What is tinnitus?Tinnitus UK (formerly British Tinnitus Association) describes tinnitus as “the sensation of hearing a sound when there is no external source for that sound”. The symptoms may be felt as ringing, buzzing, hissing, clicking, whistling, whooshing sounds, etc and may be constant or intermittent, varying in volume from person to person. Tinnitus is thought to affect around 13% of adults in the UK.
According to Tinnitus UK, the noise may be in one or both ears, or it may feel like it is in the head. It may be low, medium or high pitched and can be heard as a single noise or as multiple components.
Occasionally people have tinnitus that can seem like a familiar tune or song, known as musical tinnitus or musical hallucination. Others have tinnitus which has a beat in time with their heartbeat — known as pulsatile tinnitus.
The symptoms are usually caused by an underlying condition with strong links to hearing loss in general.
The Tinnitus Awareness Week is an annual campaign dedicated to raising awareness and educating people about the causes, impact and management of tinnitus. This year’s event will be held from Monday 5 to Sunday 11 February.
Research conducted by the Health and Safety Executive (HSE) has indicated that the prevalence of tinnitus in workers exposed to noise at work is significantly greater than in workers not exposed to noise.
Therefore, jobs at particular risk of tinnitus are those characterised by loud or prolonged noise. For example, carpenters, construction and manufacturing workers, airport staff, musicians, call centre personnel and street workers could be among those at risk, as are people who work with chain saws, guns or other loud equipment as well as those who are exposed to loud music at work.
However, causes can also be completely unrelated to noise at work and linked to non-work-related hearing loss as well as ear infections or various illnesses such as diabetes, thyroid disorders, multiple sclerosis, anxiety, depression and Ménière’s disease.
According to the NHS, tinnitus can also be caused as a side effect of some chemotherapy medicines, antibiotics, non-steroidal anti-inflammatory drugs (NSAIDs) and aspirin.
In the context of tinnitus, if noise in the workplace regularly reaches 80 to 85 decibels, to protect their staff, the employers could take steps such as:
The Control of Noise at Work Regulations 2005 apply to all industry sectors in Britain and aim to ensure that workers’ hearing is protected from excessive noise, which could cause them to lose their hearing and/or to suffer from tinnitus. See the Noise topic for information and guidance.
The HSE warns that many thousands of people are exposed to loud noise at work that may be a risk to their hearing.
In addition, ototoxic chemicals — substances which can harm hearing, even in the absence of noise levels — also carry risks which can be under-acknowledged, but are associated with often life-changing effects related to hearing loss. See our feature The life-changing risks of ototoxic chemicals.
In a survey, 42% of tinnitus sufferers believed that their condition had an adverse effect on their work, and loss of concentration, lack of sleep and anxiety associated with the condition can all make working more difficult. However, tinnitus can also impact on working in other ways including, for example, difficulties:
Employers also need to understand their responsibilities to staff with tinnitus or hearing loss under the Equality Act 2010 and will need to be prepared to make reasonable adjustments to support staff with hearing difficulties.
It is recommended by Fit for Work advisors that people who have hearing loss or tinnitus inform their managers of their condition and discuss changes that could help, such as moving to a different workstation, changing meeting venues or reducing stress.
Also helpful is an online resource called Take on Tinnitus. It has been designed primarily for people who have just begun to experience tinnitus. However, it is also a valuable resource for those who have experienced the condition longer term.
Some cases of tinnitus, such as those caused by the build-up of ear wax or because of an ear infection, can be treated by a doctor. In other cases, there is no cure, and treatment is focused on developing coping mechanisms in order to live with the condition. Various therapies may be helpful including the following.
A wide range of treatments and a number of specific medications, including antidepressants, amitriptyline and melatonin for example, have been reviewed by Tinnitus UK and evaluated using an extremely helpful traffic light system, based on their safety and efficacy.
Tinnitus UK runs a chat service via its website.
In addition, there is a network of tinnitus support groups around the country, listed via Tinnitus UK’s website, where people can develop and learn about new coping skills and gain inspiration and encouragement from others.
Tinnitus UK runs a large research grants programme to support tinnitus research. It recently partnered with scientists and academics from the Nottingham Biomedical Research Centre and the Universities of Nottingham and Newcastle to conduct innovative research, using imaging data from thousands of brain scans held in the UK Biobank, a major national and global health resource. It is thought that chronic tinnitus may be associated with changes in the structure of the brain, and that reversing these changes might prove effective in the treatment of the condition.
It is estimated that tinnitus affects over seven million people in the UK at present, and many people elsewhere around the world, potentially causing stress, sleep difficulty, anxiety and compromising hearing.
As research efforts continue, it is hoped that soon a cure for this enigmatic and distressing medical problem will be found.
If you have any queries, please contact us.
As part of an overall maintenance strategy, organisations should identify ageing fire precautions and have in place a regime to maintain such items.
Many buildings will have fire precautions that can be described as physical assets that need to be properly maintained to ensure that they are fit for purpose and continue to function as efficiently and effectively as possible. This will ensure legal duties in relation to protecting relevant persons from the risk of fire are met.
All fire precautions will be subject to ageing, which if not managed appropriately can lead to equipment failure, which in turn can lead to future regulatory non-compliance, increased fire risks to life and greater business continuity issues in the event of a fire.
As part of an overall maintenance strategy, organisations should identify ageing fire precautions that may require a maintenance regime that goes beyond “best practice”, and put into place the regime to maintain such items.
Article 17 of the Regulatory Reform (Fire Safety) Order 2005 states that “where necessary in order to safeguard the safety of relevant persons the responsible person must ensure that the premises and any facilities, equipment and devices provided in respect of the premises under this Order … are subject to a suitable system of maintenance and are maintained in an efficient state, in efficient working order and in good repair”.
It should be noted that similar requirements are contained in the respective legislation for Scotland and Northern Ireland.
In this context, “where necessary” can be taken as meaning that the duty holder must do what is reasonable to protect relevant persons in terms of the maintenance needs of the facilities, equipment and devices provided under the Regulatory Reform (Fire Safety) Order 2005.
In turn, these can be described as the general fire precautions that will include measures:
The key part of Article 17 is the requirement for these elements to be maintained in an efficient state, efficient working order and good repair. Guidance for enforcing authorities notes that this is a three-part test that can be best described as follows.
Maintenance of general fire precautions is an essential part of the overall fire risk management framework and can form part of any formal enforcement procedures.
Government publication, Guidance Note No 1: Enforcement, states that risk assessments should include references to maintenance. It continues by stating that enforcing authorities are “expected to use their professional judgement in evaluating the maintenance of any equipment and devices provided in accordance with the risk assessment to protect all relevant persons in and around the premises from the dangers of fire”.
To meet the above requirements, those responsible for fire safety will normally adopt a regime of planned preventative maintenance based upon best practice (such as detailed in relevant British Standards) in conjunction with a reactive repairs regime in the event of defects occurring/being identified between maintenance schedules.
However, during its lifecycle all fire precautions can degrade due to age-related mechanisms and it may be the case that maintenance frequency and regimes could be required that are beyond those recommended in the British Standards. It is therefore essential that as part of the overall maintenance regime, such ageing is identified, considered and appropriate measures are taken to manage the risks.
When referring to ageing fire precautions, it is important to note that this does not necessarily relate to the chronological ageing process, rather ageing is “the effect whereby a component suffers some form of material deterioration and damage with an increasing likelihood of failure over the lifetime of the asset”.
As an example, a property can have fire door assemblies of the same age and specification throughout the premises, yet one assembly could be subject to greater ageing due to its location, frequency of use and potential for damage to occur through use.
The management of ageing fire precautions therefore begins with an awareness that ageing is not about how old the equipment is, but what is known about its condition, and the factors that influence the onset, evolution and mitigation of its degradation. This suggests that for those with responsibility for maintaining ageing fire assets, there is a need to:
As well as the physical ageing process, other factors will need to be given consideration. This can include obsolescence and a lack of spare parts or the disappearance of the original equipment manufacturer, or non-conformance with current safety requirements, codes, standards and procedures.
Competency, availability and organisation of the employees/contractors responsible for asset management are also essential to ensuring that this understanding of current and predicted asset condition is used when making asset management decisions.
BS 9997: Fire Risk Management Systems notes that organisations should “plan, document, implement and manage the processes for maintenance and testing of fire safety systems to ensure that they operate correctly in the event of fire”.
As part of this, an organisation may require an “ageing maintenance programme”. This should detail the actions necessary to ensure any ageing fire precautions are maintained in an efficient and cost-effective way. The main elements of such a plan will be as follows.
It should be noted that within an ageing maintenance programme there may be differing schedules from those in relation to statutory compliance requirements being met through normal best practice. Where this is the case, the ageing maintenance programme needs to interface with such compliance requirements.
It should be noted that management of ageing fire precautions will require regular monitoring, review and revalidation following any unwanted incidents, major repairs, refurbishment or replacement of key items.
Managing ageing fire precautions effectively may require a shift in the way fire asset condition is regarded, assessed and maintained. This requires a proactive approach with a thorough understanding of the fire asset ageing mechanisms and condition, and the ways in which assets interact (including cause and effect).
The characteristics of an “ageing asset” can be defined as when:
If you require further information, please contact us.
The UK has a strong framework and reputation when it comes to health and safety and the approach towards airborne contaminants is no exception. In 2022, there was an estimated 19,000 new cases of breathing or lung problems made worse by work, according to the HSE.
The primary legislation that addresses harmful airborne contaminants in the workplace is the Control of Substances Hazardous to Health Regulations (COSHH) which outlines that employers have a legal duty to access risks associated with hazardous substances and make decisions on what measures to use to protect the health of their employees. It is important that employers are engaged with airborne hazard safety not only for the health of their employees but to also avoid enforcement action.
As a result, some industries are more susceptible to the presence of harmful substances such as construction, manufacturing, and mining. Manufacturing roles such as brick and tile manufacture, ceramics and stone working and foundry work are particularly prone to harmful effects.
Airborne contaminants can occur from a variety of outputs depending on the occupational setting via substances such as dust, gases, fumes, mists, or vapours present in the air.
Even dusts created by foodstuffs that we consider to be safe can be hazardous, if there is continuous exposure. Output is often invisible to the naked eye, and workers are not aware that they are exposed.
Every year, thousands of workers in the UK experience damaging lung-related effects from airborne contaminants such as lung cancer, asthma or lung scarring because of airborne contaminants they have breathed in at work. The severity of harmful effects will ultimately depend on duration, frequency and degree of exposure to the substances.
As a result of the variety of airborne contaminant transmission and the often-imperceptible output, the HSE has identified a concerning trend: that employers are often unaware that their workers are being exposed to hazardous substances or that their existing controls may be insufficient.
This lack of awareness gives rise to several issues including the sources of exposure being missed, the deterioration of existing controls and incorrect utilisation of the implemented safeguards.
There is a systematic approach to installing LEV in the workplace to make sure that it is fit for purpose and effective. All LEV systems must comply with the Health and Safety at Work Act 1974 (HSWA) and the Control of Substances Hazardous to Health Regulations 2002 (COSHH).
You must manage LEV risk assessment properly; Safety First carries out LEV inspection and testing in the workplace to help companies ensure that they are fully compliant with COSHH regulations. Our qualified occupational hygienists are experts in local exhaust ventilation systems. They will monitor and analyse system performance data, as well as perform qualitative evaluations on the control of potential contaminants. Measurements from the test results are compared with the original LEV specification and performance criteria outlined in HSG258.
Regular inspections of LEV systems should take place to ensure the smooth running of the device.
Safety First’s LEV inspection and testing
Safety First will produce reports and records that will assist your business in improving control measures, plus serve as evidence of your company’s compliance with COSHH regulations.
Contact us should you require further information.
World Cancer Day is held on 4 February every year and this year is the final stage of the event’s current three-year “Close the Care Gap” campaign to raise awareness and improve cancer diagnosis and treatment for nations and communities around the globe, including people at work. Jon Herbert reports.
Established on 4 February 2000, the World Cancer Day aims to promote research, prevent cancer, improve patient services, raise awareness and mobilise the global community to make progress in cancer care. Titled “Close the Care Gap”, the current three-year (2022–2024) campaign for World Cancer Day is about addressing the barriers that prevent people around the world from accessing the cancer care they need.
This year sees the end of this international campaign based on the message “Create a future without cancer — the time to act is now”. The organisers, the Union for International Cancer Control (UICC), want governments around the world to promote health equity, enhance cancer service accessibility and reduce disparities in cancer incidence and mortality, to finally “close the care gap”.
They also hope that the 2024 message of “Uniting our voices and taking action” will create an opportunity for many to celebrate their own, or someone else’s recovery, from cancer. However, they acknowledge that the day can also be a complicated and emotional one.
People and organisations not sure how to support someone on World Cancer Day can refer to this information.
Below is a summary of the ongoing three-year World Cancer Day awareness campaign.
2024: Together, we challenge those in power — This final year will concentrate on engaging world, national and local leaders and demanding a commitment for prioritising cancer to “shake the very foundations of injustice” that it says many communities and groups suffer.
2023: Uniting our voices and taking action — The second year of the campaign focussed on bringing together the power of like-minded people. Real-world progress included building stronger alliances and innovative new collaborations — such as motivating neighbours to provide cancer treatment transport, and ensuring healthy and affordable food options are offered at local schools.
2022: Realising the problem — The first year of the “Close the Care Gap” campaign involved understanding inequities in cancer care around the globe with an open mind that challenges assumptions and looks at hard facts.
It added that people seeking cancer care can be hit by barriers at every turn — from income to education, location and discrimination based on ethnicity, gender, sexual orientation, age, disability and lifestyle. However, these are not set in stone and can be changed.
Another priority has been helping to reduce the stigma of cancer, listening to perspectives of people living with cancer and letting their experiences guide thoughts and actions.
Macmillan Cancer Support is one of the largest UK charities and a leading cancer support organisation for the three million people in Britain currently living with cancer. It is also a major World Cancer Day supporter. Its initiative, Macmillan at Work, provides information, training and resources to help employers support their staff affected by cancer, as well as advice for employees.
The service is free and includes an Essential Work and Cancer Toolkit and access to Macmillan’s expert training.
According to Macmillan, 393,000 people in the UK are diagnosed with cancer each year. On an average, a diagnosis is made at least every 90 seconds. Cancer incidences in the UK have risen by 19% in the last decade and 40% since 2002.
HSE says occupational cancer can be caused by significant exposure to carcinogens in the workplace, often over a prolonged period. Carcinogens can be solid substances, liquids, mixtures, vapours, gases, dusts or even radiation.
Businesses need to have proper procedures in place to minimise cancer risks. However, they can also do much to support employees with cancer and others affected in their lives and the workplace. See Beating cancer… globally and in the workplace.
Work is important for many people with, or caring for someone with, cancer for numerous reasons. It can create a sense of normality and help with recovery. Managers and employers play a key supporting role.
A person who has, or has had, cancer is protected by law from unfair treatment at work for the rest of their life. Under equality laws, companies must try to support employees, including making reasonable adjustments to help them stay in, or return to, work when ready and able.
When making reasonable workplace or working pattern adjustments, the employee needs to be involved. Simple first steps could be to: talk and understand the employee’s needs, provide training for managers, check policies are up to date, educate all employees and raise cancer awareness.
Supporting employees affected by cancer can be difficult for small enterprises with concerns about impacts on their company teams and day-to-day activities. Information about legal responsibilities and supporting employees through cancer or a bereavement is available on the Macmillan Cancer Support website.
The leaflet 10 Top Tips for Line Managers offers top tips for managers to help them support staff who are affected by cancer.
Your Navigate Safety service includes a Working with Chronic Health Conditions Policy to download as well as in depth information relating to occupational exposure in the Carcinogens topic.
Macmillan Cancer Support’s Work and Cancer webpage answers commonly asked questions about work and cancer, including help with money and finances.
To help both employers and employees, it looks specifically at the following questions.
This is of concern to everyone affected and how you can get help is detailed here.
Specifically, this page looks at fatigue, risk of infection, bruising and bleeding, numbness or tingling of the hands and feet, changes in appearance, difficulty writing, plus other side effects or symptoms.
People with cancer-related fatigue tire more quickly and may find it very hard to do their usual tasks, concentrate or make decisions, and may feel more emotional and less patient than usual.
Some cancer treatments, such as chemotherapy, can reduce white blood cells count in the body. White blood cells fight infection. With fewer of these cells, there is a higher likelihood of infection which may prevent an employee from being able to work. Also, it is important for them to avoid other people with symptoms of illnesses that may be infectious, such as a sore throat, cold, flu, diarrhoea, vomiting and other kinds of infection, like chickenpox.
People in paid employment who have, or have had, cancer are entitled to ask their employers to consider making reasonable adjustments under the Equality Act and the Disability Discrimination Act.
Employers must make such adjustments when the workplace or work practices put employees with cancer at a “substantial disadvantage” compared with colleagues who do not have cancer. The disadvantage has to be “more than minor or trivial”.
Employees are not obliged to tell employers that they have cancer. But employers do not have to make reasonable adjustments unless they know, or should reasonably know, that employees have cancer, for example, because of different behaviour. It is reasonable for employers to check whether this is connected to a disability. They can then ask how they may provide support.
Examples of adjustments are more flexible working arrangements, scheduling time around the days an employee is most needed at work, agreeing which tasks are most important, what can be managed and what other staff might do to help, changing duties, or making any changes to an employee’s role the employee thinks would help.
Other options include working from home when possible, having someone else assess which phone calls need to be taken and which emails are forwarded, telling colleagues how workloads will be managed and contact arrangements.
Eating well and keeping active are also important, as is relieving emotional stress.
Direct information via mobiles and landlines is available free of charge from 8am to 8pm by calling 0808 808 00 00. The Macmillan Support Line can also be accessed. The Macmillan Chat Service offers confidential support to people living with cancer and those supporting them.
Macmillan also runs an Online Community. This online forum with a safe environment is available 24 hours a day and has more than 80,000 members who have been directly affected by cancer.
In Your Area is an online directory of cancer support services, self-help and support groups and fundraising events across the UK.
Since 2000, World Cancer Day on 4 February has been a focus point for improving worldwide cancer prevention, diagnosis and treatment, while also reducing fear, dispelling misleading myths and altering unhelpful behaviour and attitudes.
This year is the last of a three-year campaign around the message “Create a future without cancer — the time to act is now” that wants governments to promote health equity, enhance cancer service accessibility, reduce disparities in cancer incidence and mortality, to finally “close the care gap”.
Information on how to support World Cancer Day can be seen here.
Macmillan Cancer Support provides information, training and resources to help employers support their help staff affected by cancer, plus advice for employees.
There is a lot of information to go through. If you require further advice, contact us so we can point you in the right direction.
Respirable crystalline silica (RCS) is found in stone, rocks, sands and clays.
Silica dust is deadly, killing hundreds of people in the UK each year. Because silica dust is found in a lot of building materials, it’s difficult to avoid. But avoid it, you must. Because the law, and your health, require you to. How much silica dust is harmful, and what are the silica dust exposure limits?
Silica dust kills around 800 people every year in the UK.
And if you work in construction, silica dust is difficult to avoid.
If you carry out work that requires you to cut, sand, drill or carve materials containing silica, you create and release dust. This fine dust is known as respirable crystalline silica (RCS). This fine dust is what can be inhaled deeply into your lungs, causing long-term irreversible damage to your health.
Approximate Crystalline Silica Content in various materials
You can find out more about WELs and how to calculate them HERE
Exposure to RCS over a long period can cause fibrosis (hardening or scarring) of the lung tissue with a consequent loss of lung function. Sufferers are likely to have severe shortness of breath and may find it difficult or impossible to walk even short distances or up stairs. The effect continues to develop after exposure has stopped and is irreversible. Sufferers usually become house- or bed-bound and often die prematurely due to heart failure.
Acute silicosis is a rare complication of short-term exposure to very large amounts of silica. This condition is life-threatening and associated with very significant clinical consequences.
Silica may also be linked to lung cancer. Precautions taken to control the risk of fibrosis will serve to control the risk of lung cancer. Workers with silicosis are at an increased risk of tuberculosis, kidney disease and arthritis. Exposure to RCS may also cause chronic obstructive pulmonary disease (COPD).
The Control of Substances Hazardous to Health (COSHH) Regulations apply to any substances that can harm health. That doesn’t just mean chemicals or substances in packaging and containers that you buy in. It also includes hazardous dust that is produced as part of your work processes.
Exposure monitoring is needed for work with harmful substances, such as asbestos and lead may also be required as part of the COSHH risk assessments. Our specialist team is highly qualified in the different methods of monitoring exposure. No matter how complex the issue, Safety First can find the right sampling strategy for you.
Safety First is experienced in delivering a complete range of occupational exposure monitoring services to provide you with confirmation that your control measures are adequate and workplace exposure limits are not exceeded.
Contact us if you wish to find out more, alternatively contact Safety First Group Ltd.
Guest Post.
