular interest.  These



sounds were actually recorded in  a bedroom near a  busy street.  One set



of recordings was made  between  10:00 PM and  midnight.   Another was made



between midnight and 4:00  AM.   The 10:00  PM  to midnight sample represented



about 4.3 vehicles passing per  minute,  while the midnight to 4:00 AM sample



had only-about 1.8 vehicles per minute.  The peaks in both samples reached



A-weighted sound levels of nearly 80 decibels, but the long-term averages



were ?0 decibels for the high-density traffic  and  only 6l decibels for the



low-density traffic.  The  control night had  steady ventilation noise with



a median A-weighted sound  level of 48 decibels.  The  interesting fact was



that the low-density traffic pattern was  more  disruptive of  sleep than



was the high-density pattern.   However, both traffic  patterns were more
                                   71

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disruptive than the control noise.



     These results strongly suggest that fluctuations in the noise levels



and degree of fluctuation are important factors in determining sleep



disturbance by sound.



     Steady and rhythmic sounds.  It seems plausible that steady, periodic,



or rhythmic sounds might improve the quality of sleep.  Certainly, anecdotal



evidence suggests that steady sounds can mask out brief disturbing sounds



and that some periodic or rhythmic sounds have certain soothing qualities.



Investigations along these lines are badly needed.  Pertinent questions



are:  (l) At what levels do steady sounds begin to adversely influence



sleep patterns?  (2) Can a moderate amount of masking noise reduce the



influence of brief sounds on sleep, or are brief sounds that suddenly emerge



above a masking noise more disturbing than those that simply join the usual



rise and fall of community noise?  (3) Can sleep be induced and maintained



by particular rhythms of sound?



     One investigation of complaints about noises produced by air-condition-



ing and heating equipment may be relevant to the effects of steady noise



on sleep (Blazier, 1959).  From complaint files, conversations with dealers



and distributers, and field trips to problem sites, the investigator found



what types of noises in bedrooms resulted in adverse responses.  He also



noted that the fewer the complaints, the greater the customer"s acceptance



of the product.



     It was found that people especially objected to noises that included
                                   72

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"tones" and "throbbing" or "beats."  Blazier summarized the frequency of



complaints in relation to A-weighted sound levels of noises in sleeping



quarters as follows:  below about 33 decibels, no complaints; 33-38



decibels, occasional complaints; 38-48 decibels, frequent complaints; and



over about 48 decibels, unlimited complaints.  While it is not known



whether these complaints are due to sleep disturbance or other factors,



these results do appear to be in remarkable agreement with the trends for



sleep disturbance by brief noises shown on Figure 1?.



     Sound quality and sleep disturbance.  As yet we have no evidence on



the role that pitch, timbre, and temporal structure play in sleep disturb-



ance or enhancement.  Until such data are forthcoming, it may be useful to



assume that those variables that influence perceived noisiness would similarly



influence sleep disturbance.



     Sleep deprivation and sleep disturbance.  Subjects who have been



deprived of sleep require more intense noises for awakening then do



normally rested subjects (Williams e_t al., 1965).



     Difference between men and women.  One study found that women tended



to awaken to noises of lower levels than did men (Steinicke, 1957).



Another study (Wilson and Zung, 1966) found a clear difference in arousal



as defined by upward shifts in sleep stage.  In response to noise, women



shifted toward lighter stages of sleep much more frequently than did men.



Lukas (1971) finds that sleep disturbance from subsonic-aircraft noise or



sonic booms is greater for middle-aged women than for middle-aged men.
                                   73

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Thus, it appears that women's sleep is more easily disturbed by noise than



is men1 s, even when other variables such as motivation and stage of sleep



are equated.



     Age and sleep disturbance by noise.  There is clear evidence that



persons over about 60 years of age are much more easily awakened or shifted



towards lighter sleep stages than are middle-aged adults or children (Lukas



and Kryter, 1970).  This effect is large and dramatic.  More specifically,



simulated sonic booms that awaken middle-aged adults and 7~ and 8-year-old



children on less than 5$ of their occurrences will awaken 69- to 72-year-



old adults on nearly 70$ of their occurrences.  These dramatic differences



hold over all stages of sleep.  Also, once awakened, an older person has



more difficulty in returning to sleep than does a middle-aged adult or a



child.  There is no evidence that children are especially sensitive to sleep



disturbance by noise.  On the contrary, Lukas et al. (1971) found that



7- and 8-year-old children are slightly less sensitive to noise during sleep



than are middle-aged adults.  However, since general sleep disturbance in



children (enuresis, somnambulism, night terrors, and nightmares) seems to



peak between 4 and 6 years of age (Broughton, 1968; Feiriberg, 1969;



Jacobson et al., 1969; Kessler, 1966), one suspects that sleep disturbance



by noise may have a special impact on children in this age range.  It is



well known, for instance, that thunderstorms can waken and frighten



children of these ages.  Children in the age group of 4-6 years seem to



be particularly disturbed by sudden arousal from stage IV of sleep (Broughton,



1968).
                                   74

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     Sleep stage and accumulated sleep.  In terms of either behavioral



awakening or an upward shift in sleep stage as indicated by the electro-



encephalogram, sleep can be influenced most easily in stages I and II and



least easily in stages III and IV.  Sometimes I-REM seems to be more like



III and IV in this regard; other times it is more like stages I and II.



A person can be aroused from sleep more easily the longer he has slept no



matter what the stage of sleep (Lukas and Kryter, 1970; Rechtschaffen et al.,



1966; Williams et al., 1966).



     Stimulus meaning and familiarity.  The effects of stimulus meaning



and familiarity are closely bound to those of motivation and stimulus



intensity.  There is considerable evidence that sleepers can discriminate



among stimuli if the differences were learned and the discrimination was



established while they were awake (Williams, et al., 1965; Wilson and Zung,



1966).  In a classic experiment Oswald e_t al. (i960) demonstrated that



sleeping subjects will respond when their own names are spoken but show



few responses to other names.  Generally, when auditory stimuli are faint



and similar, discriminations are probably performed better in light sleep



(I, II, and I-REM) than during deep sleep (ill and IV).  The effect of



stimulus familiarity on arousal from sleep has not been studied extensively.



In one experiment, small but consistent differences were found between



familiar and unfamiliar sounds.  "Familiar" sounds shifted sleep stages



less frequently than "unfamiliar" sounds (Zung and Wilson, 1961).



     Adaptation to sleep disturbance by noise.  Whether adaptation takes
                                   75

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place is the subject of considerable debate.  A reasonable guess at this



story is as follows.  The stronger the stimulus, the less likely it is



that total adaptation will take place.  Behavioral awakening and duration



of awakening will probably show the most adaptation.  Upward shifts in sleep



stage are likely to show some adaptation, but less than behavioral awaken-



ing.  Brief responses in the electroencephalogram and autonomic responses



such as changes in heart rate, blood flow, skin resistance, and so on



appear to show very little adaptation.  The most significant and surpris-



ing finding has been that adaptation, even in behavioral awakening, has



been absent (Theissen, 1970) or slight (Lukas and Kryter, 1970).  The



adaptation that seems apparent from everyday experience may be the result



of (l) changes in the motivation to awake; and (2) amnesia for awakening.



The last point is supported by the observation of sleep researchers that



subjects in their laboratories often cannot remember and often underestimate



the number of times that they awake during a sleep period.



     There is clear evidence for adaptation to the total sleeping environ-



ment.  Sleep researchers talk of the "first night" effect.  Normal sleep



is rarely if ever observed during the first night in the laboratory.   It



is likely then that some of the disturbance reported by the rural person



trying to sleep in an urban area and the urban person trying to sleep in



a rural area is but the "first night" effect.  It is commonplace that when



we cannot sleep, for whatever reasons, we "hear" many sounds.



     Other factors.  There are, of course, a host of other factors related
                                  76

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to sleep and arousal from sleep (Kales, 1969).  These include mental and



physical disease states, drug usage, general stress, and so on.  Most of



these have not been studied in relation to the problem of sleep disturbance



by noise.  There is however, clear evidence that male patients suffering



from depression are more easily shifted from deeper to lighter stages of



sleep by sounds than are normal" males (Wilson and, Zung, 1966).  Generally,



it seems probable that persons with disorders which result in light, rest-



less sleep or frequent awakenings will be more frequently aroused by sounds



than will normal persons or persons with disorders that produce unusually



deep and prolonged sleep.  Also, it has been demonstrated that sleep



deprivation has more adverse effects on "poor" than on "good" sleepers



(Williams and Williams, 1966).



      D.  Noise, Sleep Disturbance, Health,and the Quality of Life



     Brief sounds of sufficient intensity and fluctuating noise levels



definitely can alter the normal sleep pattern.   These changes in sleep



pattern are in the direction of lighter sleep.  The effects of noises



are to produce sleep patterns that are more like those of "poor sleepers"



than "good sleepers" (Luce, 1966, p. 105-108; Williams and Williams, 1966).



     Whether such sleep disturbance constitutes a health hazard is



debatable.  While good sleep is necessary for physical and mental health,



normal persons who lose sleep compensate by spending more time in deep



sleep, by becoming less responsive to external stimuli, and by napping.



Thus, it may be very difficult to deprive a normal person of sufficient
                                  77

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sleep to produce adverse health effects.



     On the other hand, the data presented here amply support the notion



that people exposed to sufficient noise will complain of sleep loss.



Everyday experience strongly supports the notion that a "good" sleep is



important to one's feeling of well-being.



     All factors considered, one must tentatively assume that sleep dis-



turbance by excessive noise will reduce one's feelings of well-being.



Furthermore, when noise conditions are so severe as to disturb sleep on



a regular, unrelenting basis, then such sleep disturbance may constitute a



hazard to one's physical and mental health.
                                  78

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    Section 4.   LOUDNESS, PERCEIVED NOISINESS, AND UNACCEPTABILITY



                              Introduction



    To be annoyed,  irritated, distracted, or disturbed by sound is



commonplace.   Often the annoyance, irritation, distraction, or dis-



turbance can be  traced to particular situational factors.  If a conversa-



tion is interrupted by the noise of a neighbor's power mower, the



annoyance may be traced to masking and speech interference.  If one inter-



prets  a sonic boom as the explosion of a water heater, the annoyance may



be attributed to fear.  If the noise of a motorcycle awakens one from sleep,



perhaps the annoyance can be traced to the disturbance of sleep.  A sudden



noise, which may produce an unnecessary startle or fear reaction, may be



annoying because of the startle and fear reaction.  Thus, a great many



instances of annoyance produced by sound may be due to the masking effects



of sound, to particular responses to the message content of the sound, or



to physiological responses to the sound.



    If all instances of annoyance from noise were purely idiosyncratic,



then the possibility of dealing with the relations between the physical



properties of sound and the frequency and intensity of annoyance would be



hopeless.  This  is not the case.  In spite of wide variations among members



of a community with regard to the intensity of their reactions and the



specific noises  that they find objectionable, vrell-defined trends have



emerged.  On the average« there are relations between the physical charac-



teristics of noises and the amount of annoyance, irritation, distraction,
                                   79

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and disturbance.



     Annoyance per se is not to be the topic of this section.  Rather,



the dimensions of auditory experience which can be used to predict some of



the annoyance produced by sound are discussed.



     One of these dimensions is the judged loudness  of a sound.  Loudness



is clearly an attribute of auditory experience.  Another dimension is called



the perceived noisiness of a sound.  Some argue that perceived noisiness



is a basic attribute of auditory experience, while others argue that it is



a response to auditory experience.  There is no doubt, however, that perceived



noisiness is closely tied to the physical characteristics of the sounds



themselves.  The third dimension is the unacceptability of a sound and it



is probably the same as perceived noisiness, or nearly so.  These terms



are often used interchangeably.



     Knowledge of the loudness and perceived noisiness and their relations



to the physical characteristics of sounds provide part of the foundation



for the description of annoyance and community response (Section 5).



                 A.  Measurement of Auditory Dimensions



     Field studies.  One approach to the relations between the physical



properties of sounds and judgments of loudness, noisiness, or unacceptabil-



ity is the field study and questionnaire.  By this technique, people are



asked either directly or indirectly to what degree they judge various sounds



to be loud, noisy, or unacceptable.  The characteristics of the sounds are



then measured, and one attempts to find the relations between the characteristics
                                   80

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of the sounds and the responses to them.  These methods and their results



will be discussed in the next section, Section 5, because they are most



often applied to the annoyance and disturbance of activities produced by



noise.



     Laboratory methods.  Another approach is to bring subjects to the



laboratory and ask them to judge a variety of sounds.  The sounds are often



artificial sounds with well-specified properties.  In this way the researcher



tries to ferret out the underlying relations between the properties of



sounds and their judged loudness, noisiness, or unacceptability.



     Three techniques are often used.  Category scaling is a very simple



procedure.  One asks the subject to place a sound into one of several



categories that seem to fall along a single dimension.  For example, a



subject may be asked to categorize each of a series of sounds as not noisy,



slightly noisy, moderately noisy, very noisy, or intolerably noisy.



Category scaling is the familiar everyday process of judgment that we all



use many times in many different situations.  It has the advantage of sim-



plicity.  Among its disadvantages are the following:  people tend to use



the middle categories, the way people categorize one stimulus strongly depends



on the other stimuli included in the set being judged, and people are often



strongly influenced by seemingly irrelevant aspects of the stimuli or the



judgmental situations (for example, judgments of the loudness of sounds may



be influenced by their esthetic quality).



     Another method is that of magnitude scaling.  People given a series of
                                   81

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stimuli can and will judge the relative magnitude of the stimuli along some



dimension.  Thus, people can estimate whether a sound seems twice as bad as



another, or ten times as noisy as another, or one-half as beautiful as



another.  Magnitude judgments allow a measure of the apparent "somethingness"



of a stimulus in quantitative but subjective terms.



     A third method is that of paired comparisons.  People can be presented



with a pair of stimuli.  They are then asked to judge which is louder, more



pleasant, noisier, and so on.  By many such comparisons the stimuli can be



ordered along a so-called "psychological dimension."



     "Psychological dimensions" measured by "psychological instruments"



seem formidable to the uninitiated.   They are not!  Psychological dimensions



as measured by psychological instruments are simply orderly descriptions of



the judgments we all make in our everyday experience.



     There are some differences between what the psychologist does and



what we all do in our everyday judgments of the events of the day.  The



psychologist tries to standardize the conditions under which the judgments



are made and the methods by which these judgments are summarized.   The



psychologist may select, control, and measure the events that are to be



judged.  And in order to be able to communicate accurately the conditions,



he may invent terminology which refers to the specific conditions and



judgments.  Unfortunately, the terminology which is invented for preciseness



and clarity sometimes confuses the audience or consumer of the knowledge.
                                  82

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          B.   Loudness, Perceived Noisiness, and the Physical
                       Characteristics of Sounds

     Loudness.  Loudness is an attribute of auditory experience.  As a

rule of thumb, people agree that when a single component sound such as

a tone or a band of noise is raised in intensity by about 10 decibels, it

sounds twice as loud.  While this basic and simple rule is of great impor-

tance, the complete story of loudness is much more complicated.  Loudness

depends on the frequency (pitch) of a sound as well as its intensity level.

At moderate levels, low-frequency sounds (those below 900 hertz) are judged

to be less loud than high-frenquency sounds (those between about 900 and

5000 hertz) when both sounds are of equal physical intensity (sound pressure

level).  The sound-level meter is so designed that tones or narrow bands

of noise will all sound equally loud if their A-weighted sound levels are

about 40 decibels.  These relations change with intensity, however.

     If a complex sound is made by simultaneous presentation of components

that are widely spaced in frequency (pitch) and about equally loud, then

the total loudness of the complex sound is the sum of the loudnesses of the

individual components.  When the components are not widely spaced or are

greatly unequal in loudness, then there is mutual inhibition and interference

resulting in the total loudness being less than the sum of the loudnesses

of the components.  Fortunately, methods are available to measure the loud-

ness of combinations of sounds (Stevens, 1961; Zwicker and Scharf, 1965).

     The growth of loudness near the threshold of detectftbility is more
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rapid than the growth of loudness implied by the general rule that a change

of 10 decibels of intensity level equals double the loudness.  Indeed, as

a sound emerges from inaudibility, a 10 decibel change of intensity level

may increase the judged loudness by a factor of ten instead of two.  Also,

rapid growth of loudness may occur as sounds become audible over a masking

noise.  Thus, masking sometimes may be an ineffective way of reducing the

loudness of unwanted sounds.  Once audible, the unwanted sounds may seem

nearly as loud as without the masking noise.

     Perceived noisiness (unacceptability).  If one assumes that people

don't like loud noise, it would seem that the goal of acoustical engineers

should be to reduce the loudness of  noise.   If this were the  case,  design

objectives could be specified in terms of loudness and the appropriate

measurements of noise would then be  measurements of loudness.

     It has been proposed that there is yet another dimension of human

response to noise that is similar to, but distinct from,  loudness.   This

dimension is called perceived noisiness.  The notion is that people can

judge their impression of the unwantedness of a sound.   These judgments

are made of sounds that are expected and that do not provoke pain or fear.

Dr. Karl D. Kryter of the Stanford Research Institute,  who developed the

idea that people can judge the "noisiness" of a sound as opposed to its

loudness, explains the concept as follows (Kryter, 1970,  p.  270-277).

     Perceived Noisines_s.  The subjective impression of the
     unwantedness of a not unexpected, nonpain or fear-provoking
     sound as part of one's environment is defined as the attribute
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of perceived noisiness.  The measurement or estimation of this
subjective attribute or quantity is of central importance to
the evaluation of environmental sounds or noises with regard
to its physical content.  For this reason, this topic will be
discussed in considerable detail.

Confusion sometimes results in the use of the word noise as
a name for unwanted sound because there are two general classes
of "unwantedness."  The first category is that in which the sound
signifies or carries information about the source of the sound that  the
listener has learned, to associate with some unpleasantness not due to the
sound per se, but due to some other attribute of the source	
In these cases it is not the sound that is unwanted (although for
other reasons it may also be unwanted) but the information it
conveys to the listener that is unwanted.  This information is
strongly influenced by the past experiences of each individual;
because these effects cannot be quantitatively related to the
physical characteristics of the sounds, they are rejected from
the concept of perceived noisiness.  After all, the engineer,
attempting to control the noise from a given source, must shape
the characteristics of the noise in as effective a way as possible
for the majority of the people and the most typical of circum-
stances; those legislating or adjudicating the amounts of noise
to be considered tolerable must also have a quantitative yard-
stick that is relatable to groups of people and typical circumstances.

Psychological judgment tests have demonstrated that people
will fairly consistently judge among themselves the "unwantedness,"
"unacceptableness," "objectionableness," or "noisiness" of sounds
that vary in their spectral and temporal nature provided that
the sounds do not differ significantly in their emotional mean-
ing and are equally expected.  Presumably this consistency is
present because men learn through normal experience the relations
between the characteristics of sounds and their basic perceptual
effects; masking, loudness, noisiness, and, for impulses, startle.
This is a basic premise of the concept of perceived noisiness and
of the word noise as unwanted sound	
Psychological-sociological factors can usually be recon-
ciled with the general attribute of sound called perceived
noisiness.  ...[Some have].-.found that propaganda, stress-
ing the importance of military aviation to the people and the
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plans of the government to control and lessen the noise, reduce
the willingness of citizens near military airports to complain
about the aviation noise;  the reduction was equivalent to the
effect that would have been obtained by lowering the noise
levels by 6 dB or so.  At the same time, the concept of perceived
noisiness would maintain that reduction of the actual noise level
should further reduce the willingness of the average person to
complain about the noise,  regardless of his particular absolute
willingness at a given moment, and that this amount of average
reduction in complaints would be a function of how cleverly, and
compatible, to the attribute of perceived noisiness, the noise
spectrum and its duration were tailored.  ... It has been ...
proposed to obtain the quantitative relations between some of
these psychological, sociological, and attitudinal factors and
noise exposure.  According to this concept, one could apply
correlations or adjustments during the calculation or measure-
ment of noise exposures to take these factors into account.
Although the evaluation of the relative contribution of the
physical aspects of sounds to their perceived noisiness should
in no way interfere with or diminish the manipulation of psycho-
logical and sociological factors in the control of environmental
noise, basic aspects of perceived noisiness probably set certain
fundamental limits, as will be discussed later, on the tolerability
of noise.

Loudness versus Noisiness.  Loudness of sounds is often assumed
to be an adequate indicator of the unwantedness, for general noise
control purposes, of sounds.  Experiments have shown, however,
that for many sounds there are differences between some physical
aspects of sounds, and judgments of loudness compared to judgments
of perceived noisiness.  The difference between loudness and
perceived noisiness in terms of spectral content per se (the equal
loudness vs. equal noisiness contours) is insignificantly small
for broadband sounds, 	  On the other hand, the differential
effects of duration and spectral complexity upon these two attributes,
	 are rather large.

The fact that loudness is apparently not influenced by duration
and spectral complexity features of a sound would seem to dis-
qualify loudness as an appropriate attribute for the estimation
of the unacceptability of environmental noises.  Although loud-
ness and perceived noisiness differ in some respects, an assump-
tion of the concept of the perceived noisiness of non-impulsive
noises is that, as the intensity of a noise changes, keeping other
factors constant, the subjective magnitude of loudness and noisiness
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change to a like degree; e.g., a 10 dB increase in the physical
intensity of nonirapulsive sounds causes a doubling of the subjective
magnitude of its loudness and its noisiness.  There is some experimental
proof of this common relation between this subjective scale of noisi-
ness and loudness, but, as with loudness, the scale found is somewhat
dependent on the experimental methods used and sounds judged.

Instructions to Subjects.  The words used in the  instructions to the
subjects for judgment tests of the acceptability  of sounds have some
influence upon their rating of sounds, 	  It  is difficult and
probably academic to fathom what is the basis for the range of differ-
ences [usually small] 	, such as whether the  words used really mean
different things to different people.  In any event, there is no apparent
reason why listeners should not be. asked to rate  directly sounds in terms
of their unwantedness, unacceptability, annoyance, or noisiness, as
synonyms, rather than to rate their loudness in the expectation that the
latter is an indirect clue to the noisiness or unwantedness of the
sounds.

Following are parts of the instructions that have been given to subjects
who were asked to make subjective judgment tests  of the noisiness of
sounds.  "Instructions. Method .of Paired-Comparison. for Judgments o£
Noisiness.  You will hear one sound followed immediately by a second
sound.  You are to judge which of the two sounds  you think would be the
most disturbing or unacceptable if heard regularly, as a matter of course
20 to 30 times per day in your home.  Hemember, your job is to judge
the second of each pair of sounds with respect to the first sound of
that pair.  You may think that neither of the two sounds is objection-
able or that both are objectionable; what we would like you to do is
judge whether the second sound would be more disturbing or less disturb-
ing than the first sound if heard in your home periodically 20 to 30
times during the day and night."  The purpose of  including in the in-
structions to the listeners a number of terms in  rating the noisiness
or unwantedness of expected sounds is to try to reduce possible differ-
ences in how different subjects might interpret the purpose or intent
of the judgments when only one term such as "disturbing" or "annoyance"
is used.
                             • * • »  *
Five Physical Aspects. So much for the general concept of the perceived
noisiness of individual sounds.  For practical purposes the measurable
physical aspects of a sound that are most likely  to control its per-
ceived noisiness must be determined.  To date, five significant features
have been identified or suggested —(l) spectrum  content and level;
(2) spectrum complexity (concentration of energy  in pure-tone or narrow
frequency bands within a broadband spectrum); (3) duration of the total
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     sound;  (4) duration of the increase in level prior to the maxi-
     mum level of nonimpulsive sounds;  and (5) the increase in level,
     within an interval of 0.5 sec,  of impulsive sounds.   Some physical
     aspects that might seem important—for example Doppler shift (the
     change in the frequency and sometimes noted pitch of a sound as
     a sound source moves towards  and away from the listener) and modu-
     lation of pure tones—appear  to be very secondary in their effects
     on people compared to the five physical characteristics mentioned
     above.

     The five physical factors mentioned by Kryter operate approximately

as follows:  (l) Intensity, and frequency content—noisiness increases with

sound level approximately as does  loudness, that is a ten-decibel increase

results in a doubling of judged noisiness.     Sounds with energy concen-

trations between 2000 hertz and 8000 hertz are judged to be more noisy than

sounds of equal sound pressure level outside this range.  This effect can

be equivalent to 10-20 decibels or a factor of 2-4 in judged noisiness.

(2) A concentration of energy or spectrum complexity—this may have an

effect which increases the noisiness by 2-3 times or 10-15 decibels over

that noisiness that would be predicted  by the sound pressure level.  (3)

Duration—the noisiness of a sound increases with its duration.  The rela-

tion is logarithmic, and over a range from a few seconds to a few minutes,

an increase in duration by a factor of  ten results in a change that is

roughly equivalent to ten decibels.  In other words, this means an increase

in noisiness by a factor of two.  Detailed study indicates that the relation

between noisiness and duration is more  pronounced in the range from 1-4

seconds and less pronounced beyond 15 seconds than indicated by the general

rule just stated.  (4) Duration of the  period of rising sound pressure
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level—sounds that are increasing in level are judged to be of greater



noisiness than those decreasing in level.  A sound that takes ten seconds



to reach a raaxiniura level may be judged more noisy than one that reaches



its maximum level in three seconds.  This difference can be the equivalent



of about three decibels or a factor of 1.5 in noisiness.  (5) Sudden



increases in level—in contrast, impulsive sounds that reach a high peak



very abruptly, say in less than 0.5-1.0 second, may be judged to be very



noisy.  While this effect depends on the magnitude of the impulse, it can



be very large.  People judge impulsive sounds to be very noisy even when



these sounds are familiar and expected.



     Physical measurements of sounds can be weighted in such a manner as



to enable one to predict judgments of noisiness.  The resulting decibel



values are said to be perceived noisiness levels (PNLs) and they are expres-



sed as PNdB.



     There has been great debate among students of loudness and noisiness



concerning (l) whether these two attributes are the same or different; (2)



the relative importance of the various temporal and spectral attributes of



sound for loudness and noisiness; and (3) the relative merits of various



schemes for predicting loudness and noisiness from physical measurements



of sound.  These debates are of some importance to the practical problems



of noise control.  Mainly it is important to be able to predict the loud-



ness or  perceived noisiness  of a potential source of sound, such as a new



machineyWhile it is being designed.
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     No doubt these debates will continue and as a result our knowledge



will become more refined.  In spite of the apparent conflict and confusion,



numerous reports indicate that many of the major variables have been iden-



tified and their effects are known, at least qualitatively.



       C.  Verbal Descriptions of Sound and Auditory Experience



     Auditory experience has a richness and variety that far exceeds those



aspects represented by loudness or noisiness.  Even sustained pure tones



have the attributes of loudness, pitch, and volume.  Tones appear to be of



low or high loudness, low or high pitch, and of small or large volume



(Stevens and Davis, 193&).  Volume refers to the fact that some tones seem



to be large and diffuse, while other tones seem to be thin and compact.



Complex tones, being mixtures of pure tones, vary in quality or timbre and



seem to have at least three qualities in addition to loudness, pitch, and



volume.  These are brightness, roughness, and fullness (Lichte, 1940).



Everyday sounds and music grow in dimensionality and variety as they are



extended in time.  The full richness of sound only emerges when sounds form



a sequence spread over time.  While an extremely rich visual scene can be



"taken in" at a glance, the auditory scene must be "taken in" over a period



of time.  Psychologists have only begun to study the richness and variety



of auditory experience.  A few studies (Solomon, 1958, 1959a,  1959b) have



been done.  Even though only limited sets of sounds have been used, the



results suggest that people can meaningfully evaluate sounds on a magnitude



dimension (heavy-light); on an esthetic-evaluative dimension (good-bad,



beautiful-ugly); a clarity dimension (clear-hazy); a security dimension



(gentle-violent, safe-dangerous);  a relaxation  dimension  (relaxed-tense);





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a familiarity dimension (familiar-strange); and a mood dimension (colorful-



colorless) .   These dimensions relate to the overall spectral patterns of



the sounds,  their temporal pattern of spectral changes, and their rhythmic



structure.   These examples of possible dimensions are not meant to be taken



as the dimensions of auditory experience.  Rather, these results are men-



tioned only to suggest the diversity of auditory experience and its des-



cription.



     An approach to the verbal description of objects, events, and percep-



tion has been developed by Charles E. Osgood of the University of Illinois



(Osgood, 1952).  Subjects are allowed to rate objects, events, or stimuli



along many dimensions as defined by pairs of adjectives in opposition.



After statistical treatment, it is found that many of these dimensions are



highly correlated.  In general, an intensity dimension (weak-strong), an



activity dimension (active-inactive), and an evaluative dimension (good-



bad) emerge whether people are judging pictures, sounds, political ideals,



or whatever.  In addition, several special dimensions are usually isolated



that are specific to the situation and the set of stimuli being judged.



     Loudness and perceived noisiness are similar, but probably distinct,



attributes of auditory experience.  These dimensions in turn are correlated



with many adverse effects of excess and unwanted sound.  Indeed, loud-



ness and noisiness are probably the most important dimensions of auditory



experience in this regard.  Other
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variables will undoubtedly be uncovered that are also of importance—the



apparent extent in space may be an example.



     But if we are to reach a stage where we wish to speak of an optimal



acoustical environmentt as opposed to a damaging or intolerable environ-



ment, we shall have to learn much more about the dimensions of auditory



experience.  Perhaps the techniques of Osgood and Solomon will lead to a



better understanding of auditory experience  and allow improved acoustical



design.  For example, it may be possible to  design a vacuum cleaner that



sounds "busy" and "active" without excessive loudness.
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            Section 5.  ANNOYANCE AND COMMUNITY RESPONSE

                            Introduction

     Annoyance by noise is a response to auditory experience.  Annoyance
has its base in the unpleasant nature of some sounds, in the activities
that are disturbed or disrupted by noise, in the physiological reactions
to noise, and in the responses to the meaning or "messages" carried by the
noise.
     The degree of annoyance and whether that annoyance leads to complaints,
product rejection, or action against an existing or anticipated noise source
are dependent upon many factors.  Some of these factors have been identified
and their relative importance has been assessed.  Responses to aircraft
noise have received the greatest attention.  There is less information
available concerning responses to other noises such as those of surface
transportation and industry and those from recreational activities.  None-
theless, the principal factors controlling annoyance appear to be understood.
Action by individuals or communities against noise sources or those respon-
sible for the regulation of noise is not as well understood; but even in
this difficult area there seem to be sufficient data to allow prediction
of major trends.
   A.  How Annoyance and Community Response to Noise Are Studied
     Case histories.  Case history data are usually collected when there
are complaints about particular noise sources.  Often an acoustical consult-
ant analyzes the problem.  The consultant usually obtains the following
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kinds of information: (l) He measures the sound and tries to analyze how



it is being generated by the source.  (2) He interviews the involved



people.  (3) He establishes hypotheses concerning the "noise problem."



(4) He suggests corrective action.  If the corrective action is taken and



the "problem" is eliminated or significantly reduced, he feels that the



hypotheses were probably correct.  Such case history data have contributed



greatly to our understanding of the problem of noise.



     Social surveys.  The social survey is a more elaborate version of the



case history.  There are two kinds of social surveys.  One can either study



areas that are experiencing high levels of noise, or one can deliberately



introduce a new source of noise, such as a sonic boom, and evaluate its



effects on the community.



     The tools of the field study are: (l) instruments for the measurement



of the noise; (2) interviews and questionnaires; (3) records of complaints;



and (4) statistical description of the measurements, whether they be of



the noise or of the responses to it.



     The appropriateness of social surveys have been discussed elsewhere



(Borsky, 1970), and there are many difficulties.  The mere presence of



observers in a community as well as the way in which they present them-



selves can influence the response.  The exact method of an interview and



the construction of a questionnaire are also important.  The measurement



of the irregularly fluctuating noise levels within a community is also



difficult.  The measurement of both the noise and the responses to it
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require careful sampling methods and adequate  statistical treatment of
the resulting data.
     In spite of all of these difficulties, the results  of case histories
and more formal social surveys appear to be in overall agreement concern-
ing the major facts of annoyance and community response  to noise.
               B.  Acoustical and Situational  Factors
     Acoustical factors.  Annoyance from sound depends,  in part, on the
properties of the acoustical environment, and  some of these properties
were discussed in the previous section on Loudness, Perceived Noisiness,
and Unacceptability.  Included among these are: the intensity level and
frequency content of the noise, the concentrations of energy in narrow
regions of frequency (pitch), the duration of  a noise, the period of
initial rising intensity level, and the presence of impulses (such as
those associated with gunfire, automobile backfires, hammering, and so
on).  These variables have been isolated in laboratory studies of judg-
ments of single noise events in relatively controlled and quiet environments.
     Other variables become obvious in social  surveys or case histories
where attention is usually focused on one kind of noise  such as aircraft
noise, and other noises are considered as part of the background noise.
The definitions of the terms "noise" and "background noise" shift with the
intent of the discussion.  For example, if interest is focused on aircraft
noise, then the noises of flyovers will be called "intruding noise" or
"the noise" while other noises, such as those  of surface transportation,
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household devices, and so on, would be grouped together as "background



noise."  It is interesting that when the "background noise" is great,



then the annoyance attributed to a particular "intruding noise" may be



less than when the same intruding noise appears against a lesser back-



ground noise.  Field studies of annoyance and community responses to par-



ticular types of noises must include, therefore, direct or indirect meas-



ures of the number of repetitions of the "intruding noise," the level of



the "background noise" from all other sources, and in one way or another



the variability in the noise exposure from the combination of "intruding




noises" and "background noises."



     Further complications arise in field studies because the exposure



that each individual receives is not measured.  Rather, the noise is



usually measured at some rationally selected monitoring point.  For this



reason, there are two other sets of acoustical variables that are crucial



for an individual's response to sound.  One set concerns the transmission



path between the point where the sound is measured and the location of the



exposed person.  The other set of acoustical variables has to do with the



acoustical characteristics of the exposed person's immediate environment.



     Propagation of sound along a transmission path depends on many factors.



The nature of the terrain, such as the sound-absorbing properties of its



surface and whether it includes barriers which produce "sound shadows,"



are important.  Weather conditions such as wind and thermal layering also



influence the transmission of sound.  Thus, an individual's exposure can
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only be predicted on a statistical basis from noise monitoring stations.



An individual's exposure will depend on whether there is a building between



him and the sound source, whether he is outside or inside, in which part



of his dwelling he spends most of his time, whether windows are open or



closed, the construction of his dwelling, and so on.



     The acoustical properties of an individual's immediate environment



are also important.  In the exposed person's immediate environment, it is



the intensity level of the background noise and the reverberant character-



istics of the space that are crucial.  For example, background noise can



mask an intruding noise.  The reverberant characteristics of the space have



to do with its acoustical liveliness.  For example, a room with heavy



carpeting on the floor, cloth drapes, furniture covered with fabric, and



walls and ceiling that absorb sound (either because of their construction



or treatment with acoustical materials) is acoustically dead.  Such a room



is not reverberant.  If the interior surface of a room is hard and acous-



tically reflective, sound within the room will "bounce around" for a long



time.  This is a reverberant room.  Notice that the transmission loss from



the point of measurement of the sound, the background noise, and the acous-



tical liveliness of the exposed person's immediate environment can operate



separately and in different "directions."  A "dead" room with many open



windows provides little loss in the transmission path.  A "live" room with



thick concrete walls and no windows may provide a large attenuation in the



transmission path, but sound that does penetrate the space will be
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frequently reflected within the room.  Internally generated sound can



vary the level of background noise, and so on.



     It is not surprising, therefore, that measures of acoustical variables



at the monitoring points are not successful in predicting each exposed



individual's degree of annoyance or disturbance.  However, as will be



shown, measurements from monitoring points have been successful in pre-



dicting average levels of annoyance and disturbance among persons located



near the point where the measurements are made.



     Relations between situational and acoustical variables.  It has been



found that evaluation of intruding noises should include situational vari-



ables if annoyance, disturbance, and community responses are to be predicted.



For example, the type of neighborhood makes a difference.  For a fixed



exposure, instances of annoyance, disturbance, and complaint will be great-



est in number for rural areas, followed by suburban, urban, residential,



commercial, and industrial areas, in decreasing order.  Similarly, a given



noise usually will be more disturbing at night than during the day.  Sea-



sonal variations have also been noted; noise is more disturbing in summer



than in winter.



     Some of the situational factors that are correlated with annoyance



by noise may be related to the attitudes and activities of people in these



various locations and at different times of the day or year.  But it is



also plausible that these situational variables directly influence the



noise exposures that people actually receive.  Background noise levels
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vary in an appropriate manner with type of neighborhood and with the time
of day;  that is, it is generally quieter in a rural than in an industrial
area, and it is often quieter at night than during the day.  Also, there
are fewer acoustical barriers in rural than urban areas.  There are fewer
acoustical barriers between the people and the point of raearsurement in
summer than in winter.  This is true because in summer more often than in
winter people are likely to be outdoors or, when indoors, to have their
windows open.
     Physical measurements of noise exposure.  From the previous discus-
sion, it should be obvious that annoyance, disturbance, and complaints
cannot be predicted simply by measurement of the sound emitted by a single
source.  Furthermore, it should be obvious that measurements from noise
monitoring stations cannot be expected to predict the responses of partic-
ular individuals.
     A variety of methods have been proposed for the measurement of commu-
nity noise or noise due to particular sources, such as aircraft, traffic,
and so on.  The array of methods and their names, usually given by initials,
is bewildering to the uninitiated and the experienced specialist alike.
There are CNR, UNI, NfiF, TNI, NPL, CN3L, and even more.  However, in gen-
eral, these measurement schemes are more alike than they are different.
Each includes several of the following factors:  (l) a scheme for the identi-
fication of single noise "events;"  (2) allowance for the intensity levels
and durations of the noise events;  (3) allowance for the number of noise
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events; (4) allowance, either direct or indirect, for the intensity levels



of the background noise; (5) allowance for the variability of the intensity



levels of the noises; and (6) allowance for one or more special factors



related to the loudness or perceived noisiness of the noises.  As previously



discussed, situational  factors such as season, time of day, and type of



area often are included as corrections on the acoustical measurements.



     The measure of community noise exposure suggested by Dr. D. W. Robinson



of England (Robinson, 1971) may have special merit.  This measure, called



the noise pollution level (NPL), is conceptually simple.  Furthermore, it



seems to incorporate some of the same basic features as does the adaptation —



level theory developed by Helson (1964).   Adaptation—level theory deals



with human reactions to and judgments of stimuli.  Helson supposes that



responses to stimuli are controlled by the focal properties of the stimuli



and their variation from an adaptation level.   The adaptation level is



determined by the background levels of stimulation and the residual effects



of previous and other incidental stimulation.   When a variable such as per-



ceived noise level is used in conjunction with Robinson's noise pollution



level this measure seems to take into account the focal properties of the



stimulus as well as the difference between the stimulus and the adaptation



level as established by the background stimuli.



     Since Robinson's noise pollution level was so recently proposed, there



has not been sufficient time to evaluate its effectiveness as a predictor



of human responses to noise.
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       C.   Annoyance, Attitudes, and Disruption of Activities



     Annoyance and noise.  Annoyance as measured in field studies is dis-



tinct from judgments of loudness, perceived noisiness, and unacceptability.



Annoyance, as described at the beginning of this section (Section 6), is a



response to noise rather than a dimension of auditory experience.  A variety



of techniques have been used to measure the annoyance that results from



noise.  The most direct is simply to ask a person to categorize his degree



of annoyance.  "Rate your annoyance from one to seven where one is 'no



annoyance1 and seven is  'extremely annoyed1."  In general, direct ratings



have been found to be subject to a great many biasing influences especially



in studies of attitudes.  In the case of annoyance by noise, however, such



direct ratings correlate very highly with more subtle and indirect measures,



and the complicated procedures developed for the study of general attitudes



may not be necessary for investigations of annoyance by noise (McKennel,



1970).



     Indirect measures are obtained by asking a person about the kinds of



activities that are disturbed by noise and about the degree of the disturb-



ance.  Total annoyance is calculated from a combination of the number of



activities disturbed and the degree to which they are disturbed (Tracer



Staff, 1971).  For example, persons may be asked to rate the degree of



disturbance by noise for: TV/radio reception, conversation, telephone use,



relaxing outside, relaxing inside, listening to records or tapes, sleeping,



reading, and eating.  The degree of annoyance might then be taken as the



sum of the ratings of the degree of disturbance (Tracer Staff, 1971).
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     Annoyance by noise depends in part on the characteristics of the

noise itself, and typical results are illustrated in Figures IS and 19.

These graphs support the contention that the average degree of annoyance among

people in an area can be predicted from the characteristics of the noise

measured at an appropriately selected monitoring point.  Nonetheless,

reported annoyance also depends on other attitudinal-psychological factors.


     Annoyance and attitudes.  There are several attitudinal-psychological

factors which correlate with the degree of scaled annoyance.  These can be

classified under; (l) general attitudes toward noise  including differences

among individuals in their sensitivity to noise; (2) attitudes of the

exposed person toward the source of noise, such as whether they consider

the noise-producing activity to be important for their social and economic

well-being and whether they believe that the noise is a necessary by-product

of the activity that produces it; (3) whether they believe that those

persons responsible for the operation and regulation of the noise-producing

activity are concerned about their (the exposed population's)  welfare;  and

(4) factors specific to particular noise sources, such as fear of aircraft

crashes or the belief that sonic booms cause property damage.

     For example, highly annoyed persons are likely to believe that those
                             'i
responsible for the noise are not concerned about those being exposed to


the noise, and they are also likely to believe that the source of noise

is not of great importance to the economic and social success  of the com-
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                      83   86   89   92   95   98  101   103 i
                               Average peak  loriMss (pNdB)
Figure 18.  Average scores  on an annoyance scale for persons exposed to
various levels of aircraft  noise are shown.  The dashed lines include
two-thirds of the persons interviewed.   (From McKennel, 1970, with the
permission of the author, editor,  and the University of Washington Press.)
                                  103

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c
CO
CL>
e
_o
 w
 c
 o
 u
 c
 c
 c
 c
         36   40   44    48    52    56    60    64   68    72    76


                              Exposure  index dB(A)
   Figure  19.  Average annoyance scores for persons exposed to various

   levels  of traffic noise are shown.  Notice that the scales on Figures

   18 and  19 cannot be compared for absolute magnitudes.  (From Kajland,

   1970, with the permission of the author, editor, and the University of
   Washington Press.)
                                     104

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nwnity.   In addition, highly annoyed persons are: likely to have negative



attitudes toward many kinds of noise j likely to be generally sensitive to



irritation produced by noisef likely to believe that their neighbors share



their annoyance} likely to say that they would be unwilling to accept further



increases in noise levels; and likely to believe that noise is a health



hazard.   People highly annoyed by the noise of sub-sonic aircraft are likely



to express a fear of a crash in their neighborhood, whereas people highly



annoyed by sonic booms are likely to believe that these booms cause property



damage.   Such statements are based on statistical relations and many highly



annoyed people do not conform to the profile given above.



     The examples of characteristics of highly annoyed persons were



abstracted from several sources (Borsky, 1970; Kryter, 1970; McKennel, 1970;



Tracer Staff, 1971; and references cited therein).  Unfortunately, when one



tries to compare social surveys, he finds that the exact attitudinal-



psychological variables that emerge as most prominent vary from study to



study.  Such variation is to be expected because of differences in the



methods, the sampled populations, and the noises.



     A recently published survey of responses to the noise of sub-sonic



aircraft (Tracer Staff, 1971) reports that an individual's level of annoy-



ance as measured by interview-questionnaire techniques can be fairly



accurately predicted if one knows the noise exposure (measured at a
                                   105

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community monitoring point) and the weights to assign to seven attitudinal-



psychological factors.  These factors, ranked in order of predictive power,



are: (l) the fear of aircraft crashes; (2) the susceptibility of the indi-



viduals to other noises, such as banging doors, dripping water, and so on;



(3) the distance from the airport; (4) the willingness of the individual to



accept additional increases in noise exposure from aircraft; (5) city of



residence4 (6) the extent to which residents of the community believe that



they are being treated unfairly; and (?) the attitudes of the residents



with respect to the importance of the airport and air transportation.  Most



of these factors can be placed into the four general classes described at



the beginning of this subsection.  However, exactly why "distance from the



airport" and "city of residence" should be important is unexplained.



     It is also interesting to contrast responses to sonic booms with



responses to the noise of sub-sonic aircraft.  There is some indication



that annoyance from sonic booms may be most related to the physiological



and psychological responses to the suddenness of the booms, whereas annoy-



ance from the noise of sub-sonic aircraft may be more strongly related to



the activities disturbed by the noise (Tracer Staff, 1971)•  The major



attitudinal factor that contributes to annoyance by sonic booms is the



belief held by many people that booms cause property damage, while the



major attitudinal factor that contributes to annoyance by the noise of



sub-sonic aircraft is the fear of aircraft crashes.



     All of the above is convincing evidence that people's responses to



noise depend on their values, beliefs, and attitudes.  This is not
                                   106

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surprising,  for the definition of noise as an unwanted sound is a state-



ment of an attitude and a value judgment.  Some researchers have gone so



far as to state that the attitudinal-psychological factors are more important



for predicting annoyance (by noise) than are the properties of the noise



itself.  But individuals' exposures to noise, as opposed to community



exposure measured at a monitoring point, have never been measured in these



social surveys.  Also, if the noise were not present, then the attitudinal-



psychological factors could not operate.  Thus, one must return to the



sound itself as the fundamental stimulus for the annoyance from noise.



     Examples of activities disturbed by aircraft and traffic noises as



measured in social surveys.  Two recent studies (Tracor Staff, 1971;



Griffiths and Langdon, 1968) report activities disturbed by sub-sonic-



aircraft and traffic noise.  In the Tracor study (Phase I) people were



interviewed in an area with a radius of 12 miles and within an angle of



40° to the right and left of the end of a runway.  These runways were in



the major airports near Chicago, Dallas, Denver, and Los Angeles.  Of 4»153



persons interviewed, 98.6$ reported one or more disturbances of daily



activities by aircraft noise, and, correspondingly, at least some degree of



bother.  The percentage who rated an activity as extremely disturbed were



as follows: TV/radio reception, 21$; conversation, 15$; telephone use,



14$; relaxing outside, 13$; relaxing inside, 11$; listening to records or



tapes, 9$; sleep, 8$; reading, 6$; and eating, 4$.  In the study of Griffiths



and Langdon, people indicated that traffic noise disturbed sleep, conversation
                                   107

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with visitors, conversation at mealtimes, TV and radio reception, and



increased the time for children to fall asleep.



     Of course, these examples of disturbed activities are based on



responses to interviews and questionnaires.  These lists are neither com-



plete nor do they necessarily reflect the true ranking of activities dis-



turbed by noise.  For example, the interference with formal education in



schools, mentioned in Section 2, does not appear on these lists  probably



because only adult residents of an area were interviewed.  Also, the person



being interviewed is not necessarily aware of all the ways in which noise



may disturb his activities.



     Adaptation to noise.  There is little evidence that annoyance due to



community noise decreases with continued exposure.  Rather, under some



circumstances annoyance may increase the longer one is exposed to it



(Borsky, 1970).



                       D.  Community Response



     There are ample data to show that community responses to aircraft



noise are related to measures of the exposures.  Typical results are shown



on Figures 20 and 21.  These graphs speak for themselves and clearly show





that community response can vary from indifference and mild annoyance to



highly organized community action.  Complaints such as letters or telephone
                                   108

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RESPONSE

VIGOROUS
LEGAL ACTION
THREATS OF
LEGAL ACTION
STRONG
COMPLAINTS
 MILD
 COMPLAINTS
 MILD
 ANNOYANCE
 NO ANNOYANCE
                                     D       E
                                      NOISE  RATING
 Figure 20.  The relation between community response and noise exposure
 is shown.  The noise  exposure increases from A to I.  (From Rosenblith

 et al., 1953.)
                                    109

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REACTIONS TO
NOISE
I

1 FGAI ACTION -
LCpVr^l_ rl v 1 t^/l«

GROUP APPEALS
TO STOP NOISE


SOME COMPLAINTS
TO AUTHORITIES

NO COMPLAINTS
TO AUTHORITIES

THRESHOLD OF
1 ' 1 '
ESTIMATED PROBABLE
• nin DAMPC
OF REACTIONS OF
TYPICAL PERSONS TO








1
AVERAGE

^^^
>^ xx
A GIVEN NOISE * x \
ENVIRONMENT X*S,. \
x'' ^
X
x"
xx
x-
>$/
.X
./^
,' •*. y. j^t. -''
'' 1 /I .^
ANNOYANCE
NEF 0 10
CNR 65 70 75 80 85
X X
x .X
^
/
s
,''
x
^
1

20
90
AVERAGE
PERCENT
OF PEOPLE
RATING NOISE
ENVIRONMENT
UNACCEPTABLE


• i x" i^
^/' / X
lX .x*^ x
x v • • •• ^x^ •••• ••• ^ 60
xx \ -x*"^ x''
XX \ x xX^ ^
x>^
. ••••••••••• •••••• • -"25
x'x\. ^xx
\. xx
Vx
xx X AND • REPRESENT ~ 10
x' ACTUAL "CASE HISTORY"
x FINDINGS FOR
COMMUNITIES
« C
— 3

.1.1. 0

30 40 50
95 100 105 110 115 120
                          INCREASING NOISE EXPOSURE
Figure 21.  Relations between community noise levels  (measured in CNR
or NEF), judgments of unacceptability, and community  responses are shown.
(After Kryter et al., 1971.)
                                 110

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calls to relevant officials and community action are determined by much



more complicated sets of circumstances than are annoyance and disturbance



of activities.  It has been shown, however, that those who complain are



not necessarily highly annoyed by noise.  In spite of intensive efforts



(one study included as many as 1? sociological variables such as age,



socio-economic status, and so on), there has been little success in iden-



tifying and characterizing those who complain as opposed to those who do



not.



     It is clear, however, that only a small percentage of those who are



highly annoyed or disturbed actually register a formal complaint to some



authority in the form of a letter or a telephone call.  For example, it



was found (Tracer Staff, 1971) that in an area with high noise levels, the



number of highly annoyed households per thousand (h) can be predicted from



the number of complaints per thousand (c) in the area by the simple



equation,



                            h » 196 + 2c.



     By simple calculation, if there are 200 persons who complain in a



tract of 1,000 households, there will be nearly 600 highly annoyed house-



holds!  This equation, however, probably holds only for a given set of



sociological and political circumstances.  Annoyance is probably a good



measure of the potential for complaint and action.  Whether complaints or



anti-noise actions actually develop will depend on social and political



factors such as the presence of anti-noise leadership, attitudes toward



the source of noise or regulatory agents, and so on.  These last-mentioned
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factors are only a few of the factors which make up the whole of community

dynamics.  These community dynamics, which are poorly understood, very

strongly control anti-noise actions.

     Examples of the complexities of community response are given by the

following two case histories.

     Case History A.  The noise source was a positive displacement
     blower within three hundred feet of an apartment house.  The
     sound levels were sufficiently high to cause the pure tone gen-
     erated by the blower to be heard clearly along the face of the
     three-story apartment house during the day, and to be well above
     the ambient sound level at night.  The industrial plant and the
     apartment house were over one thousand feet from a main truck
     route through the suburb of a major eastern city.  The noise
     produced by the blower was inaudible halfway to the highway
     because of the shielding of buildings and distance.  However,
     the neighbors of the plant and those living along the highway
     had joined together as a neighborhood association to fight the
     industrial plant on the noise issue.  The residents within five
     hundred feet of the highway, all owners of private dwellings,
     were unable to hear the plant noise, but appeared to have joined
     with the other members of the community, the apartment dwellers,
     to fight the "noise problem" even though they could not hear the
     noise at their homes.  Investigation of the situation showed that
     a traffic hazard problem existed for the community along the high-
     way and that a death had occurred because of the hazardous condi-
     tions.  The investigation further showed that the identifiability
     of the owner of the noise source and the focus of the community
     effort on the noise problem served as an outlet for their frustra-
     tions.  This in turn caused a community response out of proportion
     to the actual number of people exposed.

     Case History B.  The community was complaining to local officials
     and to the industrial plant of mechanical vibrations shaking their
     homes.  The vibrations ostensibly originated in a new railroad-
     car-shaker building in which heavy duty vibrators were attached
     to railroad cars in order to shake the contents loose during their
     transfer from the hopper car to a plant conveyor.  The neighbors
     were located 300 to 500 feet from the car shaker.  Measurement of
     the vibrations in the earth at various distances from the car-
     shaker facility indicated that at distances beyond 50 feet, no
                                  112

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    vibrations were detectable, indicating levels well below O.Olg.
    Measurement of the airborne sound levels at the neighboring
    residences showed levels of 64 dB(A), and in the octave band
    centered at 31.5 Hz of 80 decibels.  This results in mechanical
    forces at the face of the residences sufficiently large to cause
    the  walls of the houses to vibrate with amplitudes of 0.1 inch.
    The  low-frequency noise in the air is inaudible to all but a
    well-trained listener.  However, the result of the shaking wall
    is a rattling sound, and this higher frequency sound is readily
    associated by the residences with the plant operation.  It
    should be pointed out that the neighbors are exposed to broad-
    band noise levels from the plant in the neighborhood of 58 dB,
    which have in the past produced no complaints.  Elimination of
    the  low-frequency radiation from the shaker building eliminated
    complaints.

     (These case histories were provided by Goodfriend-Ostergaard
    Associates of Cedar Knolls, New Jersey.)
                      3.  Concluding Statement


     Community noise exposure can be measured and summarized.   There  are

a variety of competing methods that take into account at least some  of the

following, not necessarily independent, factors: (l) a scheme  for identi-

fication of noises; (2) the intensity levels and durations of  identifiable

noise events; (3) number of occurrences of the noise events;  (4)  the back-

ground noise level; (5) the variability of the noise levels;  (6)  one  or

more special factors related to the perceived noisiness or loudness  of the

sounds; and (?) the time of day and type of area, whether urban,  suburban,

rural, and so on.  While efforts to standardize and refine these  measure-

ments will and should continue, many of the important variables have been

identified and methods for the measurement have been developed.  Of  course,

these methods cannot accurately measure any single person's exposure to

noise.
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     The degree of annoyance averaged over a large number of individuals



near a noise monitoring station can be predicted, in a statistical sense,



from the physical characteristics of the noise.  Each individual's degree



of annoyance cannot be as accurately predicted as can the average annoy-



ance.  This is true because individuals differ considerably in the exact



noise exposure they receive (due to variations in environmental acoustics),



because individuals differ in their sensitivity to disturbance by noise,



and because individuals differ in other relevant psychological and social



attitudes.



     Community responses to noise can range from indifference and mild



annoyance to highly-organized group action.  Those who complain about air-



craft noise cannot be identified as having a special set of psychological



and sociological characteristics.  Those who complain about aircraft noise,



contrary to the beliefs of some, are not highly sensitive to noise



they do not seem to be, in general, unusual citizens.  Nevertheless, total



numbers of complaints and community anti-noise action are correlated with



measures of the severity of the noise exposure.



     While community responses to aircraft noises have been more thoroughly



studied than the responses to other noises, such as those of traffic and



construction, case  histories   reveal that people become annoyed and they



complain about a wide variety of noises.  In addition to noise exposure,



psychological and sociological considerations modify the extent of the



annoyance and the inclination to complain.  Case histories also reveal
                                   114

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that,  regardless of whether the noise is produced by traffic, aircraft,



construction and so on, the probability of  overt action against the noise



producers or regulators can be estimated from knowledge of the noise expo-



sure.   However, these estimates are fallible and numerous exceptions can



be cited.



     Two speculations about possible future community actions may be



worthy of note.  Right or wrong, these speculations serve to illustrate



how attitudes and beliefs might combine with actual exposure to noise to



influence anti-noise actions.



     In a recent survey, members of a sample of about 8,200 people who



live within 12 miles of airports in seven major cities of the United States



were asked whether they would be able to accept increases in noise exposure



from aircraft operations.  Fifty-four percent replied that they could not



(Tracer Staff, 1971).  This, coupled with the fact that fear of aircraft



crashes strongly enhances the annoyance produced by aircraft noise, leads



to the speculation that substantial increases in aircraft traffic along



with a few crashes in populated areas could result in vigorous community



action against aircraft operation and those responsible for its regulation.



     A second speculation is this.  If members of a community believe that



noise is necessary to an approved activity  and if they believe that people



are free to move away from the noise, then  they will be less likely to



institute or support action against the source of noise than if they dis-



approve of the activity or believe that there is no freedom to move so as
                                   115

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to escape the noise.  If this speculation is correct, then perhaps an



increase in the total area or number of persons exposed to annoying levels



of noise would result in an increase in support for anti-noise actions.



     One fact about the relations among perceived noisiness, annoyance



from noise, disturbance of activities by noise, complaints about noise,



and community actions against noise is especially significant.  It is that



noisiness, annoyance, and disturbance of activities are more closely tied



to the physical characteristics of the noises than are the rates of for-



mally placed complaints or the probabilities of group anti-noise action.



Thus, whether or not one files a formal complaint or participates in group



anti-noise action, the quality of one's life is influenced by unwanted



sound.
                                  116

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 Section 6.  OTHER POSSIBLE PSYCHOLOGICAL AND SOCIOLOGICAL EFFECTS


                            An Old Story
         Scene.   It is a courtroom in a rural area.   There is a
                 judge on the bench and a defendant before him.
                 The defendant is about 50 years old, poor, and
                 uneducated, but well-knomand well-liked in the
                 community.

         Jud^e.   "You are charged with stealing chickens from Brown's
                 coop.  There is a strong case against you.  I advise
                 you to plead guilty, and we'll try to make it as  easy
                 for you as possible.  How do you plead?"

     Defendant.   "Not guilty, Judge."

         Judge.   "Aw, don't do that.  It'll just cause us all a lot
                 of trouble.  The prosecutor has ten witnesses who
                 saw you stealing those chickens."

     Defendant.   "That's nuthin1 Judge, I have twenty witnesses who
                 didn't."
                            Introduction


     There have been numerous claims about many deleterious  psychological

and sociological effects of noise on man.   Many of these  are difficult to

evaluate because of conflicting information (ten people saw  them and twenty

didn't)—or because of lack of information (nobody looked).   In many cases,

firm conclusions cannot be drawn and one must rely on one's  experience,

intuition, and judgment, as well as upon published data in order to reach

a tentative conclusion.
                                   117

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     Even the selection of the claims to be discussed requires a consider-



able degree of arbitrary judgment.  The areas discussed in this section



were selected on the basis of the amount of available information and on



the basis of judgments concerning plausibility, importance, and interest.



No more could be done.



                      A.  Noise and Performance



     The action of noise on the performance of tasks has been studied



extensively in the laboratory and in actual work situations.  Excellent



summaries and reviews of these studies are available (Broadbent, 1957;



Burns, 1968; Cohen, 1969; Kryter, 1970; Kryter et al., 1971).



     When a task requires the use of auditory signals, speech or nonspeech,



then noise at any intensity level sufficient to mask or interfere with the



perception of these signals will interfere with the performance of the



task.



     When mental or motor tasks do not involve auditory signals, the effects



of noise on their performance have been difficult to assess.  Human behavior



is complicated and it has been difficult to discover exactly how different



kinds of noises might influence different kinds of people doing different



kinds of tasks.  Nonetheless, certain general conclusions have emerged.



(l) Steady noises without special meaning do not seem to interfere with



human performance unless the A-weighted noise level exceeds about 90 deci-



bels.  (2) Irregular bursts of noise are more disruptive than steady noises.



Even when the A-weighted sound levels of irregular bursts are below 90
                                  118

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decibels,  they may sometimes interfere with performance of a task.  (3)
High-frequency components of noise, above about 1000-2000 hertz, may pro-
duce more  interference with performance than low-frequency components of
noise.   (4) Noise does not seem to influence the overall rate of work, but
high levels of noise may increase the variability of the rate of work.
There may be "noise pauses" followed by compensating increases in work
rate.  (5) Noise is more likely to reduce the accuracy of work than to
reduce the total quantity of work.  (6) Complex tasks are more likely to
be adversely influenced by noise than are simple tasks.
     It has been and will continue to be difficult to assess the effects
of noise on human performance.  Laboratory studies are usually of short
duration and the subjects are usually well-motivated young adults.  These
subjects may be able to perform without decrement in noises that might
influence performance under more "everyday" conditions.  Studies of the
effects of noise in actual work conditions are difficult because factors
other than the noise itself are difficult to control.
     Sven when a person maintains high performance in noise as opposed to
quiet, there may be a cost.  This cost might include reduced psychological
or physiological capacity to react to additional demands and increased
fatigue after completion of the task (Finkelman and Glass, 1970; Glass et al.,
1969? Glass et al., In press).
     The effects of noise on human performance are often conceptualized
in terms of three classes of effects: (l) arousal; (2) distraction; and
                                   119

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(3) specific effects.  Arousal of bodily systems including the musculature



can result in either detrimental or beneficial effects on human performance.



The direction of the effect will depend on the nature of the task and on



the person's state prior to exposure.  For example, noise might induce



muscular tension that could interfere with delicate movements.  On the



other hand, a sleepy person might be aroused by noise and, therefore, may



perform more effectively in noise than in quiet.  Distraction can be thought



of as a lapse in attention or a diversion of attention from the task at



hand.  Often distraction is due to the aversive or annoying characteristics



of the noise.  Distraction can sometimes be related to the physiological



responses to noise or to the responses to messages carried by the noise.



Also, if the noise is sufficiently intense, it may somehow "overload" the



mental capacities and result in a momentary lapse in attention or "mental



blink."  Specific effects include auditory masking, muscular activation



such as startle responses to brief intense noises (sonic booms, backfires,



etc.) and the like.



     Many physiological and psychological responses to sound diminish or



disappear when noises are regular or predictable.  Sometimes strategies



can be learned so that the detrimental effects of noise on performance can



be avoided.  Under certain conditions noise may even result in better con-



centration due to auditory isolation provided by the noise's masking of



other sounds, greater activation and alertness of the worker, or pace



performance when the noise is regular or rhythmic.  For these reasons,
                                   120

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people sometimes achieve excellent performance  or  even exceed their normal
performance in spite of noise.
     Noises, however, often are not regular  and predictable, adaptation
of responses to noise is not always complete, and  strategies to eliminate
the effects of noise are not always learned.  Furthermore, the fact that
distraction or disturbance can be the result of the  "message" carried by
the noise rather than a result of the noise, p_er se_, may not seem important
to the average person.  An ideal acoustical  environment is one that does
not disturb human performance either because of the  properties of the noise
itself or because of irrelevant messages carried by  the noise.  The trick,
of course, is to eliminate disturbing noises while maximizing the chances
that important, relevant messages carried by sound will reach the appro-
priate party.
                       B.  Acoustical Privacy
     Without opportunity for privacy, either everyone  must conform strictly
to an elaborate social code, or everyone must adopt  highly permissive
attitudes.  Opportunity for privacy avoids the  necessity for either extreme.
In particular, without opportunity for acoustical privacy one may experience
all of the effects of noise previously described and,  in addition, one is
constrained because his own activities may disturb others (Cohen, 1969).
Without acoustical privacy, sound, like a faulty telephone exchange, often
reaches the "wrong number."
     It would be helpful for owner and renter and for  seller and buyer if
standardized acoustical ratings were developed  for dwellings.  These ratings
                                   121

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might include measures of acoustical privacy as well as other measures



of acoustical quality.  Such ratings would be particularly useful because



the acoustical properties of a dwelling are not immediately obvious to



the nonspecialist.  If such ratings were available, the parties involved



could balance the acoustical value of a dwelling in relation to those of



appearance, size, convenience, cost, and so on.



                         C.  Time Judgments



     Steady noise with an A-weighted sound level up to about 90 decibels



seems to expand the subjective time scales; that is, less time has been



judged to pass than actually has (Hirsh et al., 1956).



     Steady noise more intense than about 90 decibels seems to contract



subjective time; that is, more time is judged to pass than actually has



(Jerison and Arginteanu, 195^).



                     D.  Effects on Other Senses



     A variety of effects of auditory stimulation on the other senses have



been reported.  These are called intersensory effects.  Subtle intersensory



effects may occur as part of normal psychological and physiological func-



tion.  At very high noise levels, more dramatic intersensory effects have



been reported.  For example, there can be disturbances of equilibrium at



levels of about 130-150 decibels (Anticaglia, 1970; Kryter, 1970;  and



von Gierke, 1965).  Dramatic intersensory effects would not occur in



response to current levels of community noise.
                                   122

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                        E.  Mental Disorders



     There is no definitive evidence that noise can induce either neurotic



or psychotic illness.  There is evidence that the rate of admissions to



mental hospitals is higher from areas experiencing high levels of noise



from aircraft operations than in similar areas with lower levels of noise.



The type of person most affected appears to be the older woman who is not



living with her husband and who suffers from neurotic or organic mental



illness (Abey-Wickrama et al., 1969).  These authors did not believe that



aircraft noise caused mental illness, but their tentative conclusion is



that such noise could be a factor that increases admissions to psychiatric



hospitals.



                      F.  Anxiety and Distress



     Nausea, headaches, instability, argumentativeness, sexual impotency,



changes in general mood, general anxiety, and other effects have all been



associated with exposure to noise (Andriukin, 1961; Cohen, 1969; Davis,



1958; Jansen, 1959; and Shatalov et al., 1962).



     These effects are difficult to assess because intense noises are often



associated with situations that in and of themselves, even without noise,



might involve fear and stress.  Whether the noise, purely as noise, con-



tributes significantly to the stress of life (see PART III) is difficult



to assess at this time.  But all of the facts of speech interference,



hearing loss, noisiness, annoyance, and arousal and distraction previously



recited clearly support the contention that noises can act as a source of
                                   123

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psychological distress, either because of responses directly to the noise



itself or because of responses to irrelevant "messages" carried by the



sound.  Psychological distress in turn can contribute to the unpleasant



symptoms listed above.
                                  124

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              PART III.  GENERAL PHYSIOLOGICAL EFFECTS


                        Preliminary Statement


     There are three classes of transient general physiological responses

to sound:  (l) the fast responses of the voluntary musculature mediated by

the somatic nervous system; (2) the slightly slower responses of the smooth

muscles and glands mediated by the visceral nervous system; and (3) the

even slower responses of the neuro-endocrine system.

     It has been proposed that frequent repetition of these responses might

lead to persistent pathological changes in non-auditory bodily functions

(Jansen, 1959, 1969).  Also, it has been proposed that frequent repetition

of these transient physiological responses might aggravate known disease

conditions.  These proposals have not been verified, but evidence consistent

with them has been gathered (Kryter et, al., 1971; von Gierke, 1965).  While

these claims of noise-induced pathology of non-auditory bodily function merit

further research and investigation, they are as of now unproven.

     The transient physiological responses to sound, the possible persistent

physiological responses to sound, and the possible relation of noise to

stress theory are each discussed in the sections that follow.


           Section ?.  TRANSIENT AND POSSIBLE PERSISTENT
                  PHYSIOLOGICAL RESPONSES TO NOISE


           A.  Transient Physiological Responses to Noise

     Responses of the voluntary musculature.  Man is equipped with an

elaborate set of auditory-muscular reflexes.  These serve the basic



                                   125

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functions of orienting the head and eyes toward a sound source and of pre-



paring for action appropriate to an object whose presence is signalled by



a sound.  These reflexes operate even at low levels of sound (Bickford



et al., 1964; Davis, 1950; Mast, 1965), and they can often be detected by



suitable electrical recording and averaging even after bodily movements



have habituated and are no longer detectable.  Auditory-muscular reflexes



undoubtedly play a part in all muscular responses to sound.  These may range



from rhythmic movement and dance to the body's startle response to impulsive



sounds such as those produced by gunshots or sonic booms.



     These muscular responses to sound can be measured by direct observa-



tion of bodily movements (sometimes with the aid of amplifying levers or



high-speed motion pictures) or by measurements of the electrical activity



of the musculature.



     The startle response has been studied in detail (Landis and Hunt,



1939)-  It includes an eyeblink, a typical facial grimace, bending of the



knees, and, in general, flexion (inward and forward) as opposed to extension



of the bodily parts.  The startle response to the sound of a nearby gunshot,



even when expected, may undergo various degrees of diminution with repeti-



tion of the sound.  The amount of diminution of the response depends on the



individual, the rate of repetition, and the predictability of the impulse



sound.  Some individuals show little diminution of the startle response



with repetition while others show a marked reduction of this response.  The



eyeblink and head movement aspects of the startle response may never
                                  126

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habituate completely.  Even experienced marksmen exhibit these responses
each time they fire a gun.
     All of the observations described in the  preceding paragraph were
made with the aid of high-speed motion pictures.  Using the electrical
devices available to them, Davis and Van  Liere (1949) found that muscular
responses to the sound of a gunshot did not  disappear with repetition.
An early response (the a-response with a  latency of about 0.1 second)
showed little reduction with repetition of the sound.  A later response
(the b-response with a latency of about 0.8  second) showed more reduction
with repetition.
     A series of experiments, done by R.  C.  Davis and his colleagues at
Indiana University, demonstrated that the particular muscular responses
to sound and the way in which these responses  will influence the performance
of a motor task depend in detail on (l) the  pattern of muscular tension,
or posture, prior to the sound, (2) the movements required by the task, and
(3) the auditory-muscular reflexes (Davis, 1935,  1942, 1948a, 1948b, 1956a,
1956b, 1956c, 1956d, 1956ej and Fatten, 1953).
     Among the important findings was that the magnitude of the muscle-
tension reflex in response to sound increased  with increasing resting
tension in the muscle.  (This generalization,  of  course, would not hold as
a muscle approaches its maximum level of  tension.)  Thus, if the subject
was required to make a movement that required  flexion and if the subject's
posture heightened tension in the appropriate  flexor muscle, then a burst
                                   127

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of sound, which ordinarily produces the reflex action of flexion, would



speed the performance of the movement.  Under other conditions, however,



the burst of sound could greatly interfere with the required movement.



For example, suppose that as before, the required movement was that of



flexion but that the subject's posture heightened the resting tension in



the opposing extensor.  In this case, the burst of sound would result in a



greater response in the extensor (because of the higher resting tension)



than in the flexor, and consequently, the required flexion response would



be interfered with and delayed.



     R. C. Davis (I956b, 1956d) also found that steady noise of 90 decibels



increased tension in all muscles and influenced the response time in a



simple choice task.



     In summary, the ebb and flow of muscular activity is closely linked



to and influenced by the rise and fall of sound.  The relations are com-



plicated.  Gross bodily orientation toward an unexpected source of sound



will diminish as the sound becomes familiar and predictable.  Some com-



ponents of the startle response to impulse sounds, for instance, will



diminish with the repetition of the stimulus.  The exact amount of reduc-



tion, however, depends on the individual person, his state of muscular



tension as defined by posture or activity, and the characteristics of the



impulse sound.  Subtle changes in the musculature in response to sound may



persist and their effects will depend in a complicated way on posture,



activity, and the characteristics of the sound.
                                  128

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     Responses ofthej jm^othL muscles and glands.  In response to brief



sounds there is general constriction in the peripheral blood vessels with



a reduction in peripheral blood flow.  There may be acceleration or



deceleration of heart rate, reduction in the resistance of the skin to



electrical current (an indication of activation of the peripheral visceral



nervous system), changes in breathing pattern, changes in the motility of



the gastro-intestinal tract, changes in the size of the pupils of the eyes,



and changes in the secretion of saliva and gastric secretions (Davis e£ al.,



1955; Jansen, 1969).  These responses to brief sounds are obvious for



A-weighted sound levels over about 70 decibels.  For sound levels below



70 decibels, it is doubtful whether the recording techniques have been



sufficiently sensitive to detect whether these responses occur.  In any



case, they are either small or nonexistent.



     Some aspects of these responses diminish and seem to disappear with



predictable repetition of the sounds.  Others may not disappear (Davis



et al., 1955).  Jansen (cited by von Gierke, 1965), for example, found



these responses persisted in industrial workers when they were exposed to



the same noises in which they had worked for many years.



     Orienting and defense reflexes.  Some of the responses of the smooth



muscles and glands to sound are part of a pattern of response known as the



orienting reflex.  The orienting reflex is a "what is it" response, and



this reflex diminishes rapidly as a stimulus becomes familiar  and pre-




dictable.
                                   129

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     Some of the responses of the smooth muscles and glands in response

to sound are part of a pattern of response known as the defense reflex.

A defense reflex prepares the organism to escape or accept injury and

discomfort.  Responses that are part of a defense reflex disappear more

slowly with stimulus repetition than do those that are part of the orient-

ing reflex.  Sometimes they may never completely disappear.  Defense

reflexes occur in response to warnings of painful stimuli, to painful

stimuli themselves, or in response to very intense stimuli to any sense

organ.  Informative discussions of the orienting and defense reflexes can

be found elsewhere (Sokolov, 1963a, 1963b; Voronin et al., 1965).

     Neur o-endocr ine responses.  Loud sounds as well as other intense

stimuli such as cold, forced immobilization, forced exercise, pain,

injuries, and so on can activate a complicated series of changes in the

endocrine system with resulting changes in hormone levels, blood composi-

tion, and a whole complex of other biochemical and functional physiological

changes (Lockett, 1970; Welch and Welch, 1970).  Some of these changes and

their implications will be mentioned in the sections to follow.

      B.  Possible Persistent Physiological Responses to Noise

     It has been claimed that steady noise of approximately 110 decibels

can cause some changes in the size of the visual field after years of

chronic exposure, but there is very little evidence to support this conten-
            of
tion.  Noise/about 130 decibels can cause nystagmus and vertigo.  However,

these noise conditions are rarely encountered in the present environment

(Kryter et al., 1971)•
                                  130

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     Evidence from animals exposed to very high noise levels suggests that



exposure to these noises can interfere with sexual-reproductive functions,



can interfere with resistance to viral disease, and can also produce other



pathological effects (Kryter et al., 19?lj Welch and Welch, 1970).  Among



these other effects are hypertrophy of the adrenal glands, developmental



abnormalities of the fetus, and brain injury  (Welch and Welch, 1970).  These



experiments often have not been well controlled; e.g., fear, handling, and



so on have not always been equated for noise-exposed animals and non-noise



exposed animals.  Also, rodents have often been used as subjects, and these



animals are known to have special susceptibility to the effects of certain



sounds.  Furthermore, the sound levels used in these experiments have usually



been well above those normally encountered in our present environment.



     There is evidence that workers exposed to high levels of noise have



a higher incidence of cardiovascular disorders; ear, nose, and throat prob-



lems; and equilibrium disorders than do workers exposed to lower levels of



noise  (Andriukin, 1961; Jansen, 1959, 1969; Kryter et al., 1971)-  The



results of one of these studies are summarized on Figure 22.




     The fact that those who work in high noise levels show greater evidence



of medical problems than those who work in lower noise levels is not con-



clusive evidence that noise is the crucial factor.  In each case it is pos-



sible that the observed effects can be explained by other factors  such as
                                   131

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  PERIPHERAL CIRCULATION PROBLEMS
                                      N = 410 | VERY NOISY INDUSTRIES
                             N = 165 | LESS NOISY
  HEART PROBLEMS
           N = 161
VERY  NOISY INDUSTRIES
      N = 53 [ LESS NOISY
  EQUILIBRIUM DISTURBANCE
       N = 128 [ VERY NOISY INDUSTRIES
     N = 51  LESS NOISY
        I
              20             40             60             80            TOO

                          PERCENT OF OCCURENCE
Figure 22.  Differences between the  percentages  of  physiological problems
of those who work in two different levels  of  noise.   These  data are  from
1005 German industrial workers.   Peripheral  circulation problems  include
pale and taut skin,  mouth and pharynx symptoms,  abnormal sensations  in
the extremities, paleness of the mucous  membranes,  and other  vascular
disturbances.  (From Kryter erb al.,  1971-)
                                 132

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age,  dust levels, occupational danger, life  habits,  and other non-noise



hazards.  However, much more research of  this  type should be undertaken



with attempts to rule out the effects of  non-noise factors.




     From the facts presented about transient  physiological responses to



noise, one can argue that chronic arousal by sound might lead to some of



the medical problems just described.  These  transient responses ordinarily



are useful to man because they help protect  him from potentially harmful



events.  It is also appropriate that these responses diminish when repeti-



tion of the stimulus signifies that particular noises do not represent a



threatening or harmful condition.  The crux  of the problem is whether man



is so designed to adapt to sufficiently loud or abrupt  sounds or whether



the modern environment presents such ever-changing auditory stimulation



that arousal responses are chronically maintained.





            Section 8.  STRESS THEORY, HEALTH,  AND NOISE



                          A.  Stress Theory



     The neuro-endocrine responses mentioned in Section 7 are similar to



the responses to stress.  The response to stress is  called the general



adaptation syndrome (Selye, 1956).  It consists of three stages: an alarm



reaction, a stage of resistance, and a stage of exhaustion.  If a stressor



is very severe and is maintained for prolonged periods  of time, an organism



passes in succession through the stages of the alarm reaction, resistance,



and exhaustion.  In the extreme case, the end  result is a breakdown of



bodily function and death.  In a less severe case, there may be a price to
                                   133

-------
be paid in the stage of resistance.  This price may include lowered resist-



ance to infection, and perhaps, specific diseases known as the diseases



of adaptation.  These may include, among others,  some types of gastro-



intestinal ulcers, some types of high blood pressure, and some types of



arthritis.  Many medical authorities do not accept the theory that there



are diseases of adaptation.   Rather, they theorize that each disease has



its own special set of causes.



     Stress theory, even as presented by its strongest advocates, is com-



plicated.  These advocates speak of complicated interactions between con-



ditioning factors that set the scene for disease, specific reactions to



particular stressors, and general reactions to non-specific stressors.



     It is nearly certain that noise of extremely high level can act as a



stressor and, at least for some animals, can lead to some of the physiolog-



ical changes associated with the general adaptation syndrome.  Also, it is



plausible that some of the more intense noises encountered in our present



environment can act as stressors for people.  However, the details of hotf



such noises might act as stressors for people are unknown.  The intensity



level of the noise, the amount of fear and annoyance produced by the noise,



and the susceptibility of the individual are probably examples of important



factors.  While certain pathways in the central nervous system and the



hormonal system are probably important, these have not yet been established



for the case of noise.  For example, it could be necessary for the noise



to produce ear damage, evoke annoyance and negative emotional reactions,
                                   134

-------
or disturb sleep before elements  of the  general adaptation syndrome would
appear.  The picture is further complicated by the  fact that a mild amount
of stress at the right time of life may  be  beneficial.  Therefore, while
it is plausible that noise can be a detrimental stressor for people, it
appears to be impossible to make  firm statements about noise stress at
this time.
                    B.  Noise and General Health
     While physiological arousal  in response to sound can be of great
benefit in the maintenance of response to possibly  dangerous events,
unnecessary arousal to irrelevant sounds can provide a basis for annoyance
and for interference with performance of tasks.  Chronic arousal from
noises of sufficiently high levels or from  noises that are sufficiently
varied may, although it is unproven,  contribute  to  the incidence of non-
auditory disease.  However, the evidence does  suggest that, if noise control
sufficient to protect persons from ear damage  and hearing loss were insti-
tuted, then it is unlikely that the noise of lower  level and duration
resulting from this effort could  directly induce non-auditory disease.
Nevertheless, it is conceivable,  though  unlikely, that certain patterns
of exposures to irregular, brief  sounds  could  produce non-auditory pathology
of greater significance than the  noise-induced pathology of the inner ear.
     As mentioned earlier  (see end of Section  6), general psychological
distress produced by noise can add to the overall stress of life and in
this way may contribute to the incidence of non-^auditory disease.  At this
                                   135

-------
time, however, one cannot evaluate the contribution of noise-induced dis-
tress in relation to those other sources of stress we all encounter in
our daily activities.
                                  136

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