Centers for Disease Control and Prevention Efforts in Preventing Non- Work Related Hearing Loss Yulia Carroll, MD, PhD and John Eichwald, MA

Transcription

1 Centers for Disease Control and Prevention Efforts in Preventing Non- Work Related Hearing Loss Yulia Carroll, MD, PhD and John Eichwald, MA Office of Science National Center for Environmental Health Centers for Disease Control and Prevention (CDC)

2 Disclaimer The findings and conclusions in this presentation are those of the author and do not necessarily represent the views of the Centers for Disease Control and Prevention No financial or organizational interests to disclose

3 CDC and Hearing Loss National Institute for Occupational Safety and Health (NIOSH) National Center on Birth Defects and Developmental Disabilities (NCBDDD) National Center for Environmental Health (NCEH)

4 Hearing Health Care for Adults Priorities for Improving Access and Affordability National Academies of Sciences, Engineering, and Medicine Hearing Health Care for Adults: Priorities for Improving Access and Affordability. Washington, DC: The National Academies Press. Recommendations for CDC and other partners Strengthen efforts to collect, analyze, and share data on adult hearing loss and the effects of hearing loss and its treatment on patient outcomes Promote hearing health in regular medical visits Improve public information on hearing health and hearing-related technologies and services, and promote public awareness about hearing and hearing health care

5 CDC Intra-Agency Workgroup Agency for Toxic Substances and Disease Registry (ATSDR) National Center for Environmental Health (NCEH) National Institute for Occupational Safety and Health (NIOSH) National Center on Birth Defects and Developmental Disabilities (NCBDDD) Office of the Chief Operating Officer (OCOO) Office of Noncommunicable Diseases, Injury and Environmental Health (ONDIEH)

6 CDC Hearing Loss at Home and Community: NCEH NCEH: Noise-induced hearing loss research workgroup Study of the prevalence, risk factors of the problem Study health effects of noise Promotes public health awareness

7 Strategic Planning Vision By providing data and education, increase awareness and prevent noise-related hearing loss at home and in the community

8 Noise-Induced Hearing Loss Among Adults Includes a media release, fact sheet, website content, a town hall webinar and multiple social media tools Most provided in English and Spanish

9 1 in 4 US Adults Have Evidence of Noise-Induced Hearing Loss 24% or 39.4 million U.S. adults 3/4 of hearing loss is one-sided (unilateral) Carroll YI, Eichwald J, Scinicariello F, et al. MMWR Feb 10;66(5):

10 1 in 5 with Audiometric Notch Report No Exposure to Noise at Work 33% reported exposure to noise at work Twice as likely to have audiometric notch 20% reported no exposure to noise at work Males = 25% Females = 17% Carroll YI, Eichwald J, Scinicariello F, et al. MMWR Feb 10;66(5):

11 Loud Sounds At Home or In Community Cause Hearing Damage 21 million adults in the U.S. likely have hearing damage from loud sound sources at home or in their communities Noise sources include power tools, recreational vehicles, and listening to music more than 10 hours per week

12 Damage Accumulates Over Time Presence of notch in one or both ears: Age years = 19% Age years = 25% Age years = 29% Age years = 27% Age years = 21% Carroll YI, Eichwald J, Scinicariello F, et al. MMWR Feb 10;66(5):

13 One in six adolescents in NHANES had audiometric notches obesity was a risk factor For the first time, female adolescents may be at higher risk of NIHL than males Males = 15% Females = 20% Gender differences

14 Unrecognized Hearing Loss Occurs Frequently People with auditory damage caused by noise frequently do not recognize it One in four people who reported excellent or good hearing had an audiometric notch 70% of adults exposed to loud noise in the past 12 months never or seldom wore hearing protection

15 Health Providers Can Help Detect and Prevent Hearing Loss Ask about hearing and noise exposures Examine hearing during regular medical and wellness visits Refer for hearing evaluation and treatment Carroll YI, Eichwald J, Scinicariello F, et al. MMWR Feb 10;66(5):

16 CDC Shareable Media

17 CDC s Public Health Grand Rounds John Eichwald, MA Shelly Chadha, MBBS, PhD Deanna Meinke, PhD William Murphy, PhD

18 Media Uptake Seventeen (July 2017) Now Hear This! Cosmopolitan (August 2017) Loud and Unclear

19 Future Planning Address: noise (loud sound) exposure at home and in the community Address: hearing screening beyond newborns CDC Guideline Development Decision Tool Office of the Associate Director for Science (OADS) Office of Science Quality (OSQ)

20 Systematic Review Associated health effects between occupational or non-occupational noise exposure for

21 Hearing Screening U.S. Preventive Services Task Force: insufficient data to support benefits of regular hearing screening in adults aged >50 American Speech-Language-Hearing Association: adults be screened at least every decade through age 50 years and every 3 years thereafter Healthy People 2020:

22 Acknowledgments NCEH: John Eichwald, Franco Scinicariello, Tim Dignam, John Decker, Patrick Breysse, Lauren Benet, Peter Kowalski, Terry Tincher, Helen Schurz-Rogers, Lina Balluz, Padma Vempaty, Traci Augustosky NIOSH: Bill Murphy, Christa Themann, Chuck Kardous. NCBDD: John Eichwald, Eric Cahill ONDIEH: Robin Ikeda, Jana Telfer

23 Visit NCEH s Loud Noise Can Cause Hearing Loss website: eya3@cdc.gov For more information, contact NCEH/ATSDR CDC-INFO ( ) TTY: Follow us on The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry.