Otitis media; prenatal exposure to infections

(e.g., rubella, cytomegalovirus/CMV, herpes

simplex virus); damage to the ear through
illness, injury, or noise exposure
Hears only some
louder-voiced speech
sounds
40–60 dB Moderate hearing
loss
Chronic otitis media; middle ear anomalies;
sensorineural damage; prenatal exposure to
infections; genetic factors; and damage to the
ear through illness, injury, or noise exposure