To the Editor We read with great interest the article by Brodie et al,1 titled “Outcomes of an Early Childhood Hearing Screening Program in a Low-Income Setting.” Of primary importance, this retrospective, community-based cohort study demonstrated that preschool screening programs were a useful method for children aged 2 to 6 years from urban, low-income public preschools. Furthermore, the authors should be singularly commended for attaching importance to the value of teacher concern for hearing loss, language, or speech development. We appreciate the important information presented in this study and we would like to comment on some key issues.