JAGRITI VOL. II, ISSUE 4, OCTOBER 2004.pdf
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3 0 0 0 • Ej w s
i*Jagnti
\______ y
Regional Committee
Meeting
• The North-Eastern
Declaration
j • National IDD day in
Thailand
I • Partnership an
_____________________________
i experience sharing
_______ _
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I
IDD Day Message, 21st October, 2004
IDD work transcends nutrition and child health.
As
iodine deficiency affects the brain development of
world’s
people
remain
It is
unprotected, among them a
significant number live in India.
With political commit-ment from
important for reproductive health as well because
the new government and strong
hundreds of millions of children, IDD work should be part
of the program to prevent mental retardation.
women of childbearing age constitute the most
vulnerable group, as iodine deficiency can cause
miscarriages, still birth and even maternal death. It is an
effective anti-poverty tool, as the poor and the
economically disadvantaged need to improve the
learning capacity of their children so that they can
acquire the needed skills for greater productivity.
Moreover, it helps the gender gap issue, as salt serves as
an equalizer reaching boys and girls alike.
support at the crucial state level,
ICCIDD stands ready and eager
to work with other international
organizations in supporting the
Indian authorities to reach those
not yet protected against iodine
deficiency. Together we will work towards a new dawn for
world's children's right to a normal brain growth for a
productive future.
Global progress in the fight against IDD has been
substantial. Lest we forget, we have only reached two-
Jack C. Ling,
third of the way to the goal. To date, one-third of the
ICCIDD Chair
UNICEF Visionary
"James R Grant was a visionary with a missionary zeal.. .whose faith in human capacity for doing
good was so profound, and whose capacity for seeing a silver lining in every dark cloud was so
total. A man of holistic vision ... a master at simplifying complex issues until they became easily
understandable and readily doable"
Citation from Kul Gautam "Ten Commandments of Jim Grant's Leadership for Development."
Micronutrient deficiency does not produce hunger, as we know it. It gnaws at the core of health, but not below the belly.
Most its consequences are not readily perceived; like the iceberg, its bulk lies beneath the surface. Even its most
apparent effects- such as blindness and cretinism seem to most people to be unrelated to diet. That is why we call it
"hidden hunger" and why such an extraordinary effort must be made through every available channel to drag it into the
open, make it visible as an issue at the political level, and empower families with the prevention knowledge they need.
James R Grant, Executive Director, UNICEF
From: Ending Hidden Hunger (A Policy Conference on Mleronufrien. Molnu.ritioo) Mcnfreol, Conode 1991
HI
ICCIDD Vision & Mission
Hl
3rg?f Tm
From the unreal lead me to the real;
From darkness lead me to light;
From death lead me to immortality.
Vision:The vision of ICCIDD is a world virtually free from Iodine Deficiency Disorders with
national endeavors to maintain optimal iodine nutrition primarily through consumption of
iodized salt, which should be made easily available and affordable for all people for all
times.
Editorial Board
Dr Chandrakant S Pandav
Chief Editor
Shri Peter Parekattil
Managing Editor
Dr. Denish Moorty
Technical Editor
Mission: The mission of ICCIDD is to provide a focused advocacy to governments and
development agencies, of a continued priority for iodine
nutrition, providing technical expertise in a multidisciplinary
approach.
Dedication: ICCIDD dedicates itself to programs fully
supported at the national level for permanent, sustained
success and will work with all partners and national entities
towards that end.
Patrons:
Shri Mohan Dharia
Chief Patron
Dr Kolyan Bagchi
Patron
Shri R V Pillai, IAS (retd.)
Patron
Editorial Advisers:
Dr Prabha Ramalingaswami
Shri L M Jain, IAS (retd.)
Prof N K Ganguly
Prof M G Karmarkar
Shri S Sundaresan
Adv. Makarand Adkar
Shri Bejon Misra
Editorial Assistants:
Shri Pritam Singh
Shri Bharat Kataria
Circulation
Smt Sarojo Narayanan
Printed & Published by:
Dr C S Pandav
on behalf of ICCIDD
Contact Address:
Room No 28, CCM Building,
Old OT Block, All India Institute
of Medical Sciences, New Delhi110029 Tel: 011-26588522
Editorial
Dear Colleagues,
The month of October has come to be known as ‘IDD Month1; so also,
21 “ October as the ‘Global IDD Day’. National Governments, bilateral
and international agencies and various civil society groups, public
institutions, trade & industry and a range of other stakeholders, all
come together to mark the day. This is also an occasion for reviewing
the progress of, and plan ahead for sustainable elimination of iodine
deficiency disorders and renewing the commitments, as well as airing
the concerns.
it is important to remember that sustainability is the key component of the IDD Elimination
program. Recent reports suggest that there cannot be a place for complacence in this
program of global interest. The re -emergence of IDD in some parts of Europe, where it was
eliminated, is a pointer to this. What is needed is eternal vigilance.
Observance of 'days' and celebrations reach a peak with policy and program declarations
and statements. These are also occasions when different stakeholders often come
together, interact closely, and share the experiences and concerns. But on many an
occasions, the target client is often kept out of reckoning. In the case of IDD Elimination
program, it is the consumers as a whole and the children in particular. While it is practically
impossible to pick and choose consumers because of the magnitude, the role of
representative groups needs to be optimized.
As we observe IDD day in October, together we can give a new definition to ‘sustainability1
by effectively putting into practice the policies and programs with an efficient delivery
system ably supported by national, regional and global partnerships. The problem
concerns us all; to overcome it is the concern of us all; the success of it concerns us as well
as the future generations.
E-mail: cpandav@iqplusin.org
Website: www.iqplusin.org
>43^7
Designed & Printed at
Pathfinders, Lajpat Nagar
Ph.: 26295066
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Dr. ChandrakantS. Pandav
Regional Coordinator, ICCIDD-South Asia Region.
2
WHO Regional Committee For South-East Asia
The 57'h Session of WHO Regional Committee for South-East Asia was held at Kurumba, Maldives from
7lh to 9,h September, 2004. Parts of the proceedings are reproduced here:
1.
Statements by Representatives of Nongovernmental organizations ICCIDD
2.
Consideration of the Report of the Ninth Meeting of Health Secretaries
3.
Resolution SCA/RC57/R4 Iodine Deficiency Disorders in the South-EcstAsia Region
4.
Full Text of the ICCIDD statement read out by Prof. M.G.Karmarkar, Senior Adviser, ICCIDD. This was drafted
jointly with Prof. ChandrakantS. Pandav, Regional Coordinator.
Ed.
1.
Statements by Representatives of Non
governmental Organizations
Prof. M.G. Karmarkar (International Council for Control
of Iodine Deficiency Disorders ICCIDD) said that
ICCIDD, a non-profit nongovernmental organization,
had pledged its technical expertise for tracking progress
towards sustainable elimination of IDD. ICCIDD has the
mandate to promote collaboration with stakeholders
and national governments in a spirit of partnership.
Iodine deficiency disorders adversely affected the
learning abilities of children and denied them the
opportunity of attaining their full mental and physical
potential. ICCIDD was providing technical assistance for
public distribution of iodized salt to families below the
poverty line, thereby helping to counter macro and
micro-nutrient deficiency.
2.
Consideraton of The Report of The Ninth
Meeting of Health Secretaries (agendalfem 11)
Review of Iodine Deficiency Disorders in the South-East
Asia Region (Agenda item 11.1, document
SEA/RC57/lnf.3 Rev. 1)
The Committee was informed that the subject had been
discussed at the Ninth Meeting of Health Secretaries in
July 2004, and that the summary of the discussion was
available in the report of that meeting.
The Committee noted that Iodine Deficiency Disorders
(IDD) programmes were at various states of development
in countries of the Region. While some countries were
close to achieving IDD elimination by the end of 2005,
others were far from the goal. Although sufficient salt was
being produced for consumption in some countries, all
of it was not being adequately iodized. Apart from the
visible effect of IDD, in the form of goiter, its other
alarming effects on human brain development including
cognitive losses were not generally known. While noting
the commitment of Member States to the prevention of
IDD, the Committee stressed the urgent need to
strengthen prevention and control programmes in order
to achieve the goal of IDD elimination.
3
The Committee recognized IDD as a serious public health
problem and although aware of the various effects,
confirmed the need for further research. Stringent qualify
control measures to ensure adequate iodization of salt
needed to be put in place, and monitored closely. It was
essential to enhance community awareness at all levels,
using electronic and print media such as posters and
leaflets translated into local languages. Social marketing
campaigns, particularly at the district level, would help in
raising community awareness about the health benefits of
using iodized salt. Involvement of schoolchildren in
educational campaigns on the advantages of iodized salt
would also be useful. Regulatory mechanisms were
necessary to ensure adequate availability of iodized salt.
Member States should also ensure community
involvement in the control of IDD.
The Committee was informed that Member States had
developed national strategic plans for control of iodine
deficiency disorders. Efforts were ongoing to integrate
iodine deficiency disorders and universal salt iodization
into health curricula. Similarly, control of other micro
nutrient deficiencies such as anaemia and developing
national strategies on infant and young child feeding also
merited attention.
The Committee expressed satisfaction that, in addition to
the IDD control programme. Member States were also
according importance to nutrition and maternal and child
health care programmes.
The Committee was informed that while iodization of salt
had generally been adequate, optimum household
coverage as per the WHO recommendations had not
been achieved due to inequitable distribution. The
Committee, therefore, stressed the need to ensure
sustainable and uniform availability of iodized salt in all
countries.
The Committee emphasized the need to have an in-built
monitoring and evaluation system for assessing the use of
iodized salt as well as the progress achieved towards
meeting the targets set for 2005.
The Committee also noted that steps needed to be taken
to prevent loss of iodine at the manufacturing stage and
during transportation, for which appropriate logistic
arrangements should be made.
It was recognized that active multisectoral collaboration
was essential for the success of the IDD prevention and
control programme.
The Committee noted with satisfaction the efforts being
made by Member States but emphasized that in order to
achieve the target of IDD elimination by 2005 they
needed to be further accelerated. WHO would be willing
to assist Member States in enhancing advocacy and
awareness measures in this regard. As requested by the
Health Secretaries in their last meeting held in July 2004,
WHO would establish a Regional Technical Group to
provide technical guidance to Member States on IDD
elimination programmes.
The Committee endorsed the recommendations made
by the Ninth Meeting of Health Secretaries and adopted
a resolution on the subject (SEA/RC57/R4).
3. SEA/RC57/R4 : IDD in the South-East Asia
Region
The Regional Committee,
Recalling World Health Assembly resolution WHA49.13
and WHA52.24 on prevention and control of iodine
deficiency disorders,
Concerned that iodine deficiency remains a major
challenge to the health and development of the
population in the South-East Asia Region, and that in
addition to causing goiter, dwarfism and other
anomalies, it may result in stillbirth and miscarriage,
brain damage and intellectual impairment,
Recognizing that the elimination of iodine deficiency will
herald a major public health triumph and contribute to
national and regional economic development,
Noting further that many Member States have
established IDD prevention and control programme,
Mindful of the concern about existing salt iodine
monitoring and quality control mechanisms and
legislative procedures,
Concerned that the goal for IDD elimination is 2005, but
that progress towards achieving this goal has slowed
down, and
Taking into account that the amount of effort required to
achieve the goal of IDD elimination will vary in countries,
i.
URGES Member States:
(a) to reaffirm their commitment to early and
sustainable elimination of IDD by ensuring universal
salt iodization including required iodine content at
(b)
ii.
the consumer level through harmonizing partnerships
with salt manufacturers, and
to take urgent measures to accelerate the
implementation of IDD prevention and control
programmes by according due priority so as to
eliminate IDD at the earliest, and
REQUESTS the Regional Director:
To strengthen cooperation with Member States, at
their request, and with international organizations, in
providing technical assistance for training, and
establishing/strengthening quality control assurance
systems in close collaboration with the salt industry,
including facilitation of networking of reference
laboratories for iodine estimation;
(b) To strengthen advocacy efforts for renewed
commitments to these programmes, including, where
possible, appropriate research with relevant partners;
(c) To provide technical support tor the development/
adaptation of different methodologies required to
strengthen the programme, preparation of
guidelines, and promotion of exchange of
information and creating awareness to increase
public demand for iodized salt for human and animal
consumption, and
(d) To report on the results achieved in implementing this
resolution to the sixtieth session of the Regional
Committee in 2007.
(a)
4. WHO - 57th Regional Committee Meeting ICCIDD Statement
Chairperson, Excellencies &
Distinguished Delegates.
May I, on behalf of my colleagues in
the International Council tor Control of
Iodine Deficiency Disorders (ICCIDD),
first of all thank the Regional Director
for extending the invitation to attend
the 57th Regional Committee Meeting
in Male, Maldives. And also
congratulate RD for an excellent & comprehensive report.
ICCIDD is a non-profit non-governmental organization
dedicated to sustainable elimination of IDD throughout
the world. The ICCIDD was granted official status as an
international NGO at the 47"' World Health Assembly held
in Geneva in 1994. The ICCIDD pledges its technical
expertise to assist I he Member countries tor "Tracking
progress towards sustainable elimination of Iodine
Deficiency Disorders (IDD)". Our mandate is to promote
collaboration with stakeholders in the spirit of true
partnership to end the hidden hunger of iodine deficiency.
4
'
.1
The ICCIDD looks forward to closely collaborate with the
National Governments of the Member Countries along
with partner agencies for Tracking Progress towards
sustainable elimination of IDD.
One of the significant achievements in the South East
Asia region under the leadership of Regional Director of
WHO, Dr. Samlee Plianbangchang, is the progress
made in elimination of iodine deficiency disorders. In the
field of non-communicable diseases and mental health,
it is known that iodine deficiency is the single most
common cause of mental handicap. At the same time,
iodine deficiency is the most common preventable cause
of mental handicap, as well.
Children in iodine deficiency environment on an average
have 13 IQ points less as compared to those children
who live in iodine sufficient areas. This adversely affects
learning abilities of children, repeated failures and
school dropouts thereby denying them the opportunity of
attaining their full mental & physical potential. Ensuring
mental health for all will not be achievable without
elimination of iodine deficiency induced psychomotor
retardation.
The groups at maximum risk of iodine deficiency are the
pregnant women and the newborn children. To ensure
family and community health, iodine deficiency
disorders, one of the main predisposing causes of child
morbidity and mortality must be eliminated.
It is now established that iodine deficiency is a disease of
the soil. The deficiency in soil causes iodine deficiency in
plants and animals. The human populations feeding on
such plants and animals suffer from iodine deficiency.
Together, it affects the socio-economic fabric of a
community leading to adverse health effects and effects
on the productivity of land and livestock.
While the situation still requires attention, the
results of efforts made in many countries of the
WHO SEARO Region with respect to availability of
adequately iodised salt so far are encouraging. We
can safely say, "The glass is more than half full".
History teaches us that the sustained elimination of IDD
requires constant vigilance of a range of professional
and public interests. Too many of us may diminish our
efforts when we reach the first plateau. The long, climb to
eliminate the stealthy scourge of IDD from the globe
begins with the achievement of Universal Salt Iodization.
The primary concern of all of us is to ensure that every
person should and every mother and child must get his or
her daily iodine requirements for all time to come. The
question is'how?'
Some countries of the region are making efforts to reach
the vulnerable population by providing coarse groin
pulses and iodized I double fortified salt to below pov.
line (BPL) families through the public distribution system c
counter macro and micronutrient deficiency. Tech nice i
assistance is being provided by ICCIDD in
implementation of this program of the government.
The ICCIDD played pivotal role in policy formulation by
regular interactions and supply of inputs to elected
representatives, parliamentarians and policy makers.
WHO has been ably assisted in bringing out the latest ’I EC
kit'. We assist the salt industry in maintaining the quality of
iodized salt through our quality assurance program on a
regular basis. As part of strengthening the technical /
scientific aspects of the program of USI in collaboration
with WHO SEARO Office, we have organized two training
programs, one in September 2002 and another in April
2003 at our laboratory in New Delhi wherein participants
from 9 countries in the South east Asia region were
trained. Our partnership with the civil society groups is
expanding. All these, in fact, are in consonance with
WHO's future plan of action.
Expertise and experiences are available amongst the
Member countries. What is needed is coming together of
policy makers and scientific fraternity. Together they can
start an odyssey into future ably supported by our partners
of private sector, the iodised salt producers towards a
world devoid of IDD, and a healthy society. Thus, fulfilling
the Right of Every Child to optimal physical and mental
development.
And what a befitting health and nutritional problem to
address that can be guided by three principles of workingtogether as stated by Dr. Lee Jong-Wook, the Director
General of World Health Organization.
To quote,
" We must do the right things.
We must do them in right places.
And we must do them in the right way"
The Elimination of IDD will be a great triumph in the field
of public health, comparable to the eradication of
smallpox". This is eminently possible. For there are few
moments in time when there is a clear fork in the path of
major human endeavor. As we battle against the ancient
and pervasive scourge of iodine deficiency, we are
certainly at a turning point. Never before has the way to
our goal been so clear or so near. Never before have we
been able to see so clearly or so far.
The North-Eastern Declaration
Sustaining IDD Elimination Through Universal Salt Iodization
In The North-Eastern Region, India (25 26 June 2004)
A Regional Workshop on the theme of Sustaining Iodine Deficiency Disorders elimination through Universal Salt
Ionization in the North-Eastern Region" was held in Guwahati on 25 and 26* June, 2004. Major national and
international organizations, including UNICES The Ml and ICCIDD participated in the proceedings along with state and
national institutions. The culmination of the workshop was marked by the document, "THE NORTH-EASTERN
DECLARATION". We reproduce the text of the Declaration.
Ed.
• That we can significantly contribute to protect the 40
million large population of the North-Eastern
region against IDD including brain damage.
• That daily use of good quality iodized salt will
enhance human resource development in the
region
• That there has been sign of a downward trend in the
availability and consumption of quality iodized salt
at household level in the region
Reaffirm our commitment to the strategy of Universal
Salt Iodization and our determination to accelerate
and sustain IDD elimination through Universal Salt
Iodization Strategy in the North-Eastern region. In
order to operationalize this commitment on one hand
and create enabling environment for the smooth
implementation of the strategy on the other, the
following recommendations are made at the
workshop.
We, the government officials, salt traders, Non
Governmental Organizations and representatives of
State and National Institutions, bilateral and
international agencies (ICCIDD, Micronutrient Initiative
and UNICEF) participating in the Regional workshop on
"Sustaining Iodine Deficiency Disorders elimination
through Universal Salt Iodization in the North-Eastern
Region" held in Guwahati (Assam) on 25 26 June 2004,
Realizing:
• That Iodine Deficiency Disorders are the most
preventable cause of brain damage
• That no state in the North-Eastern region is tree from
Iodine Deficiency Disorders
• That Universal Salt Iodization is the most effective
method to achieve and sustain the elimination of IDD
as a public health problem in India
Subscribing:
• To the goal of replacing common salt with iodized salt
for human consumption
• To the commitment made at various levels, nationally
and internationally, and in several occasions by the
National and States Governments to eliminate IDD in
India through Universal Salt Iodization strategy
• To the national effort to eliminate IDD through
sustained use of adequately iodized salt
• To the state level legislation to sell only adequately
iodized salt for human consumption
• To the importance of producing only good quality
iodized salt in the plants established in the NorthEastern region
RECOMMENDATIONS
I Sustaining High Level Political Commitment
• North-Eastern Council has an important role in the
facilitation and acceleration of the strategy. The
Council leadership team should include Chief
Minister, Health Minister, Food and Civil Supply
Minister and Social Welfare Department in
collaboration with Union of Railway and Union
Ministry of Industry. IDD elimination through USI
strategy should be included as an agenda item in
their meetings
• The North-Eastern Council should, lead a
delegation to Union Minister of Railways for
adequate monthly provision of rakes and for
converting of meter gauge into broad gauge
• Chief Minister to all DM to take up IDD/USI in their
monthly review and similarly, Ministry of Health
writing to CMHO’s and Ministry of Food and Civil
Supply writing to District Supply Officer
emphasizing the importance of the programme
• The states should include IDD elimination into their
development plan as it is related to Human
Resources Development
Recognizing:
• That substantial effort has been made, resulting in
increase in the consumption of iodized salt in the
North-Eastern region over the last two decades
• The important role of salt suppliers in achieving the
objective of USI in the North-Eastern region
• Our responsibility in ensuring the right • of every
newborn in the region is protected against brain
damage
6
the message about the importance of consumption
of iodized salt among the population and
professional bodies
Political support should be translated into increased
budgetary allocations for each state
• Involve PRI in the implementation and monitoring
IDD elimination programme
• Integration of IDD elimination with other on-going
programme
• Enlarge existing State level IDD committee to include
also salt traders and representative of the civil society
to form the State level IDD Coalition
•
III
Monitoring Availability and Consumption of
Iodized Salt
• Establish and implement an adequate and effective
monitoring (qualitative, quantitative, frequency) of
the availability and the consumption of iodized salt.
• Include more stakeholders in the monitoring
including Educational, ICDS and NGO
• More frequent training of officers involved in
monitoring of availability and quality of iodized salt
• State government to fill existing vacancies in the IDD
cells
• Gol to provide State Government with Laboratory
infrastructures including titration at state level and
regional facility for UIE determination
• As an immediate follow up to this workshop, all state
should prepare a POA accelerating US1
• Modify existing monitoring format to capture different
type of salt as refined, powdered or crystal loose salt,
by developing standard forms
• Share monitoring data with ICDS, FCS and Education
department at State level and with MoHFW and Salt
Department, ICCIDD, Ml and UNICEF on a regular
basis for programme course correction
• Set up a state level database on IDD and a NorthEastern regional network to share experience with
other states and UTs.
II Supply and Demand of Iodized Salt
• Use existing network to create awareness about
IDD/USI among the community
• Timely and regular supply of railway rakes (14 rakes)
to ensure constant supply and availability of iodized
salt to the consumer.
• Converting meter gauge to broad gauge for a
quicker transportation and reduce loss during
transshipment
Encourage packaging in 1 kg LDPE polybags,
mentioning address of manufacturer, date of
production and expiry date
• Provide appropriate warehouse facility for storage of
iodized salt against loss due to exposure
• Encourage supply of iodized salt through targeted
PDS
• Compulsory used of iodized salt in Mid day meal
programme, hostels, hospital, prisons, and other
institutional facilities
• Optimal capacity utilization of the iodization plants
and strict monitoring of the quality of salt produced
• The media and NGOs are important allies to spread
•
Guwahati, 26 June 2004
7
GLOBAL IODINE DEFICIENCY DISORDERS PREVENTION DAY
21 October 2004
WHAT YOU SHOULD KNOW ABOUT GOITRE AND OTHER IODINE DEFICIENCY DISORDERS
• Go-tre i a oiseasc of Thyro;d Giand cnaracWr^ed by swetng in the neck.
• Goitre is caused Dy deficiency of >odine m the food
■ Goitre affects people of a4 ages and both sexes but it affects Lie chi'dren most.
• Iodine Deficiency Disorders hinder both merfiai and physical heath
• Except certain types of goitre. Iodine deficiency disorders are permanent and incurable.
• Consumption of iodated salt prevents goitre and other Iodine defoency disorders
CORRECT USE OF IODATED SALT
•
•
•
•
Ahvays use iodated sal and save yourself from go ire and other lodne
Def-c-ency Disorders
V.?x:nevr-r you txiy sal. insd on Iodatcd salt on.1-/
Afways store lodated salt in a contasrerratnl-d and keep U array from
cbrcct suni-gnt/he-i! and moisture
located sail should t» used w.thm six monlhs of its purchase
DON’T*
•
•
•
•
•
Ne>crs?OT> lodated salt near fvc
.*Ar. eri.-oe ordinary unLned^te bags fcr transport of fodated salt
Never store in tic open or ma damp, poorty ventilated godo-sn
AvadL'snspcrtr.g in open trucks or m open railway wagons.
Never store located salt beyond six months.
CT IDD and Nutrition Cell. Directorate General of Health Services. Ministry of Health and Family Welfare, Government of India
IEC material released on IDD Day 2004 by Ministry of Health &
Welfare, Government of India
Global Iodine Deficiency Disorders Prevention Day
21st October, 2004
I Consequences of Iodine
Deficiency
Prevalence of Iodine
Deficiency Disorders (IDD)
More than 10% prora'ence (endemic) of IDD
•n 2v0 Drttrcn out of 321 Districts surveyed
covering «< SUNtA/Ts
No Statc/UT in India is free from IDD
Foetus
Abortions, Stillbirths.
Congenital anomalies.
Increased Perinatal
Mortaltly.Squint. Deaf-Mutism,
Mental Deficiency.
Spastic diplegia. Dwarfism
Neonate
Neonatal Goitre
Neonatal Hypothyroidism
Child
Loss of 10-15 IQ points
and
Impaired Mental function.
Adolescent Retarded physical
dovelopment.Goitre.
Juvenile Hypothyroidism
Adult
Goitre with its complications
Hypo thyriodism
Impaired mental function
iSv« txx U-UJ* <Z> JaM
(Goitre)
JUST REGULAR CONSUMPTION OF
IODISED SALT CAN
PREVENT ALL THESE DISORDERS.
Iodine deficiency is the leadingcause of preventable mental retardation.
CONSUME ONLY IODISED SALT AND PREVENT IDD
Food and Nutrition Board, Department of Women and Child Development
Ministry of Human Resource Oevelopment.Govommont of India
IEC material released on IDD Day 2004 by Ministry of Human Resources
Development, Government of India
National Iodine Day in Thailand
The National Iodine Day in Thailand has been started in 2003. In this year, 25 June 2004, networking of Iodine
Deficiency Disorders (IDD) Program more than 350 people from 75 provinces of the whole country both government
and private sectors, which were composed of the representatives from Department of Health, the Food and Drug
Administration (FDA), all provincial chief medical officers, student FDA youth volunteers and responsible teachers, Tha
Red-Cross Volunteer, the Association of Thai Community Development Women Leaders and iodized salt producers,
were gathering and participating the activities of National Iodine Day at the Ministry of Public Health (MOPH). The
objectives of this event were to increase the knowledge of controlling Iodine Deficiency Disorders and to increase
efficiency of monitoring quality of iodized salt by Thai youth and all partners.
The activities included a meeting to build up partnership for controlling quality of iodized salt. This was received great
honor from The Permanent Secretary Dr. Vallop Thaineua to inaugurate the meeting and Professor Jack C. Ling,
Chairperson ICCIDD Board of Directors to give the keynote address: The Global IDD strategy and Thai progress. There
were the demonstration and practice of using iodine test kit (l-kit) for testing iodized salt. The Chairperson, Deputy
Minister of Public Health, presided over the ceremony releasing the caravans to provide iodine test kits for FDA youth
volunteer and all other partners. The caravans were discharged from MOPH, for campaign iodized salt quality
monitoring over the country during June 26 to August 26, 2004. l-kits were also distributed via these caravans to over
10,000 schools.
This campaign was organized by Department of Health. The day was preceded by publicity on the mass media material,
news captions, and was covered by national television. Brand list of iodized salt was announced to the public. Those
brands that do not have good quality of salt, will be rectified and monitored. The event greatly raised public awareness
of the IDD problem and daily use of adequately iodized salt as its solution.
Partnership - an Experience Sharing
Partnerships enrich and strengthen programmes and enlarge the reach in implementation. This is especially relevant in
situations where stakes are high and resources are limited. It has particular importance in the context of activities in the
social and development sector. A public health programme, such as elimination of iodine deficiency disorders, which
has pointed significance to the health, and development of the nation's population, is one such example.
The coming together of various stakeholders, and able leadership both at policymaking and professional level, has
proved effective and successful with respect to National Iodine Deficiency Disorders
Control Programme in India. If sustainability is a tool to measure the success of a
programme, collaboration contributes eminently towards it.
The intersectoral
approach to address the public health problem of IDD is a pointer to this. It is in this
context that we bring out this report to share the experiences and success of a
partnership programme, which is showing results in a short span of time. The report in
book format is titled Partnership- Key to Success & Sustainability.
ICCIDD is planning to span out and enlarge the scope of this partnership with other
groups interested in the physical, mental and social well being of the people. ICCIDD
strongly believes that partnerships and collaborations are two key factors that
contribute to the success of any development program.
Interested organizations / institutions may contact ICCIDD Secretariat. This will be
mailed free of cost, subject to availability of stock.
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ICCIDD Statement on Partnership
At the National Partners' Meeting on Breastfeeding India Habitat Centre, New Delhi
7th August, 2004
What gives us context in life is to work for children for optimum physical and mental development of children. This
is possible only if we take care of both mother and child and the family as a unit.
The iodine story also focuses on mother and child and the family as a unit.
We have experiences of successful partnerships. It is shared in our publication "partnership key to success-and
sustainability a development sector experience".
We pledge our commitment to the patnership.
The element of iodine was discovered in 1811, but almost a century passed before it was established that lack
of iodine caused the swelling of the thyroid gland commonly known as goiter.
Following research in 1921 showing that 90% of Zurich schoolchildren were suffering from goiter, the
government of Switzerland becomes the first in the world to recommend iodine supplementation either by
weekly tablets or by consuming iodized salt. Similar studies revealed a 20% to 30% incidence of endemic
goiteramong schoolchildren in Austria, Northern Italy and Germany.
In the United States, the alarm was first raised in Michigan in 1918 when it was revealed that over 30% of men
medically examined for war service had been found to have enlarged thyroid. Many were declared unfit for
service. By 1923 an Iodised Salt Committee had been formed, including physicians and representatives of the
Salt Producers Association.
On May 1, 1924 six local salt companies began loading iodised salt on the shelves of Michigan's grocers.
Later that same year, the Morton Salt Company began marketing iodised table salt nationwide under the
headline "Children protected against simple goiter are found to be superior in development1. In Michigan
itself newspaper advertisements boosted sales, and by 1932 iodised salt accounted for 90% to 95% of all
sales.
Meanwhile, Europe was also moving towards salt iodisation swiftly controlling goiter, cretinism, and the
milder forms of iodine deficiency. Illustrating the need to maintain vigilance, the problem now appears to be
re-emerging in parts of Australia, Belgium, France, Germany, Italy, Poland, the Balkans, the Commonwealth
of Independent States, and in the Central Asian Republics.
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The Indian State of Chattisgarh has introduced the scheme of distributing through public distribution system (PDSj
the 'Chattisgarh Amrut Namak' brand of iodized salt to below poverty line population in the state. Started on
26'h January 2004 (Republic Day of India), it initially catered to 9,40,000 families and later extended to 19,61,00(
families on 15,b August 2004 (Independence Day of India). It is priced at 25 paise perk.g. (as low as 0.5 cents!)
Student's Parliament, New Delhi, 7th October, 2004
HRIDAY SHAAN, an NGO engaged in health awareness and capacity building programmes, especially among
students and youth, in association with the American Cancer Society organized a Students' Parliament on Health
Awareness at the Jawaharlal Nehru Auditorium, AllMS in New Delhi on Thursday, the 7th September, 2004. This is one
of the parliaments being organized on regional basis and will be culminated with national parliament in April 2005.
There were 500 high school grade students and their teachers from various Delhi schools participated.
ICCIDD has negotiated to put up an exhibition and demonstration booth to highlight various aspects of IDD and
iodized salt. Our stall had facilities for spot testing of salt. It afforded ICCIDD the opportunity to demonstrate the use of
salt testing kit for iodine content at the production level as well as the consumer level. Various Books, Publications,
handouts, and ICCIDD Newsletters were displayed. The ‘20 questions' and Time Table were distributed to students. The
demonstration instilled interest among the children and ICCIDD team interacted effectively with the audience in the day
long program.
Program with Bharat Scouts and Guides, 11 th October, 2004
ICCIDD has participated in the BSG program “Seminar on Community Development Project and Services*12
' on 11th
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4
3
October, 2004 at the National Youth Centre, Gadpuri in the state of Haryana. The Session started with introductory
speech by Dr. Sai Prabhawati, Deputy Director, BSG and Leader of the Event. This was followed by theme setting and
presentation on Iodine Deficiency Disorders by Mr. Peter ParekattiL
The module of the interaction covered:
1. A brief Introduction of the ICCIDD and the team.
2. PowerPoint Presentation
3. Demonstration of Spot Testing of saltforiodine content
4. Interactive Session
5. Distribution of salt testing kits for sample testing at the participants respective home base, format for report
writing, 20 questions, and other IEC materials.
The participants attended the interactive session with keen interest. At the end of the session they all appeared
convinced regarding the spectrum of IDD problem and the importance of consumption of adequately iodized salt. They
all pledged to spread the awareness and participate whole-heartedly in the campaign against IDD in the society.
The participants were from all parts of the country and engaged in community development activities as part of their
Scouts & Guides activities.
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"Take the case of the world's salt manufacturers. Working with the United Nations, they
have made sure that all salt manufacturedfor human consumption contains iodine. The
result is that every year, more than 90 million newborn children are protected against
iodine deficiency, and thus against a major cause ofmental retardation."
Kofi Annan,
UN Secretary General
in his address to the World Economic Forum (4th Feb, 2002)
Daily consumption of Iodised salt
is a healthy habit
//
IGCIDD
Publishing any material in IQ+ Jagriti does not necessarily mean ICCIDD's endorsement of the
views expressed therein or the results quoted.
Materials for publication, subscription request, comments may be sent to: Dr. Chandrakant S Pandav
Address: Room No 28, CCM Building, Old OT Block, All India Institute of Medical Sciences, New Delhi 110029
E-mail: cpandav@iqplusin.org
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