Theme 2016 : Childhood hearing loss; act now, here’s how!
World Hearing Day is an annual advocacy event held on 3 March. It aims to raise awareness and promote ear and hearing care across the world. The theme for World Hearing Day 2016 is Childhood hearing loss; act now, here’s how!
Childhood hearing loss - act now, here's how. |
Around 360 million people – 5% of the world’s population – live with hearing loss
which is considered disabling; of these, nearly 32 million are children. The vast majority live in the world’s low-income and middle-income countries.
The World Health Organization (WHO) estimates that around 60% of childhood hearing loss could be avoided through prevention measures. When unavoidable, interventions are needed to ensure that children reach their full potential through rehabilitation, education and empowerment. Action is needed on both
fronts.
What is the impact of hearing loss if not addressed?
In a broader context, untreated hearing loss affects the social and economic development of communities and countries.
A number of factors determine what the impact of hearing loss is on an individual. These include:
The Joint Committee on Infant Hearing recommends that all children with hearing loss should receive intervention by six months of age. Early identification and intervention are also credited with significantly reducing the
increased education costs associated with hearing loss, and improving earning capacity, in later life.
with hearing loss.
What causes hearing loss in children?
Hearing loss in children has many causes, including congenital causes, meaning those which are present at birth or soon thereafter, and acquired causes, those which occur as a child ages. Hearing loss may be the result of several of these factors combined.
However, it is not always possible to determine the exact cause. Causes of hearing loss in children may include:
However, it is not always possible to determine the exact cause. Causes of hearing loss in children may include:
• Conditions at the time of birth: These may include prematurity, low birth weight, lack of oxygen known as birth asphyxia and neonatal jaundice.
How much of childhood hearing loss could be prevented?
WHO estimates that about 60% of hearing loss in children under 15 years of age is preventable. This figure is higher in low-income and middle-income countries (75%) as compared to high-income countries of the world (49%). The difference could be due to the overall higher occurrence of hearing loss which results from infections in low-resource settings as well as stronger maternal and child health services in high-income countries.
Estimates of causes of preventable hearing loss |
What are the strategies for prevention and care?
Strengthen maternal and chihealthcare programmes, including immunization and organizations of people with hearing loss. |
A. Strengthen:
ACTION: Include these vaccines in the national immunization programmes and ensure their widespread coverage.
• maternal and child health programmes to prevent prematurity, low birth weight, birth asphyxia, neonatal jaundice.
B. Implement :
ACTION: Put early intervention programmes in place, which focus on:
c. hearing rehabilitation through hearing aids and cochlear implants;
d. suitable therapy and communication options.
• school-based hearing screening with the aim to identify, refer and manage common ear diseases and hearing loss.
Train Healthcare professionals in hearing care |
• primary level physicians and health workers about the relevance of ear diseases and the need for early intervention for hearing loss and its treatment options. This would enable provision of accessible services and facilitate referral for their management. The WHO documents Primary ear and hearingcare training resource, a set of four training manuals, and Community-based rehabilitation: promoting ear and hearing care through CBR are useful resources for this.
• otologists, audiology professionals, other medical professionals (such as nurses), therapists and teachers to provide the required care and services. This is an important step for addressing ear and hearing problems.
D. Make accessible:
• noise levels in the environment, especially at recreational venues and sports arenas. High-quality personal audio devices, earphones and headphones with safety features can help to reduce the risk of
hearing loss due to their use.
• about healthy ear care practices which can reduce ear infections. For instance, avoiding insertion of any substance into the ear can help to decrease ear problems. Ensuring that children with ear pain avoid the use of home remedies and are treated by a medical practitioner can prevent chronic ear infections and associated hearing loss.
ACTION: Establish awareness programmes for promoting ear and hearing care within the community.
• about the dangers of loud sounds by educating children at an early age about the risks associated with damaging levels of sound from personal audio devices such as smartphones and noisy entertainment venues including sporting events.
ACTION: Develop and implement awareness programmes targeting young children with the aim to promote safe listening habits.
• in order to reduce the stigma associated with hearing loss in communities. Highlighting and sharing success stories from people with hearing loss can be effective in reducing stigma associated with hearing loss, hearing devices and alternate communication methods.
ACTION: Engage role models to raise awareness about hearing loss prevention and care.
In implementing the above, strategic planning can help to reduce hearing loss and diminish its adverse impact on those who live with it. In line with the principles of the Convention on the Rights of People with Disabilities, improved hearing and access to communication facilitate education and employment and foster social inclusion and psychological well-being among people with hearing loss. Many countries have already initiated strategies in line with the Convention and have established models for prevention, identification and intervention.
60% of childhood hearing loss is preventable; when unavoidable, appropriate interventions help to
ensure that children with hearing loss reach their full potential. Act now, here’s how!
° Strengthen maternal and child Health care programmes, including immunization and organizations of people with hearing loss.
° Train Healthcare professionals in hearing care
° Regulate and monitor use of Ototoxic medicines and Environmental noise
° Train Healthcare professionals in hearing care
° Regulate and monitor use of Ototoxic medicines and Environmental noise
° Implement infant and school-based hearing screening
° Make accessible ecouteur hearing devices and communication therapies
° Raise awareness to promote hearing care and reduce stigma
° Make accessible ecouteur hearing devices and communication therapies
° Raise awareness to promote hearing care and reduce stigma