Next item to be placed into my "Read This" folder comes from the European Agency for Safety and Health at Work. It is a literature review entitled, Combined Exposure to Noise and Ototoxic Substances.
"Workers are commonly exposed to multiple agents. Physiological interactions with some mixed exposures can lead to an increase in the severity of a harmful effect. This applies not only to the combination of interfering chemical substances but in certain cases to the co-action of chemical and physical factors as well. Hence, it is obvious that the effects of ototoxic substances on ear function can be aggravated by noise, which remains a well-established cause of hearing impairment."
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