5. • Iodine is required for the synthesis
of the thyroid hormones, thyroxine
(T4) and tri iodothyronine (T3) and
essential for the normal growth and
development and well being of all
humans.
MD DANISH RIZVI
6. • It is a micronutrient and normally
required around 100-150 micro
gram for normal growth and
development. Deficiency of iodine
may cause following disoders:
MD DANISH RIZVI
13. BURDEN OF DISEASE
• It is estimated that more than 71
million persons are suffering
from goiter and other iodine
deficiency disorders like mental
retardation, deaf, mutism,
squint, and neuromotor defects.
MD DANISH RIZVI
14. • 200 million people at risk of IDD
• That not even a single State/UT
is free from the problem of
Iodine Deficiency Disorders.
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18. OBJECTIVES
1.Initial survey to identify
magnitude of problem in the
country
2.Production and supply of iodized
salt to the endemic regions
MD DANISH RIZVI
19. 3. Health Education & Publicity
4.Toundertake monitoring of the
quality of iodized salt assessing
urinary iodine excretion pattern and
monitoring of Iodine Deficiency
disorder
MD DANISH RIZVI
20. 5. Re-survey in goiter endemic
regions after five years continuous
supply of iodized salt to assess the
impact of the control programme.
The result of re-survey in some
areas has revealed that the
prevalence of goiter has not been
controlled as desired.
MD DANISH RIZVI
21. NATIONAL GOITRE CONTROL
PROGRAMME(NGCP) 1962 .
• OBJECTIVES:
• conduction of surveys to assess the
magnitude of Iodine Deficiency
Disorders
• the provision of iodated salt in place
of common salt.
MD DANISH RIZVI
22. GOITRE CONTROL
PROGRAMME IN 1980
• Assess reasons for failure of control
programmes so far
• Identify newly emerging dimensions of
this problem and
• Set out practical recommendations for
future action, based on detailed
• Consideration of causes of earlier
failures.
MD DANISH RIZVI
23. • Opening up iodization of salt to
private sector to ensure adequate
• Production to meet national needs
• Ensuring quality control at
production site
• Packing salt in poly packs to reduce
iodine loss during transport and
storage
MD DANISH RIZVI
24. • Testing iodine content of salt at
consumer level
• Improving awareness about the
need to consume only iodised
salt
MD DANISH RIZVI
25. RESULTS
1. Universal iodization of salt has not
been achieved even after a decade
has passed, when the target was set
to be achieved
2. More strengthening of transportation
of iodized salt by Railways and roads
is needed. Monitoring during
transportation is usually not done
regularly.
MD DANISH RIZVI
26. 3. Boosting up of political and
bureaucratic commitment is
required as the problem of visible
goiter has been reduced.
4. There is a difference in guidelines
for assessment of IDD issued by
Indian Government and
international organisations
MD DANISH RIZVI
28. • In 1992, the National Goiter Control
Programme (NGCP) was renamed as
National Iodine Deficiency Disorder
Control Programme(NIDDCP).
MD DANISH RIZVI
29. THE NATIONAL IODINE
DEFICIENCY DISORDER CONTROL
PROGRAMME(NIDDCP) 1992
• AIM:
• Toreduce the incidence of IDD
• Toless than 10 % among adults
MD DANISH RIZVI
30. • Toless than 5 % among children 10
to 14 yrs
• Tozero % of cretins among the
newborns by the year 2000
MD DANISH RIZVI
31. OBJECTIVES
• Toassess the magnitude of the IDD
problem in the country
• Toassess the impact of control
measures after every 5 years
MD DANISH RIZVI
32. • Tomonitor the quality of iodised
salt available to consumers and
estimate their urinary iodine
excretion pattern
• Toconduct IEC campaigns for
promoting community participation
in the implementation of the
program
MD DANISH RIZVI
33. POLICY
• Central Council of Health
decided to iodize the entire
edible salt in 1992.
• Todate annual production of
iodated salt is 42 lakh tones
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34. ACHIEVEMENTS
1. The policy of iodized salt production
has been liberalized to private sector.
2. 790 private manufacturers have been
by the Salt Commissioner to have
annual production of 112 lakh tones
for direct human consumption.
MD DANISH RIZVI
35. 2. The annual production of iodized
salt has been raised from 7 lakh
tones (1985-86) to 42 lakh tones
in 1997-98. This is expected
further to raise to 50 lakh tones
in near future.
MD DANISH RIZVI
36. 3. The Salt Commissioner in consultation
with the Ministry of Railways
arranges for the transportation of
iodized salt ………
……from the production centers to
the consuming states under priority
category “B” a priority second to
that of defense.
MD DANISH RIZVI
37. 4. Toensure use of only iodized salt
(w.e.f 27 May 1998) & the sale of
non iodized salt was banned
under Prevention of Food
Adulteration Act, 1954 except in
kerala.
MD DANISH RIZVI
38. • For effective monitoring & proper
implementation of NIDDCP all the states
& UTs have been advised to establish
IDD Control Cell in the State Health
Directorate & Central Govt provides
cash grants for this purpose.
MD DANISH RIZVI
39. • A National Reference Laboratory for
monitoring of IDD has been set up at
the Bio chemistry division of National
Institute of Communicable Diseases,
Delhi for training medical & para
medical personnel & monitoring the
iodine content of salt & urine.
MD DANISH RIZVI
40. • For ensuring the quality control of
iodized salt at consumption level,
testing kits for on the spot
qualitative testing have been
developed & were distributed to all
Dt Health Officers in endemic states
for awareness.
MD DANISH RIZVI
41. • Cash grants are provided by the Central
Govt for conducting surveys/ re surveys
of IDD; Health Education & Publicity
Campaign to promote the consumption
of iodized salt
MD DANISH RIZVI
42. • The standards for iodized salt have been
laid down under PFA Act, 1954. These
stipulate that iodine content of salt at
the production & consumption level
should be at least 30 & 15 ppm
respectively.
MD DANISH RIZVI
45. VILLAGE LEVEL
• Training of ASHA/ANM/PRI/AWW/NGO
& village health & sanitation committee.
• One Monthly Health Day – IEC/ Demo.
• Village Health & Nutrition Day-1
session/month at AWC –(B compl
feeding with iodized salt)
MD DANISH RIZVI
46. • Immunization& ANC-display of posters,
distribution of leaflets, salt demo as
focus area under NRHM.
• Postering & wall painting with key
messages.
• Advocacy with press/mass media/ TV/
salt traders.
• School Health Activities –lecture &
demo on salt to students involving them
MD DANISH RIZVI
47. • Goiter survey & monitoring of
iodization of plants.
• IDD spot has been telecast on
Doordarshan (National Network).
MD DANISH RIZVI
48. REVIEW
• In 1997, all State Governments
banned the sale of salt other than
iodated salt.
• advised to include iodated salt
under Public Distribution System
(PDS). MD DANISH RIZVI
49. • The Salt Commissioner has advised
to install iodization plant in
consuming areas and to improve
packaging of iodated salt to prevent
iodine loss during transit.
MD DANISH RIZVI
50. MONITORING & EVALUATION
MONITORING IS DONE THROUGH THREE
METHODS:
1.Field Salt Testing Method
2.Laboratory.
3.Questionnaire
MD DANISH RIZVI
51. ADMINISTRATIVE SET UP
1. Salt commissioner, Central Office of
Government of India, supervises the
universal iodization and issues
licenses to salt manufacturers.
2. A National Reference Laboratory for
monitoring IDD
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52. • Through 100 IDD control cells
and IDD monitoring laboratories.
MD DANISH RIZVI
53. 9th FIVE YEAR PLAN PROPOSAL
• Proposed to strengthen IDD
Monitoring by setting up 90 IDD
monitoring laboratories
• IDD monitoring at the district level is
by regular checking of iodated salt as
well as urinary iodine excretion.
MD DANISH RIZVI
54. • The goal is to bring down the
incidence of IDD below 10 per cent
in endemic districts by 2000 A.D.
MD DANISH RIZVI
55. OBJECTIVES
1. Initial survey to identify
magnitude of problem in the
country
2. Production and supply of iodized
salt to the endemic regions
MD DANISH RIZVI
56. 3. Health Education & Publicity
4. Toundertake monitoring of the
quality of iodized salt assessing
urinary iodine excretion pattern
and monitoring of Iodine
Deficiency disorder
MD DANISH RIZVI
57. 5. Re-survey in goiter endemic regions
after five years continuous supply
of iodized salt to assess the impact
of the control programme.
The result of re-survey in some
areas has revealed that the
prevalence of goiter has not
been controlled as desired.
MD DANISH RIZVI