全民食盐加碘对福建省消除碘缺乏病进程的影响

Influence of universal salt iodization on the process of eliminating IDD in Fujian Province

目的全面了解实施全民食盐加碘干预措施后福建省碘缺乏病动态变化趋势,评估干预措施效果和实现消除碘缺乏病目标进程。方法自1995年起每隔两年采用容量比例概率法在全省调查30个县,调查8～10岁儿童的甲状腺肿大率和尿碘、家中盐碘及健康教育问卷。结果全民食盐加碘后,福建省居民合格碘盐食用率由1995年的44.6%提高到2005年的90.9%,居民非碘盐率由1995年的44.8%下降至2005年的6.1%,8～10岁儿童甲状腺肿大率由1995年的29.5%下降到2005年的1.3%,8～10岁儿童尿碘中位数由1995年的111.8μg/L提高到2005年的158.1μg/L。结论经过10年防治,福建省控制碘缺乏病各项技术指标均达到国家碘缺乏病消除标准的要求,实现省级水平消除碘缺乏病目标。

Objective To comprehend overall dynamic transformation tendency of IDD in Fujian Province after carrying out univeral salt iodization intervening measure , estimate intervening measure evaluation and realize objective course of eliminating IDD. Methods To inverstigate 30 counties every other year from 1995, understand the goiter rate of children aged 8 to 10, urine iodine , household consuming iodine salt and health education questionnaire. Results After universal salt iodization, the percentage of household consuming effective iodine salt of Fujian citizen rises from 44.6% in 1995 to 90, 9% in 2005. The percentage of househould consuming ineffective iodine salt descends from 44.8% in 1995 to 6.1% in 2005. The goiter rate of children aged 8 to 10 declines from 29.5% in 1995 to 1.3% in 2005. The medine of urine iodine of children aged 8 to 10 increases from 111.8 μg/L in 1995 to 158.1 μg/L in 2005. Conclusions As a result of 10 years prevention and cure, each technique target of controlling IDD reaches eliminating IDD national criterion with exception, realize the aim of eliminating IDD at provincial level.