A study on estimate of Iodine Deficiency Disorders and adequacy of Iodized Salt Consumption in Begusarai district of Bihar, India

Authors

  • Pragya Kumar All India Institutes of Medical Sciences, Patna, Bihar
  • Neeraj Agrawal All India Institutes of Medical Sciences, Patna, Bihar
  • Alok Ranjan All India Institutes of Medical Sciences, Patna, Bihar https://orcid.org/0000-0001-9026-6408
  • Pallavi Lohani All India Institutes of Medical Sciences, Patna, Bihar
  • Santosh Nirala Narayan Medical College and Hospital, Jamuhar, Sasaram, Bihar
  • Sanjay Pandey All India Institutes of Medical Sciences, Patna, Bihar
  • C M Singh All India Institutes of Medical Sciences, Patna, Bihar

DOI:

https://doi.org/10.47203/IJCH.2019.v31i01.004

Keywords:

Goiter, Iodine, deficiency

Abstract

Background: Iodine Deficiency Disorder is major public health problem causing increased perinatal mortality, mental retardation and goiter and all these morbidities are preventable. Most effective and inexpensive mode to prevent IDD is consumption of iodized salt. Objectives: To estimate the proportion of households using adequately iodized salt in Begusarai district, to assess the knowledge of households on consumption and storage of salt and to estimate Total Goitre Rate (TGR). Material and Methods: Community- based cross sectional study carried out on 412 household from 30 cluster in Begusarai district using cluster sampling technique. Children (6-12 years) were examined clinically for goitre status and sample of household salt was collected for testing iodine content. Iodine content estimation was done both quantitatively by titration and qualitatively by MBI kit. Statistical analysis was performed using SPSS version 22. Result: The respondents were mainly female (92.8%) of mean age 34 years. Three- fifth (61.6%) participants used packaged crushed salt for cooking purpose, followed by packaged crystal (30.5%). Only 12.1 % of the respondents gave affirmative answer for presence of label and logo. Storage of salt in container with lid was 78.5%. The proportion of household using adequately iodized salt was 78%. The sensitivity MBI kit was 61% and the Total goiter rate was 9.3%. Conclusion: The Begusarai district falls in mild public health problem for IDD as TGR is more than 5% and even after many decades of effort towards achieving an adequately salt iodization of more than 90%, it is 79% only.

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References

Benoist B de, Andersson M, Egli I, Takkouche B, Allen H, WHO, et al. Iodine status worldwide WHO global database on iodine deficiency. Geneva: World Health Organization, Department of Nutrition for Health and Development; 2004.

Directorate General Of Health Services [Internet]. [cited 2019 Feb 13]. Available from: http://dghs.gov.in/content/1348_3_nationaliodinedeficiency.aspx

Pandav CS, Yadav K, Srivastava R, Pandav R, Karmarkar MG. Iodine deficiency disorders (IDD) control in India. Indian J Med Res. 2013 Sep;138(3):418-33. PubMed PMID: 24135192; PubMed Central PMCID: PMC3818611.[PubMed].

Purty AJ, Mahajan P, Singh Z, Meenakshi A, Murugan N, Cherian J, et al. Assessment of Iodine Deficiency disorders using 30 cluster approach in Puducherry (India). Indian Journal of Public Health Research & Development. 2014;5(2):1.

Revised policy Guidelines on NIDDCP. NRHM IDD & Nutrition Cell, GOI; 2016.

WHO | Indicators for assessing iodine deficiency disorders and their control programmes [Internet]. WHO. [cited 2019 Mar 27]. Available from: https://www.who.int/nutrition/publications/micronutrients/iodine_deficiency/WHO_NUT_93.1/en/

Kamath VG, Jacob GP, Agrawal A, Kamath A, Shenoy RP. Prevalence of goitre and its associated factors in a coastal district of Karnataka. Indian J Community Health. 2015;27(Supp 1).

Chandwani H, Mazumdar V. Iodine nutritional status & goiter prevalence in primary school children aged 6-12 of Panchmahal district, Gujarat, India. Electronic Physician. 2010;2(2):66–73.

Makwana NR, Shah VR, Unadkat S, Shah HD, Yadav S. Goiter prevalence and current iodine deficiency status among school age children years after the universal salt iodization in Jamnagar district, India. Thyroid Research and Practice. 2012;9(2):40.

Kapil U, Pandey RM, Kabra M, Jain V, Sareen N, Bhadoria AS, Vijay J, Nigam S, Khenduja P. Status of iodine deficiency in district Kangra, Himachal Pradesh after 60 years of salt iodization. Eur J Clin Nutr. 2013 Aug;67(8):827-8. doi: 10.1038/ejcn.2013.119. Epub 2013 Jul 3. PubMed PMID: 23820337.[PubMed].

Jyotsna P. Prevalence of goitre and assessment of iodine nutritional status in 6-12 years primary school children of Narmada District, Gujarat, India. J Public Health Epidemiol. 2011;3(8):346–51.

Wang G, Grosse SD, Schooley MW. Conducting Research on the Economics of Hypertension to Improve Cardiovascular Health. Am J Prev Med. 2017 Dec;53(6S2):S115-S117. doi: 10.1016/j.amepre.2017.08.005. PubMed PMID: 29153111; PubMed Central PMCID: PMC5808538.[PubMed].

Waszkowiak K, Szymandera?Buszka K. Effect of storage conditions on potassium iodide stability in iodised table salt and collagen preparations. Food Sci technol Int. 2008;43(5):895–9.

Patowary AC, Kumar S, Patowary S, Dhar P. Iodine deficiency disorders (IDD) and iodised salt in Assam: a few observations. Indian J Public Health. 1995 Oct-Dec;39(4):135-40. PubMed PMID: 8690500.[PubMed].

Mohapatra SS, Bulliyya G, Kerketta AS, Geddam JJ, Acharya AS. Elimination of iodine deficiency disorders by 2000 and its bearing on the people in a district of Orissa, India: a knowledge–attitude–practices study. Asia Pac J Clin Nutr.. 2001;10(1):58–62.

Buxton C, Baguune B. Knowledge and practices of people in Bia District, Ghana, with regard to iodine deficiency disorders and intake of iodized salt. Arch Public Health. 2012 Mar 23;70(1):5. doi: 10.1186/0778-7367-70-5. PubMed PMID: 22958618; PubMed Central PMCID: PMC3415111.[PubMed].

Kapil U, Nayar D, Goindi G. Utility of spot testing kit in the quantitative estimation of iodine content in salt. Indian Pediatr. 1994 Nov;31(11):1433-5. Erratum in: Indian Pediatr 1995 Feb;32(2):253. PubMed PMID: 7896352.[PubMed].

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Published

2019-03-31

How to Cite

1.
Kumar P, Agrawal N, Ranjan A, Lohani P, Nirala S, Pandey S, et al. A study on estimate of Iodine Deficiency Disorders and adequacy of Iodized Salt Consumption in Begusarai district of Bihar, India. Indian J Community Health [Internet]. 2019 Mar. 31 [cited 2024 Dec. 5];31(1):16-23. Available from: https://www.iapsmupuk.org/journal/index.php/IJCH/article/view/1054

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