iran
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iran |
Iron | Iraq |
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| Country Index | Epidemiological Data | |
| Country Profile | Policy & Legislation | |
| Program Data | ||
| Monitoring | ||
| Program Resources | ||
EPIDEMIOLOGICAL DATA |
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| Goiter | ||
| Most Recent Goiter Survey | ||
| Date: | 2001 | |
| Groups Surveyed: | School children 8 - 10 yrs. old. | |
| Sample Size: | 33,600 | |
| Sampling Method: | The survey was a cross-sectional survey, with cluster sampling, each cluster consisting of 20 school-children. | |
| Estimated Goiter Prevalence: | ||
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| Urinary Iodine | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Most Recent Urinary Iodine Survey - The latest survey was performed along-side with the goiter prevalence survey from Jan to March 2001 nation-wide in 10% of the school-children examined for goiter, making a total of 3360 urine samples (120 per province). | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Estimated IDD Prevalence: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
** No data exists about the provincial prevalence of samples below 100mcg/liter |
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| TSH - Has not been measured | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
POLICY AND LEGISLATION |
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Legislation on IDD |
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IDD legislation in Iran was passed in 1994 stating standards and specifications for salt iodization. |
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Iodization of salt is mandatory at 30 - 50 ppm. |
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Documents published -- (1) Regulations concerning the standard level of iodine at the production level - regular monitoring of the IDD elimination program at the production, distribution and household level – mandatory salt iodization for household use. (2) White papers: IDD situation in Iran 1989 – Annually survey reports |
| Government Agency to Address IDD | |
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Nutrition Dept. of the MOH. Their function is coordination. |
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Contact information: |
PROGRAM DATA |
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| Supplementation | |
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Oral supplementation with iodized oil capsules is not currently used. |
| Fortification | |
| Production and Importation of Salt | |
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There is production of iodized salt. |
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The total annual national production of iodized salt is not reported |
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Large-scale of salt iodization started in 1994. |
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Approximately how many salt producers are there now? 120 producers |
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Potassium Iodate is used to iodize salt. |
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The packaging material used is kilo packages of HDPE |
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The salt iodine content at production level is assessed via Internal monitoring by the salt producers under the supervision of the food safety unit in each district. |
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A recent assessment of the percent of salt production that achieves the target level of iodine is 70%. This assessment is done by by sampling of the produced salts by the food safety unit in each region and sending these samples to the food and drug lab of the province for titrating the iodine level. |
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Salt is not imported. |
| Retail | |
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| Household Consumption | |
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The estimated consumption of salt is 8 - 10g. per capita per day. |
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The estimated percent of adequately iodized salt consumed by all people is Urban 95% and Rural 92%. |
| * Source: DHS 2000 | |
| Iodized Salt Surveys | |||||||||||||||||||||||||||||||||
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2000 | ||||||||||||||||||||||||||||||||
| Survey Results | |||||||||||||||||||||||||||||||||
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| Other Programs Related to Control of IDD | |
| Mass Media Campaigns | |
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Along with the national polio days in Iran there was a successful campaign (in 1994) which was announced in television. |
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Community-Based Programs |
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Educational programs for all community groups using pamphlets, posters and educational material for health personnel to be passed by to the community. |
MONITORING |
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| Salt Iodine | |
| Current monitoring activities for iodine levels in salt | |
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Monitoring of salt iodine levels at the production level is done by the Food and Drug experts in each region. Salt iodine levels at distribution level are monitored by environmental health experts. The salt used at public places providing food is monitored by the environmental health experts. The salt used at household level is monitored using rapid test kits annually in rural areas by the community health workers and at urban areas among families visiting health facilities. |
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The surveys described above are being repeated. |
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There is monitoring at the community level. |
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IDD Indicators |
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There is no monitoring of goiter rate (or other IDD indicators) from clinic/hospital records, or sources other than the surveys as referred to above. |
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There are lab facilities available for biochemical measurements. Nationwide there are 22 laboratories equipped for urinary iodine levels. |
PROGRAM RESOURCES |
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| Donor and Implementing Agencies Involved in IDD Programs | |||||||||||||||||||||||||||||||||||||||||||||||||||
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