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In the Loop Winter 2016

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WHY IS EAR AND HEARING HEALTH<br />

A PRIORITY HEALTH CONDITION FOR<br />

ABORIGINAL AND TORRES STRAIT<br />

ISLANDER CHILDREN?<br />

Ear and hearing health plays an important<br />

role in early childhood development because<br />

speech, language, learning and social skills<br />

are dependent on children being able to hear.<br />

Middle ear disease (or otitis media) is <strong>the</strong> main<br />

cause of hearing problems for children and is<br />

<strong>the</strong> result of bacterial or viral infections behind<br />

<strong>the</strong> eardrum. While <strong>the</strong> disease affects many<br />

children at some point during early childhood,<br />

in most cases <strong>the</strong> condition resolves itself quickly<br />

with limited or no medical intervention. However,<br />

<strong>the</strong> condition is a major health problem for<br />

Aboriginal and Torres Strait Islander children<br />

because <strong>the</strong>y can experience it at a younger age,<br />

severely, persistently and frequently, and it is often<br />

accompanied by hearing loss. The impacts are<br />

substantial and can result in delays in childhood<br />

development, affect social relationships, impede<br />

learning and reduce school readiness.<br />

WHY DO ABORIGINAL AND TORRES<br />

STRAIT ISLANDER CHILDREN EXPERIENCE<br />

THE DISEASE DIFFERENTLY TO NON-<br />

INDIGENOUS CHILDREN?<br />

There are a number of factors that help explain<br />

why Aboriginal and Torres Strait Islander children<br />

experience more severe, persistent and frequent<br />

forms of middle ear disease than non-<strong>In</strong>digenous<br />

children. Middle ear disease is influenced by a<br />

combination of social and economic factors. These<br />

factors are referred to as <strong>the</strong> ‘social determinants<br />

of health’ because <strong>the</strong>y are <strong>the</strong> circumstances and<br />

conditions that shape and influence a person’s<br />

health.<br />

HOW WILL THE NEW POLICY INFLUENCE<br />

THE EARLY CHILDHOOD EDUCATION AND<br />

CARE SECTOR?<br />

The Queensland Government, through<br />

Queensland Health and <strong>the</strong> Department of<br />

Education and Training, are committed to<br />

partnering and supporting ECEC providers<br />

implement <strong>the</strong> actions from <strong>the</strong> new policy and<br />

improve <strong>the</strong> delivery of services to children over<br />

<strong>the</strong> next 10 years.<br />

WHAT CAN THE EARLY CHILDHOOD<br />

EDUCATION AND CARE SECTOR DO NOW<br />

TO IMPLEMENT THE POLICY?<br />

Many ECEC providers currently implement <strong>the</strong>se<br />

actions as part of <strong>the</strong>ir day-to-day operations, but<br />

fur<strong>the</strong>r improvements are needed to ensure every<br />

Aboriginal and Torres Strait Islander child has<br />

healthy ears and can listen, learn and reach <strong>the</strong>ir<br />

full potential.<br />

For educators interacting with children on a dayto-day<br />

basis, this means learning to identify <strong>the</strong><br />

signs and symptoms of hearing loss, having good<br />

hygiene and hand washing practices in place,<br />

and providing families and carers with information<br />

on ear and hearing health, and encouraging <strong>the</strong>m<br />

to take <strong>the</strong>ir child to <strong>the</strong>ir local health service for a<br />

check-up if <strong>the</strong>y are experiencing ear and hearing<br />

problems.<br />

TABLE 1: Early childhood development actions from Deadly Kids,<br />

Deadly Futures <strong>2016</strong>-2026<br />

DELIVERABLES<br />

HEALTH<br />

PROMOTION<br />

AND<br />

PREVENTION<br />

SERVICE DELIVERY<br />

IMPROVEMENTS<br />

WORKFORCE<br />

DEVELOPMENT<br />

DATA<br />

COLLECTION<br />

AND RESEARCH<br />

KEY ACTIONS<br />

Encourage early childhood education and care<br />

providers to embed and implement public and<br />

preventative health approaches into <strong>the</strong>ir operating<br />

practices to reduce <strong>the</strong> risk factors associated with<br />

childhood diseases and illnesses, including middle<br />

ear disease.<br />

Support early childhood education and care<br />

providers to implement stronger infection control<br />

and hygiene practices and processes to effectively<br />

respond to outbreaks of communicable disease.<br />

Support early childhood education and care<br />

providers to inform and educate parents about<br />

<strong>the</strong> impacts of middle ear disease and associated<br />

hearing loss on early childhood developmental<br />

outcomes and <strong>the</strong> importance of early intervention.<br />

Encourage early childhood education and care<br />

providers in areas with a high proportion of<br />

Aboriginal and Torres Strait Islander children to<br />

identify middle ear disease and associated hearing<br />

loss as a priority health condition in relevant<br />

operational policies and procedures.<br />

Encourage and support early childhood education<br />

and care providers to implement effective practice<br />

approaches to enhance <strong>the</strong> listening, language,<br />

learning and play skills of children with impacts from<br />

middle ear disease and associated hearing loss.<br />

Advocate for listening (acoustic) requirements to be<br />

incorporated into early childhood sections in <strong>the</strong><br />

Building Code of Australia and encourage private<br />

providers to build environments to meet <strong>the</strong>se<br />

standards.<br />

Work with relevant stakeholders to enhance <strong>the</strong><br />

skills, knowledge and competency of early childhood<br />

education and care educators to identify <strong>the</strong> signs<br />

and symptoms of middle ear disease and associated<br />

hearing loss, and effectively manage its impacts.<br />

Promote and engage in data collection and research<br />

processes with relevant stakeholders to:<br />

• <strong>In</strong>form, review and evaluate management<br />

approaches for Aboriginal and Torres Strait<br />

Islander children with identified hearing loss; and<br />

• Implement effective classroom modifications to<br />

improve <strong>the</strong> listening and learning environments of<br />

children.<br />

A range of online resources and tools have been developed for ECEC<br />

providers by <strong>the</strong> Queensland and Australian Governments about<br />

identifying <strong>the</strong> signs and symptoms of middle ear disease and hearing<br />

loss, and implementing practical strategies to manage <strong>the</strong> impacts in early<br />

childhood settings. These can be accessed from <strong>the</strong> following websites:<br />

• Queensland Health Deadly Ears Program:<br />

www.health.qld.gov.au/deadly_ears/html/educators.asp and<br />

• Australian Government Care for Kids’ Ear Campaign:<br />

www.careforkidsears.health.gov.au/internet/cfke/publishing.nsf/<br />

Content/childhood-group<br />

To order or download a copy of <strong>the</strong> policy, please visit <strong>the</strong> Deadly Ears<br />

website (www.health.qld.gov.au/deadly_ears), Facebook page (www.<br />

fb.com/DeadlyEars) or ring <strong>the</strong> Deadly Ears Program on (07) 3310 7709.<br />

WORKFORCE.ORG.AU 25

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