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Current Iodine Deficiency Disorder Situation
Population
Population: 1.93 million
Population growth rate: 0.14%
Population < 15 years: 15.7%
Birth rate: 9.27 per 1000
Life expectancy at birth: 75.29 years
Infant mortality: 4.47 per 1000
Prevalence of Goiter/ UIE
83 mcg/L
UI reported as 84 mcg/L; extent of survey unknown.
In past, IDD was endemic in mountainous areas with prevalence ranging from 10-90%. Recent surveys noted a TGR of 15% among schoolchildren. Data within past 16 years stated that 79% of 13 year olds had goiter.
Iodized salt Coverage
Household iodized salt use: unknown
Salt Situation Analysis Production
Salt production is local, and for human and food industry use. Use is voluntary, but universal. Production inadequate for the country's needs and salt is imported from Bosnia , Croatia , Austria , and Slovakia .
Consumption
Extent of coverage not known
Iodine Procurement and Utilization
Salt iodized with KI, 20-30 mg/kg
Universal Salt Iodization Program
Information, Education, Communication (IEC) Activities
Legislation
Former Yugoslavia mandated 10 ppm KI since 1953; now 20-30 ppm as KI for humans and food industry.
Program Monitoring and Evaluation
National Coordinating Committee for IDD Control consists of representatives of the Ministry of Health, thyroidologists, pediatricians, and nutritionists.
National Coordinating Committee is responsible for monitoring, level of activity not known.
Other Interventions
None
Key Lessons Learned
Challenges and Constraints
Future Plans for Sustained IDD Elimination Updated information on extent of iodized salt use and on iodine nutrition is needed, as well as extent of activity of the National Coordinating Committee.
Sources:
IDD NL 18(4):55, 2002
IDD NL 17(4):55, 2001
IDD NL 8(1):11, 1992
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