Latest time-series research conducted in Madrid has reported associations of road traffic noise with cause specific daily mortality. Based on the results from that research, this study presents the health impact of urban noise for the period 2003-2009 as the number of avoidable deaths from various cardiovascular, respiratory, and metabolic diseases. The impact of noise on cardiovascular mortality exceeds that of fine particles (PM2.5) in the two population groups considered:65 years of age. (C) 2017 Elsevier B.V. All rights reserved.