Noise and Military Service Implications for Hearing Loss and Tinnitus (2006) / Chapter Skim
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6 Reports of Audiometric Testing in Service Medical Records of Military Veterans
6 Reports of Audiometric Testing in Service Medical Records of Military Veterans
Pages 190-200
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From page 190... ...
Second, the services do not have central registries of personnel enrolled in their hearing conservation programs. As a result, it was not feasible to draw study samples limited to personnel who had participated in those programs.
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From page 191... ...
As has been noted throughout this report, it is critical that measures of hearing and tinnitus be obtained at entry and exit from military service for all personnel in order to document any changes in hearing or tinnitus that occur during military service. Although participants in hearing conservation programs may be exposed to known noise hazards, other military personnel may also be exposed to hazardous noise.
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From page 192... ...
; or monitoring or termination audiogram (AF 1490, 1Hearing conservation programs were implemented in 1980 by the Army and in 1979 by the Navy and Marine Corps (for the purposes of this study, however, 1983 was used as the year of regulation for the Navy and Marine Corps)
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From page 193... ...
REPORTS OF AUDIOMETRIC TESTING IN SERVICE MEDICAL RECORDS 193 BOX 6-1 Sampling Frames for Service Eras No single comprehensive list exists of persons who served in the Armed Forces during the period from World War II to 2002, or of service members for whom a service medical record is available. Several different representative listings of ser vice members were used to span this time period: World War II through 1949: Medical Follow-up Agency's (MFUA)
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From page 194... ...
194 NOISE AND MILITARY SERVICE DD Form 2216)
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From page 195... ...
REPORTS OF AUDIOMETRIC TESTING IN SERVICE MEDICAL RECORDS 195 TABLE 6-1 Number of Service Medical Records Reviewed and Abstracted 1970 Before 1950 Regulation Regulation 1994 Branch 1950 1969 Date Date1993 2002 Total Army 187 164 220 217 273 1,061 Air Force 54 81 202 203 214 754 Marine Corps 93 95 207 187 250 832 Navy 122 102 225 204 270 923 Total 456 442 854 811 1,007 3,570 NOTE: Regulation date = 1980 for Army, 1983 for Navy and Marine Corps. The Air Force date of regulation is discussed in the text.
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From page 196... ...
196 NOISE AND MILITARY SERVICE TABLE 6-3 Percentages of Service Medical Records (95% Confidence Intervals) with Reports of Audiometric Examinations Within 60 Days of Entry into Active Duty (n = 3,212)
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From page 197... ...
REPORTS OF AUDIOMETRIC TESTING IN SERVICE MEDICAL RECORDS 197 TABLE 6-4 Percentages of Service Medical Records (95% Confidence Intervals) with Reports of Audiometric Examinations Within 60 Days of Release from Active Duty (n = 3,226)
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From page 198... ...
198 NOISE AND MILITARY SERVICE COMPLIANCE WITH REGULATIONS As noted in Chapter 5, the Army, Navy, and Marine Corps issued regulations by 1980 requiring that audiograms be performed at entrance into and separation from active duty (regulations issued in 1980 for the Army and 1979 for the Navy and Marine Corps)
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From page 199... ...
It should be noted that this analysis did not evaluate the extent to which the services obtained reference or termination audiograms for personnel entering and leaving hearing conservation programs. The reasons for not focusing exclusively on those personnel in hearing conservation programs were noted previously.
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From page 200... ...
1996. Department of Defense Instruction 6055.12: DoD Hearing Conservation Program.
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