{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T18:40:01Z","timestamp":1716489601187},"reference-count":18,"publisher":"BMJ","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Occup Environ Med"],"published-print":{"date-parts":[[2000,6,1]]},"abstract":"OBJECTIVES<\/jats:title>To propose a strategy for progressively controlling the exposure to noise in industry as much as possible. To propose a method that could, in the first stage, be used by the workers and management themselves to control exposures to noise as much as possible, and then, in later stages, when necessary, progressively call in the assistance of specialists and experts to identify more complex solutions and organise personal protection and medical surveillance.<\/jats:p><\/jats:sec>METHODS<\/jats:title>The strategy includes three stages. Stage 1 is observation, simple and easy to use by the workers to recognise the problems, identify straightforward solutions, and call for assistance when needed. Stage 2 is analysis, more complex but more costly, performed with the assistance of occupational health specialists to identify more technical control measures and set up a programme to conserve hearing. Stage 3 is expertise, performed with the assistance of acoustic experts for special measurements and control measures.<\/jats:p><\/jats:sec>CONCLUSIONS<\/jats:title>The proposed strategy enriches the assessment procedure that is usually recommended, by providing for one preliminary stage used by the people directly concerned. It explicitly recognises (a<\/jats:italic>) the competence of the workers and management about their working conditions and (b<\/jats:italic>) that knowledge and measurements of acoustics are not an absolute prerequisite for solving\u2014at least partly\u2014noise problems. It attempts to organise in sequence and optimise the cooperation between the workers, the occupational health specialists, and the experts in acoustics.<\/jats:p><\/jats:sec>","DOI":"10.1136\/oem.57.6.361","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T10:38:40Z","timestamp":1027766320000},"page":"361-369","source":"Crossref","is-referenced-by-count":6,"title":["Strategy for prevention and control of the risks due to noise"],"prefix":"10.1136","volume":"57","author":[{"given":"J","family":"Malchaire","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2000,6,1]]},"reference":[{"key":"2024052310345325000_57.6.361.1","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1080\/0002889728506610","article-title":"An evaluation of a hearing conservation program.","volume":"33","author":"Pell","year":"1972","journal-title":"Am Ind Hyg Assoc J"},{"key":"2024052310345325000_57.6.361.2","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1080\/15298668291410035","article-title":"Efficacy of enforcement in an industrial hearing conservation program.","volume":"43","author":"Hager","year":"1982","journal-title":"Am Ind Hyg Assoc J"},{"key":"2024052310345325000_57.6.361.3","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1080\/15298668491400106","article-title":"Evaluation of industrial hearing conservation programs: a review and analysis.","volume":"45","author":"Melnick","year":"1984","journal-title":"Am Ind Hyg Assoc J"},{"key":"2024052310345325000_57.6.361.4","unstructured":"Royster LH Royster JD (1986) Education and motivation. in Noise and hearing conservation manual. eds Berger EH Ward WD Morrill JC (American Industrial Hygiene Association, Fairfax, Virginia, USA), pp 383\u2013416."},{"key":"2024052310345325000_57.6.361.5","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1177\/216507998903700402","article-title":"Hearing conservation: implementing and evaluating a program.","volume":"37","author":"Harrison","year":"1989","journal-title":"AAOHN Journal"},{"key":"2024052310345325000_57.6.361.6","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1080\/15298669091369907","article-title":"Hearing conservation programs (HCPs): the effectiveness of one company's HCP in a 12 h work shift environment.","volume":"51","author":"Reynolds","year":"1990","journal-title":"Am Ind Hyg Assoc J"},{"key":"2024052310345325000_57.6.361.7","unstructured":"Starck J (1997) Noise and vibration. in The workplace. 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