Iodine Deficiency Disorder

Lesotho

Vitamin A

Liberia

Iodine

Iron

	EPIDEMIOLOGICAL DATA

a
Goiter
Most Recent Goiter Survey		No goiter surveys have been done recently.
	Date:
	Groups Surveyed:
	Sample Size:
	Sampling Method:
	Estimated Goiter Prevalence:

Urinary Iodine
Most Recent Urinary Iodine Survey -- national
	Date:	Feb - June 1999
	Groups Surveyed:	Children 6 - 11 yrs.
	Sample Size:	2060
	Sampling Method:	The sampling method was a 2-stage cluster sampling with systematic selection (proportional to size) of 30 schools as a cluster and 10 children per school in each of seven survey domains (N = 210 schools).

Estimated Prevalence of IDD: Indicator < 100 microgram/L

Region/Group	Sample size	Population in region/group (if available)	Median urinary iodine	Prevalence in sample %

Children 6 - 11 yrs.	2060			3.5% <10.0mg/dl

TSH

Has not been measured.

	POLICY AND LEGISLATION

Legislation on IDD
	There is IDD legislation in Liberia, of importation of iodized salt and regulation of food fortification with iodine.
	Iodization of salt is mandatory. The mandated level of iodization is 100ppm.
	The government has published documents regarding IDD. (Application decrees in 2000)

Government Agency to Address IDD
	The Ministry of Health and Social Welfare. This agencies functions are coordination, monitoring, policy guidance, training, public education and research.
	Contact Info: Box 9009-1000-Monrovia-10 Liberia.

a
Supplementation
	Oral supplementation with iodized oil capsules is not currently used, nor was it used in the past.

a
Fortification
Production and Importation of Salt
	Iodized salt is not produced.
	The total annual national production of iodized salt:
	The intended level of salt iodization at the point of production:
	Large scale iodization started in
	Approximate number of salt producers:
	The compound used to iodize salt:
	The packaging method used is:
	About 90% of imported salt is iodized. It is imported from Europe, Asia, China, and West Africa.
	The intended level of iodization for imported salt is 50 to 80ppm of iodization at production and 30 to 50 ppm at retail.
	Salt iodine content at production level is assessed by: No information available on such assessment


Retail
	The average retail cost of iodized salt is Iodized =$0.25 Un-iodized = $0.25 in urban areas. Cost per kilo of iodized salt in the rural areas varies from $0.30 to $0.50 in remote areas.


Household Consumption
	The estimated daily per capita consumption of salt is unknown.
	The estimated percent of adequately iodized salt consumed, as a national average is 83%. (Source: not reported)


Surveys of Iodized Salt
	No survey has been done.

Other Programs Related to Control of IDD
Mass Media Campaigns
	Promotion of consumption of iodized salt through radio soap and messages.

Community-Based Dietary Promotion
	Community-based promotion began in five selected communities in one of the 15 counties only in 2001.

	MONITORING

Salt Iodine

Current monitoring activities for iodine levels in salt -- Not reported


IDD Indicators
	There is no monitoring of goiter rate.
	There are no lab facilities.

Donor and Implementing Agencies Involved in IDD Programs

Implementing Agency	Description of Activities
Implementing Agency	Description of Activities
National/State Governments	Policy guidance and legislation, training, public education, coordination
External Agencies*
UNICEF	Surveys and assessments, technical assistance, training materials and training, finance and material support to government and NGOs, provision of salt testing kits
WHO	Training of government counterparts, policy guidance

EPIDEMIOLOGICAL DATA