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Hearing and Other Sensory or Communication Disorders

Newborn Hearing Screening

ENT-VSL-1 Increase the proportion of newborns who are screened for hearing loss by no later than age 1 month, have audiologic evaluation by age 3 months, and are enrolled in appropriate intervention services no later than age 6 months
Baseline: 82.0 percent of newborns aged 1 month or less had screening for hearing loss in 2007
Target: 90.2 percent
Target-Setting Method: 10 percent improvement
Data Source: State-based Early Hearing Detection and Intervention Program Network (EHDI), CDC/NCBDDD
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Healthy People 2010 The HP2010 objective with the same definition was 28-11a.
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Baseline: 66.0 percent of infants aged 3 months and under who did not pass the hearing screening received audiologic evaluation in 2007
Target: 72.6 percent
Target-Setting Method: 10 percent improvement
Data Source: State-based Early Hearing Detection and Intervention Program Network (EHDI), CDC/NCBDDD
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Healthy People 2010 The HP2010 objective with the same definition was 28-11b.
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Baseline: 50.0 percent of infants aged 6 months and under with confirmed hearing loss were enrolled for intervention services in 2007
Target: 55.0 percent
Target-Setting Method: 10 percent improvement
Data Source: State-based Early Hearing Detection and Intervention Program Network (EHDI), CDC/NCBDDD
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Healthy People 2010 The HP2010 objective with the same definition was 28-11c.
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Ear Infections (Otitis Media)

Baseline: 246.6 per 1,000 persons under age 18 years had otitis media in 2007
Target: 221.5 persons per 1,000 population
Target-Setting Method: 10 percent improvement
Data Sources: National Ambulatory Medical Care Survey (NAMCS), CDC/NCHS; National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 28-12.
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Hearing

ENT-VSL-3 Increase the proportion of persons with hearing impairments who have ever used a hearing aid or assistive listening devices or who have cochlear implants
Baseline: 162.7 per 1,000 adults aged 20 to 69 years had ever used a hearing aid in 2007 (age adjusted to the year 2000 population)
Target: 179.0 adults per 1,000 population
Target-Setting Method: 10 percent improvement
Data Sources: National Health Interview Survey (NHIS), CDC/NCHS; National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 28-13a.
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Baseline: 76.8 per 10,000 persons who are deaf or very hard of hearing had new cochlear implants in 2004
Target: 84.7 persons per 10,000 persons
Target-Setting Method: 10 percent improvement
Data Sources: Healthcare Cost and Utilization Project-Nationwide Inpatient Sample (HCUP-NIS), AHRQ; National Health Interview Survey (NHIS), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 28-13b.
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Baseline: 289.1 per 1,000 adults aged 70 years and older had ever used a hearing aid in 2007
Target: 318.0 persons per 1,000 population
Target-Setting Method: 10 percent improvement
Data Sources: National Health Interview Survey (NHIS), CDC/NCHS; National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 28-13c.
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Baseline: 100.0 per 1,000 adults aged 70 years and older used assistive listening devices in 2005–06
Target: 110.0 persons per 1,000 population
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 28-13d.
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ENT-VSL-4 Increase the proportion of persons who have had a hearing examination on schedule
Baseline: 28.6 percent of adults aged 20 to 69 years had a hearing examination in the past 5 years in 2003–04 (age adjusted to the year 2000 standard population)
Target: 31.5 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 28-14a.
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Baseline: 40.6 percent of adults aged 70 years and older had a hearing examination in the past 5 years in 2003–06
Target: 42.4 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 28-14b.
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Baseline: 79.3 percent of adolescents aged 12 to 19 years had a hearing examination in the past 5 years in 2005–06
Target: 87.2 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 28-14c.
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Baseline: 283.3 per 1,000 adults aged 18 years and older were referred by their primary care physician or other health care provider for hearing evaluation and treatment in 2007 (age adjusted to the year 2000 standard population)
Target: 311.7 persons per 1,000 population
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 28-15.
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ENT-VSL-6 Increase the use of hearing protection devices
Baseline: 483.0 adults per 1,000 aged 20 to 69 years had ever used hearing protection devices (earplugs, earmuffs) when exposed to loud sounds or noise in 2003–04
Target: 531.3 persons per 1,000 population
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 28-16a.
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Baseline: 410.7 adolescents per 1,000 aged 12 to 19 years had ever used hearing protection devices (earplugs, earmuffs) when exposed to loud sounds or noise in 2005–06
Target: 451.8 persons per 1,000 population
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 28-16b.
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Baseline: 45.9 adolescents per 1,000 aged 12 to 18 years had elevated hearing thresholds, or audiometric notches, in high frequencies (3, 4, or 6 kHz) in both ears, signifying noise-induced hearing loss in 2005–06
Target: 41.3 persons per 1,000 population
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 28-17.
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Baseline: 121.4 adults per 1,000 aged 20 to 69 years had elevated hearing thresholds, or audiometric notches, in high frequencies (3, 4, or 6 kHz) in both ears, signifying noise-induced hearing loss in 2003–04 (age adjusted to the year 2000 standard population)
Target: 109.3 persons per 1,000 population
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Healthy People 2010 The HP2010 objective with the same definition was 28-18.
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Tinnitus (Ringing in the Ears or Head)

ENT-VSL-9 Increase the proportion of adults bothered by tinnitus who have seen a doctor or other health care professionals
Baseline: 44.5 percent of adults aged 18 years and older bothered by tinnitus in the past 12 months had seen a doctor in 2007 (age adjusted to the year 2000 standard population)
Target: 48.9 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 45.8 percent of adults aged 18 years and older bothered by the onset of tinnitus in the past 5 years for whom it is a moderate, big, or very big problem, had seen or been referred to an audiologist or otolaryngologist (ENT physician) in 2007 (age adjusted to the year 2000 standard population)
Target: 50.4 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 80.9 percent of adults aged 18 years and older for whom tinnitus is a moderate to severe problem tried appropriate treatments in 2007 (age adjusted to the year 2000 standard population)
Target: 89.0 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Balance and Dizziness

Baseline: 48.4 percent of adults aged 18 years and older with balance or dizziness problems in the past 12 months had ever seen a health care provider in 2008 (age adjusted to the year 2000 standard population)
Target: 53.2 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 65.4 percent of adults aged 18 years and older with moderate to severe balance or dizziness problems had seen or been referred to a health care specialist for evaluation or treatment in 2008 (age adjusted to the year 2000 standard population)
Target: 72.0 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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ENT-VSL-13 Increase the proportion of persons who have tried recommended methods for treating their balance or dizziness problems
Baseline: 24.4 percent of adults aged 18 years and older tried recommended methods for treating their balance or dizziness problem in 2008 (age adjusted to the year 2000 standard population)
Target: 26.8 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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ENT-VSL-14 Reduce the proportion of adults with balance and dizziness problems who experienced negative or adverse outcomes in the past 12 months
Baseline: 61.5 percent of adults aged 18 years and older with balance and dizziness problems in the past 12 months reported their condition got worse or did not improve in 2008 (age adjusted to the year 2000 standard population)
Target: 55.3 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 23.3 percent of adults aged 18 years and older with balance and dizziness problems in the past 12 months were prevented from doing regular activities within the home or outside in 2008 (age adjusted to the year 2000 standard population)
Target: 21.0 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 14.5 percent of adults aged 18 years and older missed days of work or school in the past 12 months because of balance and dizziness problems in 2008 (age adjusted to the year 2000 standard population)
Target: 13.0 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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ENT-VSL-15 Reduce the proportion of adults with balance and dizziness problems who have fallen and been injured
Baseline: 55.6 percent of adults aged 18 years and older with balance and dizziness problems fell in the past 5 years while experiencing symptoms of dizziness, vertigo, or imbalance in 2008 (age adjusted to the year 2000 standard population)
Target: 50.0 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 41.7 percent of adults aged 18 years and older with balance and dizziness problems were injured as a result of a fall for any reason in the past 12 months in 2008 (age adjusted to the year 2000 standard population)
Target: 37.5 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Smell and Taste (Chemosenses)

Voice, Speech, and Language

Internet Health Care Resources for ENT-VSL

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