Jiangsu Ear and Hearing Center
Jiangsu Province Hospital
Nanjing Medical University
300 Guangzhou Rd. Nanjing 210029 China
Tel. / Fax. + 86 25 83672370
Hospital and University affiliation
Jinan Maternal and Child Care Hospital
Prof. Xingkuan Bu
The center was established in 2002 as the HI/IFOS/ISA affiliated center and promoted as a full center in Manila in 2006. The center was designated as a WHO Collaborating Center for the Prevention of Deafness and Hearing Impairment in 2009. All members in the Jiangsu center work very hard and have achieved great success since 2002.
Summary of Outreach and Training Activities of the Center
- Promotions conducted during National Ear Care Day (every March 3) including activities by TV show, radio broadcast, newspaper and consulting in the districts. Set up of different themes of the day such as “Prevention of Oto-toxic drug induced hearing loss”, “Concerning aging hearing loss” and “How to use hearing aids correctly” etc. These activities increased awareness of basic knowledge about hearing, hearing impairments, hearing conservation and rehabilitation.
- Conduct WHO Ear Diseases and Hearing Disorders Survey and join new global burden of diseases (GBD) assessment. According to our survey with the WHO protocol in the four provinces of China (Jiangsu, Sichuan, Guizhou and Jilin), representing 221 million population; there were 14.2% of people with hearing impairment (country standardized rate was 11.7 %); 5.2% of people with hearing disablement (country standardized rate was 4.4 %). These figures were strong evidence of a large burden of hearing impairment in China and were strong support of the WHO estimate of prevalence of hearing impairment in the world. The results also awakened us to the importance of prevention of deafness and hearing impairment. Based on this work, we joined the new GBD assessment in the definitions of hearing impairment sub-group 2007.
- Join the initial work on WHO guidelines for HA and services in developing countries in Geneva 2001, HI pilot study on it in 2003, second version in Chinese 2004, initiating Chinese guidelines for hearing aids services in 2006. To push China’s government issued regulation of HA dispensers in 2008.
- Join China WHO (2000, 2009) and HI (2003) NHSP activities. Approximately 20 million infants are born each year in China. Approximately 60,000 of them will be born with a hearing impairment. NHSP was strongly recommended by China’s government since 1999. Up to now, more than 20 provinces and/or municipalities (three-fourths of China) conduct the program. Hospital-based (OAE and AABR screening and systematic ear and audiological diagnosis) strategy is used. In addition, target screening (high-risk register), community screening with questionnaire and simple hearing tests are used in rural and remote areas.
The program was developed quite different in different areas. In the capital and coastal cities there are not only UNHSP, but also hearing screening extended to 6-year old children. Simultaneous screening for hearing and ocular diseases in newborns has conducted over 20,000 cases in Jinan maternal and children hospital since 2002. Meanwhile, the pilot studies on NHSP plus screening Mt.12SrRNA 1555G, GJB2 and SLC26A4 gene’ mutations (the blood spot from the umbilical cord within the moment of birth) is conducted in a few hospitals. As a contrast, in remote and rural areas there is a lack of manpower, technology, equipment and funds to support the program. Besides this, a lack of computerized database and low tracking rate are also problems. In order to promote and standardize the work we initiated and drafted Chinese guidelines for EHDI. The guidelines will be issued soon. We joined WHO and HI meetings on NHS 2000, 2003 and 2009 respectively.