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  Indian J Med Microbiol
 

Figure 1 An average hearing level between 0 and 20 dB is normal (green), 21–40 indicates mild hearing loss (yellow), 41–60 indicates moderate loss (red), and 61 dB or higher indicates severe loss (purple). A child with average hearing loss from middle ear effusion in both ears (28 dB) will barely be able to hear soft speech, with some children barely aware of normal speech or a baby crying [26].

Figure 1 An average hearing level between 0 and 20 dB is normal (green), 21–40 indicates mild hearing loss (yellow), 41–60 indicates moderate loss (red), and 61 dB or higher indicates severe loss (purple). A child with average hearing loss from middle ear effusion in both ears (28 dB) will barely be able to hear soft speech, with some children barely aware of normal speech or a baby crying [26].