Prevalence of Iodine Deficiency Disorders - A School Based study in Aligarh
Introduction: Iodine deficiency is one of the most neglected and wide spread of all nutritional deficiencies, constituting a real brake on human development. Deficiency of iodine may result in development of goitre and other Iodine Deficiency Disorders (IDD). Objective: To assess the status of iodine deficiency disorders (IDD) in school children. Methods: This study was conducted among school children of 1st to 5th standard (6–12 yrs.) from 1st January 2009 to 31st December 2013. A total of 950 students of seven schools were included in the study using proportionate to population size (PPS) method. Each child was examined clinically. Statistical analysis was done using SPSS version 20. Result. Age distribution of the study population shows that majority of the students (30.5%) belonged to 11-12 years, and most of the students (56.2%) were males. Only 17 (1.8%) students had goitre. Goitre prevalence was slightly higher (1.9%) in the 6-8 years age group and in females (1.9%). Manifestations of iodine deficiency other than goitre, were retarded growth (0.6%), squint (0.3%), deafness (0.2%), lethargy (0.5%), and mental retardation (0.1%). Conclusion. In the present study, Aligarh may be classified as non-endemic for iodine deficiency as the goitre prevalence in school children was only 1.8%, below the 5.0%, required for endemicity. Sustained IEC (Information, Education and Communication) activities should be carried out to sensitize the people regarding IDD.
2. Department of Health and Family Welfare. Annual Report 2010-2011. New Delhi: Ministry of Health and Family Welfare, Government of India; 2011. Available from: http://www.mohfw.nic.in/showfile.php?lid=767, (accessed on 03.06.2015).
3. National Iodine Deficiency Disorders Control Programme (NIDDCP). Revised Policy Guidelines, New Delhi: DGHS, Ministry of Health and Family Welfare, Government of India, 2006. Available from: http://www.childhealthindiainfo.com/index.php?q=content/government-policy-revised-policy-guidelines-national-iodine-deficiency-disorders-control-pro. (accessed on 14.12.15).
4. World Health Organization. Vitamin and Mineral Nutrition Information System (VMNIS): Database on iodine deficiency, World Health Organization 2007. from:http://www.who.int/vmnis/iodine/status/summary/IDD_estimates_table_2007.pdf (accessed on 26.04.15).
5. Anand K, Pandav CS. Iodination of Irrigation water. The National Medical Journal of India 1996;9(6):227-278.
6. Directorate General of Health Services, Govt. of India. National Goitre Control Programme. Prevalence rate of goitre according to survey conducted in areas during 1981-2003. 1995.
7. Rao PSSS, Richard J. Introduction to Biostatistics and Research Methods. 4th Edition, P H I Learning Private Limited, New Delhi 2009;195.
8. Patro BK, Saboth P, Zodpey S, Shukla A, Karmakar MG, Pandav CS. Tracking progress toward elimination of iodine deficiency disorders in Jharkhand, India. Indian Journal of Community Medicine 2008;33:182–5.
9. Toteja GS, Singh P, Dhillon BS, Saxena BN. Iodine deficiency disorders in 15 districts of India. Indian Journal of Pediatrics 2004; 71(1):25-28.
10. Sridhar PV, Kamala CS. Iodine status and prevalence of goitre in school going children in rural area. Journal of Clinical and Diagnostic Research 2014;8(8):15-17.
Sinha AK, Tripathi S, Gandhi NK, Singh AJ. Iodine deficiency disorder control programme impact in pregnant women and status of universal salt iodization. Iranian Journal of Public Health 2011;40(3):19-26.
12. Makwana NR, Shah VR, Unadkat S, Shah HD, Yadav S. Goiter prevalence and current iodine deficiency status among school age children years after the universal salt iodization in Jamnagar District, India. Thyroid Research and Practice 2012;9(2):40-44.
13. Rafiq M, Shahnaz, Masoodi MA, Bilquees S, Qureshi KA, Jan R. Prevalence of goitre in school children aged 6-12 years in District Budgam (Kashmir Division). JK-Practitioner 2006;13:166-8.
14. Singh LH, Haobam I, Arke L, Chandra AK. Prevalence of endemic goiter in school children during post salt iodization period in Churachanpur District, Manipur, India. International Journal of Medical and Health Sciences 2015;4(1):20-23.
15. Chandra AK, Hemchandra L. Role of bamboo-shoot in the pathogenesis of endemic goitre in Manipur, North East India. Endocrine Practice 2013;19(1):36-45.
16. Gur E, Ercan O, Can G, Akkuş S, Guzeloz S, Ciftcili S, Arvas A, Iltera O. Prevalence and risk factors of iodine deficiency among school children. J Trop Pediatr. 2003;49(3):168-71.
17. Hetzel BS, Dunn JT, Stanbury JB. The prevention and control of iodine deficiency disorders. Elsevier Science Publishers, Biochemical Division, Amsterdam, 1987.
18. Misra S, Kantharia SL, Damor JR. Prevalence of goitre in 6 -12 years school-going children of Panchmahal District in Gujarat, India. Indian J Med Res 2007;126:475-9.
19. Sharma U, Sharma JP, Sharma A, Kumar A, Shukla N. Prevalence of goitre among school going children in urban area of Dehradun. International Journal of Research in Medical Sciences 2015;3(1): 198-200.
20. Assey VD, Peterson S, Kimboka S, Ngemera D, Mgoba C, Ruhiye D et al. Tanzania National Survey on Iodine Deficiency: impact after twelve years of salt iodations. BMC Public Health 2009;9:319.
21. Biswas AK, Chakraborty I, Das DK, Chakraborty A, Ray D, Mitra K. Elimination of iodine deficiency disorder-current status in Purba Medinipur District of West Bengal, India. Indian Journal of Public Health 2008;52(3):130-135.
. Moorthy D, Patro BK, Das BC, Sankar R, Karmakar MG, Pandav CS. Tracking progress towards sustainable elimination of iodine deficiency disorders in Orissa. Indian Journal of Public Health 2007;51(4):211-15.
23. Chandra AK, Bhattacharjee A, Malik T, Ghosh S. Goiter prevalence and iodine nutritional status of school children in a Sub-Himalayan Tarai Region of Eastern Uttar Pradesh. Indian Pediatrics 2008;45:469-74.
24. Pandav CS, Kochupillai N. Endemic goitre in India: Prevalence, etiology, attendant disabilities and control measures. Indian Journal of Pediatrics 1982;49(2):259-271.
25. Sankar R, Pulger T, Rai B, Sankar G, Gyatso TR, Rai BM. Clinical study of endemic cretinism in South Sikkim. Journal of Association of Physicians of India 1993;41(6):337-8.
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