Table I
Prevalence of Iodine Deficiency Disorders & Status of
National Iodine Deficiency Disorders Programme
in
Different States/UTs of
State |
Total No of Districts |
No of District Surveyed |
No of District Endemic |
Ban Notification issued |
IDD Cell established |
Andhra Pradesh |
23 |
7 |
6 |
Partial* |
Yes |
Arunachal Pradesh |
10 |
10 |
10 |
Complete |
Yes |
|
18 |
18 |
18 |
Complete |
Yes |
|
38 |
22 |
21 |
Complete |
Yes |
|
2 |
2 |
2 |
Complete |
Yes |
|
19 |
16 |
8 |
Complete |
Yes |
Haryana |
16 |
9 |
8 |
Complete |
Yes |
Himachal Pradesh |
12 |
10 |
10 |
Complete |
No |
Jammu & Kashmir |
15 |
14 |
11 |
Complete |
No |
Karnataka |
20 |
17 |
6 |
Complete |
Yes |
Kerala |
14 |
14 |
11 |
No
Ban |
Yes |
Madhya Pradesh |
45 |
16 |
16 |
Complete |
Yes |
|
31 |
29 |
21 |
Partial |
Yes |
Mizoram |
4 |
4 |
4 |
Complete |
Yes |
Manipur |
8 |
8 |
8 |
Complete |
Yes |
Meghalaya |
5 |
2 |
- |
Complete |
Yes |
Nagaland |
7 |
7 |
7 |
Complete |
Yes |
Orissa |
30 |
2 |
2 |
Complete |
Yes |
|
12 |
3 |
3 |
Complete |
Yes |
Rajasthan |
27 |
3 |
3 |
Complete |
Yes |
|
4 |
4 |
4 |
Complete |
Yes |
Tamil Nadu |
21 |
12 |
12 |
Complete |
Yes |
Tripura |
3 |
3 |
3 |
Complete |
Yes |
Uttar Pradesh |
67 |
34 |
29 |
Complete |
Yes |
|
18 |
5 |
5 |
Complete |
Yes |
Andaman & Nicobar
Islands |
2 |
Survey
not done |
Complete |
Yes |
|
|
1 |
1 |
1 |
Complete |
Yes |
Dadar & Nagar
Haveli |
1 |
1 |
1 |
Complete |
Yes |
|
1 |
1 |
1 |
Complete |
Yes |
Daman & Diu |
1 |
1 |
1 |
Complete |
Yes |
Lakshwadeep |
1 |
Survey
not done |
Complete |
No |
|
|
4 |
Survey
not done |
Complete |
No |
|
Total No. of districts |
480 |
275 |
235 |
|
|
*Complete ban notification w.e.f.
Reference: Tiwari BK, Ray I, Malhotra RL.
Policy Guidelines on National Iodine Deficiency Disorders Control Programme. Nutrition and IDD Cell.
Directorate of Health Services Ministry of Health and Family
Welfare, Government of
Table II
Country-wide Goitre Prevalence : ICMR Study
(1983-84)
Area (District) |
Total population examined |
Visible goitre prevalence (%) |
Nilgiris |
5,678 |
6.9 |
|
32,720 |
15.8 |
Dibrugarh |
23,472 |
65.8 |
Muzaffarpur |
5,216 |
33.7 |
|
25,254 |
22.7 |
Mandla |
12,975 |
34.4 |
Dhule |
32,507 |
16.5 |
|
18,804 |
10.4 |
|
7,828 |
19.8 |
Behraich |
49,725 |
20.2 |
Basti |
68,620 |
20.0 |
Mirzapur |
44,138 |
6.2 |
Sita Marhi |
20,985 |
31.8 |
|
52,003 |
18.6 |
Reference: ICMR Task Force Study : Epidemiological survey of endemic goitre and endemic cretinism. Indian Council of Medical
Research,
Table III
Status of Salt Iodisation in Selected Countries
Country |
Status of Salt Iodisation |
Iodine compound |
Level of Iodine used in Salt (as ppm) |
|
92%
households used iodised salt in
1995-96 |
Not
known |
Not
known |
|
Law
exists from 1996 |
Not
known |
Not
known |
|
Law
exists from 1967 |
Potassium
Iodate |
30 ppm |
|
Compulsory |
Potassium
Iodide |
1 5 |
|
Compulsory |
Potassium
Iodate |
Not
known |
|
Law
exists from 1974 |
Potassium
Iodate |
10-20
mg/kg |
|
Compulsory |
Potassium
Iodide |
20 |
|
Regulated
by an Inter-ministerial order of
1964 |
Not
known |
Not
known |
|
85% of
salt produced had adequate
iodine |
Not
known |
Not
known |
|
Compulsory |
Potassium
Iodate |
10 ppm |
|
Compulsory |
Potassium
Iodate |
25 ppm |
|
1991
Ministerial order amended by 1995
order |
Potassium
Iodate |
100 ppm |
|
Salt iodisation program exists |
Potassium
Iodate |
Not
known |
Combodia |
No
legislation |
Not
known |
30 ppm |
|
Inter-ministerial
directive of 1995* |
Not
known |
Not
known |
|
No legislation |
Potassium
Iodate |
Not
known |
|
Law
exists from 1990 |
Not
known |
60-140 ppm |
|
Law exists
from 1947. Amended |
Potassium
Iodide |
50-100 ppm in 1984 to include flourodisation
|
|
Law
exists |
Potassium
Iodide |
50-100 ppm |
|
Universal
salt iodisation is the goal |
Potassium
Iodate |
50-80 ppm |
|
Universal
salt iodisation is the goal |
Not known |
Not
known |
|
Voluntary |
Potassium
Iodide |
20@ |
|
Law
exists |
No
monitoring of iodised salt consumption |
|
|
Voluntary |
Sodium
Iodide |
15@ |
|
Voluntary |
Potassium
Iodide |
15-25@ |
|
Voluntary |
Potassium
Iodide |
50@ |
|
Compulsory |
Potassium
Iodide |
20 |
|
Compulsory |
Potassium
Iodate |
15-30 ppm |
|
Law
exists from 1994* |
Potassium
Iodate |
30-80
mg/kg |
|
Voluntary |
Potassium
Iodide |
25@ |
|
Voluntary |
Potassium
Iodide |
15@ |
|
Law
exists from 1978 |
Potassium
Iodate |
100 ppm |
|
Compulsory |
Potassium
Iodate |
5-25 ppm |
|
Compulsory |
Potassium
Iodate |
Not
known |
|
Law
exists from 1995 |
Not
known |
Not
known |
|
Law
exists* |
Potassium
Iodate |
20-40 ppm |
|
Compulsory |
Potassium
Iodate |
20-30 ppm |
|
Law
being enacted |
Not
known |
Not
known |
|
Law exists |
Not
known |
50-80 ppm |
|
Compulsory |
Potassium
Iodate |
15-30 ppm |
|
Law
exists from 1994 |
Not
known |
Not
known |
|
Voluntary |
Potassium
Iodide |
20@$ |
|
Voluntary |
Potassium
Iodide |
5@ |
|
Ministerial
regulation of 1992 |
Not
known |
40-60 ppm & not less
than 20 ppm at
retail level |
|
Salt iodisation program exists |
Potassium
Iodate |
Not
known |
Philiphines |
Law
exists from 1995 |
Not
known |
30-40 ppm |
|
Compulsory |
Potassium
Iodide |
Not
known |
|
Compulsory |
Potassium
Iodide |
1 5 |
|
Legislation
exists |
Not
known |
Not
known |
|
Law
exists from 1995 |
Potassium
Iodate |
Not
known |
|
|
|
|
|
Law exists
from 1995 |
Potassium
Iodate |
50 ppm |
|
Voluntary |
Potassium
Iodide |
60@# |
|
Voluntary |
Potassium
Iodide |
50@ |
|
Law
exists from 1995 |
Potassium
Iodate |
75-100 ppm (min. 30
ppm at retail
end) |
|
Law in force
since 1994 |
Potassium
Iodate |
Not
known |
|
Voluntary |
Potassium
Iodide |
10-12@ |
|
Law
exists |
Potassium
Iodate |
20-30 ppm |
|
Compulsory |
Potassium
Iodide |
11.4 |
Notes: @indicates the levels prescribed
for “Kitchen Salt” (wherever not indicated, all edible salt is to be iodised)
$45 ppm of Iodine in Baker’s Salt.
#Potassium Iodate
could be used upto 60 ppm
(as Iodine) in house-hold Salt.
*Requires all salt used for human
& animal consumption to be iodised.
Reference: 1. Ranganathan S, Reddy
V. Human requirements
of iodine and safe use of iodised salt. Indian Journal of Medical
Research 1995; 102:227-232.
2. Pretell E.
Current status of IDD in
3. Report of the 1996
4. IDD Newsletter. Overcoming Iodine Deficiency in
Table IV
Progress of NIDDCP at
a Glance as per the
Records of
Salt Department
(in lakh tonnes)
Year |
No. of Iodisation Units |
Capacity |
Requirements |
Production |
Supplies banned |
State/UT |
|
Full |
Partial |
||||||
1983 |
13 |
3.86 |
9.16 |
2.13 |
1.41 |
7 |
4 |
1986 |
115 |
16.08 |
11.27 |
7.27 |
5.98 |
10 |
6 |
1989 |
353 |
48.71 |
27.24 |
22.74 |
21.34 |
17 |
6 |
1992 |
529 |
65.33 |
29.62 |
27.13 |
26.87 |
22 |
6 |
1993 |
519 |
65.67 |
33.31 |
28.23 |
27.23 |
24 |
5 |
1994 |
572 |
75.04 |
35.84 |
29.45 |
28.01 |
25 |
4 |
1995 |
657 |
82.33 |
42.81 |
36.96 |
34.88 |
27 |
2 |
1996 |
699 |
87.28 |
51.70 |
40.95 |
40.92 |
27 |
2 |
1997 |
784 |
107.50 |
52.00 |
40.41 |
39.07 |
29 |
2 |
1998 |
809* |
115.21* |
52.00 |
39.70 |
37.42 |
29 |
2 |
*As on
Reference: Sundaresan S. Progress achieved in universal salt iodisation programme in
RDA of iodine for various age
groups
Group (in years) |
Age |
Sex |
|
|
|
|
|
|
|
|
Infant |
4/12- 5/12 |
M.F |
50 |
35 |
35 |
35 |
— |
50 |
50 |
35 |
Child |
1-2 |
M.F |
70 |
60 |
70 |
60 |
70 |
60 |
100 |
60 |
Girl |
13-14 |
F |
120 |
120 |
110 |
120 |
140 |
120 |
150 |
110 |
Youth |
16-17 |
M |
150 |
145 |
160 |
145 |
140 |
150 |
150 |
140 |
Man |
26-29 |
M |
150 |
140 |
150 |
140 |
120 |
150 |
150 |
140 |
Elderly Women |
65-69 |
F |
120 |
85 |
100 |
85 |
120 |
150 |
150 |
100 |
Pregnancy |
23-30 |
F |
+30 |
+30 |
+15 |
+30 |
+20 |
+30 |
+50 |
+15 |
Lactation |
23-30 |
F |
+50 |
+50 |
+25 |
+50 |
+20 |
+30 |
+50 |
+40 |
*Reference: Nutrition
Abstracts and Reviews. Reviews in Clinical
Nutrition, Commonwealth Agricultural Bureaux, John
Wiley & Sons Ltd. 1993; 53:1075-1077.
Table VB
RDA of iodine for various age
groups
Group (in years) |
Age |
Sex |
N.Z. |
|
|
|
|
|
|
MEAN |
Infant |
4/12- 5/12 |
M.F |
35 |
— |
35 |
35 |
— |
40 |
— |
39.5 |
Child |
1-2 |
M.F |
45 |
55-60 |
55 |
65 |
60 |
70 |
— |
64.5 |
Girl |
13-14 |
F |
150 |
115-120 |
115 |
135 |
115 |
150 |
— |
126.6 |
Youth |
16-17 |
M |
200 |
140-150 |
145 |
155 |
150 |
150 |
— |
151.8 |
Man |
26-29 |
M |
200 |
130 |
140 |
145 |
130 |
150 |
100-200 |
145.7 |
Elderly Women |
65-69 |
F |
200 |
80 |
110 |
100 |
80 |
150 |
— |
116.4 |
Pregnancy |
23-30 |
F |
+0 |
+25 |
+25 |
+20 |
+25 |
+25 |
— |
+24.2 |
Lactation |
23-30 |
F |
+0 |
+50 |
+45 |
+35 |
+50 |
+50 |
— |
+38.9 |
*Reference: Nutrition
Abstracts and Reviews. Reviews in
Clinical Nutrition, Commonwealth Agricultural Bureaux,
John Wiley & Sons Ltd. 1993; 53:1075-1077.
Table VI
Recommended Dietary
Iodine Requirements Per Day
Infants (upto 12 months) |
50 mcg |
Children (2-6 years age) |
90 mcg |
School children (7-12 years age) |
120 mcg |
Adults (beyond 12 years age) |
150 mcg |
Pregnant & lactating women |
200 mcg |
Reference: Recommended iodine
levels in salt and guidelines for monitoring their adequacy and effectiveness,
Nutrition Unit, Division of Food and Nutrition, WHO Geneva 1996. Report of
Joint Consultation of WHO, UNICEF and ICCIDD.