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Fact check - Hearing loss and the importance of lifetime hearing screening

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We screen early because our goal is what they say in UNHS, 1-3-6. 1 it's the screening, 3 months it's the finished diagnostic, 6 months it's the hearing aid that has been fitted. Where does the hearing loss come from? We have to remember the 40% are non preventable and the 60% are preventable. So, if we think about that half of the children that don't pass the hearing screening don't get to a follow up, we might follow the ones with high risk, that's 60%. What about the ones that we don't know they have a hearing loss? That we can't prevent that they will have a chance to have a hearing loss. We don't know how to pick them up. And that's in the United States, right? Another think that we have to think that I think it was an eye-opener for me, how many hours of hearing is needed? Typical children hear 46 million words by the age of four years. Children need 20,000 hours of listening to learn to read. That would mean listening for 12 hours a day for 1,667 days. Children with hearing loss require three times more exposure. So if we look at how it is with children, I remember when I worked with children with hearing loss, the parents were always having problems: should we keep the hearing aid on the child? how do we keep the hearing aid on the child? If the child wears the hearing aid four hours a day, it will take six years for the child to hear what a typical child hears in one year. So that means we need to screen, we need to find the children with hearing loss very very early, and fit the hearing aid. So doing this screening is not the only thing we need to do, we need to do much more than that. We need to hurry up to put the hearing aid on them, hurry up to put the hearing aid on them, and we need also to keep the hearing aid on them. So now we are talking about the problems that we are having with neonatal hearing screening: no follow-up, difficulty in getting the diagnostic. But is that it? I don't think so. If we look at school aged children, 6-7 per 1000 children will be identified with hearing loss in early childhood. Again, are we screening with people? Are we screening with children before they start school? 35% of preschool children may have repeated episodes of hearing loss due to middle ear infections. And 12% of children between the ages of 12 to 19 have permanent noise induced hearing loss. Again we have the noise. So, if we screen the babies and if we screen the preeschool aged, are we done? No, if you look at this picture, it's just to tell you that we need to screen all life. But you could tell me Mariana, an adult can go and tell you "I have a hearing loss". Yes they can. But it takes seven years for an adult to get to the shop and to buy a hearing aid. To come out and ask for help. If we look at the prevalence of hearing loss, we talked about that before as well, if we look at the numbers there's a lot of heraing loss in the 74+, or over 65, but if we put all the numbers together beyond 75 years, the number is actually bigger. And what are the consequences of hearing loss? We talked about that in the beginnning, what is that hearing gives us? Hearing gives us the possibility to communicate, to interact with other people. So if we have a hearing loss we have a problem communicating. That's not only a problem of not hearing, it's a problem of not being able to participate in the normal life. So these people are getting depressed, their quality of life is getting worse, and they are having problems. More than that, they are also depressed. So if we look at the numbers of adults using hearing aids and not using hearing aids, that is actualy significantly statistically, you can see the hearing aids actually helped them to get less depressed. Dementia sympton, that's also another very important thing that we have to think about. We were talking about how much work a baby needs, we could do the same reasearch and find out how much work an adult needs to have a normal life, to be able to participate in the normal life, to be able to have normal social activities. What happens when they start having a hearing loss? They will be home, because they don't get everything out of the communication that is going on, they feel that they are not participating, they are not able to get what is going around them, and then they start being more home, getting depressed, and not getting input enough for their brain, and then that might cause a dementia. So, it's not only about that, it's also about how the world looks at them. So if we think about having a hearing impairment and not being able to participate in the work life, what happens is that they will have less in salary, work salary, than the peers. Again, if we have a hearing aid, you can see by the numbers, that's not really the same. So we have to start looking at hearing aids in another way. It's OK to have a hearing aid, it's not the loser who has a hearing aid, and that's the way we look at the people who have hearing aids. So we as audiologists and professionals working with the hearing, we need to go out and tell them it's OK to have a hearing aid, because then you can have a more normal life. We need to spread the word. So if we look at what ASHA recommends, ASHA recommends hearing screening each decade, and every three years after the age of 50. So what are the indications? Should we wait for the indications? Because we know now that people will not try to get help, right? We know that it takes seven years for them to go out and get help, so we need to help these people. And what are the indications? Irritation after after turning up the television, not being sure where the sound is coming from, asking people to repeat, avoiding activities, decrease social activities, depression, decrease in the quality of life, all these are results of having a hearing loss. So what I try to talk about here is, hearing screening is not done by screening the newborns infants, we need to diagnose them and we need to hurry up and put the hearing aid into the children as fast as possible, so we can make them as normal as possible to their peers, being able to read, being able to participate in social activities. When we have done that we still need to screen preschol-aged children, we still need to look at how do we get these teenagers that now we know that by 12 years of age we have children that get noise exposure hearing loss. And after that we need as well to keep on screning every 10 years until we get to 50 years of age, and then every three years. In that way we have helped all these people that have a hearing loss to get a hearing aid and get the help as fast as possible. Thank you for today, I don't know if anybody has a question? No questions. So I can clarify that I think that when we work with children, both the babies but also the preschool-aged children, we need to keep on seeing them because as you could see, they need three times more stimulation than normal hearing children, so it would be very nice if we had a counter for the words. So when the children are going around we could see how many words more they get in a normal day than the normal hearing children, by being stimulated. And I know there's a lot of work going on around that, just to find out if we count the words and if we see if they get more words if they are really getting more in development, I think that's pretty interesting. And I think hearing aids companies are now thinking about doing that, putting something that can count the words. That could be very interesting to see. OK, then I thank you all for listening today, I hope you enjoyed our webinar today. We will have an extra webinar in a month from now, so please keep connected to the Otometrics homepage and you will be able to see what are the webinars coming in the future. Thank you for today.

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Duration: 20 minutes and 12 seconds
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Language: English
License: Dotsub - Standard License
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Views: 1
Posted by: lpagola on Sep 30, 2016

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