{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T06:53:22Z","timestamp":1772952802173,"version":"3.50.1"},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T00:00:00Z","timestamp":1588636800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>COVID\u201019 is a rapidly growing global pandemic caused by a novel coronavirus. With no vaccine or definitive treatment, public health authorities have recommended a strategy of \u201csocial distancing,\u201d reducing individual interaction, canceling elective procedures, and limiting nonessential services. Health care providers must determine what procedures are considered \u201celective,\u201d balancing risk of treatment delays with that of coronavirus exposure to patient, family, and providers. Given critical periods for language development and the long\u2010term impact of auditory deprivation, some audiologic and otologic services should be considered essential. In this article, we describe the experience of a quaternary referral pediatric hospital in Seattle, the epicenter of COVID\u201019\u00a0in the United States, and share strategies for risk minimization employed by Seattle Children\u2019s Hospital. We hope that this work can be a reference for other centers continuing care for children who are deaf and hard of hearing during the COVID\u201019 and future resource\u2010limiting crises.<\/jats:p>","DOI":"10.1177\/0194599820925058","type":"journal-article","created":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T04:15:17Z","timestamp":1588652117000},"page":"91-93","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Defining Essential Services for Deaf and Hard of Hearing Children during the COVID\u201019\u00a0Pandemic"],"prefix":"10.1002","volume":"163","author":[{"given":"Prasanth","family":"Pattisapu","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery School of Medicine University of Washington Seattle Washington USA"},{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Seattle Children\u2019s Hospital Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean S.","family":"Evans","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery School of Medicine University of Washington Seattle Washington USA"},{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Seattle Children\u2019s Hospital Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anisha R.","family":"Noble","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery School of Medicine University of Washington Seattle Washington USA"},{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Seattle Children\u2019s Hospital Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan J.","family":"Norton","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery School of Medicine University of Washington Seattle Washington USA"},{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Seattle Children\u2019s Hospital Seattle Washington USA"},{"name":"Division of Research and Clinical Audiology Seattle Children\u2019s Hospital Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry C.","family":"Ou","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery School of Medicine University of Washington Seattle Washington USA"},{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Seattle Children\u2019s Hospital Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen C. Y.","family":"Sie","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery School of Medicine University of Washington Seattle Washington USA"},{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Seattle Children\u2019s Hospital Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David L.","family":"Horn","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery School of Medicine University of Washington Seattle Washington USA"},{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Seattle Children\u2019s Hospital Seattle Washington USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,5,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/v12040372"},{"key":"e_1_2_7_3_1","volume-title":"Medicine Coronavirus Resource Center"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/jtm\/taaa020"},{"key":"e_1_2_7_5_1","unstructured":"Centers for Disease Control and Prevention.CDC\u2019s recommendations for the next 30\u00a0days of mitigation strategies for Seattle\u2010King Pierce and Snohomish counties based on current situation with widespread COVID\u201019 transmission and affected health care facilities. Accessed April 3 2020.https:\/\/www.cdc.gov\/coronavirus\/2019\u2010ncov\/downloads\/Seattle_Community_Mitigation.pdf"},{"key":"e_1_2_7_6_1","volume-title":"National Center for Hearing Assessment and Management"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.102.5.1161"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2020.0780"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200211000-00013"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820919748"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599820925058","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599820925058","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599820925058","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:15:55Z","timestamp":1760955355000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599820925058"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,5]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1177\/0194599820925058"],"URL":"https:\/\/doi.org\/10.1177\/0194599820925058","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,5]]},"assertion":[{"value":"2020-04-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}