International Journal of Environmental Protection          
An Open Access Journal
ISSN: 2226-6437(Print)      ISSN: 2224-7777(Online)
Frequency: Annually
Editorial-in-Chief: Prof. Kevin Mickus,
Missouri University of Science & Technology, USA.
Health Impairments, Annoyance and Learning Disorders Caused by Aircraft Noise-Synopsis of the State of Current Noise Research
Full Paper(PDF, 2121KB)
Abstract:
The article reviews the results of scientific research on aircraft noise induced health impairments, annoyance as well as learning disorders and summarizes consequences for legislative and political decisions. The association of noise with an increased incidence of chronic arterial hypertension has been shown in large-scale epidemiological studies. Identified risks are up to 20% per 10 dB increase in day-evening-night level (above 50 dB(A)) and for nightly noise exposure within a range of 19-34% per 10 dB (above 30-35dB(A)). Identified risks regarding the use of antihypertensive drugs are partly higher. Also an increase in strokes is documented in recent epidemiological studies and understood as a consequence of hypertension. The same applies in the case of heart failure. Likewise an increase in myocardial infarctions has been confirmed in the recent studies with large populations included. Moreover, the annoyance due to aircraft noise has been significantly underestimated in the last 15 years. Compared to the EU-position paper of 2002 the sound level at a given extent of annoyance (25% HA) is at least 10 dB(A) lower. Impairments of cognitive performance in children attending schools exposed to high aircraft noise have been demonstrated in national and international studies up to the year 2014. As consequence of the present knowledge in noise effect research legal and political decisions must form the base to reduce aircraft noise exposure during the 24h-day to Lden = 50 and during the night to Ln = 45 dB(A).
Keywords:Noise Research; Hypertension; Myocardial Infarction; Stroke; Health Impairments; Annoyance; Learning Disorders
Author: Martin Kaltenbach1, Christian Maschke2, Franziska He?3, Hildegard Niemann4, Martin Führ5
1.Prof. Dr. med. Martin Kaltenbach former Dir. Cardiology, University Hospital Frankfurt, Germany
2.Dr.-Ing. habil Christian Maschke, Head of division aircraft noise, Office for the Environment, Public Health and Consumer Protection, Potsdam, Germany
3.Franziska Hess, specialist lawyer for administrative law, law firm Baumann, Leipzig, Germany
4.Dr. Hildegard Niemann former executive board, Innovation Center Technologies for Health and Foods (IGE), Technical University Berlin, Germany
5.Prof. Dr. Martin Führ, Professorship of environmental law, University of applied sciences Darmstadt, Germany
References:
  1. M. P Matheson, S. A Stansfeld and M. M Haines, “The effects of chronic aircraft noise exposure on children's cognition and health : 3 field studies”, Noise Health, vol. 5, pp. 31-40, 2003.
  2. W. Babisch, “Transportation noise and cardiovascular risk. Review and synthesis of epidemiological studies – dose-effect curve and risk estimation”, German Federal Environment Agency, Berlin, WaBoLu- booklet vol. 1, 2006.
  3. M. Kaltenbach, C. Maschke and R. Klinke, “Health consequences of aircraft noise”, Dtsch Arztebl Int, vol. 105 (31-32), pp. 1-9, 2008.
  4. M. Kaltenbach and C. Maschke, “It does make you sick” [Er macht doch krank], Dtsch Arztebl, vol. 108(A 2), letter to the editor and response, 2011.
  5. W. Babisch and I. van Kamp, “Exposure-response relationship of the association between aircraft noise and the risk of hypertension”, Noise Health, vol. 11, pp.161-168, 2009.
  6. World Health Organisation, Night Noise Guidelines for Europe, WHO Regional Office for Europe, Copenhagen, 2009
  7. H. Davies and I. van Kamp, “Noise and cardiovascular disease: a review of the literature 2008–2011”, Noise Health, vol. 14, pp. 287–291, 2012.
  8. M. Basner, W. Babisch, A. Davis, M. Brink, C. Clark, S. Janssen and S. Stansfeld, “Auditory and non-auditory effects of noise on health”, The Lancet, vol. 383, No. 9925, pp. 1325–1332, April 2014. [Online] doi: 10.1016/S0140-6736(13)61613-x.
  9. M. Kamrath and M. C. Vigeant, “Gaps in the literature on the effects of aircraft noise on children’s cognitive performance”, J. Acoust. Soc. Am., vol. 136, pp. 2304, Oct. 2014
  10. D. Huang, X. Song, Q. Cui, J. Tian, Q. Wang and K.Yang, “Is there an association between aircraft noise exposure and the incidence of hypertension? A meta-analysis of 16784 articipants”, Noise Health, vol. 17, pp. 93-97, Mar.-Apr. 2015
  11. G. Schuschke and C. Maschke C, “Noise as an environmental factor [Lärm als Umweltfaktor]”, in W. Dott, H. F. Merk, J. Neuser and R. Osieka, Lehrbuch der Umweltmedizin, Stuttgart Germany: Wissenschaftliche Verlagsgesellschaft mbH, 2002.
  12. C. Graff, F. Bockmühl and V. Tietze, “Noise exposure and essential arterial hypertension disease in humans [Lärmbelastung und arterielle (essentielle) Hypertoniekrankheit beim Menschen]”, in S. Nitschkoff and G. Kriwizkaja, Lärmbelastung, akustischer Reiz und neurovegetative Störungen, Leipzig, Germany: Georg-Thieme Verlag, 1968.
  13. A. Seidler, M. Wagner, M. Schubert, P. Dröge, J. Hegewald, “Traffic noise effects in the airport vicinity; case control study, based on secondary data with in-depth interviews [Verkehrslärmwirkungen im Flughafenumfeld; Sekundärdatenbasierte Fallkontrollstudie mit vertiefender Befragung]“ Report of the NORAH Study, vol. 6 [Bericht zur NORAH-Studie, Band 6], Kelsterbach, Oct. 2015.
  14. F. P. Schmidt, F. Schmidt, K. Kolle, K. Kreuder, B. Schnorbus, P. Wild, M. Hechtner, H. Binder, T. Gori and T. Münzel, “Nighttime aircraft noise impairs endothelial function and increases blood pressure in patients with or at high risk for coronary artery disease”, Clin Res Cardiol vol. 104(1), pp. 23-30, Jan. 2015. [Online] doi: 10.1007/s00392-014-0751-x.
  15. A. Tarnopolsky, G. Watkins and D. J. Hand, “Aircraft noise and mental health: Prevalence of individual symptoms”, Psychol Med., vol. 10(4), pp. 683-698, Nov 1980.
  16. E. Greiser, “Night-time aircraft noise as a risk factor: Concluding report on a case-control study on cardiovascular and psychic disease in the vicinity of Cologne-Bonn Airport [Risikofaktor nächtlicher Fluglärm. Abschlussbericht über eine Fall- Kontroll-Studie zu kardiovaskulären und psychischen Erkrankungen im Umfeld des Flughafens Köln-Bonn]”, German Federal Environment Agency, Berlin, Subsidy code 3708 51 101, 2010.
  17. E. Greiser, “Night-time aircraft noise as a risk factor: Results of a health monitoring project in the vicinity of Frankfurt Airport [Risikofaktor nächtlicher Fluglärm. Konsequenzen für ein Gesundheits- monitoring im Umfeld des Flughafens Frankfurt/Main]”, Epi.Consult GmbH, Musweiler, & Institute for Public Health and Care Research, University of Bremen, 2010.
  18. H. Bleichmar, “Some subtypes of depression, their interrelations for psychoanalytic treatment”, Int J Psychoanal., vol. 77(5), pp. 935-961, Oct 1996.
  19. E. E. M. M. van Kempen and I. van Kamp, “Annoyance from air traffic noise: Possible trends in exposure-response relationships”, National Institute of Public Health and the Environment, Bilthoven, Report 2005 MGO EvK, Jan. 2005.
  20. R. Guski, H. Ising, G. Jansen, P. Költsch, K. Scheuch, A. Schick, W. Schönpflug and M. Spreng, “Aircraft noise [Fluglärm]”, Position of the interdisciplinary working group for issues of the effects of noise, German Federal Environment Agency, Berlin, 2004.
  21. H. Niemann, C. Maschke and K. Hecht,” Noise related annoyance and risk of disease: Results of the pan-European LARES Survey [Lärmbedingte Belästigung und Erkrankungsrisiko. Ergebnisse des paneuropäischen LARES-Survey]”, Bundesgesundheitsblatt Gesundheitsforsch.Gesundheitsschutz, vol. 48 (3), pp 315-328, Mar. 2005.
  22. C. Eriksson, G. Bluhm, A. Hilding, C. G. Östenson and G. Pershagen, “Aircraft noise and incidence of hypertension – Gender specific effects”, Environ Res., vol. 110(8), pp. 764–772, Nov. 2010. [Online] doi: 10.1016/j.envres.2010.09.001.
  23. W. Babisch, G. Pershagen, J. Selander, D. Houthuijs, O. Breugelmans, E. Cadum, F. Vigna- Taglianti, K. Katsouyanni, A. S. Haralabidis, K. Dimakopoulou, P. Sourtzi, will S. Floud, A. L. Hansell, “Noise annoyance – A modifier of the association between noise level and cardiovascular health?”, Sci Total Environ., vol. 50-7, pp. 452-453, 2013. [Online] doi: 10.1016/j.scitotenv.2013.02.034.
  24. C. Sust, “Medium level intensity noise: Ascertaining the state of its effects [Geräusche mittlerer Intensität – Bestandsaufnahme ihrer Auswirkungen]”, Publication Series of the German Federal Institute for Occupational Safety and Health, Bremerhaven, Wirtschaftsverlag NW, 1987.
  25. M. Klatte, K. Bergström and T. Lachmann, “Does noise affect learning? A short review on noise effects on cognitive performance in children”, Front Psychol., vol. 4, p. 578, 2013. [Online] doi: 10.3389/fpsyg.2013.00578.
  26. DIN 45641, Averaging of sound levels [Mittelung von Schallpegeln]. German Industry Standard, Berlin, Beuth Verlag, 1990.
  27. Directions for the calculation of aircraft noise [Anleitung zur Berechnung von Fluglärm]. German Federal Law Gazette [Bundesanzeiger], No. 195a, 23 Dec., 2008.
  28. German Experts’ Council on the Environment, Environment protection in the sign of climate change [Umweltschutz im Zeichen des Klimawandels], Ed. Berlin, Germany: Erich Schmidt Verlag, 2008.
  29. R. Klinke, O. Klinke, “Sleeping with the windows closed: Appropriate protection against aircraft noise? [Schlafen bei geschlossenen Fenstern – Ein angemessener Schutz vor Fluglärm?], Hessisches Ärzteblatt, vol. 66, pp. 242–243, 2005.
  30. DIN 1946-6, “Spatial ventilation technology [Raumlufttechnik]”, German Industry Standard, Berlin, Beuth Verlag, 2009.
  31. S. A. Janssen and H. Vos, “A comparison of recent surveys to aircraft noise exposure-response relationships”, Netherlands Organisation for Applied Scientific Research (TNO), Report TNO-034-DTM-2009-01799, 2009.
  32. European Commission (EC), Position paper on dose response relationships between transportation noise and annoyance, Luxemburg, Office for Official Publications of the European Communities, 2002.
  33. A. Huss, A. Spoerri, M. Egger and M. Röösli, “Aircraft noise, air pollution, and mortality from myocardial infarction”, Epidemiology, vol. 21(6), pp. 829–836, 2010. [Online] doi: 10.1097/EDE.0b013e3181f4e634.
  34. R. E. Schmieder, “Hypertension-conditioned end-organ damage [Hypertoniebedingte Endorganschäden]“, Deutsches Ärzteblatt (German Medical Journal), vol. 107(49), pp. 866-873, 2010
  35. M. Rosenlund, N. Berglund, G. Pershagen, L. Järup and G. Bluhm, “Increased prevalence of hypertension in a population exposed to aircraft noise”, Occup Environ Med., vol. 58, pp. 769–773, 2001.
  36. E. Öhrström and L. Barregård, “Investigation of the health effects of impairments from road, rail and air traffic in the municipality of Lerum [Undersökning av hälsoeffekter av buller fran vägtrafik, tag och flyg i Lerums kommun]”, West Gothland Environmental Medical Centre & Sahlgren Academy. Gothenburg, Technical Report GU-MMED-R-2005/1-SE, 2005.
  37. E. A. M. Franssen, C. M. A. G. van Wiechen, N. J. D. Nagelkerke and E. Lebret, “Aircraft noise around a large international airport and its impact on general health and medication use”, Occup Environ Med, vol. 61, pp. 405–413, 2004.
  38. E. Greiser, K. Janhsen and C. Greiser, “Impairment through aircraft noise: medication use as an indicator for health impairments [Beeinträchtigung durch Fluglärm: Arzneimitteverbrauch als Indikator für gesundheitliche Beeinträchtigungen]”, German Federal Environment Agency (UBA), Berlin, Subsidy code 205 51 100, 2006.
  39. E. Greiser, C. Greiser and K. Janhsen “Night-time aircraft noise increases prevalence of prescriptions of antihypertensive and cardiovascular drugs irrespective of social class – the Cologne-Bonn Airport Study”, J Public Health, vol. 15, pp. 327–337, 2007.
  40. Y. Aydin and M. Kaltenbach, “Noise perception, heart rate and blood pressure in relation to aircraft noise in the vicinity of Frankfurt Airport”, Clin Res Cardiol, vol. 96, pp. 347–358, 2007.
  41. C. Eriksson, M. Rosenlund, G. Pershagen, A. Hilding, C-G. Ostenson and G. Bluhm, “Aircraft noise and incidence of hypertension”, Epidemiology, vol. 18, pp. 716–772, 2007.
  42. L. Jarup, W. Babisch, D. Houthuijs, G. Pershagen, K. Katsouyanni, E. Cadum, M-L. Dudley, P. Savigny, I. Seiffert, W. Swart, O. Breugelmans, G. Bluhm, J. Selander, A. Haralabidis, K. Dimakopoulou, P. Sourtzi, M. Velonakis and F. Vigna-Taglianti, “Hypertension and exposure to noise near airports – the HYENA Study”, Environmental Health Perspectives, vol. 116(3), pp. 329–333, 2008.
  43. C. Ancona, C. Badaloni, V. Fano, T. Fabozzi, F. Forastiere and C. Perucci, “Aircraft Noise and Blood Pressure in the Populations Living Near the Ciampino Airport in Rome”, Epidemiology, vol. 20(6), pp. 125-126, 2009.
  44. E. Greiser and G. Glaeseke, “Social and economic consequences of night time aircraft noise in the vicinity of Frankfurt/Main airport [Soziale und ökonomische Folgen nächtlichen Fluglärms im Umfeld des Flughafens Frankfurt/Main]”, Gesundheitswesen, vol. 75(3), pp. 127 – 133, 2013.
  45. S. Floud, F. Vigna-Taglianti, A. Hansell, M. Blangiardo, D. Houthuijs, O. Breugelmans, E. Cadum, W. Babisch, J. Selander, G. Pershagen, M. C. Antoniotti, S. Pisani, K. Dimakopoulou, A. S. Haralabidis, V. Velonakis and L. Jarup, “Medication use in relation to noise from aircraft and road traffic in six European countries: Results of the HYENA Study”, Occup Environ Med, vol. 68(7), pp. 518-524, 2011.
  46. (2013) 25th German Cardiac Report, German Heart Foundation. Available: http://www.herzstiftung.de/pdf/presse/herzbericht-2013-dhs-morbiditaet-mortalitaet.pdf (in German).
  47. (2010) Aircraft noise makes you sick [Fluglärm macht krank], Press bulletin No. 09/10, German Federal Environment Agency [Umweltbundesamt] Available :www.umweltbundesamt.de/presse/presseinformationen/fluglaerm-macht-krank.
  48. E. Greiser, “Health hazards due to nighttime aircraft noise: recent epidemiological findings on an urgent environmental pollution issue [Gesundheitsgefährdung durch nächtlichen Fluglärm. Neuere epidemiologische Befunde zu einer drängenden Umweltbelastung]”, Ärzteblatt Rheinland-Pfalz, vol. 3, pp. 25-29, 2013.
  49. A. L. Hansell, M. Blangiardo, L. Fortunato, S. Floud, K. De Hook, D. Fecht, R. E. Ghosh, H. Laszlo, C. Pearson, L. Beale, S. Beevers, J. Gulliver., N. Best., S. Richardson and P. Elliott, “Aircraft noise and cardiovascular disease near Heathrow Airport in London: Small Area Study”, BMJ, 347:f5432, 2013. [Online] doi:10.1136/bmj.f5432.
  50. A. W. Correia, J. L. Peters, J. I. Levy, S. Melly and F. Dominici, “Residential exposure to aircraft noise and hospital admissions for cardiovascular diseases: Multi-airport retrospective study” BMJ, 347: f5561, 2013. [Online] doi: http://dx.doi.org/10.1136/bmj.f5561.
  51. S. Floud, M. Blangiardo, C. Clark, K. De Hoogh, W. Babisch, D. Houthuijs, W. Swart, G. Pershagen, K. Katsouyanni, M. Velonakis, F. Vigna-Taglianti, E. Cadum and A. Hansell, “Exposure to aircraft and road traffic noise and associations with heart disease and stroke in six European countries: A cross-sectional study”, Environ Health, 16;12:89, 2013. [Online] doi: 10.1186/1476-069X-12-89.
  52. P. U. Heuschmann1, O. Busse, M.Wagner, M. Endres, A. Villringer, J. Röther, P. L. Kolominsky-Rabas, K. Berger, “Frequency and Care of Stroke in Germany [Schlaganfallhäufigkeit und Versorgung von Schlaganfallpatienten in Deutschland]”, Akt Neurol, vol. 37(7), pp. 333–340, 2010. [Online] doi: org/10.1055/s-0030-1248611.
  53. D. Schreckenberg, “Noise annoyance in Hesse, 2006: Results of a representative statewide phone survey [Lärmbelästigung in Hessen 2006 – Ergebnisse einer repräsentativen landesweiten Telefonbefragung]”, on contract for the Hessian state Ministry of the Environment, Rural Areas and Consumer Protection, Zeus GmbH, Bochum, 2006.
  54. H. M. E. Miedema and H. Vos, “Exposure-response relationships for transportation noise”, J Acoust Soc Am., vol. 104, pp. 3432–3445, 1998.
  55. D. Schreckenberg and M. Meis, “Noise annoyance and quality of life among the people near the Frankfurt Airport [Lärmbelästigung und Lebensqualität in der Bevölkerung am Frankfurter Flughafen], Lärmbekämpfung, vol. 2(6), pp. 225-233, 2007.
  56. S. A. Janssen and H. Vos, “Dose-response relationship between DNL and aircraft noise annoyance: Contribution of TNO”, Netherlands Organisation for Applied Scientific Research (TNO), Report TNO-060-UT-2011-00207, 2011.
  57. P. Le Masurier, J. Bates, J. Taylor, I. Flindell, D. Humpheson, C. Pownall, W. Pownall and M. V. A. Alice, “Attitudes to noise from aviation sources in England (ANASE)”, Final Report for Department for Transport, Norwich, UK, 2007.
  58. United Kingdom Aircraft Noise Index Study: Main Report. CAA Publication, London, DR Report 8402, 1982.
  59. I. Flindell, P. L. Masurier and D. Schreckenberg, “Aircraft noise assessment – alternative approaches”, in Proc. 42nd International Congress and Exposition on Noise Control Engineering (INTERNOISE 2013), Innsbruck, Austria, 2013.
  60. W. Babisch, D. Houthuijs, G. Pershagen, E. Cadum, K. Katsouyanni, M. Velonakis, M-L. Dudley, H-D. Marohn, W. Swart, O. Breugelmans, G. Bluhm, J. Selander, F. Vigna-Taglianti, S. Pisani, A. Haralabidis, K. Dimakopoulou, I. Zachos, and L. Järup, “Annoyance due to aircraft noise has increased over the years - Results of the HYENA study”, Environment International, vol. 35(8), pp. 1169-1176, 2009.
  61. D. Guoqing, L. Xiaoyi, S. Xiang, L. Zhengguang and L Qili, “Investigation of the relationship between aircraft noise and community annoyance in China”, Noise Health, vol. 14, pp. 52- 57, 2012.
  62. C. Lim, J. Kim, J. Hong, S. Lee and S. Lee “The relationship between civil aircraft noise and community annoyance in Korea”, Journal of Sound and Vibration, vol. 299(3), pp. 575-586, Jan. 2007.
  63. HME Miedema and CGM. Oudshoorn, “Annoyance from transportation noise: Relationships with exposure metrics DNL and DENL and their confidence intervals”, Environmental Health Perspectives, vol. 109 (4), pp. 409-416, 2001.
  64. G. W. Evans, M. Bullinger and S. Hygge, “Chronic noise exposure and physiological response: A prospective study of children living under environmental stress”, Psychological Science, vol. 9(1), pp. 75-77, 1998.
  65. S. Hygge, G. W. Evans and M. Bullinger, “A prospective study of some effects of aircraft noise on cognitive performance in school children”, Psychological Science, 13(5), pp. 469-474, 2002.
  66. M. M. Haines, S. A. Stansfeld, S. Brentnall, J. Head, B. Berry, M. Jiggins and S. Hygge, “West London Schools Study: Aircraft noise at school and child performance and health”, Psychological Medicine, vol. 31, pp. 1385-1396, 2001.
  67. Haines MM, Stansfeld SA, Job SFR, Berglund B, Head J. (2001b): Chronic aircraft noise exposure, stress responses, mental health and cognitive performance in school children. Psychological Medicine, vol. 31, pp. 265-277.
  68. M. M. Haines, S. A. Stansfeld, J. Head and S. F. R. Job, “Multilevel modelling of air-craft noise on performance tests in schools around Heathrow Airport London”, Journal of Epidemiology and Community Health, vol. 56, pp. 139-144, 2002.
  69. K. Hiramatsu, T. Tokuyama, T. Matsui, T. Miyakita, Y. Osada and T. Yamamoto “The Okinawa Study: Effect of chronic aircraft noise exposure on memory of school children”, in Proc. 8th International Congress on Noise as a Public Health Problem (ICBEN), pp. 179-180, 2003.
  70. S. A. Stansfeld, B. Berglund, C. Clark, I. Lopez-Barrio, P. Fischer, E. Ohrström, M. M. Haines, J. Head, S. Hygge, I. van Kamp and B. F. Berry, “Aircraft and road traffic noise and children´s cognition and health: A cross-national study”, The Lancet, vol. 365 (9475), pp. 1942–1949, 2005.
  71. C. Clark, R. Martin, E. M. M. van Kempen, T. Alfred, J. Head, H. W. Davies, M. M. Haines, I. .L Barrio, M. Matheson and S.A. Stansfeld, “Exposure-effect relations between aircraft and road traffic noise exposure at school and reading comprehension - The RANCH Project”, American Journal of Epidemiology, vol. 163 (1), pp. 27-37, 2006.
  72. E. E. M. M. van Kempen, “Transportation noise exposure and children’s health and cognition”, thesis, University of Utrecht, Netherlands, 2008.
  73. J. C. Ziegler, C. Pech-Georgel, F. George, F. Alario and C. Lorenzi, “Deficits in speech perception predict language learning impairment”, PNAS, vol. 102 (39), pp. 14110-14115, 2005.
  74. M. Klatte, “The effects of acoustic conditions in school rooms upon children: Results of lab and field examinations [Auswirkungen der akustischen Bedingungen in Schulräumen auf Kinder – Ergebnisse aus Labor- und Felduntersuchungen]”, Lärmbekämpfung, vol. 2, pp. 41- 46, 2006.
  75. J. Seabi, K. Cockcroft, P. Goldschagg and M. Greyling, “The impact of aircraft noise exposure on South African children’s reading comprehension: The moderating effect of home language”, Noise Health, vol. 14, pp. 244-252, 2012.
  76. J. Seabi, “An epidemiological prospective study of children’s health and annoyance reactions to aircraft noise exposure in South Africa ”, Int J Environ Res Public Health, vol. 10 (7), pp. 2760-2777, 2013.
  77. C. Clark, J. Head and S. A. Stansfeld, “Longitudinal effects of aircraft noise exposure on children’s health and cognition: A six-year follow-up of the UK RANCH cohort”, Journal of Environmental Psychology, vol. 35, pp. 1-9, 2013.
  78. C. Reiter, “Multivariate thematische Analysen”, in PISA 2000 (National Report), Innsbruck, StudienVerlag, pp. 102-119, 2001.
  79. D. W. Dockery “Epidemiologic Evidence of Cardiovascular Effects of Particulate Air Pollution”, Environmental Health Perspectives, vol. 109, Supplement 4, pp. 483-486, Aug. 2001.
  80. A. Peters, “Air quality and cardiovascular health: Smoke and pollution matter”, Circulation, vol. 120 (11), pp. 924-927, 2009.
  81. R. D. Brook, “Cardiovascular effects of air pollution”, Clin Sci (Lond), vol. 115 (6), pp. 175-187, 2008.
  82. R. Guski, M. Basner, M. Brink, T. Myck, D. Schreckenberg, U. Isermann, W. Babisch, U. Müller and C. Maschke, “Key statements in the discussion of 16 Nov., 2012 on the health effects of aircraft noise, with particular consideration for nighttime aircraft noise [Kernaussagen im Fachgespräch vom 16.11.2012 über gesundheitliche Auswirkungen von Fluglärm unter besonderer Berücksichtigung des Nachtfluglärms]”, Northline Westphalian state Ministry for Climate Protection, the Environment, Agriculture, Conservation and Consumer Protection, 2012.
  83. K. Goto and T. Kaneko, “Distribution of blood pressure data from people living near an airport”, Journal of Sound and Vibration, vol. 250 (1), pp. 145-149, 2002.
  84. EEA Technical report 11, “Good practice guide on noise exposure and potential health effects”, European Environmental Agency, Copenhagen, 2010.
  85. F. P. Schmidt, M. Basner, G. Kroger, S. Weck, B. Schnorbus, A. Muttray, M. Sariyar, H. Binder, T. Gori, A. Warnholtz and T. Munzel, “Effect of night-time aircraft noise exposure on endothelial function and stress hormone release in healthy adults”, Eur Heart J, vol. 34, pp. 3508-3514, 2013.
  86. German Advisory Council on the Environment, “Reduce aircraft noise: Reform need by the planning of airports and flight routes [Fluglärm reduzieren: Reformbedarf bei der Planung von Flughäfen und Flugrouten]”, Wiesbaden, Eigenverlag, 2014.
  87. A. S. Haralabidis, K. Dimakopoulou, F. Vigna-Taglianti, M. Giampaolo, A. Borgini, M-L. Dudley, G. Pershagen, G. Bluhm, D. Houthuijs, W. Babisch, M. Velonakis, K. Katsouyanni and L. Jarup, “Acute effects of night-time noise exposure on blood pressure in populations living near airports”, Eur Heart J., vol. 29(5), pp. 658-664, Mar 2008. [Online] doi: 10.1093/eurheartj/ehn013.
  88. T. Münzel, T. Gori, W. Babisch and M. Basner, “Cardiovascular effects of environmental noise exposure”, European Heart Journal, 2014. [Online] doi:10.1093/eurheartj/ehu030.
  89. T. Matsui, T. Uehara, T. Miyakita, K Hiramatsu, Y. Osada and T. Yamamoto, “Association between blood pressure and aircraft noise exposure around Kadena Airfield in Okinawa”, in Proc. International Congress and Exhibition on Noise Control Engineering, 2001, pp. 1577-1582.
  90. T. Matsui, T. Uehara, T. Miyakita, K. Hiramatsu, Y. Osada and T. Yamamoto, “The Okinawa Study: Effects of chronic aircraft noise on blood pressure and some other physiological indices”, Journal of Sound and Vibration, vol. 277, pp. 469-470, 2004.
  91. W. Babisch, “Health aspects of extra-aural noise research”, Noise Health, vol. 6, pp. 69-81, 2004.
  92. B. Griefahn, G. Jansen, K. Scheuch and M. Spreng, “Aircraft noise criteria for a protective concept for major reconstruction or new construction of airports/airfields [Fluglärmkriterien für ein Schutzkonzept bei wesentlichen Änderungen oder Neuanlagen von Flughäfen/Flugplätzen]”, Lärmbekämpfung, vol. 49 (5), pp. 171-175, 2002.
  93. D. Kötz, “On the issue of effective noise insulation of open windows: Clearing up confusion on indoor/outdoor noise pressure differences of tipped windows [Zur Frage der effektiven Schalldämmung von geöffneten Fenstern – Ein klärendes Wort zur Schallpegeldifferenz außen/innen bei Fenstern in Kippstellung], Lärmbekämpfung, vol. 51, pp. 21-26, 2004.
  94. E. Augustin, J. Feldmann and C. Maschke, “To the calculation of the "authoritative outside noise Level" and the "authoritative interior noise Level as well as the sound pressure Level difference outside/inside with aircraft noise according to DIN 4109, VDI 2719, DIN EN ISO 140 –5 und DIN EN ISO 717 [Zur Berechnung des „maßgeblichen Außenlärmpegels“ und des „maßgeblichen Innenlärmpegels“ sowie der Schallpegeldifferenz „außen/innen“ bei Fluglärm in Anlehnung an DIN 4109, VDI 2719, DIN EN ISO 140 –5 und DIN EN ISO 717]”, Lärmbekämpfung, vol. 53 (4), pp. 118-121, 2008.
  95. C. Maschke, R. Volz, A. Jakob and E. Augustin, “The level difference in tipped-open windows for aircraft noise measurements as per DINENISO140-5 Gesamt-Lautsprecher-Verfahren [Pegeldifferenz gekippt-geöffneter Fenster bei Fluglärm-Messungen nach DINENISO140-5 Gesamt-Lautsprecher-Verfahren] ”, in Proc. Fortschritte der Akustik – DAGA 2010.
  96. German Medical Association, Resolution VI-81 aircraft noise [Entschließung VI-81 Fluglärm], 115th German congress of physicians, Nürnberg, 2012.
  97. P. Cancik, “The requirement for the drafting of action plans for noise abatement, and their linkage to trigger values [Die Pflicht zur Aufstellung von Aktionsplänen zur Lärmminderung und ihre Kopplung an Auslösewerte]”, NVwZ, pp. 167-170, 2008.
  98. (2012) S. Kephalopoulos, M. Paviotti and F. A. Lédée, “Common noise assessment methods in Europe (CNOSSOS EU) EUR 25379 EN, Luxemburg”, Publications Office of the European Union. Available: http://publications.jrc.ec.europa.eu/repository/bitstream/111111111/26390/1/cnossos- eu%20jrc%20reference%20report_final_on%20line%20ver