Why Push for a School-based Hearing

Guideline?Local Health Board Davao City 22 July 2015

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June 12, 2009

Republic Act 9709

> Universal Newborn Hearing Screening and Intervention Act

> Establishes Universal Hearing Screening Program (UNHSP)

- Prevention

- Early Diagnosis

- Early Intervention of Hearing Loss

- Requiring all newborns to have access to hearing screening

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Background: R.A. 9709

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- detection of hearing loss in children should occur as early in life as possible

- infants born with hearing loss should be identified by three months of age so that rehabilitation programs can be initiated

- The first three years of life are critical to speech and language development

- Unfortunately, while some children’s hearing losses are detected within the first year of life, many more children with hearing loss are not detected until they enter school (five to six years of age)

- For this reason, it is now recommended that all infants be screened for hearing loss

EVALUATION OF THE CHILD’S HEARING LOSS

Why should newborn babies be screened for hearing loss?• 1 or 2 : 1000 livebirths have a level hearing loss in one or both ears

• affects their understanding and development of spoken language

• about half will have severe or profound loss of hearing

• early detection with early intervention means best possible chance to develop language and communication skills

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0,1% to 0,2 % of newborns have hearing loss

But up to 10 % of school age children do have a hearing problem or loss!

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Considerations

What is Known?Speech and language delay is associated with reading, writing, attention and association

for the lack of high-quality standards and stringency, NBHS may not be as effective in identifying babies with hearing impairment

2/3 of preschoolers have at least 1 episode of ear problems and 16% have at 6 or more episodes. 1/2 of these will go undetected even with good medical follow-up

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Code of Ordinances City of Davao

Firecracker / pyrotechnics Ban

Cigarette Smoking Ban

Noise Nuisance Ban

Anti-discrimination Act

Speed Limit

Newborn Hearing Screening

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What is Known?medically, a child is not considered to have abnormal hearing until his/her hearing is worse than 25 dB. But:

Impacted Cerumen 30-50 dB

OM with Effusion 50-60 dB

Perforated Ear Drum 10-30 dB

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What is Known?the difference between reading comprehension and grade equivalencies for normal and those with 25 dB losses

Gr 1 Gr 4

Normal Hearing 2.3 6.3

with 25 dB loss 2.0 4.5

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What is Known?the difference between the expected and actual performance on language tests

Degree of Loss Language Delay in Years

15-26 dB 1.2

27-40 dB 2.0

41-55 dB 2.9

56-70 dB 3.5+12

What is Known?of the learning disabled population, 20-25% have histories of, or on- going ear problems related to, hearing loss. As many as 38% have been found to have abnormal

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Sufficient data is available to suggest that children with early and recurrent ear problems are at risk for developing delays in

auditory, language and academic skills.

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To Optimize Ones Brain Capability with Education, it must be Unlocked by an Astute Hearing.

As Ear Specialists Serving this Nation, We should serve as Patriots unlocking Every Possible Potential for Every Filipino.

Bendatu Ali Dalandag, MD ADVOCATE, School Hearing Guidelines for the Philippines

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Love this Nation, Invest on the Future, Value our Education, Endear our Ears.

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Knowledge is Power. Information is Liberating.

Education is the Premise of Progress, in every Society, in every Family.

by Kofi Annan

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