2019 Summary of Reasons for No Documented Diagnosis Among Infants Not Passing Hearing Screening

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May 2021

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

2019 Summary of Reasons for No Documented Diagnosis Among Infants Not Passing Hearing Screening
State / Territory
(n = 55)
Total Not Pass No Documented Diagnosis
In Process PCP did not refer Infant Died Non-Resident/Moved Medical reason Parents / Family Declined Infant Adopted 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^ 140 2 0 0 4 0 15 0 30 1 0 1 31 22.1 0.7 21.4
American Samoa^ 14 1 0 0 4 0 0 0 0 0 5 0 5 35.7 35.7 0.0
Arizona^ 857 0 0 12 68 3 19 0 146 118 0 9 264 30.8 13.8 17.0
Arkansas^ 740 21 0 8 61 1 33 0 43 323 104 0 470 63.5 57.7 5.8
California^ 2,699 34 0 18 163 20 188 0 147 163 0 0 310 11.5 6.0 5.4
Commonwealth of the Northern Mariana Islands^ 34 0 0 0 19 0 0 0 0 2 0 0 2 5.9 5.9 0.0
Connecticut 461 0 0 0 33 0 2 0 31 0 0 0 31 6.7 0.0 6.7
Delaware^ 104 2 0 2 0 3 0 0 0 29 46 0 75 72.1 72.1 0.0
District of Columbia^ 362 0 0 0 5 0 0 0 0 1 330 0 331 91.4 91.4 0.0
Florida^ 9,453 145 3 19 54 8 169 0 298 672 1 59 971 10.3 7.1 3.2
Georgia^ 2,522 3 0 8 189 4 41 0 204 174 915 289 1,293 51.3 43.2 8.1
Guam^ 110 0 0 0 4 0 10 0 11 4 0 73 15 13.6 3.6 10.0
Hawaii^ 250 3 0 2 8 1 2 0 6 12 33 0 51 20.4 18.0 2.4
Idaho^ 771 0 0 0 25 0 10 1 119 32 11 0 162 21.0 5.6 15.4
Illinois^ 2,027 0 15 15 55 4 23 3 76 30 386 0 492 24.3 20.5 3.7
Indiana^ 3,589 52 12 20 32 34 261 2 330 55 22 0 407 11.3 2.1 9.2
Iowa^ 601 7 2 4 37 2 40 0 53 94 1 4 148 24.6 15.8 8.8
Kansas^ 629 30 0 1 18 1 7 0 3 1 35 3 39 6.2 5.7 0.5
Kentucky^ 1,042 76 0 3 18 0 17 0 71 45 36 55 152 14.6 7.8 6.8
Louisiana^ 560 82 0 10 10 1 3 0 40 104 2 114 146 26.1 18.9 7.1
Maine^ 228 3 0 0 3 0 4 0 39 0 5 1 44 19.3 2.2 17.1
Marshall Islands^ 27 2 0 0 5 0 0 0 8 0 0 0 8 29.6 0.0 29.6
Maryland^ 1,084 1 0 7 61 3 7 0 197 92 5 0 294 27.1 8.9 18.2
Massachusetts^ 1,481 32 1 2 39 8 57 0 4 18 30 9 52 3.5 3.2 0.3
Michigan^ 1,150 12 7 9 22 9 37 7 240 262 30 2 532 46.3 25.4 20.9
Micronesia 61 0 0 0 0 0 7 0 2 0 20 29 22 36.1 32.8 3.3
Minnesota 956 4 10 7 30 2 61 0 210 28 6 1 244 25.5 3.6 22.0
Missouri 1,183 0 0 13 6 1 33 1 307 0 0 0 307 26.0 0.0 26.0
Montana^ 194 0 0 1 2 0 1 0 128 0 21 0 149 76.8 10.8 66.0
Nebraska^ 184 35 0 0 1 2 6 0 17 3 3 0 23 12.5 3.3 9.2
Nevada^ 530 19 0 1 1 0 8 0 32 140 90 0 262 49.4 43.4 6.0
New Hampshire^ 370 27 0 0 2 0 1 0 127 0 0 0 127 34.3 0.0 34.3
New Jersey^ 807 17 0 0 0 0 0 0 0 0 392 31 392 48.6 48.6 0.0
New Mexico^ 533 0 6 3 22 10 9 0 100 5 12 48 117 22.0 3.2 18.8
New York 2,558 2 0 15 60 0 4 3 0 0 1,663 0 1,663 65.0 65.0 0.0
North Carolina^ 1,115 50 1 19 64 12 45 0 57 219 12 47 288 25.8 20.7 5.1
North Dakota^ 310 3 0 3 42 0 5 0 90 68 0 0 158 51.0 21.9 29.0
Ohio 4,898 16 3 23 89 2 211 0 849 160 0 4 1,009 20.6 3.3 17.3
Oklahoma^ 689 248 0 6 3 2 0 0 76 263 13 0 352 51.1 40.1 11.0
Oregon^ 1,333 0 0 3 34 2 32 59 13 24 0 96 7.2 2.8 4.4
Palau 2 2 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 0.0
Pennsylvania^ 1,010 39 6 0 24 2 21 0 121 72 0 0 193 19.1 7.1 12.0
Puerto Rico^ 769 2 6 8 32 6 7 0 75 85 51 124 211 0.0 0.0 0.0
Rhode Island^ 248 9 0 0 19 1 12 0 49 5 0 6 54 21.8 2.0 19.8
South Carolina 828 0 0 7 12 0 1 0 196 5 310 0 511 61.7 38.0 23.7
South Dakota 242 0 0 1 20 0 4 0 8 4 138 0 150 62.0 58.7 3.3
Tennessee^ 2,228 31 0 13 159 0 24 0 201 226 0 0 427 19.2 10.1 9.0
Texas^ 4,647 223 2 16 190 28 108 2 23 23 2,327 0 2,373 51.1 50.6 0.5
Utah^ 705 2 0 13 15 0 24 0 22 10 0 0 32 4.5 1.4 3.1
Vermont^ 44 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.0 0.0
Virginia^ 1,705 40 1 11 1 0 22 0 50 24 613 14 687 40.3 37.4 2.9
Washington^ 1,083 29 1 7 27 6 67 0 192 117 0 30 309 28.5 10.8 17.7
West Virginia^ 623 0 0 3 11 0 7 0 1 3 251 0 255 40.9 40.8 0.2
Wisconsin^ 646 0 0 4 14 0 51 0 130 18 8 68 156 24.1 4.0 20.1
Wyoming^ 39 0 0 0 0 0 5 0 1 0 0 0 1 2.6 0.0 2.6
Totals 61,475 1,306 76 317 1,817 178 1,721 19 5,219 3,723 7,951 1,021 16,893 27.5 19.0 8.5

Data Notes

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.

Data include information about any services that infants born in the calendar year 2019 received through 2020, until time of survey reporting.

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

Overall Percent LFU / LTD: (# Unable to Contact + # Unresponsive + # Unknown) / # Total Not Pass * 100

Percent LFU / LTD: (# Unable to Contact + # Unknown) / # Total Not Pass * 100

§ Percent Unresponsive: # Unresponsive / # Total Not Pass * 100

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

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