STATUS REPORT ON NATIONAL IODINE DEFICIENCY DISORDERS

Status Report on National Iodine Deficiency Disorders Control Programme in Southern States

ANDHRA PRADESH

The Government of India launched a 100% centrally assisted national Goitre Control Programme (NGCP) in 1962. In August 1992, the National Goitre Control Programme (NGCP) was renamed as National Iodine Deficiency Disorders COntrol programme (NIDDCP) with a view to cover a wide spectrum of Iodine Deficiency Disorders like mental and Physical retardation, deaf mutism, cretinism, still birth, Abortion etc.,

An Iodine Deficiency Disorders (IDD) Cell was established in the state at the NIDDCP in Andhra Pradesh, under the immediate supervision of Joint Director (IH).

Technical Officer - 1

Dy.Statistical Officer - 1

Jr. Asst.cum Typist - 1(Vacant)

An IDD monitoring laboratory has also been established in the Directorate of Institute of Preventive Medicine for analysing urine samples for Iodine contents among different groups of population. Due to ban on recruitment the posts of Lab technician and Lab Attendant are not filed up. The issue is under process.

OBJECTIVES OF THE PROGRAMME

1. To promote awareness on Goitre and Iodine Deficiency Disorders and their prevention among the people living in endemic areas.

2. To educate the masses to use Iodised Salt

3. To Supplement the resources of the state for Health Education activities.

4. To conduct surveys to assess the magnitude of Iodine Deficiency Disorders

Surveys were carried out in the year 1986 in 7 districts i.e., Srikakulam, Vizianagaram Visakhapatnam, East Godavari, Adilabad, Warangal, Khammam and declared as endemic for Goitre except Vizianagaram District. The Goitre rate is varied from 9.2% to 64.4%. The Central Survey team from Directorate General of Health Services, New Delhi has surveyed Nellore and Krishna Districts during 1998-99 and declared as endemic for Goitre. The Goitre rate is 16.6% for Nellore and 15.5% for Krishna Districts.

The recent surveys of Nellore and Krishna revealed that in both districts the Goitre prevalence is more in the age group of 10-14 years. Further regarding sex wise distribution the Goitre prevalence is more in male children than female children in Nellore district, and in Krishna district the Goitre prevalence is more in female children than male children.

The National Institute of Nutrition, Hyderabad has surveyed Mahaboobnagar district during 1998 and it is endemic for Goitre. The Goitre rate is 12.9%.

The Government of Andhra pradesh has banned the sale of edible salt other than iodated salt in seven districts under NIDDCP vide G.O.M.S.No.1, H.M&F.W.(L1) Dept.,DT.3-1-1994. Subsequently the Government has banned the sale of Common salt in the entire state of Andhra pradesh with effect from 1-1-1995 vide G.O.M.S.No.290.H.M.&F.W.(L1)Dept.,6-6-1994.

The Salt traders of Naupada, Srikakulam districts have filed wirt petitions before the High Court challenging the distribution on sale of edible common salt other than iodated salt in the entire state of Andhra Pradesh.Consequently the Government of Andhra Pradesh has cancelled G.O.M.S.NO.290,H.M.&F.W.(L1)Dept., DT.6-6-1994 bringing the sale of edible common salt other than the iodated salt in the entire state and banned the sale of edible common salt other than Iodated in seven endemic districts only.

Recently the Govt. of Andhra Pradesh has extended the ban for sale of edible salt other than iodated salt in Nellore, Krishna and Mb' Nagar districts.

ACTIVITIES AND ACHIEVEMENTS:

21ST October-2001 was observed as Global IDD Day in State Head Quarters and Districts. The D.M. & H.Os have conducted workshops and competitions for school children. They have also arranged rallies with Health Staff and School Children in their respective districts and Mandal Head Quarters.

Organized one day workshop on Iodine Deficiency Disorders for Addl.D.M. & H.Os and State level Officers at Hyderabad on 19th November 2001.

Organized one day sensitization workshops on Iodine . Deficiency Disorders for Medical Officers and other District level Officers of Kammam, Warangal and Chittoor Districts during September 2002.

NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME IDD SURVEY

PARTICULARS ANDHRA PRADESH

Sl.No.	District	Period of Survey	Population Surveyed	No.of Goitre cases detected	IDD prevelnece Rate in %
1	SRIKAKULAM	1986	2000	252	12.6%
2	VIZIANAGARAM	1986	2000	184	9.2%
3	VISAKHAPATNAM	1986	18654	5775	34.7%
4	EAST GODAVARI	1986	38179	24595	64.4%
5	KHAMMAM	1986	12768	5427	43.0%
6	WARANGAL	1986	-	-	30.0%
7	ADILABAD	1986	50947	27540	54.0%
8	NELLORE	1988	22410	3724	16.6%
9	KRISHNA	1999	26296	4082	15.5%
10	MAHABOOBNAGAR	1998	10018	1297	12.9%

ANNUAL REPORT ON NATIONAL IODINE DEFICIENCY DISORDERS CONTROL

PROGRAMME IN ANDHRA PRADESH FROM 1996-97 TO 2002-03

(up to August)

Sl.No.

Reporting

Category

1996-97

1997-98

1998-99

1999-00

2000-01

2001-02

2002-03

Tested by Civil upplies Inspectors.

Tested by Food Inpectors (Health ept)

a)No.of Tests done

3,465

3,182

140

b)No.of sample found

c)No.of Tests Done

d)Test performed in Laboratory

e)No.ofTests Done

f) No.of prosecutions found substandard

g)No.of prosecutions

launched

Test by MPW( Male & Female

a) No.of Test Done

19,239

102664

5,10,047

7,72,807

670435

6,79,795

1,89,135

b) No. of samples found nil Iodine

11,695

70,926

2,22,450

2,64,624

230855

2,12,650

60,943

STATUS REPORT ON IODINE DEFICIENCY DISORDER

UNION TERRITORY OF PONDICHERRY

National Iodine Deficiency Disorders Control Programme (NIDDCP) is implemented in out territory and the ban on usage of non-iodised salt was issued by the periodical checking by the Food & Drugs Authority by collecting samples from traders & retailers. The samples are tested by the Public Health Laboratory and certified as Genuine. Goiter survey was done in 1997 and reports are furnished below.

a) Status of iodine Deficiency:

Sl.No.	Particulars	Details
i)	Union Territory of Pondicherry	Entire
ii)	Prevalence of goitre selected	2.6
iii)	Age group	6-11 years
iv)	Median Urinary Iodine Excretion(UIE)	14.5
v)	Percentage of Population Consuming Iodised salt	100.0

b) Status of Iodine Content of Salt at:

Sl.No.	Particulars	Beneficiary Level	Traderslevel
i)	UnionTerritory of Pondicherry	Entire	Entire
ii)	Sample Size	201	29
iii)	Iodine	0	0
iv)	Iodine content<15	138(69.0)	21(72.4)
v)	Iodine content 15 & more(PPM)	63(31.0)	8(27.6)

II. Steps are being taken to establish Iodine Deficiency (IDD) control Cell and IDD monitoring Laboratory.

III. I.E.C. activities are being carried out by preparing leaflets on messages on the importance of Iodised salt to the Public.

IV. There is no local salt Iodation Plants in our Territory.

V. After establishing IDD cell and required Technical Staff for the IDD monitoring laboratory is completed, they will be trained suitably for monitoring the quality control of Iodised salt and

urinary Iodine excretion, until then the samples will be tested by Senior Public Annalists is Public Health Laboratory, Pondicherry.

II. Status of Availability of Iodised salt

(a) The total consumption of salt in Pondicherry is approximately 10 MTs. per day. Main sources of supply are from M/s.Varadaraja Nadar & Chellathurai Nadar, Marakanam (80%) and

Vedaranyam(20%) respectively, both are coastal town of Tamil Nadu which are situated about 30 kms. & 250kms. away from Pondicherry.At present, the entire quantity of salt is from M/s.

TATA Ltd. and found to be in conformity with the prescribed standards. This Administration has not come across any incidents misbranding of common salt in the name of iodised salt so far.

(b)The iodised salt sufficiently available in open market and there is no scarcity . It has been ascertained that uninterrupted supply of iodine salt is made available to this UT. from the

nearest salt producing centres of Tamil Nadu, Andhra Pradesh and Kerala to all the regions and hence there is no constraint faced so far by Union Territory of Pondicherry.

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