2002 Annual Meeting on Successful Statewide
Roundtable Topic: What concerns do primary care physicians have about EHDI programs?
In February, 1999, the American Academy of Pediatrics (AAP) issued a policy statement endorsing the "implementation of universal newborn hearing screening." Consistent with this statement, most primary care physicians agree with the importance of identifying congenital hearing loss as early as possible.
According to the AAP statement, at least the following 5 criteria must be met in order to justify the implementation of universal newborn hearing screening programs:
Although there are now enough data to show that all five of these criteria are achievable by effective universal newborn hearing screening programs, it is clear that not all programs are functioning this well. Experiences of the past five years with Early Hearing Detection and Intervention (EHDI) programs have also raised a number of other issues about which primary care physicians have expressed concern.
American Academy of Pediatrics (1999). Newborn and infant hearing loss: Detection and intervention. Pediatrics, 103(2), 527-530.
www.babyhearing.org (this recently-announced website from Boys Town National Research Hospital contains a wealth of information which every primary care physician and parent should know)
American Academy of Pediatrics (2002). Principles and guidelines for early hearing detection and intervention programs (Joint Committee on Infant Hearing - Year 2000 Position Statement). www.aap.org/policy/infanthear.html
American Academy of Pediatrics (2001). More must be done to diagnose hearing loss early. AAP News, 18, 197.
American Academy of Pediatrics (2000). Pediatricians vital in coordinating care: Standardized newborn screening urged. AAP News, 17, 41.
Bachmann, K. R., & Arvedson, J. C. (1998). Early identification and intervention for children who are hearing impaired. Pediatrics in Review, 19, 155-165.
Mehl, A. L., & Thomson, V. (2002). The Colorado newborn hearing screening project, 1992-1999: On the threshold of effective population-based universal newborn hearing screening. Pediatrics, 109.
Finitzo, T., Albright, K., & O'Neal, J. (1998). The newborn with hearing loss: Detection in the nursery. Pediatrics, 102, 1452-1460.
Clemens, C. J., & Davis, S. A. (2001). Minimizing false-positives in universal newborn hearing screening: A simple solution. Pediatrics, 107.
Weichbold, V., & Welzl-Mueller, K. (2001). Maternal concern about positive test results in universal newborn hearing screening. Pediatrics, 108, 1111-1116.