Periodic hearing screening leads to early detection of hearing loss.6 - 7 per 1000 children will be identified with permanent hearing loss in early childhood.Hearing loss creates communication roadblocks.Periodic hearing screening using MSOAE-1H can help to identify hearing loss that can cause the roadblocks.12% of children ages 6-19 have permanent noise induced hearing loss.65% of people with hearing loss are below retirement age.Hearing loss is an invisible condition.Performing surveillance and screening within the medical home is the best way to monitor young children for late onset hearing loss.OAE as a choice for hearing screening provides doctors with objective information about cochlear function for all ages.Assessing cochlear function is fast, easy and cost effective with the MSOAE-1H.Addressing hearing loss early leads to the opportunity for early intervention, on-time language development and success in school.