By far some of the most prestigious centers of European learning today stand where they were founded eight hundred years ago: Oxford and Cambridge in England; the University of Paris in France; the University of Bologna in Italy. European universities developed in the late twelfth and early thirteenth centuries 41 the emergence of city life. Earlier medieval schools were most often 42 the monasteries, which were perforce situated in rural areas. As cities grew in importance, schools also developed at urban monasteries or under the 43 of bishops whose cathedrals were in the towns. The cathedral school was a direct 44 of the increasing importance of towns and the increasing power of bishops, the spiritual leaders of town life. In Italy, town life had been relatively strong throughout the early Middle Ages, so there was a tradition of schools which were controlled by the common people. The center of medical studies in Salerno and the law faculty of Bologna had been in 45 hands since the tenth century.

   In the United States, there are about twenty-two million hearing-impaired people; of these, two million are profoundly deaf (unable to hear any thing) or severely deaf (unable to hear much). Hearing impairment results from three major factors that are not necessarily exclusive: environmental, hereditary and old age.

   Environmental causes include noise-induced, accidental, toxic, and viral. Noise-induced deafness is primarily a phenomenon of the modern industrial world, though stonemasons, may have been subject to hearing-loss in the ancient world. Permanent deafness resulting from toxicity is also a phenomenon of the modern world. Deafness from accident, such as a blow to the ear, must have resulted from time to time. Viruses, too, were very much part of the ancient world. Of the six main viruses that can cause deafness today—chickenpox, common cold viruses, influenza, measles, mumps, and poliomyelitis—there is evidence for five in ancient Greece. There is also evidence for the presence of bacterial meningitis, whose classic complication is hearing loss. In modern, developed countries, preventative medicine reduces the incidence and severity of these viruses, but in the ancient world, as in third-world countries today, these viruses must have taken their toll.

   There is no reason to rule out hereditary deafness in the ancient world, and there is some conjectural evidence for the results of in-breeding, although not specifically for deafness. In addition to inbreeding, other hereditary factors would have produced deafness. Some families simply have a genetic background that favors deafness.

       Fuel poverty occurs when a household is unable to afford the most basic amount of energy foradequate heating, cooking, lighting, and use of appliances in the home. According to European UniversityInstitute, in 2011, 9.8% of households in the EU27 countries and 15.8% of households in the 12 newmember states could not afford to heat their homes adequately. Thus, fuel poverty is an increasingly seriousproblem across Europe and requires the intervention of policymakers.

       In particular, corrective measures have been implemented which aim to help fuel-poor householdspay their energy bills, and preventive policies have also been introduced, which focus more on improvingresidential energy efficiency. Debates about the effectiveness of these measures have ensued for severalreasons; mainly because energy retrofit renovations have often been undertaken by wealthier households.Thus, despite these measures, given the expected increase in the cost of energy, some could find it difficultor even impossible to satisfy their energy needs. As a prerequisite to discussions about the effectivenessof different measures to fight fuel poverty, debates have often focused on the need to reliably identify fuel-poor households and create a detailed profile of such households. In fact, the multidimensionality of fuelpoverty makes it difficult to achieve this.

       Fuel poverty has traditionally been treated as a monetary poverty problem. At European Union level,there is no common definition or standardized indicator for assessing fuel poverty. While there is a largebody of literature on measuring poverty, consensus has not yet been reached on the related methodologicaland conceptual issues. However, households affected by fuel poverty are not always the same as thoseaffected by monetary problems, even if the two phenomena are inextricably linked.

       In this context, we suggest that a more careful and systematic understanding can be developedthrough a multidimensional approach to the relationship between monetary poverty, residential energyefficiency of buildings, and heating restrictions. Our objective in this paper is not to challenge existingmeasures of fuel poverty, but provide new ways to better identify those who suffer the most from fuelpoverty in order to optimize policy. We argue this is needed to better identify the connection betweenenergy use and well-being and therefore deepen understanding of energy poverty.