spacer spacer
  .......ISA............................... ISA Home Page Membership | Links  | NewslettersPhoto Gallery|
International Society of Audiology spacer
rounded edge
MembersCongresses | Statutes | Bylaws

  Newsletter 1999-1 - published April 1999 

Hans Verschuure, Secretary-General ISA 

A lot of things have happened in the last couple of months with regard to the ISA. This has resulted, unfortunately, in my negligence in producing a
newsletter earlier. Here it is and I hope it will inform you on the current
state of affairs.

We had our Congress in Buenos Aires in September 1998. We can look back on a good time in Argentina. An official word of thanks is in place here for the
organizer of the meeting, Prof.Dr. J. Schwartzman and his staff. This newsletter
will deal with some of the consequences of the business meeting during which we restructured the Society in a more open way and set up a new structure of
representation. This structure will be explained in detail.

Other important matters regard the international contacts, specifically with
Hearing International and WHO.

I hope this newsletter will inform you on what the Society is about, the promotion of knowledge on the auditory system, hearing and speech, and the provision of services to hearing impaired people.

WHO has a program on the deaf and the hearing impaired. This program is
part of the activities of a program on "blindness and deafness" headed by
Dr. B. Thylefors. The PDHI program is governed by Dr. A.W. Smith. A point
of action within this program is the provision of hearing services in the
developing world.

WHO action on hearing aid services in the developing world

                                  Hans Verschuure,
                                  Secretary-General ISA

   WHO has taken initiatives with regard to a couple of matters in our field such as the use of ototoxic drugs, the prevention of noise induced hearing loss and the battle against middle ear problems. In last-year's consultation meeting in Geneva, Switzerland it was suggested (both by ISA and IFOS) to take the provision of hearing aids a s the next action point. It was thought important to children in order to promote speech and language development and by doing so integrate hearing impaired people better in Society; it was thought important to elderly people because presbycusis develops with age and is a major obstacle for the further independent participation of the elderly in Society.

In a joint effort of the WHO PDHI program and the Christoffel Blinden Mission, a meeting was held on this subject in Bensheim, Germany on 24 - 26 November
1998. Bensheim is the home of the Christoffel Blinden Mission (see; choose CBM-welt and English) an organization that started as an organization for the blind. It has now also taken other disabilities like hearing into its mission tasks.

  In a welcome address CBM director C. Garms expressed his opinion that the situation with hearing aids can be compared with the situation around contact lenses some decades ago. Lenses were far too expensive and could not be provided to the people in the developing world due to all kinds of                    impediments with pricing and availability of services. At that time CBM had taken a vow that it would provide lenses at less than 10% of the current costs. If the manufacturers would not cooperate, CBM would start production of lenses in the developing world, which actually has been achieved by

The participants to the meeting were representatives of WHO collaborating
centers, representatives of WHO -linked organizations (like ISA, IFOS and
IFHHP) and some other invited speakers. Alas, no representatives of the
manufacturers were invited. A number of recommendations were formulated.

The discussion can be summarized by the following points without being

     There is a good consensus that we do not want different hearing aids for
     different parts of the world. The hearing aids should have the same quality
     whereever, except perhaps for protection against heat, humidity and dust,
     although it was felt that the aids for the developed world could profit from
     higher humidity and dust standards. 
     The provision of hearing aids is useless without a supporting system
     because low-quality fittings may deter people from using aids in the future
     and will certainly not help the promotion of rehabilitation programs that
     include hearing aids on the long run. On this point there was some
     controversy because it involves giving no help to some people who might
     have benefited from amplification. 
     The major target group to start with at present should be young children;
     the detection of them at an early age may be problematic but we should go
     for the youngest group possible in the given conditions. 
     There was quite some discussion about the role of ENT and Audiology. It
     was decided that we should go for a multi-disciplinary approach. 
     Training at different levels received quite some attention. It was stressed
     that we needed good university-trained audiologists to do the work. In a
     country with limited resources the audiologist should work in a national or
     regional Center and be involved in hearing aid selection. Training should be
     done as much as possible in the country itself. 
     The concept is to train community health workers to do the basic work of
     audiometry, impression taking and fitting. The hearing aid selection should,
     to start with, be done by a Center. 
     Hearing aids should be sold as a package including batteries ear molds and
     the lot and the hearing aid provider (Manufacturer, dispenser) should
     guarantee its service for a stated period of about 3 to 4 years. 
     The amount of hearing aids needed to provide for the developing world
     would be immense. If we could come to good specifications, a small
     number of different high-quality aids should be produced bringing the costs
     down to acceptable levels for the third world. A committee was appointed
     to work out specification for this small number of different types allowing
     for a very large production. These matters should be discussed in a future
     meeting with representative of industry. 

The progress of the above project has been discussed in further meetings
and will be discussed in a couple of future meetings.

The recommendations formulated above have great consequences for everybody involved in the provision of hearing aids the world over.

In terms of awareness campaigns should be organized to make people aware of
hearing impairments, particularly in this year of the elderly and the concept that
something can be done about it. 

The specification and production of high-quality and cheap hearing aids should be stimulated. It requires contacts with industrial partners. In a future meeting (possibly cosponsored by Hearing International or the ISA) these matters should be dealt with. Given the numbers involved in the developing world such an initiative could have a dramatic impact on the price of hearing aids making them accessible for a much larger part of the world population.

Training and education is essential for the success of such a program.
International training programs have to be started. At the next congress of our
affiliated member, the European Federation of Audiology Societies in Oulu,
Finland, to be held from 6-10 June 1999 (see a special discussion will be organized on the education of audiologists in Europe and the relationship between these training programs and of this PDHI program.

Resources in many developing countries are scarce. It requires that we realize a
couple of things like cheap hearing aids, a manufacturer supported distribution
system, a training program at high level (audiologists) and at low level (community workers). Aid from the developed world should focus on the training of personnel, preferably in the country itself, the realization of a small number of specialized Centers with advanced equipment and facilities and the training of personnel to maintain this program.

Hearing International is the agency to promote ear and hear care
worldwide. It was initiated by IFOS and ISA and is now trying to become the
cooperative organization for all dealing with hearing impairment including
the hearing impaired people themselves.

 ISA and Hearing  International
Hans Verschuure

In earlier newsletters we reported on the relationship between ISA and HI.
Members of ISA receive the HI newsletter. ISA wants to promote the activities
of HI as much as possible.

There have been two major meetings of Hearing International. The first set of
meetings was held in London on 3-5 November 1998.

The meetings included a Board meeting followed by a General Assembly and a
meeting of the Center's committee. Main decisions of the Board meeting: 

     the proposals from earlier meetings like the Center’s committee meeting
     reported in the last newsletter were accepted. This means that there is a
     good description of the criteria for acceptance of a collaborative
     HI-IFOS-ISA Center with inspection visit. Furthermore a accreditation
     process was accepted with audits etc.  a clear description of categories of membership was drafted  a strong appeal was made again to form national chapters of HI to promote  awareness of hearing impairment and deafness and its strong impact on the participation in Society, to generate money for projects in each country and  in the developing world and to get the organization going 
     It was decided to grant a project in Costa Rica, submitted by Dr. J.J.
     Madriz-Alfaro who reported on an earlier project in last newsletter. 
     Election of officers was done. At the next meeting Dr. S. Prasansuk will
     become President of HI. 

The Center's Committee discussed the progress of the reports from and on the
recognized Centers and reported good progress.

The General Assembly discussed the proposals and generally accepted the
proposals. Other organizations should be involved in Hearing International like the IFHHP.

Further meetings of hearing International

Prof. S. Prasansuk of Bangkok organizes each year a successful update course
for the Asean area. This course was held in Cha-Am Beach. At the same time a
further meeting of Hearing International was organized. It was concluded that
stronger action was needed to keep momentum in Hearing International activities.
This will be further discussed at future meetings. The yearly meeting, usually
taking place in London, will be organized in connection with a symposium
organized in Kyoto, Japan, by the parting President of HI Prof. Dr. Jun Suzuki,
who has recently set up an internet site for Hearing International, Information on this symposium is available on the website.

Further information on hearing International can be obtained from the
Secretary-General of Hearing International, Prof. Valerie Newton, e-mail: or by mail: Prof. V.E. Newton, Centre of Audiology,
University of Manchester, Dept. of Education of the Deaf and Speech Pathology, Oxford Road, Manchester, M13 9PL Manchester, UK

WHO introduced a classification for impairment, disability and handicap in
1980. This ICIDH classification has been widely used. WHO is now
proposing a new classification system, ICIDH-2 and is testing it out.

As a general point of interest to our readership we want to ask your attention for a new proposal for the classification of disabilities and handicaps. The earlier version was published in 1980 and listed a disease or disorder as the cause of an impairment, leading to a disability which was experienced by the suffer as a handicap.

A draw-back of this classification system is that it isolates the patient and does not take into account what an impairment means for his next of kind and environment (work, friends etc.).

A new definition has been proposed and its functionality is being tested at present. In this system an impairment of function or structure lead to a limitation of activities of a person. This restricts the participation of the patient in his environment and in Society in general.

Information can be obtained from WHO, Here you can find an excellent
PowerPoint presentation for downloading explaining the reasons for the change and the new definitions in relation to the old definition. It would be a good idea to adopt the new definitions for use in our Journal.

In 2000 the 25th International Congress of Audiology will be held in the
Hague, the Netherlands

                         25th ISA congress in 2000

Hans Verschuure, President,

The next congress of the ISA will be held in the Hague, the Netherlands between 27 and 31 August 2000. The congress will be hosted by the Dutch Society of Audiology and the EHIMA. Please note the new date. The date was shifted because the congress would then coincide with the European Soccer Championship held in Belgium and the Netherlands. It made prices sore and hotel rooms unavailable. The alternative date was discussed at the General Assembly in Buenos Aires and this date seemed to suit the most people.

We want to ask your attention for a couple of matters. First of all you can read
about the congress at the web site This site carries the most recent information and will allow you to register for the congress.

The organization will be somewhat different from what you have been used to up to now. The same is the three round tables. The themes were discussed in Buenos Aires. They are 2-hour sessions on 

     Pediatric Audiology including diagnostics and management of infants
     Moderator: Sharon Fujikawa 
     Molecular Biology and Hearing Impairment
     Moderator: Richard Smith 
     Hearing Aid Technology
     Moderator: Hans Verschuure 

Free paper sessions will be organized on these themes. They will be divided into instructional courses, basic-level, intermediate-level and advanced-level presentations. The rules of these different types of sessions are laid down in a policy statement that you can download from the internet site. The
text is:

Policy statement ISA 2000

The organization of the ISA congresses has been very similar for many years.
Due to changes in policy regarding accreditation and the diversification and
change in the educational level of people working in the field of Audiology, the
organizational structure of the congresses have to change accordingly. It requires to take into consideration differences in goal and level of presentations, differences in interest and educational level of the audience and accreditation for continuous education. We propose the following guidelines for organizing the ISA congress in 2000: 

Types and levels of presentations

Presentations can be given in the following categories: 

     Science-related papers 
     Clinical papers 
     Commercial papers 

Each paper should be indicated by level as 


Each presenter should indicate type and level of the intended presentation. The
scientific committee can overrule the indication by the author based on the
abstract or additional information 

Quality Standards

Quality standards regarding a research project for science-related studies as far as they are applicable 

     the research question 
     the theoretical model of the study 
     the selection procedure of materials, animals or subjects 
     the blinding and balancing of subject groups and control groups 
     the stratification of groups 
     the use of the testing methods 
     the use of methods of statistical analysis or any other type of analysis 
     the interpretation of the data 
     the conclusion 

Quality standards regarding a research project for clinical studies g as far as they are applicable 

     The clinical question 
     The method of investigation 
     A description of the patient(s) or patient group(s) or the animals or the
     samples used in the study 
     The statistical methods used for the analysis 
     The interpretation of the data 
     The conclusion 

Quality standards regarding tutorials as far as applicable 

     A topic of interest for a well-defined target group 
     A survey of existing literature and knowledge 
     A contribution to the expansion of the common insight of the target

Quality standards regarding commercial presentations as far as applicable 

     Information on new equipment 
     New information on existing equipment 
     Documented data to support the information 

Commercial presentations

Commercial presentations are given outside the responsibility of the scientific or congress organizing committee and are indicated in the program as such. The organizing committee may decide to limit the number of commercial presentations. People employed by commercial companies may present a paper in a scientific session if they follow the rules set out for that session. They have to request this and provide evidence that their presentation will fulfil the quality standards of the session in which they want to present their paper. Product presentations can only be presented in the commercial sessions and are outside the responsibility of the scientific committee. 


Abstract shall fulfil certain criteria to make it possible to judge them for
acceptance and rating. These are as formulated in the quality standards. Include data and conclusions in the abstract and refrain as much as possible from sentences like "data or conclusions will be discussed". Try and be precise in the information mentioned in the quality section. 


Educational credit points can be given for attendance of presentations depending on its level and the professional capacity in which the accreditation is required. There shall be a method of monitoring attendance to presentations for which accreditation points may be earned. The organizers will look into the possibilities of separate attendance registration per session. 

The organizers will contact the organizations that they know to have an
accreditation system. People belonging to organizations that have not been
approached, can inform the organization committee of the congress. The
information on accreditation will be made available to Congress Organizing
Committee of the ISA for later use.

End of Policy statement

Next to these themes a number of themes have been chosen around which free
papers are invited. Each of these structured sessions starts with a 20-minute
introduction on the topic. Usually there are two parallel sessions on the theme,
either split between advanced and basic level or between research and clinical.
Most of the themes are linked to the themes of the Round Tables. We have
chosen the following themes: 

     speech- and language development, research and clinical papers 
     psychophysics, basic research and applied research 
     cochlear vulnerability including noise induced hearing loss, aging,
     oto-toxicity etc, research and clinical aspects 
     Fitting strategies 
     Hearing aid performance and benefit measures 
     Audiology in the developing world, training and distribution systems 
     Central processes 
     Genetics and hearing, research and clinical aspects 
     Oto-acoustic emissions 

The list is not exhaustive and if someone feels we missed an important issue,
please, suggest the topic to us.

Apart fro this undoubtedly interesting program, we are organizing a number of
social activities. We hope for good weather. It will enable us to show
you something of our rich history and of present day activities. Our "golden age" was the 16th and 17th century when Dutch ships sailed the seas and discovered or contacted many new lands and founded a lot of coastal cities. It resulted in special things like the Delft blue pottery. 

We also will organize a partners' program.

If you have any questions, please visit our website, write or e-mail us. We
look forward to seeing you in the Hague in the year 2000.

The ISA is going through a change in its structure. At the General Assembly
meeting in Bari in 1996 the revised Statutes and Bylaws were passed. They
were implemented at the General Assembly meeting in Buenos Aires in
September 1998. Here we give some of the consequences of this

Restructured ISA

The first elections according to the new rule took place in Buenos Aires. It implies
that the general structure is now a small Executive Committee comparable to the
old Board and a general Assembly made up of elected representatives of the
membership. A lot of the actual work will be done in standing committees made up
of officers of the Society and representatives from the General Assembly. To
make the structure clear we present you with the names and addresses of all the
people involved in the new structure. Please, use this list if you want to approach
someone within the Society.

The new Executive Committee exist of the following people with address, phone
number, fax number and e-mail address: 

     President: Prof.Dr. G. Mencher, 
     80 Spinnaker Drive, Halifax, Nova Scotia B3N 3B5, Canada, +1 902 423
     7354, +1 902 423 0981, 
     Past-President: Prof.Dr J. Kanzaki
     Dept.ORL, School of Medicine, Keio University, 35 Shinama-Machi
     Shinioko-Ku, Tokyo 160, Japan, +81 3 353 1211, +81 3 5379
     President-Elect: Prof.Dr. A. Quaranta
     Via Abbrescia 78/c, I-70121 Bari, Italy, 
     Secretary-General: Dr. J. Verschuure
     Molenlaan 299, NL-3055 GG Rotterdam, Netherlands, +31 10 463 4586,
     +31 10 463 4240, 
     Assistant Secretary General: Prof.Dr. A. Parving
     Dept. Of Audiology, Bispebjerg Hospital, DK-2400 Copenhagen NV,
     Denmark, +45 3531 2717, +45 3531 3951 
     Editor-in-Chief: Prof.Dr. J.-M. Aran
     Audiologie Experimentale, Unit INSERM 229, Hopital Pellegrin, Place
     Amelie Raba Leon, F-33076 Bordeaux, France, +33 56 24 20 47, +33 56 96
     29 84, 
     A representative of the General Assembly: Dr. W.G. Noble
     Head, School of Psychology, University of New England, Armidale, NSW
     2351, Australia, +61 2 6773 2528, +61 2 6773, 
     A representative of the affiliated members: Prof.Dr. M. Downs
     Div. Otol, Univ. of Colorado, Medical Center, 4200 E 9th Ave, Denver, CO
     80220, USA, 

Next we have a General Assembly consisting of a representation of the
membership weighted for differences in numbers per region:


     Dr. M.J. D'Cruz, P.O. Box 43774, Nairobi, Kenia, 
     Dr Mohammed Shabana, 33 Abdulkalik Sarwat, Cairo, Egypt, +202
     3411065, +202 3411771, 


     Prof.Dr. S. Prasansuk, Otological Center; Bangkok Unit, ORL-Dept.,
     Sirriraj Hospital, Mahidol University, Bangkok 10600, Thailand, 
     Dr. H. Hendarto, Cik di Tiru II, no 4, Djakarta, Indonesia, 


     Prof.Dr. S. Arlinger, Dept. Audiology, University Hospital, S-581 85
     Linköping , Sweden, +46 13 22 14 27,+46 13 12 51 42 
     Prof. E Arslan, Dept. of Audiology and Phoniatric, University of Padova –
     Policlinico, Via Giustiniani 2, I-35128 PADOVA, +39 49 8212037, +39 49
     Dr. A. Davis, MRC Institute of Hearing Research, University Park,
     Nottingham NG7 2RD, UK, +44 115 922 3431, +44 115 951 8503, 
     Dr. J.J. Barajas de Prat, C/Perez de Rozas 8, 38004 Santa Cruz de
     Tenerife, Canary Islands, Spain, 
     Dr. J.L. Collette, 92 Rue de la Victoire, F-75009 Paris, France 
     Prof. Dr. George Tavartkiladze, Research Centre for Audiology & Hearing
     Rehabilitation, 18 Bakuleva Street, 117513 Moscow, Russia, +7 095 438
     6548, +7 095 433 2753, 
     Prof.Dr. F. Akdas, Ethem Efendi Cad. No:9 Flat 8, Erenkoy, 81060
     Istanbul, Turkey, 
     Prof.Dr. J. Kiessling, Funktionsbereich Audiologie,
     Justus-Liebig-Universität Giessen, Feulgenstrasse 10, 35385 Giessen,
     Germany, +49 641 99 43790, +49 641 99 43799, 
     Dr.Ir. J.A.P.M. de Laat, Audiologisch Centrum Afd. KNO, Academisch
     medisch Centrum Leiden, Rijnsburgerweg 10, Leiden, the Netherlands, 
     Prof.Dr. E. Laukli, ENT Department, University Hospital, P.O. Box 34,
     9038 Tromso, Norway, +47 77 62 7375, +47 77 62 7369, 
     Dr. Martti Sorri, Center for Wellness Technology, University of Oulu,
     Kiviharjuntie 11, 90220 Oulu, Finland, +358 8 53 72 444, +358 8 53 72 443, 
     Dr. Paul Govaerts, University Dept of Otolaryngology, St Augustinus
     Hospital, Oosterveldlaan 24, 2610 Antwerp-Wilrijk, Belgium, +32 34 43
     3614, +32 34 43 3611, 

North America 

     Dr. P.G. Berruecos, Mexican Inst. of Hearing & Speech-Language, Av.
     Progreso 141-4, Col. Escandon, 10200 Mexico City, Mexico, * 52 5 277
     6444, * 52 5 277 6821, 
     Prof. P.W. Alberti, 259 Glencairn Avenue, Toronto 12, Ontario M5N 1T8,
     Prof.Dr. D.J. Lilly, 685 N.W. Melinda Ave, Portland, Oregon 97210, USA 
     Dr. M. Lopez-Vazquez, Mexican Inst. Hearing-Speech-Language, Av.
     Progreso 141 A Col. Escandon, Mexico DF 11800, Mexico, +52 5 277
     6444, +52 5 277 6821 
     Prof. T.C. Picton, Rotman Research Inst., Baycrest Centre, 3560 Bathurst
     Street, New York, Ont M6A 2E1, Canada, 
     Prof.Dr. R.S. Tyler, Dept ORL, University Hospitals and Clinics of
     University of Iowa City, 200 Hawkins Drive E230, Iowa City, IA
     52242-1078, USA, +1 319 356 2471, +1 319 353 6739, 
     Dr. T.J. Glattke, Dept. Speech & Hearing Sciences, Univ Arizona, Tucson,
     AZ 85721, USA, +1 520 621-7065, +1 520 621-9901
     Prof. S. Fujikawa, 10 Goldstone, Irvine, CA 92714, USA, +1 714 634 5753,
     +1 714 634 5747, 
     Prof.Dr. S. Gerber, Dept. of Communication Disorders (MS-106), Eastern
     Washington Un., 526 5th Str., Cheney, WA 99004-2495, USA, 

South America 

     Prof.Dr J.A. Schwartzman, British Hospital, ENT Department, Perdriel 74,
     1280 Buenos Aires, 
     Dr. J.J. Madriz, P.O. Box 223, San Jose 1007, Costa Rica, 1 506 231-0912,
     +1 506 290-2966, 
     Prof.Dr. I.C.R. Russo, Rua Teixeira da Silva, 487 Apto 64, Sao Paulo,
     04002-032, Brazil, +55 11 884 2528, +55 11 885 1114, 

Western Pacific 

     Dr. R. Cowan, c/o Australian Bionic Ear and Hearing Res Ins., 384-388
     Aubert Street, East Melbourne, Vict 3002, Australia, +61 3 9283 7500, +61
     3 9283 7518, 
     Prof. Dr. Jun Kusakari, Professor and Chairman of Otolaryngology,
     Institute of Clinical Medicine, University of Tsukuba, 1-1-1 Tennodai,
     Tskuba 305-8575, Japan, +81 298 53 3210, +81 298 53 3147, 
     Dr. L.J. Upfold, 4 Eaton Road, West Pennant Hills, NSW 2125, Australia 
     Dr. Hiroshi Wada, Department of Mechanical Engineering, Tohoku
     University, Aoba-yama 01, Sendai 980-8579, Japan, +81 22 217 6938, +81
     22 217 6939, 
     Dr. R.C. Bishop, 1 Salisbury Terrace, Wellinton 2, New Zealand 
     Prof.Dr. Junghak Lee, Hallym University Medical Center, 94-200
     Yongdungpo-Dong, Seoul 150-020, Korea, +82 2 639 5482, +82 2 678 2521, 

Next there are a number of standing Committees. These are: 

     Congress Organizing Committee:
     Mencher (EC), Kanzaki (EC), Verschuure (EC), Schwartzman (1998). De
     Laat (2000), Cowan (2002), Kiessling (GA) 
     Scientific Committee:
     Mencher (EC), Verschuure (EC), Aran (EC), de Laat (congress 2000),
     Arlinger (GA), Stephens (GA) 
     Publication Committee:
     Mencher (EC), Quaranta (EC), Verschuure (EC), Laukli (GA), Madriz

New Membership

Phonak scholarship
The new rules have made different types of membership possible. We can now and would like very much to accommodate also associated members, people working in the field but without having a University degree. They can now apply for membership. We think that it would be useful for students of Audiology, who fall into this category, to become members at a somewhat lower rate. The Phonak hearing aid company was willing to start a bursary system allowing students (with proof of being so provided by their institution) to become associate members and receive the Journal Audiology for only $25 for a year. Please, do apply.

             Affiliated membership
             Another form of membership is the affiliated membership of
             national or regional Societies. In this category we welcome very
             warmly the Deutsche Gemeinschaft für Audiologie