I was watching the World Cup last night and noticed the very noisy bee swarm noise from many vuvuzelas. It drowned out the crowd and made the commentry harder to hear. I did some preliminary research on the vuvuzela wiki
Understanding the combined effects of physical and chemical agents is difficult. EU-OSHA, the European Agency for Safety and Health at Work has just released a 60 page literature review into ototoxicity Combined exposure to Noise and Ototoxic Substances.