scholarly journals The Burden of Disease Due to Road Traffic Noise in Hesse, Germany

Author(s):  
Janice Hegewald ◽  
Melanie Schubert ◽  
Matthias Lochmann ◽  
Andreas Seidler

Road-traffic-noise exposition is widespread in Germany and can have harmful health effects. As guidance for informed decision-making, we estimated the environmental burden of disease attributable to road-traffic noise in Hesse, Germany as disability-adjusted life-years (DALYs). Using detailed road-traffic-noise exposure data provided by the Hessian Agency for Nature Conservation, Environment, and Geology (HLNUG), we calculated the DALYs due to road-traffic noise > 40 dB(A) L24h (unweighted average 24 h noise level) and other noise metrics for endpoints with known dose-response functions and evidence in the literature (NORAH-study on disease risks and WHO reviews): cardiovascular disease, depressive disorders, road-traffic annoyance, and sleep disturbance. We calculated the population-attributable fractions (PAF) for road-noise-related cardiovascular disease (hypertensive heart disease, ischemic heart disease, and stroke) and depressive disorders in the population using published relative risk estimates. We multiplied the PAFs with the Hessian proportion of the 2015 WHO DALY estimates for Germany in people aged ≥ 40 years. For high annoyance and high sleep disturbance, we used published dose-response functions to determine the burden for residents of all ages. For Hesse, we found a total of 26,501 DALYs attributable to road-traffic noise or 435 DALY per 100,000 persons for the reference year, 2015. Further, we estimated that a hypothetic uniform road-traffic-noise reduction of 3 dB would prevent 23% of this burden of disease.

Author(s):  
Tobollik ◽  
Hintzsche ◽  
Wothge ◽  
Myck ◽  
Plass

Traffic noise is nearly ubiquitous and thus can affect the health of many people. Using the German noise mapping data according to the Directive 2002/49/EC of 2017 and exposure-response functions for ischemic heart disease, noise annoyance and sleep disturbance assessed by the World Health Organization’s Environmental Noise Guidelines for the European Region the burden of disease due to traffic noise is quantified. The burden of disease is expressed in disability-adjusted life years (DALYs) and its components. The highest burden was found for road traffic noise, with 75,896 DALYs when only considering moderate evidence. When including all available evidence, 176,888 DALYs can be attributable to road traffic noise. The burden due to aircraft and railway noise is lower because fewer people are exposed. Comparing the burden by health outcomes, the biggest share is due to ischemic heart disease (90%) in regard to aircraft noise, however, the lowest evidence was expressed for the association between traffic noise and ischemic heart disease. Therefore, the results should be interpreted with caution. Using alternative input parameters (e.g., exposure data) can lead to a much higher burden. Nevertheless, environmental noise is an important risk factor which leads to considerable loss of healthy life years.


2015 ◽  
Vol 66 (1) ◽  
pp. 15-21 ◽  
Author(s):  
Angel M. Dzhambov ◽  
Donka D. Dimitrova

Abstract Road traffic noise is a widely studied environmental risk factor for ischaemic heart disease and myocardial infarction in particular. Given that myocardial infarction is a leading disability and mortality cause in Bulgaria and that a significant proportion of the urban population is exposed to high noise levels, quantification of the burden of disease attributable to traffic noise is essential for environmental health policy making and noise control engineering. This study aimed at estimating the burden of the myocardial infarction cases attributable to road traffic noise in the Bulgarian urban population. We used the methodology for estimating the burden of disease attributable to environmental noise outlined by the World Health Organization. Risk data were extracted from a recently published meta-analysis providing updated exposureresponse relationship between traffic noise and the risk for myocardial infarction. Based on these data we calculated the fraction of myocardial infarction cases attributable to traffic noise, loss of quality-adjusted life-years (QALYs), and the economic burden, assuming € 12,000 per QALY. About 2.9 % or 101 of all myocardial infarction cases could be attributed to road traffic noise. Fifty-five of these were fatal. Nine hundred and sixty-eight QALYs were lost to these cases. The monetary value of these QALYs was about € 11.6 million. Although the measures used in this study are crude and give only an approximation of the real burden of disease from road traffic noise, they are indicative of the important social and economic aspect of noise pollution in Bulgaria. Hopefully, these results will direct the attention of epidemiologists, environmental hygienists, and health economists to this pivotal environmental issue.


2013 ◽  
Vol 123 ◽  
pp. 1-8 ◽  
Author(s):  
Carla M.T. Tiesler ◽  
Matthias Birk ◽  
Elisabeth Thiering ◽  
Gabriele Kohlböck ◽  
Sibylle Koletzko ◽  
...  

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
L. Argalasova ◽  
T. Kimakova ◽  
E. Panulinova ◽  
A. Filova ◽  
A. Pultznerova ◽  
...  

Abstract The significant growth in traffic density in Slovakia, combined with the country’s economic change, has resulted in new environmental noise issues, particularly in road traffic noise. The objective of this study was to assess and evaluate the impact of environmental noise on the psychosocial well-being of young healthy individuals in the two main Slovak cities of Bratislava and Kosice. To assess noise annoyance, interference with activities, and sleep disturbance, the ICBEN (The International Commission on the Biological Effects of Noise) anonymous validated “Noise annoyance questionnaire” was applied; noise levels were objectified by direct measurements using a sound level analyzer with a frequency analysis module. Young individuals between the ages of 20 and 30 were interviewed in Bratislava (533 respondents, 155 males) and Kosice (355 respondents, 111 males). The majority of the respondents in both cities were exposed to medium levels of road traffic noise LAeq ≥ 60 dB. In Bratislava, 27.82 % of respondents resided in the higher noise exposure category LAeq ≥ 70 dB, while in Kosice, 39.9 % resided in the lower noise exposure category LAeq < 50 dB. Road traffic noise annoys respondents in the higher noise exposure category in Bratislava 63.51 %, and even in the lower noise exposure category in Kosice, it interferes with reading and mental work, sleep and falling asleep 46.51 %. The study has identified traffic noise as an environmental issue in large cities, emphasizing the need for vulnerable individuals to be protected, particularly at night.


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