Letter to the Editor

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Abstract
We are pleased that our challenge1 of the National Institutes of Health Consensus Conference recommendation2 that all infants be screened for hearing impairment within the first 3 months of life, and preferably before discharge from the newborn nursery, has generated so much response. We thank Dr Miller for his approving comments and particularly for his suggestions concerning screening-related research. We also welcome the provocative rejoinders from the proposed screening program's advocates, first, because in answering their various criticisms we hope to shed further light on key component issues, and second, because heightened attention in these pages to the problem of hearing loss in young infants can only lead to heightened general vigilance and therefore earlier case detection.

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