碘缺乏病综合防治18年效果评价

Evaluation on the effects of integrated control of iodine deficiency disorders in 18 years

目的评价碘缺乏病综合防治18年的效果。方法采取政府重视和部门协调、落实全民食用碘盐、加强督导评估工作、开展病情监测及流行病学调查、健康教育与健康促进等综合防治措施,并通过儿童尿碘中位数、甲状腺肿大率及合格碘盐食用率3项指标对效果进行评价。结果儿童甲状腺肿大患病率由1993年的27.90%降至2010年的3.83%,自1998年至2010年患病率一直控制在5%以内;碘盐合格率由1993年33.16%上升到2010年的98.96%,自1996年至2010年,碘盐合格率均在90%以上;儿童尿碘中位数由1994年的70.63μg/L提高到2010年的208.12μg/L,自1995年至2010年,儿童尿碘中位数均在100μg/L以上。结论所采取的综合防治措施是实现可持续消除碘缺乏病行之有效的方法。

Objective To evaluate the effects of integrated control of iodine deficiency disorders in 18 years. Methods A series of integrated control measures were adopted from 1993 to 2010, including attention and coordination of government departments to implement the universal consumption of iodized salt, strengthening the supervision and evaluation work, carrying out disease surveillance and epidemiology, health education and health promotion; Comparative investigation of the median urinary iodine of children, Goiter rate and qualified iodized salt consumption rate the effects of integrated control of iodine deficiency disorders were evaluated. Results The Goiter prevalence rates of children was 27.90% in 1993, 3.83% in 2010, the prevalence had been controlled within 5% from 1998 to 2010; The passing rates of iodized salt was 33.16% in 1993, 98.96% in 2010, the qualified rate had been maintained over 90% from 1996 to 2010; The median urinary iodine of children was 70.63 ug/L in 1994, 208.12 ug/L in 2010, the median had been maintained over 100 ug/L from 1995 to 2010. Conclusion The results of this study show that the integrated control measures is an effective way to achieve sustainable elimination of Iodine deficiency disorders.