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City noise pollution is a factor in all-cause mortality due to long-term, barely perceptible stress effects on the cardiovascular system. Unfortunately, one of the most disturbing and frequency sources of city noise pollution is from emergency vehicle sirens.

I gave a presentation at the Audio Engineering Society titled "Iatrogenic Sound", on the tragic irony of how sirens may causally contribute to the heart attacks and strokes that ambulances are rushing to treat.

We were exploring the acoustics of urban design and the sound-design of sirens. The sweeping "wailer" siren is in fact one of the worst possible designs imaginable - all the wrong characteristics for locatability of source, annoyance versus attention ratio, penetration of dwellings etc. Add to that the design of modern "luxury" cars which are soundproofed, fitted with anti-noise and blaring ICE systems to block the world out.

There isn't an easy solution. Most laws give police, fire and ambulance crews "discretion" in the use of sirens. In the UK that's Article 99. But here, the removal of crown immunity and insurance pressures mean the crew now always deploy, even at times of night when it would have previously been illegal under other laws. I expect the same complex spheres of interest clash in NYC too.

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