河北省易县碘缺乏病19年综合防治措施及效果评价

Evaluation of integrated control effect of iodine deficiency disorder for 19 years in Yi County of Hebei Province

目的评价河北省易县地区碘缺乏病综合防治19年的措施及效果。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1998年的2.05%,自1998年至2011年患病率一直控制在5%以内;合格碘盐食用率由1993年的33.16%上升到1996年的96.06%,自1996年至2011年,合格碘盐食用率均在90%以上;儿童尿碘中位数由1994年的70.63μg/L提高到1995年的139.10μg/L,自1995年至2011年,儿童尿碘中位数均在100μg/L以上。结论该县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 integrated control measures and effect of iodine deficiency disorder for 19 years in Yi County of Hebei Province. [ Methods ] The integrated measures such as attention from government and sectoral coordination, universal con- sumption of iodized salt, strengthening supervision and evaluation, disease surveillance and epidemiological investigation, health education and health promotion, etc were adopted. The evaluation was performed on children ~ urinary iodine median, goiter rate and consumption rate of iodized salt. [ Results] The goiter prevalence among children decreased from 27.90% in 1993 to 2.05% in 1998, it had been controlled within 5% since 1998-2011; consumption rate of qualified iodized salt increased from 33.16% in 1993 to 96.06% in 1996, it had been above 90% since 1996- 2011 ; children urinary iodine median increased from 70.63μg/L in 1994 to 139.10μg/L in 1995, it had been above 100 μg/L since 1995-2011. [ Conclusion] The adopted integrated measures are the effective way for sustainable elimination of iodine deficiency disorders.