Hearing loss can affect children in a number of ways. For example, it can have a direct impact on the career and vocational choices that children make as they grow older. It can also cause various degrees of social confusion and isolation as well as low self-esteem. Most notably, hearing loss can have a large effect on overall levels of achievement including academic achievement. Hearing loss also impacts communication skills including basic speech and language abilities. With so many detrimental effects associated with hearing loss it is essential to have children checked early with regard to their hearing.