Policy briefing addressing road traffic noise as a public health hazard and environmental concern. Documents adverse health effects of chronic noise exposure including cardiovascular disease, sleep disturbance, and cognitive impairment affecting over 100 million people. Identifies single-event noise exposures from modified combustion vehicles as disproportionately harmful drivers of citizen complaints. Warns that Enhanced Exterior Sound (EES) systems in electric vehicles replicate these harmful characteristics through high peak levels, steep onset rates, and prominent low-frequency tonal content. Recommends prohibiting EES designed to create sounds unrelated to safety, regulating Acoustic Vehicle Alerting Systems (AVAS) to minimum levels necessary for pedestrian safety while ensuring sound quality accessible to vulnerable populations, employing supplemental metrics beyond A-weighted averages to characterize harmful exposures, and making harm reduction an explicit objective of vehicle sound regulation.