C14 P35 IDD PREVENTION Community Medicine.ppt

Community Medicine

5. At individual levelAt individual level
•By taking foods rich in iodine
•By avoiding foods which interfere
with iodine metabolism
(GOITROGENS)

6. Foods rich in Foods rich in IODINEIODINE

7. FOOD Iodine content per 100gmsFOOD Iodine content per 100gms
•Salt (iodized)
•Sea food
•Vegetables
•Meat
•Eggs
•Diary products
•Bread and cereals
•Fruits
•3000 mcg
•66 mcg
•32 mcg
•26 mcg
•26 mcg
•13 mcg
•10 mcg
•4 mcg

8. GOITROGENSGOITROGENS
•These are the chemical substances
which interfere with iodine utilization
in the body.
•These substances may be present in
food and water.
•Chemically goitrogens are
cyanoglycosides and thiocyanates.

9. Things to be avoidedThings to be avoided
•Vegetables belonging to the family
Brassicacea contain most of the
goitrogens.
•Therefore vegetables like cabbage
and cauliflower should be avoided by
those people who are potentially at
the risk of iodine deficiency.

10. How much Iodine do we How much Iodine do we
need daily…?need daily…?
•Infants
•Children
•Adolescents
•Adults
•Pregnancy
•Lactation
•110-130 mcg
•90-120 mcg
•130-150 mcg
•150 mcg
•220 mcg
•290 mcg

12. At community level…At community level…
•There are certain areas in the
country where Iodine deficiency is
endemic.
•Several factors such as food habits
and environmental conditions play a
major role in the amount of iodine in
the diet.

13. At community level…At community level…
•Therefore there is a strong need for
the supplementation of iodine not
only in the endemic areas but
through out India.
•As salt is the essential commodity
IDDCP has decided to use salt as the
medium for the supplementation of
iodine on a large scale.

14. Why was it started…?Why was it started…?
•National Iodine Deficiency Disorder
Control Programme (NIDDCP) has
conducted a survey on iodine
deficiency which is called as Kangra
valley project to study how iodine
deficiency can be controlled at a
community level…….

27. Impact of NGCPImpact of NGCP
•With the supply of iodized salt to
endemic areas of iodine deficiency
prevalence of goiter was brought
down to minimum.
•After that it was realized that goiter
was not the only problem related to
iodine deficiency; several other
disorders were identified by the
studies conducted.

29. Why was it salt that had Why was it salt that had
been iodized…..?been iodized…..?
•Because salt is one of the essential
commodity used by all socio
economic groups of India.
•So if we can supplement iodine along
with salt then we can reach all
groups of community.

33. What is the solution for the What is the solution for the
low use of iodized salt…..?low use of iodized salt…..?
•Government of India imposed a ban
on non-iodized salt production in the
year 1997.

35. Why was ban on common Why was ban on common
salt lifted….?salt lifted….?
•There were several political
involvements in the removal of ban.
•Multinational and large corporation
angle was given to salt in India.
•Price of iodized salt.
•Import of iodine was pictured as a
burden to country.

36. Is it really true..?Is it really true..?
•Is production of iodized salt a burden
to country?
•Is iodized salt is costlier when
compared to normal salt?
•Is really there a multinational angle
to iodized salt industry in the
country?

37. The answer is…..The answer is…..

42. Governments duty….Governments duty….
•Supply of iodized salt to all the
people in the country.
•Control on the production of non
iodized salt and if possible
restoration of ban on it.
•Giving further subsidy on iodization
of salt so as to encourage the use of
iodized salt.

43. Our duty as future doctors..Our duty as future doctors..
•Making people understand the use of
iodine in their diet.
•Encouraging the use of iodized salt
as salt is the only possible way
through which we can reach every
level of community.