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Current Iodine Deficiency Disorder Situation
Population
Population: 8.17 million
Population growth rate: 0.23%
Population < 15 years: 16.4%
Birth rate: 9.58 per 1000
Life expectancy at birth: 78 years
Infant mortality: 4.39 per 1000
Prevalence of Goiter/ UIE
Median urinary iodine: 98-120 mcg/L
Much of Austria is in the Alps and in past, IDD was a severe public health problem. In 1970's, IDD was still a problem among schoolchildren (11.8% TGR). However, in 1992, school surveys found a TGR prevalence of 5%. Data from ThyroMobil show size by ultrasound in iodine sufficient normal range.
Iodine prophylaxis has been mandatory since 1963. Due to this, endemic cretinism has disappeared.
Incidence of congenital hypothyroidism is 1:5153, consistent with iodine sufficiency.
Median urinary iodine excretion of 145 mcg I/g creatinine in Tyrol (1992), and 122 mcg I/g creatinine in Styria (1996); ThyroMobil in 4 sites, median range 98-120 mcg/L.
Iodized salt Coverage
Household iodized salt use: 100%
Salt Situation Analysis Production
No Data Available
Consumption
- Estimated daily per capita salt consumption: No Data Available
- Estimated % of all salt consumed by people which is adequately iodized (household level): 100%
Iodine Procurement and Utilization
Salt iodized with KI, 20ppm
Universal Salt Iodization Program Information, Education, Communication (IEC) Activities
Legislation
- Legislation: Yes.
- Legislation for Animals: All salt for animals is iodized
- Year Enacted: 1963
- Latest Revision: 1990
Program Monitoring and Evaluation
No governmental program. Active assessment and monitoring by 19 Nuclear Medicine Centers cooperatively (Austrian Society of Nuclear Medicine). Government has state monopoly on salt.
Monitoring performed regularly by Austrian Society of Nuclear Medicine.
Other Interventions None.
Key Lessons Learned
Challenges and Constraints
Future Plans for Sustained IDD Elimination
Sources:
IDD NL 18(4):52, 2002
IDD NL 13(3):45, 1997
IDD NL 9(1):4, 1993
IDD NL 8(1):12, 1992
IDD NL 7(4):38, 1991
Eur J Nucl Med 25(4):367, 1998
Eur J Endocrinol 136:180, 1977
Thyroid 7(4):593, 1997 |