Iodine Global Network (IGN)

IODINE Global Network

31.08.2017   IDD Newsletter 3/2017

In this issue:
  • Iodine intakes are adequate in war-torn Yemen - but only just
  • Iodine nutrition in Italy – past, present, and future
  • As iodized salt coverage in Belize drops, is it time for action?
  • Remarkable progress against iodine deficiency in Ethiopia
  • A state-level salt iodization coalition achieves success in Bihar, India
  • Pregnant women in iodine-sufficient Iran are at risk of low iodine intakes
  • Goiter and hypothyroidism during parenteral nutrition
  • A ‘nimble’ solution to Cambodia’s iodine deficiency
  • Pregnant women are still iodine deficient in St. Petersburg, Russia
  • Monitoring compliance with food fortification standards

In Meetings and Announcements:
  • IGN and EUthyroid Satellite Meeting at the ETA, Belgrade
  • Iodine nutrition in the 21st century – a themed issue of Minerva Medica
  • WHO Technical consultation: Risk of excessive intake of vitamins and minerals, Panama
  • Launching the Iodine Blog
  • GFDx: A new home for fortification data to be launched in early September

Iodine intakes are borderline adequate in war-torn Yemen

The Iodine Global Network is working together with key partners to raise the alarm to authorities and international humanitarian organizations to urgently accelerate Yemen’s salt iodization program and extend support to the domestic salt industry.

Iodine nutrition in Italy – past, present, and future

(Excerpted from Olivieri A et al. Minerva Med 2017, 108:159–68)
Italy has been dealing with iodine deficiency since ancient times. Incredibly, goiter and cretinism were first reported in Northern Italy in the first century AD. The relationship between endemic goiter and cretinism was recognized only in 1848, by a special committee appointed to investigate their widespread prevalence in Piedmont, Liguria and Sardinia.

As iodized salt coverage in Belize drops, is it time for action?

Belize is a country on the eastern coast of Central America, with a population of about 390,000. In the north and south are low coastal plains covered with mangrove swamps. The low Maya Mountain range stands in between, occupying much of the country’s central section. Belize has a very rich political history, it is ethnically diverse and with a young population (almost 40% are below the age of 18) (1). Formerly a British colony, Belize has been self-governing since 1964 and was granted independence in 1981.

Remarkable progress against iodine deficiency in Ethiopia

(Data excerpted from: Andinet Hailu. Ethiopian National Micronutrient Survey Report: Sept 2016)
In Ethiopia, iodine deficiency has been recognized as a major public health problem for the past six decades, and the threat it poses to the health and development of the population still looms large (1). The Ethiopian government, together with its development partners, has shown unfaltering commitment to combating malnutrition in general, and iodine deficiency in particular.

A state-level salt iodization coalition achieves success in Bihar, India

(Ms. Sofiya Ahmed, Dr Anamika Wadhera, Dr Aniket Sirohi, Dr. Kapil Yadav, Dr. Chandrakant S. Pandav)
Bihar, one of the most populous states in India, has recently reported one of the highest coverages of iodized salt in the country: 93.6% according to the 2014 National Family Health Survey (NFHS-4) report (Figure 1). The USI success story in Bihar is even more remarkable considering that, in all previous surveys, Bihar had always ranked in the bottom half among all states as far as iodized salt coverage was concerned.

Pregnant women in iodine-sufficient Iran are at risk of low iodine intakes

(Excerpted from an article published on Wednesday, 14 June, 2017, in Financial Tribune)
Research conducted in 12 provinces by the Institute of Endocrinology and Metabolism, affiliated with the Shahid Beheshti University of Medical Sciences in Tehran, indicates that pregnant women in Iran may be suffering from mild to moderate iodine deficiency.

Goiter and hypothyroidism during parenteral nutrition

(Excerpted from Pearson S et al. Endocrinol Diabetes Metab Case Rep, 2017 Jun 7;2017)
A 30-year-old woman in the UK was referred to the endocrinology team with a goiter, which had been progressively enlarging for the previous 10 months. She described symptoms of fatigue and weight gain and was found to have biochemical hypothyroidism. On examination, there was a large smooth goiter which was clinically larger on the right side.

A ‘nimble’ solution to Cambodia’s iodine deficiency

(Sam Oeurn Un and Arnaud Laillou UNICEF Cambodia)
Although Cambodia achieved universal salt iodization in 2010, the coverage has since declined at an alarming rate. A recent government-led analysis found that only 1 in 10 salt samples on the market across Cambodia were adequately iodized. It also estimated that approximately 30% of pregnant and non-pregnant women had urinary iodine concentrations (UIC) below 50 µg/L, which signals insufficient iodine intakes.

Pregnant women are still iodine deficient in St. Petersburg, Russia

(D. Soboleva, S. Dora, A. Volkova, T. Karonova, E. Grineva, G. Gerasimov)
On June 27, 2017 the Almazov National Medical Research Centre of the Russian Ministry of Health and the Iodine Global Network held a Round Table Meeting entitled “Iodine Deficiency Disorders in the 21st Century”. The agenda covered all aspects of iodine nutrition and prevention of iodine deficiency, with a focus on the iodine nutritional status of the adult population in St. Petersburg.

Improving compliance with food fortification standards

On 26–27 April 2017, a Technical Consultation Meeting on Fortification Compliance took place in London, UK, with support from the Bill and Melinda Gates Foundation, Project Healthy Children, and GAIN. The objective was to review existing definitions and ways of determining compliance, and propose a common approach.

 

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