Moorthy D, Patro B K, Das B C, Sankar R, Karmakar M G, Pandav C S
ICCIDD.
Indian J Public Health. 2007 Oct-Dec;51(4):211-5.
To assess the status of iodine deficiency in the population of Orissa and track progress of the elimination efforts.
A community based field survey was conducted. Data was collected using quantitative and qualitative research methods. Standard internationally recommended protocol and methodology was followed. Thirty clusters were selected using population proportionate to size sampling technique. School children aged 6 to 12 years were selected as target group. Goiter prevalence, urinary iodine excretion in the target group and iodine content of the salt at household were used as outcome variables.
A total of 1200 children were studied. The total goiter rate was found to be 8.0%, of which 7.6% were grade I and 0.4% was grade-II goiter. The median urinary iodine excretion was found to be 85.4 microg/L and 32.2% of the subjects had urinary iodine levels less than 50 microg/L. Estimation of iodine content by titration method revealed that in only 45% of households salt was found to be adequately iodised. (Salt with iodine level 15 ppm).
Iodine deficiency continues to be a public health problem in Orissa and the need to accelerate efforts to iodine sufficiency cannot be overemphasized.
评估奥里萨邦人群的碘缺乏状况，并跟踪消除碘缺乏努力的进展情况。
开展了一项基于社区的现场调查。采用定量和定性研究方法收集数据。遵循国际推荐的标准方案和方法。使用按人口规模比例抽样技术选取了30个群组。将6至12岁的学童作为目标群体。将目标群体中的甲状腺肿患病率、尿碘排泄量以及家庭食盐中的碘含量用作结果变量。
共研究了1200名儿童。发现总的甲状腺肿率为8.0%，其中I级甲状腺肿为7.6%，II级甲状腺肿为0.4%。尿碘排泄中位数为85.4微克/升，32.2%的受试者尿碘水平低于50微克/升。通过滴定法对碘含量的估计显示，只有45%的家庭食盐碘含量充足（碘含量为15 ppm）。
碘缺乏在奥里萨邦仍然是一个公共卫生问题，加速实现碘充足的努力的必要性再怎么强调也不为过。
