August 24, 2020 | Lidia Best, President at European Federation of Hard of Hearing People and ITU JCA-AHF (Joint Coordinating Activity on Accessibility and Human Factors)/G3ict Delegation to the ITU explores the potential risk of listening with personal sound amplifiers. Read the complete blog

The ‘Make Listening Safe workgroup’ is an initiative of The World Health Organization (WHO) in the framework of the World Hearing Forum and is committed to creating a world where nobody’s hearing is put in danger due to unsafe listening.

New ITU standard recommendation H.871 addressing safety of personal sound amplifiers and sound amplification apps was presented by the Make Listening Workgroup during last month World Summit of Information Society Forum (WSIS).

Personal sound amplifiers (PSAP’s) are readily available to consumers, they are strange enough only intended for people with normal hearing and are not registered as medical devices.

Since PSAPs can look remarkably similar to hearing aids, and some hard of hearing people, who didn’t see the difference between hearing aids and personal sound amplifiers, started using these devices. Therefore, the European Federation of Hard of Hearing People (EFHOH), requested the European Association of Hearing Aids Professionals (AEA) in 2015 to check if these devices were safe. The testing resulted in a joined EFHOH-AEA publication paper on the potential risk of using “Personal Sound Amplification Products” PSAPs’ in which 27 personal amplifiers were analysed. All devices had a maximum output level of more than 120dB, 23 exceeded 125dB and eight even 130dB*.And none of these PSAP’s had the option to limit the maximum loudness level.

Why is this unsafe?

To avoid the risk of permanent hearing damage, according to the WHO-ITU Safe Listening Standards H870 and H871, one can only be exposed for 15 seconds/week to sound with a loudness level of 120dB, for 4 seconds/week to 125 dB and even less than 2 seconds/week to 130dB**. It is clear, that a personal amplifier is not intended to be only used 15 seconds or less per week.

The report was presented to the European Commission in December 2015 and to the Food and Drug Administration (FDA) in the US in April 2016. For more information about current standards please follow recent article in ENT and Audiology news

All those actions resulted in international recommendations which can be used as a guidance for manufacturers, retailers, and consumers by providing independent and verified information. It is the dedications of many experts and individuals that we owe existence of new standard aiming at wellbeing and safety of consumers of electronics.

The main recommendations from ITU H.871 are:

1. For PSAs with the capacity to measure weekly dose, it is required that weekly maximum sound dose needs to be less than 1.6 Pa²h, which corresponds to 80dBA for 40 hours.

2. For PSA’s which do not have the capacity to measure weekly sound dose, the maximum output of the device needs to be permanently limited to 95dBA; a user then is unlikely to use the device at a level higher than 80dBA since the dynamic range of speech has a crest factor of 12 to 17dB and PSA’s need to provide adequate warnings.

The next step is for manufacturers of those devices to adapt their products to new recommendations and for civil society, consumer organisations to inform end users of the dangers unsafe listening practices can have on their hearing.

*For the report, the PSAPs were analysed according to the IEC 60118-7 test-standard and the levels were expressed in dBSPL.

**The WHO-ITU standards refer to 1.6 Pa²h, which corresponds to 80dBA for 40 hours.


Author information:

Headshot of Lidia Best
Lidia Best

Lidia is President of the European Federation of Hard of Hearing People and Vice-Chairman of ITU JCA-AHF (International Telecommunication Union Joint Coordination Activities on Accessibility and Human Factors) and internationally recognized accessibility expert and advocate for persons who are deaf or hard of hearing. She brings unique knowledge as an expert with lived experience, as a person who is hard of hearing and a cochlear implant user since 2009. Her work has specific focus on accessibility and quality of hearing care for deaf and hard of hearing people including policy development, training, and consulting. She contributed to work on standards as a member of G3ict delegation to ITU in telecoms, captioning and assistive listening devices , having authored the ITU FSTP-RCSO “Overview of remote captioning services" and H.871“Safety requirements for wearable audio augmenting devices” the recommendation on personal sound amplifiers. After 10 years, Lidia stepped down from her position of the Vice-President of the EFHOH (European Federation of Hard of Hearing) in 2020 to concentrate on international advocacy work which includes WHO World Hearing Forum. While at EFHOH she was co-author of reports into situation of hard of hearing and deafened people in Europe in areas of employment, hearing care and accessibility. In UK, Lidia is a Chairman of the National Association of Deafened People (NADP).