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Hearing loss

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Hearing loss is the diminished ability to detect sounds that would normally be heard. This can range from a partial inability to hear to total deafness. Deafness is defined as a loss so significant that a person cannot understand speech, even with amplification. In cases of profound deafness, even the loudest sounds from an audiometer may not be detected. Total deafness means no sounds can be heard at all, regardless of the method used.

HearingExam
HearingExam

Hearing loss occurs when sound waves enter the ears and damage sensitive tissues. One common cause is the loss of cochlear hair cells, which are tiny cells in the inner ear. There are three primary types of hearing loss. Conductive hearing loss involves how sound moves through the ear. Sensorineural hearing loss involves damage to the inner ear or the auditory nerve. Mixed hearing loss is a combination of both these types. A rare condition called auditory neuropathy occurs when the cochlea's hair cells work, but the auditory nerve does not transmit information faithfully to the brain.

Doctors categorize the severity of hearing loss using decibels (dB). This measurement tracks the increase in sound intensity required for a person to detect a sound. The categories include minimal or slight (15 to 25 dB), mild (25 to 40 dB), and moderate (41 to 55 dB). There are also moderate-severe (56 to 70 dB), severe (71 to 90 dB), and profound (greater than 90 dB) levels. A person is officially diagnosed with hearing loss when testing shows they cannot hear 25 decibels in at least one ear.

Hearing aid 20080620
Hearing aid 20080620

Many different factors can cause hearing loss to develop. It can be present at birth or acquired later in life. Genetics, aging, and exposure to loud noise are common causes. Some people experience hearing loss due to infections, birth complications, or trauma to the ear or brain. Certain medications or toxins can also cause damage. Chronic ear infections are a common condition that leads to hearing loss. Additionally, infections during pregnancy, such as rubella, syphilis, or cytomegalovirus, can cause hearing loss in a child.

Global statistics show how widespread this issue is. As of 2013, approximately 1.1 billion people live with some degree of hearing loss. This causes disability in about 466 million people, which is 5% of the global population. Among those with moderate to severe disability, 108 million live in low and middle-income countries. For 65 million people, the hearing loss began during childhood.

Hearing loss (adult onset) world map - DALY - WHO2004
Hearing loss (adult onset) world map - DALY - WHO2004

Hearing loss is linked to several other health concerns. It is associated with an increased risk of falls, especially in older adults. There is also a link between hearing loss and cognitive decline, including mild cognitive impairment and dementia. Some researchers believe this is due to increased cognitive load or social isolation. Hearing loss can also cause secondary symptoms like tinnitus, which is ringing or buzzing in the ear. It may also cause vertigo, which is a feeling of being off-balance.

There are many ways to support people with hearing loss. Many use hearing aids, cochlear implants, or sign language. Some people also use subtitles or learn lip reading.

Deaf videoconference
Deaf videoconference

Access to these tools varies by country. In New Zealand, public funding helps people get hearing aids based on age or financial need. Some providers there even use subscription models to make costs more manageable. For many in the Deaf community, sign language is a central part of their culture. They may view themselves as having a cultural difference rather than a disability.

Drawing (sign language friend), 2008
Drawing (sign language friend), 2008
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Deaf videoconference.jpg
Journey of Sound to the Brain.ogg
File:HearingExam.jpg
HearingExam.jpg
File:Hearing aid 20080620.jpg
Hearing aid 20080620.jpg
File:Hearing loss (adult onset) world map - DALY - WHO2004.svg
Hearing loss (adult onset) world map -...
File:Drawing (sign language friend), 2008.jpg
Drawing (sign language friend), 2008.jpg
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