National Institutes of Health
National Institute on Deafness and Other Communication Disorders
Main Getting Started Teacher's Guide Student Activities About NIH and NIDCD

Figure 5.1. Sounds can be too loud, too close, and too long.
Students begin with an analysis of loudness. They estimate the loudness of common environmental sounds, and then use their knowledge of hearing and loudness to evaluate the risk of noise-induced hearing loss for fictitious individuals. The module concludes with students evaluating their own sound exposure and providing “sound advice” to minimize their risk of noise-induced hearing loss.
Noise-induced hearing loss leads to an inability to hear and understand speech and other sounds at normal loudness levels. Noise-induced hearing loss can be temporary or permanent. Noise-induced hearing loss can result from a one-time exposure to an extremely loud sound, repeated or long-term exposure to loud sound, or extended exposure to moderate sound. Noise-induced hearing loss can happen to people of all ages. The best way to protect one’s hearing is to avoid loud noise whenever possible.
After completing this lesson, students will
Consult the following sections in Information about Hearing, Communication, and Understanding:
| Activity | Web Version? |
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| 1 | No |
| 2 | No |
| 3 | No |
| Activity 1 | Master 5.1, Electron Micrographs of Hair Cells (Make 1 copy per student.) Master 5.2, Loud, Louder, and Loudest (Make 1 copy per student.) Master 5.3, Answer Key to Loud, Louder, and Loudest (Make an overhead transparency.) Master 5.4, Dangerous Sound Levels (Make an overhead transparency.) |
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| Activity 2 | Master 5.5, Some Everyday Sounds (Make 1 copy per student.) Master 5.6, Sound Diary Summary—Joe, the Guitarist (Make 1 copy per team.) Master 5.7, Sound Diary Summary—Maria, the Woodworker (Make 1 copy per team.) Master 5.8, Sound Diary Summary—Michael, the Landscaper (Make 1 copy per team.) Master 5.9, Sound Diary Summary—George, the Firefighter (Make 1 copy per team.) Master 5.10, Hearing-Risk Evaluation Form (Make 1 copy per student.) Master 5.11, Ten Ways to Recognize Hearing Loss (Optional: Make 1 copy per student.) |
| Activity 3 | No photocopies needed. |
| Activity 1 | no materials needed (except photocopies) |
|---|---|
| Activity 2 | no materials needed (except photocopies) |
| Activity 3 | no materials needed |
No preparations needed (except photocopying).
Teacher note
The sound levels at which hearing damage occurs (often reported by different sources as 80 dB or 85 dB) is not precise for every individual. We know that prolonged exposure (that is, over many years) to sounds over 85 dB, especially in work settings, does cause damage. Because some sources do cite exposures at 80 dB and lower, it is important for students to think about these numbers as a frame of reference for prevention awareness. They absolutely need to understand the permanent and irreversible damage caused by such things as exploding firecrackers, guns, and jackhammers.

Figure 5.2. Healthy hair cells (left) and damaged hair cells (right). Diameter of hair cells is approximately 10 µm (micrometers). (One micrometer is one-millionth of a meter.) Diameter of one stereocilium is approximately 250 nm (nanometers). (One nanometer is one-billionth of a meter.) For a video clip of the magnified version of healthy hair cells, go to this Web site: http://science.education.nih.gov/supplements/hearing/student and click on the button labeled “Lesson 5—Too Loud, Too Close, Too Long.”
Students should be able to recognize that the left-hand micrograph shows healthy hair cells. Healthy hair bundles (stereocilia) stand nearly straight up, while the micrograph featuring the unhealthy hair cells shows some damaged stereocilia lying down flat.
Responses may include a disease (either genetic or infectious), an injury, or exposure to hazardous chemicals. If no one suggests loud noise as a possible cause, turn the discussion to that topic. Explain that the hair cells in the right-hand micrograph were damaged by exposure to loud noise.
Accept any reasonable answer. Possibilities include the sounds of airplane engines, power tools, rock concerts, car horns, and music played through stereo headphones.
Students likely will answer that a sound is too loud if it hurts or damages a person’s ears or disturbs another person. Students should recognize that the phrase “too loud” is commonly used, and its definition varies greatly from person to person and situation to situation. To stimulate discussion, you may wish to invite several students to offer examples of situations in which their definition of “too loud” was very different from another person’s definition.
Sound that is too loud can permanently damage hearing, leading, for example, to difficulties in understanding speech and enjoying music. Scientists refer to such damage as noise-induced hearing loss.
Give students approximately five minutes to complete this task.
Answers will vary. For example, students may make different assumptions based on the distance from which the sound is heard. Students will also display variation in their interpretation of terms (for example, differences in what people call a “quiet” neighborhood).
Students may be surprised to learn that the normal, undamaged human ear has such a wide range of hearing.
As an option, you can task students with using an inexpensive sound meter to record actual sound levels in their environment. Sound meters can be purchased from some electronics stores for as little as $35. If you are going to use a decibel meter, remember to set it on the A setting. The A scale reduces the less harmful low-frequency sounds, emphasizing the higher-frequency sounds that are most harmful to hearing.

Figure 5.3. An inexpensive sound meter.
The hearing pathway is more sensitive to higher-pitched frequencies. This means that high-pitched sounds can produce more damage at lower volumes than low-pitched sounds can. If necessary, remind students that in Lesson 3, Do You Hear What I Hear?, they demonstrated that higher-pitched sounds could be heard more easily at lower sound volumes.
Students can refer to Master 5.3, Answer Key to Loud, Louder, and Loudest, to help them think of examples. Help students recognize that the noises that have the highest potential for noise-induced hearing loss are listed toward the top of Master 5.3. Ask students to distinguish situations in which even a single exposure would likely produce noise-induced hearing loss, situations in which repeated or long-term exposure might produce noise-induced hearing loss, and situations in which constant exposure may lead to noise-induced hearing loss.
Students will suggest using some type of ear protection such as earplugs. They also may suggest reducing the noise level either by turning the volume down or moving farther away from the noise source.
Explain that:
Although different teams may associate different dB levels with various activities, their evaluations should be similar. All four of the fictitious individuals are at risk for hearing loss for the following reasons:

Joe, the guitarist: Joe is exposed to sound levels above 80 dB on a constant and prolonged basis. His exposure to loud sounds is primarily through his occupation as a musician. Using earplugs would eliminate his risk for noise-induced hearing loss. His long freeway commute and his frequent pit stops for food may also provide constant exposure to sounds in the higher-risk range. When listening to music or watching TV, Joe should set the sound volume to an appropriately low level.

Maria, the woodworker: Maria is exposed to sound levels above 80 dB on a constant and prolonged basis. Her exposure to loud noise is primarily through her occupational use of power tools. Using earplugs would eliminate her risk for noise-induced hearing loss. Also of concern is her use of a personal stereo for listening to music. She should ensure that the volume is kept at an appropriately low setting.

Michael, the landscaper: Michael also is exposed to sound levels above 80 dB on a constant and prolonged basis. His exposure to loud sounds is principally through his occupational use of lawn mowers and a chain saw. Using earplugs would eliminate his risk for noise-induced hearing loss. While at home, he should keep the TV sound volume at an appropriately low level. Students might remark about his exposure to loud noise from the occasional screaming of his two-year-old twins. Sometimes there are sounds that you just have to cope with.

George, the firefighter: George is exposed to sound levels above 80 dB on a constant and prolonged basis. His exposure to loud noise is primarily through his occupational use of a farm tractor and his contact with sirens and other loud noises in his role as a firefighter. Using earplugs would eliminate his risk for noise-induced hearing loss. His remodeling work involves the use of power tools. Earplugs should be used to eliminate exposure to hazardous sound from these sources as well. When listening to music or watching TV, the sound volume should be set at an appropriately low level.
Possibilities include limiting the volume on radios, TVs, and personal music players; avoiding loud noises from tools, appliances, and traffic; increasing distance from the source of loud noises one can’t avoid; wearing hearing protection when necessary; limiting exposure to loud sounds; and watching for and responding to warning signs that a sound is too loud.
| Activity 1: It’s Too Loud | |
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| What the Teacher Does | Procedure Reference |
Review the parts of the hearing pathway. |
Step 1 |
Have students log onto Web site and click on “Lesson 5—Too Loud, Too Close, Too Long.”
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Distribute Master 5.1, Electron Micrographs of Hair Cells. Ask students to identify which are healthy and which are damaged, and speculate about what caused the damage. |
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Discuss loud sounds. Ask the students,
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Steps 5–7 |
Investigate the relationship between loudness and hearing loss.
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Have the class compare and contrast their sound rankings with those on Master 5.3, Answer Key to Loud, Louder, and Loudest. |
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Make sure that students notice the difference in sound intensity between the softest and loudest sounds a human can hear without damage. |
Step 11 |
Ask the class to estimate the loudness of some common sounds. |
Step 12 |
Introduce the concept of noise-induced hearing loss.
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Steps 13–15 |
Have the class compare their responses with those from scientists using Master 5.4, Dangerous Sound Levels. |
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Ask the class to suggest ways to lower risk for noise-induced hearing loss. |
Step 17 |
| Activity 2: Assessing Risk for Hearing Loss | |
| What the Teacher Does | Procedure Reference |
Organize the class into teams of four students.
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Reconvene class and have teams report their conclusions. |
Step 3 |
| Activity 3: Sound Advice | |
| What the Teacher Does | Procedure Reference |
Ask the class to list some sounds that they are exposed to that might be considered potentially hazardous. |
Steps 1 and 2 |
Ask the class to relate noise-induced hearing loss to the phrase “too loud, too close, too long.” |
Step 3 |
Ask students to write statements
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Step 4 |
(Optional) Discuss ways to recognize hearing loss using Master 5.11, Ten Ways to Recognize Hearing Loss. |
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