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== Environmental noise == {{Main article|Environmental noise}} [[Environmental noise]] is the accumulation of all noise present in a specified environment. The principal sources of environmental noise are surface motor vehicles, aircraft, trains and industrial sources.<ref>{{Cite journal|last1=Stansfeld|first1=Stephen A.|last2=Matheson|first2=Mark P.|date=2003-12-01|title=Noise pollution: non-auditory effects on health|journal=British Medical Bulletin|language=en|volume=68|issue=1|pages=243β257|doi=10.1093/bmb/ldg033|issn=0007-1420|pmid=14757721|doi-access=free}}</ref> These noise sources expose millions of people to noise pollution that creates not only annoyance, but also significant health consequences such as elevated incidence of hearing loss, cardiovascular disease, and many others.<ref name="ovidsp.ovid.com">Tompkins, Olga, MPH, rN, SM, CSP. Secondhand Noise and Stress. AAOHN J. 2009;57(10):436. Cited in: Your Journals@Ovid Full Text at http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=yrovftk&NEWS=N&AN=00001830-200910000-00007 . Accessed July 13, 2021.</ref><ref>Goines, L., & Hagler, L. (2007). Noise pol-lution: A modern plague. Retrieved July 20, 2009, from www.medscape.com/viewarticle/554566</ref><ref>{{Cite journal|title=EHP β Environmental Noise Pollution in the United States: Developing an Effective Public Health Response|journal=Environmental Health Perspectives|volume=122|issue=2|pages=115β119|doi=10.1289/ehp.1307272|pmid = 24311120|pmc=3915267|year=2014|last1=Hammer|first1=Monica S.|last2=Swinburn|first2=Tracy K.|last3=Neitzel|first3=Richard L.|bibcode=2014EnvHP.122..115H }}</ref> Urban noise is generally not of an intensity that causes hearing loss but it interrupts sleep, disturbs communication and interferes with other human activities.<ref>{{Cite book|title=Encyclopedia of the City|last=Caves|first=R. W.|publisher=Routledge|year=2004|isbn=9780415252256|pages=493}}</ref> There are a variety of mitigation strategies and controls available to reduce sound levels including source intensity reduction, [[land-use planning]] strategies, [[noise barrier]]s and [[sound baffle]]s, time of day use regimens, vehicle operational controls and [[architectural acoustics]] design measures.
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