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1 U.S. Army Center for Health Promotion and Preventive Medicine, Edgewood, MD
thomas.helfer{at}us.army.mil
Purpose: U.S. Army soldiers face unique noise exposures in the current deployed setting. The effects of these deployment-related exposures have not previously been documented.
Method: In an attempt to initiate this process, medical evaluations performed at military audiology clinics from April 2003 through March 2004 were reviewed to compare noise-induced hearing loss injury (NIHLI) outcomes among soldiers whose diagnoses were classified as postdeployment-related versus non-postdeployment-related. Sentinel NIHLI outcomes of interest included acoustic trauma, permanent threshold shift, eardrum perforation, tinnitus, and military-specific H-3 and H-4 hearing loss profiles.
Results: Significantly higher rates of NIHLI and associated outcomes were observed among soldiers whose diagnoses were postdeployment-related.
Conclusions: Based on the findings from this evaluation, recommendations are provided for enhancing the force health protection posture for prevention of hearing loss in future deployments.
Key Words: noise-induced hearing loss injury, surveillance, postdeployment, evidence-based practice
Submitted on October 15, 2004
Revised on March 30, 2005
Accepted on August 12, 2005
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