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Current Iodine Deficiency Disorder Situation
Population
Population: 30.7 million
Population growth rate: 1.71%
Population < 15 years: 34.4%
Birth rate: 24.2 per 1000
Life expectancy at birth: 69.4 years
Infant mortality: 48.1 per 1000
Prevalence of Goiter/ UIE
Median urinary iodine: 86 mcg/L. National Survey conducted in 1993 of 1,600 school-aged children showed national goiter prevalence of 22%, highest (44%) in mountains, lowest (19%) on coast. Twenty percent of the surveyed population in 1993 had urinary iodine levels below 50 mcg/L: in endemic region, 18-24 mcg/L; in C asablanca , 117 mcg/L. ("1993 National IDD Prevalence Survey", Ministry of Health).
In the past, problem seemed to be localized in the Rif and Atlas mountains . Several small-scale studies conducted, including one in the Azilal region of 600 school children 10-14 years, found a TGR = 65% and in the Atlas Mountains a TGR = 29% (dates unknown).
Nine percent of population had TSH values above 5 mu/ml consistent with hypothyroidism. (Middle East, WHO, April 25-26, 1993). Neonatal screening was planned to begin in 9/95.
Iodized salt C overage
Household iodized salt use: 30%
Salt Situation Analysis Production
No import. 17 iodization plants provided by UNI C EF, were functioning as of 6/96. Several cooperatives of salt producers being formed. Salt comes from both sea and mines. Mining produces 132,000 MT/year and sea produces 44,000 MT/year. The annual consumption is 200,000 tons.
Consumption
- Estimated daily per capita salt consumption: 10g
- Estimated % of all salt consumed by people which is adequately iodized (household level): 30%
Iodine Procurement and Utilization
KIO3, 80 ppm.
Universal Salt Iodization Program
Information, Education, Communication (IEC) Activities
Legislation
- Legislation: Yes
- Legislation for Animals: no
- Year Enacted: 1994
Program Monitoring and Evaluation
Ministry of Health, National C ouncil for IDD (established in 1991), Industry and Mines, Univ. of Medicine , water network, National Office are responsible. No data on current activities.
Morocco held a national conference on IDD in 3/95, at which USI was officially endorsed as the official government strategy to eliminate IDD. A neonatal screening program has been proposed. Further follow-up and information on monitoring is needed.
Other Interventions
A small number of provinces considered to be at highest risk received supplements.
Key Lessons Learned
Challenges and Constraints
Future Plans for Sustained IDD Elimination
Sources:
IDD NL 17(3):37, 2001
IDD NL 15(2):31, 1999
IDD NL 12(2):23, 1996
J. Endocrinol. Invest. 16(1):9-14 (1993)
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