2019 Summary of Reasons for No Documented Hearing Screening Among Total Occurrent Births

May 2021

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Data Source: 2019 CDC EHDI Hearing Screening & Follow-up Survey (HSFS)

2019 Summary of Reasons for No Documented Hearing Screening Among Total Occurrent Births
State / Territory (n = 55) Total Occurrent Births Reported by EHDI Program Total Not Screened No Documented Hearing Screened
Infants Died Non-resident / Moved Out of Jurisdiction Medical Reason Parents / Family Declined Transferred / No Documentation Infant Adopted Homebirth Parents/ Family Contacted but Unresponsive Unable to Contact Unknown Other Overall Number LFU/LTD: Due to Contacted but Unresponsive + Unable to Contact + Unknown Overall Percent LFU/LTD: Due to Contacted but Unresponsive + Unable to Contact + Unknown Percent LFU/LTD: Due to Unable to Contact and Unknown Percent Unresponsive§: Due to Parents / Family Contacted but Unresponsive
Alaska^ 9,712 360 46 2 0 28 0 0 181 89 2 12 0 103 1.1 0.1 0.9
American Samoa^ 837 6 4 0 0 0 0 0 0 2 0 0 0 2 0.2 0.0 0.2
Arizona^ 80,452 898 236 8 3 244 34 0 304 12 36 21 0 69 0.1 0.1 0.0
Arkansas^ 34,877 360 99 7 1 77 0 0 85 14 47 10 20 71 0.2 0.2 0.0
California^ 440,428 2,075 1,322 10 151 524 9 0 0 8 7 14 30 29 0.0 0.0 0.0
Commonwealth of the Northern Mariana Islands^ 909 6 4 1 0 0 0 0 0 0 1 0 0 1 0.1 0.1 0.0
Connecticut 35,564 226 120 3 0 18 9 0 62 0 0 9 5 9 0.0 0.0 0.0
Delaware^ 11,066 297 44 18 3 0 0 0 3 0 0 229 0 229 2.1 2.1 0.0
District of Columbia^ 13,401 265 16 113 0 9 0 0 0 0 0 127 0 127 0.9 0.9 0.0
Florida^ 220,010 10,806 435 54 1,287 1,211 347 0 0 298 672 6,139 363 7,109 3.2 3.1 0.1
Georgia^ 127,322 3,597 444 135 67 55 103 0 330 6 16 2,061 380 2,083 1.6 1.6 0.0
Guam^ 2,794 3 0 1 0 0 0 0 0 0 1 0 1 1 0.0 0.0 0.0
Hawaii^ 16,708 129 31 0 0 26 6 0 60 0 0 6 0 6 0.0 0.0 0.0
Idaho^ 21,491 474 44 6 0 28 7 0 0 4 343 42 0 389 1.8 1.8 0.0
Illinois^ 137,791 2,125 498 32 6 24 102 1 483 18 33 928 0 979 0.7 0.7 0.0
Indiana^ 78,622 1,404 334 2 3 421 6 0 579 55 0 4 0 59 0.1 0.0 0.1
Iowa^ 37,585 575 111 4 2 370 0 0 77 1 9 0 1 11 0.0 0.0 0.0
Kansas^ 36,980 365 129 0 1 76 0 0 0 157 2 0 0 159 0.4 0.0 0.4
Kentucky^ 50,621 876 121 2 27 0 3 0 596 0 0 113 14 113 0.2 0.2 0.0
Louisiana^ 58,831 580 377 0 0 13 31 0 61 0 0 70 28 70 0.1 0.1 0.0
Maine^ 11,512 269 49 1 2 22 11 0 178 1 0 5 0 6 0.1 0.0 0.0
Marshall Islands^ 977 59 4 0 0 0 0 0 0 0 0 0 55 0 0.0 0.0 0.0
Maryland^ 66,803 618 290 5 6 74 43 0 171 25 3 1 0 29 0.0 0.0 0.0
Massachusetts^ 69,924 570 209 27 54 23 23 0 210 1 0 15 8 16 0.0 0.0 0.0
Michigan^ 105,915 836 189 0 9 518 24 0 0 0 0 39 57 39 0.0 0.0 0.0
Micronesia 1,782 198 17 0 1 39 0 0 133 0 0 0 8 0 0.0 0.0 0.0
Minnesota 65,250 826 221 7 0 136 12 0 343 7 2 0 98 9 0.0 0.0 0.0
Missouri 72,857 1,417 368 5 0 452 0 1 351 228 12 0 0 240 0.3 0.0 0.3
Montana^ 11,125 322 33 10 1 14 24 0 201 1 2 36 0 39 0.4 0.3 0.0
Nebraska^ 25,185 155 108 0 3 12 0 0 32 0 0 0 0 0 0.0 0.0 0.0
Nevada^ 34,735 965 70 0 56 112 35 0 346 3 0 334 9 337 1.0 1.0 0.0
New Hampshire^ 11,672 191 14 1 0 20 87 0 0 0 0 69 0 69 0.6 0.6 0.0
New Jersey^ 96,526 1,046 262 0 8 73 188 0 141 40 1 5 328 46 0.0 0.0 0.0
New Mexico^ 21,562 812 61 34 2 6 82 0 201 0 7 12 407 19 0.1 0.1 0.0
New York 222,427 6,150 489 156 1,079 260 98 3 2,201 0 0 1,637 227 1,637 0.7 0.7 0.0
North Carolina^ 120,638 929 595 28 7 115 4 1 60 0 26 29 64 55 0.0 0.0 0.0
North Dakota^ 11,943 82 66 1 0 11 0 0 0 4 0 0 0 4 0.0 0.0 0.0
Ohio 135,132 2,970 678 13 7 286 198 8 1,601 0 0 12 167 12 0.0 0.0 0.0
Oklahoma^ 47,413 325 81 3 3 17 17 0 184 4 0 16 0 20 0.0 0.0 0.0
Oregon^ 42,187 518 39 25 0 145 0 0 253 8 1 18 29 27 0.1 0.0 0.0
Palau 213 4 4 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 0.0
Pennsylvania^ 134,074 2,634 654 36 37 1,221 30 0 0 21 302 41 292 364 0.3 0.3 0.0
Puerto Rico^ 18,745 189 14 0 13 0 24 1 0 22 1 72 42 95 0.5 0.4 0.1
Rhode Island^ 10,708 81 57 4 0 8 5 0 0 5 2 0 0 7 0.1 0.0 0.0
South Carolina 53,453 1,246 243 1 0 23 93 0 77 0 0 645 164 645 1.2 1.2 0.0
South Dakota 12,224 475 54 39 0 4 45 0 44 0 0 289 0 289 2.4 2.4 0.0
Tennessee^ 86,068 855 449 49 0 168 8 0 86 1 45 49 0 95 0.1 0.1 0.0
Texas^ 375,509 4,948 849 48 239 751 0 1 1 0 0 3,059 0 3,059 0.8 0.8 0.0
Utah^ 48,035 353 211 0 0 42 3 0 97 0 0 0 0 0 0.0 0.0 0.0
Vermont^ 5,193 54 10 1 0 16 0 0 27 0 0 0 0 0 0.0 0.0 0.0
Virginia^ 97,400 1,976 91 302 0 171 70 0 0 0 0 1,251 91 1,251 1.3 1.3 0.0
Washington^ 83,895 384 110 8 1 186 0 0 1 42 30 0 6 72 0.1 0.0 0.1
West Virginia^ 18,917 396 43 140 0 1 0 0 0 0 2 210 0 212 1.1 1.1 0.0
Wisconsin^ 62,843 1,010 145 10 0 574 0 0 0 61 36 93 91 190 0.3 0.2 0.1
Wyoming^ 5,918 83 11 0 0 30 8 0 33 1 0 0 0 1 0.0 0.0 0.0
Totals 3,604,761 59,373 11,203 1,352 3,079 8,654 1,789 16 9,793 1,139 1,641 17,722 2,985 20,502 0.6 0.5 0.0

Data Notes

LFU/LTD = Loss to Follow-up / Loss to Documentation

Overall Percent LFU / LTD: ((# Contacted but Unresponsive + # Unable to Contact + # Unknown) / # Total Occurrent Births) * 100

Percent LFU / LTD: ((# Unable to Contact + # Unknown) / # Total Occurrent Births) * 100

§ Percent Unresponsive: (# Contacted but Unresponsive / # Total Occurrent Births) * 100

^ Jurisdiction reported using revised “Parents/Family Contacted but Unresponsive” definition. Refer to 2019 Hearing Screening and Follow-up Survey Explanations document pages 6-7 for both “Old” and “Revised” Unresponsive definitions.

In many regions the COVID-19 pandemic interrupted the delivery of health care services in 2020, including newborn hearing screening and follow-up services. As a result, infants born in late 2019 and needing hearing screening and/or follow-up services in 2020 may have had difficulties obtaining these services.

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