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Comparison of Damage Risk Criteria Using the Albuquerque Blast Overpressure Walkup Study Data William J. Murphy Amir Khan Peter B. Shaw Hearing Loss Prevention Section Division of Applied Research and Technology National Institute for Occupational Safety and Health The results reported in this paper represent the opinions of the authors and are not representative of the policies of the National Institute for Occupational Safety and Health. Blast Overpressure Studies Outline Blast Overpressure Exposure Evaluations MilStd 1474D LAeq8hr Protected & Unprotected AHAAH Warned & Unwarned Statistical model for effects threshold Population Averaged Model Audiometric Failures Audiometric and Conditional Failures Dose Response Curves Outline continued Exposure Assessment Comparisons Threshold Estimates from BOP Study Fitting Performance Damage Risk Criteria Implications MilStd 1474D: 177 dB Limit LAeq8hr: 85 dBA Limit AHAAH: 500 Auditory Hazard Unit (AHU) limit MilStd 1474D Free-Field Exposure Mil-Std 1474D 5 meter BOP Study 174 176 178 180 182 184 186 177 dB Threshold Limit 200 190 185 180 ho ts 100 ro fS 175 be 50 170 190 185 Peak E 180 xposur e 175 Level ( dB) 25 12 6 170 Nu m (dB Mil-Std 1474D ) 195 Mil-Std 1474D 1 meter BOP Study Modified muff Mil-Std 1474D 3 meter BOP Study Modified muff 170 175 180 185 190 190 195 177 dB Threshold Limit 175.5 176.0 176.5 177.0 177.5 178.0 180 177 dB Threshold Limit 200 200 B) 195 (d Mil-Std 1474D Sh ots 100 180 er 50 100 175 of 175 fS 180 185 ho ts 185 190 Level (d be 185 180 Peak E xposure 170 B) Mil-Std 1474D 5 meter BOP Study Modified muff 174 176 178 180 190 195 200 177 dB Threshold Limit 200 195 190 185 180 ho ts 100 175 50 170 190 185 Peak E 180 xposure 175 Level (d B) 25 12 6 170 Nu m 190 er of S xposure 175 Nu mb 180 50 170 Nu 185 Peak E 25 12 6 B) 190 mb 170 ro 190 (d Mil-Std 1474D (dB) Mil-Std 1474D 195 175 Level (d B) 25 12 6 170 LAeq8hr with 85 dB Threshold 1m BOP study Modified muff 103.5 104.0 104.5 105.0 95 100 105 110 115 85 dBA Threshold Limit Hazardous Exposure 115 nt Level (dBA) 8 hour Equivale 110 110 105 105 o ts 100 80 100 85 80 50 ure Le vel 2 1 be 7 6 5 4 Exposu Nu m 3 3 2 re Leve LAeq8hr with 85 dB Threshold 5 meter BOP Study Modified muff 90 95 100 105 95 100 105 110 115 85 dBA Threshold Limit Safe Exposure Hazardous Exposure 115 110 105 100 95 90 100 Sh ots Expos 4 85 80 75 50 of 5 75 er 6 25 12 6 7 6 5 4 Exposu Nu mb 7 mb er 50 90 Nu 75 of Sh 85 95 ts 90 100 fS ho 95 3 re Leve 2 l 25 12 6 1 ro 100 nt Level (dBA) 8 hour Equivale ) 115 nt Level (dBA 8 hour Equivale LAeq8hr with 85 dB Threshold 3 meter BOP Study Modified muff 90 95 100 105 110 100 105 110 115 85 dBA Threshold Limit Hazardous Exposure l 25 12 6 1 Warned AHAAH Analysis 1 meter BOP study Modified muff Warned AHAAH Analysis 3 meter BOP study Modified muff 0 2000 4000 6000 8000 500 AHU Threshold Limit Safe Exposure Hazardous Exposure 0 1000 2000 3000 4000 500 AHU Threshold Limit Safe Exposure Hazardous Exposure 8000 25 190 12 6 185 180 175 185 Peak E 170 Warned AHAAH Analysis 5 meter BOP study Modified muff 0 1000 2000 3000 4000 AHAAH 500 ARU Threshold Safe Exposure Hazardous Exposure 8000 6000 4000 ts 100 fS ho 2000 50 0 190 185 Peak E 180 xposure 175 Level (d B) 25 12 6 170 180 xposure Peak Exposure Level (dB) ro 190 50 0 Nu mb e 0 100 2000 Nu mb 50 Number of Shots 100 2000 4000 er of Sh ots rd Units (AHU) 4000 6000 Auditory Haza 6000 rd Units (AHU) Auditory Haza Auditory Hazard Units (AHU) 8000 175 Level (d B) 25 12 6 170 Statistical Analysis of BOP Data Obtained the waveforms from Data Archive from USAARLMRMC and USARL – HRED MILSTD 1474D – B duration (also computed A & C durations) LAeq8hr – Protected and Unprotected AHAAH model – Protected Warned and Unwarned Checked against Chan et al. 2001, Ahroon & Patterson 2005, Price (2005), Jokel (2007) Obtained the injury data from USAARL-MRMC Checked the injury data against 1999 Contractor report DAMD17-96-6007 Statistical Analysis of BOP Data Applied a General Estimating Equations to evaluate the Population Averaged effects using xtgee in Stata. fˆ 1 1 e ˆ0 ˆ1 xij Represents the response pattern of the population as a whole Makes no assumptions regarding propagation of failure through to other exposure levels Tells us nothing about the chances of an individual subject failing within the exposure. Tells us about the chance of having a failure in the population. Mil STD 1474 D MIL STD 1474D Audiometric Failure Audiometric or Conditional Failure 0.6 185 dB 150 160 170 180 190 200 210 0 0.05 0 0.05 0.2 0.2 0.4 193 dB 0.4 0.6 Failure Rate 0.8 0.8 1.0 1.0 MIL STD 1474D 150 160 170 95% confidence limits 180 190 200 dB dB GEE population-average 95% confidence limits GEE population-average 210 LAeq8hr Unprotected Levels Audiometric Failure Audiometric or Conditional Failure 0.8 0.6 115 dB 0.2 100 105 110 115 120 125 130 135 140 0 0.05 0 0.05 0.2 0.4 124 dB 0.4 0.6 Failure Rate 0.8 1.0 LAeq_8hr: Unprotected 1.0 LAeq_8hr: Unprotected 100 105 110 115 dB 95% confidence limits 120 125 130 135 dB GEE population-average 95% confidence limits GEE population-average 140 LAeq8hr Protected Levels Audiometric Failure Audiometric or Conditional Failure 0.8 0.6 101 dB 0.2 80 85 90 95 100 105 110 115 120 0 0.05 0 0.05 0.2 0.4 109 dB 0.4 0.6 Failure Rate 0.8 1.0 LAeq_8hr: Protected 1.0 LAeq_8hr: Protected 80 85 90 95 dB 95% confidence limits 100 105 110 115 dB GEE population-average 95% confidence limits GEE population-average 120 AHAAH Unwarned Model Audiometric Failure Audiometric or Conditional Failure 0.8 0.6 3053 AHU 0.2 0 5000 10000 15000 20000 25000 30000 0 0.05 0 0.05 0.2 0.4 10109 AHU 0.4 0.6 Failure Rate 0.8 1.0 AHAAH: Unwarned 1.0 AHAAH: Unwarned 0 5000 10000 AHU 95% confidence limits 15000 20000 25000 AHU GEE population-average 95% confidence limits GEE population-average 30000 AHAAH Warned Model Audiometric Failure Audiometric or Conditional Failure 0.8 0.6 718 AHU 0.2 0 1000 2000 3000 4000 5000 6000 7000 8000 0 0.05 0 0.05 0.2 0.4 2480 AHU 0.4 0.6 Failure Rate 0.8 1.0 AHAAH: Warned 1.0 AHAAH: Warned 0 1000 2000 3000 AHU 95% confidence limits 4000 5000 6000 7000 AHU GEE population-average 95% confidence limits GEE population-average 8000 5% Failure Thresholds L(95,95) Damage Risk Criterion Audiometric Failures Audiometric & Conditional Failures AHAAH Warned 2480 AHU 718 AHU AHAAH Unwarned 10109 AHU 3053 AHU LAeq8hr Unprotected 124 dB 115 dB LAeq8hr Protected 109 dB 101 dB MilStd 1474D 193 dB 185 dB Five Exposure Assessments Compared Damage Risk Criterion Audiometric Audiometric & Failures Conditional Failures LAeq8hr Unprotected 273.73 630.26 MilStd 1474 D 282.01 636.25 AHAAH Unwarned 304.51 650.85 LAeq8hr Protected 305.80 650.05 AHAAH Warned 307.13 653.99 QIC: Lower value indicates a better fit QIC = Quasi Likelihood under the independence model Information Criterion Mil-Std Observations Mil-Std 1474D L(95,95) with No Presumed Auditory Failures Chan : L(95,95) = 193 dB NIOSH : L(95,95) = 193 dB Chan’s analysis: Presumed Auditory Failures Add 9 dB for threshold of L(95,95) = 186 dB NIOSH analysis (Auditory & Conditional Failures) L(95,95) = 185 dB. Add 8 dB for Population Average threshold for the L(95,95) lower confidence bound. LAeq8hr Observations LAeq8hr Protected versus Unprotected French Weapon Noise Criteria: LAeq8hr < 85 dB Unprotected Chan’s analysis without presumed failures LAeq8hr < 100 dB Protected (assumed 15 dB for protectors) Unprotected limit 124 dB without presumed failures NIOSH analysis without presumed failures 14 dB HPD effect for Protection Unprotected limit: 124 dB Audiometric Failures Unprotected limit: 115 dB Aud. & Cond. Failures Protected limit: 101 dB Aud. & Cond. Failures AHAAH Observations NIOSH Analysis L(95,95) Audiometric failures (no presumed failures) Unwarned Threshold = 10109 AHU Warned Threshold = 2480 AHU NIOSH Analysis L(95,95) Audiometric and Conditional Failures (no presumed failures) Unwarned Threshold = 3053 AHU Warned Threshold = 718 AHU AHAAH Model proposes a 500 AHU Limit which is more conservative than the data suggest Concerns for AHAAH Model Predictions of Hazard at Levels 3 & 4 not really tested in BOP study. Experiments can be designed to test this. LAeq8hr with 85 dB Threshold 1m BOP study Modified muff 0 2000 4000 6000 8000 500 AHU Threshold Limit Safe Exposure Hazardous Exposure 115 25 95 90 fS ho ts 100 85 80 75 50 7 6 12 6 180 175 5 4 Exposu re 170 Peak Exposure Level (dB) Mil-Std 1474D 1 meter BOP Study Modified muff 170 175 180 185 190 190 195 177 dB Threshold Limit 200 195 190 185 180 fS ho ts 100 175 50 170 190 185 180 Peak E xposure ro 185 Nu mb e 190 100 B) 0 105 175 Level (d B) 25 12 6 170 ro nt Level (dBA) 50 Number of Shots 100 2000 110 8 hour Equivale 6000 (d Mil-Std 1474D Auditory Hazard Units (AHU) 8000 4000 90 95 100 105 110 100 105 110 115 85 dBA Threshold Limit Hazardous Exposure Nu mb e Warned AHAAH Analysis 1 meter BOP study Modified muff 3 Level 2 25 12 6 1 Concerns for AHAAH Model Justification for 500 AHU as a threshold limit Warned limit 718 or 2480 AHU – Population Average, L(95, 95) Unwarned Limit 3053 or 10109 AHU – Population Average, L(95, 95) Validation of the Warned/Unwarned middle ear No consideration given for adaptation/fatigue Model turns Warned condition ON but not OFF Questions? William Murphy 4676 Columbia Parkway, MS C-27 Cincinnati, OH 45226-1998 [email protected] 513-533-8125