1 00:00:01,000 --> 00:00:06,640 Speaker 1: Seven o two weekend Breakfast your Health with Doctor Fundati. 2 00:00:07,600 --> 00:00:10,520 Speaker 2: It's twenty one minutes before seven o'clock. Time for us 3 00:00:10,520 --> 00:00:13,760 Speaker 2: to talk health for this week and this morning we're 4 00:00:13,800 --> 00:00:16,599 Speaker 2: looking at World Hearing Day, which is coming up next 5 00:00:16,600 --> 00:00:19,960 Speaker 2: week early next week on the third of March. It's 6 00:00:19,960 --> 00:00:24,120 Speaker 2: a day that was created to highlight the importance of 7 00:00:24,360 --> 00:00:28,400 Speaker 2: hearing health and promote the care of ears and hearing 8 00:00:28,920 --> 00:00:31,960 Speaker 2: and each year has a different theme. This year's theme 9 00:00:32,479 --> 00:00:37,640 Speaker 2: is from Communities to Classrooms Hearing Care for all Children 10 00:00:37,720 --> 00:00:40,240 Speaker 2: and tell us a bit more about World Hearing Day, 11 00:00:41,000 --> 00:00:44,880 Speaker 2: some of the issues affecting children and the hearing. Joined 12 00:00:44,920 --> 00:00:47,360 Speaker 2: on the line by our resident GP is also the 13 00:00:47,400 --> 00:00:51,800 Speaker 2: seat of Active Health Solution Doctor Findylenati Doctagnati. A very 14 00:00:51,800 --> 00:00:52,680 Speaker 2: good morning too. 15 00:00:54,160 --> 00:00:56,600 Speaker 1: Good morning books, and good morning to all of these 16 00:00:56,640 --> 00:00:57,720 Speaker 1: sevenal to leave. 17 00:00:57,920 --> 00:01:00,560 Speaker 2: Great to have you on the show. As always, coming 18 00:01:00,640 --> 00:01:02,960 Speaker 2: up in just a couple of days, it will be 19 00:01:03,040 --> 00:01:07,559 Speaker 2: World Hearing Day and this year has a theme from 20 00:01:07,600 --> 00:01:12,280 Speaker 2: Communities to Classrooms Hearing Care for all Children. Tell us 21 00:01:12,319 --> 00:01:15,920 Speaker 2: about this theme and why the emphasis and focus on children. 22 00:01:18,319 --> 00:01:22,440 Speaker 1: Thank you Cooks for that question. Yes you know that 23 00:01:22,680 --> 00:01:27,319 Speaker 1: said of March every year. You know According to the 24 00:01:27,400 --> 00:01:31,840 Speaker 1: you Know Global Health Calendar, it said of March, the 25 00:01:31,920 --> 00:01:39,120 Speaker 1: spotlight is always on matters of hearing health. You know, 26 00:01:39,160 --> 00:01:42,160 Speaker 1: there's various themes every year. I mean a few years 27 00:01:42,200 --> 00:01:48,240 Speaker 1: ago it was about noise induced you know, hearing loss, 28 00:01:48,360 --> 00:01:54,040 Speaker 1: especially in workplaces amongst adults. But this year the focus 29 00:01:54,160 --> 00:02:01,840 Speaker 1: is squarely on children and adolescents, but slushly children. And 30 00:02:01,960 --> 00:02:08,800 Speaker 1: the reason for that is that you know, old age 31 00:02:09,120 --> 00:02:17,560 Speaker 1: children with hearing loss, it's often an undiagnosed problem and 32 00:02:17,720 --> 00:02:21,919 Speaker 1: the other people even have challenges in terms of accessing 33 00:02:22,320 --> 00:02:25,960 Speaker 1: the match needed services. And that's from the Wealth Report 34 00:02:26,040 --> 00:02:29,960 Speaker 1: on Hearing that was published in Painty Pendy one. But 35 00:02:30,080 --> 00:02:35,200 Speaker 1: also there's plus minus nineteen million children and adole sence 36 00:02:35,240 --> 00:02:38,840 Speaker 1: that's five to nineteen years across different parts of the world, 37 00:02:38,919 --> 00:02:44,320 Speaker 1: especially in the law to meet income countries whereby the 38 00:02:44,520 --> 00:02:52,519 Speaker 1: problem of hearing loss remained undetected and obviously with negative 39 00:02:52,600 --> 00:02:58,240 Speaker 1: consequences in terms of the ability of those kids who 40 00:02:58,320 --> 00:03:02,000 Speaker 1: here are also or not just be hearing laws, but 41 00:03:02,040 --> 00:03:09,720 Speaker 1: also how that impacts the speech development, language development, cognitive 42 00:03:09,840 --> 00:03:15,520 Speaker 1: development and social development. And so this team is really 43 00:03:16,320 --> 00:03:23,880 Speaker 1: meant to highlight this big challenge to say, let prevent 44 00:03:24,200 --> 00:03:29,160 Speaker 1: that which can be prevented, you know, and then let's 45 00:03:29,200 --> 00:03:32,880 Speaker 1: really identify those who have got problems so that we 46 00:03:32,919 --> 00:03:36,720 Speaker 1: can improve their prospects of quality life, you know, for 47 00:03:36,800 --> 00:03:38,000 Speaker 1: the rest of their lives. 48 00:03:38,160 --> 00:03:41,440 Speaker 2: And so d'artagnette looking at this number, you sort of 49 00:03:41,520 --> 00:03:44,600 Speaker 2: gave us quite a big number here of around ninety 50 00:03:44,760 --> 00:03:48,640 Speaker 2: million children and adolescens between the ages of five and nineteen. 51 00:03:49,040 --> 00:03:51,720 Speaker 2: Do we know how many of those children are based 52 00:03:52,120 --> 00:03:56,240 Speaker 2: either in the Sub Saharan Africa region or in South Africa? 53 00:03:56,360 --> 00:03:59,839 Speaker 2: Just what is the prevalence for us here in South 54 00:04:00,000 --> 00:04:00,840 Speaker 2: Africa do we know? 55 00:04:02,240 --> 00:04:07,560 Speaker 1: Unfortunately, this report from the Global Pudding of Disease Study 56 00:04:07,760 --> 00:04:10,880 Speaker 1: of twenty twenty one, it actually did not break it 57 00:04:10,960 --> 00:04:15,680 Speaker 1: down to South Southern Africa and within that how much 58 00:04:16,839 --> 00:04:21,440 Speaker 1: is in South Africa. All it mentions is that low 59 00:04:21,600 --> 00:04:26,760 Speaker 1: to middle income countries of which we part of, have 60 00:04:26,920 --> 00:04:31,200 Speaker 1: got a bigger problem and is largely because people lack, 61 00:04:32,400 --> 00:04:40,400 Speaker 1: you know, access to various health interventions and especially cleaning tools. 62 00:04:40,640 --> 00:04:44,400 Speaker 1: I mean, if somebody is in deep rural Transgui in 63 00:04:44,440 --> 00:04:47,599 Speaker 1: the eastern Gape, what are the chances of that person 64 00:04:48,480 --> 00:04:53,160 Speaker 1: or that kid being tested by an audiologists who are 65 00:04:53,200 --> 00:04:56,560 Speaker 1: normally in tertiary care centers and not in the clinics. 66 00:04:56,600 --> 00:05:01,320 Speaker 1: So the issue of access to screening, to and diagnostic 67 00:05:01,440 --> 00:05:06,599 Speaker 1: tools to be able to diagnose them preferably before six 68 00:05:06,680 --> 00:05:11,160 Speaker 1: months of age, because some of the kids with hearing loss, 69 00:05:12,440 --> 00:05:15,320 Speaker 1: the problem is actually a problem that happens in new 70 00:05:15,400 --> 00:05:18,920 Speaker 1: table that is during pregnancy, so they are already born 71 00:05:19,400 --> 00:05:23,320 Speaker 1: with a problem, and the sooner they are diagnosed, the better, 72 00:05:23,760 --> 00:05:28,640 Speaker 1: But they unfortunately because of the health inequities, especially you 73 00:05:28,680 --> 00:05:31,600 Speaker 1: know in the subla in Africa, including our own country, 74 00:05:32,240 --> 00:05:35,800 Speaker 1: that does not happen yet by six months that's the 75 00:05:35,920 --> 00:05:39,680 Speaker 1: time where you know, everyone should have been diagnosed to 76 00:05:39,720 --> 00:05:43,560 Speaker 1: have this problem. Was the better prospects of interventions at 77 00:05:43,600 --> 00:05:47,120 Speaker 1: that point than if it is diagnosed much. 78 00:05:47,000 --> 00:05:51,080 Speaker 2: Later, and so darts. What are some of the causes 79 00:05:51,560 --> 00:05:55,640 Speaker 2: that are leading to hearing loss in children? I know 80 00:05:55,680 --> 00:06:00,039 Speaker 2: you just mentioned that sometimes the issue is by the 81 00:06:00,080 --> 00:06:03,599 Speaker 2: time the baby is neutral that it's already the hearing 82 00:06:03,680 --> 00:06:06,160 Speaker 2: loss has developed, so they're going to be born with 83 00:06:06,279 --> 00:06:08,920 Speaker 2: hearing loss. But what are some of the other ways 84 00:06:08,920 --> 00:06:12,599 Speaker 2: that children in particular, because that's the focus for this 85 00:06:12,720 --> 00:06:14,920 Speaker 2: year's World Hearing There, what are some of the ways 86 00:06:14,960 --> 00:06:20,800 Speaker 2: that children can also lose their hearing, all right. 87 00:06:20,720 --> 00:06:23,599 Speaker 1: So I think let me look at it in terms 88 00:06:23,640 --> 00:06:30,279 Speaker 1: of you know, yeah before best or at best, and 89 00:06:30,400 --> 00:06:35,680 Speaker 1: also you know later Now there are situations where it 90 00:06:35,960 --> 00:06:40,720 Speaker 1: runs in the family, so genetic factors they play a role, 91 00:06:42,480 --> 00:06:47,839 Speaker 1: but more common in terms of those who are born 92 00:06:48,000 --> 00:06:55,640 Speaker 1: already with the hearing challenge. Infections during pregnancy, something like rubella. 93 00:06:55,800 --> 00:06:58,680 Speaker 1: We spoke about it that think a few weeks ago 94 00:06:58,680 --> 00:07:03,599 Speaker 1: when we're talking about conceptual counseling. So rubella or what 95 00:07:03,720 --> 00:07:07,479 Speaker 1: the other people referred to as German missles, is one 96 00:07:07,520 --> 00:07:13,800 Speaker 1: of the most common infections causes during pregnancy, and there's 97 00:07:13,840 --> 00:07:19,320 Speaker 1: also another viral infection called cytomegalovirus you know, a CMB 98 00:07:19,880 --> 00:07:24,640 Speaker 1: is also you know, a common reason for this, and 99 00:07:24,720 --> 00:07:28,400 Speaker 1: also premature bag the special boats who are born very 100 00:07:28,520 --> 00:07:31,960 Speaker 1: very very premature you can have this kind of problem. 101 00:07:32,080 --> 00:07:37,920 Speaker 1: So that's those who are born already with a hearing loss. 102 00:07:38,040 --> 00:07:42,400 Speaker 1: And so the who is basically saying sixty percent of 103 00:07:42,720 --> 00:07:47,400 Speaker 1: kids who are born you know or who have got 104 00:07:47,400 --> 00:07:52,800 Speaker 1: these challenges, you know, they can actually be prevented. And 105 00:07:52,960 --> 00:08:01,000 Speaker 1: in this case, you know, a genetic counseling where it's families, 106 00:08:02,360 --> 00:08:07,960 Speaker 1: you know, immunizations, for example, for things like rubella, that 107 00:08:08,120 --> 00:08:11,480 Speaker 1: can significantly reduce the number of kids who are born 108 00:08:11,560 --> 00:08:14,160 Speaker 1: with the problem. But let's talk about those who have 109 00:08:14,440 --> 00:08:19,280 Speaker 1: the hearing laws after they are born. And here we're 110 00:08:19,320 --> 00:08:24,880 Speaker 1: talking ear infections, you know, which are very common in 111 00:08:25,080 --> 00:08:30,440 Speaker 1: in in babies and infants and children up to about 112 00:08:30,480 --> 00:08:35,120 Speaker 1: age of five. You know, we talk of something called 113 00:08:36,200 --> 00:08:40,560 Speaker 1: you know, acute or titis media that is infection of 114 00:08:40,760 --> 00:08:46,000 Speaker 1: the middle ear that results in fluid that you know, 115 00:08:46,600 --> 00:08:50,320 Speaker 1: comes out of the ear that may be acute. Sometimes 116 00:08:50,320 --> 00:08:53,920 Speaker 1: it can even be chronic. That is a very common 117 00:08:53,960 --> 00:08:58,960 Speaker 1: problem in our country. And the men anxieties can also 118 00:08:59,280 --> 00:09:04,920 Speaker 1: cause this saying trauma to the head you know, or 119 00:09:04,920 --> 00:09:09,480 Speaker 1: what you call birth asphyxia during delivery that can be 120 00:09:10,240 --> 00:09:14,079 Speaker 1: also another cause. So basically there's a number of causes 121 00:09:14,200 --> 00:09:18,000 Speaker 1: and most of these something can be done about them 122 00:09:18,120 --> 00:09:21,880 Speaker 1: so that this can be reduced. But infections in our 123 00:09:21,960 --> 00:09:25,480 Speaker 1: country is a very very common problem, whether it is 124 00:09:25,720 --> 00:09:27,400 Speaker 1: before birth or after birth. 125 00:09:28,000 --> 00:09:30,840 Speaker 2: And so then doctor Natti, in this instance, maybe you 126 00:09:30,880 --> 00:09:33,160 Speaker 2: know a child does have some hearing loss as a 127 00:09:33,160 --> 00:09:35,640 Speaker 2: results of some of these symptoms that you've spoken to 128 00:09:35,679 --> 00:09:39,000 Speaker 2: us about, Like you know, German missiles or their premature 129 00:09:39,280 --> 00:09:42,520 Speaker 2: or there was an infection. What are some of the 130 00:09:42,520 --> 00:09:45,440 Speaker 2: symptoms and science that parents and care gibers can be 131 00:09:45,480 --> 00:09:47,760 Speaker 2: looking out for in a child to see if it 132 00:09:47,800 --> 00:09:50,520 Speaker 2: is in fact that they are just really struggling with 133 00:09:51,480 --> 00:09:52,080 Speaker 2: their hearing. 134 00:09:54,080 --> 00:10:00,280 Speaker 1: So I think there are a number of symptoms that 135 00:10:00,559 --> 00:10:08,560 Speaker 1: I think parents can be able to identify. For example, 136 00:10:08,679 --> 00:10:13,200 Speaker 1: like a child by the age of six months should 137 00:10:13,240 --> 00:10:18,320 Speaker 1: be able to tend their head words where the sound 138 00:10:18,400 --> 00:10:21,960 Speaker 1: is coming from. So if you're talking and the child 139 00:10:22,080 --> 00:10:26,199 Speaker 1: of that age should be able to tend their head towards, 140 00:10:26,920 --> 00:10:29,720 Speaker 1: you know where the sound is coming from. And what 141 00:10:29,800 --> 00:10:33,280 Speaker 1: you will find then is that you know, a child 142 00:10:33,600 --> 00:10:39,120 Speaker 1: with a hearing loss may not be able to do that. 143 00:10:39,720 --> 00:10:43,960 Speaker 1: They may not react to loud noises. They may not 144 00:10:44,280 --> 00:10:48,320 Speaker 1: have bubbling you know children you know have you know 145 00:10:48,360 --> 00:10:52,000 Speaker 1: what we call bubbling bubbling sounds, So they may not 146 00:10:52,080 --> 00:10:55,160 Speaker 1: have bubbling sounds. They can't they don't tend their head 147 00:10:55,440 --> 00:10:58,920 Speaker 1: towards sounds, and they have no reaction if has loud 148 00:10:58,960 --> 00:11:03,160 Speaker 1: noises in the in the in the room with tooddless. 149 00:11:04,000 --> 00:11:07,959 Speaker 1: They may be delayed speech, they may be unclear speech, 150 00:11:08,400 --> 00:11:12,679 Speaker 1: they may be inattentiveness and sometimes if they are listening 151 00:11:12,720 --> 00:11:16,720 Speaker 1: to TV, they may ask that the volume pretends high, 152 00:11:17,360 --> 00:11:21,520 Speaker 1: you know, or sometimes they may just appear to ignore, 153 00:11:22,040 --> 00:11:24,360 Speaker 1: you know, people in the room. So those are just 154 00:11:24,360 --> 00:11:28,480 Speaker 1: some of the symptoms and signs amongst toddlers and children. 155 00:11:28,840 --> 00:11:33,520 Speaker 1: And then for schoolgoing age, they may be difficulty in 156 00:11:33,720 --> 00:11:41,040 Speaker 1: following instructions, who are academic performance all fatigue from struggling 157 00:11:41,120 --> 00:11:44,040 Speaker 1: to hear. So those are just some of the tell 158 00:11:44,120 --> 00:11:48,120 Speaker 1: teams you know, signs that something is not right, and 159 00:11:48,200 --> 00:11:51,160 Speaker 1: they have just given you broadly in terms of the 160 00:11:51,360 --> 00:11:54,679 Speaker 1: various you know stages from infants to toddlers and the 161 00:11:54,920 --> 00:11:55,800 Speaker 1: school going age. 162 00:11:55,840 --> 00:11:59,880 Speaker 2: Yeah, once I identify doctor Natti, so a child is exhibiting, 163 00:12:00,080 --> 00:12:03,000 Speaker 2: sometimes you get the child assessed it turns out that 164 00:12:03,040 --> 00:12:07,000 Speaker 2: there is some kind of hearing loss. Can that hearing 165 00:12:07,040 --> 00:12:12,760 Speaker 2: loss in children specifically be treated and or cured indefinitely 166 00:12:13,040 --> 00:12:15,400 Speaker 2: or is the answer does it depend? 167 00:12:17,040 --> 00:12:21,440 Speaker 1: I think the answer depends that. I mean, the main 168 00:12:21,520 --> 00:12:24,680 Speaker 1: thing about this theme this year is about the fact 169 00:12:24,760 --> 00:12:29,600 Speaker 1: that you know, something can be done about these, you know, 170 00:12:29,720 --> 00:12:34,120 Speaker 1: normal being can be prevented. And then then also some 171 00:12:34,160 --> 00:12:37,880 Speaker 1: of these can actually be you know managed. For example, 172 00:12:39,040 --> 00:12:42,400 Speaker 1: you know, infections, you know, or titis media that is 173 00:12:42,440 --> 00:12:46,439 Speaker 1: infection of the media ear, whether it's a cute or chronic, 174 00:12:47,000 --> 00:12:52,080 Speaker 1: that can be treated. Now obviously there's different you know, 175 00:12:52,559 --> 00:12:57,120 Speaker 1: type of that of of hearing losses. It may come 176 00:12:57,160 --> 00:13:01,200 Speaker 1: from what you call the external ear, and sometimes it's 177 00:13:01,200 --> 00:13:06,400 Speaker 1: something as simple as impacted webs. You know, impacted webs 178 00:13:06,440 --> 00:13:11,240 Speaker 1: can actually block the ear drum from deceasing the sounds, 179 00:13:11,280 --> 00:13:15,200 Speaker 1: and so that can easily be dealt with, you know, 180 00:13:15,320 --> 00:13:18,880 Speaker 1: in terms of removing that impacted webs and then the 181 00:13:19,000 --> 00:13:21,920 Speaker 1: child would be fine. But where I think an infection 182 00:13:22,040 --> 00:13:25,840 Speaker 1: in the middle ear. Once again, those infections can be treated, 183 00:13:25,880 --> 00:13:30,040 Speaker 1: attude to a chronic and in some instances they may 184 00:13:30,480 --> 00:13:34,760 Speaker 1: also be problems you know with the bones that are 185 00:13:34,840 --> 00:13:37,880 Speaker 1: there in that middle ear, in which case I mean, 186 00:13:37,920 --> 00:13:41,360 Speaker 1: we even have our own doctor in South Africa in 187 00:13:41,440 --> 00:13:46,720 Speaker 1: Pretoria Universal Pretoria who actually came up with, you know, 188 00:13:46,920 --> 00:13:51,000 Speaker 1: a way of painting three b of those bones in 189 00:13:51,040 --> 00:13:54,000 Speaker 1: the middle ear so that we can be you know, 190 00:13:54,160 --> 00:13:57,120 Speaker 1: able to solve that problem. That can also be atical 191 00:13:57,200 --> 00:14:02,920 Speaker 1: sensor renewal, you know, hearing loss even for that implant 192 00:14:03,640 --> 00:14:07,200 Speaker 1: hearing here, hearing aids and and and and and cochlear 193 00:14:07,240 --> 00:14:12,680 Speaker 1: implants can also be put there. So basically for most 194 00:14:12,800 --> 00:14:16,280 Speaker 1: of the causes, something can be done and that people 195 00:14:16,320 --> 00:14:20,280 Speaker 1: can need much more fulfilling quality of life. I mean 196 00:14:20,360 --> 00:14:22,480 Speaker 1: the kids would then be able to do better at 197 00:14:22,560 --> 00:14:26,640 Speaker 1: school and also be able to, you know, socially, to 198 00:14:26,800 --> 00:14:32,600 Speaker 1: be people who are not stigmatized or are isolated. 199 00:14:32,920 --> 00:14:36,040 Speaker 2: Right a message from Sila or not Sucessigo Go and 200 00:14:36,080 --> 00:14:40,080 Speaker 2: doctor Nati the scholar. Transport vehicles and taxis used by 201 00:14:40,080 --> 00:14:45,160 Speaker 2: our kids are to the detriment of their hearing. The 202 00:14:45,280 --> 00:14:49,120 Speaker 2: music is so very loud morning and afternoon. It cannot 203 00:14:49,120 --> 00:14:53,360 Speaker 2: be healthy for their hearing. Talk to us about you know, 204 00:14:53,640 --> 00:14:57,520 Speaker 2: repeatedly being exposed to very loud sounds and how that 205 00:14:57,600 --> 00:15:01,360 Speaker 2: can affect hearing. And also I think it is both 206 00:15:01,720 --> 00:15:05,480 Speaker 2: for children and adults that it's not the best to 207 00:15:05,600 --> 00:15:09,160 Speaker 2: consistently have very very loud music. And but tell us 208 00:15:09,160 --> 00:15:10,200 Speaker 2: about that alternative. 209 00:15:11,360 --> 00:15:15,400 Speaker 1: Yes, that's a very good contribution from from the listener. 210 00:15:16,640 --> 00:15:18,960 Speaker 1: Once again, I mean, there's so many things we can 211 00:15:19,040 --> 00:15:22,480 Speaker 1: complain about as far as colar transport is contained, safety 212 00:15:22,520 --> 00:15:27,760 Speaker 1: and everything, but this is definitely another issue whereby they 213 00:15:27,880 --> 00:15:34,600 Speaker 1: are transported in taxes where the level of the sound, 214 00:15:34,680 --> 00:15:40,040 Speaker 1: you know, is definitely above the threshold of eighty five difficults. 215 00:15:40,480 --> 00:15:43,760 Speaker 1: And when one is exposed to that over you know, 216 00:15:44,240 --> 00:15:46,720 Speaker 1: you know, even a short period of time, it can 217 00:15:46,880 --> 00:15:51,080 Speaker 1: have a damaging effect you know on the you know, 218 00:15:51,160 --> 00:15:56,040 Speaker 1: on the neural pathways of hearing and so you know, 219 00:15:56,320 --> 00:15:58,760 Speaker 1: in some instances, I mean, it may even rapture the 220 00:15:59,320 --> 00:16:03,280 Speaker 1: ear drum. So it is something that I think needs 221 00:16:03,320 --> 00:16:05,800 Speaker 1: to be addressed. That's why I was in the support 222 00:16:05,960 --> 00:16:11,280 Speaker 1: of the fact that more regulations are coming, you know, 223 00:16:11,360 --> 00:16:14,960 Speaker 1: to try and control you know, issues of safety, not 224 00:16:15,000 --> 00:16:20,800 Speaker 1: just physical safety, but also the issue of noise exposure, 225 00:16:20,880 --> 00:16:25,760 Speaker 1: because that is definitely one of the issues that is 226 00:16:25,840 --> 00:16:30,520 Speaker 1: driving the hearing loss in South Africa amongst the adults, 227 00:16:30,520 --> 00:16:34,000 Speaker 1: but then obviously even in children who are in these texes. 228 00:16:34,280 --> 00:16:37,040 Speaker 1: So it is something that I think as parents we 229 00:16:37,200 --> 00:16:40,520 Speaker 1: need to be able to choose carefully who transports our 230 00:16:40,680 --> 00:16:45,200 Speaker 1: kids who are from school and the issues around noise exposure. 231 00:16:45,400 --> 00:16:49,000 Speaker 2: Yeah, and is there a critical time or an ideal 232 00:16:49,160 --> 00:16:53,960 Speaker 2: time for early detection of hearing loss in children where 233 00:16:54,160 --> 00:16:57,080 Speaker 2: if we catch it at this particular age, there's a 234 00:16:57,160 --> 00:17:01,560 Speaker 2: higher chance of a successful intervention either you know, preventing 235 00:17:01,760 --> 00:17:06,439 Speaker 2: further deterioration or you know, reversing the hearing loss altogether. 236 00:17:07,119 --> 00:17:09,919 Speaker 2: Is there a crucial age that you know, if you 237 00:17:09,920 --> 00:17:12,600 Speaker 2: suspect your child has hearing loss or you just want 238 00:17:12,600 --> 00:17:14,800 Speaker 2: to make sure that the hearing is fined, this would 239 00:17:14,800 --> 00:17:16,480 Speaker 2: be the best time to take them for screening. 240 00:17:17,920 --> 00:17:22,359 Speaker 1: So I think for those who are already born with 241 00:17:22,480 --> 00:17:27,840 Speaker 1: a hearing loss, the six months is that, you know, 242 00:17:27,960 --> 00:17:31,480 Speaker 1: that is by the age of six months, you know, 243 00:17:31,640 --> 00:17:36,240 Speaker 1: that is the ideal age when you want them to 244 00:17:36,359 --> 00:17:41,160 Speaker 1: have been identified because in research has shown that there's 245 00:17:41,359 --> 00:17:46,000 Speaker 1: much more you know, improved profits of dealing with that 246 00:17:46,160 --> 00:17:49,760 Speaker 1: hearing loss at that age with the interventions that are 247 00:17:49,920 --> 00:17:55,320 Speaker 1: out there now. But obviously if that is only discovered 248 00:17:55,520 --> 00:17:59,040 Speaker 1: you know, years later, you know, it can be a problem. 249 00:17:59,080 --> 00:18:04,040 Speaker 1: But I must also for the other acquired reasons. You know, 250 00:18:05,400 --> 00:18:08,680 Speaker 1: it's important, you know, like the infections of the midile ear. 251 00:18:08,960 --> 00:18:12,360 Speaker 1: It's important that as part of this full health system, 252 00:18:13,320 --> 00:18:18,919 Speaker 1: there is routine, uh, you know, testing of the hearing 253 00:18:19,040 --> 00:18:22,560 Speaker 1: abilities of the kids. It happens in private schools, but 254 00:18:22,600 --> 00:18:25,760 Speaker 1: I'm not sure if we have that. You know, in 255 00:18:25,800 --> 00:18:29,480 Speaker 1: the public schools. Growing up, it used to be routine, 256 00:18:29,520 --> 00:18:32,760 Speaker 1: but I no longer hear much about those kinds of 257 00:18:32,840 --> 00:18:36,840 Speaker 1: testing public schools, so I think it is very important, 258 00:18:37,280 --> 00:18:42,639 Speaker 1: whether it is for the congenital or the acquired, you know, 259 00:18:42,880 --> 00:18:47,679 Speaker 1: rhasins to make sure that kids are routinely screened for 260 00:18:47,920 --> 00:18:50,800 Speaker 1: hearing and whether there is a problem then they are 261 00:18:51,280 --> 00:18:56,240 Speaker 1: able to be reseret paniously for definitive diagnosis and intervention. 262 00:18:57,400 --> 00:18:59,840 Speaker 2: Doctornetti always a very good pleasure having it on the 263 00:18:59,840 --> 00:19:02,119 Speaker 2: SHO show. Thank you so much for your time. 264 00:19:03,480 --> 00:19:06,119 Speaker 1: Thank you very much, Cooks and all the best for 265 00:19:06,160 --> 00:19:06,960 Speaker 1: the rest of the show. 266 00:19:07,000 --> 00:19:09,800 Speaker 2: Thank you very much. That's our residence GP. He's also 267 00:19:09,800 --> 00:19:13,160 Speaker 2: the SEO of Active Health Solution, doctor Friendilniati joining us 268 00:19:13,160 --> 00:19:13,639 Speaker 2: this morning.