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2. Index of Today's Presentation
Part A:
• About National Iodine Deficiency Disorders Control
Programme.
• Part B:
• Facts about Iodine and Iodized Salt.
• Part C:
• West Bengal State at a Glance.

3. • Part -A
• About National Iodine Deficiency Disorders
Control Program

4. National Iodine Deficiency Disorders Control Programme

5. National Iodine Deficiency Disorders
Control Programme

6. GOALS :As per 11th Five Year Plan, Govt. of India
• To Reduce the prevalence of Iodine Deficiency Disorders below 10% in
the entire country by 2012
• Achieve Universal Access to Iodized Salt
• But now GOALS as per 12th Five Year Plan, Govt. of India .
a)-To reduce the prevalence of Iodine Deficiency Disorder(IDD)below 5% in
the entire country by 2017 AD.
b) 100% Coverage of consumption of iodized salt at household level.

7. Objective -
• 1-surveys to assess the magnitude of IDD.
• 2)-Supply of Iodated salt in place of common salt.
• 3)-Resurvey after every 5 years to assess the
extent of IDD and The impact of iodated salt.
• 4)-Laboratory monitoring of iodated salt and
urinary excretion estimation.
• 5)-Health Education and publication

8. • Spectrum of Iodine Deficiency Disorder
• Foetus:
1. Abortions
2. Still Births
3. Congenital Anomalies
4. Increased PNMR
5. Neurological Cretinism
6. Myxedematous Cretinism

9. Spectrum of Iodine Deficiency
Disorders
Neonate:-
• Neonatal Goitre
• Neonatal Hypothyroidism
Child & Adolescent:-
• Juvenile Hypothyroidism
• Impaired Mental Function
• Retarded Physical development
Adult:-
• Goitre with its complication
• Hypothyroidism
• Impaired Mental Function

10. Iodine Deficiency – A Disease of The
Soil
Effect on people : HUMANS Health ,Socioeconomic
impact
Effect on animals : LIVESTOCK Clinical & Reproductive
disorders,
decreased productivity
Low Availability
of iodine : PLANTS Iodine poor feeds &
fodders
Soil Erosion : WATER, SOIL Environmental iodine
deficiency

11. Brain Cell Growth
Iodine Deficiency Iodine Sufficiency
• Iodine Deficiency is the single most common
cause of preventable mental retardation

12. Iodine Deficiency & Learning Abilities
• School age children living in iodine deficient
environment on an average, have 13 I.Q.
points less than those living in iodine sufficient
environments.

13. IDD
Historic View
Iodine Deficiency = Goitre =
Visible Swelling
No Pain = Not a cause of
Mortality = Cosmetic problem
Cretinism rare
Current VIEW:
• Mental & Physical growth retardation
• Loss of Energy-hypothyroidism
• Learning Disability, Poor Motivation
• Child Development and Child Survival
• Human Resource Development

14. IDD Prevalence Indicators and Criteria for
classifying IDD as significant public health problem
• Indicator Mild Moderate Severe
• Goitre
Grade >0 5-19.9% 20-29.9% >30%
• Urine Iodine 50-99 20-49 <20
Excretion
(Microgram/L)

15. Part -B
Facts about Iodine & Iodized Salt
What is Iodine?
• Iodine is an essential micronutrient supporting some of the most vital
functions of the human body.
What is Iodated Salt.?
• Iodated salt is common salt containing minute quantities of an iodine
compound
• Iodated salt looks, tastes and smells exactly like ordinary salt.
• The Govt. of India has issued notification banning the sale of non iodized
salt for direct human consumption with effect from 17th May, 2006.
How much Iodine does a person normally need?
• The average daily adult requirement is 150 micrograms
• Average lifetime’s requirement of an individual less than a teaspoonful.

16. From where do we normally get
Iodine?
• Present in its natural state in the soil and in water.
• Normal requirement comes from crops grown on
iodine-rich soil.
• When the soil lacks iodine, crops grown on that
soil are deficient in this essential micronutrient.
• People who live on iodine-deficient land and eat
its crops regularly, do not get their daily
requirement of this essential element.

17. How do we know if salt contains
Iodine?
• A low cost testing kit is available which allows
to test for the iodine content of the salt on the
spot.

18. Part - C
West Bengal State at a Glance -
Surveys to assess the magnitude of IDD—
IDD survey
performed(from2001to2007yr.)in7districts(Malda,Birbhum,D.Dinajpur,
N.24Pgns,Howrah,Purulia, Purba Mediniupur) out of 19 districts of West
Bengal found TGR more than 10% (range 11.5% to 25.90%).
From 2010 to 2011 yr survey performed in Darjeeling, CoochBehar,Jalpaiguri
districts also found TGR>10%.
• After then no Survey/Resurvey done.
Salt Testing Reports with the help of Salt Testing Kits -
• Performed from 2005 to Oct.2010yr.
• 77.45% of salt samples found standard , out of 376285 no. of salt samples
during those yrs.
Now salt testing will be performed in 8(eight) endemic districts
(Darjeeling, Coochbehar, Jalpaiguri, Malda, Birbhum,U.Dinajpur,
N.24Pgns,Howrah) with ASHA(S).

19. IEC OF NIDDCP
• Observation of GLOBAL IDD PREVENTION DAY (21st Oct) Performed.
• Establishment of IDD CONTROL CELL (STATE) is under process
• IDD monitoring Lab. (state level) is already established
• Resurvey of IDD will start in 4 districts namely Howrah, Birbhum, Malda
,North 24 Pgns.
• I.E.C. activities and Health Education are to be performed in all districts of
West Bengal with following messages-
At State level Programme-
1) To promote awareness of Iodine Deficiency Disorders and benefits of iodated
salt intake.
2) To assess the IDD magnitude of various districts in W.B.
3) To monitor adequacy of iodization of salt & adequacy of iodine deficiency.
At District level Programme-
1) Co-ordination of various activities under NIDDCP with Blocks by Dy CMOH-II
(Nodal Officer of NIDDCP in district).
2) Training of Health Personnels on
i) Goitre Detection
ii) Salt Iodine Examination by salt testing kits.

20. I.EC OF NIDDCP
• At block Level-
1) Role of Iodine in maintenance of health.
2) Source of Iodine in diet.
3) Role of Iodine in pregnancy.
4) Testing of Iodine in common salt and its preservation at household level.
5) Role of ASHAs in community awareness.
Conclusion by giving ASHA Card to ASHAs with information on Iodine Deficiency
Disorder.
ASHA CARD--
1) Take always Iodized salt in diet.
2) Keep Iodized salt in safe airtight pot.
3) Take Iodized salt in diet for having healthy baby/child.
4) Iodized salt helps to develop your child’s Brain & I.Q.
.

21. Thank you.

22. INTRODUCTION:
• Essential micronutrient
• Average daily requirement of 100-150 microgram
• Environmental Iodine deficiency
• Out of 321 districts surveyed in all the 28 States and 7 UTs,
260 districts are endemic ie where the prevalence of Iodine
Deficiency Disorders (IDDs) is more than 10%
• 71 million persons are suffering from Iodine Deficiency
Disorders
• Disorders include abortions, stillbirth, mental retardation,
dwarfism, deaf mutism, squint, goitre and neuromotor
defects

23. OBJECTIVES:
 Surveys to assess the magnitude of IDD
 Supply of Iodated Salt in place of common salt
 Resurveys to assesss IDD and impact of iodated salt after
every 5 years
 Laboratory monitoring of iodated salt & urinary iodine
excretion
 Health education & publicity
 GoI launched National Goitre Control Program (NGCP) in
1962
 In August 1992, NGCP was renamed as National Iodine
Deficiency Disorder Control Program (NIDDCP)