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Regarding IHD, the SMR was 112 (95% CI 088-141) for noise levels below 85 dBA, 118 (95% CI 090-155) for noise levels between 85 and 90 dBA, and 127 (95% CI 110-147) for noise levels greater than 90 dBA. A combination of high noise levels and heavy paper dust exposure was associated with a slightly higher death rate from IHD (SMR 139, 95% CI 115-167). The study revealed a SMR for ischemic stroke among workers exposed to noise levels below 85 decibels of 090 (95%
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