Tracking Progress Towards Sustainable Elimination of Iodine Deficiency Disorders in Selected four Districts of Bihar: An Epidemiological Study
DOI:
https://doi.org/10.37506/g63vkh13Keywords:
Iodine Deficiency Disorders (IDDs), Goitre prevalence, Iodized salt consumption, Sustainable elimination, Universal Salt Iodization (USI)Abstract
Introduction: Iodine Deficiency Disorders (IDDs) remain a significant global public health challenge, with severe consequences ranging from congenital anomalies, Goitre to mental deficiency. Preventing these disorders through iodized salt consumption is cost-effective and efficient.
Aims/ objective: To assess the prevalence of goitre and the proportion of households using adequately iodized salt in selected four districts (Saran, Muzaffarpur, Samastipur, Patna) of Bihar (a state in eastern India) using WHO/UNICEF/ICCIDD criteria.
Materials and Method: A community-based cross-sectional study was conducted among children aged 6-12 years.
A multi-stage sampling method was employed, and iodine content in household salt samples were analysed.
Results: The results showed that the prevalence of goitre ranged from 0.9% to 4.63% across districts, indicating that goitre is not a public health problem. Adequate iodized salt consumption varied from 71.95% to 86.72%,
falling short of the 90% USI goal. Urinary iodine excretion data were not available due to ongoing laboratory setup in PMCH, Patna.
Conclusion: The study underscores the need for strengthened monitoring and evaluation to ensure the
sustainability of IDD control activities for achieving sustainable elimination of IDD in Bihar.
References
United Nations Children’s Fund Report. UNICEF,GAIN. Brighter Futures, Protecting Early Brain Development through Salt Iodization- The UNICEF GAIN Partnership Project. New York: UNICEF; 2018.
[Last accessed on 2023 Feb 03]. Available from https://www.unicef.org/media/48056/file/brighter-future_Protecting-early-brain-development-through-saltiodization-ENG.pdf .
Mokhasi VR, Muninarayana C, Shashidhar KN. A study of prevalence of goitre among school children in Kolar. Int J Community Med Public Health.2019;6:5055–9.
Bleichrodt N, Born MP. A meta-analysis of research on iodine and its relationship to cognitive development.In: Stanbury JB, editor. The Damaged Brain of Iodine Deficiency -Cognitive Behavioral, Neuromotor,Educative Aspects. New York: Cognizant Communication Corporation; 1994. pp. 195–200.
Pandav CS, Yadav K, Srivastava R, Pandav R, KarmakarMG. Iodine deficiency disorders (IDD) control in India.Indian J Med Res. 2013;138:418–33.
Yadav K, Pandav CS. National Iodine DeficiencyDisorders Control Programme: Current status &future strategy. Indian J Med Res. 2018 Nov;148(5):503-510. doi: 10.4103/ijmr.IJMR_1717_18. PMID: 30666977;PMCID: PMC6366256.
The Micronutrient Initiative. Investing in the Future:
A United Call to Action on Vitamin and Mineral Deficiencies. Global Report. 2009. [Last accessed
on 2023 Apr 20]. Available from: http://www.unitedcalltoaction.org/ documents/Investing_in_the_future.pdf .
New York: UNICEF; 2008. UNICEF. Sustainable Elimination of Iodine Deficiency: Progress Since the
World Summit for Children. Global Report.
Andersson M, Karumbunathan V, Zimmermann MB. Global iodine status in 2011 and trends over the past
decade. J Nutr. 2012;142:744–50.
WHO/UNICEF/ICCIDDs. Assessment of Iodine Deficiency Disorders and Monitoring TheirElimination: A Guide for Programme Managers. 3rded. World Health Organization; Geneva, Switzerland:2007.
Assessment of the Iodine Deficiency Disordersand Monitoring Their Elimination-A Guide for
Programme Managers. 2nd ed. Geneva: World Health Organization; 2001. [Last accessed on 2023 March 05].
pp. 77–100. Available from: http://whqlibdoc.who.int/hq/ 2001/WHO_NHD_01.1.pdf .
Bhattacharyya H, Agarwalla R, Medhi GK, Chutia H,Nath CK, Pala S. Burden of iodine deficiency disorders
and its association with various sociodemographicvariables in a district of North East India. J Family Med
Prim Care. 2022 Aug;11(8):4711-4716. doi: 10.4103/jfmpc.jfmpc_2263_21. Epub 2022 Aug 30. PMID:
; PMCID: PMC9638578.
Chaudhary C, Pathak R, Ahluwalia SK, Goel RKD, Devgan S. Iodine deficiency disorder in children
aged 6-12 years of Ambala, Haryana. Indian Pediatr.2013;50:587–9.
Malboosbaf R, Hosseinpanah F, Mojarrad M,Jambarsang S, Azizi F. Relationship between goitre
and gender: A systematic review and meta anakysis.
Endocrine. 2013;43:539–47.
Sundaresan S. Towards universal salt iodization inIndia by 2010. A strategy for the final push. Jaipur: Salt
Department, Government of India. 2009
Vir S. How to increase consumption of iodized salt in India: A situation analysis. IDD Newsl. 2008;30:7–10.
Vir SC, Dwivedi S, Singh R, Mukherjee A. Reaching the goal of Universal Salt Iodization (USI): Experience of
Uttar Pradesh, India. Food Nutr Bull. 2007;28:384–90.
Yadav K, Pandav CS, Karmarkar MG. Adequately iodized salt covered seventy-one percent of India in
IDD Newsl. 2011;39:2–5.
New Delhi: Micronutrient Initiative; 2011. The Micronutrient Initiative. Iodized Salt Coverage Study
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