Why noise is bad for your health and what you can do about it Mathias Basner

Do you hear that?

Do you know what that is?

Silence.

The sound of silence.

Simon and Garfunkel wrote a song about it.

But silence is a pretty
rare commodity these days,

and we’re all paying a price for it
in terms of our health –

a surprisingly big price, as it turns out.

Luckily, there are things
we can do right now,

both individually and as a society,

to better protect our health

and give us more of the benefits
of the sounds of silence.

I assume that most of you know that
too much noise is bad for your hearing.

Whenever you leave a concert or a bar
and you have that ringing in your ears,

you can be certain that you have done
some damage to your hearing,

likely permanent.

And that’s very important.

However, noise affects our health
in many different ways beyond hearing.

They’re less well-known,

but they’re just as dangerous
as the auditory effects.

So what do we mean
when we talk about noise?

Well, noise is defined as unwanted sound,

and as such, both has
a physical component, the sound,

and a psychological component,

the circumstances that make
the sound unwanted.

A very good example is a rock concert.

A person attending the rock concert,
being exposed to 100 decibels,

does not think of the music as noise.

This person likes the band, and even
paid a hundred dollars for the ticket,

so no matter how loud the music,
this person doesn’t think of it as noise.

In contrast, think of a person living
three blocks away from the concert hall.

That person is trying to read a book,

but cannot concentrate
because of the music.

And although the sound pressure levels
are much lower in this situation,

this person still thinks
of the music as noise,

and it may trigger reactions that can,
in the long run, have health consequences.

So why are quiet spaces so important?

Because noise affects our health
in so many ways beyond hearing.

However, it’s becoming increasingly
difficult to find quiet spaces

in times of constantly increasing traffic,

growing urbanization,

construction sites,
air-conditioning units,

leaf blowers, lawnmowers,

outdoor concerts and bars,
personal music players,

and your neighbors partying until 3am.

Whew!

In 2011, the World Health
Organization estimated

that 1.6 million healthy life years
are lost every year

due to exposure to environmental noise

in the Western European
member states alone.

One important effect of noise
is that it disturbs communication.

You may have to raise your voice
to be understood.

In extreme cases, you may even
have to pause the conversation.

It’s also more likely to be misunderstood
in a noisy environment.

These are all likely reasons
why studies have found

that children who attend
schools in noisy areas

are more likely to lag behind their peers
in academic performance.

Another very important
health effect of noise

is the increased risk
for cardiovascular disease

in those who are exposed
to relevant noise levels

for prolonged periods of time.

Noise is stress,

especially if we have little
or no control over it.

Our body excretes stress hormones
like adrenaline and cortisol

that lead to changes
in the composition of our blood

and in the structure of our blood vessels,

which have been shown to be stiffer
after a single night of noise exposure.

Epidemiological studies show associations
between the noise exposure

and an increased risk
for high blood pressure,

heart attacks and stroke,

and although the overall risk increases
are relatively small,

this still constitutes
a major public health problem

because noise is so ubiquitous,

and so many people are exposed
to relevant noise levels.

A recent study found that US society

could save 3.9 billion dollars each year

by lowering environmental
noise exposure by five decibels,

just by saving costs for treating
cardiovascular disease.

There are other diseases
like cancer, diabetes and obesity

that have been linked to noise exposure,

but we do not have enough evidence yet

to, in fact, conclude that these diseases
are caused by the noise.

Yet another important effect of noise
is sleep disturbance.

Sleep is a very active mechanism
that recuperates us

and prepares us for the next wake period.

A quiet bedroom is a cornerstone
of what sleep researchers call

“a good sleep hygiene.”

And our auditory system
has a watchman function.

It’s constantly monitoring
our environment for threats,

even while we’re sleeping.

So noise in the bedroom can cause a delay
in the time it takes us to fall asleep,

it can wake us up during the night,

and it can prevent our blood pressure
from going down during the night.

We have the hypothesis that
if these noise-induced sleep disturbances

continue for months and years,

then an increased risk for cardiovascular
disease is likely the consequence.

However, we are often not aware
of these noise-induced sleep disturbances,

because we are unconscious
while we’re sleeping.

In the past, we’ve done studies
on the effects of traffic noise on sleep,

and research subjects would often
wake up in the morning and say,

“Ah, I had a wonderful night,
I fell asleep right away,

never really woke up.”

When we would go back
to the physiological signals

we had recorded during the night,

we would often see numerous awakenings

and a severely fragmented sleep structure.

These awakenings were too brief
for the subjects to regain consciousness

and to remember them
during the next morning,

but they may nevertheless
have a profound impact

on how restful our sleep is.

So when is loud too loud?

A good sign of too loud is
once you start changing your behavior.

You may have to raise your voice
to be understood,

or you increase the volume of your TV.

You’re avoiding outside areas,
or you’re closing your window.

You’re moving your bedroom
to the basement of the house,

or you even have
sound insulation installed.

Many people will move away
to less noisy areas,

but obviously not everybody
can afford that.

So what can we do right now
to improve our sound environment

and to better protect our health?

Well, first of all,
if something’s too loud, speak up.

For example, many owners of movie theaters

seem to think that only people hard
of hearing are still going to the movies.

If you complain about the noise
and nothing happens,

demand a refund and leave.

That’s the language that managers
typically do understand.

Also, talk to your children
about the health effects of noise

and that listening to loud music today
will have consequences when they’re older.

You can also move your bedroom
to the quiet side of the house,

where your own building shields you
from road traffic noise.

If you’re looking to rent
or buy a new place,

make low noise a priority.

Visit the property during
different times of the day

and talk to the neighbors about noise.

You can wear noise-canceling headphones
when you’re traveling

or if your office has high
background noise levels.

In general, seek out quiet spaces,

especially on the weekend
or when you’re on vacation.

Allow your system to wind down.

I, very appropriately for this talk,

attended a noise conference
in Japan four years ago.

When I returned to the United States
and entered the airport,

a wall of sound hit me.

This tells you that
we don’t realize anymore

the constant degree
of noise pollution we’re exposed to

and how much we could profit
from more quiet spaces.

What else can we do about noise?

Well, very much like a carbon footprint,
we all have a noise footprint,

and there are things we can do
to make that noise footprint smaller.

For example, don’t start mowing your lawn
at 7am on a Saturday morning.

Your neighbors will thank you.

Or use a rake instead of a leaf blower.

In general, noise reduction at the source
makes the most sense,

so whenever you’re looking
to buy a new car,

air-conditioning unit,
blender, you name it,

make low noise a priority.

Many manufacturers will list
the noise levels their devices generate,

and some even advertise with them.

Use that information.

Many people think that stronger noise
regulation and enforcement are good ideas,

even obvious solutions, perhaps,

but it’s not as easy as you may think,

because many of the activities
that generate noise

also generate revenue.

Think about an airport and all
the business that is associated with it.

Our research tells politicians
at what noise level

they can expect a certain health effect,

and that helps inform better noise policy.

Robert Koch supposedly once said,

“One day, mankind will fight noise
as relentlessly as cholera and the pest.”

I think we’re there,

and I hope that we will win this fight,

and when we do, we can all have
a nice, quiet celebration.

(Laughter)

Thank you.

(Applause)

你听到了吗?

你知道那是什么吗?

安静。

寂静的声音。

西蒙和加芬克尔为此写了一首歌。

但如今,沉默是一种非常
稀有的商品

,我们都
在为我们的健康付出代价——

事实证明,这是一个惊人的大代价。

幸运的是,
我们现在可以做一些事情,

无论是个人还是整个社会,都

可以更好地保护我们的健康,

并让我们
从沉默之声中获得更多好处。

我想你们中的大多数人都知道
过多的噪音对您的听力不利。

每当您离开音乐会或酒吧时
,您的耳朵就会响起,

您可以确定
您的听力受到了一些损害,

可能是永久性的。

这非常重要。

然而,噪音
以许多不同的方式影响我们的健康,而不仅仅是听力。

它们鲜为人知,

但它们
与听觉效果一样危险。

那么
当我们谈论噪音时,我们的意思是什么?

好吧,噪音被定义为不需要的声音

,因此,两者
都有物理成分,即声音

和心理成分,

即使声音不受欢迎的环境。

一个很好的例子是摇滚音乐会。

一个参加摇滚音乐会的人,
被暴露在 100 分贝的环境中,

并不认为音乐是噪音。

这个人喜欢这个乐队,还
花了一百块钱买了票,

所以不管音乐再响亮,
这个人都不会认为它是噪音。

相比之下,想想住在
离音乐厅三个街区远的人。

那个人正在努力读书,

但由于音乐而无法集中注意力

尽管
在这种情况下声压级要低得多,

但这个人仍然
认为音乐是噪音

,它可能会引发反应,
从长远来看,会对健康产生影响。

那么,为什么安静的空间如此重要?

因为噪音在很多方面影响着我们的健康
,而不仅仅是听觉。

然而,

在交通不断增加、

城市化进程加快、

建筑工地、
空调机组、吹

叶机、割草机、

户外音乐会和酒吧、
个人音乐播放器

以及您的邻居聚会到凌晨 3 点的时代,找到安静的空间变得越来越困难。

哇!

2011 年,
世界卫生组织估计

,仅在西欧成员国,每年就有 160 万健康生命年

因暴露于环境噪声而丧失

噪音的一个重要影响
是它会干扰交流。

您可能需要提高声音
才能被理解。

在极端情况下,您甚至
可能不得不暂停对话。

在嘈杂的环境中也更容易被误解

这些都是
研究发现

在嘈杂地区上学的孩子

更有可能在学习成绩上落后于同龄人的原因
。 噪音对健康的

另一个非常重要的
影响是长时间暴露于相关噪音

水平的人
患心血管疾病的风险增加

噪音就是压力,

尤其是当我们
几乎无法控制它时。

我们的身体会分泌肾上腺素和皮质醇等压力荷尔蒙,这些荷尔蒙

会导致
我们的血液成分

和血管结构发生变化,在暴露一晚噪音后,

这些激素会变得更加僵硬

流行病学研究表明
,噪声暴露


高血压、

心脏病和中风

风险增加之间存在关联,尽管总体风险
增加相对较小,

但这仍然构成
了一个重大的公共卫生问题,

因为噪声无处不在,

而且有很多人 暴露
于相关的噪音水平。

最近的一项研究发现,仅通过节省治疗心血管疾病的费用,美国社会

每年可以

通过将环境
噪声暴露降低 5 分贝来节省 39 亿美元

还有其他疾病,
如癌症、糖尿病和肥胖症

,与噪声暴露有关,

但事实上,我们还没有足够的证据

来得出结论,这些疾病
是由噪声引起的。

噪音的另一个重要影响
是睡眠障碍。

睡眠是一种非常活跃的机制
,可以使我们恢复活力

并为下一个清醒期做好准备。

安静的卧室是
睡眠研究人员所说的

“良好的睡眠卫生”的基石。

而我们的听觉系统
具有守望者功能。 即使在我们睡觉的时候,

它也会不断地监控
我们的环境是否存在威胁

所以卧室里的噪音会导致
我们入睡时间的延迟,

它可以在夜间唤醒我们

,它可以防止我们的血压
在夜间下降。

我们的假设是,
如果这些由噪音引起的睡眠障碍

持续数月乃至数年,

那么
结果可能是心血管疾病的风险增加。

然而,我们通常没有
意识到这些噪音引起的睡眠障碍,

因为
我们在睡觉时是无意识的。

过去我们
研究过交通噪音对睡眠的影响

,研究对象经常会
在早上醒来说,

“啊,我度过了一个美好的夜晚,
我马上就睡着了,

从来没有真正醒来 。”

当我们回到

我们在夜间记录的生理信号时,

我们经常会看到无数次觉醒

和严重支离破碎的睡眠结构。

这些觉醒对于受试者来说太短暂了,以至于无法在第二天早上
恢复意识

并记住它们

但它们可能

对我们睡眠的安宁程度产生深远的影响。

那么什么时候声音太大声了?

一旦你开始改变你的行为,大声喧哗的一个好迹象就是。

您可能必须提高声音
才能被理解,

或者提高电视的音量。

您正在避开外部区域,
或者您正在关闭窗户。

您正在将卧室
搬到房子的地下室,

或者您甚至
安装了隔音设备。

许多人会
搬到噪音较小的地方,

但显然不是每个人
都能负担得起。

那么,我们现在可以做些什么
来改善我们的良好环境

并更好地保护我们的健康呢?

嗯,首先,
如果声音太大,请大声说出来。

例如,许多电影院的老板

似乎认为只有听力不好
的人才会去看电影。

如果您抱怨噪音但
没有任何反应,请

要求退款并离开。

这是经理们
通常能理解的语言。

此外,与您的孩子
谈谈噪音对健康的影响,

以及今天听响亮的音乐会
对他们长大后产生影响。

你也可以把你的卧室
搬到房子安静的一边

,你自己的建筑可以保护你
免受道路交通噪音的影响。

如果您想租房
或买新房,请

优先考虑低噪音。 在一天

中的不同时间访问该物业,

并与邻居讨论噪音问题。

当您旅行

或办公室的
背景噪音水平较高时,您可以戴上降噪耳机。

一般来说,寻找安静的空间,

尤其是在周末
或度假时。

让您的系统放松。

我,非常适合这次演讲,

四年前参加了日本的一个噪音会议。

当我回到美国
并进入机场时,

一堵音墙击中了我。

这告诉您,
我们不再意识到

我们所暴露的持续程度的噪音污染

以及我们可以
从更安静的空间中获得多少收益。

对于噪音,我们还能做些什么?

嗯,就像碳足迹一样,
我们都有噪音足迹

,我们可以做一些
事情来减少噪音足迹。

例如,不要
在星期六早上 7 点开始修剪草坪。

你的邻居会感谢你的。

或者使用耙子代替吹叶机。

一般来说,从源头上降低噪音
是最有意义的,

所以当你
想买一辆新车时,

空调、
搅拌机,你说的,

把低噪音放在首位。

许多制造商会列出
他们的设备产生的噪音水平

,有些甚至会与他们一起做广告。

使用该信息。

许多人认为加强噪音
监管和执法是个好主意

,甚至是显而易见的解决方案,

但它并不像您想象的那么容易,

因为许多产生噪音的活动

也会产生收入。

想想一个机场以及
与之相关的所有业务。

我们的研究告诉政客
在多大的噪音水平下

他们可以期待某种健康影响

,这有助于制定更好的噪音政策。

罗伯特·科赫(Robert Koch)据说曾经说过:

“有一天,人类将
像霍乱和害虫一样无情地与噪音作斗争。”

我想我们已经到了那里

,我希望我们能赢得这场战斗

,当我们做到这一点时,我们都可以有
一个美好、安静的庆祝活动。

(笑声)

谢谢。

(掌声)