JAGRITI VOL. IV, ISSUE 4 DECEMBER 2006.pdf
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I IN THIS ISSUE
• IDD Survey
Jharkhand
{• NIDDCP Workshop
• First ICCIDD
Southern Region
, Panel Meeting
• WFP-MI InterI country Workshop
VOL. IV, ISSUE 4. DECEMBER 2006
1 ■ Nutrition 2006,
Barcelona, Spain
Salt for Freedom - Adequately Iodised
Salt for Freedom from Brain Damage
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Courtesy: National Rural Health Mission,
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Ministry of Health & Family Welfare, 2005
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ICCIDD Vision, Mission & Dedication
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ht vrifiRiJw
tJoUIhI 3FJn 7TTRI
From the unreal lead me to the real;
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 iodised salt, which
should be made easily available and affordable for all people for all times.
From death lead me to immortality.
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 multi disciplinary approach.
Editorial Board
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.
From darkness lead me io light;
Dr Chandrokant S Pandav
Chief Editor
Dr. Arijit Chakrabarty
Managing Editor
Editorial
Mr. Amit Shuklo
Dear Colleagues,
Patrons:
Shn Mohan Dharia
Chief Patron
Dr Kolyan Bagchi
Patron
Shri R V Pillai, IAS (retd.)
Patron
Editorial Advisers:
Dr Probha Ramalingaswami
Shri L M Jain, IAS (retd )
Prof N K Ganguly
Prof M G Kormarkar
Shri S Sundaresan
Adv. Makorand Adkar
Shri Bejon Misro
Editorial Assistants:
Smt Soroja Narayanan
Shri Pritam Singh
Smt Shalini Chakrabarty
Circulation
Shri Pritam Singh
Printed & Published by:
Dr Chandrokant S Pandav
on behalf of ICCIDD
Contact Address:
Room No 28, CCM Building,
Old OT Block, All India Institute of
As the year 2006 opens the door for the New Year, it reminds us that a lot has been done towards IDD
elimination. Yet much more needs to be done. India has reinstated the ban on sale of non iodised salt for
human consumption. Effective implementation of the ban is a challenge and there is a strong political
will to do that.
A lot has happened in this quarter. A workshop was organised by the Ministry of Health & Family Welfare
under National Iodine Deficiency Disorders Control Program (NIDDCP) on the occasion of Global IDD
Day. The Ministry also conducted a workshop on Nutrition, Micronutrient Deficiency, Diet Related
Chronic Non Communicable Disorders and Promotion of Healthy Lifestyle. The Union Health Minister
graced the occasion. A detailed report is included in this issue.
A state level survey in Jharkhand on "Tracking Progress Towards Elimination of IDD" was conducted by
Government of Jharkhand, ICCIDD, UNICEF and agencies. The household consumption of adequately
iodised salt in Jharkhand is 64.2% which is much better than the neighbouring states of Orissa and Bihar.
The dissemination workshop of the results of the study was conducted on 1 7th November, 2006 at
Ranchi, Jharkhand. So far ICCIDD, UNICEF, Ml in partnership with the State Governments, Medical
Colleges & National Institutes like AllMS, NIN Hyderabad, NIE Chennai have conducted studies in
Kerala (2001), Tamil Nadu (2002), Orissa (2003), Bihar (2003), Goa (2003), Rajasthan (2004) and
now in Jharkhand (2006).
The southern region panel meeting by ICCIDD atTuticorin, Tamil Nadu gave a platform to the producers
of South India to bring forward their concerns regarding iodisation of salt.
The Endocrine Society of India organized its 36th Annual Conference, ESICON 2006 at Jaipur.
A national consultation meeting to develop strategy to initiate newborn screening program in India was
organized at the All India Institute of Medical Sciences (AllMS), New Delhi.
An inter-country workshop was held at Jaipur by the United Nations World Food Programme to share the
experiences with regard to efforts towards IDD elimination.
Thus, progress is being made on all fronts-Policy & Program, Professional Associations and at salt
production level. Thus stakeholders are contributing individually and collectively so as to ensure and
sustain IDD elimination in India.
Medical Sciences, New Delhi-29
Tel: 011-26588522
E-mail: cpandav@iqplusin.org
Website: www.iqplusin.org
Designed & Printed at
Pathfinders, Lajpat Nogar
Ph.: 26295066
Dr. Chandrokant S. Pandav
Regional Coordinator - SA Region
National Iodine Deficiency Control Programme (NIDDCP) workshop
26 - 27 October, 2006, New Delhi
Dr. Arijit Chakrabarty, ICCIDD
two day National multi-sectoral workshop on "National Iodine
on IDD and the current status of the NIDDCP programme in the states
Deficiency Disorders Control Programme" (NIDDCP), was
organized by the Ministry of Health and Family welfare, Government
of India, on 26 - 27 October, 2006 at the India Habitat Center, New
Delhi. The workshop was organised to mark the Global Iodine
Deficiency Disorders Prevention Day which could not be held on the
21st of October as it coincided with a major festival of India viz.
"Diwali", the festival of lights.
The workshop also facilitated ICCIDD and UNICEF to reiterate its
stand on the formation of the National Coalition. This point was noted
by the Joint Secretary Health and Family Welfare and an assurance
was given that the proposal would be evaluated on a priority and a
decision would be taken within 4 weeks time.
A
The following points were brought forward for consideration in the
recommendations of the workshop:
States and union territories health services directors, representatives
from the Ministries of Salt Industry, Women and Child Development,
Iodised Salt Manufacturers and Potassium Iodate Manufacturers,
WHO, ICCIDD, UNICEF and AllMS, participated in the workshop.
Monitoring
Secretary Health, Mr. RK. Hota inaugurated the meeting. He said,
"providing good quality iodine-enriched salt to people was the
national need if diseases caused due to lack of iodine had to be
countered". He urged both scientists and salt manufacturers to have a
new look at the issues connected with effectiveness of iodine in salt.
He said that since the central ban on sale of non iodised salt for
human consumption was reinstated w.e.f. 17th May, 2006 it was
important that the ban gets implemented strongly and the monitoring
is strengthened.
1.
Improve quality control of iodised salt at production site, before
and during transport and during distribution.
2.
To develop mechanism to monitor the movement of iodised salt
by road in the country.
3.
To develop a mechanism for registering the unregistered iodised
salt producers so that their production can be monitored.
Ministry of Railways
Secretary Hota also released a compact disc 'Swasthya Ki Dagar Iodine Namak' and the revised policy guidelines of NIDDCP on the
occasion.
The workshop gave a platform to the Iodised Salt Manufacturers and
Potassium Iodate Manufacturers to bring forward their concerns and
discuss them on a common platform shared by the policy makers and
other agencies. The workshop also included scientific presentations
3
1.
To take up case with Ministry of Railways for ensuring regular
timely supply of railway wagons.
2.
Increase the allotment of wagons for movement of iodised salt.
3.
To reduce the increased freight of rail transport and revert back to
preexisting rates before 1 st April, 2006.
4.
Priority for movement of iodised salt to be upgraded to category
"B" which is currently category "C".
5.
Ministry of Health & Family Welfare, Government of India, to
write to Ministry of Railways to create discussion platform for the
salt sector.
Prevention of Food Adulteration (PFA) Act
1.
2.
PFA needs to be revised io make it less stringent (Industry
agencies, other agencies for USI should be formed to actively
address the above mentioned issues.
Oriented) to the iodised salt manufacturers.
2.
Non-bailable warrants and imprisonment should be omitted.
3.
Fine amount should be increased to not less than Rs. 10000/-. It
should relate to the amount of salt transported.
4.
5.
6.
3.
Detection of misbranding of iodised salt should be given high
Kashmir, Chandigarh, Punjab, Bihar, Lakshadweep, Tamil Nadu,
priority. A fine amount of not less than Rs. 10000/- should be
Mizoram, Andhar Pradesh, Gujarat, Kerala, Rajasthan, Haryana,
imposed on the concerned producer/wholesaler/ retailer
Delhi, Orissa, Madhya Pradesh, Himachal Pradesh) in India, the
following attended the meeting:
Purity of Potassium Iodate should be brought down to 99% which
is currently 99.8%. In other countries Potassium Iodate used for
salt fortification is of Food Chemical Codex (FCC) Grade, which
is 99%. In India food grade (PFA) is 99.8%.
1.
Mr. Prasanna Hota, IAS, Secretary (Health & FW)
2.
Ms. S. Jalaja, IAS, Additional Secretary, Ministry of Health and
Family Welfare, Govt, of India
To review the specifications of 30 PPM of iodine at production
3.
level and 15 PPM of iodine at the consumer end. Should it be
reduced to 20 PPM at the production level or should the clause
Ms. Rita Teaotia, IAS Joint Sectretary, Ministry of Health and
Family Welfare, Govt, of India
4.
Dr. R.K. Srivastava, Director General Health Services, Ministry of
Health and Family Welfare, Govt, of India
consumer end remains at 15 PPM needs to be debated.
5.
Dr. S. J. Habayab, WHO Representative to India
All pending cases booked under current PFA should be
6.
Dr. (Ms.) L. Sonar, DDG (P)
withdrawn.
7.
Dr. B. K. Tiwari, Advisor Nutrition, Ministry of Health and Family
Welfare, Govt, of India
Eliminate Counter Veiling Duty (CVD) on iodine which is meant
for production of potassium iodate. Currently the overall duty on
8.
Dr. N. Kochupillai, Ex-Prof & Head Deptt. of Endocrinology &
Metabolism, AllMS, New Delhi
imported iodine is 33.65% (Basic duty: 10%, CVD: 16%,
Additional Duty: 4%. Educational Cess: 2%, Overall additional
9.
Mr. S. Sundresan, Salt Commissioner, Govt, of India
10.
Dr. Eric Alain Ategbo, UNICEF
11.
CVD should be abolished for the Iodine which is meant for
Dr. Chandrakant S. Pandav, Prof. & Head, center for Community
Medicine, AllMS and Regional Coordinator (SA Region),
production of Potassium Iodate with appropriate end use
certificate, (as there is no excise duty on potassium iodate), b.
ICCIDD
Ministry of Industry
1.
education Cess: 2%). Since CVD is equivalent to Excise Duty,
12.
Dr. Arijit Chakrabarty, ICCIDD
exempted as Hon'ble Finance Minister has already agreed to
exempt iodised salt and iodine from VAT.
13.
Mr. AmitShukla, ICCIDD
14.
Dr. Shariqua Yunus, WHO Country Office, India
If it is not possible to abolish CVD on imported iodine then excise
15.
Dr. Mohan Ram, Ex-director, NIHFW, Hyderabad
duty on potassium iodate should be imposed (This shall not
16.
Ms. Usha Bhasin, Senior Director, Prasar Bharati, Doordarshan
17.
Mr. M. S. Prakash, Director, Tuticorin Salt Manufacturers
Association, Tamil Nadu
18.
Mr. Hiralal Parekh, AnkurChemfood Products, Gujarat
19.
Mr. Rajubhai, Kharagoda Salt Manufacturers Association,
Gujarat
20.
Mr. Parasmal Nahata, Chrai Salt Ltd., Gandhidham, Gujarat
21.
Mr. Anil Gattani, President Nava Salt Mfg. Association,
Rajasthan
22.
Mr. Ramkumar Agarwal, President Rajasthan Iodised Salt
Manufacturers Association, Rajasthan
23.
Mr. Manubhai Makadia, All India Potassium Iodate Mfg.
Association, Ahmedabad, Gujarat
24.
Mr. Kiron Dave, Micron Laboratories, Gujarat
VAT @ 4% on potassium iodate by state government should be
2.
increase any price of potassium iodate).
3.
Director General Foreign Trade (DGFT) should Modify Standard
Input /Output Norms from existing 0.695 Kgs to 0.595 Kgs
Iodine against export of 1 Kgs Potassium Iodate (Chemical
Product Group SI. No: Al 156). At present scenario, if 1 Kg
Potassium Iodate is exported then exporter shall get 0.695 Kgs of
Iodine without payment of Duty which in actual should be 0.595
Kgs. Thus exporter shall receive 10 % more duty free Iodine than
actually required. This means if 1 Kg of Potassium Iodate is
exported from India there is a revenue loss to custom for 100
gms Iodine.
Coalition formation
1.
Increase Government spending on awareness creation.
Besides representatives of 1 6 States and Union Territories (Jammu &
be removed for production level all together as long as the
7.
A multi - sectorial body (National Coalition) comprising of
various stakeholders such as Salt Industry, Government
There is a need to adopt a regional approach to analyse issues
related to USI.
National Workshop on Recent Advances in Nutrition, Micronutrient Deficiency,
Diet Related Chronic Non Communicable Disorders and Promotion of Healthy Lifestyle
14-15 December, 2006, New Delhi
Dr. Arijit Chakrabarty, ICCIDD
iwo day workshop was held at Vigyan Bhavan, New Delhi
A
organized by the Directorate General Health Services, Ministry
of Health and Family Welfare, Government of India. The
inauguration of the workshop was done by the Hon'ble Union
Minister for Health & Family Welfare, Government of India, Dr.
Ambumani Ramadoss.
Speaking on the occasion Dr. Ramadoss said that the workshop is a
unique one because it would address all the issues related to nutrition.
He urged the participants to come up with suitable recommendations
for inclusion in the National Rural Health Mission (NRHM) of
Government of India. The minister would be meeting the Hon'ble
Human Resource Minister, Sri. Arjun Singh to finalise a proposal to
1.
Strict enforcement of the legislation to maintain the quality
production of adequately iodised salt
2.
Increased budgetary allocation for strengthening I EC activities
for IDD inNIDDCR
3.
Strengthening the PDS network for ensuring availability of
adequately iodised salt at an affordable price to the
underprivileged population of rhe nation.
4.
To promote spot testing of iodine in salt using salt testing kit by
school children in coordination with Ministry of Education.
Key Attendees:
1.
Dr. Ambumani Ramadoss, Hon'ble Union Minister for Health &
FW, Government of India
make health and lifestyle classes mandatory in schools.
2.
Mr. Naresh Dayal, Secretary Health & FW, Government of India
"We want to introduce health as a subject in schools, to be taught bi
weekly. We plan to enlighten the younger generation about diseases
and a healthy lifestyle. They should know what to eat and what io
avoid how much to exercise, what type of lifestyle is best for them, how
it will help their health besides being aware of diseases like
3.
Dr. R.K. Srivastava, Director General Health Services, MOH,
Government of India
4.
Ms. Rita Teaotia, Joint Secretary, Department of Health &FW,
Government of India
5.
Ms. S. Jalaja, Additional Secretary, Ministry of Health & FW,
Government of India
6.
Dr. B.K.Tiwari, Advisor Nutrition, Dre. GHS, Government of
India
HIV/AIDS, "Ramadoss said.
The Secretary Health, Government of India, Mr. Naresh Dayal gave
the key note address. He said, "Every school should look into the
health of its children. The school health programme should become
an integral part of NRHM ". He said that Nation building should be a
priority and the social security system should be strengthened. He
further appealed to the scientists that research should supplement the
policy implementation. Mr. Dayal informed that the notification for
increasing the age of beneficiaries from 3 years to 5 years for the Vit A
programme is now in place.
There were forty participants at the workshop which included State
Representatives and Regional Directors of Ministry of Health.
The workshop saw a wide range of presentations dealing with diet
related disorders and micronutrient deficiency. There were
presentations dealing with Ayurveda and Yoga also.
Dr. Arijit Chakrabarty from ICCIDD attended this workshop. He
participated in one of the group activities which dwelled on the
micronutrients. He contributed to the group work by recommending
the following for IDD elimination:
5
7.
Dr. Arvind Mathur, NPO, WHO Country Office, India
8.
Dr. L. Sonar, DDG (P), Dte. GHS, Government of India
9.
Mr. Chaman Kumar, IAS, Joint Secretary, WCD, Government of
India
10.
Dr. V Kochupillai, Chief IRCH, AllMS
11.
Dr. A. Ramachandran, Diabetes Research Centre, Chennai
12.
Dr. S.K. Sharma, Adviser Ayurveda
13.
Mr. K.D. Maiti, Director, (MH), Deptt. of HFW
14.
Mr. I.V. Basavareddy, Director Morarji Desai, National Inst, of
Yoga
15.
Dr. B.D. Athani, Director, AIIPM&R
16.
Dr. Mohan Ram, Ex-Director, IIH&FW
17.
Dr. Shariqua Yunuss, WHO Country Office
18.
Dr. Arijit Chakrabarty, ICCIDD
19.
Dr. Saraswati Bulusu, The Micronutrient Initiative
Workshop on Iodine Deficiency and Mental Retardation
11th December, 2006, B.R. Medical College, Gorakhpur
Dr. Arijit Chakrabarty, ICCIDD
s a part of the activity in the National Iodine Deficiency Control
Programme (NIDDCP), the State Health Institute (SHI) of Uttar
Pradesh organized a workshop at Department of Paediatrics/ B.R.
Medical College, Gorakhpur to announce the launch of survey on
mental retardation in Gorakhpur district. This survey is being funded
by the NIDDCP Dr. Arijit Chakrabarty from ICCIDD, AllMS, New delhi
was invited as a guest speaker for the session "Iodine and iis
importance in Brain development".
A
The workshop was attended by about 50 people which included
representatives from state IDD cell, students and doctors of B.R.
Medical College, Gorakhpur.
3.
Professor V.K. Srivastava, Convener State Nutrition Resource
Centre, Social & Preventive Medicine, KG Medical University,
Lucknow
4.
Professor Uday Mohan, Social & Preventive Medicine, KGMC,
Lucknow, Uttar Pradesh
5.
Dr. O.R Singh, Principal, B.R. Medical College, Gorakhpur, UP
6.
Dr. A.K. Rathi, Head of the Department of Paediatrics, B.R.
Medical College, Gorakhpur, UP
7.
Dr. V.K. Verma, State IDD Cell
Key Attendees:
1.
Dr. A.K. Srivastava, DGHS, Ministry of Health, Government of
India, New Delhi
2.
Dr. B.K. Tiwary, Advisor Nutrition, Ministry of Health,
Government of India, New Delhi
Sonia Gandhi Lauds NGOs' Role in Development
24 - 25 November, 2006, Tirupathi
Pritam Singh Tanwar, Rajesh Lal
Community organizations should play an active role in implementing
various development and welfare programmes of the government
meant for the upliftment of the deprived sections of the society - Sonia
Gandhi, Chairman, Indian National Congress Party.
Inaugurating the three day annual summit of Akhil Bharat
Rachanatmak Samaj (ABRS) and Silver Jubilee celebrations of
Rashtriya Seva Samithi (RASS) at Tirupathi, Andhra Pradesh, Sonia
Gandhi also emphasized the role of these organizations in
strengthening the Panchayat Raj system by improving skills of Women
Self Help Groups (SHG).
The summit recorded an attendance of over 50,000 people. ICCIDD
sent a team of two persons to display printed materials on IDD and
demonstrate the use of Salt Testing Kit. Mr. Pritam Singh Tanwar was
accompanied by Mr. Rajesh Lal in this team.
Besides several ministers from the central and state government, the
key persons who attended the summit are as follows:
1.
Sonia Gandhi, UPA Chairperson
2.
YS Rajasekhara Reddy, Chief Minister of Andhra Pradesh
3.
Rameshwar Thakur, Governor of Andhra Pradesh
4.
Nirmala Deshpande, Member Rajya Sabha
5.
Munirathnam, RAS
Demonstration of use of Salt Testing Kits by ICCIDD-MII officials. Also on display
are the printed advocacy material produced by ICCIDD-MII on IDD awareness
6
Dissemination Workshop: Jharkhand Survey
17th November, 2006, Ranchi
Dr. Prasant Saboth, ICCIDD, Mr. S.R Verma, Dr. Farhat Sayeed
dissemination workshop was held on 17th November, 2006 at
the SKIPA hall, Ranchi to disseminate the results of the state wide
study carried out to track progress towards sustainable elimination of
iodine deficiency disorders in Jharkhand. The participants were from
Integrated Child Development Services (ICDS) Scheme, Health,
Education and Civil Supply Departments. Representatives from
UNICEF, ICCIDD, CARE and other national and local NGOs were
also present. The electronic and print media was also present in the
workshop. In total there were about 300 participants in the workshop.
iodised salt for human consumption from 17th May, 2006. H
appealed to the Government, NGOs and other agencies to take
Jharkhand towards USI. He urged the Government of India to
establish a IDD cell in Jharkhand and to involve the Panchayti Raj
Institutes (PRI), school teachers and children in monitoring the iodine
content in the retail shops and at household level.
A
Mr. Sujeet Ranjan, State Representative, CARE, Jharkhand made a
presentation on the importance of micronutrients in early child
development. He gave stress on strengthening IEC for behavior
change in the community for purchasing iodised salt.
Mr. S.R Verma, Assistant Director, Department of Social Welfare,
Government of Jharkhand delivered the welcome address.
Dr. Prasant Saboth, ICCIDD made a presentation on the findings of
the survey. He shared that the household consumption of iodised salt
in Jharkhand was 95.5 % in comparison to 84.7% and 86.9% in the
neighboring states Bihar and Orissa respectively. He further stated
that while the proportion of people consuming adequately iodised salt
in Jharkhand is 64.2 %, it was 40.1 % in Bihar and 45% in Orissa (the
national figure is 49.9% (NFHS-2,98-99).
Mr. M.R Sinha, Director, Social Welfare, Government of Jharkhand
presented the objectives of the workshop which were:
1.
To share the results of the study
2.
To orient key stake holders on the issues related to iodine in the
state
3.
To make joint plan of action to overcome challenges
4.
To develop key recommendations for follow up at all levels
5.
Sri U. K. Sangama, IAS, Principal Secretary, Social Welfare,
Women and Child Development inaugurated the workshop and
addressed the workshop on importance of iodine in daily life. He
gave stress that effective I EC activities can result in improved
consumption of iodised salt in the state.
The median urinary iodine is 1 73.2/Jg/L in Jharkhand. It is 85.6jUg/L
and 85.4 p/g/L in the neighboring states Bihar and Orissa respectively.
Proportion of population having urinary iodine excretion (UIE) below
100/Jg/L is 26.4 % in Jharkhand, while it is 55.3% and 60.3% in Bihar
and Orissa respectively. Proportion having UIE below 50/jg/L is 10 %
in Jharkhand while it is 31.5% in Bihar and 32.2 % in Orissa.
Goitre prevalence is 0.9% in Jharkhand while it is 5.2% in Bihar and
8% in Orissa state.
Dr.Chandrakant S. Pandav, Professor & Head, Centre for Community
Medicine, AllMS, New Delhi made a power point presentation stating
the history and perspective of Iodine and Iodine Deficiency Disorders
(IDD). He highlighted the ill effects of IDD on the community as a
whole. He praised the efforts of Jharkhand Government for providing
adequately iodised salt to the Below Poverty Line (BPL) families
through the Public Distribution System (PDS). He also reminded every
body on the reinstatement of the central ban on production of non
Dr. Prasant stressed on the sustainability of USI in Jharkhand and
mentioned that IDD is a nutritional deficiency due to the result of
deficiency of iodine in soil and water. IDD can therefore return at any
time if the control programmes are not maintained constantly.
There was a wide discussion on the recommendation among the
participants before presenting it to the Hon'ble Minister, Social
Welfare, Women & Child Development, Smt. Joba Majhi
Dissemination workshop proceedings of Jharkhand. Hon'ble Minister Social welfare, Smt. Joba Majhi addressing the gathering
7
Recommendations
1.
2.
A time bound plan should be prepared to widely share the results
of the survey and the substantial progress achieved with multisectorial and multi-disciplinary state level audience involved as
stakeholders to the IDD problem. Dissemination of the results of
the study should be a high priority. It also ensures that the
objectives and activities proposed are data-driven & linked to
informed decision making process.
Associations of salt traders and distributors of iodised salt in
Jharkhand should be informed of the State Governments efforts
to improve the IDD status and their cooperation and suggestions
7.
A system of annual cyclic monitoring should be developed for the
state so that in a five year monitoring cycle all the districts are
covered for ensuring availability of adequately iodised salt. The
monitoring system should be linked to the decision making
process so that required corrective actions are taken to ensure
availability of adequately iodised salt.
8.
A comprehensive communication & awareness raising plan must
be developed & initiated so that the population continues to
understand why it is important to consume only adequately
iodised salt.
9.
Plan should include the testing of salt by school children, which
should be made parr of the regular curriculum to be financed by
Ministry of Education. Testing can also be done on regular basis
byAWW&ANMs.
10.
The present household coverage of iodised salt in the state is
95.5% whereas the coverage of adequately iodised salt is
64.2%. While the figures are much better than the neighboring
states and the National average, all efforts should be made to
raise the coverage of adequately iodised-salt to 90% and sustain
it as well.
11.
Jharkhand has almost met all the indicators except the coverage
of adequately iodised salt. It is currently the ideal state to have
made substantial progress in IDD elimination. This has been
largely possible due to the State Government's initiative and
leadership in procuring and making available iodised salt to a
large population at an affordable price through the PDS.
12.
Jharkhand is a remarkable example of success story for a newly
formed state.
13.
Opportunity should be provided to Jharkhand to share the
achievements not only in the health sector but also in the
development sector.
must be sought.
3.
4.
5.
6.
The Chief Minister and Minister of Health & Minister of Social
Welfare, Women & Child Development should write to all the
Panchayat Raj members seeking their support for sustaining the
IDD control programme and ensuring that only iodised salt is
sold in the villages in their areas.
The Chief Secretary, Principal Secretary Social Welfare, Women
& Child Development, Secretary Health should write to all the
District Magistrates and the Secretary, Health should write to
Chief Medical Officers of the districts to ensure sustainable IDD
elimination as a top priority. They should ensure that adequately
iodised salt reaches to all ihe population in their districts.
To work out a strategy plan for "sustaining ihe progress" and
more important to comprehend the fact that IDD can always
come back and that the same amount of effort and resources are
required to sustain ihe progress after elimination.
Strengthen the IEC. This is important to bear in mind from the
point of view of sustainability of salt iodisation. Lack of adequate
IEC can result in decrease in demand of iodised salt.
No.
Variables
Jharkhand
2006
Bihar
200304
Orissa
200203
1.
Proportion of households
consuming iodised salt (both
adequate and some amount
of iodine) %
95.5
84.7
86.9
2.
Proportion of households
consuming adequately
iodised salt %
(>=45 PPM by titration)
64.2
-MH .
3.
Median urinary iodine
Goal
> 90%
■
/Jg/L
> 100
173.2
4.
Urinary iodine excretion (UIE)
< 10Qug/L (%)
26.4
BBS
5.
Urinary iodine excretion (UIE)
< 50/yg/L (%)
10
' 31.5
w
< 20%
7.
Goitre prevalence (%)
0.9
5.2
8.0
< 5%
8
< 50%
link between iodine intake and improved Intelligence Quotient
expressed her confidence that once the villagers are educa
the benefits of iodine for the growing fetus and intelligence of th
children, they will not compromise with the quality of salt.
Address by the Hon'ble Minister for Social Welfare, Women and
Child Development, Government of Jharkhand:
The Hon'ble Minister, Smt. Joba Majhi expressed her solidarity to the
recommendations and asked the officials to make a practical plan to
achieve the goal of universal salt iodisation in Jharkhand state. She
told the delegates that the fight against malnutrition is incomplete
without strengthening micronutrient supplementation for the
population. Her emphasis was more focused to improve the nutrition
status of pregnant women and children of rural and BPL families. She
suggested preparation of IEC materials to educate the mass on the
She appealed the officials present in the house io come together a
make a revolution in Jharkhand state to eliminate goitre and make
state free from iodine deficiency disorders.
Vote of thanks was given by Mr. Subodh Kumar, Assistant Director,
Department of Social Welfare, Government of Jharkhand.
Household Iodine Content % (Total 1150)
Household Iodine Content % (Total 1150)
With some Iodine
Median Urinary Iodine pg/L (Goal > 100)
Goitre Prevalence % (Goal < 5%)
Tracking Progress Towards Sustainable Elimination of Iodine Deficiency Disorders (IDD) in Jharkhand
A collaborative project of:
Government of Jharkhand, ICCIDD, UNICEF, Centre for Community Medicine,
All India Institute of Medical Sciences, New Delhi, Government Medical College, Nagpur, Maharashtra
9
■*
Interactive Session on Production of Adequately Iodised Salt in Gujarat
6th October, 2006, Gandhidham, Gujarat
Amit Shukla, ICCIDD
ith an objective to interact with the Gujarat salt industry, an
interactive session was organized at Gandhidham Chambers
of Commerce and Industry on 6th October, 2006 at Gandhidham,
Gujarat by ICCIDD and MIL
The welcome address was given by Ms. Tripti Pant Joshi of MH.
She explained the long term association of salt producers and
ICCIDD-MII. She went on to narrate the activities carried out in
Gujarat by Mll-ICCIDD, under the ICCIDD-MII-USI Project. Talking
about iodine and its importance she mentioned, Iodine is a
micronutrient and it is essential for brain development of child.
Therefore, iodisation is necessary and requested all the present
members to come forward with their views and suggestions to
improve the quality of iodisation in the salt.
W
Objectives of the session
1.
To understand the constraints of the producers and initiate
dialogue with a view to finding solutions.
2.
Take stock of the current practices with regard to quality
assurance at production level and come out with a protocol for
quality control at production level.
3.
Mr. Amit Shukla explained the objective of the ICCIDD-MII-USI
project and also briefed about the progress of the project to the
industry. It was explained to the industry that the efforts are in direction
to produce more quantity of adequately iodised salt. At the same time
efforts are on to make it more saleable in the open market. He
proposed that the effort needs participation from the industry people
as well.
Serve as a platform for the salt producers and traders to interact
with the officials of the Salt Commissioner's office and ICCIDDMll officials regarding the support extended by ICCIDD-MII
towards elimination of IDD and achieving USI in India.
Approximately 80 iodised salt producers and traders from all parts of
the Gujarat state attended this session. They interacted with the
officials of the salt department and officials from ICCIDD-MII team.
Mr. D.L. Meena, Deputy Salt Commissioner, in his speech, expressed
his satisfaction for the iodisation programme in Gujarat and
emphasised upon the good work done by the industry people, as the
iodised salt production increased to 3.3 million tons for year 200506 as compared to 3 million tons during 2004-05. The intervention
of ICCIDD-MII was appreciated for the improved quality of iodised
salt. It was discussed that KIO3 distribution in the inland area, has
made the difference and the quantity has increased. Mr. Meena also
mentioned about the irregular supply of Railway wagons for
transportation of iodised salt.
Dignitaries on the Dias
1.
D.L. Meena, Deputy Salt Commissioner, Gujarat
2.
Bachubhai Ahir, President,
Gandhidham Chamber of Commerce and Industry
3.
D.S. Jhala, President, Indian Salt Manufacturers Association
4.
Babulal Singhvi, Managing Director,
Mr. Nakul Agarwal, in his presentation, highlighted various constrains
faced by the Inland Salt Producers. He suggested some changes in the
current criteria of the ICCIDD-MII project for distribution of KI03.
While appreciating the intervention of ICCIDD-MII, he mentioned the
remarkable change and progress in the production of iodised salt.
Friends Group of Companies
5.
Nakul Agarwal, Director, Bhagwandas & Sons
6.
Tripti Pant Joshi, National Programme Officer, Mil, Nev/ Delhi
7.
Amit Shukla, National Coordinator, ICCIDD, New Delhi
Sitting from left. Mr. Amit Shukla; Mr. D.S. Jhala; Mr. Bacchubhai Ahir; Ms. Tripti Pant Joshi; Mr. D.L. Meena; Mr. Nakul Agarwal
10
spurious packets where they have no control. He mentions
movement of iodised salt through road has no quality related co
He emphasised that despite the problems, iodisation of salt is a m<
responsibility and the producers should adequately Iodise tr
also appreciated the interventions of ICCIDD-MII. He mentioned th<
the reduction in price of KIO3 will certainly be of great help to th
Mr. Agarwal also mentioned the concern related to PFA Act and how it
affects the USI campaign. He requested ICCIDD-MII to increase the
support for KlO3 distribution.
Mr. Babulal Singhvi, in his speech, extended his gratitude for
organizing such a workshop and appreciated the delegates who
came all the way from various parts of Gujarat to attend the
workshop. He mentioned that to maintain the competitive
atmosphere and to avoid anomalies in iodised salt prices in Gujarat
KIO3 should be distributed to all producers. But he mentioned that
refineries can be excluded as the beneficiaries of the ICCIDD-MII
project. The present policy may lead the Medium Scale producers
towards the least iodisation or inadequate iodisation of salt, as the
medium scale producers will have to compete with small one in price
war, who benefited with KIO3 subsidy.
industry.
Mr. D.S. Jhala, President Indian Salt Manufacturers Association
proposed the vote of thanks and appealed everyone to support USI
campaign in India despite the various constraints that the salt industry
is facing. He mentioned that IDD is a public health problem and
producers are responsible to deal with it. He also mentioned that the
concern related to Railway and PFA act should be addressed jointly by
all the agencies and department. He then extended his vote of thanks
to all the participants and the Gandhidham Chambers who took lead
to organise such a workshop.
Mr. Bachubhai Ahir, pressed upon adequate iodisation as a social
responsibility. He mentioned that, it is the moral responsibility of all
iodised salt producers to produce adequately iodised salt. He
emphasised on strict monitoring on quality. He mentioned that
international and bilateral organisations should focus more on
monitoring of such activities. He mentioned Railways and PFA Act are
the greatest constraints in iodisation campaign in India.
He
suggested the department to develop a system to keep track of
The Gujarati version of the booklet "swatantraya mate mithu ane
magaj ni khshti tadva ma thi mukti mate iodised mithu" was released
by Mr. Bachubhai and Shri D.L. Meena along with rhe dignitaries on
dias. This book is sponsored by the Gandhidham Chamber, Jawahar
Nagar Vepari Welfare Association, Kandla Salt Manufacturers
Association and Kutch Small Scale Salt Manufacturers Association.
Mr. Bacchubhai Ahir, Mr. D.L. Meena and Ms. Tri pti Pant Joshi releasing lhe Gujarati version of the advocacy material booklet.
11
Un-organised Sector of Gujarat Salt Industry
8-10 September, 2006, Ahmedabad
Amit Shukla, ICCIDD
W
ith a view to understand the un-organised sector of Gujarat
4.
Salt Industry known as "Ghantiwalo Salt Manufacturers
Association*, officials from ICCIDD-MII visited these manufacturers
during 8th and 1 Oth September, 2006.
Considering the fact that Gujarat is
the largest producer of iodised salt
in the country but still the average
The purpose of the meeting was to understand the role, constraints,
contribution and impact of the un-organised sector on IDD program
and in the development of the salt industry, specifically in Gujarat. The
team consisted of Dr. Chandrakant S. Pandav, Mr. Amit Shukla and
the Guajarat ICCIDD-MII extender, Mr. Dinesh Thacker.
household coverage of iodised salt
in Gujarat is about 53%. This is a
matter of great concern. The lack of
focus on Chakkiwala producers,
which caters to a good number of
population, could be a major
reason for the lower coverage in
Gujarat. Hence efforts should be
made to bring them into the main
stream of the organised sector and
support them with required technical
and financial support.
It was noticed that a large portion of the supply of iodised salt in many
parts of Gujarat is being supplied by these small "Chakkiwalas".
These chakkiwalas have an association consisting of about 55
members in Ahmedabad named as "Ghantiwalo Salt Manufacturers
Association*.
After visiting physically to the work place of few of the Chakkiwalas in
Ahmedabad the following points were observed:
1.
None of the Chakkiwalas are registered with the Salt
Department, although they are willing to get themselves
registered
2.
Most of the Chakkiwalas cater to the adjoining areas of
Ahmedabad, but few of them do supply iodised salt to states like
Maharashtra
3.
Most of the common salt for the purpose of iodisation is
procured from places like Halwad, Kuda, Nimmaknagar,
Kharagoda, and Dhorghandra
All the Chakkiwalas have self
owned iodisation plants and
their average selling price of
iodised salt is about Rs.3/- per kg
The Gujarati version of the
pink booklet has been printed to
increase the regional outreach.
The Tamil & Oriya versions are
also in the process of translation.
An immediate action was also taken to address their concern. A
proforma was prepared and circulated to the Ghantiwalo Association
members to get adequate information about their production process
and work place. A thorough analysis would be done of the
information and on the basis of analysis the report would be sent Io
the Salt Department.
12
Field Visit to Salt Producing Areas of Nagaur District in Rajasthan,
19th - 21 st November, 2006
Dr. Arijit Chakrabarty, ICCIDD
4.
ICCIDD-MH has been extending its support to the salt producing
areas of Nawa city and Rajas in Nagaur district of Rajasthan. With a
view to understand the concerns of the producers in these areas and
also to coordinate with UNICEF Rajasthan to plan a roadmap for
achieving USI in Rajasthan, Dr. Arijit Chakrabarty from ICCIDD
visited Jaipur to meet the concerned people and prepare a feedback.
Objective of the visit
1.
2.
Evaluation of requests for salt iodisation plants received by
UNICEF Project Officer in Rajasthan.
paying a lesser price for a good productl
5.
To address the concerns of producers in Nava city and Rajas.
Activities
6.
1.
Meeting with Er. H.C. Dadheech, National Programme Officer,
Micronutrient Initiative (Ml), Rajasthan
2.
Meeting with Dr. Minakshi Singh, Project Officer, UNICEF,
Rajasthan
3.
Meeting with Dr. Satish Kumar, State Representative, UNICEF
4.
Meeting with salt, producers of Rajas
5.
Meeting with salt producers of Nawa city
6.
Visit to Sambar Lake and ICCIDD - Mil office
2.
A case was forwarded by UNICEF, Rajasthan for requirement of
iodisation plants by six producers in Nawa I Rajas area in June
2006 to Ml. After discussions with Mr. Dadheech who had visited
these individual manufacturers and careful evaluation of the
original letters for the requests made by these producers, it was
noticed that none of the producers listed made any requests for
provision of iodisation units. All they wanted was to be
recommended for registering their plants with the salt department.
Registration would pave way for them to be eligible to bid for
Government tenders for providing iodised salt in various states.
Another
case
was
forwarded
by
UNICEF
Rajasthan
3.
7.
13
The producers of Nawa city strongly requested for setting up of
ICCIDD - MH office in Nawa city. A place was also shown which
can be used as an office and storage of KIO3. Truly speaking it
makes sense to have an office of the extender at the site of
production. This would increase the interactions and make KIO3
available to the smallest of the producer. The rent offered was Rs.
5000/- per month which is quite prohibitive. However in the
meantime till a decision in this regard is taken the ICCIDD - Mil
extender was directed to visit Nawa and Rajas at least once every
week regularly along with a small stock so that producers become
aware of his presence on a particular day at least once a week.
8.
On meeting Dr. Minakshi Singh the above two points were pointed
out. It was brought to her notice that while ICCIDD - MH would be
interested to provide these units if it is helpful in making progress
towards achieving USI, care must be taken that these units are
given to genuine producers only. It was also mentioned that
ICCIDD - Mil would only fund a part of the total cost and a certain
percentage has to be borne by the producers/cooperatives. Bap
area needs ground evaluation which could be planned in future.
Dr. Minakshi offered the assistance of UNICEF extenders in Bap
area. She also requested for a copy of the criteria required for
provision of salt iodisation units.
The salt producers of Rajas requested for sustained supply of KIO3
share the cost.
for
requirement of iodisation plants by four groups of salt producers
in Bap area near Phalodi in Jodhpur district of Rajasthan. The
details as mentioned in their individual applications are
summarised in Table 2. As per the papers it appears that the
production is too low. It was felt that a field visit to these areas is
required to evaluate the actual situation.
Dr. Minakshi Singh and Dr. Satish Kumar suggested another survey
on IDD in the state of Rajasthan.
instead of abrupt ones. They also requested for iodisation plants to
few unregistered units although they did agree that their primary
objective was to get registered with the salt department. It was
further revealed that they were already in the process of getting the
registration with a minor clause that they would not demand for rail
rakes for transporta ion. On further evaluation of the table
mentioned above it was felt that Satguru salt suppliers and Indira
salt may be considered for provision of these units as the others are
bigger fellows. These two producers have the crushers and make
powdered iodised salt by dry mixing. The requirement is for a
iodisation plant which uses the drip method. They also agreed to
Highlights of the meetings
1.
Dr. Minakshi Singh also narrated the story of the social mark*
for promoting use of iodised salt taken up by UNICEF in villa*:.e
Junia of Tonk district in Rajasthan. As a result of this initiative th
village procures adequately iodised salt directly from the
manufacturer in Nawa and is bought by the consumers at Rs.
3.50/-. An interesting point which was noted is that the village
insists for a printed price of Rs.5/- though it is sold at a much lesser
pricel The salt sells because the consumer believes that he is
A visit to Sambhar lake office of the extender was also made. It was
felt that though the office is secure but still it is quite far from the
Area of Operation of the extender. It was also noted that KIO3
of WFP - MH project was stored at this office. The distribution is yet
to Start.
cont. on page 16
Dr. Arijit Chakrabarty of ICCIDD in discussion with the salt producers of Rajasthan
Women of Junia Show the Way
Courtesy, UNICEF Rajasthan
Dr. Minakshi Singh
ho says the sky con not be holed? Try pelting once, with heart
local project coordinator of Bal Rashmi. The organisation has
facilitated a formation of 60 women SHG within the Deoli sub
division and plans to provide a loan of Rs. 1 0.000 to each and every
woman of these groups. The women members can thus contribute
equally to collect enough money for buying the iodised salt. Every
W
and soul to hold!!'
This is the refrain of a song sung by the women of Junia, a sleepy
village dotting the rural landscape of Rajasthan. Dusty roads,
hardworking farmers, perpetually busy women untiring in their efforts
to make ends meet are a common sight. But today the sight of
member of a group consisting of 6 members has to contribute Rs.
4000 to pool Rs. 24.000 which is required to buy 20.000 consumer
women veiled in multi-hued tie'n'dye drapes, carrying heavy gunny
bags on their heads, selling iodised salt from door to door is not an
bags of 1 kg each.
The villagers were so enthused that the Sarpanch (Headman) and
members of the Panchayat Support Group who oversee the village
development plans agreed to provide storage room for the salt. So, a
unusual sight.
Role of Bal Rashmi
The dusty road, coming off the NH 8 near village Dooni in Tonk
district of Rajasthan, leads to the village Junia, where UNICEF has
makeshift storage arrangement was made in a room at a
Government Senior Secondary School. Today, the salt storage unit of
Junia named as "Dundhar Iodised Salt Storage " is providing iodised
assisted a voluntary organisation Bal Rashmi to promote integrated
development for women and children with involvement of local
salt to at least 1000 families of Junia and three neighbouring villages.
communities in the Integrated Village Planning project called
"Gramshakti" underway in the district. The project envisages that
The store is being managed by six members of the local SHG. They
are also assisted by ihe Village Planning Facilitator Mr.
Buddhiprakash, of the Integated Village Planning Project, in book
village development plans will be developed by the communities and
local Panchayats in a participatory planning process keeping in view
the key indicators for survival and development of children. As per the
project, once the development plans are finalized, a group of four
keeping and accounting.
This initiative has stirred the imagination of the other villages.
Currently iodised salt storage warehouse have started functioning in
Nagarfort, Dooni and Deoli villages besides Junia, benefiting a total
of 50 villages. This movement of iodised salt is expected to spread to
youth volunteers and local development committee will do a follow
up of the same. One of the indicators promoted in this project is the
improved access and consumption of iodised salt by families to avoid
another 50 villages, totalling to 100 by the end of this year. The
ongoing movement has facilitated the sale of 1,00,00 kg iodised salt
(20,000 kg per month) in about four months (May-August) across the
villages. If the profit is calculated even at nominal rate of .05 paise /
iodine deficiency disorders in pregnant women and growing children.
Bal Rashmi has forged good links with the village communities in the
block and has also promoted the concept of self-reliance among ihe
women by supporting the formation of women Self-help Groups
(SHGs). These SHGs were then encouraged to promote the sale and
kg, it accrues profit money of Rs. 50,000/- to the women group. Bal
Rashmi expects that within 6 months the women will be confident
consumption of iodised salt.
Making iodised salt available in village
enough to run the show on their own steam without any outside
support. And so the story goes., women can show the way.
According to a member of a local SHG, Mrs. Laadi Bairwa, the
Source: http://www.unicef.org/india/health_2474.htm
villagers knew that consumption of raw salt could cause serious
diseases but continued consuming it as iodised salt was very
expensive and sometimes ordinary salt was sold as iodised salt. The
unavailability of iodised salt was tackled by Bal Rashmi by facilitating
the supply of Tata Salt @Rs 7/kg through the network of village youth
volunteers over a period of 4 months. However, many families of the
village still could not afford it. UNICEF Jaipur then took the initiative
of convincing the salt traders of Nawa, Nagaur district to provide lowpriced iodised salt to the voluntary organizations, who in turn, would
supply the same to the community. An impromptu deal was struck
between Bal Rashmi and Kailash Salt Industries for one truck load of
iodised salt sold (equivalent to 20,000 consumer bags of 1 kg each)
for a mere Rs 24,000. 'The iodised salt, including all expenses, costs
us Rs 2.00/kg. It is sold @ Rs 3.50/kg by the women's group. The
direct and net gain of Rs. 1.50/kg has been a great motivator of
Women members of Self-help group selling iodised soli in Dundhor
Iodized Salt Storage in village Junia, Tonk.district, Rajasthan
unprecedented enthusiasm in the women folk!" says Mrs Renu the
14
First ICCIDD Southern Region Panel Meeting
4th November, 2006, Tuticorin, Tamil Nadu
Amit Shukla, ICCIDD
I
ICCIDD briefly presented the objective of the formation of the pane
and the objective of the meeting as well. The producers and traders
were given a platform to raise their concerns and issues pertaining to
the production, storage, Transportation and distribution of iodised salt
ndian Coalition for Control of Iodine Deficiency Disorders
(ICCIDD) has been working for the various issues related to Iodine
Deficiency Disorders (IDD) and to achieve Universal Salt Iodisation in
India. The Indian salt industry has a vital role to play to achieve the set
objectives. Therefore, ICCIDD has formed two regional panels,
namely ICCIDD Western Region Panel (IWRP) and ICCIDD Southern
Region Panel (ISRP) to work more closely with the salt industry. The first
meeting of the IWRP was held on 9th September, 2006 at
in Tamil Nadu.
ICCIDD also explained the gathering about the USI program in India.
It started from how this serious concern of Iodine Deficiency Disorder
(IDD) was brought into the notice of Government of India (Gol) and
proper scientific facts were given to attain the adequate attention from
the Gol. It was explained that we have come a long way to achieve
our objective but still there is a long way to go.
Ahmedabad which was reported in our September issue of the
newsletter. The first meeting of the ISRP was held on 4th November,
2006 at Tuticorin, Tamilnadu and is reported here.
Objective
ICCIDD emphasised upon the fact that the USI program cannot be
successful until the iodised salt manufacturers ore thoroughly
involved in the project and their concerns are addressed.
To act as a catalyst to achieve USI in India through support from salt
industry and also to provide adequately Iodised salt to the Below
Poverty Line (BPL) population
Highlights
Approach
1.
Interaction with the industry to know the various issues involved
in production of adequately Iodized salt.
2.
Raising the concerns in the right platform and to the relevant
authority who have the solution.
3.
Preparing a suggested roadmap along
inputs/suggestions to achieve the set objective.
4.
Involve the key industry people to share their inputs with National
Coalition for Sustained Iodine Intake (NCSII)
5.
Making the panel members as advocacy partners for spreading
the awareness across all the iodised salt producers.
with
1.
The producers mentioned that the production of iodised salt in
Tamil Nadu has declined during the current financial year as
compared to the previous year. They explained that the major
reason for the decline is the demand of iodised salt from the
open market.
2.
The producers accepted the fact that they have sufficient
production capacity to produce iodised salt but the entire market
is demand driven. Therefore no quantity of iodised salt can be
produced unless they have the demand for rhe same.
3.
They requested ICCIDD and other International agencies to
come out with some campaigns to increase the awareness about
the consumption of iodised salt and hence increase the demand
of the iodised salt.
4.
The producers also raised the serious concerns of PFA act and
said that the stringent norms of the PFA act are very discouraging.
They said that the producers are preferring to move out of the
business of iodised salt. Especially, talking about Tamil Nadu
where almost 60% of the producers are from un-organised
sector which needs to be motivated to get seriously involved in
industry
Proceedings
Members briefed about their organisations and also enumerated the
number of years they have been involved in the business of salt
production (non iodised and iodised).
The members consisted of large, medium and small sectors of the salt
producers. ICCIDD was represented by Dr. Chandrakant S. Pandav,
Mrs. Smita Pandav, Mr. Amit Shukla and Mr. Satyanidhi Rao.
Welcome address: Amit Shukla. National Co-ordinator,
ICCIDD, New Delhi, delivering the Welcome address.
the business.
(I Io R): D. Sivakumor, Superintendent of Salt, M.S. Prakash.Tuticorin Sal: &
Marine Chemicals. Dr C S. Pandav, Regional Coordinator. South Asia, V.V.D.
Rovindren, President Salt manufacturer's & Merchants Asso. Thoothukudi,
Front row (L to R) Amit Shukla, National Coordinator, ICCIDD, M.
Kandaswami, SKMS Chennai, Michael Motha, Sohayamatha Salt
Refinery Ltd. Thoothukudi, (Far right) M.A. Chandrasekaran, Ex-
Michael Moina, Sohayamatha Salt Refinery Ltd.
RAB member, S Muthuveerappan. Inspector of Sait
15
5.
6.
7.
8.
9.
6.
They also raised a local concern wherein the Tamil Nadu
Pollution Control Board is treating the salt industry as one of the
pollutants of the environment.
that it will share the copy of the representation to Dr. A. K. Dua,
Secretary, Industry and Commerce, Gol.
The producers mentioned the concern of availability of
Potassiium Iodate and also about the prices of the product which
are continuously going up.
Participants List
Salt Industry
1.
They also requested that since the norms of the PFA act are so
stringent the salt department should bring more awareness
about the legalities and technicalities of the Act.
2.
M. Ramalingam, G. Das & Co. Pvt. Ltd
R Earoonamoorthy, G. Das & Co. Pvt. Ltd
The small scale manufacturers have requested the international
agencies to make their product more competitive in the market.
4.
B. L. Damani, G. Das & Co. Pvt. Ltd
5.
M. S. Prakash, Tuticorin Salt & Marine Chemicals
Vedaranyam manufacturers requested for a broad guage railway
line to facilitate the transportation of the salt from their area.
6.
V.V.D. Ravindren, President Salt Manufacturer's & Merchants
Association. Thoothukudi
7.
Michael Motha, Sahayamatha salt Refinery Ltd. Thoothukudi
Regarding awareness about iodised salt, ICCIDD explained that
the awareness campaign should be a combined exercise
wherein all the agencies should be involved viz. Government,
International agencies, Salt Department and Iodised salt
producers. The producers were requested to think of the option
wherein they can also be a part of the campaign and submit the
proposal for the same.
Dr. Pandav explained that the All India Institute of Medical
Sciences (AllMS) will have interaction with the medical fraternity
of all medical colleges of South India to bring them to the same
platform on USI program in India.
2.
4.
M.S.R Thenraj, President, TTUEVSangam, Thoothukudi
V.S.A. Jeyaraman, Thoothukudi
10.
S.K.S.C. Dharmaraj, S.K.S.C. Natarajan & Bros. Thoothukudi
11.
Narayan Dharmaraj, Brilliant Sall Trading Co., Thoothukudi
12.
Jainarayan Santosh Kumar
13.
M. Kanpadaswami, SKMS Chennai
14.
J. Kennedy, Tiny Salt
15.
N. Dhanalel, Tiny Salt
16.
RK. Dillikumar, Tamil Nadu Salt Association
18.
A. Srinivasan, Sree Durga Salt Traders
19.
R Kasi Raman, TSMC Ltd
Salt Department
Regarding demand generation, it was discussed that ICCIDD
along with other agencies can organise a meeting with civil
supplies officials of all India so that most of the states can directly
procure the iodised salt from the producer and also ensure ihe
1.
D. Sivakumar, Superintendent of Salt
2.
S. Muthuveerappan, Inspector of Salt
ICCIDD
1.
consumption of the same.
5.
8.
9.
1 7. T.S.M. Singavar, T.S.M. Salt
Regarding the PFA Act, ICCIDD explained that there could be a
delegation from the Tamil Nadu Salt Industry as selected by the
Indian Chambers of Commerce and Industry and this delegation
would be accompanied by ICCIDD and AllMS to pay a visit to
the Minister of Health & Family Welfare, Government of India.
3.
R. Ramar, G. Das & Co. Pvt. Ltd
3.
Action Points
1.
Regarding the availability and price of KIO3, ICCIDD assured
Chandrakant S Pandav, Regional Coordinator, South Asia
Regarding the railways, ICCIDD explained that the organisation
is already in touch with the Railway Ministry and this point can be
2.
Smita Pandav, Project Co-ordinator
3.
Amit Shukla, National Coordinator
added to the representation.
4.
Satyanidhi Rao, Salt Extender
cont. from page 13
Conclusions and Recommendations
1. The restriction on MRP of Rs. 3/- is impractical. As evident by the UNICEF experience it is the basic human psyche to buy a product
lesser than the MRR As long as the product (adequately iodised salt) is available io the underprivileged people at an affordable price we
should be satisfied. Mil may fake up case with CIDA to revise the criteria regarding the MRR
2. The percentage of subsidy given could be raised. 15-20% of the total requirement is too low in the 2nd year of the project. It could have
been 50% in the current year and could have been lowered gradually in the subsequent years.
3.
4.
Agencies should build a model to channel the produce to the PDS of the various states to ensure availability of adequately iodised salt
to the underprivileged population. This would create a market for low priced adequately iodised salt.
An inter-agency meeting / workshop can be done with the stake holders in Rajasthan especially the salt producers, Civil Supplies
Department and the IMA to disseminate ihe ICCIDD - Mil USI objectives and look for practical solutions especially social marketing of
iodised salt and building a market through PDS.
16
The Impact of ICCIDD-MII-USI Project on Bahuda Society of Orissa
Dr. Prasant Saboth, ICCIDD
ahuda Salt Production & Sales Cooperative Society Limited is an
offered assistance towards the repair work, the association seer
Mr. Khirod Chandra Sahu immediately called a meeting of t
members and came to a consensus to go ahead for repair of the plant
and to iodise their entire stock of 2340 MT of salt which was stocked.
B
association of small salt producers formed in 1 949 in a coastal
village of Surala in Ganjam district of Orissa in the east coast. The
tradition of crystal salt production and selling to local traders and
local industries was the routine business of this association. With the
implementation of Ban on non-iodised salt and orientation by salt
department and different agencies, the members thought of not
selling their salt for edible purpose. The society did not have enough
resources to repair their non functional iodisation plant and purchase
KIO3. Therefore they contacted a local industry house for selling their
salt. However the industry house offered a very low price io the
association for their salt.
On their request Dr. Prasant visited their office and got an assessment
of the plant by a local mechanic. The cost towards the repair work was
borne by ICCIDD-MII. Eventually the plant became functional by the
second week of November 2006. The association members
celebrated the repair and iodized 900 MT in last two weeks of
November 2006!
The producers are very happy and thankful io ICCIDD-MII initiative,
as now there will be no scope for exploitation by the industry house!
The smile on the faces of the society members gives a message of
This society was visited by the ICCIDD-MII representative in the
Orissa, Dr. Prasant Saboth. A local NGO has also played the role of
motivator for the society members. This NGO is based in Chatorpur
area of Ganjam district in Orissa and has been working with the salt
workers for the last 5 years. Dr. Saboth offered help to the society with
the condition that they would in turn produce adequately iodised salt
and would price it at not exceeding Rs. 3/- Kg.
commitment towards USI.
The members have also requested to establish a laboratory for
monitoring iodine quality I PPM on cost sharing basis. They have
appointed a chemist from their village who has done B.Sc in
chemistry. With initiative from ICCIDD, the chemist has been imparted
a three day training at Bhubaneswar Salt Department Laboratory. The
The iodisation plant with the association was given by UNICEF in the
year 1999. The unit needed repairs. When the association was
laboratory will be established by January 2007.
The non functional iodisation plant of the Bahuda society is now functional as a result of repair works taken up by ICCIDD-MII
17
36th Annual Conference of Endocrine Society of India (ESICON)
17-19th November, 2006, Jaipur
Dr. Arijit Chakrabarty, ICCIDD
he Endocrine Society of India organized its 36th Annual
Conference, ESICON from 1 7th to 19th November, 2006 at B
M. Birla Science & Technology Center, Jaipur, Rajasthan. Dr. Arijit
Chakrabarty of ICCIDD attended this conference from ICCIDD.
T
It is well established that endocrine faculties are instrumental in
physiological development of human body and normal functioning of
all vital organs, thereby playing a key role in overall health and quality
of life*
The conference provided an opportunity to exchange the experience,
find new technology in the field of relevant medical science and open
new doors to mitigate the human suffering. The scientific
deliberations during the conference were very useful for all delegates.
The knowledge can be utilized for the care / protection of the
endocrine problems.
The session on thyroid disorders was chaired by Dr. N. Kochupillai.
This session had a presentation on pathogenesis of Graves
Hyperthyroidism by Dr. R. Utiger. Dr. Kochupillai also made a
presentation later during the session on, Thyroid: Issues and
Controversies. His talk enumerated the evolution of endemic goitre to
iodine deficiency disorders and current status of IDD prevention in
India. He dwelled on the issues related to salt iodisation programme
in the country and answered various queries related to it from the
audience.
A souvenir was published to mark this occasion.
Micronutrient Profile of Women &
Children in Uttar Pradesh, India
A Review of Available Literature
Dr. V.K. Srivastava, Lucknow
This work is a compilation of various studies on micronutrients carried
out by many researchers done in the state of Uttar Pradesh. This
compilation is edited by Dr. V. K. Srivastava, Professor of Social &
Preventive Medicine, KG Medical College, Lucknow & Convenor,
State Nutrition Resource Centre (Micronutrients), U.P & Dr. A.K.
Nigam, Director, Institute of Applied Statistics & Development
Studies, Lucknow, Uttar Pradesh.
The compaendium which is a review of the available studies on
micronutrients in ihe state of Uttar Pradesh has been prepared with
the objectives of finding out the prevalence of various important
micronutrient deficiencies, carry out analysis for trends and regional
variations, identify gaps in knowledge & identify the potential areas
for future research.
18
Nutrition 2006-1 World Congress of Public Health Nutrition/
VII Congress of the Spanish Community Nutrition Society
28 - 30 September, 2006, Barcelona
utrition 2006 (I World Congress of Public Health Nutrition /VII
deficiency is now considered the most common cause of preventc
Congress of the Spanish Community Nutrition Society),
brain damage in the world today.
N
Barcelona was a landmark event organized by the Spanish Society of
Dr. Pandav reiterated that extensive studies throughout the world over
Community Nutrition (SENC) in collaboration with the International
the last 20 years have revealed that 130 countries are affected by
Union of Nutritional Sciences (IUNS), solely dedicated to address
iodine deficiency, with a total population in excess of 2 billion at risk of
issues in the area of Public Health Nutrition from a worldwide
the occurrence of varying degrees of brain damage. He said that
perspective.
around the time of the World Summit for Children (1990), 20% of
The format of the congress consisted of Keynote, Roundtable and
households had access to iodine by using iodised salt. By the end of
2000, almost 70% of households had access to iodine by using
Symposium sessions in which invited international experts debated
leading topics of interest and address solutions for emerging
iodised salt, thus preventing more than 80 million newborns in the
nutritional problems in a global context. Dr. Chandrakant S. Pandav,
world annually from consequences of iodine deficiency. Since 2002
Regional Coordinator, ICCIDD, South Asia and Professor & Head,
many countries have reported steady progress towards achievement
of the goal. UNICEF has identified 16 countries ("make or break"
Center for Community Medicine, All India Institute of Medical
Sciences, New Delhi, India was invited as a speaker for the session
countries) with the intention to ensure extended support beyond
titled "Micronutrient Initiative session", on the subject titled "Advances
2005.
in the Control of IDD".
He concluded by saying that there has been substantial progress in
the last decade towards the elimination of iodine deficiency. It reflects
The session was introduced by Erick Boy, Micronutrient Initiative,
Ottawa, Canada. Following are the details of the speakers in this
the efforts made by countries to implement effective IDD control
programmes and is proof of the successful collaboration between all
session:
I.
the partners in IDD control, in particular the health authorities and the
Global Progress and challenges in VAD control: M. G.
salt industry. The abstract of Dr. Pandav's talk is printed on page 47 of
Venkatesh Mannar, International Council for Control of Iodine
the special issue of Public Health Nutrition, Volume 9, Number 7 (A),
Deficiency Disorders, Micronutrient Initiative, Ottawa, Canada
II.
September 2006.
Global Progress and challenges in IDD control: Chandrakant S.
Pandav,
During this event (Nutrition 2006) a new Public Health Nutrition
Association was created. This was an important initiative that the
President, I World Congress of Public Health Nutrition, Professor Lluis
Serra-Majem hoped would make a real difference in the field of
Regional Coordinator ICCIDD, South Asia and
Professor & Head Centre for Community Medicine, All India
Institute of Medical Sciences (AllMS), New Delhi, India
III.
Magnitude and impact of the zinc deficiency problem in
community nutrition
and public health.
The draft document
was prepared by
Barrie Margetts and
Agneta Yngve. 100
experts in the field
were solicited to
comprise the PHN
1 00 Founding
Board. Dr. C. S.
Pandav was invited
to participate in this
meeting on 30th
developing countries: Christine Holz, Nutrition Specialist,
HARVEST PLUS, IFPRI
IV.
Magnitude and impact of the iron deficiency problem
in
developing countries: Fernando E. Vileri, Researcher, Professor
Emeritus Scientist, Department of Nutritional Sciences and
Toxicology, University of California, Berkely and Center for
Nutrition
and
Metabolism,
Children's
Hospital
Oakland
Research Institute (CHORI), USA
V.
Iron and malaria, WHO recommendations: Bruno de Benoist,
Coordinator, Micronutrients, WHO, Geneva, Switzerland
VI.
Feasibility and expectations in plant breeding for micronutrient
deficiency control: Howarth E. Bouis, Program Director, Harvest
Plus, International Food
Policy Research Institute
(IFPRI),
scourge of mankind, includes goitre and brain damage at all ages
September, 2006 at
Barcelona. During
this event the
constitution of this
International body
beginning with the foetus during pregnancy. He said that, Iodine
was also presented.
Washington, USA and the International Institute for Tropical
Agriculture, Cali, Columbia
In his presentation Dr. Pandav told that iodine deficiency-an ancient
19
Inter-Country Participatory Workshop (WFP-MI)
4-6 December, 2006, Jaipur, Rajasthan
Dr. Arijit Chakrabarty, ICCIDD
three day workshop was organized by The United Nations World
9.
Magdalena Moshi, Head of Programme Unit, WFR Pakistan
Food Programme (WFP) which aimed io bring together the
officials, managers, experts and technicians with two ongoing WFPMI collaborative projects aimed at accelerating the USI strategies in
Rajasthan (India) and Northern Pakistan. The workshop was also an
occasion for WFP to officially announce the launch of the WFP-MI
initiative in Rajasthan.
10.
Mohamed Mansour, Senior Programme Adviser, WFR Rome
A
Participants invited in the workshop included officials from all the
stakeholders (Government of India, Food and Nutrition Board, Salt
Department, UNICEF, ICCIDD, Ml) connected to IDD elimination in
India and the representatives of salt producers association in
Rajasthan. WFP hosted the workshop and their officials came from
Rome, Thailand, Pakistan and India.
Key attendees in the workshop
1.
1 1. Rita Bhatia, Regional Adviser ,WFP Asia, Thailand
12.
Ravi Shankar, Deputy Technical adviser, Food & Nutrition
Board, Government of India
13.
Deepti Gulati, Senior Nutritionist, WFP, India
14.
Eric Alain Ategbo, UNICEF, New Delhi
15.
Arijit Chakrabarty, ICCIDD, AllMS, New Delhi
1 6. S. Sunderasan, Salt Commissioner, GOI
1 7. M.A. Ansari, Deputy Salt Commissioner, GOI
18. Raghu, Salt Commissioners Office
19. Ramesh Mehta, Assistant Finance Officer, WFP India
Ram Kumar Agarwal, President Nava, Salt Manufacturers
Association, Rajasthan
20.
Luc Lavilolette, RD, Ml Asia
2.
Anil Gattani, Rajas Salt Manufacturers Association, Rajasthan
21.
Venkatesh Mannar, Ml Ottawa, Canada
3.
Parshottam Barwal, Mfg. Potassium Iodate, Calibre Chemicals
22.
H.C. Dadheech, NPO, USI Ml India
4.
Kiran Dave, Mfg. Potassium Iodate, Micron Laboratories
23.
Sathyapal Jayapal, Ml Asia
5.
Manubhai Makadia, Mfg. Potassium lodaie Mercury Dye
24.
Prakash C. Chhangani, Consultant Centre for Community
Economics and Development Consultants Society
(CECOEDECON)
25.
K. Ponnuchamy, Chairman & Managing Director, Hindustan
Salts Limited, Rajasthan
Chem Industries
6.
Gianpietro Bordignon, WFP Country Head, India
7.
Tina van den Briel, Senior Programme Adviser, WFR Rome
8.
Fritts van den Harr, Professor, Emory University
Women workers of the Self Help Group (SHG) of Nova packaging iodised salt
A refurbished iodisation unit of Self Help Group producing iodised salt
The workshop was designed in two parts consisting of a one day joint
field visit to Nava city, Rajas and Sambhar lake, the location o f the
WFP-MI project in Rajasthan and a two day residential gathering
composed of plenary and break-out sessions.
The objective of the field visit was to help participants obtain first-hand
observation of the practical project execution in Rajasthan. While the
two day plenary session helped discuss and draw joint conclusions
from the observations and opinions of stakeholders, based on
practical implementation of the WFP-MI projects in Pakistan and
India.
Project Components
Outcomes of the workshop
1.
Technology and Infrastructure: Support the establishment of
locally assembled, small iodisation plants by subsidizing the
repair costs of old machinery wherever appropriate and
installation of new small capacity iodisation units
2.
Potassium Iodate Subsidy: Cost of the Potassium Iodate is low
- about USS 1 per ton of salt. Operating margins of small salt
producers could be as low as USS 2.2 per ton of salt. Hence,
iodisation is perceived as an additional burden
3.
Shared initial ideas on the minimum efforts and conditions that
can facilitate self-sustained results and actions introduced from
the projects in Rajasthan and Northern Pakistan.
Packaging: Packaging of salt into small, good quality polythene
packets to ensure hygiene of the product; preservation of the
iodine content in salt; facilitate branding and quality certification
and to make the product attractive from a marketing point of
view
4.
Inaugural session of the workshop saw strong political commitment
coming from two ministers from key ministries of the State
Government viz. Minister of Food & Civil Supplies, Mr. Kirori Mai
Meena and Minister of Industry, Mr. N.S. Rizwi gave the Presidential
Address and Special Address respectively.
Quality Assurance: The producers will be oriented on the
importance of adherence to quality norms for iodine content,
overall hygiene and packaging. A system will be built to ensure
that the salt is tested through titration by Inspectors of Salt
Department, Gol
5.
Training and Technical Support: Training and technical
support will be provided to all persons connected with the salt
iodisation on Iodisation techniques, Equipment maintenance,
Quality management, Inventory management, Marketing skills
and Health/nutrition education, etc.
6.
Mobilisation and Institution Building: It is a critical element in
the project and encompasses a whole range of interventions to
be carried out in partnership with a local NGO in terms of social
mobilization and institution building. This would include:
Bringing together small salt producers to form small
cooperatives and run the enterprise on a joint ownership basis,
strengthening their access to institutional credit, federating SHGs
into an apex cooperative body to facilitate linkages with
institutional finance and premix suppliers, and also serve as a
7.
1.
Increased understanding among participants of the political and
practical realities that influence the results from project execution
in Rajasthan and Northern Pakistan
2.
Agreements on the required next activities for each project io
ensure continued progress toward the national goal of IDD
elimination through USI
3.
Broad consensus on method and approaches io measure, report
and publicize the results obtained from project execution in each
country
4.
Project Goal
To reinforce and sustain the reduction of IDD in the State of Rajasthan
and India as a whole, by increasing the availability and accessibility of
quality iodised salt to the vulnerable sections of the Indian population.
Key Components
1.
Bringing the small-scale salt producers (SSP) and medium-scale
salt producers (MSP) under the iodisation umbrella by organizing
them into self-help groups
2.
Improving the technical and managerial skills of SSP and MSP
3.
Improving the production capacity and infrastructure of SSP and
MSP
4.
Ensuring regular supply of potassium iodate to SSP and MSP
QA authority
5.
Building-in quality assurance systems in the production and
processing of salt in the small and medium-scale sector
6.
Addressing the credit and marketing needs of SSP and MSP
7.
Contributing towards their sustainable livelihood
Marketing: The public distribution system (PDS), ICDS and the
MDM programme will provide a very large market for iodised
salt, SSP and MSP will also be provided with adequate marketing
skills to position their product in the open market, iodised salt to
be marketed in small packages -1 kg / half-kg packs will be
8.
Creating a demand for adequately iodised salt among the state
population through a targeted public awareness campaign
favored by poorer households who currently consume non
iodised or inadequately iodised salt
21
India Micronutrient National Investment Plan for 2007 - 11
19th October, 2006, New Delhi
he Micronutrient Initiative launched the India Micronutrient
T
Notional Investment Plan (IMNIP) for 2007-2011
October 2006 in New Delhi.
damage health, impair work capacity, impact reproduction, reduce
intelligence and occupational choices. Speaking on this occasion,
Mr. T.S.R. Subramanian, former Cabinet Secretary, Government of
India and currently Chairperson of the Micronutrient Initiative India,
an Indian non-profit Trust, said, "The lower end total cost (Rs 587
crore per year) represents the highest priority interventions and will
accounts for only 0.1 per cent of the total expenditure budget for
2005-06 and less than 5 per cent of the Central Health budget
(2006-07). Given the small additional costs compared to the huge
potential benefits in the field of public health, we are confident
that these proposed interventions can be funded in the
on 19
The Investment Plan is the result of a highly participatory process
carried out in 2005-06 by a task force consisting of representatives of
government departments, academic institutions, non-governmental
organizations, the private sector and international organizations. The
Investment Plan seeks to provide micronutrient protection to 206
million high risk beneficiaries per year (average) over a five year
period at an additional cost of Rs 587-733 crore per year (USD 130163 million). It is about Rs 5.40 per capita per year, which is fifty times
less than the estimated per capita yearly loss to GDP resulting from
micronutrient deficiencies (Rs 284). The IMNIP builds on the
significant activity currently underway in the country and the
infrastructure already in place.
The Investment Plan and the current situation in India was discussed in
detail with senior Government Officials, leading scientists from
across India and international agencies who were present on ihe
occasion. Speaking on the occasion, Mr Luc Laviolefte, Regional
Director, Asia, The Micronutrient Initiative, said, "More than 2 billion
people worldwide suffer from vitamin and mineral deficiencies, of
which 35 per cent of them live in India. Women and children are the
most affected and these deficiencies kill children and women,
His Excellency, David Malone, Canadian High Commissioner Io India ond
Mrs. Deepa Jain Singh, IAS, Secretary, Department of Women
ond Child Development, Government of Indio
Develop Strategy to Initiate Newborn Screening Program in India
6-7 September, 2006, All India Institute of Medical Sciences, New Delhi
Dr. Madhulika Kabra
Research (ICMR). He also presented the available and extrapolated
data for disorders commonly considered for NBS and it was clear that
the burden is significant. Disorders like congenital hypothyroidism
(CH) are more common than the developed countries especially in
the iodine deficiency areas, the other important disorders being
hemoglobinopathies specially in certain areas of the country. He also
opined that in ihe present scenario CH is probably the first disorder
which should be screened in the country if it is to be implemented as a
national program. If the screening is planned in a project mode then a
wide range of disorders should be screened.
Anational consultation meeting to develop strategy to initiate
newborn screening program in India was organized by the
Department of Biotechnology (DBT) at the All India Institute of
Medical Sciences (AllMS) in New Delhi.
Giving away the welcome address Professor M.K. Bhan, Secretary
Department of Biotechnology, Government of India emphasized the
need for a newborn screening (NBS) program in India. He requested
the experts to evaluate the feasibility of such a program in the country
in view of the different demographic profile, health priorities, limited
availability of good health care facilities and different health seeking
behaviors in view of socioeconomic and cultural scenario in the
country. He also stressed the need for having inbuilt research issues.
Dr. B.L. Therrell from NNSGRC, Austin, USA gave a talk on "World of
Newborn Screening - basic concepts and review of program
experiences around the world". He stated that NBS is an essential
public health program that prevents catastrophic health
consequences through early detection, diagnosis and treatment.
The formal presentations in the meeting began with a talk on
"Demographics and Need for Newborn Screening in India - an
overview, by Prof. I.C. Verma. He discussed the demographic profile
of India and mentioned the genetic services and newborn screening
become relevant once the IMR goes below 50 which is already the
case in certain states of India. He also emphasized that expertise for
genetic testing is increasing in the country due to research support by
many agencies like Department of Biotechnology (DBT), Department
of Science & technology (DST) and Indian Council of Medical
The next talk was given by Dr C.D. Padella from NIH Manilla on "A
Model for Successful Implementation in an Asia-Pacific Developing
Country - successful strategies and barriers". This was a very
encouraging talk as she gave the details of how she started with a
small setting and gradually made it a country wide activity. She
emphasized on the following points:
22
1.
2.
Importance of participation of Public,
Practitioners, Academicians and NGOs
Government,
Need for a clear SMART (Specific, Measurable, Attainable,
Realistic, Time bound) goal
3.
Dr. C. Boyle, CDC, Atlanta, USA
4.
Dr. C. D. Padilla, NIH Philippines, Mon.lo
5.
Dr. J. Hanson, NICHD, Washington D.C. US
6.
Dr. Moore, Margaret
7.
Dr. W.H. Hannon, CDC, Atlanta, GA USA
3.
Need fora good team with one dedicated leader
4.
Core group of experts should be formed
10.
Dr. A.K. Singh Kolkata
5.
To get the support from the community advertising and
campaigning is a MUST before initiating the program
11.
Dr. Chandrakant S. Pandav, AllMS, New Delhi
12.
Dr. Dipiko Mohanty, Bhubaneshwar
Following this Professor VK. Paul (AllMS) talked about state of
13.
Dr. I.C. Verma, SGRH, New Delhi
14.
Dr Jyothy, Director, IGB, Hyderabad
newborn care and health in India. He discussed the demography,
causes of neonatal mortality and problems of coverage in view of
high percentage of home deliveries.
8.
Dr. Anant Rao (AIMS Cochin)
9.
Dr. A.K. Dutta, KSCH, Nev/ Delhi
15.
Dr. M.K. Bhan, Secretary, DBT
16.
Dr. Madhulika Kabra, AllMS, New Delhi
1 7.
Dr. Mammen Chandy, CMC, Vellore
In the next presentation Dr. Vasantha Muthuswamy talked of the ICMR
18
Dr. Meena P Desai, Mumbai
initiatives.
19.
Dr. Nikhil Tandon AllMS New Delhi
In the post lunch session Dr. C. Boyle from CDC Atlanta talked about
Newborn screening for hearing loss. She emphasized that:
20.
Dr. Radha Rama Devi, CDFD, Hyderabad
21.
Dr. Rita Christopher, NIMHANS, Bangalore
1.
2.
3.
22.
Dr. Roshan Colah, Mumbai
23.
Dr. Seemo Kapoor, MAMC, New Delhi
Each year, 12,000 infants (3/1000) are born with hearing loss
(75,000 in India) which is the most frequently occurring birth
24.
Dr. Sheffali Gulati, AllMS, Nev/ Delhi
defect
25.
Dr. T.S. Rao, DBT, Nev/ Delhi
Average age of identification
screening is 2 1/2 years of age
without
newborn
hearing
Existence of a 'sensitive period’ for language development, a
gradual decline in language acquisition skills as a function of
26.
Dr. Tara Nath Shetty, NIMHANS, Bangalore
27.
Dr. Usha P Dave
28.
Dr. V. Muthuswamy, ICMR, New Delhi
29.
Dr. Veena Kalra, AllMS, New Delhi
30.
Dr. Vinod Paul, AllMS, New Delhi
age
4.
Undetected, hearing loss may adversely affect social, emotional,
and academic achievements
Professor Meena Desai talked of her experience of NBS for CH using
cord blood and emphasized lhe need of early detection and follow
up.
Dr. Radha Rama Devi from CDFD Hyderabad presented her
experience of two pilot projects on NBS.
Following this Dr. W.H. Hannon gave a talk on "Assuring the Quality
of Newborn Screening - need for external proficiency testing, assuring
sustained performance, logistics and issues to establish a quality
assurance program". He emphasized on the need of quality control
both internal and external and introduced CDC QC programs.
Newborn hypothyroid
screening program
using cord blood on
Whatman No. 3
Filter Paper Spot
The last talk was given by Dr. J. Hanson from NICHD USA on "Issues
for Government Agencies in Creation of a Sustainable Newborn
Screening Program - protection, assurance and policy formulation;
ethical, legal and social; research goals and objectives; personnel
Department of Science
& Technology
AllMS Project (1981-1990)
and infrastructure". He discussed the following issues:
1-
Procedural guidance for screening
2.
Research objectives and issues should be inbuilt
3.
Policy implications and issues
4.
Personnel and infrastructure issues
Key Attendees:
1•
2;
Dr. Altaf Lal, US Embassy, New Delhi
Dr. B.L. Therrell, NNSGRC, Austin, TX USA
23
EPIGRAMS FROM GANDHIJI
"Education should be so revolutionized as to answer the wants of the poorest villager, instead of
answering those of an imperial exploiter"
"A balanced intellect presupposes a harmonious growth of body, mind and soul"
"The greatest lessons in life, if we would but stoop and humble ourselves, we should learn not from the
grown-up learned men, but from the so called ignorant children"
"Basic education links the children, whether of the cities or villages, to all that is best and lasting in
India"
"National education to be truly National must reflect the National condition for the time being"
Daily consumption of Iodised salt
is a healthy habit
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, Room No 28, CCM Building,
Old OT Block, All India Institute of Medical Sciences, New Delhi 110029 E-mail: cpandav@iqplusin.org
Position: 2234 (7 views)