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Current Iodine Deficiency Disorder Situation
Population
Population: 2.37 million
Population growth rate: -0.77%
Population < 15 years: 15.8%
Birth rate: 8.27 per 1000
Life expectancy at birth: 69 years
Infant mortality: 15 per 1000
Prevalence of Goiter/ UIE
Median urinary iodine: 59 mcg/L (2000). Median urinary iodine 59 mcg/L, 587 schoolchildren, national survey of 20 sites; range among sites 36-87 mcg/L. Lowest in East, Latgales and Zemgale. A median 98 mcg/L reported from a national survey in 1995, but newer survey more reliable. No recent data available on goiter. Southern border with Belarus is known to have an IDD problem. No data on neonatal TSH.
Iodized salt Coverage
Household iodized salt use: ~3% (2001)
Salt Situation Analysis Production
All salt is imported, mainly from Ukraine , Belarus , and Denmark ; some is repackaged domestically.
Consumption
No data on household consumption of iodized salt..
Iodine Procurement and Utilization
Based on information from salt producers, up to 3% of all traded salt is iodized (1999-2001) with KIO3 and KI.
Universal Salt Iodization Program
Information, Education, Communication (IEC) Activities
Legislation
Pending (2002).
Program Monitoring and Evaluation
IDD control is part of National Food and Nutrition Plan (2001). Iodine levels in salt are monitored at wholesale and retail levels, but not regularly. No regular impact monitoring.
Review meeting in April 2000 developed plan including organization of intersectoral national IDD committee, development of national IDD program within government, legislation of iodized salt with monitoring by the Food Center, educational campaigns, and human monitoring
Development of an IDD control program was constrained by the results of a 1995 survey that showed an almost normal median urinary iodine level of 98 mcg/L; the 2000 survey showing 50 mcg/L is considered more representative.
More information is needed on the activity under the national plan.
Other Interventions
None
Key Lessons Learned
Challenges and Constraints
Future Plans for Sustained IDD Elimination
Sources:
IDD NL 18(3):37, 2002
IDD NL 16(4):53,54, 2000
IDD NL 13(1):4, 1997 |
