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Department of Public Health & Preventive Medicine

National Iodine Deficiency Disorders Control Programme Status Report

  • National? Iodine? Deficiency? Disorders Control Programme is implemented from the year 1991.

  • IDD Cell is functioning from 1.7.1994.
  • Total BAN? for selling non iodised salt for edible purposes is in force from 1.1.1995.
  • The ban has been extended for another period of five? years? from 1.1.2000.
  • Iodised salt is being sold at a subsidised rate? of? Rs.2.50? per kg.in? Public Distribution System outlets in all the districts of Tamil Nadu except Kanyakumari district.
  • Goitre Surveys? are? conducted? from? 1990.? All the 29 districts have been covered. (ANNEXURE I)
  • Goitre is prevalent in all the districts.? 18 districts out of 29 have more than 10 % prevalance.
  • Spot testing for iodine is done using MBI spot test kits.

STRENGTHENING OF IODINE DEFICIENCY DISORDER CELL LABORATORY

The? Government? of? India?? have?? supplied?? Laboratory equipments? worth? of? Rs.3? lakhs? for conducting Urinary Iodine analysis. The? Central? Nutrition? Bureau? Laboratory? of? this??????? Directorate is? carrying? out? this? activity.??? Two? Laboratory Assistants? are? already? trained? at?? National?? Institute?? of? Communicable Diseases,? New? Delhi.? During? the year 2000, 123 samples of urine were analysed out of which 19 were found? to? be normal? (25? and? above? microgram? of Iodine) and 104 were belownormal (below 25 microgram of Iodine).

During the year 2001, 100 samples of urine were analysed and all 100 were found to be below normal.

ACTIVITIES UNDER NIDDCP (1998 - 1999)

1.? Celebration of Global IDD day at Chennai.
2.? Advocacy workshops for school teachers at Chennai, T.Kallupatti, Muningipatti and Krishnagiri DIET centres
3.? Preparation of IEC materials like 8600 Acrilic table display and 10000 stickers.
4.? Goitre surveys in six districts.

ACTIVITIES UNDER NIDDCP (1999 - 2000)

1.? State level advisory committee meeting on IDD program at the Directorate.
2.? Goitre surveys in five districts.
3.? Supply of 4000 MBI Spot test kits.
4.? Preparation of IEC materials:

a?? One line stickers for bumpers of vehicles- 10000 numbers.
b.? Danglers for the retailers selling Iodised salt-25000 numbers
c.? Preparation? of? Jingles on Iodised salt (12 numbers 1 minute jingles and 12 numbers of half minute jingles) for broadcasting through All India Radio.
d.? Preparation of 154 Nos of Audio cassettes? containing? Iodised salt jingles recorded in between Tamil film hit songs for the use field publicity.
e.? Preparation? of? 50? Nos. Photo blowups on IDD to serve as exhibits for publicity purposes in exhibitions.
f.? A state level survey was conducted during 1999 to assess? the awareness, availabilty and? acceptability of Iodised? salt in rural Tamilnadu. (The results are put up in ANNEXURE II).

ACTIVITIES UNDER NIDDCP (2000 - 2001)
1. Supply of 21500 MBI kits to districts for doing spot tests.
2. It is proposed to obtain funds from the government to pay for the broadcasting of Jingles already prepared during? the? prime? time in AIR.
3. It is? proposed to conduct? the? State? level? Advisory? committee meeting for this year.
4. It is proposed to take up Goitre surveys in six districts.
5. Preparation of IEC materials.
6. Celebration of Global IDD day on 21/10/2000.

ACTIVITIES UNDER NIDDCP (2001 - 2002)
1. An article on I.D.D was published in Yearly Health Magazine 'DINAMANI MARUTHUVAMALAR' in Tamil to promote Iodised Salt.
2. The? importance? of? Iodised? Salt? was? stressed? through? an advertisement in the same Magazine.
3. Booklets on I.D.D in? Tamil? were? prepared? and? supplied? to Deputy Directors of Health Services for distribution to school students.
4. Global IDD Day was celebrated on 21st October 2001. A talk on I.D.D was broadcasted through All India Radio in a programme called 'Manai Mangalam'
5. Regular classes and demonstrations are? conducted? to? Medical students? and? para-medical health personnel on I.D.D and the importance of Iodised Salt.
6. Policy level sensitization workshop on Iodine Deficiency Disorders was organized at Chennai on 13.12.2001.

DECISION TAKEN BY GOVERNMENT OF INDIA

The State Health Ministers meeting was held on? 31.8.2000 to? discuss? the? issue? of? compulsory? iodisation? of salt as a strategy to combat Iodine Deficiency Disorders.? The? matter? has been examined? comprehensively by the Government.? In view of the decision to withdraw the earlier central notification introducing compulsory iodisation of salt for direct human consumption it has requested that State Governments may consider the need for having statutory provision for compulsory iodisation of salt? under? the PFA? Act? 1954,? covering part or? whole of the State, In view of above, in the State of Tamilnadu? the? ban? on? common? salt? for edible purpose will continue for another 5 years with effect from? 1.1.2000.

?? ANNEXURE I??????? RESULTS OF GOITRE SURVEYS

------------------------------------------------------------------

?S.No.????? District?????? Year?????? Cases?????? Goitre????? %

?------------------------------------------------------------------

? 1.? Ramanathapuram?????? 1995?????? 13718?????? 2464????? 18.0

? 2.? The Nilgiris???????? 1999?????? 19659?????? 3273????? 16.6

? 3.? Thiruvarur?????????? 1998?????? 12496?????? 1817????? 14.5

? 4.? Salem??????????????? 1999?????? 46514?????? 5802????? 12.5

? 5.? Virudhunagar???????? 1995?????? 11000?????? 1437????? 13.1

? 6.? Villupuram?????????? 1999?????? 44700?????? 5376????? 12.0

? 7.? Coimbatore?????????? 1995?????? 36999?????? 4316????? 11.7

? 8.? Kanniyakumari??????? 1999?????? 25243?????? 2966????? 11.7

? 9.? Dharmapuri?????????? 1999?????? 65792?????? 7576????? 11.5

?10.? Pudukottai?????????? 1998?????? 24603?????? 2741????? 11.1

?11.? Namakkal???????????? 1998?????? 12789?????? 1338????? 10.5

?12.? Nagapattinam???????? 1998?????? 14185?????? 1471????? 10.4

?13.? Erode??????????????? 1998?????? 22342?????? 2321????? 10.4

?14.? Perambalur?????????? 1999?????? 25240?????? 2636????? 10.4

?15.? Tuticorin??????????? 1995?????? 18119?????? 1865????? 10.3

?16.? Thanjavur??????????? 1998?????? 16337?????? 1659????? 10.2

?17.? Chennai????????????? 1996?????? 25483?????? 2567????? 10.1

?18.? Trichirapalli??????? 1999?????? 33523?????? 3362????? 10.0

?19.? Theni??????????????? 1998?????? 14549?????? 1350?????? 9.3

?20.? Thiruvannamalai????? 1999?????? 48848?????? 4563?????? 9.3

?21.? Dindigul???????????? 1999?????? 53719?????? 4742?????? 8.8

?22.? Vellore????????????? 1997?????? 36331?????? 3085?????? 8.5

?23.? Kancheepuram???????? 1997?????? 21301?????? 1680?????? 7.9

?24.? Cuddalore??????????? 2000?????? 45592?????? 3547?????? 7.8

?25.? Sivaganga??????????? 1995?????? 23868?????? 1815?????? 7.6

?26.? Thiruvallur????????? 1996?????? 19823?????? 1480?????? 7.5

?27.? Tirunelveli????????? 1995?????? 27674?????? 1928?????? 7.0

?28?? Madurai????????????? 2000?????? 42506?????? 2687?????? 6.3

?29.? Karur??????????????? 2000?????? 29614?????? 1057?????? 3.6

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??ANNEXURE? II A SURVEY ON THE AWARENESS, AVAILABILITY AND ACCEPTABILITY OF IODISED SALT -? RESULTS AT A GLANCE??? ----------------------------------------------------------------------------------

???????? DETAILS?????????????????????????? GROUP A??? GROUP B???? STATE

??? ------------------------------------------------------------------------------

??? No. of villages surveyed????????????????? 270??????? 990?????? 1260

??? No. of households surveyed?????????????? 5100????? 19460????? 24560

??? Retail shops surveyed??????????????????? 1310?????? 4488?????? 5798

??? Ration shops surveyed in Gr.A Dist??????? 180????????? -??????? 180

??? Noonmeal centres surveyed???????????????? 457?????? 1640?????? 2097

??? School hostels surveyed??????????????????? 59??????? 228??????? 287

??? AWARENESS OF HOUSEHOLDS (%)

???????? On Iodised salt?????????????????????? 42???????? 35???????? 37

???????? On Goitre???????????????????????????? 15???????? 14???????? 14

??? SOURCES OF INFORMATION ON IODISED SALT (%)

???????? Health staff????????????????????????? 21???????? 20???????? 20

???????? TV / Radio??????????????????????????? 49???????? 43???????? 44

???????? Newspapers??????????????????????????? 10????????? 8????????? 9

???????? Others??????????????????????????????? 20???????? 29???????? 27

??? IDENTIFICATION OF IODISED SALT BY THE HOUSEHOLDS (%)

???????? Words 'Iodised Salt' on the packet??? 81???????? 82???????? 82

???????? Logo of 'Smiling Sun'???????????????? 19???????? 18???????? 18

??? AVAILABILITY OF IODISED SALT (%)

???????? Retailers selling Iodised salt

???????? as per spot test????????????????????? 76???????? 50???????? 56

???????? Ration shops in Gr.A Dist (%)

???????? selling Iodised salt???????????????? 100?????????????????? 100

??? ACCEPTABILITY OF IODISED SALT (%)

???????? Buying Iodised salt voluntarily?????? 58???????? 37???????? 43

???????? Households using Iodised salt

???????? as per spot test????????????????????? 59???????? 28???????? 35

???????? Noon meal centres using Iodised

???????? salt as per spot test???????????????? 52???????? 11???????? 20

???????? School hostels using Iodised salt

???????? as per spot test????????????????????? 51???????? 25???????? 30

??? REASONS GIVEN BY HOUSEHOLDS NOT USING IODISED SALT (%)

???????? Costly??????????????????????????????? 10???????? 19???????? 18

???????? Not available in the village????????? 13???????? 21???????? 19

???????? No idea on Iodised salt?????????????? 77???????? 60???????? 63??? -------------------------------------------------------------------

??? GROUP A : Trichy, Karur, Perambalur, Thanjavur, Coimbatore,The Nilgiris, Salem, Namakkal Districts where Iodised? salt is sold through PDS.

??? GROUP B : Other Districts.

?

The Salt samples analysed through spot testing is as follows

?

S.No
Details
2000-2001
2001-2002
2002-2003
?

2003-2004

2004-2005
July' 04
1
Shops visited
67528
83553
97144

131029

36650
?
Sample tested
65050
81211
93416

123485

35436
?
No of samples
Without iodine
With < 15 ppm
With > 15 ppm
?
19676 (30%)
20609 (32%)
24765 (38%)
?
21875 (27%)
27044 (33%)
32292 (40%)
?
22877 (24%)
31649 (34%)
38890 (42%)


23791(19%)
38049(31%)
61645(50%)


7082(20%)
10997(31%)
17357(49%)
2.
Households visited
Households using
Iodised salt
198649
140785 (71%)
201692
154631(77%)
218791
165448 (76%)

316454
272761
(86%)

86748
68952
(79%)

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