Neonatal hearing screening – a short overview of the situation in western europe-eng 2009-05

Neonatal Hearing Screening – a short overview of the situation in

Western Europe

Dr. Dr. h.c. Monika Lehnhardt, GermanyMay 2009

Incidence per 10,000 of Congenital Defects/Diseases

30

12 11

6 5 52 1

0

10

20

30

40

Hearing Loss

Cleft lip or palate

Down Syndrome

Limb defects

Spina bifida

Hypothyroidism

Sickle Cell Anemia

PKU

Deafness is not visible

Equipment for Newborn Hearing Screening

Otoacoustic Emissions (OAE)

Automated Auditory Brainstem Response (AABR)

Nucleus® Freedom™ CI System Modern Hearing Aids (e.g. from Phonak)

ECDC- NHS Milan, 15 - 16 May 1998

European Consensus Statement on

Neonatal Hearing Screening

Finalised at the European Consensus Development Conference on Neonatal Hearing Screening

15-16 May 1998, Milan

Chairman: F. Grandori

Germany

http://www.google.de/imgres?imgurl=http://www.flags.de/genimg/Flagge_Deutschland.jpg&imgrefurl=http://www.flags.de/flaggen-deutschland.html&h=240&w=300&sz=22&tbnid=dpw2zTjyUuYrRM::&tbnh=93&tbnw=116&prev=/images%3Fq%3DFlagge%2Bdeutschland&hl=de&usg=__NqIMuHlYsVzGE87-Jm4D02AnqDA=&ei=8eQBStPpLoON_QamrbWzBw&sa=X&oi=image_result&resnum=3&ct=image

>95%

<1%

~40%

?

?

~80%

~55%

~80%

Screening Coverage (2008)

Austria

Belgium

Netherlands

http://images.google.de/imgres?imgurl=http://flagpedia.net/data/flags/ultra/nl.png&imgrefurl=http://flagpedia.net/de/niederlande&usg=__cN1t0SsmVmUH-aoh4k5IqcMGVis=&h=1707&w=2560&sz=21&hl=de&start=1&sig2=u85iU9y9bxvQp7ZhgT8LQQ&um=1&tbnid=85Z-f3EZ838OjM:&tbnh=100&tbnw=150&prev=/images?q=Holland+Flagge&imgsz=huge&hl=de&rlz=1T4SKPB_deCH267CH267&um=1&ei=V1IBSsLRF4qHsAbBwdihBg

Switzerland

United Kingdom

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Poland

http://images.google.de/imgres?imgurl=http://flagpedia.net/data/flags/ultra/pl.png&imgrefurl=http://flagpedia.net/de/polen&usg=__UzYagpSr95oi8ejqZ-6DdLroyNM=&h=1600&w=2560&sz=20&hl=de&start=3&sig2=xmpoybTHWG0tnbjAUgyfgA&um=1&tbnid=UCnoRoM32f7jpM:&tbnh=94&tbnw=150&prev=/images?q=Polen+Flagge&imgsz=huge&hl=de&rlz=1T4SKPB_deCH267CH267&um=1&ei=n1UBSvHvHMyEsAaZ5ryZBg

Croatia

http://images.google.de/imgres?imgurl=http://www.adriatyk.de/c/5/HREU/Kroatien.JPG&imgrefurl=http://www.adriatyk.de/858,Kroatien,S%C3%BCddalmatien,Dalmatien.html&usg=___naj-PqGRgjuTi91-wJN4gg4oK0=&h=1440&w=1920&sz=508&hl=de&start=19&sig2=1OmPTvQ49sAVhJBCl0V3Gg&um=1&tbnid=VxmvcgFMt_1P2M:&tbnh=113&tbnw=150&prev=/images?q=Kroatien&imgsz=huge&hl=de&rlz=1T4SKPB_deCH267CH267&um=1&ei=01IBSrf5O9Ddsgb1rc2VBg

http://images.google.de/imgres?imgurl=http://www.kurtbi.ch/Kroatien%202005/Bilder%202005/Krk.jpg&imgrefurl=http://www.kwick.de/clans/164427&usg=__KqyiIl9NlaHiE81TaGHpTKsUEzc=&h=1536&w=2048&sz=442&hl=de&start=1&sig2=tfQEuWUEJwhBLJetoSzfPQ&um=1&tbnid=sFBvzoUC_imltM:&tbnh=113&tbnw=150&prev=/images?q=kroatien+krk&imgsz=huge&hl=de&rlz=1T4SKPB_deCH267CH267&um=1&ei=gVMBSoD8EcqEsAbMpe2ZBg

http://images.google.de/imgres?imgurl=http://segeln.nullzeit.at/Content.Node/toern/reviere/Krk-Turm-www-kroatische-adria-info.jpg&imgrefurl=http://segeln.nullzeit.at/Content.Node/toern/wassersport-_revier_kroatische_adria.php&usg=__OII686S7GcQsN9M4txVgq-9IuO4=&h=1878&w=1990&sz=298&hl=de&start=5&sig2=D5t7yl_RLJvG2qcWxBOChQ&um=1&tbnid=LXBvOpGXFWPHvM:&tbnh=142&tbnw=150&prev=/images?q=kroatien+krk&imgsz=huge&hl=de&rlz=1T4SKPB_deCH267CH267&um=1&ei=gVMBSoD8EcqEsAbMpe2ZBg

http://images.google.de/imgres?imgurl=http://www.heirats-freu.de/attachments/rund-um-urlaub/68132d1233697413-kroatien-dsc_0033.jpg&imgrefurl=http://www.heirats-freu.de/rund-um-urlaub/26563-kroatien.html&usg=__6FYkXymgXtIuvylhLESvS45wenU=&h=1999&w=3007&sz=675&hl=de&start=43&sig2=kGXrsJLRgeSNZVqiZcmoIA&um=1&tbnid=RLBJTRrzXWdLaM:&tbnh=100&tbnw=150&prev=/images?q=kroatien+krk&imgsz=huge&ndsp=21&hl=de&rlz=1T4SKPB_deCH267CH267&sa=N&start=42&um=1&ei=7lMBSqPZNcuQsAafyrGbBg

Spain

http://images.google.de/imgres?imgurl=http://flagpedia.net/data/flags/ultra/es.png&imgrefurl=http://flagpedia.net/de/spanien&usg=__ny5ggVFvoyEk3bRUvm0qcU895OM=&h=1707&w=2560&sz=202&hl=de&start=3&sig2=pP68igvNzKa7G4bgLCmBsw&um=1&tbnid=YJviT04Qq4dmQM:&tbnh=100&tbnw=150&prev=/images?q=Spanische+Flagge&imgsz=huge&hl=de&rlz=1T4SKPB_deCH267CH267&um=1&ei=B1sBSvLLIJyPsAaC59GeBg

Future ???

“Infants cannot complain of lack of hearing, and cannot seek interventions we would surely not deny ourselves. We can and we must do their complaining for them!”

Dr. Martyn Hyde

http://www.schenken-sie-kindern-gehoer.de

Email: [email protected]

http://www.lehnhardt-stiftung.org

Email: [email protected]

Health & Medicine

Neonatal hearing screening – a short overview of the situation in western europe-eng 2009-05