1. F ocus Area 28 Vision and Hearing Progress Review October 20, 2004

2. Vision and Hearing Goal: Improve the visual and hearing health of the Nation through prevention, early detection, treatment, and rehabilitation. About 85 million people in the U.S. have potentially blinding eye diseases, have low vision, are legally blind, or are more visually impaired. In 1995, the economic impact of visual disorders and disabilities was about $38.4 billion. About 28 million people in the U.S. are deaf or hard of hearing. Related to functional independence and quality of life of people of all ages.

3. 28-1. Dilated eye examinations 28-2. Vision screening for children 28-3. Impairment due to refractive errors 28-4. Impairment in children and adolescents 28-5. Impairment due to diabetic retinopathy 28-6. Impairment due to glaucoma 28-7. Impairment due to cataract Vision Objectives 28-8a. Occupational eye injuries resulting in lost work days 28-8b. Occupational eye injuries treated in emergency departments 28-9a. Protective eyewear use, ages 6-17 28-9b. Protective eyewear use, ages 18 and over 28-10a. Vision rehabilitation services 28-10b. Visual and adaptive devices New baselineGetting worseLittle or no changeNo baseline dataImproving

4. 28-5. Impairment due to diabetic retinopathy 28-6. Impairment due to glaucoma Highlighted Vision Objectives 28-10a. Vision rehabilitation services 28-10b. Visual and adaptive devices

5. 0 Rate per 1,000 persons with diabetes 2010 Target 4020 Ages 18 and over White Female Hispanic Male Asian 6080100 Obj. 28-5 Visual Impairment due to Diabetic Retinopathy, 2002 Note: Data are for persons 18 years and over with diabetes, age adjusted to the 2000 standard population. Education-level data are for ages 25 years and over. American Indian includes Alaska Native. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I is 95% confidence interval. *Data are statistically unreliable. Source: National Health Interview Survey, CDC, NCHS. * American Indian Black * * Less than high school At least some college High school

6. 0 Percent 105 Ages 18 and over White Hispanic Asian 152025 Diabetes Prevalence by Race/Ethnicity, 2002 Note: Data are for diagnosed diabetes only, age adjusted to the 2000 standard population. American Indian includes Alaska Native. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I is 95% confidence interval. Source: National Health Interview Survey, CDC, NCHS. American Indian Black

7. 0 Rate per 1,000 persons 2010 Target 2010 Ages 45 and over White Female Hispanic Male Asian 304050 Obj. 28-6 Visual Impairment due to Glaucoma: Ages 45 and Over, 2002 Note: Data are age adjusted to the 2000 standard population. American Indian includes Alaska Native. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I is 95% confidence interval. *Data are statistically unreliable. Source: National Health Interview Survey, CDC, NCHS. * Less than high school High school At least some college American Indian Black * With diabetes Without diabetes

8. 0 Rate per 1,000 persons 2010 Target 2010 White 304050 Obj. 28-6 Visual Impairment due to Glaucoma by Race and Education: Ages 45 and Over, 2002 Note: Data are age adjusted to the 2000 standard population. Black and white exclude persons of Hispanic origin. I is 95% confidence interval. *Data are statistically unreliable. Source: National Health Interview Survey, CDC, NCHS. Black 60 Less than high school High school At least some college

9. 0 Percent among persons with visual impairments 2010 Target 1 Ages 18 and over White Female Hispanic Male Asian 24 Obj. 28-10a Use of Vision Rehabilitation Services, 2002 * American Indian Black * * * * Note: Data are converted from rate per 1,000 to percent for presentation only; they are age adjusted to the 2000 standard population. Education-level data are for ages 25 years and over. American Indian includes Alaska Native. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I is 95% confidence interval. *Data are statistically unreliable. Source: National Health Interview Survey, CDC, NCHS. 3 * Less than high school High school At least some college

10. 0 Percent among persons with visual impairments 2010 Target 10 5 Ages 18 and over White Female Hispanic Male Asian 152025 Obj. 28-10b Use of Visual Adaptive Devices, 2002 * American Indian Black * Note: Data are for persons 18 years and over with visual impairments, age adjusted to the 2000 standard population. Education- level data are for ages 25 years and over. American Indian includes Alaska Native. Black and white exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. I is 95% confidence interval. *Data are statistically unreliable. Source: National Health Interview Survey, CDC, NCHS. Less than high school High school At least some college

11. Hearing Objectives 28-14. Hearing examinations a. Ages 20-69 b. Ages 70 and over c. Ages 12-19 28-15. Evaluation and treatment referrals 28-16a. Hearing protection – adults 28-16b. Hearing protection - adolescents 28-17. Noise-induced hearing loss among adolescents 28-18. Noise-induced hearing loss among adults 28-11a. Newborn hearing screening before age 1 month 28-11b. Newborn hearing evaluation before age 3 months 28-11c. Newborn intervention services before age 6 months 28-12. Otitis media 28-13a. Hearing aid use, ages 20-69 28-13b. New cochlear implants 28-13c. Hearing aid use, ages 70 and over 28-13d. Use of assistive listening devices, ages 70+ New baselineGetting worseLittle or no changeNo baseline dataImproving

12. Highlighted Hearing Objectives 28-11a. Newborn hearing screening before age 1 month 28-11b. Newborn hearing evaluation before age 3 months 28-11c. Newborn hearing intervention services before age 6 months 28-12. Office visits for otitis media 28-13b. New cochlear implants

13. Hearing Screening, Evaluation, and Intervention Services for Newborns, 2001 Newborns under 1 month 66% screened (46 states) Target: 90% 56% evaluated before 3 months (25 states) Target: 70% 57% received intervention services before 6 months (10 states) Target: 85% Source: State-based Early Hearing Detection and Intervention (EHDI) Program Network, CDC and/or specific state data. Objs. 28-11a-c a. b. c. For infants with hearing loss For infants identified with possible hearing loss

14. Visits per 1,000 children 0 Office Visits for Otitis Media: Ages under 18 Obj. 28-12 Source: National Ambulatory Medical Care Survey/ National Hospital Ambulatory Medical Care Survey, CDC, NCHS. 1997 1998 1999 2000 20012002 Male Female 2010 Target

15. 0 Visits per 1,000 children 2010 Target 200 Total White Female Male 600 400 Obj. 28-12 Office Visits for Otitis Media: Ages under 18, 2002 Under 3 years 3-5 years 6-17 years Black Age 1000800 Note: Black and white include persons of Hispanic or non-Hispanic origin. Persons reported one or more races. Data by race are shown for persons who reported one racial group. I is 95% confidence interval. Source: National Ambulatory Medical Care Survey/ National Hospital Ambulatory Medical Care Survey, CDC, NCHS. 1200

16. 0 Rate per 10,000 deaf or very hard-of-hearing persons 2010 Target 25 All ages Female Male 50325 Obj. 28-13b New Cochlear Implants, 1999 Under 6 years* 45-64 years 65 years and over Note: Data are age adjusted to the 2000 standard population. *Data are statistically unreliable. Sources: Healthcare Cost and Utilization Project, AHRQ; National Health Interview Survey, CDC, NCHS. 75 300 100 18-44 years 6-17 years* 708

17. Progress Review data and slides can be found on the web at: http://www.cdc.gov/nchs/hphome.htm