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Division of Public Health <br />Agreement Addendum <br />FY 22-23 <br />Page 1 of 5 <br />Health Director Signature (use blue ink or verifiable digital signature) Date <br />LHD to complete: <br />[For DPH to contact in case <br />follow-up information is needed.] <br />LHD program contact name: <br />Phone and email address: <br />Signature on this page signifies you have read and accepted all pages of this document. Template rev. August 2021 <br />Orange County Health Department <br />Women’s and Children’s Health/ <br />Children and Youth <br />Local Health Department Legal Name DPH Section / Branch Name <br />324 Speech and Hearing <br />Marcia Fort, 919-707-5630 <br />Marcia.Fort@dhhs.nc.gov <br />Activity Number and Description DPH Program Contact <br />(name, phone number, and email) <br />06/01/2022 – 05/31/2023 <br />Service Period DPH Program Signature Date <br />(only required for a negotiable Agreement Addendum) <br />07/01/2022 – 06/30/2023 <br />Payment Period <br /> Original Agreement Addendum <br /> 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 2019, shows that <br />27.5% of infants in the United States and 25.8% 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 Children and Youth Branch’s North Carolina Early Hearing Detection and <br />Intervention (EHDI) Program is to ensure that all infants are screened for hearing loss by one month of <br />age; that children with congenital hearing loss are identified by three months of age; and that all are <br />provided access to appropriate 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 />0LFDK*XLQGRQ <br />PJXLQGRQ#RUDQJHFRXQW\QFJRY <br />    <br /><br /> <br />  <br /> <br /> <br />Exhibit ADocuSign Envelope ID: 6BFA395D-8326-4051-8649-7137A23CCA99