1.
School-Based
Hearing Guideline
for the City of Davao
1

2.
---words of the greatly admired JOSE W. DIOKNO.
““Full human development ... is the
optimal development of all that is
human in all humans, the bringing to
full flower of the native genius of
each and of all.”

3.
"physical impairment can not and
should never be made a reason to
undermine a person’s capabilities and/
or capacities to perform “normally”
and even, excellently in his/her own
field"
QUINTIN B. CUETO III
Commissioner In-Charge for Government Linkages

4.
PSOHNS Southeastern
Mindanao Chapter
President. J Gabriel De Borja, MD
Vice Pres. Veronica Magnaye, MD
Secretary Moh. Ariff Baguindali, MD
Treasurer Raul Jerry Isaguirre, MD
PRO Joseph Cachuela, MD

5.
OVERVIEW
• PSO-HNS Advocacy
Committee
• to come up with collective
unified advocacy program
• Chapters and Subspecialty
Groups
• 8 May 2015 Deadline

6.
OVERVIEW
• WHO AD CAMPAIGN
• 1.1B people AT RISK of
Hearing Loss
• teenagers and young adults
• due to unsafe use of
personal audio devices and
exposure to damaging
levels of sound at noisy
entertainment venues

7.
School-Based
Hearing Guidelines
PITFALLS of Newborn Hearing
Screening Guidelines

8.
HEARING LOSS
• follow through to the R.A. 9709
• a problem where the specialty is uniquely identified
with
• easy and facile campaign
• catastrophic effect
• advancing diagnostics

9.
HEARING ADVOCACIES
• Newborn Hearing Screening
• Provide Hearing Aid Program
• Adopt a School Hearing Guideline
• Execute the Occupational and Industrial Hearing
Conservation Program
• Integrate Noisy Recreational Hearing Conservation
Guideline

10.
Adopting a School Hearing Guideline
• has been done abroad
• an imminent need
• can be a City Ordinance or another Republic Act
• advantageous to the Specialty
• may require a local Pilot Study
• entails a lot of time, money and effort
• needs the cooperation of all stakeholders and ancillary
professionals

11.
Disabilities in the Philippines
10%
10%
8%
33%
39% moving
mental
speaking
seeing
hearing

12.
Magnitude of Hearing Problem
in the Philippines
• 2.04% prevelance of hearing
impairment
• 1.10% hearing disability
prevalence rate
• DOLE Compensation
Commission:
• partially deaf 7.55%
• total deaf 2.50%
• poor hearing acuity 2.48%

13.
• Ear and Hearing Health
Care: Our Responsibility
among the 1.4M of the
33M Filipino children
(45% of the total
population) were
estimated to have hearing
impairment
Magnitude of Hearing Problem
in the Philippines

14.
Magnitude of Hearing Problem
in the Philippines
9%
11%
6%
74%
earwax
dry perforation
chronic om
serrous om
Ear and Hearing Disorder Survey. N=3,431

15.
• Otitis media which is a
common cause of hearing
loss among children,
ranked #8 with a
prevalence rate of
12.23%.
DECS-NHC survey conducted among
15,381,796 children for the SY 1997-98
Magnitude of Hearing Problem
in the Philippines

16.
Highlights of School
Hearing Programs
• no single federal mandate
for childhood hearing
screening, however, the
goal to identify children
most likely to have a
hearing loss that may
interfere with
communication and affect
academic performance
and success is supported by
current federal legislation

17.
• Students who have hearing
impairments classified as mild or
moderate (15 dB to 50 dB) may
need classroom seating
arrangements
• Those with severe loss (70 to 90
dB) may need special classes where
they may learn and use speech
reading and/or sign language.
• Students wearing hearing aids may
need special classes or special
assistance to learn to adjust and
use an aid.
Highlights of School
Hearing Programs

18.
• required under New York
State Education Law
section 905 (amended in
2004)
• mandatory to all students
within six months of
admission to the school
and in grades
kindergarten, 1, 3, 5, 7 and
10 and at any other time
deemed necessary
Highlights of School
Hearing Programs

19.
New York State Education
School Hearing Guideline
Hearing screening may be done at any time deemed necessary by professional registered
nurse (school nurse). Such occasions might involve:
1. Students suspected by teachers, parents, physicians, etc., of having hearing loss (which
may include students in special education programs).
2. Students at risk for hearing loss, such as:
a. Students with medical conditions, which may affect hearing, including abnormalities
of the ears, nose, or throat; malformed or low-set pinnae, cleft lip or palate (including
submucous cleft), recurrent otitis media, or recurrent serious otitis media.
b. Students taking medications known to be oto-toxic.
c. Students having a known familial history of hearing loss.
d. Students with genetic abnormalities known to affect hearing.

20.
e. Students attending public school career and technical
education programs where they might be subjected to damaging
noise levels, such as in engine repair shop, printing, carpentry, etc.
f. Students exposed on a regular basis to excessive noise levels
such as power equipment, motorcycles, snowmobiles, guns, band
participation, and other noise pollutants.
g. Students who regularly participate in swimming and/or diving
teams, or who use aqua-lung or scuba gear.
h. Students who experience unconsciousness or head trauma (this
could be during a sporting event or any other cause).
New York State Education
School Hearing Guideline

21.
Until the student’s hearing status is clearly defined by medical and/or audiological
evaluation, the following measures should occur:
1. The student should be given preferential seating so that he/she is in direct line of the
teacher’s/speaker’s voice. Optimum distance is four to six feet from the teacher. If a better
ear has been identified the student’s better ear should be toward the teacher.
2. Teachers should use appropriate clarification strategies to assure that the student
understands oral information (repeat, rephrase, have student repeat, etc.).
3. Whenever possible, teachers should avoid:
a. Standing in front of a bright window while speaking.
b. Speaking while writing on the chalkboard.
c. Positioning themselves so that their faces are not visible to students.
4. Noisy learning environments should be avoided or minimized.
New York State Education
School Hearing Guideline

22.
What is Known?
Speech and language delay is associated with
reading, writing, attention and association
for the lack of high-quality standards and
stringency, NBHS may not be as effective in
identifying babies with hearing impairment
2/3 of preschoolers have at least 1 episode of
ear problems and 16% have at 6 or more
episodes. 1/2 of these will go undetected even
with good medical follow-up

23.
What is Known?
medically, a child is not considered
to have abnormal hearing until his/
her hearing is worse than 25 dB. But:
Impacted Cerumen 30-50 dB
OM with Effusion 50-60 dB
Perforated Ear Drum 10-30 dB

24.
What is Known?
the difference between reading
comprehension and grade
equivalencies for normal and those
with 25 dB losses
Gr 1 Gr 4
Normal Hearing 2.3 6.3
with 25 dB loss 2.0 4.5

25.
What is Known?
the difference between the expected
and actual performance on
language tests
Degree of Loss Language Delay in Years
15-26 dB 1.2
27-40 dB 2.0
41-55 dB 2.9
56-70 dB 3.5+

26.
What is Known?
of the learning disabled population,
20-25% have histories of, or on-
going ear problems related to,
hearing loss. As many as 38% have
been found to have abnormal

27.
Sufficient data is available to
suggest that children with early
and recurrent ear problems are
at risk for developing delays in
auditory, language and
academic skills.

28.
Objectives
To identify students with possible hearing losses
which may affect their intellectual, emotional,
social, speech, and/ or language development
To promote an optimal level of hearing for all
students
To identify students with potential hearing
problems
To provide appropriate educational accommodati
ons for students with hearing impairment

29.
Target Audience
The general
population
School entrants &
their parents
School health
personnels
School Principals &
Administrators
DepEd
DOH
LGU
ENTs
Audiologists

30.
Key Messages
The BRAIN is the TRUE Organ of
Hearing.
Ensure that your child is hearing
well what is taught in school.
Invest in education. Be assured
with a better hearing.

31.
Proposed Activities
& Strategies
Hearing screening must be administered to all
preschoolers within six months of admission
Knowing the signs and symptoms of hearing loss
is important when identifying students with a
suspected hearing problem
Hearing impaired students are classified based on
their hearing levels through the frequency range
most crucial for the understanding of speech.

32.
Resources Needed
Suggestions to address various levels of hearing loss will
be provided:
MILD HL - Needs favorable seating
MODERATE HL - May benefit from hearing aid or
educational amplification
SEVERE HL - Use of hearing aid, cochlear implant
and / or educational amplification in conjunction
with language therapy to aid the student with
communication skills
PROFOUND HL - Encourage the use of amplification hearing
aids, cochlear implant, educational amplifications,
sign language interpreter, translator and/or note

33.
Resources Needed
School admin cooperation
Sponsorship or Funding from
audiologic companies
Data collection
LGU
Legislatures support

34.
Materials Needed
Access to students academic score
cards
Use of audiogram, tympanometer
and audiometric booth

35.
The Listening Bubble is similar to this noontime gameshow.
It may seem funny how faces turn desperate and frustrated...

36.
...but for a child who is just about
to learn language skills in school,
the face of uncertainty isn't funny at all.

37.
K E Y M E S S A G E S
T H E B R A I N I S
T H E T R U E O R G A N
O F H E A R I N G .

38.
E V E N A S L I G H T H E A R I N G L O S S C A N B E A C A U S E
O F P O O R S C H O O L A C A D E M I C P E R F O R M A N C E
K E Y M E S S A G E S

39.
F O R Y O U R C H I L D ' S B E T T E R F U T U R E ,
I N V E S T I N T H E I R E D U C AT I O N .
B E A S S U R E D W I T H P E R F E C T H E A R I N G .
K E Y M E S S A G E S

40.
Code of Ordinances
City of Davao
Firecracker / pyrotechnics Ban
Cigarette Smoking Ban
Noise Nuisance Ban
Anti-discrimination Act
Speed Limit
Newborn Hearing Screening
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41.
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