EARLY HEARING DETECTION AND INTERVENTION VIRTUAL CONFERENCE
MARCH 2-5, 2021

(Virtually the same conference, without elevators, airplane tickets, or hotel room keys)

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10/13/2017  |   1:45 PM - 2:45 PM   |  Non-occupational Noise Induced Hearing Loss: Data from CDC   |  East Ballroom at Shalala Student Services Building

Non-occupational Noise Induced Hearing Loss: Data from CDC

The 2016 National Academies of Sciences report “Hearing Health Care for Adults: Priorities for Improving Access and Affordability” included a call to action for government agencies to strengthen efforts to collect, analyze, and disseminate population-based data on hearing loss in adults. In partial response the Centers for Disease Control and Prevention (CDC) analyzed the most recent available data collected both by questionnaire and audiometric tests of adult participants aged 20–69 years in the 2011–2012 National Health and Nutrition Examination Survey (NHANES) to determine the presence of audiometric notches indicative of noise induced hearing loss. Prevalence of both unilateral and bilateral audiometric notches and their association with sociodemographics and self-reported exposure to loud noise were calculated. Nearly one in four adults (24%) had audiometric notches, suggesting a high prevalence of noise induced hearing loss. The prevalence of notches was higher among males. Almost one in four U.S. adults who reported excellent or good hearing had audiometric notches (5.5% bilateral and 18.0% unilateral). Among participants who reported exposure to loud noise at work, almost one third had a notch. Noise induced hearing loss is a significant, often unrecognized health problem among U.S. adults. Discussions between patients and personal health care providers about hearing loss symptoms, tests, and ways to protect hearing might help with early diagnosis of hearing loss and provide opportunities to prevent harmful noise exposures. Avoiding prolonged exposure to loud environments and using personal hearing protection devices can prevent noise-induced hearing loss.

  • After the presentation participants should be able to explain the features of audiometric notches used to identify and report the prevalence of noise-induced hearing loss
  • After the presentation participants should be able to discuss differences between occupational and non-occupational noise-induced hearing loss
  • After the presentation participants should be able to describe actions individuals and hearing healthcare professionals can take to prevent or slow the progression of noise-induced hearing loss

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Presenters/Authors

John Eichwald (), Centers for Disease Control and Prevention, jeichwald@cdc.gov;
John Eichwald is an audiologist currently detailed to the Office of Science in CDC’s National Center for Environmental Health in Atlanta, Georgia working on non-occupational noise induced hearing loss. John began his career at CDC in 2004 as the Team Lead for the Early Hearing Detection and Intervention program within the National Center on Birth Defects and Developmental Disabilities. Prior to CDC, he spent nearly 20 years at the Utah Department of Health serving in both clinical practice and administrative positions. His professional focus has been on the early identification of hearing loss; weaving in various aspects of data management, analysis, integration and public health informatics.


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Yulia Carroll (), Centers for Disease Control and Prevention, YCarroll@cdc.gov;
Yulia Carroll, MD, PhD serves as a senior medical officer at the Office of Science at the National Center for Environmental Health (NCEH) and the Agency for Toxic Substances and Disease Registry (ATSDR), where she advises on various scientific c issues and more recently has been assisting with the development of the noise-induced hearing loss initiative. Dr. Carroll started her CDC career as an EIS officer at the National Institute for Occupational Safety and Health (NIOSH) in 2007, where she led investigations into emerging work related diseases. She then worked as the Division epidemiologist at the ATSDR Division for Toxicology and Environmental Medicine, where she assisted in the development of toxicological profiles, exposure level recommendations, and field investigations. Prior to joining the CDC, Dr. Carroll worked as a research scientist at the University of Cincinnati Center for Health Related Aerosol Studies, where she set up a laboratory developing new methods for analyzing microbial samples. She received her PhD in Environmental and Occupational Health from the University of Cincinnati, and her MD from the Medical University of Varna, Bulgaria. Dr. Carroll has done research in the area of public health epidemiology and prevention since 1996, holds numerous awards and grants and has authored over 30 publications.


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John Decker (), Centers for Disease Control and Prevention, JDecker@cdc.gov;
John Decker has nearly 30 years of experience at the Centers for Disease Control and Prevention (CDC) and is currently the Associate Director for Science of the National Center for Environmental Health and Agency for Toxic Substances and Disease Registry (NCEH/ATSDR). Prior to this position, he worked for the National Institute for Occupational Safety and Health (NIOSH) working within the Office of the Associate Director for Science, Emergency Preparedness, Environmental Public Health Readiness Branch and the Health Hazard Evaluation program. Mr. Decker is a Certified Industrial Hygienist and Registered Pharmacist with a Bachelor of Pharmacy from Ferris State University in Michigan and a Masters of Science in industrial hygiene/toxicology from the University of Arizona.


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