earbus foundation of wa Values, Contents Mission Chairperson’s Report 1 & Vision CEO’s Report 3 Financial Snapshot 7 Earbus Foundation of Western Australia’s Mission Key Facts on Otitis media 8 is to reduce the incidence and impact of middle ear disease (Otitis media) in Aboriginal and at-risk Program Report: Newborn Hearing Screening 9 children in Western Australia to achieve parity with Program Report: South West 11 non-Indigenous children. Program Report: Pilbara 13 The Foundation exists to support all children and Highlights of 2019 15 their families who may be at risk of developing Otitis media or hearing loss. Program Report: Kimberley 17 Program Report: Goldfields 19 Our Vision is that current and future generations of Indigenous children can succeed at school Program Report: South East 21 unhindered by the debilitating effects of Otitis Program Report: Metro 23 media and its impacts upon their ability to learn and achieve their full potential. Program Report: Hear Today Clinic 25 Changing Children’s Lives 26 Our Vision also extends to early detection, prevention and access to diagnostic services of Program Report: Clinical Services 27 hearing loss for newborn babies. Earbus Staff Team and Consultants and Volunteers 29

Our Core Values are the centre of all our internal Clinical Patron 31 and external interactions and are fundamental Board Profiles 32 to everything we do. These values are the non- Sponsors and thanks 33 negotiable, unchanging heart of our organisation. We stress the critical importance of all employees living these values and representing these values to the public we serve.

BE OPEN & HONEST, BE LOYAL AND SUPPORTIVE, BE BRILLIANT “Empathy is not simply a matter of trying to imagine what others are going through, but having the will to muster enough Dr Carol Dowling courage to do something about it. In a way, Chairperson’s empathy is predicated upon hope.” Report: ― Dr Cornel West This was my last term as Chair for this wonderful thing. This must start from the very beginning of exceptional array of information documenting organisation. In my moments of reflection in an Aboriginal child’s life and avoidable hearing loss our clinical engagements. This highly valuable writing this piece, I remember back to the hope and must not prevent it. material will soon be reported on extensively, but aspirations of the small band of people who first with every board meeting it reveals the vital need gathered to envision the work we would do. In 2013, I am who I am because someone loved me and was for our services. It is Earbus Foundation’s relentless the historical and institutional backdrop of chronic concerned about the trajectory of my life. I know focus and campaign that have created lasting ear disease had bleak impact on who and what we from this background I can see what serious moral impacts on the lives of families and their children. were as Aboriginal people in this state. With all we substance is. I see staff deliver our services and I see It is only a matter of time before such important knew from experience and personal moments, our the families of the children who use our clinics. They data is presented to a national and international team revelled together because Earbus Foundation have love for the thousands of children who sit with arena in a substantial way though research papers was a different and hopeful organisation from our staff. This care is significant especially when and focused research grants. There are difficult the beginning. With pride and integrity, that staff seek nothing but a decolonised sensibility in all truths about what the current health regime does organisation grew and has become a vital agent for that is operationalised at Earbus Foundation. We all and does not do for such a preventable disease. change. As Aboriginal and non-Aboriginal people aim to make the lives of children better than before. Indigenous research in this field is limited and so working together, we could see the world decline After all, humanity is about compassion and being are the voices of those whom this chronic disease and decay into nationalism and hierarchies that willing to sacrifice for that which is bigger than impacts on. The key aim is to demystify chronic ear excluded the marginalized but we deeply believed, us. Such an ongoing focus must always be based disease so that we can all have those delicate and and still believe, that what we do would have a on four fundamental elements: Integrity, Honesty, difficult conversations to make better overall health profound impact. Decency and Fortitude. I thank all staff for this focus outcomes for First Nations people in this state. especially when they have always taken calculated Fundamentally, as First Nations people, we need risks and weighed up the cost of change. I wish to thank everyone for their faith in my abilities people who are deep thinkers, not just those as Chair; you have offered me so much personal that survive on the superficial education given This year, the Foundation travelled 315,000 and professional support over the years. You have in bits because of hearing loss. At worst, this cult kilometres across our extensive network in inspired me and I will be forever grateful. of smartness in Western education pushes our Western Australia. A massive territory that included children along in a massive socially unequal tide increasing ventures deep into Noongar country in that works against the vulnerable. When we cannot the South-West or the myriad of First Nations living compete with the dominant culture we cannot in the Kimberley. We now have a wonderful group nurture black leadership and we cannot call out of clinical teams that travel far and wide to reach against the inequality we experience. Our future as many children as our services can. We know generations must be given the skills to speak clearly that these communities need us and this has been and concisely against oppression - in our own voice. proven time and time again. We need to be wise, just like our ancestors, to push against identity politics and go beyond to deeper Our development of new data collection software Dr Carol Dowling levels to define ourselves and our voice – the real EarPort means that we have collected an Earbus Foundation Chair

1 2 “we worked on over 70 sites and saw almost 4,000 children”

with Microsoft, it provides extraordinary capacity to halve to 6.0% in 2Q and halve again to 3.5% in 3Q. Paul Higginbotham analyse all the clinical and activity data captured by This rapid improvement is the most dramatic we our teams working across the state, from Wyndham have seen; we believe we have maximised the in the north to Esperance in the south. Monthly efficacy of the model by marrying a locally-based Executive level analysis of the data gave an up-to- screening team with the support of monthly visits the-moment snapshot of outcomes from Clinical from Perth-based clinicians - doctors, audiologists CEO’s Report visits. and nurses. Our referral rate into ENT specialist clinics is less than 1% of children, bearing out the I am pleased to report 2019 was another busy and three years at the MercyCare campus in Wembley. In 2019 we trimmed our Outreach Program visit professional consensus that this is a primary care exciting year for Earbus Foundation of Western When we first moved to Wembley we had 5 staff; frequency in the Pilbara and Goldfields, dropping issue first and foremost; only when primary care Australia. In our sixth year of delivering ear health upon exiting we had 32. We simply outgrew the back to two visits a term from the previous monthly fails do children need specialist care. There can be services to WA towns and communities we worked location and searched over 28 potential new sites visits that saw us visit schools 11 times a year. We no clearer evidence of program effectiveness than on over 70 sites and saw almost 4,000 children. before settling on Northbridge; its centrality, were encouraged by the strong outcomes we a low onward referral rate. In the Kimberley our Together with the 7,948 babies screened in private accessibility and modest style were a perfect had achieved from 2014 to 2018 and believed the doctors remarked on the stunning transformation maternity hospitals a total of 12,166 children received organisational fit. chronic disease load could be managed with fewer of children whose torn eardrums were starting to ear health services from our team. visits. We were wrong. Data in both regions showed self-repair. The South West Earbus Program had the most a resurgence of ear disease and less successful The statistics behind this complex and challenging significant growth in 2019. From a handful of outcomes than we hoped for or expected. In Our expanded Esperance program welcomed IGO operation are astonishing: sites in 2018 we expanded to 26 schools and saw 2020 we will increase the visits per region and are Ltd as a new sponsor and saw us include 5 new 61 Outreach Clinical trips Mandurah subsumed into our emerging Metro confident this will see data resume the strong sites and extend each trip to four days. The rate 3,966 children services. The addition of Collie late in the year saw downward trend of previous years. of CSOM is not as high as remote regions but the 201 regional flights the Program reach capacity with existing resources. drop in incidence showed a similar pattern as the 312,000 Kilometres travelled We thank SW Aboriginal Medical Services and Why? For children with chronic ear disease to get Kimberley, halving and then halving again. 18,778 Occasions of care all the participating schools for their invaluable well the exigency is to keep them actively engaged 76 people on Outreach visits support, with an especial mention of Djidi Djidi in the treatment pathway until such time as Another key message from our data is that clinical Aboriginal School which kindly allowed us to base infection abates. This typically requires medication, services alone – no matter how good they may be – These numbers do not include thousands of our SW operations from their campus. Much of regular ear washes, dry mopping, check-ups and will never close the gap and attain parity between kilometres travelled by our on-the-ground teams in our SW expansion was facilitated and promoted by more. Fewer visits this year heightened the risk that Aboriginal children and the rest of our society. SW and Kimberley! I pay tribute to co-founder and Djidi Principal Tegan Davis and deputy Bronwyn children (and families) would slip out of contact Until something serious is done to address the Director, Clinical Services Lara Shur who managed Mumme. Our grateful thanks to both of them for with the program and lose progress toward dry, social determinants of health I believe the best we and recruited the Clinical teams that delivered this their amazing support. healing ears. can hope for is to see the rate of chronic disease massive network of services. come under the critical WHO benchmark of 4% In 2019 our customised database – EarPort – came In the Kimberley, on the other hand, the results prevalence. I had the pleasure again this year of At the end of 2018 we relocated our head office to fully online and supported our data-driven analysis were exciting. From a CSOM (chronic ear disease) meeting UK-based Dr Andrew Smith who authored new premises in Perth’s CBD bringing to a close of program performance. Built in collaboration rate of 13.0% in the first quarter, we saw the rate the paper that lays down this parameter. He was

3 4 4/6/2020 AR - Travel

“Earbus Foundation aspires to exemplary outcomes for Aboriginal families by building a great Outreach Travel organisation committed to core over 225,000 kilometers DRW values of honesty, loyalty and flown on 201 flights brilliance.” over 90,000 KNX kilometers driven kind enough to remark that Earbus is the “program maintaining a high level service to children, families BME par excellence” and that our data is unsurpassed and communities. I thank all our corporate sponsors but the truth is Earbus is only one element of for their faith and loyalty – without them we would tackling this serious, entrenched and intractable be compromised in our capacity and effectiveness. issue. Our sponsors are truly the wind beneath our wings – thank you so much. PHE As well as addressing social determinants – overcrowded housing, poor nutrition and hygiene, Earbus Foundation aspires to exemplary Outgoing Flights # access to primary care and more – we need outcomes for Aboriginal families by building a  education and awareness programs that produce great organisation committed to core values of BME TO KNX 2 DRW TO KNX 2 measurable changes in behaviour over time. I am honesty, loyalty and brilliance. Our staff is made ZNE unconvinced that more brochures and posters are up of inspiring exemplars of those values who PER TO BME 2 the way forward, this money is largely spent with work tirelessly and unselfishly to high standards PER TO DRW 1 no meaningful outcomes or accountability in terms of professional excellence. To all our staff – it is an PER TO EPR 6 of lasting change. I am also deeply unimpressed by honour to lead you, I am awed by your commitment PER TO KGI 30 post-education surveys that tell us how much more and dedication. To our Board – you are true PER TO KNX 21 people “know” after they’ve had their collective believers and an immeasurable backstop of skill and PER TO LVO 1 consciousness raised – it’s not what you know, it’s counsel, especially our indefatigable Chair, Dr Carol PER TO PHE 37 what you do that matters. Funds should not be Dowling. To our stakeholders – schools, daycares, PER TO ZNE 1 directed at programs unable to demonstrate their playgroups, Aboriginal Medical Services across the ZNE TO KNX 1 efficacy through data. Aboriginal people deserve state, Starlight Children’s Foundation, RFDS, and all Total 104 better than this. So do long-suffering taxpayers. our volunteers who share our passion for this work, LVO We do not need a single additional piece of a sincere thank you for another amazing year. research into disease prevalence. What we do Incoming Flights # need is program accountability as measured by Further challenges lie ahead. Our success in KGI  reportable data so that finite funds can be directed securing two major grants – Impact100 WA and ZNE TO PER 1 at programs that work. What is incontestable is Impact100 Fremantle – gives us the opportunity to PER PHE TO PER 30 that until we solve this issue and reduce the rates provide services in metropolitan Perth; we expect KNX TO ZNE 1 and impact of disease Aboriginal Australians will major expansion in regional WA in 2020. The dream KNX TO PER 20 continue to live lives of diminished potential, that Lara Shur, Dee Parker and I shared around a KNX TO DRW 1 sentenced to second-class citizenship in a land they kitchen table in Perth’s northern suburbs 6 years KNX TO BME 2 have occupied for over 60,000 years. ago is now achieving things way beyond our wildest EPR imaginings. We are proud to bring you this 2019 KGI TO PER 30 At the end of 2018 our core Australian Government Annual Report. EPR TO PER 9 funding took a 40% cut, we were not alone in this DRW TO PER 1 as other providers were also affected. Our response BME TO PER 2 was not to bemoan the cuts, reduce our programs Total 97 and whinge to the media. Instead we set ourselves Paul Higginbotham the task of finding alternative funding sources and Earbus Foundation CEO

1/1

5 6 Financial Snapshot Operating Results

In 2019 Earbus Foundation returned a net surplus of 8% 14% $105,591, in line with budget projection for the year of $107,000. There was a significant funding cut in Key Facts on 17% the Australian Government’s Healthy Ears, Better Hearing, Better Listening program which impacted significantly on the revenue side.

Total income for 2019 was $2,935,000 with expenses 8% of $2,830,000. Despite the fall in government grants, overall revenue was similar to 2018 due to considerable increase in grants and fundraising 53% Otitis Media throughout the year. Earbus Foundation sets a target Budget Profits to Earnings Ratio of 7%; this Aboriginal children have the worst ear health of Aboriginal children in Australia experience an year’s P/E ratio was 3.5% as a result of the funding Revenue any people in the world, with prevalence rates 10 average of 32 months of middle-ear infections shortfall. zz 14% Australian Government funding times that of non-Indigenous children. 1 Ear disease between the ages of 0 and 5 years, compared to just zz 53% WA State Government often results in an avoidable hearing loss in early three months for non-Aboriginal children. 3 z In each of the six years since clinical services z 8% Fee for Service childhood, and children who can’t hear, can’t learn. zz 17% Grants and Donations commenced Earbus Foundation has returned zz 8% Sponsorships OM is highly treatable, but left undiagnosed and annual surpluses in line with, or exceeding, budget The World Health Organisation (WHO) specifies untreated it has multiple flow-on effects that projections. Surplus accumulated funds are held that rates of Otitis media above 4% in children ultimately perpetuate the very poverty that gives as contingency to support long term stability, constitutes a “massive public health problem” rise to the disease in the first place, thus continuing business reinvestment and eventually providing an 11% 9% requiring urgent attention (WHO/CIBA Foundation, the cycle. With effective treatment, children option of establishing operational headquarters in 1996). can avoid sustained hearing loss and have their 4% 9% proprietary premises. Current accumulated cash opportunities to learn and succeed at school fully assets stand at $1,397,686. Costs to the community of middle-ear disease (OM): restored. 12% zz lost well-being (estimated between $1.05b and Capital Assets $2.6b a year); “...hearing impairment is a significant contributor zz productivity and other non-financial costs ($67 to the causal pathway that represents a failure Audiology and medical equipment funded by m annually); and basically of education and health to deal with grants and donations rose due to grants from zz the total top-down health system expenditure those issues and they get picked up by the justice trusts and foundations throughout the year. With on OM ($391.6m a year in 2008). 2 system...hearing loss may not cause criminal the assistance of Impact100 WA and Impact100 55% activity, when considering the stigmatizing effects Fremantle we purchased a new Metro Earbus; we Costs to WA education systems arise from children of hearing impairment on self-concept, educational also acquired a service vehicle for use in Metro suffering educational and developmental delays, attainment and social skills, there is a causal link to operations. Non-current assets stand at $684,000. low levels of literacy and numeracy, school criminal activity.” 4 Expenditure zz 9% Medical Consultants Outreach absences, behaviour issues and disengagement, zz 9% Medical Consumables leading to increased risk of contact with the juvenile “There is a crisis in Aboriginal ear and hearing zz 55% Staff Salaries justice system. Around 74% of juveniles in detention health in Australia. Aboriginal people suffer ear z z 12% Outreach Travel in WA are Aboriginal children, a massive over- disease and hearing loss at up to ten times the rate zz 4% Equipment/Depreciation Funding Sources zz 11% Admin & Hear Today Clinics representation. High rates of recidivism can lead to of non-Aboriginal Australians, and arguably the life-long entanglement in the justice system. highest rate of any people in the world” 5 Earbus holds contracts with both state and federal In 2019 Earbus Foundation submitted 51 grant governments, provides contracted audiology applications of which 18 were successful with a total services to WACHS, generates significant fee grant income of $535,150 received. Among our new REFERENCES: income from testing and assessment services sponsors in 2018 we welcomed IGO Ltd and Gold at its Northbridge office (and elsewhere) and Fields Pty Ltd. 1 - Senate Inquiry of the 42nd Australian Parliament – “Hear Us: Inquiry into Hearing Health in Australia” 2010 p xv attracts philanthropic support from individuals and 2 - Report by Access Economics Pty Ltd for Glaxo Smith Kline, The Cost Burden of Otitis Media in Australia, February 2009 charitable trusts. The Neilson Foundation has been Earbus Foundation’s Annual Audited Financial 3 - Australian Bureau of Statistics, 2008, p134 the largest individual contributor with generous Statements are lodged with the Australian Charities 4 - http://www.aph.gov.au/senate/committee/clac_ctte/hearing_health/report/c08.htm#anc4 and much appreciated donations of $100,000 in and Not-for-profits Commission and can be 5 - Senate Community Affairs References Committee, 2010, p.xv each of the past four years. downloaded from their website at www.acnc.gov.au

7 8 NBHS Program Report: Statistics Newborn Hearing Newborn Screening in Private Hospitals in WA Hearing SCREEN BY CLINICS

Bunbury 414 Screening Geraldton 197 In 2019 the Newborn Hearing Glengarry 506 Screening Program performed 8255 Joondalup 962 screens on 7,948 babies birthed Mt Lawley 1208 across 7 private hospitals in the Murdoch 2151 Perth Metropolitan area, Bunbury, Subiaco 2694 Geraldton, Homebirths in the Metropolitan area and some from the Northbridge 123 public hospitals in the Metropolitan area and rural WA. TOTALS BY MONTH

The program exceeded all National Key January 661 Performance Indicators in 2019, including: February 643

zz Screening >97% of all eligible babies identified March 734 for screening within 30 days of birth – EFWA April 737 Average 99.8%; those babies not screened 7948 within 30 days of birth are identified, tracked May 736 and screened as soon as they become eligible. June 671 zz <4% test positive for potential Permanent Newborns Childhood Hearing Impairment (PCHI) – EFWA July 682 0.6%. August 667 Screened in Of the 46 babies referred for diagnostic assessment September 714 in 2019, 12 were diagnosed with PCHI, and 6 with October 749 conductive hearing loss. 2019 November 650 A team of 12 Casual Screeners worked across the December 611 program in 2019, performing 8255 screens – this equates to 2.3 full-time equivalent positions.

Suzie Costello Program Manager, Newborn Hearing Screening

9 10 4/6/2020 AR - Region Sole South West ENT Audiology 2 < No. Consults Program Report: Refer Other < Triage 1089 1% Results 8 Clinical Trips Review GP/NP 29% Refer OM Screener 352 5% + year-round 2825 South West Pass screening 65% In 2019 further expansions into the . No. Visit Waroona and Collie areas saw the Days South West Earbus Program grow  82% from 15 sites in 2018 to 25 sites in 2019. Southwest Peak 2019 Consent Rate Adam Road PS 10 78% 81% 79% 82% 82% New playgroups and schools added included AFaFE 2 76% 77% 77% 77% Aboriginal Families as First Educators (AFaFE) Amaroo PS 2 Playgroup, Amaroo Primary School, Adam Road 67% Australind PS 5 PS, Australind PS, Carcoola PS, Child Parent Centre (CPC) Collie, Maiden’s Park PS, River Valley PS, By Appointment Southwest 6 Wilson Park PS and Yarloop PS. The growth to Capel PS 9 619 this program was possible with support from our Carcoola PS 4 New Children partners and sponsors Ian Potter Foundation, Stan Carey Park PS 13 Perron Charitable Foundation, Alcoa, PEACH Trust, College Row 6 Doral and McCusker Charitable Foundation. The 987 overall consent rate in December 2019 was 82% Cooinda PS 9 Individual Children highlighting a strong level of engagement with new Dalyellup PS 18 and existing schools. Djidi Djidi 14 0 - 4 yo 9% Eaton PS 9 5 - 9 yo 67% Another key partner for the program is the South 23% Glen Huon PS 8 10 - 14 yo West Aboriginal Medical Services (SWAMS), who 19 provide vital local ENT services complementary to Kingston PS the Outreach Program. Maidens Park PS 7 Audiology Results Parkfield PS 9 With the growth in site locations, the program River Valley PS 3 exponentially exceeded the number of ear screens CHL MILD 4.8% South Bunbury Ed Support 5 recorded in 2018 with an increase from 1,179 to CHL MOD 2.1% South Bunbury PS 6 MIXED a total of 2,825 screens in 2019. In addition to 0.3% SNL MILD 0.5% screening, children also received clinical consults Treendale PS 8 SNL MOD 0.2% from Audiology (1,089 consults), GP/NP (352) and Tuart Forest PS 5 SNL SEVERE 0.1% ENT (2). 997 children were treated of which the Waroona 9 majority (619) were children new to the South West Wilson Park PS 2 Program. This was a huge increase from the 478 Yarloop PS 4 children engaged in the program in 2018. Due to Estimated Prevalence of Ear Disease for this jump in the number of new children seen, the Children in the Program data recorded higher rates of our target conditions compared to rates in 2018. Prevalence rates for target conditions in 2019 were as follows; Otitis media (OM) 9%, Chronic Suppurative OM (CSOM) 1.1% and Hearing Loss 7.6% - rates still well below 6.9% 4.7% 5.3% than the World Health Organisation benchmark of 4.1% 4% for CSOM. 0.6% 0.2% 0.3% 1.0% Caris Jalla Qtr 1 Qtr 2 Qtr 3 Qtr 4 Program Manager, Outreach (SW & Metro) 2019 % OM % CSOM

1/1 11 © 2020 HERE, © 2020 Microsoft12 Corporation 4/6/2020 AR - Region Sole Pilbara ENT 101 < No. Consults < Triage Audiology Program Report: 9 837 Refer OM Results Screener 26% Pass Clinical Trips 1440 37%

Refer Other GP/NP Pilbara 10% 834 Review . 27% No. Visit In 2019 the Pilbara program continued to grow with Days 668 children engaged, up from 565 children seen in  2018. Of this total cohort 220 children, or 33%, were 85% Other new to the program. A rise in new children often Peak 2019 Consent Rate impacts the rates of Otitis media (OM). Diagnosed By Appointment Pilbara 4 83% 83% 84% 85% 85% OM increased from 18% in 2018 to 28% in 2019. Marble Bar PS 5 81% 81% 81% 80% Nullagine RCS 7 A key reason for this difference was the change in 77% Strelley 6 frequency of trips from 11 visits to 8. This highlights the strong need for regular screening and Warralong 7 treatment to manage the pathology of OM. This rate Yandeyarra RCS 9 212 also grew due to the high number of new children, New Children particular with a significant portion under 4 years Port Hedland old. Associated with this increase of OM was the rate Port Hedland PS 5 of hearing loss with rates growing from 14% in 2018 South Hedland 665 to 28% in 2019. This again emphasises the need for frequent clinical visits, particularly for communities Baler PS 5 Individual Children in this region. For the upcoming year in 2020, the Cassia Ed Support 4 0 - 4 yo 19% Pilbara team will be scheduling 10 regular clinical Cassia PS 7 5 - 9 yo 50% visits to ensure children are able to access the Rose Nowers ELC 9 10 - 14 yo 28% needed services. These outreach visits were made 15 to 20 yo 3% possible due to a number of partners and sponsors South Hedland PS 9 21+ 1% including Atlas Iron, Fortescue Metals Group and Treloar CCC 8 Roy Hill and the exceptional team at Wirraka Maya Health Service Aboriginal Corporation, with Audiology Results whom we work to improve the health outcomes of Aboriginal people in the region. CHL MILD 18.3% The Outreach Program delivered 9 trips over 2019 CHL MOD 8.7% with a team of doctors, nurses, Audiologists, ENTs MIXED 0.6% in partnership with the Starlight Captains. Earbus SNL MILD 2.6% also works in conjunction with WA universities SNL MOD 0.6% and a number of students were able to experience hands-on service delivery on Outreach. With all trips there are always highlights and setbacks. Cyclone Veronica made her way across the region Estimated Prevalence of Ear Disease for and delayed the team on a trip. Nevertheless, the Children in the Program team saw a high number of children over the Term. A major highlight for this region was the win from Sunsuper’s Dreams for a Better World, 26.9% 35.8% 28.1% 21.8% where Earbus were Grand Finalist recipients 10.1% and winners for 2019. Another highlight was the 7.8% NAIDOC community day where our team provided 5.7% 5.9% community education in Port Hedland.

Qtr 1 Qtr 2 Qtr 3 Qtr 4 Emma Cahill 2019 Outreach Program Manager % OM % CSOM

1/1 13 © 2020 HERE, © 2020 Microsoft14 Corporation Partnerships Manager position JULY created – Karen Hickling 2019 Highlights recruited

OCTOBER Earbus Foundation wins Earbus Head Office moves to JANUARY Impact100 WA Grant new premises in Northbridge

NOVEMBER Earbus Foundation wins New Esperance SE Program MARCH Impact100 Fremantle Grant commences with 4-day trip

FEBRUARY SW Earbus program expands to New Kimberley sites added at FEBRUARY cover SW region including Collie Warmun, Frog Hollow and Doon Doon

SEPTEMBER Newborn Hearing Screening Earbus is named Runner-Up JUNE contract extended in WA Rising Stars Business Awards

DECEMBER Neilson Foundation continues Cosmo Newberry trips JULY amazing support with another commence with support from $100,000 donation extended Gold Fields Pty Ltd

15 16 4/6/2020 AR - Region Sole Kimberley ENT 3 < Triage Audiology < No. Consults Program Report: 920 Results 11 Pass Refer OM 31% Clinical Trips GP/NP 35% Screener 890 + year-round 3172 screening Kimberley Refer Other 7% Review In March 2019 Wesley Norman, Aboriginal Health 27% . No. Visit Worker, and Chloe Turner (administration) joined Days the Kimberley Team. This resulted in a dramatic  increase in the number of children reached across 71% the year and they, together with Breanna Roberts Halls Creek Peak 2019 Consent Rate have produced outstanding results. The team Halls Creek CPC 3 70% 71% 68% 68% initiated “park-ups” in some communities which 16 67% Halls Creek DHS 66% resulted in children being seen who were not 65% 65% Little Nuggets 9 64% currently enrolled at, or attending, school on the 61% day the team visited. In August Kate Lau joined the Warlawurru 22 team as primary audiologist for the region. YMTP 1 Kununurra 599 Earbus visits through the region are only possible Alta-1 College KNX 5 New Children with the assistance and support of local Aboriginal Medical Services. Both Ord Valley Aboriginal By Appointment Kimberley 10 Health Service (OVAHS) and Yura Yungi Medical East Kimberley College 56 1014 Service Aboriginal Corporation (YYMS) have been HIPPY 1 Individual Children instrumental in ensuring children are followed up Kununurra CPC 1 and provided with medications as needed. The 0 - 4 yo 13% Neighbourhood House 1 results achieved are as a result of these collaborative 5 - 9 yo 57% partnerships and combined efforts. OVAHS 1 10 - 14 yo 27% 15 to 20 yo St Joseph's KNX 24 2% Over the year there were dramatic reductions in the 21+ 1% rates of CSOM and Otitis media, results presented Stepping Stones 5 to the Kimberley Aboriginal Health Planning Forum White Gum Park 2 in December. Clinical data showed the CSOM rate Audiology Results Ringers Soak falling from 13% to 6% 2Q and by 3Q the rate was Birlirr Ngawiyiwu 7 3.5% - below the World Health Organisation’s 4% CHL MILD 15.9% pandemic benchmark. Warmun CHL MOD 8.2% MIXED 0.5% Doon Doon RCS 6 Otitis media rates also dropped throughout the SNL MILD 0.9% 5 year and the team witnessed dramatic changes Ngalangangpum SNL MOD 0.2% in individual children with eardrum perforations Purnululu 2 SNL SEVERE 0.2% closing and children with “wet” ears now dry. Warmun 1 Hearing Assessments showed a downward trend in hearing loss. Wyndham St Joseph's Wyndham 10 Estimated Prevalence of Ear Disease for The program consent rate climbed to 70% - a good Children in the Program Wela Wyndham CCC 2 result in a region with high rates of transience and continuous movement of children from school term Wyndham DHS 15 to term. 1,014 children received Ear Health services Yiyili 41.5% 34.6% 32.9% 35.0% during the year with 599 new children joining the Yiyili RCS 10 program. 6.0% 3.5% 3.6%

Dr Lara Shur Qtr 1 Qtr 2 Qtr 3 Qtr 4 Director, Clinical Services 2019 % OM % CSOM

1/1 17 © 2020 HERE, © 2020 Microsoft18 Corporation 4/6/2020 AR - Region Sole Goldfields ENT < Triage 245 < No. Consults Refer OM Results 12 Audiology 20% Screener 980 Pass Clinical Trips 1716 38% Refer Other 10% GP/NP 848

Review . 32% No. Visit Days  90% Coolgardie Peak 2019 Consent Rate Coolgardie CAPS 5 89% 88% 89% 90% Coolgardie PS 5 86% 86% 86% 86% 86%

Cosmo Newberry 82% Cosmo Newberry 3 Kalgoorlie-Boulder Boulder PS 6 213 East Kalgoorlie PS 10 New Children Program Report: South Kalgoorlie PS 8 Other 711 By Appointment Goldfields 4 Individual Children

Kurrawang CAPS 4 0 - 4 yo 14% Goldfields Laverton School 10 5 - 9 yo 54% 10 - 14 yo The remote community of Cosmo Newberry Leonora DHS 9 28% was added to the Goldfields visit roster in 2019 15 to 20 yo 4% Menzies RCS 5 through an innovative sponsorship arrangement 21+ 1% with Gold Fields Pty Ltd. Our existing schools Mt Margaret RCS 8 and communities continued as the mainstays of Audiology Results our Goldfields Program which reached over 700 children across 10 sites with a consent rate that surpassed 90% for the first time during the year. CHL MILD 19.0% The rate of chronic ear disease showed a substantial CHL MOD 4.9% decline, more than halving between 1Q and 3Q and MIXED 0.7% we are hopeful that more frequent visits in the year SNL MILD 1.5% ahead will see a sustainable decline to below the SNL MOD 0.6% WHO 4% benchmark. SNL SEVERE 0.1%

Our sincere thanks to the team at Bega Garnbirringu - Clinical Services for their Estimated Prevalence of Ear Disease for comprehensive support and our longest standing sponsor AngloGold Ashanti for their continuing Children in the Program support and advice. And a special mention of Minara Community Foundation who, together with 26.6% 27.2% 20.6% 16.4% AGA, funded a dedicated, customised and equipped Earbus for the Goldfields that has transformed 8.9% 7.8% the way we work. 2019 was the first full year of the Earbus mobile clinic operating across the region. 4.2% 5.0%

Emma Cahill Qtr 1 Qtr 2 Qtr 3 Qtr 4 Outreach Program Manager 2019 % OM % CSOM

1/1 19 © 2020 HERE, © 2020 Microsoft20 Corporation 4/6/2020 AR - Region Sole South East ENT Refer OM < Triage 56 < No. Consults 13% Results 4 Screener Audiology Refer Other 544 403 8% Clinical Trips Pass 52% GP/NP Review 296 27%

. No. Visit Days  90% Esperance Peak 2019 Consent Rate By Appointment Esperance 6 90% 90% 87% 88% Castletown PS 5 86% 86% 86% 86% Esperance PS 5 84% 84% Esperance SHS 2 Esperance SHS - Ed Support 2 Nulsen PS 5 163 Nulsen PS - Kindilinks 2 New Children Program Report: Wongutha CAPS 4 Norseman 280 Norseman 4 Individual Children

0 - 4 yo 8% 5 - 9 yo 40% South East 10 - 14 yo 30% In 2019 we attracted corporate sponsorship support 15 to 20 yo 22% from IGO Ltd that allowed us to separate the SE Esperance region from the Goldfields and turn the two regions into discrete programs. Norseman Audiology Results was added to the Esperance region and visits became 4 days instead of the previous practice of one day tacked onto the end of a Goldfields visit CHL MILD 15.4% four times a year. This allowed for the expansion of CHL MOD 7.9% services to Norseman Primary School, Castletown MIXED 1.8% PS, Esperance PS and also Esperance Senior SNL MILD 1.4% High School Ed Support and Year 7 students. Our SNL MOD 0.7% existing services to Nulsen PS and Wongutha SNL SEVERE 0.4% CAPS continued and we thank the staff in both locations for their amazing on-going support and commitment. Estimated Prevalence of Ear Disease for In total the 4 extended visits reached 280 children Children in the Program and saw a significant measurable decrease in the rates of chronic ear disease. The consent rate 17.7% in the SE region was also amongst the highest 11.9% 10.7% 10.6% of all our Outreach Programs. Our thanks to the clinicians who worked in the region and especially ENT Specialist David Hall for his engagement and 3.1% expertise in delivering high quality ENT to the 1.8% 1.1% 1.6% children in the Earbus Program. Qtr 1 Qtr 2 Qtr 3 Qtr 4 2019 Emma Cahill % OM % CSOM Outreach Program Manager

1/1 © 2020 HERE, © 2020 Microsoft Corporation

21 22 4/6/2020 AR - Region Sole Metro Refer OM < Triage Audiology < No. Consults 13% Results 17 356 Refer Other Screener 3% Clinical Trips 621 Pass GP/NP Review 53% 248 30%

. No. Visit Days  90% Metro Peak 2019 Consent Rate CPC Swan 3 90% 85% Dudley Park PS 5 75% 76% 76% 76% Edmund Rice College 4 67% 69% 68% 62% Moorditj Noongar Community College 4 Swan View PS 2 304 Program Report: New Children 318 Individual Children Metro 0 - 4 yo 10% 5 - 9 yo 2019 saw the beginnings of an Earbus Metro 45% 10 - 14 yo 33% Program with requests for services from various 15 to 20 yo 11% locations – Edmund Rice College (Bindoon), Dudley Park Primary School (Mandurah), Child Parent Centre Swan, Swan View Primary School and Moorditj Noongar Community College in Midvale. Audiology Results Across these sites a total of 318 children received ear screens. A total of 621 screens were conducted CHL MILD along with 356 Audiology appointments and 13.5% CHL MOD 248 GP/NP consults. Prevalence rates for target 2.2% MIXED conditions in 2019 were as follows; Otitis media (OM) 1.3% 18.2%, Chronic Suppurative OM (CSOM) 1.3% and SNL MILD 2.5% Hearing Loss 19.8%. SNL MOD 0.9% SNL PROFO… 0.3% After a number of visits to the Midland area it SNL SEVERE 0.3% was apparent that the need to reduce OM in the metropolitan region was imperative to reduce the Estimated Prevalence of Ear Disease for rates of hearing loss. In April, Earbus received a Children in the Program grant from Ansvar Insurance to part-fund a Metro bus. In October and November Earbus was the successful recipient of the both the Impact100 WA 17.3% 17.2% and Impact100 Fremantle grants, providing the funding required for a Metro Program. This funding 9.1% will set up programs that will target the Midland 6.5% and Fremantle surrounds starting in 2020. 2.2% 1.0% 1.7% 0.0% Caris Jalla Qtr 1 Qtr 2 Qtr 3 Qtr 4 Program Manager, Outreach (SW and Metro) 2019 % OM % CSOM

1/1 23 © 2020 HERE, © 2020 Microsoft24 Corporation Changing Children’s Lives

Report:

Hear Catherine’s Story Rebecca’s Story

Catherine, a 9 year old girl, had been a long-time The Earbus team first met Rebecca at her regional Today patient with Earbus. She had persistent middle ear school when she was four years old. infections which had, over time, caused perforations to her ear drums. Her speech was extremely delayed - she only had 5 words in her vocabulary, she was very shy and Despite her regular visits to Earbus, the team it caused her parents great concern. They were Clinic struggled to get her well – as is often the case with certain it was due to repeated middle ear infections Earbus patients, many other factors in the child’s life but hadn’t been able to access the services they In 2019 the Hear Today Clinic and offices moved to were causing the infection to persist. She required needed to get a diagnosis or treatment. our new Northbridge premises. This has allowed grommets but while her ears continued to have expanded service delivery and we employed an active infections she could not undergo the surgery. Earbus treated and managed Rebecca’s middle additional Audiology Graduate (Intern) Kate Lau The team performed Betadine washes on Catherine ear disease as a first step, but it was only then that midway through the year. Another Audiology whenever they saw her and wondered whether we were able to realise that it was a bigger issue. Graduate (Intern), Tim Kop, commenced in teaching her to perform these on herself was the The Earbus Audiologist performed testing which December 2019. Kate graduated from Melbourne key to helping get the situation under control. She confirmed that Rebecca was suffering from a University, Tim from UWA. agreed she felt capable of doing this, so the team sensorineural hearing loss, a permanent condition patiently instructed her on how to perform the which can impact speech significantly in children. The Hear Today clinic saw 46 child referrals for procedure on herself between Earbus visits and Infant Diagnostic Assessments following Newborn supplied her with the necessary resources. Over the next year, the Earbus team worked with Hearing Screening. Of these, 12 had a permanent Rebecca’s family to help manage Rebecca’s ear hearing loss in one or both ears. 6 additional Catherine diligently performed her own Betadine health and to guide them through the process families have ongoing conductive hearing loss washes. She told the team she did them in the of having hearing aids fitted. The Earbus team which continues to be monitored. shower so as to contain the mess and she got more recently saw Rebecca, now 7 years old, on one of competent over time. The team started to notice their regular visits. She was busily rearranging the Four adults attended the clinic for a hearing improvements and encouraged her to persist. furniture in the clinic room and was confidently assessment by special appointment. The clinic also directing everyone to take their seats as we were all saw 93 children for hearing assessments. These On a recent visit the team were astounded to see passengers in her imaginary bus (she was the driver children were referred through Newborn Hearing that her ears were dry, meaning there was no active of course!). She explained with perfect articulation Screening, located the clinic online or through infection! They were so proud of her – with the how we needed tickets and took our money as she word-of-mouth referral. Earbus team’s support and empowerment this 9 welcomed us on to the bus. year old girl had managed to play her own part in helping to get her ear health on track. The team An incredible turnaround and certainly a proud booked her in for surgery with the Earbus ENT and moment for the team! Dr Lara Shur she was able to receive grommets. Director, Clinical Services Names changed to protect privacy & Images for illustration purposes only

25 26 “the Earbus Outreach Program produces outcomes and results that need to be replicated across the rest of Australia”

Report: In previous years a University of Melbourne treatments. A huge shout out to the Starlight Audiology student joined the team in the Kimberley Captains from all at Earbus! and we were delighted this could continue in 2019. The ability to expose students to Earbus work helps AUDIOLOGY & TRAINING create understanding in the Audiology community Clinical of Aboriginal children’s clinical needs. Earbus provided Audiology services to Newman, “I just wanted to write to thank you for allowing me South Hedland and Kimberley under contract with to be a part of the trip last week. It was a privilege to WA Country Health Services (WACHS). These trips see the work that the Earbus Foundation is doing, foster greater information sharing between WACHS Services and I’m very grateful for the time you and Kate both and Earbus on children seen and clinical results. spent in instructing and giving me feedback over In June 2019 Earbus was approached by Connecting 2019 was a year of program and service expansion the week - it was an invaluable learning experience. Community for Kids to assist in their Kwinana-based and active collaboration with several external I hope you have a wonderful rest of the year, and project. Earbus Clinical staff trained staff at 6 Early organisations. It has been heart-warming to see best of luck to you and your team for 2020.” Learning Centres in basic ear health screening for how many children we are reaching and hear of children under 4 years of age. The 6-month training the difference being made in classrooms across In addition to university students we provided evaluation data showed effective modules that Western Australia. I believe the Earbus Outreach practicum placements for other professionals resulted in demonstrated Screener competencies Program produces outcomes and results that need attempting to improve ear health skills. and positive clinical outcomes. The program is to be replicated across the rest of Australia. Our “I would like to express my sincere appreciation called Ears2Learn and operates from Babbingur partner organisations are pivotal to these outcomes to you and your Earbus team for assisting both Mia Aboriginal Playgroup, Bright Futures (Moorditj with each bringing mutual learning opportunities Diana and myself with our practicum quest. The Kulungar), Bright Futures, Goodstart Atwell, that benefit Western Australian children. team were truly remarkable and professional Bertram, Cockburn and Success. Early in 2019 I visited Sydney Children’s Hospital in undertaking our practicum. They displayed Audiology Department and met an Audiology patience and were a fount of knowledge and The Hear Today clinic hosted 4 parent information team so inclusive and collaborative in outlook. experience. I have certainly learnt so much more sessions, as part of Unilateral Hearing Loss support They generously shared protocols, procedures and today and take away the knowledge and skills services for babies, children and families. Sessions ideas that we have brought back to WA to employ that will help other needy children in our midst. were held on a quarterly basis with focus on ENT in infant diagnostic testing and Newborn Hearing I commend you all on the amazing job you do to services, speech and language, audiology and Screening. I greatly appreciate their generosity improve the ear health of our communities and peer-led learnings. Sessions were well attended in terms of expertise and time; we hope this supporting students that have completed the with participants including parents, grandparents collaboration continues. Benchmarque courses. Thank you.” and siblings of children with a hearing loss in one ear. Services also include Online resources, lending OUTREACH “Yesterday morning I spent time with Rachel, library and Facebook page to assist families in Deirdre and Chontae completing the practical navigating services for their children. Throughout 2019 University of Western Australia component of my recent tympanometry course… Audiology students attended 22 regional trips All three ladies were delightful, professional, and In March we offered free Counselling services to alongside Earbus Audiologists. This provided extremely patient and helpful to Lynn and me - the community as part of our Hearing Awareness an invaluable experience for students who may thank you. It was encouraging to see such positive Week program. These sessions were well attended otherwise never be exposed to working with programs setting the college students up for their and underpinned collaboration with The Listening Aboriginal children and communities or in regional adult lives, and the Earbus team are an inspiration!” Centre’s Nicky Linton (Audiological Counsellor) areas. throughout 2019. Free sessions were offered to Engagement on Earbus Outreach trips continues to every family who had a permanent hearing loss Students shared online how valuable this be high and this is assisted by our partnership with diagnosed through the Hear Today clinic. experience was and how they appreciated the Starlight Children’s Foundation. Meg, Paul and the opportunity to hone their skills in regions they Starlight team entertain children and staff alike and Dr Lara Shur would otherwise never get to visit. keep children engaged or distracted during clinical Director, Clinical Services

27 28 4/6/2020 AR - Staff

Students  Admin Support (Student) Arya Abishek Luke Hollyock 76 Team Members Sarah Towler Audiology (Student) Alex Cortis Alex Stutley Clinical Trips Belinda Truong 61 Bryan Soh Daniel Gerace Ella Davine Earbus Staff Ellen Ffoulkes  Emily Furness Gabriele Palucci Admin Support Heidi Harliman Calvin Williams Jasmine Ward Chontae Hayden Kayla Chivell (nee Harvey) Clay Walker Earbus Team, Lily Tu Grahame Gould Natalie Luu Amanda Del Dosso - NBHS Screener Audiologist Ameilia Fox – NBHS Screener Samantha Pan Belinda Porte-Garcia Consultants and Deb Howe - NBHS Screener Sapna Baidya Kate Lau Symone Ishak - NBHS Screener Syahani Rahmawati Lara Shur Ros Lander - NBHS Screener Tara Prentice Rachel Meddings Volunteers Ailish Lawrie - NBHS Screener Vaishali Varsani Tim Kop Shohreh Meshgin – NBHS Screener Nurse (Prac Placement) CEO Wesley Norman – Kimberley Screener and Health Diana Lagrange Paul Higginbotham Leadership Worker Nurse Practitioner (Prac Placement) Dee Parker – Training & Quality Standards and Nurse Lynn Broderick Emma Cahill – Program Manager, Outreach Co-Founder Juliet Summers Suzie Costello – Program Manager, Newborn Breanna Roberts - Kimberley Screener Nurse Audiometrist Screening Marie Stagoll - NBHS Screener Dee Parker Clinicians Starlight Children's Karen Hickling – Partnerships Manager Janine Tassicker - NBHS Screener  Partnerships Manager Foundation Paul Higginbotham - Chief Executive Officer and Chloe Turner – Kimberley Data and Administration Audiologist Karen Hickling  Co-Founder Sarah Watson – Registered Nurse, Goldfields Janice Fitzgerald Jammima West – SW Screener Program Manager Starlight Captain Caris Jalla – Program Manager, Outreach Vivien Kwok Konrad Mills – IT and Data Management Caris Jalla Alicia 'Buggaluggs' Osyka ENT Lara Shur – Director, Clinical Services and Co- Consultancy Services Emma Cahill Cameron 'Chooky' Whitten Anton Hinton-Bayre Founder Registered Nurse Carly 'Smilee' Newcombe David Hall Administration Altheon Ink – Graphic Design Services Michelle Andrew Christian 'Sonic' Barratt Silvana Principe - Office Administration Diane Boyce – Bookkeeping Harvey Coates Sarah Watson Courteney 'Clueless' Cooper Shirley South – Office Administration Joan Garaffolo – Cleaning Services GP Screener & Admin Support Daniel 'Oddsox' Buckle Marijana Taras - Office Administration Orba Travel Karen Moller Elshiela 'Sumo' Mae Ibo Ale Melis Calvin Williams – Data Entry & Screener Publis – PR and Media Sue Jackson Emily 'Goldstar' Brennan Chontae Hayden – Data Entry & Screener Breanna Roberts Nurse Practitioner Gemma 'Miraculous' Sharp Chloe Turner Volunteers Deirdre Louw Jane 'Silly' Raitt Jammima West Helen Dawe Joana 'Disco' Miqueleiz-Hogg Audiology De Rene Clark Screener & Family Support Officer Maggie Wayland-Peck Mararo 'Loxx' Wangai Wendy Gibney Wesley Norman Victoria Thomas Vivien Kwok – Audiologist David Lim Michaela 'Twirl' Davis Kate Lau – Graduate Audiologist James Mapaye Paul 'Fuzzy' Grabovac Rachel Meddings - Audiologist Valerie Woodruff Peter 'Noisy' Cortissos Belinda Porte Garcia – Audiologist Phoebe 'Starlight' Sullivan Screening & Treatment Interns Rafel 'Slinky' Somerville Deanne Allen – NBHS Screener Sally 'Squish' Reid Michelle Andrew – Registered Nurse, Pilbara Amy Jeffery Shane 'Geronimo' Adamczak Lauren Costello – NBHS Screener Krishna Gamage

1/1 29 © 2020 HERE, © 2020 Microsoft30 Corporation Earbus Foundation Earbus Foundation of Western Australia Clinical Patron Harvey Board of Coates AO Directors CHAIRPERSON Harvey Coates AO DM MS FRCS(C) FRACS DABO is Dr Carol Dowling a Paediatric Otolaryngologist and Clinical Professor Specialty Areas of Expertise: Aboriginal culture, history and at the University of Western Australia, School communities; community radio; Otitis media (national of Paediatrics and Child Health and University broadcasting award winner), child protection. Department of Otolaryngology, Head and Neck Surgery. VICE-CHAIR

He is past Chairman of the Aboriginal Sub- Ms Wendy Duncan committee of the Australian Society of Specialty Areas of Expertise: Politics, government, Otolaryngology Head and Neck and Surgery. His governance, Royalties for Regions, regional relations, current research interests are the relationship Goldfields. of bacterial biofilms to Otitis media, chronic rhinosinusitis and adenoid disease, obstructive SECRETARY TREASURER sleep disorder and newborn hearing screening and Dr Michelle Pearce Indigenous children’s ear disease. Specialty Areas of Expertise: Special education, disability, early learning, evaluation and research. He was appointed an Officer of the Order of Australia in 2005 for his work and research in BOARD MEMBERS paediatric otolaryngology and ear disease in Mr Paul Higginbotham Aboriginal children. He has also won several other Specialty Areas of Expertise: NGO management, awards including the Deafness Council WA Inc. Dr fundraising, lobbying, media. Harry Blackmore Award (2004) the Australian Lions the Mayo Clinic in Rochester, Minnesota. Currently Foundation William R Tresise Fellow Award for Dr Coates continues to work on Outreach trips with Ms Sue Beath Humanitarian Services (2002) and the Fiona Stanley KAMS and Earbus Foundation.. He undertakes an Specialty Areas of Expertise: Education, health, Aboriginal Medal (2001). active role in the management of Aboriginal ear culture, history and communities. health. He is the author of numerous book chapters He studied medicine at the University of and over 66 papers. He is a member of 15 learned Dr Julie Owen Queensland and trained in Australia as well as in societies and committees both in medicine and the Specialty Areas of Expertise: Education, health, Aboriginal the United States of America where he worked at arts. culture, history and communities.

31 32 Sponsors & Thanks GRANTS Australian Communities Foundation Ian Potter Foundation Impact100 Fremantle Impact100 WA Lotterywest Matana Foundation McCusker Charitable Foundation Meerilinga Young Children's Foundation NGCS Neilson Foundation Sisters of Charity Foundation Spinifex Foundation Stan Perron Charitable Foundation Sunsuper SPONSORS/PARTNERS Alcoa AngloGold Ashanti Ansvar Insurance ATCO Atlas Iron Limited Aurizon Australian Chinese Charity Foundation Azure Capital Fortescue Metals Group Gold Fields Australia IGO Ltd INPEX Minara Resources Mondo Community Warriors MZI Resources Norton Gold Fields Limited Premier Coal Roy Hill Western Force DONORS Comedy Lounge Good2Give Community Fund Grill'd Mandurah La Trobe University & University of Melbourne Lorraine & Graeme Rowley Menora Gardens Village Residents Committee Rotary Club of Mundaring St Mary Magdalene Waveform Acoustics

33 34 35 36 Earbus Foundation of Western Australia Head Office & Hear Today Clinic

122 Aberdeen Street Northbridge WA 6003

to book your appointment contact us at: (08) 9328 4574 [email protected]

Earbus Foundation PO Box 237 Northbridge WA 6865