Health Systems Research Unit, Medical Research Council, Cape Town, South Africa.
Public Health Nutr. 2010 Sep;13(9):1314-8. doi: 10.1017/S1368980010000510. Epub 2010 Mar 26.
To obtain baseline pre-intervention prevalence levels of iodine deficiency and parasitic and helminth infections in school-going children in Bie Province, Angola.
A cross-sectional study conducted in randomly selected schools. The target population was children aged 6-10 years.
Bie Province, Angola.
A total of 1029 children sampled, with 791 stool samples and 826 urine samples collected from twenty-four schools.
Widespread severe and moderate deficiencies in iodine. Children in five schools were severely iodine deficient. All sampled schoolchildren were iodine deficient to a greater or lesser extent. In all, 80 % of all children across the twenty-four schools were infected with one or a combination of intestinal helminths and intestinal protozoa.
These findings have serious implications for the cognitive development of Angolan children, as well as for Angola's development in terms of productivity and economic potential. It is strongly recommended that the provincial and national Ministries of Health, in collaboration with international health agencies, immediately plan and implement a strategy to provide sufficient iodine through iodised oil capsules and iodised salt to the iodine-deficient population. National coalitions need to be strengthened among the government, partners and salt producers. It is also recommended that all the children in schools be de-wormed for multiple helminth species at least twice a year.
在安哥拉比耶省的上学儿童中，获得碘缺乏症以及寄生虫和蠕虫感染的基线预干预流行水平。
在随机选择的学校中进行的横断面研究。目标人群是 6-10 岁的儿童。
安哥拉比耶省。
共抽取了 1029 名儿童，从 24 所学校中采集了 791 份粪便样本和 826 份尿液样本。
碘严重和中度缺乏广泛存在。五所学校的儿童碘严重缺乏。所有抽样的学童都或多或少地存在碘缺乏。共有 80%的所有儿童都感染了一种或多种肠道寄生虫和肠道原虫。
这些发现对安哥拉儿童的认知发展以及安哥拉在生产力和经济潜力方面的发展都有严重的影响。强烈建议省级和国家级卫生部门与国际卫生机构合作，立即计划并实施一项战略，通过碘化油胶囊和碘盐向缺碘人群提供足够的碘。政府、合作伙伴和盐生产商之间需要加强国家联盟。还建议每年至少两次对学校的所有儿童进行针对多种蠕虫的驱虫治疗。
