EDITORIAL School-Based Hearing Screening Won’t Prevent Noise-Induced Hearing Loss CHOOL-BASED HEARING SCREENINGS WERE INI- cies and exhibits recovery at 8 kHz. Continued exposure tiated in the 1920s and became a routine edu- to high noise levels will subsequently result in the hearing cational health service in the 1960s. One loss extending into the lower (3 kHz) and higher (6 might say that in terms of routine pure- kHz) frequency ranges. Screening programs for NIHL must S tone screening in the United States, hear- be able to detect these subtle high-frequency notched au- ing screening has become the status quo and that little diometric configurations. Some of the earliest evidence for has changed in the past 50 years despite advances in sci- high-frequency notched audiometric configurations oc- ence and technology. There is a widespread lack of stan- curred in the literature as early as 1943 when Dr Walter dardization, with at least 22 unique combinations of pure- Loch described the “incidence and permanency of tonal dips tone test frequencies and presentation levels used in in children” in a study of 1365 Baltimore schoolchildren screening programs in the United States. School screen- from 8 to 14 years of age. These “tonal
JAMA Pediatrics – American Medical Association
Published: Dec 1, 2011
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