This document discusses the growing burden of hearing disability in Pakistan and its causes. A retrospective study was conducted analyzing data from 537 hearing impaired patients who visited the National Institute for Handicapped from 1998 to 2000. Late presentation and lack of neonatal screening were found to be the main causes of increasing hearing disability, as many cases were not diagnosed until after age 3. Common causes identified included late detection, consanguinity, otitis media, and lack of immunization. The study concludes that many causes are preventable through early screening, immunization, and treating conditions like otitis media to avoid hearing loss and disability.
Advancing Equity and Inclusion for Deaf Students in Higher Education3Play Media
Join us for a session presented by the National Deaf Center on Postsecondary Outcomes (NDC) on creating inclusive environments in higher education for deaf students. NDC will provide valuable insights into the common barriers faced by deaf students in higher education and offer strategies for fostering inclusivity.
Applications of ICF in Language Disorders.pptxGowher Nazir
INTODUCTION OF ICF,
COMPONENTS AND PURPOSE OF ICF,
LANGUAGE IMPAIRMENTS,
ICF IN ASSESSMENT OF LANGUAGE DISORDERS,
CODING IN LANGUAGE IMPAIRMENTS,
ASSESSMENT AND CODING OF ACTIVITIES AND PARTICIPATION ON THE ICF,
INTERPERSONAL INTERACTIONS AND SOCIAL RELATIONSHIPS CODING ON ICF,
THE CHILDRENS VERSION OF ICF (ICFCY) CODES RELATED TO COMMUNICATION DISORDERS,
EVALUATING CAPACITY AND PERFORMANCE ,
EVALUATING CONTEXTUAL FACTORS
Advancing Equity and Inclusion for Deaf Students in Higher Education3Play Media
Join us for a session presented by the National Deaf Center on Postsecondary Outcomes (NDC) on creating inclusive environments in higher education for deaf students. NDC will provide valuable insights into the common barriers faced by deaf students in higher education and offer strategies for fostering inclusivity.
Applications of ICF in Language Disorders.pptxGowher Nazir
INTODUCTION OF ICF,
COMPONENTS AND PURPOSE OF ICF,
LANGUAGE IMPAIRMENTS,
ICF IN ASSESSMENT OF LANGUAGE DISORDERS,
CODING IN LANGUAGE IMPAIRMENTS,
ASSESSMENT AND CODING OF ACTIVITIES AND PARTICIPATION ON THE ICF,
INTERPERSONAL INTERACTIONS AND SOCIAL RELATIONSHIPS CODING ON ICF,
THE CHILDRENS VERSION OF ICF (ICFCY) CODES RELATED TO COMMUNICATION DISORDERS,
EVALUATING CAPACITY AND PERFORMANCE ,
EVALUATING CONTEXTUAL FACTORS
Hearing loss is one of the most frequent sensory deficient in human population. It affects more than 360 million people.
Consequences of hearing impairment include reduced ability to communicate, economic and educational disadvantage, social isolation and stigmatization.
we will talk also about the common types & causes of hearing loss and the possible applicable methods to treat these conditions.
Evaluation of Hearing in Children - from birth until 7 years oldRobert Ferris
A short presentation describing, very generally, the reasoning and methods used to evaluate hearing in neonates and older pediatric patients, up to 7 years of age. Slides compiled as part of medical school studies.
Sources for all imagery and sources listed in references section where possible. I do not claim ownership of any images or graphics. Slides for educational purposes only, and should not replace clinical judgement. No monetary gain was made for this work.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 22
GROWING BURDEN OFGROWING BURDEN OF
HEARING DISABILITY INHEARING DISABILITY IN
PAKISTAN –PAKISTAN –
ITS CAUSESITS CAUSES
DR. GHULAM SAQULAINDR. GHULAM SAQULAIN
M.B.B.S., D.L.O., F.C.P.SM.B.B.S., D.L.O., F.C.P.S
Head of E.N.T DepartmentHead of E.N.T Department
Capital HospitalCapital Hospital
ISLAMABADISLAMABAD
3. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 33
Never to see the face of a loved one norNever to see the face of a loved one nor
witness a summer sunset is indeed awitness a summer sunset is indeed a
handicap. But I can touch a face and feel thehandicap. But I can touch a face and feel the
warmth of the sun. But to be deprived ofwarmth of the sun. But to be deprived of
hearing the song of the first spring robin andhearing the song of the first spring robin and
the laughter of children provides me with athe laughter of children provides me with a
long and dreadful sadness_long and dreadful sadness_
Helen KellerHelen Keller
The Story of My Life, 1902The Story of My Life, 1902
4. ABSTRACABSTRAC
TT
Pakistan is an important Muslim Asian Country with anPakistan is an important Muslim Asian Country with an
area of 3,10,403 sq. miles and a population of 140area of 3,10,403 sq. miles and a population of 140
million. According to census report 1998, 9 % of totalmillion. According to census report 1998, 9 % of total
population is disabled and according to WHO survey,population is disabled and according to WHO survey,
10% of total population is suffering from one or other10% of total population is suffering from one or other
disability. Hearing impairment accounts for 9% ofdisability. Hearing impairment accounts for 9% of
disabilities.disabilities.
Based on a retrospective study of data collectedBased on a retrospective study of data collected
at National Institute for Handicapped, the articleat National Institute for Handicapped, the article
highlights the causes of increasing burden of hearinghighlights the causes of increasing burden of hearing
disability and handicap in Pakistan.disability and handicap in Pakistan.
(Key Words: Hearing Disability, Handicap)(Key Words: Hearing Disability, Handicap)
5. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 55
Normal HearingNormal Hearing
Outer and middle Ear:
Any abnormality or disease
could result in conductive
hearing loss,
Inner Ear:
Abnormality or disease would
result in Sensory Hearing loss,
Cochlear nerve and auditory
centres:
Abn. or disease would result
in Neural hearing loss,
INTRODUCTIO
N
6. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 66
• Normal brain development in babies and young children relies onNormal brain development in babies and young children relies on
stimulation of the brain from sensory input: eyesight, hearing, taste,stimulation of the brain from sensory input: eyesight, hearing, taste,
smell and touch.smell and touch.
• Children born with a hearing impairment face great difficulty inChildren born with a hearing impairment face great difficulty in
learning to speak. During the first 4 years of life, children learn tolearning to speak. During the first 4 years of life, children learn to
mimic and recognize different sounds, respond to voices andmimic and recognize different sounds, respond to voices and
develop speech and language skills.develop speech and language skills.
• If a hearing loss remains undetected during these vital learningIf a hearing loss remains undetected during these vital learning
years, emotional and personal development is delayed, speech andyears, emotional and personal development is delayed, speech and
language are restrained, and learning disabilities may develop. Alanguage are restrained, and learning disabilities may develop. A
prolonged hearing loss, may lead to speech delays, lowerprolonged hearing loss, may lead to speech delays, lower
intelligence, and reading delays that can be permanent even afterintelligence, and reading delays that can be permanent even after
the hearing loss is corrected. Thus a hearing loss in a child aged 1-the hearing loss is corrected. Thus a hearing loss in a child aged 1-
3 years will have a far greater impact on the child than the same3 years will have a far greater impact on the child than the same
degree of hearing loss at a later age. These outcomes can bedegree of hearing loss at a later age. These outcomes can be
prevented by early diagnosis and intervention.prevented by early diagnosis and intervention.
INTRODUCTIO
N
7. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 77
• Hearing Impairment is thus a major cause of disability andHearing Impairment is thus a major cause of disability and
handicap in developing countries. One of the main deficiencies inhandicap in developing countries. One of the main deficiencies in
the field is the absence of authentic epidemiological data in thethe field is the absence of authentic epidemiological data in the
developing countries, so much so that no concensus has beendeveloping countries, so much so that no concensus has been
reached regarding the etiology, prevention, treatment andreached regarding the etiology, prevention, treatment and
rehabilitative strategies.rehabilitative strategies.
• The data on the global magnitude of the problem is scarce, recentThe data on the global magnitude of the problem is scarce, recent
data relates that there are around 300 million people with disablingdata relates that there are around 300 million people with disabling
Hearing Impairment in the world R-1, compared to previousHearing Impairment in the world R-1, compared to previous
estimates of 100 to 120 million. However a matter of seriousestimates of 100 to 120 million. However a matter of serious
concern is that it continues to affect a vast population of developingconcern is that it continues to affect a vast population of developing
world especially children, where the problem is on the rise.world especially children, where the problem is on the rise.
INTRODUCTIO
N
8. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 88
• Detection of Hearing impairment and pathologies before they resultDetection of Hearing impairment and pathologies before they result
in hearing disability and social handicap and rectify them at grassin hearing disability and social handicap and rectify them at grass
root level is essential for developing countries like Pakistan, withroot level is essential for developing countries like Pakistan, with
limited resources.limited resources.
• The processes by which Hearing impairment and pathologiesThe processes by which Hearing impairment and pathologies
ultimately result in development of Hearing Disability and Handicapultimately result in development of Hearing Disability and Handicap11
..
Relates to wide range of pathologiesRelates to wide range of pathologies 22
.The processes may be.The processes may be
influenced by a number of factors :influenced by a number of factors :
Late DetectionLate Detection
Poor Service IntegrationPoor Service Integration
InfectionsInfections
Genetic predispositionGenetic predisposition
Pre maturityPre maturity
TraumaTrauma
Birth HypoxiaBirth Hypoxia
ToxicityToxicity
ConvulsionsConvulsions
9. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 99
METHODSMETHODS
• A Retrospective analysis of data collected at the E.N.TA Retrospective analysis of data collected at the E.N.T
Department, National Institute for Handicapped wasDepartment, National Institute for Handicapped was
performed.performed.
• The study included all cases of Hearing Impairment/ Disability/The study included all cases of Hearing Impairment/ Disability/
Handicap who visited the department from 1Handicap who visited the department from 1stst
.January 1998 to.January 1998 to
1212thth
Dec. 2000.Dec. 2000.
• Cases of senile deafness (Presbycusis were excluded from theCases of senile deafness (Presbycusis were excluded from the
study).study).
• Total number of cases included in the study was five hundredTotal number of cases included in the study was five hundred
thirty seven (n = 537). These were cases who presented atthirty seven (n = 537). These were cases who presented at
NIHd with Hearing or other impairment or disability and wereNIHd with Hearing or other impairment or disability and were
subjected to E.N.T examination and audiological testing.subjected to E.N.T examination and audiological testing.
10. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 1010
• Audiological testing was performed by a qualifiedAudiological testing was performed by a qualified
audiologist, using Siemen’s Diagnostic Audiometer withaudiologist, using Siemen’s Diagnostic Audiometer with
facility of Free Field testing as well.facility of Free Field testing as well.
• In few cases BERA was obtained.In few cases BERA was obtained.
• Tympanometry was essentially performed in cases withTympanometry was essentially performed in cases with
suspected middle ear problems like OME.suspected middle ear problems like OME.
METHODMETHOD
SS
11. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 1111
RESULTRESULT
SS
• Retrospective analysis of data of 537 hearing impairedRetrospective analysis of data of 537 hearing impaired
patients including 327 males and 210 femalespatients including 327 males and 210 females
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
Percentage
Males Females
Gender
Percentage Distribution of Gender of Patients
12. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 1212
First presentation of patients includedFirst presentation of patients included
in the studyin the study
0 50 100 150 200 250 300 350
Speech
Impaired/Handicap
Multiple
Impairments/Handicap
Hearing Impaired
alone
No. of Cases
No. of Cases
340 Patients presented with Hearing and Speech Impairment, while
29 showed multiple handicaps. Only 168 cases cases with HI alone.
13. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 1313
Distribution of patients according toDistribution of patients according to
province of originprovince of origin
NO. OF PATIENTS
N.W.F.P
A.J.K
Baluchistan
Punjab
Poor service integration was noted as services were
mainly utilized by a single province because of one
reason or the other,
14. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 1414
Distribution of Patients according to Age ofDistribution of Patients according to Age of
PresentationPresentation
Distribution of hearing impaired children according to age of presentation
is shows in fig., which shows that very few cases presented before three
years of age i.e., hardly 10% which was responsible for the increasing
disability.
5%
24%
23%
43%
5%
Less than 1 year
1.1 to 3 Years
3.1 to 5 Years
5.1 to 18 Years
Above 18 Years
15. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 1515
0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00% 80.00% 90.00%
Percentage
Late Presentation (After 3 Years)
Offsprings of First Cousins
Prenatal CM V
Prenatal Rubella
Prenatal Ototoxic Drug Exposure
Birth Hypoxia
Prematurity
Low Birth Weight
Forceps Delivery
Delivery via C/Section
Neonatal Jaundice
M eningitis
Typhoid
High Grade Fever
M umps
M easles
Trauma
Noise Trauma
OM E
Discharging Ears
Ototoxic drug intake
Cause/RiskFactor
Breakdown of
causes/risk factors
responsible for
increasing burden
of hearing
disability and
handicap.
16. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 1616
CONCLUSIOCONCLUSIO
NN
• Identification of possible causes responsible forIdentification of possible causes responsible for
increasing the hearing disability and handicap is ofincreasing the hearing disability and handicap is of
utmost importance especially for formulation ofutmost importance especially for formulation of
evaluation, treatment and rehabilitation strategies.evaluation, treatment and rehabilitation strategies.
• The Common Causes of Increasing Burden of HearingThe Common Causes of Increasing Burden of Hearing
disability and Handicap noted in this study were:disability and Handicap noted in this study were:
Late Presentation and lack of neonatal screening.Late Presentation and lack of neonatal screening.
ConsanguinityConsanguinity
OMEOME
17. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 1717
• Most of the causes are either:Most of the causes are either:
Preventable through immunization, early diagnosisPreventable through immunization, early diagnosis
and treatment of OME and ear infections andand treatment of OME and ear infections and
avoidance of ototoxic drugs so that disease/avoidance of ototoxic drugs so that disease/
impairment do not occur.impairment do not occur.
Other pathologies/ impairments may be contained byOther pathologies/ impairments may be contained by
early diagnosis esp. neonatal screening andearly diagnosis esp. neonatal screening and
intervention at an early age to prevent developmentintervention at an early age to prevent development
of disability or handicap.of disability or handicap.
• Lack of Neonatal Screening and Late presentation ofLack of Neonatal Screening and Late presentation of
cases with hearing pathologies and impairments is thecases with hearing pathologies and impairments is the
root cause of increasing burden of hearing disability androot cause of increasing burden of hearing disability and
handicap. Not only is it resulting in delayed diagnosishandicap. Not only is it resulting in delayed diagnosis
and wastage of resources but also easily treatableand wastage of resources but also easily treatable
conditions like Otiits Media and CSOM are resulting inconditions like Otiits Media and CSOM are resulting in
hearing disability and handicap.hearing disability and handicap.
18. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 1818
THE LEEDS CASTLETHE LEEDS CASTLE
DECLARATIONDECLARATION
““Avoidable disability with all its consequences inAvoidable disability with all its consequences in
human suffering and economic loss need nohuman suffering and economic loss need no
longer be an inescapable part of our humanlonger be an inescapable part of our human
predicament. It’s prevention on an unprecedentedpredicament. It’s prevention on an unprecedented
scale and at an acceptable cost is one of thescale and at an acceptable cost is one of the
options which are now available to theoptions which are now available to the
international community.”international community.”
19. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 1919
In children 1-6 years of age, at any one point in timeIn children 1-6 years of age, at any one point in time
5-10 % of children have OME in both ears and 20% in5-10 % of children have OME in both ears and 20% in
single ear. In children with persisting OME after 7single ear. In children with persisting OME after 7
years are at very high risk of developing complicationsyears are at very high risk of developing complications
of OME and becoming handicapped.of OME and becoming handicapped.
20. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 2020
Several NGO’s have taken up deafness and hearingSeveral NGO’s have taken up deafness and hearing
impairment on their main agenda like Hearingimpairment on their main agenda like Hearing
International, Impact Foundation, Dewa Academy,International, Impact Foundation, Dewa Academy,
Lions Club and so many others.Lions Club and so many others.
21. 07/27/1407/27/14 Capital Hospital IslamabadCapital Hospital Islamabad 2121
REFERENCESREFERENCES
World Health Forum: Prevention of deafness andWorld Health Forum: Prevention of deafness and
hearing impairment, 1993, 14,No 1, 1:12 WHOhearing impairment, 1993, 14,No 1, 1:12 WHO
Geneva.Geneva.