Pandav C S, Pandav S, Anand K, Wajih S A, Prakash S, Singh J, Karmarkar M G
Centre for Community Medicine, All India Institute of Medical Sciences (AIIMS), New Delhi.
Bull World Health Organ. 1995;73(1):71-5.
The feasibility of using nongovernmental organizations (NGOs) to monitor the iodine content of salt was studied in Uttar Pradesh, northern India, where iodine-deficiency disorders (IDDs) are endemic. Three NGOs already involved in health and development activities in the Gorakhpur, Varanasi, and Dehradun regions collected salt samples monthly from households and shops in selected villages over a 6-month period. A total of 4001 samples were analysed at regional laboratories by trained personnel using a standard protocol; 10% of the samples were sent to a central laboratory for external quality control. The iodine content lay in the range 0-95 mg/kg of salt; it was particularly low in the Gorakhpur and Varanasi regions, where over 80% of samples contained less than the minimum recommended level of 15 mg/kg; 37% of samples were in this category in the Dehradun region. Regular monitoring of the iodine content of salt at the consumer level is essential for the elimination of IDDs, and there is a need to improve awareness of this at all levels. NGOs can play a valuable role in both of these respects.
在印度北部的北方邦，碘缺乏病（IDD）呈地方性流行，在此对利用非政府组织（NGO）监测食盐碘含量的可行性进行了研究。三个已在戈勒克布尔、瓦拉纳西和德拉敦地区参与卫生与发展活动的非政府组织，在6个月的时间里每月从选定村庄的家庭和商店采集食盐样本。经过培训的人员使用标准方案在区域实验室对总共4001个样本进行了分析；10%的样本被送到中央实验室进行外部质量控制。食盐中的碘含量在0至95毫克/千克之间；在戈勒克布尔和瓦拉纳西地区尤其低，那里超过80%的样本所含碘低于建议的最低水平15毫克/千克；在德拉敦地区，37%的样本属于此类。在消费者层面定期监测食盐碘含量对于消除碘缺乏病至关重要，而且有必要提高各级对此的认识。非政府组织在这两方面都能发挥重要作用。
