In an effort to help determine the current status and needs of hearing impaired children in Western Samoa, the Commonwealth Society for the Deaf sent a team of three professionals to this Pacific island nation in 1991. Initial information on known children with severe and profound hearing loss was gathered and a small prevalence survey of urban school children's ear health was conducted. No previously published information was available for this population. Results are presented and related to data from other areas of the Pacific. Hearing health care implications of the survey team's findings are discussed.