|
Current Iodine Deficiency Disorder Situation
Population
Population: 9.7 million
Population growth rate 1.15%:
Population < 15 years: 28.7%
Birth rate: 17.1 per 1000
Life expectancy at birth: 73.9 years
Infant mortality: 29.0 per 1000
Prevalence of Goiter/ UIE
Median urinary iodine: no recent data. A 1995 regional survey by neonatal TSH and UI in pregnant woman showed iodine deficiency, details not known.
A 1993 national survey on 8-10 year olds was planned. A 1981 National prevalence survey conducted by the Government identified the mountain areas, especially the north-west region as having the highest goiter prevalence with a TGR of 9.5%. Low overall IDD prevalence in other regions of the country. Urinary iodine was 69 mcg/L in Tunis and 39 mcg/L in the northwest.
C urrent impression that iodine sufficient, but needs data, especially urinary iodine levels.
Iodized salt C overage
Household iodized salt use: 97% (2000)
Salt Situation Analysis Production
No data on import. Produces own salt, by solar evaporation.
Consumption
- Estimated daily per capita salt consumption: 4 kg per year
- Estimated % of all salt consumed by people which is adequately iodized (household level): 97%
Iodine Procurement and Utilization
KIO3, 40 ppm.
Universal Salt Iodization Program
Information, Education, Communication (IEC) Activities
Legislation
- Legislation: Yes
- Legislation for Animals: No
- Year Enacted: 1970, revised 1996
Program Monitoring and Evaluation
Ministry of Public Health & Industry is responsible. Status of activities not known.
Other Interventions
None
Key Lessons Learned
Challenges and Constraints
Future Plans for Sustained IDD Elimination
Sources:
IDD NL 17(3):36, 2001
IDD NL 15(2):32, 1999
IDD NL 12(2):23, 1996
IDD NL 9(2):16, 1993
Tunisie Medicale 72(12):663 (1994)
|
