Establishing a causal relationship between noise level and the onset of high blood pressure is a controversial topic which has been debated for over forty years. This question may seem to some to be secondary, even insignifi cant, but the considerable number of studies on this issue confi rm that is a public health problem that should not be overlooked. Indeed, noise is a ubiquitous nuisance and arterial hypertension a disease that endangers peoples' lives.
InAugust 2020 a German team [1] (Bolm-Audorff et Al.) published a new meta-analysis on this subject in the International Journal of Environmental Research and Public Health ("Occupational noise and hypertension risk: A systematic review and metaanalysis"). The team selected 180 eligible works from 4,583 papers collected from large databases, ultimately including only 23 in the meta-analysis. To my surprise, one of the 23 articles selected is one that I published in French in 1986, in Archives des maladies Professionnelles [2]. This work involved 455 merchant seamen aged 40 to 55. 164 were engine room personnel and 291 were deck crew. The difference in noise exposure level between these two categories of seafarers was evidenced by the existence of a notch at 4000 Hz, typical of damage due to noise above 85 dB (A) in engine room personnel, while this notch was not found among the deck crew [3]. The hypertensive sailors included in the survey were those who had permanent levels of systolic blood pressure (SBP) greater than 140 mmHg and of Diastolic Blood Pressure (DBP) greater than 90 mmHg, or who were taking antihypertensive medication issued by their attending physician. All blood pressure measurements were taken by the same doctor, using a mercury tensiometer. We calculated a prevalence of 18.90% (12.8-25%) of confi rmed hypertension among engine room personnel