Although noise in general can induce hearing loss, environmental noise repr
esents an important risk far children, teenagers and young adults. Epidemio
logical investigations now support the occurrence of an increasing number o
f irreversible hearing losses in these groups. Major causes of hearing loss
are toys (guns), explosives and electroacoustically amplified music delive
red by head sets or heard in discotheques and open air concerts. Clinical i
ndications are discussed.