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===Screening=== The [[United States Preventive Services Task Force]] recommends [[Universal neonatal hearing screening|neonatal hearing screening]] for all newborns, as the first three years of life are believed to be the most important for language development.<ref name=Las2014/><ref>{{cite web |date=2021-11-09 |title=Your Baby's Hearing Screening and Next Steps {{!}} NIDCD |url=https://www.nidcd.nih.gov/health/your-babys-hearing-screening-and-next-steps |access-date=2023-06-21 |website=www.nidcd.nih.gov |language=en}}</ref> Universal neonatal hearing screenings have now been widely implemented across the U.S., with rates of newborn screening increasing from less than 3% in the early 1990s to 98% in 2009.<ref>{{cite web |title=Recommended Uniform Screening Panel {{!}} HRSA |url=https://www.hrsa.gov/advisory-committees/heritable-disorders/rusp |access-date=2023-06-21 |website=www.hrsa.gov}}</ref><ref>{{cite journal |last1=Gaffney |first1=Marcus |last2=Eichwald |first2=John |last3=Gaffney |first3=Claudia |last4=Alam |first4=Suhana |last5=Centers for Disease Control and Prevention (CDC) |date=2014-09-12 |title=Early hearing detection and intervention among infants – hearing screening and follow-up survey, United States, 2005–2006 and 2009–2010 |url=https://pubmed.ncbi.nlm.nih.gov/25208254/ |journal=MMWR Supplements |volume=63 |issue=2 |pages=20–26 |issn=2380-8942 |pmid=25208254}}</ref> Newborns whose screening reveals a high index of suspicion of hearing loss are referred for additional diagnostic testing with the goal of providing early intervention and access to language.<ref>{{cite journal |last1=Wilson |first1=James Maxwell Glover |last2=Jungner |first2=Gunnar |last3=Organization |first3=World Health |date=1968 |title=Principles and practice of screening for disease |journal=Public Health Papers |number=34 |hdl=10665/37650 |url=https://apps.who.int/iris/handle/10665/37650 |language=en}}</ref> The [[American Academy of Pediatrics]] advises that children should have their hearing tested several times throughout their schooling:<ref name="kid" /> * When they enter [[preschool|school]] * At ages 6, 8, and 10 * At least once during [[middle school]] * At least once during [[High school (North America)|high school]] While the American College of Physicians indicated that there is not enough evidence to determine the utility of screening in adults over 50 years old who do not have any symptoms,<ref name="annals">{{cite journal | url=http://annals.org/article.aspx?articleid=1309706 | title=Screening for Hearing Loss in Older Adults: U.S. Preventive Services Task Force Recommendation Statement | publisher=The American College of Physicians | journal=Annals of Internal Medicine | first=Virginia A. | last=Moyer | date=2012-11-06 | volume=157 | issue=9 | pages=655–661 | doi=10.7326/0003-4819-157-9-201211060-00526 | pmid=22893115 | s2cid=29265879 | access-date=2012-11-06 | url-status=live | archive-url=https://web.archive.org/web/20121027083232/http://annals.org/article.aspx?articleid=1309706 | archive-date=2012-10-27 }}</ref> the [[American Speech–Language–Hearing Association|American Language, Speech Pathology and Hearing Association]] recommends that adults should be screened at least every decade through age 50 and at three-year intervals thereafter, to minimize the detrimental effects of the untreated condition on quality of life.<ref>{{cite web|url=http://www.asha.org/public/hearing/Who-Should-be-Screened/|title=Who Should be Screened for Hearing Loss|website=www.asha.org|access-date=2017-03-17|archive-url=https://web.archive.org/web/20170317235022/http://www.asha.org/public/hearing/Who-Should-be-Screened/|archive-date=2017-03-17|url-status=dead}}</ref> For the same reason, the US Office of Disease Prevention and Health Promotion included as one of [[Healthy People program|Healthy People 2020]] objectives: to increase the proportion of persons who have had a hearing examination.<ref>{{cite web|url=https://www.healthypeople.gov/2020/topics-objectives/topic/hearing-and-other-sensory-or-communication-disorders/objectives|title=Hearing and Other Sensory or Communication Disorders {{!}} Healthy People 2020|website=www.healthypeople.gov|access-date=2017-03-17|url-status=live|archive-url=https://web.archive.org/web/20170318002053/https://www.healthypeople.gov/2020/topics-objectives/topic/hearing-and-other-sensory-or-communication-disorders/objectives|archive-date=2017-03-18}}</ref>
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