Social-hygienic monitoring in the implementation of the regional strategy for prevention of iodine deficiency

Cover Page

Cite item

Full Text

Abstract

Purpose. The purpose of this study was to consider the role of socio-hygienic monitoring in the implementation of the regional strategy for prevention of iodine deficiency.

Materials and methods. The samples of salt from the market (2010-17) and salt which used by households of the Tyumen region (2013, 2016, 2017) were analyzed. Monitoring of retail markets in different municipalities was conducted to the analysis of the cost and assortment of iodized salt; Results of a representative sociological study of the behavior of families schoolchildren of grades 5-11 of the Tyumen region were examined.

Results. The regional program for the prevention of iodine deficiency is being implemented in the Tyumen region for 20 years. This system of social and hygienic monitoring makes it possible to obtain objective data on the effectiveness of prevention and identify its weaknesses. At present, the need of the population of the region for iodized high-quality salt is provided completely: 0.17% of unsatisfactory samples of iodized salt was registered in 2016, unsatisfactory samples were not detected in 2017. A sociological study of the consumer behavior of parents of schoolchildren in the Tyumen region showed an increase in the number of parents who daily consume iodized salt in their home meals, from 53% in 2013 to 67% in 2017. In accordance with the analysis of salt samples from households in 2013, 26% of samples were content of iodine was in accordance with State Standards (GOST) R 51574-2000, in 2016 - 33%, in 2017 in all samples, the salt content of iodine met the requirements. The implemented regional policy of preventing iodine deficiency in the region is effective and requires further work with the population.

About the authors

Ludmila A. Suplotova

Tyumen State Medical University

Author for correspondence.
Email: suplotovala@mail.ru
ORCID iD: 0000-0001-9253-8075

MD, Ph.D., professor, head of Endocrinology course at the Therapy department of the Tyumen State Medical University, Tyumen, 625023, Russian Federation, Head endocrinologist of the Tyumen region, Tyumen, Russia.

e-mail: suplotovala@mail.ru

Russian Federation

G. V. Sharuho

Tyumen State Medical University; Federal Service for Supervision of Consumer Rights and Human Welfare in the Tyumen region

Email: noemail@neicon.ru
ORCID iD: 0000-0003-0772-8224
Russian Federation

L. C. Kovalzhina

Industrial University of Tyumen

Email: noemail@neicon.ru
ORCID iD: 0000-0002-1650-1243
Russian Federation

O. B. Makarova

Tyumen State Medical University

Email: noemail@neicon.ru
ORCID iD: 0000-0002-1650-1243
Russian Federation

References

  1. World Health Organization. Assessment of iodine deficiency disorders and monitoring their elimination: a guide for programme managers. – 3rd ed. Geneva, 2007.
  2. World Health Organization. Salt reduction and iodine fortification strategies in public health: report of a joint technical meeting convened by the World Health Organization and The George Institute for Global Health in collaboration with the International Council for the Control of Iodine Deficiency Disorders Global Network, Sydney, Australia. March 2013.
  3. Pearce, E. N., Andersson, M., & Zimmermann, M. B. Global Iodine Nutrition: Where Do We Stand in 2013? Thyroid, 2013. 23(5), 523–8. https://doi.org/10.1089/thy.2013.0128
  4. Taylor P.N., Okosieme O.E., Dayan C. M., Lazarus J.H. Impact of iodine supplementation in mild-to-moderate iodine deficiency: systematic review and meta-analysis. European Journal of Endocrinology. 2014. 170, R1–R15 https://doi.org/10.1530/EJE-13-0651
  5. Gerasimov G.A., Fadeev V.V., Sviridenko N.Ju., Mel’nichenko G.A., Dedov I.I. Iodine deficiency disorders in Russia. A simple solution to a complex problem. Мoscow: Adamant, 2002: 168. (in Russian).
  6. Dedov I.I., Mel’nichenko G.A, Troshina E.A., Platonova N.M., Abdulhabirova F.M., Gerasimov G.A. Iodine deficiency disorders in the Russian Federation: decision time. Moscow, 2012: 232. (in Russian)
  7. Platonova N.M. Iodine deficiency: the current state of the problem. Klinicheskaja i jeksperimental’naja tireoidologija [Clinical and experimental thyroidology]. 2015; 11 (1): 12–21 (in Russian).
  8. Tapeshkina N.V., Perevalov A.Ya. Assessment of the efficiency of prevention of iodine deficiency among the children’s population of the city of Mezhdurechensk of the Kemerovo region. Gigiena i Sanitaria [Hygiene and Sanitation, Russian journal] 2016; 95 (5): 471-6. (in Russian).
  9. World Health Organization, Guideline: fortification of food-grade salt with iodine for the prevention and control of iodine deficiency disorders. Geneva. 2014.
  10. Al-Dakheel, M. H., Haridi, H. K., Al-Bashir, B. M., AL-Shangiti, A. M., AlShehri, S. N., & Hussein, I. Assessment of household use of iodized salt and adequacy of salt iodization: a cross-sectional National Study in Saudi Arabia. Nutrition Journal, 2018. 17(1). https://doi.org/10.1186/s12937-018-0343-0
  11. VITAMIN & MINERAL DEFICIENCY A GLOBAL PROGRESS REPORT UNICEF, 43 р.
  12. Wu T, Liu GJ, Li P, Clar C. Iodised salt for preventing iodine deficiency disorders. Cochrane Database of Systematic Reviews 2002, Issue 3. Art. No.: CD003204. https://doi.org/10.1002/14651858.CD003204 www.cochranelibrary.com
  13. Van der Haar, F., Knowles, J., Bukania, Z., Camara, B., Pandav, C., Mwai, J., Ndeye Khady Toureб Yadav, K. New Statistical Approach to Apportion Dietary Sources of Iodine Intake: Findings from Kenya, Senegal and India. Nutrients, 2018. 10 (4), 430. https://doi.org/10.3390/nu10040430
  14. Dasgupta, P. K., Liu, Y., & Dyke, J. V. Iodine Nutrition: Iodine Content of Iodized Salt in the United States. Environmental Science & Technology, 2008. 42 (4), 1315–23. https://doi.org/10.1021/es0719071
  15. Maalouf, J., Barron, J., Gunn, J., Yuan, K., Perrine, C., & Cogswell, M. Iodized Salt Sales in the United States. Nutrients, 2015. 7 (3), 1691–95. https://doi.org/10.3390/nu7031691
  16. Al-Dakheel, M. H., Haridi, H. K., Al-Bashir, B. M., AL-Shangiti, A. M., AlShehri, S. N., & Hussein, I. Assessment of household use of iodized salt and adequacy of salt iodization: a cross-sectional National Study in Saudi Arabia. Nutrition Journal, 2018. 17 (1). https://doi.org/10.1186/s12937-018-0343-0
  17. Kolomiets N.D., Mokhort Т.V., Fedorenko Е.V., Mokhort Е.G., Petrenko S.V. The problem of iodine deficiency and its solution in the republic of Belarus. Gigiena i Sanitaria [Hygiene and Sanitation, Russian journal] 2016; 95(5): 417-421. (In Russian.). https://doi.org/10.18821/0016-9900-2016-95-5-417-421
  18. Kovalzhina L.S. Social technologies of management of prophylaxis of micronutrient deficiency of the population. Tyumen: Tyumen State Oil and Gas University. 2014: 188. (in Russian).
  19. Sharuho G.V. Scientific substantiation of hygienic and medico-organizational measures to improve the prevention and correction of micronutrient deficiency of iodine and iron in endemic areas: dis. … doktora med. nauk. Tyumen; 2012: 249. (in Russian).
  20. Suplotova L.A. Epidemiology of iodine deficiency diseases in various climatic and geographical regions of Western Siberia: dis. … doktora med. nauk. Tyumen, 2017. (in Russian).
  21. Zimmermann MB, Gizak M, Abbott K, et al. Iodine deficiency in pregnant women in Europe. Lancet Diabetes Endocrinol. 2015; 3 (9): 672-4. https://doi.org/10.1016/s2213-8587(15)00263-6
  22. UNICEF; IGN. Guidance on the monitoring of salt iodization programmes and determination of population iodine status: Russian language version. Klinicheskaja i jeksperimental’naja tireoidologija [Clinical and experimental thyroidology]. 2018; 14 (2): 100-12. https://doi.org/10.14341/ket9734 (in Russian).
  23. Troshina, E. A. Spoon of iodine for the thyroid gland. Moscow: Eksmo; 2013: 190. (in Russian)]
  24. Gerasimov G.A. About the WHO recommendations “Fortification of iodine salt for the prevention of diseases caused by iodine deficiency. Klinicheskaja i jeksperimental’naja tireoidologija [Clinical and experimental thyroidology]. 2014; 10 (4): 5–8. (in Russian)

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2024 Suplotova L.A., Sharuho G.V., Kovalzhina L.C., Makarova O.B.


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 37884 от 02.10.2009.