Iodine Global Network (IGN)

01.02.2010   IDD Newsletter 1/2010

In this issue:
  • Sri Lanka
  • Russia
  • Micronutrient powders and iodine
  • Malaysia
  • Kyrgyzstan
  • Uzbekistan
  • Scorecard 2010
  • East, Central and Southern Africa
  • Meetings and Announcements
  • Abstracts


Sri Lankan school children benefit from successful USI

(Chandrakant Pandav)
Sri Lanka lies in the Indian Ocean, to the southwest of the Bay of Bengal and to the southeast of the Arabian Sea. It had an estimated population of 20.2 million in 2009. IDD was recognised as a public health problem in Sri Lanka following the 1986 national survey that found a goiter prevalence of 18.2%. The Sri Lankan government has shown great commitment toward elimination of IDD in the country in the past two decades. In 1995, the government launched universal salt iodization (USI). In 1995, the government made salt iodization mandatory by passing a law that bans the production and distribution of noniodized salt; this was revised in 2005. Despite these efforts, in 2001 the prevalence of goiter remained 20.9% but the median urinary iodine concentration (UIC) was 145 ug/L among school ...

Goiter does not predict mental impairment in Russian school children

(E. Troshina, N. Platonova, S. Solovyeva and G. Gerasimov )
In regions of moderate-to-severe iodine deficiency, the mean IQ in children may be reduced 10-15 points. Goiter is the most visible clinical sign of iodine deficiency, but how well correlated are goiter and mental deficiency? During the “Thyromobil” project conducted by Russian Endocrinology Research Centre (RERC) in several regions of the European part of the Russian Federation in 2003-2007, the Culture–Fair Intelligence Test (CFIT), CF 2A, was conducted in 94 randomly selected school-children aged 8 to 12 years with goiter (enlarged thyroid volume by ultrasonography) and in 83 children with normal thyroid volume ...

Micronutrient Powders and Iodine

(Kevin M. Sullivan, Parminder S. Suchdev and Laird J. Ruth)
Interventions directed towards eliminating or reducing the prevalence of vitamin and mineral deficiencies include fortification, supplementation and dietary diversification. Universal Salt Iodization (USI) is the fortification of all salt for human and animal consumption and is recommended as the primary global intervention to achieve the elimination of iodine deficiency disorders. While USI has been successful in a number of countries, in some areas USI has been difficult to achieve or maintain. A temporary strategy for improving the iodine status of populations until USI can be achieved is iodine supplementation ...

Malaysia needs wider coverage with iodized salt

(WM Wan Nazaimoon and S Rusidah)
Malaysia, following a national IDD sur-vey in 1996, implemented universal salt iodization (USI) in Sabah and the majo-rity of districts in Sarawak, but concluded IDD was not a public health problem in Peninsular Malaysia (1). However, subse-quent studies showed otherwise. A study in rural Malay women of reproductive age living on the outskirts of Kuala Lumpur found a goiter prevalence of 23 to 24.5% (2). Despite the use of a water-iodination system to supply iodine to 26 schools in the state of Terengganu, the median urina-ry iodine concentration (UIC) of children aged 8-10 years was only 75 g/L, and was comparable to the median UIC of 73 g/L measured in children from schools without water iodination ...

Renewed stimulus for USI in Kyrgyzstan

(Frits van der Haar, Roza Sultanalieva and Aigul Musambetova)
Iodine deficiency is remembered by the people of Kyrgyzstan as a historical threat of goiter and cretinism that was overcome during the Soviet period by central prophylaxis that included iodized salt. Provincial surveys among school-age children during the 1980s showed that IDD had made a comeback already prior to Independence in 1991. The activities initiated under a ‘National Program for Prevention of Conditions related to Iodine Deficiency, 1994-2000’ consisted chiefly of technology development in local salt enterprises, educational campaigns to the public and in primary schools, improvements in salt quality inspections at production and retail, and training workshops for officials, scientists and salt producers. But despite some progress in increasing the national iodized salt supplies, only 27% of the households in Kyrgyzstan were found to use adequately iodized salt in 2000 ...

Progress towards sustainable elimination of IDD in Uzbekistan

Dr Chandrakant Pandav, ICCIDD South Asia, was invited by Unicef to review the national IDD program, make recommendations for strengthening the program and identify areas and/or strategies to accelerate progress in Uzbekistan ...


Steady progress against IDD in East, Central and Southern Africa

(David P Haxton)
The Ministers of Health of ECSA requested a session at the 50th Meeting in February 2010 in Kampala on progress to date on micronutrient nutrition, with particular emphasis on iodine. David Haxton, Executive Director of ICCIDD was invited to speak at the meeting. The following is a synopsis of his report to the UNICEF Regional Office in Nairobi, Kenya on issues of commitment to USI and IDD elimination in East Africa. Table 1 shows that 5 countries have reached household levels of iodized salt that are recommen-ded by WHO, ICCIDD and UNICEF; that 5 have reached household levels above 75%; that the top leadership in ECSA is committed and aware of the priority for success and the values of that success to achievement of the MDGs ...