2004～2010年丽江市碘缺乏病防治规划终期效果评价

Evaluation on the effects of the prevention and control program of iodine deficiency disorders(IDD) in Lijiang City,2004-2010

目的了解2004～2010年丽江市碘缺乏病防治规划项目实施工作状况及其实施效果,为今后碘缺乏病防治工作提供科学依据。方法按照《全国地方病防治规划终期评估方案》及《云南省实现碘缺乏病目标县级考核评估技术实施方案》的要求,在各县自查评估达标的基础上,上报市级后组织专家对各县考核评估认可后,省级组织对县级抽查考评。无论那一级评估均按照统一方法进行。结果丽江市2004年实施碘缺乏病防治规划项目以来,碘盐覆盖率、碘盐合格率、碘盐合格食用率呈逐年升高趋势,均在95%以上;尿碘中位数为293.08μg/L,尿碘水平大于100μg/L以上的占92.54%;甲状腺肿大率呈逐年下降趋势,2009、2010年均未发病;健康教育问卷调查知晓率呈逐年提高趋势,2010年儿童为82.8%,妇女为88.0%。结论丽江市碘营养状况良好,并如期实现消除碘缺乏病防治规划终期目标。

Objective To investigate the implementation of the iodine deficiency disorders（IDD） program and its effects in Lijiang City, 2004-2010, and to provide a scientific foundation for further prevention and control. Methods In compliance with the requirements set by two official documents ＂Final-term assessment for national endemic diseases prevention and control program＂ and ＂yunnan provincial county-level assessment and evaluation technical implement program for iodine deficiency disorders＂, each county government should report to the higher municipal government on the basis of self-examination and evaluation. After its approval from the experts on the municipal level, a random inspection is launched by the provincial organization about the county-level prevention and control effects. Unified methods are to be adopted. Results Since the implementation of IDD prevention and control program in Lijiang city in 2004, the iodinated salt popularization, the eligibility rate of iodized salt, iodized salt consumption rate have shown an increasing tendency year by year with the percentage of more than 95 % ; urinary iodine median is 293.08 ug/L with the urinary iodine levels greater than 100ug/L with the percentage of 92.54% or more, goiter ratio decreased year by year, compared to that of 2009, 2010, an average of 0.0%; health education questionnaire acknowledgement demonstrates an increasing rate year by year, of which 2010 was 82. 8% with children, and women 88.0%. Conclusion The iodine nutrition status was pretty good in Lijiang city and has aeheved the anticipated target to achieve the utmost ambition to eliminate iodine deficiency disorders （IDD）.