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Combatants in every branch of the United States’ military are at risk for auditory impairments from steady state or [[Impulse_noise|impulse noises]]. While applying double hearing protection helps prevent auditory damage, it may compromise effectiveness by isolating the user from his or her environment. With hearing protection on, a soldier is less likely to be aware of his or her movements, alerting the enemy to their presence. Hearing protection devices (HPD) could also require higher volume levels for communication, negating their purpose.<ref name=":0">{{cite web |last1=Amrein |first1=Bruce |title=NOISE LIMITS FOR WARFIGHTING Recently Revised Standard Addresses Noise from Military Operations |url=http://synergist.aiha.org/201611-noise-limits-for-warfighting |website=thesynergist |accessdate=3 July 2018}}</ref>
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