Impact of the built asset on health and wellbeing: contemporary review of tinnitus in the built environment, and effective interventions at work and home

Tinnitus is the perception of sound in the absence of corresponding external stimulus. Commonly described as a buzzing, whistling, or ringing sound, it often results from a damaged ear sending random and spontaneous signals to the brain. As described below, it often confers significant psychological distress, especially if the tinnitus has not been habituated to. Furthermore, there is no cure for the condition – though several psychological interventions are discussed below. Specific working and leisure environments contribute disproportionately to development of tinnitus in employees. Furthermore, it is now clear that COVID-19 can cause and exacerbate the condition. We present a three-fold recommendation within the remit of the built environment to ameliorate risk of onset and support management of tinnitus. First, reduction of workplace noise. Second, incorporation of online psychological mitigation tools to promote acceptance of tinnitus in work and leisure spaces. Third, provision of suitable home and workplace environments. The important of multidisciplinary action is discussed.