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ad to greater susceptibility to noise damage, as well as causing their own damage. This is Some Amer 0ican health and safety agencies (such as the Occupational Safety and Health Administr ation, and the Mine Safety and Health Administration), use an exchange rate of 7a0 5While this exchange rate i 7a0 s simpler to use, it drastically underestimates the damage caused by very loud noise. For example, at 115 dB, a 3 dB exchange rate wo a0uld limit exposure to about half a mi ng loss exists when there is diminished sensitivity to the sounds normally hearThe terms hea ring impairment or hard of hear a0ing are usually reserved for people who have relative insensitivity to sound in the 7a0 speech frequencies. The severity of a hearing loss is categorized 7a0 Deafness is defined as a degree of loss such that a person is unable to understand speech even in t he presence of amplification.[8] In profound deafness, even the loudest sounds produced by an audiom eter (an instrument used to measure hearing b a0y producing pure tone sounds through a range of frequencie s) may not be dete a0cted. In total deafness, no sounds at a 7a0 ll, regardless of amplification or method of pro Many people are unaware of the presence of 7a0 environmental sound at damaging levels, or of the level at wh ich sound becomes harmful. Common sources of damaging noise levels include car stereos, children's toys, motor vehicles, crowds, lawn and maintenance equipment, power tools, gun use, mu 7a0 sical instruments, and even ha 7a0 ir dryers. Noise damag 7a0 is cumulative; a0 all sources of a0damage must be considered to assess risk . If one is exposed to loud sound (including music) at high levels or for extended durations , the n hearing loss will occur. Sound levels increase with proximity; as the source is brought closer to t he ear, the sound level increases.In the USA,ears have permanent hearing damage from