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Health effects of noise exposure

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  • Content

  • At a glance
  • Introduction
  • Effects on health
  • Protective measures
  • Individual impact of noise
  • Sources

Exposure to noise can negatively affect a person’s physical and mental health. This article looks at the possible consequences of noise, different levels of noise sensitivity and ways to protect yourself against noise.

At a glance

  • Noise can damage both physical and mental health.
  • Chronic noise can lead to sleep disorders, cardiovascular diseases and frequent anger, among other things.
  • If the hair cells in the inner ear are damaged by loud noise, this can lead to impaired hearing.
  • About 75 percent of people in Germany are bothered by traffic noise.
  • People have different levels of sensitivity to sounds and noise.
  • To protect their health, people should protect themselves against noise as much as possible.

Note: The information in this article cannot and should not replace a medical consultation and must not be used for self-diagnosis or treatment.

Von hinten ist eine junge weibliche Person zu sehen, die sich die Ohren zuhält. Vor ihr verschwommen eine städtische Umgebung mit Baustellen und Autoverkehr. Von hinten ist eine junge weibliche Person zu sehen, die sich die Ohren zuhält. Vor ihr verschwommen eine städtische Umgebung mit Baustellen und Autoverkehr.

What does noise mean for people?

Noise is part of everyday life, especially in cities, and almost everyone is bothered by loud noises now and again. At the same time, exposure to noise can cause stress, especially if it is persistent. Research conducted over the last decade shows that noise is one of the primary environmental risks to physical and mental health.

Many people are affected by persistent noise: 75 percent of people in Germany are bothered or annoyed by the noise of road traffic in the area where they live, 60 percent by the volume of their neighbors, 42 percent by aircraft noise and 35 percent by rail traffic noise.

All noise spreads as sound waves. The strength of these sound waves – the sound pressure level or volume – is expressed in decibels (dB). The hearing threshold is one decibel, i.e. this is the volume of the quietest sounds that people can hear. If a noise is 10 decibels louder, it is perceived as twice as loud.

Noise at night is generally perceived as more bothersome and annoying than during the day. For example, the noise of airplanes can bother people and damage their health from an average of 40 decibels at night but about 45 decibels during the day.

How does exposure to noise affect health?

Loud noise can damage hearing directly as well as being indirectly harmful for a person’s physical and mental health.

Loud noise can damage hearing directly as well as being indirectly harmful for a person’s physical and mental health.

Direct effects on hearing

Hearing can be damaged by short, very loud sound pulses over 130 decibels – for example, very close thunder – or long-lasting loud noises. For instance, the hearing can be restricted and muffled after a concert (about 90 to 120 decibels). Buzzing or whistling noises may temporarily affect the ears or lead to tinnitus. This is when a person hears a constant whistling or humming without any external reason.

If very loud sounds damage the hair cells in the inner ear, certain sound waves are no longer transmitted to the brain. In particular, high tones (with a high sound frequency) often damage these hair cells. Such noises include explosions or shots near the ear, for example caused by fireworks on New Year’s Eve. They can rupture the eardrum, the thin piece of skin that separates the ear canal and the middle ear, although this usually grows back together again. As damaged hair cells do not recover, however, permanent hearing damage may ensue, i.e. hearing impairment.

In addition, impaired hearing can also be caused by a permanently high level of exposure to noise, for example at work. People with certain jobs, e.g. on building sites, are exposed to high volumes at work.

Important: If you hear unusual sounds in your ears after being exposed to noise – whether from a pneumatic hammer or loud music – you should regard this as a warning sign. Reduce or avoid this volume or wear hearing protection.

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Indirect health effects

Environmental noise does not usually directly damage the hearing. Nevertheless, persistent noise from airplanes and cars in particular can lead to chronic stress reactions and increase the risk of a number of health issues including sleep disorders, cardiovascular diseases and strong feelings of noise-induced anger. The noise-induced stress reactions also occur when people are sleeping and in people who believe that they have become accustomed to noise.

How can people protect themselves against noise?

There are various forms of general noise protection. For example, to reduce exposure to traffic noise, more 30 km/h speed zones and quiet zones are being introduced in cities, noise barriers are being installed, and quieter materials are being developed for car and motorcycle tires. The increase in the use of electromobility and the promotion of other environmentally friendly transport means like bicycles also play an important role. In many cases, it is also possible for people to individually protect themselves against noise.

Hearing protection

Wear certified hearing protection during loud activities or at loud events, for example when mowing the lawn, at concerts or on New Year’s Eve. Ear plugs may help at night.

Pay attention to your environment

Check every now and again if you find the noises in your everyday environment pleasant or bothersome. Do they bother you? Then do something about them. Are you still enjoying listening to the music in the background or could you turn that off too? Do you find the ticking of the clock or the loud humming of the refrigerator annoying?

Ask for quiet

If you share a room with other people and they are too loud, ask them to be quieter. If nearby colleagues persistently talk loudly on the phone, this can be annoying and stressful.

Find quiet places

If you live in the city, try to choose routes along smaller roads or through parks when going for a walk or heading to work. Spend more of your free time in quiet places, such as forests.

Does noise bother some people more than others?

Noise can be differently perceived and cause people different levels of stress. Some people are also exposed to more noise pollution than others due to where they live, for example on busy roads.

Noise perception

In many cases, whether loud noises bother people depends on how they are perceived. A group of young people is having a great time listening to loud music. A neighbor hears the same music much more quietly from next door. However, she gets annoyed because she cannot sleep and has to be up early for work the next day. One and the same noise can be perceived by one person as annoying and another as pleasant.

Sensitivity to noise can vary from person to person.

Noise sensitivity

Sensitivity to noise varies from person to person. People who are more sensitive to noise find that it causes them more stress. In the long term, being subjected to noise can do these people more damage than those who respond less sensitively to it.

  • Basner M, McGuire S. WHO Environmental Noise Guidelines for the European Region: A Systematic Review on Environmental Noise and Effects on Sleep. Int J Environ Res Public Health 2018. 15(3): 519.
  • Dreger S et al. Social Inequalities in Environmental Noise Exposure: A Review of Evidence in the WHO European Region. Int J Environ Res Public Health 2019. 16(6): 1011.
  • Guski R. Personal and social variables as co-determinants of noise annoyance. Noise Health 1999. 1(3): 45-56.
  • Laußmann D, Haftenberger M, Lampert T, Scheidt-Nave C. Soziale Ungleichheit von Lärmbelästigung und Straßenverkehrsbelastung. Bundesgesundheitsblatt 2013. 65: 822-831.
  • Liberman MC. Noise-induced and age-related hearing loss: new perspectives and potential therapies. F1000Res 2017. 6: 927. doi: 10.12688/f1000research.11310.1.
  • Robert-Koch-Institut (RKI). Lärmbelästigung – Ergebnisse der GEDA-Studie 2012. GBE Kompakt. 04.2014.
  • Stansfeld, S. et al. Noise sensitivity, health and mortality – a review and new analyses. ICBEN 2017.
  • Umweltbundesamt und Bundesministerium für Umwelt, Naturschutz und nukleare Sicherheit, Rubik et al. Umweltbewusstsein in Deutschland 2018. Ergebnisse einer repräsentativen Bevölkerungsumfrage. Stand 05.2019.
  • Universität Würzburg. Lärm: Gegenmaßnahmen. Aufgerufen am 21.06.2021.
  • World Health Organization (WHO). Environmental noise guidelines for the European region. WHO 2018.
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As at: 13.07.2021
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