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Volume 23 Issue 9

HOH-LD-News
Vol. 23, Issue 9
May 28, 2005

Copyright (C) 2005 Hearing Loss Web. All rights reserved.

~~~~~~~~~~~~~~~~~
Table of Contents
~~~~~~~~~~~~~~~~~

- Article 1: Emergency Services at State and Local Levels - Hard of Hearing and Deaf People - A WSD Workshop

- Article 2: Over-the-Counter (OTC) Hearing Aids - Part 3

- Article 3: VoIP Providers Must Provide Reliable 911 Service

- Article 4: ATIS Files Hearing Aid Compatibility Status Report on Behalf of Industry

Our advertisers make it possible for us to provide HOH-LD-News as a free service. Please let them know you appreciate their support, and please mention that you saw their message in HOH-LD-News.

- Advertisers in this Issue
First Premium Placement: Harris Communications
Second Premium Placement: NAD
Third Premium Placement: Hearing Loss Web Captioned Movie Directory
Classified Section: One CapTel Service Provider, one Online Captioner, one Conference, one Survey, and three Employment Opportunities

~~~~~~~~~~~~~~~~~~~
Contact information and disclaimers are at the end of this newsletter.
~~~~~~~~~~~~~~~~~~~

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~~~~~~~~~~~~~~~~~~~
- Article 1: Emergency Services at State and Local Levels - Hard of Hearing and Deaf People - A WSD Workshop
~~~~~~~~~~~~~~~~~~~

Those of you who have been reading our newsletter for awhile are aware of our (to date unsuccessful) efforts to promote the inclusion of people with hearing loss in San Diego's emergency planning activities. So I was thrilled to have the opportunity to hear about Randy Collin's successful work with Arizona authorities!

Randy opened his presentation with this quote from "Emergency Preparedness for Older People" by Nora O'Brien: "Within 24 hours following the 9/11 terrorist attacks, animal advocates were on the scene rescuing pets; yet abandoned older and disabled people waited for up to seven days for an ad hoc medical team to rescue them." He pointed out that this wasn't intentional behavior, but rather an unfortunate oversight. Emergency planners are clueless about people with disabilities, so it's not surprising that their needs are not taken into consideration.

Getting Started

Randy summarizes this situation with a statement that requires a bit of thought: "If you're not part of the solution, you're not part of the problem." To be part of the solution means to be an integral part of the development of the solution; in this case, people with hearing loss have to be involved in emergency planning activities. If they're not, when a real emergency occurs, the emergency personnel forget that people with hearing loss are involved in the emergency, too (they are not part of the problem). And they are overlooked in subsequent rescue operations.

Randy's initial efforts to get involved in emergency planning in Arizona were met with the "runaround". Each agency he contacted told him that he should contact some other agency. Frustrated by this treatment, Randy lied to his government, and it worked!

He called the State Office of Emergency Services and reported that a gentleman in Tucson had asked if the videos about emergency procedures would be captioned. And that was the turning point. An agency called to ask what they needed to do to include people with disabilities; then another called, then another. Soon he was involved in the network that oversaw emergency planning in Arizona.

He organized a committee to discuss the issue, and was fortunate to attract many first responders and people with a variety of disabilities. The first thing they learned was that everyone had to climb a big vocabulary learning curve, because initially terms meant very different things to different people. One example is the term "special needs". Despite different meanings within the various groups, within that committee "special needs" came to mean anyone who needs attendant care.

The second thing they learned was that emergency evacuation of pigs and chickens was included in the State Emergency Plan, but that emergency evacuation of people with disabilities was NOT included! So their goal became to get included in that plan.

Additional fundamental principles included:
- Emergency services in Arizona are primarily local
- Terrorism is a concern, but is not the focus of emergency planning
- The State Emergency Plan functions as a guideline for local professionals

Randy was dismayed to learn that hard of hearing and deaf people, like hearing people, are often not especially concerned with emergency planning.

Some Effective Measures

One program that he strongly recommends is the Vial of Life Program. It's quite well known among seniors and within some medical communities, but not so well known within the hearing loss community. The program includes a small vial that contains information that emergency personnel would want to have, such as medical information, the fact that a person has hearing loss, etc. The vial is placed in a refrigerator, and emergency personnel are trained to look for it.

Arizona has taken several steps to ensure that emergency information reaches people with hearing loss, including:
- Establishing a telephone tree to spread emergency information.
- Establishing a procedure that any alert issued by the Public Information Office will also be emailed to the Arizona Commission on the Deaf and Hard of Hearing, so they can disseminate it within the hearing loss community.
- Promoting the use of captioned emergency radio.

Perhaps the most effective accomplishment was the inclusion of people with disabilities in emergency drills. You would expect that it took some convincing of the emergency personnel to get this idea accepted, but you might be surprised to learn that it also took some convincing of members of the hearing loss community! But everyone eventually agreed, and a system was in place that allowed both emergency personnel and members of the hearing loss community to experience simulated emergency situations that included people with hearing loss.

One fairly obvious problem arose during the preparation for the first drill. Everyone gathered in a large room to receive instructions, and the people with hearing loss had no idea what was being said.

Another difficult situation occurred in the simulated decontamination room. Emergency personnel in decontamination suits (that included face shields) oversaw the decontamination of people who went through the decontamination room naked (well, simulated naked for the drill ;-) As you might expect, communication between a worker wearing a face shield and a person with hearing loss who couldn't use hearing aids, CIs, ALDs, etc. proved challenging. The drill also revealed the need to have a manual wheelchair available, because motorized wheelchairs don't fare well in a decontamination room.

These and other situations were discussed during the post-drill discussions. It's clearly far better to discover and solve these problems during the drill, than during a real emergency!

Ongoing Efforts

Participating in the first emergency drill is, of course, just a start. Ensuring that people with disabilities continue to be included in emergency planning is an ongoing effort. Here are some suggested activities:
- Continued participation in all aspects of emergency training
- Involvement with the Citizens Emergency Response Team (CERT) - this program trains citizens so they are able to assist in emergencies
- FEMA training, which includes a three-day workshop in every state

Randy suggests that representatives of all disability groups work together on efforts to be included in emergency planning; you're more likely to be heard if you represent a larger group of people.

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~~~~~~~~~~~~~~~~~~~
- Article 2: Over-the-Counter (OTC) Hearing Aids - Part 3
by Mark Ross, Ph.D.
~~~~~~~~~~~~~~~~~~~

Editor: The topic of over-the-counter (OTC) hearing aids is heating up again! There was a spike in interest last summer/fall with the Wall Street Journal article and petition to the Food and Drug Administration, and then things settled down again. Now I'm starting to see new activity on this issue.

Here with a dispassionate look at the topic is Dr. Mark Ross. We would be very interested in publishing responsible articles with additional points of view on this topic!

This article first appeared in the September/October 2004 issue of "Hearing Loss"; it is reprinted here with Dr. Ross' kind permission.

This is part 3 of 4 parts.

~~~~~~~~~~~~~~~~~~~

There are, of course, pitfalls and problems with OTC hearing aids that must also be addressed. These will be reviewed as they occur to me and not necessarily in the order of importance (which, in any event, would be difficult to determine).

OTC hearing aids would require the elimination of a medical clearance (only for adults) before a hearing aid could be purchased. Indeed this was the major reason given by the FDA for its rejection of the two petitions, the reasoning being that such medical clearances are necessary for the well-being of the patient. Instead, the petitions suggest that the written material provided with the OTC hearing aid would include information on how to recognize "red-flag" conditions that require the intervention of a physician. These include a sudden or rapidly progressive bilateral or unilateral hearing loss, drainage from the ear, soreness or redness in the ear, and cerumen impaction. We have no idea how convincing or effective this information would be for people contemplating the purchase of OTC hearing aids. Certainly, one would hope that anybody experiencing a "red-flag" condition would be seeing a physician before considering purchase of any kind of hearing aid. The problem is that people can't see inside their own ear canals.

As it happens, we don't know how effective the current prior medical clearance requirement is now. Under the present system, adults can sign an informed request form that enables them to waive the medical clearance. I have been unable to uncover any large-scale surveys that compared the percentage of hearing aid users who received a medical clearance to those who signed the waiver. In many hearing aid dispensing offices, clients are routinely asked to sign the waiver. Others make it a practice never to fit a hearing aid on any client unless a medical clearance has been obtained, usually within the past six months. One major advantage of seeing an audiologist is that part of the prior audiological evaluation includes taking a hearing history and examining the ear canal. So whether a medical clearance is obtained or not, red-flag conditions should still be apparent to the examining audiologist.

One study, reported in the 2003 issue of The Journal of the American Medical Association, reports that up to 30% of elderly people may suffer from impacted wax and chronic otitis media. This is the kind of condition that would be visible during a personal visit to an audiologist but would be missed if a person self-purchased hearing aids over the counter. Since the removal of cerumen is within the scope of practice of audiologists (although some states do not permit it), this is a service that can be provided right in the dispenser's office.

OTC hearing aids are designed for people with mild to moderate hearing losses. For people with this degree of hearing loss whose audiometric configuration is flat or gradually sloping, I have no doubt but that a good quality OTC hearing aid could provide significant hearing benefit. The problem is that many people do not know the threshold configuration of their hearing loss unless they've had a recent audiometric evaluation. They may think they have a mild to moderate hearing loss indeed, on the average, they may well have but the hearing thresholds could be taking a sharp drop at 1000 Hz or 1500 Hz without them being fully aware of this. There's simply no way that a "one size fits all" hearing aid would provide an appropriate pattern of amplification to such people.

I suspect that many, if not most, people purchasing OTC hearing aids would opt for one rather than two. However, binaural amplification usually offers listening advantages that do not occur with monaural hearing aids. And not only this, but we know that long-term monaural amplification may result in adult-onset auditory sensory deprivation, which, while not affecting thresholds, can reduce the speech perception capacity of the unamplified ear. Without professional advice regarding the advantages of binaural amplification, it is unlikely that many people would purchase a binaural set of OTC hearing aids unless, of course, OTC aids were sold in pairs in the same way reading glasses are sold (anybody ever see a "reading monocle?).

There is the danger that a bad experience with OTC hearing aids may discourage some purchasers from seeking professional assistance with professionally fit hearing aids. We already know that this occurs. Some people who have a bad experience with hearing aids not only swear off hearing aids for themselves, but discourage other people from trying them. Of course, the reverse may also be true: a good experience with OTC hearing aids may convince some other people to pursue more sophisticated assistance for their hearing problems. At this point, it is fruitless to speculate which of these possibilities is more likely. Both are possible and both would likely occur.

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~~~~~~~~~~~~~~~~~~~
- Article 3: VoIP Providers Must Provide Reliable 911 Service
~~~~~~~~~~~~~~~~~~~

If you're among the 1.5 million people who have switched to Voice over Internet Protocol (VoIP) phone service, you'll probably be happy to know that the Federal Communication Commission (FCC) is requiring that within 120 days, VoIP service be able to successfully complete 911 calls, and that the dispatcher be able to determine the location of the caller.

You may be surprised to learn that VoIP is currently under no such requirement.

The ruling follows the death of a Florida infant, whose mother was unable to complete a 911 call using her VoIP service.

Location determination and 911 connectivity are issues with VoIP, because the service is theoretically available from any Internet connection. About half of VoIP customers get service from their cable television providers, who typically do provide 911 compatibility and location determination, because a customer's cable service is available only at one particular location.

Unaffected by this ruling is the much broader question of whether VoIP service will be regulated as a telephone service or as a data service.

~~~~~~~~~~~~~~~~~~~
- Article 4: ATIS Files Hearing Aid Compatibility Status Report on Behalf of Industry
~~~~~~~~~~~~~~~~~~~

Editor: You may recall that the FCC requires that some wireless phones be hearing aid compatible starting later this year. The Alliance for Telecommunications Industry Solutions (ATIS) is reporting that manufacturers "generally will meet the regulatory requirements", but that some problems exist with GSM phones.

Here's a portion of the press release. Please point your browser to http://www.atis.org/PRESS/pressreleases2005/051805.htm for the full release.

~~~~~~~~~~~~~~~~~~~

May 18, 2005, Washington - ATIS filed its Hearing Aid Compatibility (HAC) Status Report #3 with the Federal Communications Commission (FCC) Tuesday on behalf of 36 participating industry members of the ATIS HAC Incubator. The report, submitted in lieu of individual status reports, details collective inputs on the efforts wireless handset device manufacturers and service providers are undertaking to comply with the FCC HAC requirements as listed in the FCC Report and Order ("R&O") 03-168.

The Incubator has performed extensive work and believes that wireless manufacturers generally will meet the regulatory requirements defined by the FCC's R&O for two HAC-compliant products per air interface (GSM, CDMA, iDEN, TDMA) pursuant to the CR63.19 standard by the September 2005 deadline. However, the wireless industry has recently documented several challenges to achieving FCC-required HAC compatibility measurements for GSM handset devices operating in the 850 MHz frequency band. This reported challenge appears to be industry-wide.

Due to numerous variables in hearing aid devices, individuals with hearing loss, and wireless devices, many carriers allow a "try before you buy" period that allows a consumer to use a wireless device for a trial period before making a final purchase.

~~~~~~~~~~~~~~~~~~~
- Classifieds
~~~~~~~~~~~~~~~~~~~

One CapTel Service Provider, one Online Captioner, one Conference, one Survey, and three Employment Opportunities appear in this issue. (Ads appear after this brief table of contents.)

Relay Service
Sprint Federal Relay CapTel Program

CaptionsOnline
Live Captioning on the Internet!
www.captions-online.com

Jewish Deaf Congress Conference 2005
Tampa, Florida
July 3 to 10, 2005

VA Housing Survey for People with Hearing Loss

Employment Opportunity 1
Multiple Positions
Kansas School for the Deaf
Olathe, Kansas

Employment Opportunity 2
Multiple Positions
Western Pennsylvania School for the Deaf
Pittsburgh, PA

Employment Opportunity 3
Assistant Professor-English
Specialization in teaching Deaf students
San Diego Mesa Community College
San Diego, CA

~~~~~~~~~~~~~~~~~~~
Relay Service
Sprint Federal Relay CapTel Program
~~~~~~~~~~~~~~~~~~~

Media Contact:
Stephanie Taliaferro, 913-794-3658
Stephanie.c.taliaferro@mail.sprint.com FOR IMMEDIATE RELEASE

Sprint Provides Free CapTelSM Phones for Hard of Hearing Federal Government Employees and Veterans

OVERLAND PARK, Kan. - July 7, 2004 - Sprint (NYSE: FON), the leading provider of telecommunications relay services (TRS), is working with the General Service Administration (GSA) to provide up to fifty (50) free CapTelSM phones every month for federal government employees (civilian and military), Federal retirees and veterans. CapTel offered by the Federal Relay, fully FCC compliant, is an assistive technology aimed at easing communications for the more than 24 million Americans who are hard of hearing, have experienced hearing loss later in life or deaf individuals with good vocalization skills.

CapTel relay service is a leading-edge technology developed by Ultratec, Inc. of Madison, Wis., which allows people to receive both voice and text captioning, nearly simultaneously. A special CapTelTM-equipped phone is required in order to place a call through the CapTel Relay Service. The CapTel phone works like any traditional phone with callers talking and listening to each other, but with one very significant difference - captions are provided live for every call. The captions are displayed on the CapTel phone's built-in screen so the user can read the words while listening to the voice of the other party. The conversation can flow naturally, allowing for normal interruptions and expressed emotions. CapTel through Federal Relay is available 24 hours a day, seven days a week (Spanish - 8am to Midnight Eastern daily)

"Sprint is pleased to provide yet another communications alternative for federal employees who are hard of hearing or deaf," said Mike Ligas, region vice president, Sprint Relay. "Using CapTel through Federal Relay can be a life changing experience for many by allowing them to communicate better with their family, friends and for business purposes."

For further information on Federal Relay or CapTel service or to obtain a free Federal CapTel phone, qualified Federal employees/retirees or veterans need to complete and submit an application form, visit http://www.captionedtelephone.com/availability/FRS.phtml. Additionally, you can contact Randy Murbach, Contract Manager, by e-mail at randy.g.murbach@mail.sprint.com.

How CapTel Works

As the user dials the phone number of the person they wish to call, the CapTel phone automatically routes their call through the CapTel call center and connects them to their called party. At the call center, a specially trained operator uses a customized voice-recognition computer and re-voices whatever is said by the called party. The voice-recognition software transcribes the operator's voice into captions that appear on the CapTel's bright display screen for the user to read. The user also hears the other party's voice on the phone to the best of their ability, just like any other amplified phone.

Sprint Relay Background

Sprint has nearly 14 years of experience in providing relay services to persons who are deaf, hard of hearing, deaf-blind or speech disabled to communicate with hearing persons on the phone. Relay service is available 24 hours a day, 365 days a year, with no restrictions on the number of calls placed or call length. Sprint is one of the leading employers of Deaf and Hard-of-Hearing people in the industry. The 'Sprint Relay' team is comprised of individuals who are daily users of the service, and have greatly influenced the development and quality of Sprint's products and services. For more information on Federal Relay, visit www.fts.gsa.gov/frs/ and Sprint Relay at www.sprintrelay.com.

Sprint Government Systems Division is based in Herndon, Va., and offers the full range of Sprint product and service offerings for federal and state government customers.

About Sprint

Sprint is a global integrated communications provider serving more than 26 million customers in over 100 countries. With approximately 65,000 employees worldwide and over $26 billion in annual revenues in 2003, Sprint is widely recognized for developing, engineering and deploying state-of-the-art network technologies, including the United States' first nationwide all-digital, fiber-optic network and an award-winning Tier 1 Internet backbone. Sprint provides local communications services in 39 states and the District of Columbia and operates the largest 100-percent digital, nationwide PCS wireless network in the United States. For more information, visit www.sprint.com.

~~~~~~~~~~~~~~~~~~~
CaptionsOnline
Live Captioning on the Internet!
www.captions-online.com
~~~~~~~~~~~~~~~~~~~

Live captioning through the Internet, provided by CaptionsOnline
Easy to use, anytime, anywhere - all you need is a phone line
and a computer, connected to Internet. Our service can be viewed
on up to 19 screens simultaneously. CaptionsOnline is very
affordable - one hour minimum and no travel expenses, as our
captioners are located offsite.

For more information, email us at info@captions-online.com
or visit our website at: www.captions-online.com

~~~~~~~~~~~~~~~~~~~
Jewish Deaf Congress Conference 2005
Tampa, Florida
July 3 to 10, 2005
~~~~~~~~~~~~~~~~~~~

Something exciting is coming to Tampa, Florida in 2005!

It will be a conference of a different kind!

It will be Jewish Deaf Congress Conference 2005 at Grand Hyatt Tampa Bay Hotel (a 4 star property) from July 3 to 10, 2005.

For the first time in JDC history we will have a HANDS-ON conference on Jewish wines, Jewish jewelry, Jewish roots, Jewish cooking and much more.

Participants will be actively involved in activities. Jewish Deaf people and their non-Jewish friends are more than welcome to join & learn "how to do it" while having fun too.

The hotel rates are only $89 a night, no matter how many people in a room. So come and share room with your friends. (psssst, Grand Hyatt Tampa Bay averages $165 a night and its an incredible deal)

Additional information and details can be found at:
www.jdc2005.com
See the website to see what's happening!

~~~~~~~~~~~~~~~~~~~
VA Housing Survey for People with Hearing Loss
~~~~~~~~~~~~~~~~~~~

The survey is looking at accessible housing in the State of Virginia for those with hearing loss. It will take only a few minutes to answer these questions, and your feedback will make a BIG difference. We will share your feedback with the Virginia Housing Development Authority (VHDA).

This survey and your answers will be kept in the strictest of confidence. No attempt will be made to know who you are. You need not sign your name or identify yourself in any other way. Your answers will only be used in the aggregate with everyone else. Your survey will be destroyed as soon as your answers are joining with everyone else. Your answers are very important in helping people who plan these programs understand the needs of people who are deaf, hard of hearing, late deafened adults, deafblind, and cochlear implant users.

Please contact Arva Priola (arvap@drc-fredericksburg.org) to get a copy of the survey.

~~~~~~~~~~~~~~~~~~~
Employment Opportunity 1
Multiple Positions
Kansas School for the Deaf
Olathe, Kansas
~~~~~~~~~~~~~~~~~~~

KANSAS SCHOOL FOR THE DEAF
POSITION VACANCIES

The Kansas School for the Deaf, 450 East Park St., Olathe, KS 66061, is currently seeking qualified individuals for the following positions for the 2005 - 2006 school year:

Full-Time Dormitory Teachers
Paraprofessional - Early Childhood
Teacher, Dormitory and Paraprofessional Substitutes
School Counselor
House Parents for Weekend Residence Facility
Teacher - Elementary
Curriculum Assessment Coordinator

Placement made within agency guidelines on salary schedule depending upon professional background and experience. KSD offers excellent benefits. Applicants will be screened and the most highly qualified applicants will be invited for an interview session. Positions are open until filled. KSD is located in the Heartland of the USA, part of the Kansas City metropolitan area. For area info on excellent schools and affordable housing check out: www.kcmo.org/ and www.olatheks.org/.

For an application and a job announcement on each of these positions, please refer to our website at www.ksdeaf.org or contact Teresa Chandler, Human Resources Office, at (913) 791-0501 (V/TTY) for further details on the positions. E-mail: tchandler@ksd.state.ks.us Fax #: 913/780-6563

An Equal Employment/Educational Opportunities Agency

Tobacco Free Campus

"KSD Embraces Diversity"

~~~~~~~~~~~~~~~~~~~
Employment Opportunity 2
Multiple Positions
Western Pennsylvania School for the Deaf
Pittsburgh, PA
~~~~~~~~~~~~~~~~~~~

The Western PA School for the Deaf

The Western PA School for the Deaf is a residential school located in Pittsburgh on a beautiful 17 acre campus. We are searching for top-notch candidates to fill the following openings:

Teacher of the Deaf

Full Time classroom instructors for deaf and hard-of hearing students. Dual PA certification In Hearing Impaired and either Elementary Education or content area are required. (Info. on PA teaching certification found on www.pde.state.pa.us). Intermediate or higher sign skills required.

Media Services Coordinator

Full time 199-day technical position requiring experience in the use of digital still and video film technologies, video production and postproduction editing. Must have broad knowledge of the latest audio-visual and media equipment. A Bachelors or equivalent experience in a related field required. Novice Plus or higher sign skills required.

Excellent salary and benefit packages available. Criminal and Child Abuse clearances required.

Send letter and resume to:
Director of Human Resources
Western PA School for the Deaf
300 East Swissvale Ave.
Pittsburgh, PA 15218-1469
Fax (412) 244-4211
Email: hshirey@wpsd.org

EOE

~~~~~~~~~~~~~~~~~~~
Employment Opportunity 3
Assistant Professor-English
Specialization in teaching Deaf students
San Diego Mesa Community College
San Diego, CA
~~~~~~~~~~~~~~~~~~~

10 month tenure track position

Application deadline June 9

For full job description information and application procedures please see
www.sdccd.net/employment/. Go to: current openings; (academic, mesa college);
Assistant Professor-English with a Specialization in Teaching Deaf students:
Download Application Forms; Job Flyer, etc.

Must meet minimum qualification in English Or ESOL Or Equivalent. To learn
more about California Community College minimum qualifications please see
www.cccregistry.org. Go to link for minimum qualifications.

Additional questions to lbailey@sdccd.edu

~~~~~~~~~~~~~~~~~~~
- Contact Information and Disclaimers
~~~~~~~~~~~~~~~~~~~

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