scholarly journals Iodine Content of Salt Use after Years of Universal Iodization Policy and Knowledge on Iodized Salt among Households in the Sissala East Municipality in Upper West Region of Ghana

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Prince Kubi Appiah ◽  
Clement Tiimim Yanbom ◽  
Martin Amogre Ayanore ◽  
Alex Bapula

Background. Iodine deficiency is a global public health concern as it leads to inadequate production of thyroid hormone in the body, causing too many destructive consequences on the roles and functions of different human organs and muscles including brain growth and can manifest into many damaging effects such as intestinal cerebral impedance, cancer of intestine, breast disorders, and physical deformities like goitre and cretinism to one’s body. Despite all these negative effects, there are several important public health programs including universal salt iodization (USI) to improve on households’ iodine intake, notwithstanding this, countless families are still eating foods containing less iodine or no iodine at all. Hence, this study examined the intake of iodized salt after years of universal salt iodization and the knowledge on iodized salt among households in the Sissala East Municipality. Method. A descriptive cross-sectional study was adopted to collect data for the study. Data were collected from women in charge of household meal preparation using a semistructured questionnaire and rapid field iodine test kits. The Statistical Package for Social Sciences (SPSS) version 20 was used for the data analysis and presented in tables and graphs. p value <0.05 was considered as statistically significant. Findings. Only 41.4% of the households have good knowledge on benefits of iodized salt and dangers associated with iodine deficiency. It was realized that the health workers (46.6%) and television were the main sources of information on iodized salt. Household salt usage with adequate (>15 ppm) levels of iodine was 44.0%; however 85.9% of the salts were stored in covered containers. The study showed significant associations between knowledge on iodized salt and educational level (p≤0.001), occupation (p=0.043), religion (p=0.027), and ethnic lineage (p=0.046). Also, the use of iodized salt showed associations with the educational level (p≤0.001), occupation (p=0.003), religion (p=0.042), and knowledge on iodized salt (p≤0.001). Conclusions. Only about 4 in 10 households were consuming salt with adequate iodine, and this coverage is very low compared with the 90% or more coverage recommended by WHO/UNICEF/ICCIDD. Having secondary and tertiary education and having good knowledge of iodized salt has a great influence on the use of iodized salt; however, with this low level of knowledge of importance of iodized salt among women responsible for house food preparations, there is the need for health professionals to intensify education and promotion on iodized salt in the area and to monitor and verify iodine content of salts produced and sold in the market all times, as the source of the salt might have contributed to the low levels of iodine in the household salt.

2000 ◽  
Vol 12 (2) ◽  
pp. 79-84 ◽  
Author(s):  
C. Yamada ◽  
D. Oyunchimeg ◽  
P. Enkhtuya ◽  
A. Erdenbat ◽  
A. Buttumur ◽  
...  

In 1992, the Mongolian government conducted a nationwide palpation study of the thyroid glands, and the study showed an overall goiter rate of 30%. As a result of this, the Mongolian Government launched its Iodine Deficiency Disorders (IDD) Elimination Programme in 1996 and its primary strategy was salt iodization. In 1998 and 1999, we carried out programme monitoring studies in 11 provinces. The results showed: among schoolchildren, a goiter rate was 22.8% (n=6,535), median values of urinary iodine excretion ranged from 11 μg/l to 256 μg/l (n=1,930), and usage rates of iodized salt (>20 PPM iodine content) in their households ranged from 3% to 82%. We concluded that severe iodine deficiency in 1992 was improved from moderate to mild severity a few years later by salt iodization. However, stronger official commitments and community participation are needed to improve the programme so that iodized salt will be made more widely available. Asia Pac JPublic Health 2000;12(2): 79-84


2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Prince Kubi Appiah ◽  
Georgina Agartha Fenu ◽  
Francis Wadga-Mieza Yankey

Background. There are laws to enforce the universal iodization of salt to check the consequences of iodine deficiency in Ghana. These laws are to ensure that there are production and sales of iodized salt in the country. Yet, the availability of iodized salt in the county's households is still not encouraging, with data indicating that 93.8% of children have urine iodine <100 μg/dl. Hence, the study investigated the iodine content of salt in retail shops and knowledge of iodized salt among retailers in the Wa East District. The study will help the informed decision on strengthening and enforcing laws to achieve the universal salt iodization and the consumption of adequate iodized salt. Method. The study was a descriptive cross-sectional survey. We used a questionnaire to collect quantitative data from participants and a rapid field test kits to determine the iodine content of salt. STATA version 14.2 was used to analyse data. Chi-squared and logistic regression models were used to examine the association between the dependent and independent variables and considered p value <0.05 as statistically significant. Findings. The retailers’ primary source of information about iodized salt was health workers (46.2%), with the majority (52.8%) of them having low knowledge of iodized salt. Notwithstanding the high knowledge of iodized salt, as high as 53.8% of the salts do not have adequate iodine (<15 ppm). Retailer’s sex (p=0.014), educational level (p=0.006), primary source of information about iodized salt (p=0.012), texture of salt being sold (p=0.023), and mode of displaying salt in the shop (p=0.003) were associated with knowledge of iodised salt. Again, retailer’s educational level (p=0.036), knowledge of iodized salt (p=0.034), texture of salt being sold (p=0.021), and method of displaying the salt being sold (p=0.004) were associated with an iodine content of the salt in the shop. Conclusions. Though policies have been implemented to promote production and consumption of iodized salt, the iodine content of salt in retail shops in the Wa East are not encouraging. We recommend the establishment of checkpoints along the production and distribution chain to ensure salt with adequate iodine reaches the consumer. Again, traders of iodized salt should have regular training on ways to preserve salt to maintain its iodine content.


2021 ◽  
Vol 33 (2) ◽  
pp. 288-293
Author(s):  
Bekkalale Rudresh Harish ◽  
Hugara Siddalingappa ◽  
Shambhulinga Kambale ◽  
Bhoompuram Nagaraja Goud ◽  
Divya Arulprakasam ◽  
...  

Background: Considering the burden of Iodine Deficiency Disorders in our country, Government of India has an exclusive national health program to prevent it from becoming a major public health concern. To attain its objectives, National Iodine Deficiency Disorder Control Program (NIDDCP) undertakes routine evaluation of the Program all over the country. Aim & Objective: To determine the prevalence of Goitre, to estimate Iodine content in salt samples and Iodine excretion in urine samples of schoolchildren aged between 6 to 12 years in Mandya district. Settings and Design: A cross sectional institutions based survey was conducted among schoolchildren from the villages in selected clusters of Mandya district. Materials and Methods: Probability Proportional to Size sampling method was used to select 30 clusters. 90 children aged between 6 to 12 years from each cluster were screened. Salt Iodine content was ascertained by Iodometric titration method and urinary Iodine excretion was estimated by Sandell-Kolthoff method. Statistical analysis used: Frequency, proportions and mean were calculated and inferential statistics were used. Results: Prevalence of Goitre was 4.4%, with higher prevalence among girls. 49.8% salt specimens lack adequate iodine (<15ppm) at household level. Median UIE was 164 Micrograms /litre. Conclusions: As per the impact indicators, IDD is not a public health concern in Mandya district as of now.


2021 ◽  
Vol 54 (1) ◽  
pp. 21-33
Author(s):  
IT Matasar ◽  
VI Kravchenko ◽  
LM Petryschenko ◽  
VI Vodopianov

Aim. Study of iodine supply in different segments of the population throughout Ukraine, establishment of the morbidity level caused by iodine deficiency, analysis of preventive measures and their effectiveness and development of adequate ways of mass, group and individual prophylaxis of iodine deficiency in the body, which will reduce morbidity in areas of endemic iodine deficiency. The article considers the most important results of long-term epidemiological studies of iodine supply in different categories of the population of almost all regions of Ukraine. Significant volume of work was performed with the support of the Ministry of Healthcare of Ukraine, UNICEF Ukrainian office, and the CDC in Atlanta (USA), which for more than 19 years has provided external quality control of the study of iodine status of the population of Ukraine. The data on iodine content in food and biological fluids of the population affected by the Chernobyl accident are given and the dependence of the irradiation dose of the thyroid on the body supply with stable iodine and on the optimization of the latter after the adoption of the State Programme for Iodine Deficiency Prevention for 2002–2005 is shown. The effectiveness of mass iodine prophylaxis by using universally iodized table salt is emphasized. The article presents data on suggested and implemented ways of mass, group and individual iodine prophylaxis, studies of their effectiveness and shows the positive dynamics of changes in providing the population with dietary iodine. The need for constant consumption of food products with sufficient iodine content, including iodized salt, is proven. Significant changes in the prevalence and incidence of thyroid pathology, socio-ecological and medical benefits of prevention of iodine-dependent disorders are described. The article was prepared as a scientific information material for family doctors, endocrinologists, obstetricians and gynaecologists, hygienists, the public, the Ministry of Healthcare of Ukraine in connection with the need for a legislative solution to the prevention of iodine-dependent disorders in Ukraine. Materials and Methods. To study the problem and assess the state of iodine deficiency in Ukraine the criteria recommended by the WHO and the United Nations Children’s Fund (UNICEF) were applied for the first time, a method for determining the iodine content in the body was developed and implemented, which allowed to join the international “Equip” system of iodine supply control in the world and in Ukraine. This made it possible to move from indirect to direct methods of determining the intake of iodine in the body. Conclusions. A detailed study of iodine supply in different segments of the population of Ukraine proved the negative effects of iodine deficiency on health; in particular, it was found that the overall decrease in productivity of the generation of children in iodine deficiency populations is 5%. Measures to eliminate iodine-dependent disorder among the population of Ukraine have been developed and implemented. The development and production of iodized food salt, adequate to the needs of the population, has been carried out. The result of these measures, developed and implemented to eliminate iodine-dependent disorders and to improve the nation’s intelligence, is, according to the official data, the improvement of iodine supply of the population, significant reduction in the number of thyroid disorders, especially among those affected with 131I, which, even just because of this indicator, has significant social-economic effect. Key Words: Chernobyl accident, iodine deficiency, iodized salt, population, prevention, regions.


2013 ◽  
Vol 2 (1) ◽  
pp. 18-23 ◽  
Author(s):  
Rahul Srivastava ◽  
Kapil Yadav ◽  
Ravi P Upadhyay ◽  
Vijay Silan ◽  
Smita Sinha ◽  
...  

Iodine is an essential micronutrient for humans but its deficiency can cause public health problems. The objective of this study was to estimate the consumption of adequately iodized salt on a household level, and to study the availability, procurement, storage, cost, and knowledge regarding iodized salt and iodine deficiency disorders amongst retail shopkeepers from the Ballabgarh block of Haryana in Northern India. This rural area was the location used for a community-based cross-sectional study by simple random sampling. Salt samples were collected from 363 selected households (out of the calculated 400 household samples) and all the retail shops (233) in the study area. Salt was tested using an iodometric titration method at the Indian Coalition for Control of Iodine Deficiency Disorders (ICCIDD) laboratory in New Delhi. Retail shopkeepers were also interviewed regarding their knowledge and practices. Adequately iodized salt (?15 parts per million) was consumed in 65.2% of the households, while 17.3%, of the residents were consuming salt with no iodine added (0-5ppm). Adequately iodized salt was sold by 76.3% of the retail establishments, while 12.3% were selling salt without any added iodine (0-5ppm). About 84% of the shopkeepers were aware that they are selling iodized salt. It was reported by 94% of the retail shopkeepers that iodized salt is necessary for good health but none of them could identify all the iodine deficiency disorders. Effective strategies are required to educate both consumers and suppliers to achieve Universal Salt Iodization at household level.South East Asia J Public Health | Jan-June 2012 | Vol 2 Issue 1 | 18-23 DOI: http://dx.doi.org/10.3329/seajph.v2i1.15256


2020 ◽  
Vol 15 (3) ◽  
pp. 118-123 ◽  
Author(s):  
Petr A. Terekhov ◽  
Anastasia A. Rybakova ◽  
Maria A. Terekhova ◽  
Ekaterina A. Troshina

Background: Throughout all territory of Russian Federation has been confirmed absence of iodine deficiency of varying severity. Chronic iodine deficiency leads to irreversible defects in the intellectual and physical development of children, thyroid gland diseases, including such severe manifestations as functional autonomy and iodine-induced thyrotoxicosis and reproductive disorders. Aims: To assess the awareness of Russians about the effect of iodine deficiency on health and the need to use iodized salt in food. Materials and methods: During November 2019 we conducted an anonymous online survey about iodine deficiency and methods of its prevention. The participants of this survey were 9309 Russians of different age categories. Weasked each respondent six questions regarding their knowledge about the importance of iodine for the body and its supply sources. This study is one-staged, uncontrolled, full-designed, and conducted using Google Forms (Google LLC, 2019). As a result, we summarized data on the awareness of Russians about iodine deficiency disorders and methods for its prevention. Results: 60.4% of respondents is using iodized salt, while the number of respondents who consider prevention with iodized salt to be unhealthy (or have lack knowledge of its effects) is related to the number of respondents who do not use iodized salt. We get that in Volga region only 50% of population is using iodized salt (the lowest level), while 62.83% of the European South inhabitants is using iodized salt. In the rest of Russian Federation, this indicator varies from 52 to 57%. There is a low awareness of the population about prevention of iodine deficiency disorders and as a result myth about the dangers of universal salt iodization are widespread in Russian Federation. Conclusions: Awareness of Russians about prevention of iodine deficiency disorders still remains at a low level, and it is directly affecting the success of ongoing prevention programs.


1998 ◽  
Vol 19 (4) ◽  
pp. 347-352 ◽  
Author(s):  
Jinkou Zhao ◽  
Hua Wang ◽  
Jun Ge ◽  
Qinlan Zhang ◽  
Xiping Huan ◽  
...  

To assess the iodine-deficiency disorder status in nine counties of Jiangsu Province, China, where salt iodization was initiated in 1985, a special verification survey was conducted in 1997 by a provincial multisectoral team. Results obtained by regular monitoring of counties indicated that the goitre rate in schoolchildren had progressively decreased from 41.9% in 1983 to 3.9% in 1997, while the median urinary iodine concentrations of the population had remained above 100 μg/L since 1985. More than 90% of the edible salt supplied to households had been iodized at ≥ 20 mg I/kg during the previous five years. The data obtained by provincial verification confirmed the county findings of ≥ 90% adequate iodized salt in households, < 5% goitre rate in schoolchildren, and adequate urinary iodine excretions. The provincial team also considered the established mechanisms for salt iodization and supply and iodine information management potentially sustainable. The high variability of the iodine content of household salt indicates that improved quality assurance of iodized salt at production and continued monitoring of population iodine indicators are needed.


2013 ◽  
Vol 5 (1) ◽  
pp. 82-91 ◽  
Author(s):  
Mr. Chris Patterson ◽  
Dr. Shona Hilton

Obesity represents a major and growing global public health concern. The mass media play an important role in shaping public understandings of health, and obesity attracts much media coverage. This study offers the first content analysis of photographs illustrating UK newspaper articles about obesity. The researchers studied 119 articles and images from five major national newspapers. Researchers coded the manifest content of each image and article and used a graphical scale to estimate the body size of each image subject. Data were analysed with regard to the concepts of the normalisation and stigmatisation of obesity. Articles’ descriptions of subjects’ body sizes were often found to differ from coders’ estimates, and subjects described as obese tended to represent the higher values of the obese BMI range, differing from the distribution of BMI values of obese adults in the UK. Researchers identified a tendency for image subjects described as overweight or obese to be depicted in stereotypical ways that could reinforce stigma. These findings are interpreted as illustrations of how newspaper portrayals of obesity may contribute to societal normalisation and the stigmatisation of obesity, two forces that threaten to harm obese individuals and undermine public health efforts to reverse trends in obesity.


2015 ◽  
Vol 7 (1) ◽  
pp. 37-39
Author(s):  
Ioana-Codruta Racz

Abstract Health is an integral part of sustainable development, a process that can’t be materialized if there is a high prevalence of diseases, a high percentage of those is due to environmental factors. An important component of health is the healthy nutrition, especially of children and pregnant women. Iodine is an essential micronutrient for a good nutrition that covers the physiological needs of the body, iodine deficiency having important consequences for mother and fetus, then for children, especially in the first years of life. The main role of iodine in the body is due to his importance for synthesis of thyroid hormones involved in growth and development of psychic and somatic body, starting with intrauterine life. Iodine deficiency was, and still is, a public health problem, globally the most affected countries are in Central Africa, central South America and northern Asia. Europe iodine deficiency is relatively lower. Multiple interventions were made to improve and even eradicate iodine deficiency disorders, in particular through the universal iodization of salt for human consumption, but must be supported in continuing efforts because this issue is not fully resolved to this day.


Author(s):  
Sadia Jahan ◽  
Md. Saddam Hossain ◽  
Md. Anisur Rahman Bhuiyan ◽  
Susmita Roy Lisa ◽  
Somaia Haque Chadni

Aim: To evaluate the household iodine content and knowledge, attitude, and behavior regarding salt iodization among the residents of Cumilla, Bangladesh. Subjects and Methods: We conducted a cross-sectional survey of 700 inhabitants in Cumilla's urban and rural areas to determine the iodine concentration of salt they consume. The participants were asked about what they know about iodine deficiency and salt iodization as well as how their salt was packaged and stored. Among them, 338 people provided a sample of salt to be tested of its iodine content by the titrimetric method. Results: 46.57% of people knew that iodization was the best way to prevent iodine deficiency while 35.14% considered salt iodization during purchasing. Most people stored salt in plastic boxes (89.7%) and closed containers (84.14%).Among all participants, only 37.14% of people were aware of the iodine requirement during pregnancy. In urban regions, the median iodine content was 36.76 ppm (OR=0.658, 95% CI, 0.469-0.925), while in rural areas, the median iodine content was 40.92 ppm (OR=1.188, 95% CI, 1.022-1.380). Iodine levels were less than 15 ppm (minimum limit) in 6.8% of samples and greater than 40 ppm (maximum limit) in 56.5%. Only 36.7% of the salt samples contained adequate iodine. Conclusion: An effective and consistent approach for controlling iodine concentration in distributed salt is required at Cumilla, Bangladesh.


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