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DocuSign Envelope ID: 167F763C-D16E-41D3-B98F-F5E24EE9CC37 <br /> Exhibit A <br /> Division of Public Health <br /> Agreement Addendum <br /> FY 17-18 <br /> Page 1 of 4 <br /> Women's and Children's Health/ <br /> Orange County Health Department Children and Youth <br /> Local Health Department Legal Name DPH Section /Branch Name <br /> Marcia Fort 919-707-5630 <br /> 324— Speech and Hearing Marcia,Fort@adhhs.nc.gov <br /> Activity Number and Description DPH Program Contact <br /> (name,phone number, and email) <br /> 06/01/2017—.05/31/2018 <br /> Service Period DPH Program Signature Date <br /> (only required for a negotiable agreement addendum) <br /> 07/01/2017—06/30/2018 <br /> Payment Period <br /> Original Agreement Addendum <br /> n Agreement Addendum Revision# <br /> I. Background: <br /> Hearing loss is the most common congenital birth defect, affecting as many as three infants per thousand <br /> born. Left undetected, hearing loss in infants can negatively impact speech and language acquisition, <br /> academic achievement, and social and emotional development, If detected, however,these negative <br /> impacts can be diminished and even eliminated through early intervention. Infants who fail the initial <br /> newborn hearing screening are at a higher risk than the general population of having a hearing loss, The <br /> most recent data from the Centers for Disease Control {CDC), for infants born in 2014, shows that <br /> 34.4% of infants in the United States and 32,7% in the state of North Carolina with a failed newborn <br /> hearing screen are subsequently"lost to follow up." <br /> The primary goal of the North Carolina Early Hearing Detection and Intervention{EHDI)Program is to <br /> ensure that all infants are screened for hearing loss by one month of age; that children with congenital <br /> hearing loss are identified by three months of age; and that all are provided access to appropriate <br /> audiological, educational, and medical intervention by six months of age, <br /> Regional staffing is needed to support hospital universal newborn hearing screening programs in order <br /> to: 1) ensure that infants receive additional hearing screening when needed, 2) support families through <br /> the diagnostic and/or intervention processes, if necessary, and 3) provide consultation, technical <br /> assistance and resources to public and private agencies for the development and implementation of <br /> effective Early Hearing Detection and Intervention programs. Regional staffing is also needed to <br /> provide support and assistance to parents and families whose children have hearing loss and to provide <br /> assistance to other professionals working with these families. <br /> kiL--._ 74: -,751/-\ , <br /> Health Director Signature / (use blue ink) Date <br /> Local Health Department to complete: LHD program contact name: :) -`CL.. (.° % (,:1- <br /> (If follow-up information is needed by DPH) Phone number with area cop: f -2 C 2 E <br /> Email address: E _VCtL' re S r i'; C°-C:e .:r r-'�.t t .' <br /> Signature on this page signifies you have read and accepted all pages of this document. Revised June 2016 <br />