Eliminating Iodine Deficiency in China: Achievements, Challenges and Global Implications
نویسندگان
چکیده
The prevention of iodine deficiency through salt iodization has been recognized as a global success story, and China stands at the forefront of this achievement with one of the most successful programs in the world. High level political commitment, national mandatory legislation, a state-managed edible salt industry and a complex and highly sophisticated surveillance system have facilitated the success of the program. Challenges have arisen however, including: (i) concern that adequate iodine status in pregnant women cannot be achieved without causing above adequate iodine intakes in children; (ii) declining iodine intake as a result of reductions in salt consumption and increased consumption of processed foods, which may not be made with iodized salt; (iii) the existence of areas with high iodine content in the water; and (iv) declines in household use of iodized salt due to concerns about excess iodine intake and thyroid disease. This article reviews the achievements and challenges of the Chinese Iodine Deficiency Disorders (IDD) Elimination Program and reflects on lessons learned and implications for other national salt iodization programs.
منابع مشابه
THE INTERNATIONAL COUNCIL FOR CONTROL OF IODINE DEFICIENCY DISORDERS (ICCIDD) GLOBAL NETWORK is a nongovernmental organization dedicated to sustained optimal iodine nutrition and the elimination of iodine deficiency throughout the world
s 20 ICCIDD GLOBAL NETWORK IDDNEWSLETTER VOLUME 42 NUMBER 2 MAY 2014 China: leading the way in sustained IDD elimination 2 IDD NEWSLETTER MAY 2014 CHINA Program management and implementation – past and present Since its inception, China’s salt iodization program has been one of the most successful in the world (Box 1). The national standards for the production, wholesale, and inspection of salt...
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