碘、牛奶与英国地方性甲状腺肿的消除：一个意外的公共卫生成功案例
Iodine, milk, and the elimination of endemic goitre in Britain: the story of an accidental public health triumph.
作者信息
Phillips D I
机构信息
Metabolic Programming Group, University of Southampton, Southampton General Hospital.
出版信息
J Epidemiol Community Health. 1997 Aug;51(4):391-3. doi: 10.1136/jech.51.4.391.
Abstract
OBJECTIVE
To determine how iodine deficiency and endemic goitre disappeared in Britain.
DESIGN
Review of surveys of endemic goitre and iodine nutrition.
MAIN RESULTS
Endemic goitre was widespread in Britain but has declined, most notably since the 1960's. Its disappearance was probably due to changes in farming practice, especially iodine supplementation in dairy herds which has resulted in iodine contamination of milk and dairy produce.
CONCLUSIONS
Although iodization of dairy herds offers an indirect method of counteracting iodine deficiency, it is haphazard and there should be careful and continuous monitoring of iodine intakes in the population.
摘要
目的
确定碘缺乏和地方性甲状腺肿在英国是如何消失的。
设计
对地方性甲状腺肿和碘营养调查的回顾。
主要结果
地方性甲状腺肿在英国曾广泛存在，但自20世纪60年代以来已有所下降。其消失可能归因于农业生产方式的变化，尤其是奶牛群的碘补充，这导致了牛奶和奶制品的碘污染。
结论
尽管奶牛群补碘提供了一种间接对抗碘缺乏的方法，但这种方法是偶然的，应该对人群的碘摄入量进行仔细且持续的监测。
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