Vibroacoustic disease : Some forensic aspects.
Vibroacoustic disease (VAD) is an insidious environmental entity caused by occupational exposure to large pressure amplitude and low frequency (LPALF) noise (>=90 dB SPL, <=500 Hz).
Significant disabilities may result, and issues of worker's compensation should be openly discussed and settled.
Toward this goal, a rigorous review of all available information on this disease was undertaken in order to document the need to define industrial exposure standards, and to settle on the diagnostic procedures that will help distinguish the VAD from other, similar conditions.
We reviewed the medical files of 236 male Caucasians employed as aircraft technicians who had been diagnosed with VAD and monitored for at least 15 yr.
The natural history of the disorder was studied in detail, emphasizing the clinical diagnostic criteria and the outcome of disabilities.
Among the 236 cases, 172 (73%) were disabled after an average of 24 yr (SD=6.9) of occupational exposure.
The primary categories of disabilities were neurological (81,34%), malignant (28,11.9%), psychiatric (23,9.7%), cardiovascular 6,6.8%), and osteoarticular (14,5.9%). After the onset of industrial exposure to LPALF noise, the minimum time for these disabilities to manifest themselves was 16 yr.
The most serious complication was multiple attempted suicide.
Such attempts were fortunately rare (5,2.1%) and successful only once. (...)
Mots-clés Pascal : Bruit, Basse fréquence, Vibration, Nuisance acoustique, Industrie aéronautique, Exposition professionnelle, Traumatisme, Agent physique, Aspect médicolégal, Sélection professionnelle, Facteur risque, Malignité, Aviation pathologie, Médecine aérospatiale, Médecine travail, Facteur milieu, Homme
Mots-clés Pascal anglais : Noise, Low frequency, Vibration, Noise pollution, Aeronautic industry, Occupational exposure, Trauma, Physical agent, Forensic aspect, Occupational selection, Risk factor, Malignancy, Aviation medicine, Space medicine, Occupational medicine, Environmental factor, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0253690
Code Inist : 002B16M. Création : 16/11/1999.