Health & Family Welfare Department
Government of Tamil Nadu

IODINE

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:
  1. One line stickers for bumpers of vehicles- 10000 numbers.
  2. Danglers for the retailers selling Iodised salt-25000numbers
  3. Preparation of Jingles on Iodised salt (12 numbers 1 minute jingles and 12 numbers of half minute jingles) for broadcasting through All India Radio.
  4. Preparation of 154 Nos of Audio cassettes containing Iodised salt jingles recorded in between Tamil film hit songs for the use field publicity.
  5. Preparation of 50 Nos. Photo blowups on IDD to serve as exhibits for publicity purposes in exhibitions.
  6. 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

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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