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Deafness is a condition where multiple aspects of the development of the children are affected including linguistic, cultural and academic achievement. This study was carried out in a school located in the rural area of Rajbiraj where 1500 school going children were screened for the prevalence if deafness1 and its interrelationship with different preventable ear diseases like CSOM, OME, AOM and Wax. Study revealed 10% of the children suffering from hearing impairment due to the preventable care.2 Highest prevalent rate within the age group of 5-11 years and the most common causes were found out to be due to OME. Study sends clean cut message to the community health workers to increase awareness program to help decrease in deafness due to different middle ear diseases.