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Current Iodine Deficiency Disorder Situation
Population
Population: 10.08 million
Population growth rate: 0.18%
Population < 15 years: 16.9%
Birth rate: 11.5 per 1000
Life expectancy at birth: 76.14 years
Infant mortality: 5.84 per 1000
Prevalence of Goiter/ UIE
Median urinary iodine: 110 mcg/L.
Previous reports of urinary iodine levels vary from 12-120 mcg I/g creat. in different areas. In 61 of 178 areas, median was < 50 mcg I/g creatinine.
National data from 1980-89 indicated that little goiter exists near the coastline where most of the population lives, but areas inland still have high iodine deficiency, including Algarve, Portalegre, Baixo and Alentejo, reaching 30% in some areas. Study in the Azores (1986) revealed a goiter prevalence of 24% in schoolchildren..
Cretins still observed in goitrous areas, but are primarily above 40 years of age
Iodized salt Coverage
Household iodized salt use: no data
Salt Situation Analysis Production
Locally produced iodized salt is available at 20 mg/kg as KI, but an older report describes iodate at 25-35 ppm.
Consumption
- Estimated daily per capita salt consumption: no data.
- Estimated % of all salt consumed by people which is adequately iodized (household level): no data
Iodine Procurement and Utilization
KI at 20 ppm.
Universal Salt Iodization Program
Information, Education, Communication (IEC) Activities
Legislation
- Legislation: For iodized salt use compulsory in endemic regions with KI at 20 ppm, but voluntary elsewhere.
- Legislation for Animals: none
- Year Enacted: no data
Program Monitoring and Evaluation
Formal program does not exist. Endocrinologists have been active in assessment.
Other Interventions
None
Key Lessons Learned
Challenges and Constraints
Future Plans for Sustained IDD Elimination
Sources:
IDD NL 18(4):54, 2002
IDD NL 9(1):9, 1993
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