iodine diff chn pptx

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1. MITTAL COLLEGE OF NURSING AJMER NATIONAL IODINE DEFICIENCY DISORDER CONTROL PROGRAMME (NIDDCP) SUBMITTED TO SUBMITTED BY MR. SUNIL SAHU MR. MAHIPAL LAMROR (ASSOCIATE PROFESSOR ) BSC.NURSING 4th YEAR [HOD] CHN-2

2. INTRODUCTION Iodine is required for the synthesis of the thyroid hormones, thyroxine (t4) and tri-iodothyroxine(t3) are essential for the normal growth and development and well-being of all humans. It is a micronutrient and normally required around 100-150 mcg for normal growth and development.

3. Deficiency of iodine may cause following disorders:- (1) Hypothyroidism (2)Goitre (3) Increase rate of spontaneous abortion and still birth (4)Neurological cretinism including- deaf mutism (5)Dwarfism (6)Mental retardation (7)Hearing defects (8)Speech defects (9)Spasticity ,spastic deplegia ,spastic quadriplegia

4. SAPSTIC DEPLEGIA SPASTIC QUADRIPLEGIA

5. BURDEN OF DISEASE:- Iodine deficiency has been identified all over the world. It is significant health problems in 130 countries and affect 740 million people 1/3 of the world population is exposed to the risk of IDD. It is estimated that in india alone , more than 6.1 crore people are suffering from endemic goiter and 88 lakh people are mental /motar handicaps .

6. PROGRAMME Following the successful trial of iodised salt in kangara valley ,himachal pradesh in 1962 ,india has launched 100%centrally sponsored the NATIONAL GOITER CONTROL PROGRAMME.

7. OBJECTIVE Initial survey to identify magnitude of problem in the country . Production and supply of iodized salt to the endemic regions . Health education and publicity . To undertake monitoring of the quality of iodized salt assessing urinary iodine excretion pattern and monitoring of iodine deficiency disorders. Resurvey in goiter endemic regions after five years continious supply of iodized salt to assess the impact of the control programme . The result of re-survey in some areas has revealed that the prevalence of goiter has not been controlled as desired . In 1992 , the national goiter control programme (NGCP) was renamed as NATIONAL IODINE DEFICIENCY DISORDER CONTROL PROGRAMME (NIDDCP).

8. POLICY On the recommendations of central council of health in 1984, the govt. took policy decision with the goal of universal iodisation of salt by 1992 and standing of salt department in the ministry of iodine deficiency in relation to human resource development. NIDDCP has been included in 20 point programme of prime minister . The central notification restricting the sale of non –iodiazed salt with effect from may 1998 has since been lifted with effect from Nov.2000.

9. PILOT PROJECT AGAINST MICRONUTRIENT MALNUTRITION :- Micronutrient malnutrition is a global public health problem . There is problem of iodine , iron , zinc and fluorine deficiency leading to many clinical manifestation in the populations . The pilot projection programme against micronutrient malnutrition is being started in the year 1995 in assam along with four others states - bihar , orissa , west bengal and gujrat . This project has been merged with NIDDCP

10. OBJECTIVES :- To access the magnitude of fluorosis and dental carries assessing the iron and vitamin A deficiency in the project area . To assess and improve iron and vitamin A status in school going children , adolescent , boys and girls , non pregnant women , adult males and geriatric populations . To launch extensive information , education and communication strategy through mass media to improve the dietary habits of the populations. To study zinc level in various food products and soil . To co-ordinate with similar ongoing programme being implemented in the country .

11. COMMENTS :- Universal iodization of salt has not been achieved even after a decade has passed away when the target was set to be achieved . More strengthening of transportation of iodized salt by railways and roads is needed monitoring during transportation is usually not done regularly . Boosting up of political and burecratic commitment is required as the problem of visible goitre has been reduced . There is difference in guidelines for assessment of IDD issued by indian government and intervention organization .

12. TREATMENT Lifelong supplementation with thyroid hormones PREVENTION :- IDDMS are prevented by the iodization of the common salt . 50kg of potassium iodated added to 10,00,000 kg of salt The sale of the non iodized salt is banned by suitably amending the prevention food adulteration act. Educate the community about intake of iodine and disease caused by iodine deficiency. Effective implementation of national iodine deficiency disease control programme .

13. ROLE OF THE DISTRICT ADMINISTERATOR Goitre control cell has been established to monitor the operations of production . Identification of weak-links for smooth flow . A multi-model health education campaign to be launched to create awareness To create awareness about the serious consequence of IDD. Policy implementation and program monitoring.

14. ROLE OF NURSE IN NGCP (1) Identification of cross by field survey . (2) Case holding . (3) Supply of iodized salt risk areas . (4) Treatment of cases and referral . (5) Supervision and monitoring . (6) Organize educational campaign . (7) Create awareness among the public . (8) Reporting to the authority . (9) Follow up . (10) Health education .

15. CONCLUSION As a part of my presentation community health nursing -2 to a conduct a presentation topic National iodine deficiency disorders control programme ,it includes introduction, burden of disease, programme, objectives , policy ,pilot project , treatment , prevention . Thank you for Mr sunil sahu sir for give apportunity for me and thank you student.

16. BIBLIOGRAPHY The short text book of community health nursing ,veerabhadrappa GM , volume-2nd, jaypee publishers ,page no. 320-22. Essential in community health nursing practice S Kalmalam , foreword – M Danbalan ,2nd edition jaypee publisher page no. 106-o7 . www. NIDDCP wikipedia .com