In workers exposed to noise in their working environment damage to the hearingapparatus, extraaural effects of noise, poor concentration and efficiency at work can be observed. Pregnancy and foetus ...are also known to be affected. In addition to noise some dangerous substances can also cause damageto hearing. The frequency of occupational injuries is greater in a noisyenvironment. On the basis of a directive of the European Parliament and the European Council, the state passes legislation and imposes conditions necessary for safe and healthy work in a noisy working environment and conditions which enable a smooth performace of work The level of noise at which pregnant women can work safely is also prescribed. In accordance to the risk assessment and legislation passed, the workers exposed to harmful noise in their working environment have to be under the doctor's control. It is important that the condition of hearing should be determined and noted down before exposure to harmful noise; possible changes in hearing should then be monitored regularly at prescribed intervals. Candidates applying for their first job in a noisy environment should be rejected if they do not satisfy theprescribed conditions for such employment. The first examination of hearingshould help us to detect workers who are more prone to occupational hardness of hearing, whereas further check-ups are intended to monitor the condition of hearing and the meeting of conditions for working in a noisy environment. Damage to hearing that is recognized as an occupational disease is rare in Slovenia, although it is frequent among workers in a noisy working environment. The most common cause of occupational hardness of hearing is still the inconsistent and inadequate implementation of the prescribed measures for the protection of workers against risks associated with exposure to noise at work. (Abstract truncated at 2000 characters)
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