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ad higher risk of a substantiated episode of physical abuse (adjHR1.47, 95% CI1.07-2.03) than children with normal hearing. CONCLUSION Our findings demonstrate the urgent need for HI and child maltreatment prevention strategies through raised community awareness and inter-agency collaboration. Effective information-sharing between service providers is a critical first step to a public health approach in child protection.BACKGROUND Breakfast is an important meal that provides essential nutrients and energy. However, few comprehensive st