Figure: iStock/vgajicA great challenge faces the ear and hearing community today. Even as we struggle to provide accessible and affordable care to people with ear diseases and hearing loss, the numbers requiring this care are constantly going up. The increasing trend of listening to loud music over prolonged periods is putting the hearing of over a billion young people at risk. At the same time, demographic trends predict an increase in the number of older adults, one-third of whom are likely to have hearing loss. In addition, there are other persisting risk factors, including ear infections, infectious diseases such as rubella and meningitis, birth complications, occupational noise exposure, and injudicious use of ototoxic medicines.Figure: Shelly Chadha, PhDThese predictions underline the fact that we face an imminent, exponential rise in hearing loss. Imagine a world where every fourth person is hearing impaired, which may well become a reality. As a professional community, we must answer these questions: How can this looming epidemic be prevented? And how can access to care be ensured for people with ear and hearing problems across the world?Figure: Alarcos Cieza, PhDThese questions cannot be answered by any single entity acting in isolation even with the best of intentions. Concerted public health action at a global level is required to combat the emerging risks and to prepare for those that we can't. Such global action has to be carried out with a single vision and the participation of all stakeholders in the field of ear and hearing care. Everyone—clinicians, researchers, academicians, members of professional groups, nongovernmental organizations (NGOs), governmental agencies, health organizations, civil society, or industry representatives—has to contribute toward this effort. If we are to meet this challenge effectively, we must move out of our “individual zones” and work together. STAKEHOLDERS’ CONSULTATION To identify the multiple aspects of such global action through a collaborative approach, the World Health Organization (WHO) organized the first Stakeholders’ Consultation in July 2016 (WHO, 2016 http://bit.ly/2qTtcuz). This was done with the aim to develop a shared vision and identify synergies among different stakeholders. Different sectors involved in hearing care were represented at this meeting, which reviewed trends in hearing loss and identified mechanisms to raise awareness of hearing loss through World Hearing Day (March 3). Key developments have taken place in the year that followed. The World Health Assembly (WHA), which is the supreme decision-making body in global health, is in the process of discussing a proposed resolution to draw the attention of its member states towards hearing loss. The WHO has advanced its initiative, “Make Listening Safe,” which aims to reduce the risk of hearing loss due to recreational exposure. World Hearing Day has been established as an annual advocacy event, and was observed across the globe in 2017 with the theme “Action for hearing loss: Make a sound investment.” MOVING FORWARD Carrying forward the work initiated last year, WHO is inviting stakeholders for another consultation. These include experts in ear and hearing care and in public health from across the six WHO regions, international NGOs and civil society groups, WHO collaborating centres and partner academic institutions, manufacturers of hearing devices, and researchers in the field. Following on the heels of the WHA, this consultation at the WHO headquarters in Geneva is expected to define a roadmap for global action on hearing loss and outline the roles various stakeholders can play in this action. This global action must be promoted through evidence-based, holistic, and collaborative strategies. Most importantly, all stakeholders must be committed to driving this agenda to face and overcome the looming threat of a hearing loss epidemic.
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