Iodine Deficiency Disorder

Haiti

Vitamin A

Honduras

Iodine

Iron

Mexico

	EPIDEMIOLOGICAL DATA

Goiter

Most Recent Goiter Survey

Sub-national survey in the central area

Date:

June 28 to July 6, 1999

Groups Surveyed:

School-age children between 6-12 year old..

Sample Size:

609 children.

Sampling Method:

Do not have details of sampling method.

Estimated Goiter Prevalence:

Group	Sample size	Prevalence in sample %	Estimated Population Affected
Children 6-12 years old	609	3.5

Urinary Iodine
Most Recent Urinary Iodine Survey - Thyroid Mobil Project
	June 28 to July 6, 1999

Estimated Prevalence of IDD: Indicator < 50 microgram/L

Group	Sample size	Prevalence in sample %	Estimated Population Affected
Children 6-12 years old	287	12.5

	POLICY AND LEGISLATION

Legislation on IDD
	There is IDD legislation in Honduras. It was passed in 1960 and has been significantly revised.
	Iodization of salt mandatory with a mandated level of salt iodization at 67-100 ppm.
	The government does not publish documents regarding IDD.

Government Agency to Address IDD
	The government agency that deals with IDD is the Ministry of Health. The MoH functions as both a coordination agency and a monitoring agency, but it does not provide funding. UNICEF supports technical and financial monitoring activities.
	Contact information: Department of Food Control

Supplementation
	Oral supplementation with iodized oil capsules is not currently used and has not been used in the past. There are no supplementation activities currently in place.

Fortification
Production and Importation of Salt
	There is salt production, but un-iodized sea salt is imported and iodized.
	The total annual national production of iodized salt was 843,344.5 qq in 2001.
	The intended level of salt iodization at the point of production is 50-100 PPM.
	Large-scale salt iodization started in 1971.
	There are currently 150 salt producers and among those, 25 plants iodize salt.
	Potassium iodate is used to iodize salt.
	High density, polyethylene bags of 0.5 and 1 pound are used for packaging.
	Salt is imported from Costa Rica, Mexico and USA. These salts are iodized.
	Salt iodine content at production level is assessed by 1) Manufacturers quality control check and 2) Monitoring of samples of each batch of salt iodized in the plant by the local Government. In 2000, an inspection by the government showed that 88% of salt production achieved the targeted iodine level.
	There are no other measures of fortification with iodine in widespread use.


Retail
	The average retail cost of salt is as follows:
		National producers:
			- Iodized salt: $0.12 per pound
		Imported iodized salt:
			- Iodized salt: $0.22 per pound

	i There are retail regional differences, especially observed in rural and remote areas. Also noteworthy, uniodized salt is sold in these areas.
	Retailers conduct survey of iodized salt level. Recent survey from retailers showed that 96% of the samples of salt of retailers attained level of iodization.

Household Consumption
	The estimated daily per capita consumption of salt is 10 g.
	The estimated percent of adequately iodized salt consumed is unreported.

(Source for above information on IDD is from the Encuesta Nacional De Nutricion, 1987.

Survey Level (producer/ retail/ household)	Date of Survey	Geographic area/ other grouping	Sample size	% of samples with > 30 ppm	Average Iodine Content
Inspection of plants	2000	National	21 OF 25	88*	67
Retail	2000	Medium/Large Cities	677	96*
Household	2000	10 OF 18 Depts.	316	83**	52

*>50 PPM

**>25 PPM

Other Programs
Education Campaigns
	USAID promoted IEC strategy between 1994-95 and UNICEF between 1995-96.

	MONITORING

Salt Iodine
Current monitoring activities for iodine levels in salt
	The most recent salt iodization survey results, based on government monitoring activities, was conducted in 2000. Survey 2001 was conducted, however, results are being compiled.
	Honduras has three levels of monitoring activities. In the first level, quality control of salt iodized production is assessed in salt factories by the producers. The second level is inspected by the government, Dept. of Food Control (MoH), in the salt factories and monitors retail's survey of salt iodization. Lastly, the Dept. of Food Control also conducts surveillance in households.
	The surveys above have been repeated since 1993.
	UNICEF provides salt testing kits in schools to be used in households surveillance of quality of iodized salt.

IDD Indicators
	There is no ongoing monitoring of goiter rate.


Donor and Implementing Agencies Involved in IDD Programs
	The Ministry of Health contributes resources in IDD programs.
	External agencies such as INCAP/OPS, UNICEF, MI, and USAID provide assistance in the fortification of iodized salt.

IDD Program Funding History and Projections - Not reported.

EPIDEMIOLOGICAL DATA