“…A number of factors that may affect hearing loss are known, for example race, gender, age [21,22], smoking [23,24], hypersensitivity to noise [25], previous noise exposure [26,27], hypertension [28], synergistic effects [29], and others. An important step in assessing the effects of noise is also proposing measures to reduce it; Moravec et al (2017Moravec et al ( , 2021 [30,31]. Employees who are exposed to hand and arm vibrations are also exposed to high noise levels.…”