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Hearing loss is the largest causality of war Free

20 March 2008
Various: Nearly one in ten troops who have served in Afghanistan and Iraq are on disability because of damaged hearing.Currently most troops rely on a pair of double-sided earplugs worth $7.40 to protect their hearing in war zones writes Chelsea J. Carter for the associated press. One side of the ear plug is designed to protect from weapons fire and explosions, the other from aircraft and tank noise. But the Marines were not given instructions in how to use the earplugs, and some cut them in half, while others used the wrong sides, making the devices virtually useless.In any case, hearing protection has its limits. While damage can occur at 80 to 85 decibels âmdash; the noise level of a moving tank âmdash; the best protection cuts that by only 20 to 25 decibels. That is not enough to protect the ears against an explosion or a firefight, which can range upwards of 183 decibels, said Dr. Ben Balough, a Navy captain and chairman of otolaryngology at the Balboa Navy Medical Center in San Diego.Nearly 70,000 of the more than 1.3 million troops who have served in the two war zones are collecting disability for tinnitus, a potentially debilitating ringing in the ears, and more than 58,000 are on disability for hearing loss, says the Department of Veterans Affairs, costing the department nearly $805 million annually. The powerful roadside bombs detonated in Iraq cause violent changes in air pressure that can rupture the eardrum and break bones inside the ear. Sixty percent of U.S. personnel exposed to blasts suffer from permanent hearing loss, and 49 percent also suffer from tinnitus, according to military audiology reports. The hearing damage ranges from mild, such as an inability to hear whispers or low pitches, to severe, including total deafness or a constant loud ringing that destroys the ability to concentrate. There is no known cure for tinnitus or hearing loss.The Navy and Marines have begun buying and distributing state-of-the-art earplugs, known as QuietPro, that contain digital processors that block out damaging sound waves from gunshots and explosions and still allow users to hear everyday noises. They cost about $600 a pair. According to Andrew Tilghman at Marine Times the QuietPro looks like an pod and is integrated into the users radio system, allowing troops to hear their radios and the sounds around them. A digital processor locks up at any sign of a blast that could damage the inner ear, and opens up again immediately after a blast to permit normal sound. The Marines have ordered 48,000 devices to be deployed over the next two years.The Army also has equipped every soldier being sent to Iraq and Afghanistan with newly developed one-sided earplugs that cost about $8.50, and it has begun testing QuietPro with some troops.In addition, the Navy is working with San Diego-based American BioHealth Group to develop a " hearing pill" that could protect troops' ears. An early study in 2003 on 566 recruits showed a 25 to 27 percent reduction in permanent hearing loss. But further testing is planned.And for the first time in American warfare, for the past three years, hearing specialists or hearing-trained medics have been put on the front lines instead of just at field hospitals, Hoffer said.The main difficulty however, lies with the troops, who worry that ear plugs and other protection devices might limit awareness of their surroundings, and get them killed. "I think these soldiers are choosing between hearing damage and their lives, in their mind. And that may not literally be true." said David Fagerlie, head of the American Tinnitus Association. Related links Hearing problems a constant reminder of Iraq duty (Stars & Stripes) Hearing Loss Rises Among U.S. Soldiers in Iraq (American Speech-Language Hearing Association) High-tech ear gear offers more protection (Marine Times)

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