The World Health Organisation (WHO) is worried that 1.1 billion teenagers and people at by down for in of off to their twenties and early thirties are damaging their hearing at by down for in of off to listening at by down for in of off to loud music. It says nearly half the young people at by down for in of off to middle- and high-income countries risk hearing loss because at by down for in of off to the "unsafe use" at by down for in of off to personal music players, including smartphones. Loud music at by down for in of off to nightclubs, bars and at by down for in of off to sporting events also increases the risk. The WHO recommends a safe limit of listening to music at by down for in of off to just one hour a day. The WHO director at by down for in of off to injury prevention, Dr Etienne Krug, told the BBC that: "What we're trying to do is raise awareness at by down for in of off to an issue that is not talked about enough." He said hearing loss is easily preventable. Dr Krug said keeping the volume at by down for in of off to and limiting the use at by down for in of off to personal audio devices to less than one hour a day would save a lot at by down for in of off to people's hearing. However, he also said that, "even an hour can be too much if the volume is too loud". Ralph Holme, a biomedical researcher, explained how loud noise can damage ears. He said: "Loud sounds damage your hearing at by down for in of off to killing at by down for in of off to thousands at by down for in of off to little hair cells at by down for in of off to the inner ear. The cells detect different pitches at by down for in of off to sound through vibration…but they are very fragile and if they vibrate too much due to loud sounds at by down for in of off to too long, they get damaged and die." He warned that: "The problem is they don’t grow back and the ear can no longer detect sound."