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Current Iodine Deficiency Disorder Situation
Population
Population: 10.07 million
Population growth rate: -0.3%
Population < 15 years: 16.4%
Birth rate: 9.34 per 1000
Life expectancy at birth: 71.9 years
Infant mortality: 8.77 per 1000
Prevalence of Goiter/ UIE
<100 mcg/L. 1991 survey showed median urinary iodine from 40-130 mcg/L.
Between 1950 and 1965, large scale surveys of schoolchildren found moderate levels of goiter (8-10%). More recent surveys found a TGR of 5.8% in endemic areas, and a TGR of 1.5% in Budapest . Ultrasound study in Budapest found children's thyroids larger than in iodine-sufficient regions.
In Budapest (1991), neonates urinary I excretion (median = 5.0 mcg/dl) revealed that mild IDD may persist. ThyroMobil study (1995) gave range of medians for 3 sites as 52-115 mcg/L
Iodized salt Coverage
Household iodized salt use: 10-50%
Salt Situation Analysis Production
Salt is produced locally as well as imported, available on a voluntary basis for home use and for animal foods.
Consumption
Approximately 25-30% of the population is covered with iodized salt.
Iodine Procurement and Utilization
Salt iodized with KIO3 at 15 mg iodine/kg
Universal Salt Iodization Program
Information, Education, Communication (IEC) Activities
A national conference in November 2002 entitled "Closing the gap between Europe and Hungary in the field of iodine deficiency" attracted health officials, academic thyroidologists, and salt producers, to promote iodine prophylaxis in the country.
Legislation
No legislation. Use is voluntary except in areas surrounding the nuclear power station at Paks, where it is compulsory.
Program Monitoring and Evaluation
National coordinating committee for IDD control has existed since 1995, consisting of thyroidologists, nutritionists, salt producers, and public health officers.
Monitoring has been carried out principally by academic thyroidologists, using palpation, neonatal TSH screening, urinary iodine, and thyroid size by ultrasound
Other Interventions
None
Key Lessons Learned
Challenges and Constraints
Future Plans for Sustained IDD Elimination
Sources:
IDD NL 18(4):54 and 62, 2002
IDD NL 13(1):4, 1997
IDD NL 9(1):7, 1993
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