Salt fortification involves adding micronutrients like iodine and iron to common salt to prevent deficiencies. Iodized salt contains added iodine to prevent goiter, with production levels at 30 ppm and consumer levels at 15 ppm. Double fortified salt contains both iodine and iron to prevent goiter and iron deficiency anemia. It provides 40 mcg of iodine and 1 mg of iron per gram of salt. While salt fortification helps prevent deficiencies, iodization can potentially cause issues like thyrotoxicosis and Hashimoto's disease.

1. Salt Fortification
Dr. Narendra Kumar Yadav
MBBS, MD (Community Medicine)

2. What is salt fortification?
vSalt fortification is the process of adding micronutrients (iodine, iron
etc.) in the common salt to prevent the deficiency of iodine and iron.
Ex:
vIodized salt
vDouble fortified/Twin fortified salt

3. What is salt iodisation?
v Salt iodisation is the process of adding iodine (potassium or sodium
iodide) in common salt for the prevention and control of endemic goiter.
v Aim of iodisation: Prevention and control of endemic goiter.
v Level of iodisation in salt:
1.Production level: 30 ppm
2. Consumer level: 15 ppm

4. .
Hazards of iodisation:
v Thyrotoxicosis
v Hashimotos Disease

5. What is “Double fortified/Twin fortified salt(DFS/TFS)”?
vDFS/TFS contains: Iodine & Iron
vDFS/TFS provide: 40 mcg iodine & 1 mg Iron/gm of salt
vAim of double fortification: Prevention and control of endemic
goiter and IDA

6. MCQ
Q. “Twin fortified salt” contains:
A. Iodine + Fluorine
B. Iodine + Calcium
C. Iodine + Iron
D. Iodine + Chlorine

7. .
Ans: C (Iodine + Iron)

8. MCQ
Q. Level for Iodisation of salt:
A. 90 ppm at production level & 60 ppm at consumer level
B. 60 ppm at production level & 15 ppm at consumer level
C. 30 ppm at production level & 60 ppm at consumer level
D. 30 ppm at production level & 15 ppm at consumer level

9. .
Ans: D (30 ppm at production level & 15 ppm at consumer
level)

10. .
The End