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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
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)
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