Global burden of childhood hearing impairment and disease control priorities for developing countries
Global burden of childhood hearing impairment and disease control priorities for developing countries
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DOI：
10.1016/s0140-6736(07)60602-3
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发表时间：
2007-04-14
期刊：
影响因子：
168.9
通讯作者：
Newton, Valerie E.
中科院分区：
文献类型：
--
作者：
Olusanya, Bolajoko O.;Newton, Valerie E.
世界银行公布了疾病控制优先事项1，为发展中国家的国际资源调动和分配制定了具有成本效益的干预措施。这份清单是根据许多机构为实现千年发展目标在世界范围内的卫生优先事项编制的。2许多疾病控制优先事项是根据一份关于全球疾病负担的补充报告确定的，3该报告根据相关死亡率和残疾调整寿命年对传染性和非传染性疾病和伤害进行了排序。洛佩斯及其同事的3份报告试图公平地评估全世界各种致命和非致命疾病的负担。该报告包括成人发病的听力障碍，但在量化这种残疾的疾病负担时排除了永久性儿童听力障碍和所有其他儿童发病的听力障碍。本观点回顾了这一方法的影响，鉴于儿童听力障碍的早期检测作为一项基本的公共卫生服务的新趋势，并在公平的背景下，这是全球疾病负担倡议的基础。4，5世界卫生组织将失能性听力障碍定义为：在0· 5、1、2和4 kHz频率下，15岁以下儿童较好耳的永久性无辅助听阈超过30 dB，或成人超过40 dB。此定义通常与感音神经性听力障碍相关，并倾向于排除任何严重程度或持续时间的传导性听力损失。此外，它忽略了单侧永久性听力损伤，
The World Bank has published disease-control priorities1 setting out cost-effective interventions for international resource mobilisation and allocation to the developing world. This list was compiled amidst the worldwide health priorities of many agencies, for attainment of the Millennium Development Goals (MDGs). 2 Many of the disease-control priorities were based on a complementary report about the global burden of disease, 3 which ranked communicable and non-communicable diseases and injuries according to their associated mortality and disability-adjusted life years (DALYs). Lopez and colleagues’3 report attempts to fairly assess the burden of diverse fatal and non-fatal diseases worldwide. The report included adult-onset hearing impairment, but excluded permanent childhood hearing impairment and all other hearing impairment of childhood-onset in the quantification of the burden of disease of this disability. This Viewpoint reviews the implications of this approach in light of the emerging trend toward early detection of childhood hearing impairment as an essential public-health service and in the context of equity, which underpins the global burden of disease initiative. 4, 5WHO defines disabling hearing impairment as having permanent unaided hearing threshold in the better ear of more than 30 dB in children aged up to 15 years, or more than 40 dB in adults at frequencies of 0· 5, 1, 2, and 4 kHz. This definition is commonly associated with sensorineural hearing impairment and tends to exclude conductive hearing loss of any severity or duration. Additionally, it overlooks unilateral permanent hearing impairment of