National Iodine Deficiency Disorders Control Programme (NIDDCP)
Iodine is one of the essential micronutrient for normal human growth. Our daily minimum requirement of iodine is 150 microgram per day. The main source of iodine is from soil and water. The requirement is met from food (cereals and grains) grown in soil rich in iodine, but food grown in iodine deficient soil result in less iodine in food. Deficiency of iodine in diet may result in development of Goitre and other Iodine Deficiency Disorders (IDD).
Common Disorders are:
- In pregnant mothers - Abortion, still births
- In Neonates - Neonatal Goitre, Cretinisim Child & Adolescent - Goitre, Deafmutism
- Impaired mental function
- Retarded physical development
- Adults - Goitre with its complications
Prevention is Better than Cure
All these disorders can be easily prevented before they occur.The simplest method to prevent the IDD is to consume iodated salt daily.This is the most effective and inexpensive mode to prevent IDD. Since salt is consumed by all and everyday, the consumption of 8 to10 grams of iodated salt will ensure the availability of required amount of 150 microgram of iodine per person per day.
Realising the magnitude of problem, Govt. of India launched a 100% Centrally Sponsored National Goiter Control Programme (NGCP) in 1962 .In 1992 NGCP was renamed as National Iodine Deficiency Disorders Control Programme (NIDDCP) with a view to cover a wide spectrum of Iodine Deficiency Disorders. Accordingly IDD Control cell at Health Directorate has been established.
National Iodine Deficiency Disorders Control Programme (NIDDCP) is being implemented by Health Department ,Haryana since 1986 with the following aims and objectives
- The main aim of the programme is to monitor Quality of iodated salt
for human consumption
- Survey/resurvey to assess the magnitude of IDD.
- Laboratory monitoring of iodated salt and urine samples.
- Health Education
Components of the Programme
1). Monitoring quality of Iodated Salt
In Haryana there is a complete ban on sale of non-iodated salt for human consumption under Prevention of Food Adultration Act 1954 & food Inspectors of State Govt. are responsible for monitoring the quality of iodated salt, under PFA Act.
The Spot Testing Kits (STK) method is used for monitoring trends in consumption of iodated salt at household level. For this multi purpose Health workers (MPHW) has been supplied STK to test samples at consumption level with the following objectives.
(i) To ensure availability of iodated salt and advise local shop keepers to stock only iodated salt as sale of non-iodated salt is banned under PFA Act.
(ii) To identify specific area where population is not consuming iodated salt and advise them to consume only iodated salt and create awareness on beneficial effect of iodine in preventing iodine deficiency disorders.
Members of school heatlh team during their visit to schools are distributing
IEC material on IDD and educate the children to make them aware of iodine
deficiency disorders and there prevention by consuming iodated salt.
2) The IEC material received from Government of India and printed at the State
head quarter is sent to Civil Surgeons regularly.
3) Testing of salt samples for iodine content (Non PFA) and urine samples for
urinary iodine excretion has been set up at state bacteriologist laboratory, Karnal.
4) Base line survey to assess the status of IDD/Goitre is conducted by Central
survey team/ MPHWs in the state.
5). An effective IEC strategy is promoted through universal consumption of iodated
salt. Community awareness on IDD is increased by involving multisectoral groups
such as Anganwari workers, Panchayati Raj institutions and local bodies in addition
to NGOs and other Government departments like food and supplies, ICDS,
Education etc. at Civil Surgeon level.
IDD spot containing message on consequences of Iodine deficiency and benefits
of Iodated salt is being broadcast from All India Radio.
Global IDD Prevention Day is celebrated on 21st October every year.
Safety of Iodated Salt consumption
The minimum suggested dose of iodine is 100-150 microgram per day to prevent
the occurance of IDD. As per theWHO report a safe daily intake of iodine should be
in between 50 to1000 microgram.Since iodine, when taken in a large quantity, is
easily excreted through the Kidney into urine,therefore consumption of iodated salt is
safe for each and everyone.