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Table 4: World Health Organisation Grades of Hearing Impairement

(WHO, 2008)

Grade of impairment* Corresponding audiometric ISO value** Performance Recommendations
* Grades 2, 3 and 4 are classified as disabling hearing impairment (for children, it starts at 31 dB)
** The audiometric ISO values are averages of values at 500, 1000, 2000, 4000 Hz.
0 - No impairment 25 dB or better
(better ear)
No or very slight hearing problems. Able to hear whispers.  
1 - Slight impairment 26-40 dB
(better ear)
Able to hear and repeat words spoken in normal voice at 1 metre. Counselling. Hearing aids may be needed.
2 - Moderate impairment 41-60 dB
(better ear)
Able to hear and repeat words spoken in raised voice at 1 metre. Hearing aids usually recommended.
3 - Severe impairment 61-80 dB
(better ear)
Able to hear some words when shouted into better ear. Hearing aids needed. If no hearing aids available, lip-reading and signing should be taught.
4 - Profound impairment including deafness 81 dB or greater
(better ear)
Unable to hear and understand even a shouted voice. Hearing aids may help understanding words. Additional rehabilitation needed. Lip-reading and sometimes signing essential.

Source: SCENIHR,  Potential health risks of exposure to noise from personal music players and mobile phones including a music playing function (2008) , Section 3.4.1, page 22

Related publication:
Personal Music Players & Hearing homePersonal Music Players & Hearing
Other Figures & Tables on this publication:

Figure 1*: Normal equal-loudness-level contours for pure tones under free-field listening conditions

Figure 2: The prevalence of hearing impairment

Figure 3: Estimated units sales in EU of all portable audio devices and MP3 devices over the period 2004–2007,

Figure 4: The number of unit sales for all portable audio devices for the ten countries and for the EU,

Figure 5: Number of unit sales (in thousands) for CD and MP3 devices in ten European countries* between 2001 and 2007

Figure 6: Cumulative numbers of MP3 players and all portable audio equipment in the EU

Figure 7: Percentage of each portable audio device sold in 2004-2007

Figure 8: Percentage of each portable audio device sold in 2007 and the estimated number of units sold in EU

Table 1: Examples of sound pressure levels in relation to hearing threshold and pain threshold (in dB SPL)The range of human ear’s audible sounds goes from 0 dB SPL (hearing threshold) to 120-140 dB SPL (pain threshold)

Table 2: Audiometric hearing thresholds of normal ears: conversion of dB SPL into dB HL (Extracted from ISO, 2003) Pure-tone audiometric thresholds are expressed in dB HL (hearing level). The differences between dB HL and dB SPL, arise from isophonic curves.

Table 3: The examples of equivalent time-intensity levels referred to the action levels according to the Directive 2003/10/EC

Table 4: World Health Organisation Grades of Hearing Impairement (WHO, 2008)

Low and high-pitched sounds appear less loud to the human ear

EU Action levels for noise protection at work

Table 5: Noise Induced Hearing Loss (NIHL) predicted from ISO 1999 as a function of noise exposure level for 45 years (adapted from Lutman et al. 2008) Extent of hearing loss to be expected from a working lifetime of 45 years at daily continuous noise levels of 80, 85, 90 and 95 dB(A).

Table 6 : Noise Induced Hearing Loss (NIHL) predicted from ISO 1999 as a function of noise exposure level for 3 years (adapted from Lutman et al. 2008) Extent of hearing loss to be expected from a shorter exposure duration of 3 years at daily continuous noise levels of 80, 85, 90 and 95 dB(A).