2021年世界聽力報(bào)告

2021年世界聽力報(bào)告根據(jù)世衛(wèi)組織有史以來第一份《世界聽力報(bào)告》估計(jì)，到2050年，將有近25億人患有某種程度的聽力損失。報(bào)告指出，每年因未確診的聽力損失而造成的損失為近1萬億美元。與此同時(shí)，在耳部和聽力保健方面的投資具有成本效益。2050年將會有25億人患有聽力損失世界衛(wèi)生組織在報(bào)告中預(yù)估到，至2050年，將有近25億人患有某種程度的聽力損失，其中至少有7億人需要康復(fù)服務(wù)。這就意味著，到2050年，預(yù)計(jì)將會有1/4的人患有聽力障礙?，F(xiàn)今，有15億人患有一定程度的聽力損失。全球和世界衛(wèi)生組織區(qū)域內(nèi)，患有一定程度聽力損失的人口數(shù)量為：全球范圍內(nèi)現(xiàn)今：15億人至2050年：25億人非洲現(xiàn)今：1.36億人至2050年：3.37億人美國現(xiàn)今：2.17億人至2050年：3.32億人東地中海地區(qū)現(xiàn)今：7800萬人至2050年：1.94億人歐洲地區(qū)現(xiàn)今：1.96億人至2050年：2.36億人東南亞地區(qū)現(xiàn)今：4.01億人至2050年：6.66億人西太平洋地區(qū)現(xiàn)今：5.46億至2050年：7.76億世界衛(wèi)生組織寫道，如不采取應(yīng)對，聽力損失將對人們的健康和福祉產(chǎn)生影響，同時(shí)也會因人們在交流，教育和就業(yè)中受到排擠而造成巨大的經(jīng)濟(jì)損失。該報(bào)告指出，很多種聽力損失情況可以通過行之有效的方法進(jìn)行預(yù)防。有超過10億的年輕人可以避免患上聽力損失，而約有2億人患有可預(yù)防或者可治療的慢性耳部感染。這兩種情況都需要采取緊急應(yīng)對措施。有更多人需要治療世界衛(wèi)生組織在報(bào)告中寫道，創(chuàng)新的、具有成本效益的技術(shù)和臨床解決方案可以改善大多數(shù)聽力損失患者的生活質(zhì)量，且目前已經(jīng)有數(shù)百萬人從中受益。將技術(shù)力量與公共衛(wèi)生規(guī)劃相結(jié)合，可以確保所有人受益其中，尤其是那些身處服務(wù)水平較低以及偏遠(yuǎn)地區(qū)的人們。年損失1萬億美元報(bào)告指出，按照目前的流行率，每年因未確診的聽力損失而造成的損失為近1萬億美元。如不采取行動(dòng)，這一數(shù)字在未來幾十年將繼續(xù)上升。世界衛(wèi)生組織建議，在國家衛(wèi)生計(jì)劃中應(yīng)涵蓋全民聽力和耳部保健服務(wù)，以減少未確診的聽力損失患者數(shù)量。這不僅可以幫助到聽力損失患者，同時(shí)還可以減少因聽力損失得不到治療而引起的社會成本。按照世界衛(wèi)生組織的數(shù)據(jù)所示，在耳部和聽力保健方面的投資已被證實(shí)具有成本效益。預(yù)計(jì)政府每投入1美元，便可獲得近16美元的回報(bào)。COVID-19世界衛(wèi)生組織在報(bào)告中還指出，COVID-19在世界范圍內(nèi)造成的封鎖凸顯了聽力的重要性，以及對耳部和聽力保健的需求。當(dāng)無法實(shí)現(xiàn)視覺和社交接觸時(shí)，聽覺還可以發(fā)揮作用。eWorldHealthOrganizationWORLDREPORT

ONHEARINGThecoverrragesanartisticrepresentationofasoundwaveenteringthecochlea.Tlesoundwavemihisirr:agerepresentsUemusicsnotesoftheSoundoTLife；13ngspeaallycreated(orUeWHOMakeLisicningSafeiniLMwebyRickyKej.CowH%dihesongherehUD3，/yoLj【ub打EmXwAnP9puQWORLDREPORTONHEARING快卷羔WorldHealth

鏢JOrganization/bi/bi)WORLDREPORTONKEARIN6Theabilitytohearisagifthumanbeingsaregiventoappreciatetheamazingbeautyoftheworldaroundus.Itbestowsaestheticstolife.Itisalsothemediumforourearningandsocialinteraction.Fromrryownpersonalexperienceasachildwithadisability,Iknowthevalueofeducationandearning,whichwasnotonlymysolaceinthedarkesthoursofmyife,butalsothemediumwithwhichtoachievemyfullpotential.Therefore,[f>nditunacceptablethateventodaymillionsofchildrenintheworldaredeprivedoftheirrighttoeducationandcommunication,therebylimitingthemintheiraspirations.It，evenmoresobecausehearing：osscanbothbepreventedandcanbeaddressed.TheWHCUWorldreportonhearingshinesastrongightontheneedsofthenearly450millionpeoplethatneedrehabilitationservicesfortheirdisablinghearingloss.Jtalsoprovidesgreatinsightsintohowtheservicescanbedevelopedmanequitablemanneracrosstheworld.OnbehalfofRehabilitationInternational,IappreciateWHO'songoingcommitmenttothshiddendisabilityandwearcproudtobecontributorstothisimportantreportIsincerelyhopethatthereleaseofthisreportwil：furtherpromotetheimplementationofthenPreventionofdeafnessandhearingloss*resolutionadootedbytheWorldHealthAssembly：n2017,sothatallpeople,includingthosewithhearingloss,canleadhealthyandfulfillinglives.RehabilitationInternationatisfullycommittedtoworkingtogetherwiththeWorldHealthOrganizationinthisworthyendeavour.ZhangHi曲PresiaenlcfRehaoiliiaticnIrKerndtonalCh^rocrsonC^inaDtsaDlcdPersons'Rccqlqc

TOC\o"1-5"\h\zCHALLENGESFACINGEARANDHEARINGCARE 139\o"CurrentDocument"31Overview 139■^0???????????????????????????????????■???????????????????????????????????????■???????? ?Demographicandpopulationtrends 1413Earandhearingcareliteracyandstigmarelatedtohearingloss. 1464Thechallengesforhealthsystemsandpotentialsolutions.154‘、J'~ ????????■????????????????????????????????????????????? ??????????????JJDESIGNINGTHEWAYFORWARD：APUBLICHEALTHFRAMEWORKFOREARANDHEARINGCARETOC\o"1-5"\h\zInvestinginearandhearingcare:thebusinesscase 21244Scalingupearandhearingcare:glooaltargets223andtracerindicators223People-centredearandhearingcaredeliveredthroughastrengthenedhealthsystem 2266Healthsystemsenablersforintegratedpeopie-centredearandhearingcare 232Conclusionandrecommendations:makingearandhearingcareaccessibleforall 244\o"CurrentDocument"References 251WEBANNEXESWEBANNEXAQualityofevidencehttps://apps.who.inl/iris/bitstream/handIe710b65/339906/9789240021501-eng.pdfWEBANNEXBThereturnoninvestmentfromactionstopreventand/ormitigatetheimpactofhearingloss/ins/bitstreanrVhandle/10665/339906/9789240021501-eng.pdfWEBANNEXCTracerindicatorsformonitoringprogressinearandnearingcarehttps://apps.whomt/ins/b<tstream；handle/10b6S/339906/9789240021501-eng.pdfWORLDBEPORTONWEABIKGTOC\o"1-5"\h\z\o"CurrentDocument"Foreword v\o"CurrentDocument"Acknowledgements ix\o"CurrentDocument"Abbreviations xii1 ????????■?????????????????■????????????????*???????.??????????????????■?????????1References 5THEIMPORTANCEOFHEARINGACROSSTHELIFECOURSE 91????????????????????????????????????????????????????????????????????????????????????\o"CurrentDocument"Hearingacrossthelifecourse 11Declineinhearingcapacity. 36Theimpactofunaddressedhearingloss 44References S1SOLUTIONSACROSSTHELIFECOURSE：HEARINGLOSSCANBEADDRESSED…6521Ovprvipw 65<??1?????一?.???????????????????■?????????????????????????????????????????????????????Preventionofhearinglossandparconditions ,,..67Earlyidentificationofhearingloss 834Careandrehabilitation 195References 120CONTEMTSW0W.DREPORTW0W.DREPORTONHEARIKSW0W.DREPORTW0W.DREPORTONHEARIKSWhenItraveltocountriesaroundtheworld,Imeetgirlswhohavestruggledagainstpoverty,childmarriageanddiscriminationtostayinschoolandfinishthereducstionTheseyoungwomenarefrordifferentbackgroundspracticedifferentreligionsandspeakdifferentlanguages,buttheysharethesamedeterminationtopursuetheirdreamsforthefutureWithallthebarrierstoequalityfacinggirls,womenandothermarginalizedpeoplethosewhoneedhearingcarearefurtherdisadvantagedandtoooftenleftbehind.About1billionpeoplearoundtheworldareatriskofavoidablehearingloss.WHOestimatesthatover400million,including34millionchildren,livewithdisablinghearingloss,affectingtheirhealthandqualityollife.BecauseJhavealsosufferedhearingloss,1knowthisdoesntneedtobeanobstacletoeducationWithaccesstohealthcare,rehabilitationandtechnology,peoplewithdisablinghearinglosscanparticipateequallyineducation,employmentandthe；rcommunitiesNearinglossdoesn'tkeepthemfromreachingtheirfullpotential:povertyanddiscrim：nationdo.Toaddressthisglobalpublichealthchallenge,theWorfdreportonhearingoffersevidencebased,equitableandcost-effectiveactionsforearandhearingcare.FollowingtheguidanceinthisreportWHOMemberStatescanhelppreventhearinglossandensurethatpeople帥thhearinglosscanaccessthecaretheyneed.1hopeourleaderswillworktogethertoimplementtherecommendationsintheWorldreportonhearingandgiveeverypersonwithhearinglossthechancetocontributetooursharedfutureFromanearlyage,1knewI'dbeinvolvedmu9Cinsomecapacitybecausemusicwaseverythingtome.Therearemillionsofpeopleouttherewhosharethosesamefeelings.Forthepastfortyfrveyears,1havebeencarefulhowIenjoymusic.I'dliketousethisWorldreportonhearingtopassonthismessage"Musiciseverything,andsoisyourhearing*Hearinglossdoesntjustaffecttheyoung,itaffectsallagegroups.Thewayweenjoyourmusiciswhatcounts;vofumecandamageyourhearingforeverSotakecareofyourhearingwiththelevelyoulistentoitRemember,ifyouloseyoursenseofhearing,itwontcomeback.Keeprocxin；oesafe.FC^FA'OROFOREWORDHearinglosshasofrenbeenreferredtoasan"invisibledisabist/,notjustbecauseofthelackofvisiblesymptoms,butbecause1haslongbeenstigmatizedincommunibesandignoredbypolicy-makers.Unaodressedhearinglossisthethirdlargestcauseofyearslivedwithdisabilityglobally.I:affectspeopleofallages,aswellasfamiliesandeconomies.AnesomatedUSS1trillionislosteachyearduetoourcollectivefailuretoadequatelyaddresshearingloss.V；hilethefinancialburden15enormous,whatcannotbequantifiedisthedis^esscausedbythelossofcommunication,educationandsocialinteractionthataccompaniesunaddressedhearngloss.Wharmakesthismattermorepressingthanever15theiacxthatrhenumberofpeoplewithhearinglossislikelytoriseconsiderablysnthecomingdecadesOver15billionpeoplecurrentlyexperiencesomedegreeofhearingloss,whichcouldgrowto2.5billionby2050.Inaddition,ribillionyoungpeopleareatriskofpermanenthearinglossfromlisteningtomusicatloudvolumesoverprolongedpenodsofome.TheWorldreportonhearingshowsthatevidence-basedandcost-effeccivepublichcalrhmeasurescanpreventmanycausesofhearingloss.Toguidefutureaction,theWorldreportonhearingoutlinesapackageofinterventionsforMemberStatestoadopt,andproposesstrategicsforTheirintegrationinnationalhealthsystemstoensureequitableaccesstoearandhearingcareservicesforallthosewhoneedthem,without:financialhardship,inaccordancewiththeprinciplesofuniversalhealthcoverage.TheCOVID-19pandemichasunderlinedtheimportanceofhearing.Ashavestruggledtomaintainsocialcontactandremainconnectedtofamily,fnendsandcolleagues,wehavereiedonbeingable10hearthemmorethane/erbefore1(hasalsotaughtusahardlesson,thathealthisnotaluxuryitem,butthefoundationofsocia,economicandpoliticaldevelopmentPreventingandtrearmgdiseaseanddisabilityofallkindsisnotacost,butaninvestmentinasafer,fairerandmoreprosperousworldforallpeople.DrTedrosAdhanomGhebreyesusOfector-GenerdlWoddhealthOrganizationAswerespondandrecoverfromthepandemic,wemustlistentothelessonsitisteachingus.includingthatwecannolongeraffordtoturnadeafeartohearingloss.DrTedrosAdhanomGhebreyesusOfector-GenerdlWoddhealthOrganizationWorldreportonhearngIS9N978'92-4-002lX81(elcctrorvcverson)1S3N97&-92-4O020498(printverson)@WorldHealthOrganization2021Somerightsreserved.This，c<kisavailableundertheCreativeCommonsAttribution-NonCorrimefchlShareAUke3.0IGOlicence(CCBYNCSA3.0IGO.mips力cruauscommons.crg*censcs/Oynusa/3algo).Underthetermsofthislicence,youmaycopy,redistributeandadapttheworkfornoncommercialpurposes,providecihey/orkisjppropr.dtelycited,asindicatedbelc^v.Inanyuseofthiswo化therestoulcoenosuggestoneiatWHOendorsej>anyspecificorgan23.；duosorservxes.Theuseofthe7/HO：oooisnotpermiueo.Ilyouadap:theworkthenyoumustIcenseyourworkundersa儀oreouvalentcreaiweCommonsicenceiryouaeateatwsiationofthisworn,youGhoudaodthercliowngdisclaimeralongwiththesuggestedoutiorcihistrandaoon//asnotcreatedhythewordHealthOrganiZGtcnf^HO).WHOisnotresponsibleforthecontentordccurdcyofChistr<inslation.IheoriginalEnglisheditionshallbetheb-.ndingandauthenticedition".Anymedaiionrekniegiodeputesarisingunderthelicence53Hbeconductedinaccordancevd"】themedkxionrulesoftnewoeIntelieauaiPropertyOrgamzoDonihctpjnyom^etvmcdiaoon/rules；)Suggestedcitation.Workjreportcnhearing.Geneva.7/orldHealthOrganuiaiiorv2021Licence:CC8Y-NC-SA3.0IGOCataloguing-in-Publication(C】P)data.CIPdataare^/ailabeathttp7；appsv/roint/insSales,rightsandIkensing.IopuvhascWHOpublciQ”，seehtlp〃appS刈卜omybooxordersTosubmitrecwestsfortoemer。加useandqueriesonrghtsardlensing,sechNQLMxwwncmvdoout^iccnsingThird-partymaterials.Ifyou//ishtorejsemalerdIfrominisworkthatisauribuiedI。aQ.irdparly,suchostabe$tigjresorirnDges.itisyourresponsibiiicytoaetermine心userpermission$necx。forreuse*dtoobtainpermissionfromthecopyr)grithoiaer.Theriskordorrsfesjitrgfrominfringementofanymrcpartyowneccomponentinthe^orKrestssole'w【hiheuser.Generaldisclaimers.Thede&gnaiionsernpioyedandtheCfesenta.onofthemjierialinthspublicationdonotmpl/seexpressionofanyooimcnwhatsoeveronthepartofWHOconcerningthelegalscatusofanycountry,tectitefy,crycrareaorofnsnes,orcorcernmgthedeimitaoonofitsfrontiersorboundariesDoneeanddashedlinesonmapsr劍esnispproximawborderlinesforwhenmeremayM2befullagrwwnrIhe怵n:onorspeciticcompaniesor01certainrranuracturers'proauasdoesnotmpyihaxtheyarcendorsedorrecommendedbyWHOmpreferencetoochersclasimilarnaturethatarenocmenuoned.Errorsandomiss?or6excepted,thenamesofproprietary'productsaredstingutshedbyinitialcapitalletters.Allffidsoriableprecautionshdwbeeri*enbyWHOioverifyihemforniaionconidi-：edmihspjblicaiion.Hoz/e^r.;hecuUistiedrr^aieridigbeingaisinbutedwithoutwsrraniyofanykind,eitherexpressedorimpikedTheresponsibiiiiyforiheinterpretationanduseofSemateriallieswiththereader.Infoe/entsnailWHObeliab^etorcarnageartsingfromitsuse.DeygcedbylmsCommunesdenRobertCowan,SharonL.Cushing,AdrianCDavis,VirgilDeMano,CarolinaDecLaurenDillard,[thelate]RobertDobie,RichardC.Dowell,SusanD.Emmett,KrisEnglish,HaraldAEuler,MelanieFerguson,SamuelCFicenecJean-PierreGagn色SuneelaGarg,Ren6GiffordzKarenA.Gordon,HelenGoulios.LydiaHaile,WyatieC.Hall,RachaelHapunda,HowardHoffman,ElizabethA-LHolt,LindaJHood,GitteKeidsecSarahM.Kortebein,TeenaKunjumen,AfaneLaplante-L^sque,JudithLieu,FrankLin,LuceroLopez,IsaacMacharia,NorbertoMartinez,RicardoMartinez,DavidMcDaid,CatherineMcMahon,BradleyMcPherson,NikkiMi!lszThaisMorataJohannesMuider,WilhelminaMuldersfJosephMurray,SerahN.Ndugwa,KatrinNeumann,CarrieNiemann,IanC'Brien,BolajokoOlusanya,NeelimaPanth,BlakeC.Papsin,DanieilePowell,WilliamT.Reed,MarianaReisfJohnS.Scheffelin,AlanShan,SunilDSharma,KristinSnoddonrMarioSvirskyzGeorgeTavartkiladzezPeterThornejamesTing,KelyTremblay,AlejandraUllaurLTheoVosRuthWarickKarlR.White,WarwickWiliams,MichaelYong,ChristineYoshinaga-ltanozRobinYoungs.DATACOLLATION,ANALYSISANDMODELLINGArunAgarwalMelanieBertram,PaulBriant,CarolinaDer,SomenathChatterjee,NathanGreen,TimJesudason,LydiaHaile,RachaelHaounda,InstituteforHealthMetricsandEvaluation(1HMELRicardoMartinez,DavidMcDaid,CatherineMcMahon,A；slynOrji,A-LaPark,AlejandraRodarte,JaimieSteinmetz.GeorgeTavartKiladze,DavidTordrup,TheoVosCONTRIBUTORSTODISSEMINATIONTOOLKITPaigeStringerwiththesupportofElenaAltieri,HayateeHasan,MattHowick,KarenReyes,SarahRussel,andGabriellaStemCONTRIBUTORSTOCASESTUDIESANDPHOTOGRAPHSRatnaAnggraeni;NazmulBan,BiancaBirdsey;MallBrady,KarenMojica(Mayfior/erMedicalOutreach);RuthThomsen,GregNassar(NHSAjd;o：ogySjppliesGroupandBritishAcademyofAudiology),KahnBury,ChinaResearchandRehabilitationCenterfor-tearingandSpeechImpairment;OhChunghyeon(CV；MhospitalFiji);SnehaDasGupta,JanetDesGeorges(Hands&Voices,USA),RaphaelElmiger(FederalOfficeofPublicHealth,Switzerland);SusanEmmett;JoaquinEscoto(MinistryofHealthofNicaragua);GemeinschaftElternundFreundeHorgeschadigtecAustria;GlobalCoalitionofParentsofChildrenwhoareDeaforHardofHearing;RachaelHapunda(MinistryofHealth,Zambia);HeartheWorldFoundation;ItalianPediatricFederationAudioogyNetwork.GovernmentofJapan,OzlemKonukseven,NguyenThiHongLoan;CleopaKilonzoMailu(PermanentMssionofRepublicofKenyatotheUnitedNationsOfficeandotherinternationalorganizations,Geneva,S^tzerland);MaryamMailick(WCOPakistan);OlgaManukhma;PeaceMasindeMutuma;OttoMeja;ShadrackMngemanefTheAururr：Inslitute,ScuthAfrica),NationalAssociationworldreportonhearingAfXNWLEOOEMEMTSAfXNWLEOOEMEMTSAfXNWLEOOEMEMTSAfXNWLEOOEMEMTSo<ParentsofDeafChildren,Uganda;MounaSakly(MinistryofHealthofTunisia);DiegoSantana(CBM[nternalional),SeemaRupaniShah(SNRHearingCentre,Kenya);Sandhya5mgh(NationalDepartmentofHealth,SouthAfrica),SmgdhaSarkar(AnweshaKolkata,India),WendyDawnSnowdon;SoundHearingInternational;StarkeyHearrgFoundation;PaigeStringer(GlobalFoundationForChildrenWithHearingLoss);GeorgeTavartkiladze(NationalResearchCentreforAudiologyandHearingRehabilitation,Moscow,RussianFederation),GlynVaughan(AllEarsCambodia);RuthWarick(InternationalFederationofHardofHearingPeople).OTHERCONTRIBUTORSMembersoftheWorldHearingForum.LukeAlexander.SueArchbold,KasperBergmann,B*ancaBird5ey,Jeanette3lomfOraBuerklirLiseLotteBundesen,PatriciaCastellanosdeMufioz.MichaelChov/enJackieCarkfJohnEichwald,SusanEmmett,AlisonEndFineberg,SuneelaGarg,LindaHood,JuliaLigeti,IsaacMacharia,NorbertoMartinez,CatherineMcMahon,KatrinNeumann,AanaNchols,CarrieNiemann,MKathleenPichoraFuller,AnnPorter,M>!anProfant,AudraRenyi,DiegoSantana,PaigeStringer,GeorgeTavartkiladze,BowenTang,PeterThorne,ElenaTorresani,RuthWanck,StephenWilliamson,LenaLaiNarWong,LidiaZabala.CITATIONMANAGEMENTChitraChander,ArundaMalachi,KaiNash,andAzharRahmanDESIGNCONCEPTANDLAYOUTImsCommunicationCOVERDESIGNCONTRIBUTIONRickyKej,HowdyPardnersWHOalsowishestoacknowledgethefollowingorganizationsfortheirgenerousfinancialsupportinthedevelopmentpublicationanddisseminationoftheWorldreportonhearing.CBMInternational,CentersforDiseaseControlandPrevention,USA;MrMichaelChowen,UnitedKingdom;InternationalSocietyofAudiology;NationalInstituteonDeafnessandOtherCommunicationDisorders,USA,andRehabilitationInternationalACKNOWLEDGEMENTSTheWorldHealthOrgamzation(WHO)wouldliketothankthemore:han200reportadvisorsandeditors,peerreviewers,WHOstaffandothercontributorsforineirsupportandguidance.Withouttheirdedication,support,andexpertisethisreportwouldnothavebeenpossible.TheWorldReportonHearingwasdraftedbyShellyChadhaandAlarcosCieza,withtechnicalsupportfromKaloyanKamenovandRicardoMartinez,undertheoverallguidanceofBenteMikkelsen,DirectorDepartmentofNoncommunicableDiseases,andRenMinghui,AssistantDirector-General.ThedevelopmentandfinalizationwasmadeoossiblethroughthesupportofKarenReyesandChnstineTurinFourcade.ThereportbenefittedfromcontributionsfromthefollowingWHOstaff:HaaSakrAh.ElenaAltieri,isleneAraujodeCarvalho,MelanieBertram,SomnathChatterjl,ChitraChander,GiorgioCometto,NeerjaChoudhary,DianaEstevez,GauravGupta,HayateeHasan,JvanDimovIvanov,KmWarnckJunsuk,ChapalKhasnabis,EtienneKrug,TeenaKunjumen,ArianeLaplante-L^wsque,AlinaLashko,MaryamMaHick,SatishMishra,日lickNarayan,PatanjaliDevNayar,AlanaOffrer,NuriaToroPolanco,NathalieRoebbelDavidRoss,SarahRusselJuanCarlosSiiva,KarinStenberg,GabriellaStern,YukaSumi,EmmaTebbutt,andAdrianaVela^uez.CONTRIBUTORSEDITORIALGUIDANCEJackieClark,SusanEmmett,SuneelaGarg,LindaHood,CatherineMcMahon,CarrieNiemann,BolajakoOlusanya,GeorgeTavartkiladze,PeterThorne.ADVISORYCOMMITTEEANDREVIEWERSMazmAlKhabon,KasperBe<gmannfMahmoodBhutta,AbrahamBlau,LiRongCheng,MicnaelChowen,CarolinaDerjohnEichwald.RachaelHapunda,KellyKing,FrankLin.IsaacMacharia,NorbertoMartinez.DonaldBradleyMcPherson,AmarihsMelendez,KatrinNeumann,GerardO'Donoghue,MilanProfantDiegoSantana-Hernandez.LanaShekim,AndrewSmith,PaigeStringer,DeWetSwanepoel,RuLhWarickrBlakeWilson,JeanWilson.AUTHORSANDREVIEWERSOFBACKGROUNDPAPERSArunAgarwalSueArchbod,AgnesAu,DavidM.Baguley.ElizabethF.Beach,MelanieBertram,MahmoodBhutta,IsabeleBoisvertChrisBrennanJonesXngkuanBurWORLDREPORTWORLDREPORTONKEARINSWORLDREPORTWORLDREPORTONKEARINSABBREVIATIONSAABRautomatedauditorybrainresponseABRauditorybrainstemresponseAOMacuteotitismediaAPDauditoryprocessingdisorderAPGARmethodofscoringtomeasurethephysicalconditionofanewbornARHLage-relatedhearinglossASHAAmencanSpeechLanguage&HeanngAssociationASOMacutesuppumiveotitismediaASSRauditorysteady-stateresponseCARTcommunicationaccessrealtimetranslationCCACCollaborativeforCommunicationAccessviaCaptioningCDCCentresforDiseaseControlandPrevention(UnitedStates)CMAcommunityhealthaide/agentCHWcommunityhealthworkerCMVcytomegalovirusCSOMchronicsuppurativeotitismediaDALYdisability-adjustedlifeyeardBdec：beldBAAweighteddecibelD/HHdeaf7hard-of-hearingDLUDeafLinkUgandaDR-TBdrug-resistanttuberculosisDSTdexamethasonesuppressiontestDTCdirect-to-consumer/customerEHCearandhearingcare)WORLDHEPOWTONKEARINS)WORLDHEPOWTONKEARINS)WORLDHEPOWTONKEARINS)WORLDHEPOWTONKEARINSEHDIearlyhearingdetectionandinterventionENTear,noseandthroatFDAFoodandDrugAdministration(UnitedStates)FLIPFamily-cenLredEarlyInterventionProgram(Austria)FMfrequencymodulationFRESHFocusingResourcesonEffectiveSchoolHealthGBDglobalburdenofdiseaseGDPgrossdomesticproductGPgeneralpractitionerHHLhiddenhearinglossHIVhumanimmunodeficiencyvirusHzHertzmeasurementofsoundvibrationfrequencyICFInternationalClassificationofFunctioning,DisabilityandHealthIPC-EHCintegratedpeoplecentredearandhearingcareITUInternationalTelecommunicationUnionMDR-TBmulbdrug-resistanttuberculosisMHMSMinistryofHealthandMedicalServices(Fiji)MoHMinistryofHealthNGOnongovernmentalo「ganizationNHSPNewbornHearingScreeningProgram(Israel)NICUneonatalintensivecareunitsNIHLnoise-inducedhearinglossNSOMnonsuppurativeotitismediaOAEotoacousticemissionOMotitismediaOMEotitismediawitheffusionOTCover-the-counterPCVpneumococcalconjugatevacanePEHCprimaryearandhearingcareABeRBWOMS

PEHC-TRprimaryearandhearingcaretrainingresourcesPSAPpersonalsoundamplificationproductPTApuretoneaudiometryQALYquality-adjustedlifeyearQOLqualityoflifeRAHLrapidassessmentofhearinglossRCTrandomizedcontroltrialSDGSustainableDevelopmentGoalSFHAself-fittinghearingaidsSLTspeech-anguagetherapistSSNHLsuddensensorineuralhearinglossSTTspeechtotextsmspeecn-totext-interpretingSTTRspeech-to-text-reportingTEOAEtransient-evokedotoacousticemissionUNUnitedNationsUNCRPDUnitedNationsConventiononRightsofPersonswithDisabilitiesUNHSuniversalr^vbornhearingscreeningUSAUnitedStatesofAmericaVAVeteransAffairs(USA)WHAWorldHealthAssemblyWHOWorldHealthOrganizationWHFWorldHearingForumWISNWorkforceIndicatorforStaffingNeeds(WHO)YLDyearslivedwithdisabilityHeanngcareforall!INTRO)VCTIONINTRO)VCTIONINTRO)VCTIONINTRO)VCTIONWORLDREPOWTWORLDREPOWTONHEARINSseengame-changingadvancesinthefieldofhearingtechnology,dlagnosflcsandtelemedicinewithinnovationsthatenableeardiseasesandhearinglosstobeidentifiedatanyageandInanysettingMedicalandsurgicalmanagement,hearingaids,cochlearimplants,rehab；liLativetherapy,signlanguageandcaptioningaresolutionswhichcanensurethatpeoplewitheardiseasesorhearinglossaccesseducationandcommunicationandtherebyhavetheopportunitytofulfiltheirpotential.Despitetheexistenceandeffectivenessoftheseinterventions,thevastmajorityofthoseinneeddonothaveaccesstothem.Mostpeoplewithhearinglossliveinlow-incomesettingswherehumanresourcesandservicesforearandhearingcarearenotcommonlyaccessible.Toaddressthis,in2017,theWorldHealthAssemadoptedresolutionWHA70.13(6)wnichurgesgovernmentstointegrateearandhearingcareintotheirnationalhealthsystemframeworkandinstructsWHOtoprovidetheevidenceandtoolsforthemtodothisTheWorldreportonhearingwasdevelopedwiththekeypurposeofpromotingglobalactionforequitableaccesstoearandhearingcareinallsettingsacrossthev?orld.ThereportprovidesdearevidencetotargethearinglossasaglobalpublichealthpriorityandoutlinestheHEARING,packageofinle^enticnsthatcountriesshouldprioritize,takingintoaccounttheirnationacircumstances.Themanychallengesfacingcountriesintheseendeavoursareoudinedinthereport.ChallengeshavefurtherntensifiedduringtheCOVID-19pandemic,wnichhasexposedthefragilityofcurrenthealthsystemsandfocusedattentionontheneedtoinvestinhealthcareasameanstosafeguardtheworld'spopulationsinthefuture.Asgovernmentsandpublichealthagenciesbeginthetaskofbuddingbelter,future-proofedhealthsystems,lessonsmustbelearnt,andthevisionofuniversalhealthcoveragerealized.Publichealthactionmusltakeintoaccounttheongoingdemographicchanges:ariseofmorethan1.5foldinhearinglossisanticipatedinthecomingdecades.ThroughprioritizinghearingiossandintegratinghearingcarewithinthesystemsWHOMemberStatescanensurethatearandhearingcareservicesareaccessbleaspartofuniversalhealthcoverage,deliveredthroughnationalhealthsystemsDefinitiveactionisrequiredtodelivernotonlyonthemandateofresolutionWHA70.13,butalsotherelevantSustainableDevelcpmentGoals(SDGs):SDG3(goodhealthandwell-being);SDG4(qualityeducation);SDG8(decentworkandeconomicgrowth);andSDG10(equality).In2015,whencountriesadoptedthenewagendaforsustainabledeveiopmentintheformof17goals,theypledgedtoleavenoonebehind.Theyrecognizedthatendingpovertymustbesupportedbystrategiestobothbuildeconomicgrowthandtoaddressarangeofsocialneedsincludingeducation,health,soda!protectionandjobopportunities.INTRODUCTIONQTheWorldreportonhearingenvisionsaworldinwhichnoindividualexperienceshearinglossduetopreventablecauses,andthosewithhearinglosscanachievetheirfullpotentialthroughrehabilitation,educationandempowerment.Hearingisthesensewithwh<hv/epercevethesoundsaroundus;throughhearingweengagewithourenvironment,communicatewthothers,expressourthoughts,andgaineducationGloballymorethan1.5billionpeopleexperiencesomedeclineintheirhearingcapacityduringtheir；ifecourse,ofwhomatleast430millionwillrequirecare.Lossofhearing,ifnot