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Conference on Newborn Hearing Screening DOCUMENT RESUME ED 069 090 EC 050 189 TITLE Conference on Newborn Hearing Screenina; Proceedings Summary and Recommendations. INSTITUTION Alexander Graham Bell Association for the Deaf, Inc., Washington, D.C. POTS AGENCY California State Dept. of Public Health, Berkeley.; Department of Health, Education, and Welfare, Washington, D.C. Maternal and Child Health Services. PUB DATE 71 NOTE 139p.; Proceedings of a conference on newborn hearing and early identification of hearing impairment, (San Francisco, California, February 23-25, 1971) AVAILABLE FROM Alexander Graham Bell Association for the Deaf,3417 Volta Place, N.W., Washington, D.C. 20007 EDRS PRICE MF-$0.65 HC-$6.58 DESCRIPTORS *Audition (Physiology); *Auditory Tests; *Aurally Handicapped; Conference Reports; *Exceptional Child Services; *Infancy; Screening Tests ABSTRACT. Presented in the conference proceedings are schedule and list of participants, seven major papers, and the newbornhearing screening recommendations of the interdisciplinary conference on newborn hearing and early identification of hearing impairment. Neonatal auditory testing is reviewed by Sanford-Z. Gerber, and Sheldon B. Korones gives a neonatologist's ,overview of screening programs for detetting deafness in newborns. Neurosensoryfactors in newborn hearing. are considered by Louis Gluck, while Bruce W. Konigsmark discusses-hereditary and congenital factors affecting newborn sensorineural hearing and Burton F. Jaffe discusses hereditary and congenital factors affecting conductive hearing. Arthur J. Derbyshire presents theoretical considerations in the selection of variables for .testing newborn hearing, and, in Conclusion, a current overview of newborn hearing screening is given by Marion P. Downs. (KW) CONFERENCE N NEWBORN NE RING SCREENING 1971 CONFERENCE ON NEWBORN HEARING SCREENING Proceedings Summary and Recommendations SAN FRANCISCO INTERNATIONAL AIRPORT HILTON INN CALIFORNIA FEBRUARY 23, 24, 25, 1971 CONFERENCE SPONSORS Maternal and ChildHealthService HealthServices and Mental Health Administration Public Health Service Department of Health, Education, and Welfare Rockville, Maryland 20852 Bureau of Maternal and Child Health California State Department of Public Health 2151 Berkeley Way, Berkeley, California 94704 U.S. DEPARTMENT OF HEALTH. EDUCATION & WELFARE OFFICE DF EDUCATION THIS DOCUMENT HAS BEEN REPRO DUCED EXACTLY AS *RECEIVED FROM THE PERSON OR ORGANIZATION ORIG. INATING IT POINTS OF VIEW OR OPIN- IONS STATED DO NOT NECESSARILY REPRESENT OFFICIAL OFFICE OF EDU. CaTION POSITION OR POLICY This report is reprinted with permission of the sponsors and is available from The Alexander Graham Bell Association for the Deaf 3417 Volt: Place, N.W. Washington, D.C. 20007 Table of Contents [sage Introduction Planning Committee - Conference on Newborn Hearing Joint Committee on Newborn Roster of Persons Participating in Conference 5 Agenda 8 Recommendations of Conference 11 Background Paper - Neonatal Auditory Testing: A Review 15 Sanford E. Gerber, Ph.D. Screening Programs for the Detection of Deafness in Newborn Infants - A NeonatologiSts Overview 49 Sheldon B. Korones, M.D. Neurosensory Factors in Newborn Hearing 52 Louis Gluck, M.D. Hereditary and Congenital Factors Affecting Newborn Sensorineural Hearing 62 Bruce W. Konigsmark, M.D. Hereditary and Congenital Factors Affecting Newborn Conductive Hearing 87 Burton F. Jaffe, M.D. Theoretical Considerations in the Selecting of Variables for Testing the Hearing of Newborns 102 Arthur J. Derbyshire, M.D., et al Current Overview of Newborn Hearing Screening 112 Marion P. Downs Appendix A (Feinmesser) 119 Appendix B (Wcdcnberg) 126 Appendix C - Parent Questionnaire 132 Appendix 1-Pre-Conference Questionnaire 133 Appendix 11 - Tally of Questionnaires 134 Appendix Ill - Suggested Flow Chart for Newborn Hearing Screening with Follow-up 135 . INTRODUCTION The publication of these proceedings of a conference on Newborn Hearing andEarly Identification of Hearing Impairment held on February 23 - 25, 1971 at the San Francisco Airport represents the culmination of more than a year of effortof a number of interested, agencies and individuals, from clinical, academic and publichealth orientations. The germination of the .idea of an interdisciplinary top-level conferencebegan during a tri-regional meeting sponsoredby the Health Servicek and Mental Health Administration of Health, Education, and Welfare, relating to the problem of earlierdetection and treatment of handicapping conditions inchildren in early 1970. During the discussion there it became evident that there existed areas of controversy abouthearing screening of the newborn.We in the California State. Department of Public Health, Bureauof Maternal and Child Health offered to co-sponsor such a meeting with theMaternal and Child Health Services of the Health Services and Mental Health Adthinistration,Department of Health, Education, and Welfare, and with 'assurance of the advice andcounsel of the Joint Committee on Newborn Screening representing the AmericanAcademy ofPediatrics, the American Academy of Ophthalmology and Otolaryngology,and the American Speech and Hearing Association. The Bureau of Maternal and Child Health conducted a mail-response opinionpoll on the practices and opinionsof audiologists, pediatricians and otologists relating to infant/ * auditory screening. The results of the poll were encouraging, and planningfor the conference proceeded, with the added assurance from invited speakers andparticipants of their interest and willingness to contribute. Objectives set for the conference were: 1. To compile, assess, summarize, and report informationrelated to lie natal hearing and its relationship to other aspects Of growth and develop lent. 2. To assess the desirability, practicability, and significanceof each ofvariety of hearing testing procedures for the newborn's hearing. 3. To develop guidelines related to tcsting' the newborn'shearing. 4. To recommend studies which should be conductedrelated to he newborn's responses to acoustic stimuli with aview to develop increasfrgly effective means for early identification.of hearing impairment. The conference was designed to maximize both formal and inf rural opportunity for information and opinion exchange among the participants.The number of invited participants was limited to keep the working sessions of manageablesize. The first day's sessions, devoted as they were primarily to the presentationof papers, were opened Questionnaire and results of poll are included in Appendices!aiid 11, pages 133-134 5 to the professional public.The second day was given over to small group discussions and reporting back to the entire conference. The conferees met oncemore ul a morning session to review and agree on the recommendations arising from the previous !lay's work. The contents of the published proceedings include all formal papers, is prepared originally or as edited by the authors following the meeting in the interests of clarity, and the summarized recommendations. Special acknowledgments are due the Joint Committee on Newborn Screening.under the chairmanship of Mrs. Marion P. Downs for their initial interest in getting thecon ference going and their considerable individual contributions of time and talent as speakers, chairmen and prime movers.To John J. Hutchings, M.D. and Don Harrington, Ph.D. of Maternal and Child Health Services, Health Services and Mental Health Administration., go special thanks for their smoothing of fiscal and administrative paths in funding and organizing the conference: '5440,klik 41i// e, GcorJC. Cunningh ,M.D., Chief Bureau of Maternal and Child Health California State Department of Public Health May 14, 1971 2 Planning Committee Don Caziarc, Hearing Conservation Specialist Bureau of Maternal. and Child Health California State Department of Public Health George Cunningham, M.D. Chief, Bureau of Maternal and Child Health California State Department of Public Health Gertrude Church, R.N. Ilursing Consultant Maternal and Child Health Service . Health Seivices and Menial Health Administration . Department of Health, Education, and Welfare Region IX Marion Downs, Director of Clinical Audiology University of Colorado Medical Center Chairman, Joint Committee on Newborn Hearing Chairman Donald A. F.,arrington, Ph.D. Speech and Hearing Consultant Maternal and Child Health Service Health Services and Mentoi Health Administration Department of Health, Education, and Welfare Conference Coordinator: Edith V. Krabach Health Education Consultant Bureau of Maternal and Child Health California State Department of Public Health 3 THE JOINT COMMITTEE ON NEWBORN SCREENING -- THE AMERICAN ACADEMY OF PEDIATRICS AND THE AMERICAN SPEECH AND HEARING ASSOCIATION Chairman:Mrs. Marian Downs Director, Clinical Audiology University of Colorado Medical Center Denver, Colorado 80220 A. J. Derbyshire, Ph.D. Research Associate Professor University of Illinois Medical Center 1855 West Taylor Street Chicago, Illinois 60612 Sanford Gerber, Ph.D. Speech and Hearing Center University of California Santa Barbara, California93106 Aram Glorig, M.P. Director Callier Hearing and Speech Center 1966 Inwood Road Dallas, Texas 75253 Sheldon Korones, M.D. Director, Child Development Program Gailor Memorial Hospital 42 North Dunlap Street Memphis, Tennemee38103 Irving Shapiro, Ph.D. Director, Audiology and Speech Clinic Harbor General Hospital 1000 West Carson Street Torrance, California90509 David Weintraub, M.D. 25 Bryant Street Buffalo, New Yuri. 14029 4 ROSTER
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