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Current Iodine Deficiency Disorder Situation
Population
Population: 67.31 million
Population growth rate: 1.2%
Population < 15 years: 27.8%
Birth rate: 17.95 per 1000
Life expectancy at birth: 71.52 years
Infant mortality: 45.77 per 1000
Prevalence of Goiter/ UIE
The urinary iodine excretion is described as 89 mcg/L, but some areas are more severe.
A 1988 survey (73,757 people) found 30.5% goiter. Pilot study with ultrasound in Kayseri showed mean values higher than published normals (IDD NL 11(3)). A 1995 national study of 6-12 year olds reported 30.3% by palpation, reaching 68% in Trabzon on Black Sea .
Iodized salt Coverage
Household iodized salt use: 64%
Salt Situation Analysis Production
Salt is produced locally. A 1994 agreement by 11 producers (90% of all salt production in the country) led to a signed commitment to iodize 100% of salt. An IDD and salt iodization technical committee was established, with members from universities (medicine, pharmacy, nutrition and dietetics), the Turkish Standard Institute, the monopoly that controls the salt production in the country (TEKEL), representatives of salt company, UNICEF/Turkey, and other relevant foundation representatives.
The salt companies regularly report on their monthly production and their areas of distribution, and by 1999, 57% of refined salt was iodized. A more recent figure is 64%.
Consumption
Extent of coverage not known
Iodine Procurement and Utilization
Salt iodized with KIO3, 20-40 ppm
Universal Salt Iodization Program
Information, Education, Communication (IEC) Activities
Legislation
- Legislation: Yes, beginning in 1998, salt iodization was made compulsory using potassium iodate
- Legislation for Animals: No
- Year Enacted: 1968
- Latest Revision: 1999
Program Monitoring and Evaluation
A National Coordination Committee for IDD control, in existence since 1994 consists of the Ministry of Health, Agriculture, National Education, Industry, Internal Affairs, UNICEF, thyroidologists, nutritionists, and trade unions or guilds.
A national committee is responsible for monitoring of iodine in salt and urine. A report in mid-2002 indicated that a monitoring program would be carried out soon, further details not available.
Other Interventions
None
Key Lessons Learned
Challenges and Constraints
Future Plans for Sustained IDD Elimination
Sources:
IDD NL 18(4):55, 2002
IDD NL 17(1):13, 2001
IDD NL 13(1):4, 1997
IDD NL 11(3):41, 1995
IDD NL 10(4):47, 1994 |
