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Department of Health Children with Special Health Needs Early Hearing Detection and Intervention 108 Cherry Street, PO Box 70, Drawer 28 Burlington, VT 05402 Agency of Human Services [phone] [fax] 802-651-1872 802-951-1218 High Risk Factors for Hearing Loss The following are risk factors that require additional testing after a successful newborn hearing screening: Family history of permanent hearing loss in childhood Maternal infections during pregnancy or delivery (Toxoplasmosis , Syphilis, HIV, Hepatitis B, Rubella , CMV, Herpes simplex, and others) Physical problems of the head, face, ears, or neck (cleft lip/palate, ear pits/tags, atresia, and others) Ototoxic medications given in the neonatal period Syndrome associated with hearing loss (Pendred, Usher, Waardenburg, neurofibromatosis) Admission to a neonatal intensive care unit greater than 5 days Prematurity (< 37 weeks) Hyperbilirubinemia Other reasons to consider scheduling a hearing test: Parent/caregiver concern regarding hearing Delays in speech/language development Recurrent middle ear infections or one episode lasting < 3 months Head trauma associated with loss of consciousness or skull fracture Bacterial meningitis and other infections (mumps, encephalitis, viral labyrinthitis) Exposure to potentially damaging noise levels Ototoxic medications received at any time