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Noguera, Viteri, Daza & Mora |
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Noguera, Viteri, Daza & Mora |
EVALUATION OF THE CURRENT STATUS OF
ENDEMIC GOITER AND PROGRAMS
FOR ITS CONTROL IN LATIN AMERICA
ANNEX II: Form CHS/CNU/83.3
A. IDENTIFICATION
Country:
Date:
Name of person filling out this form:
Institution(s) and person(s) supplying information:
B. COUNTRY STUDIES OF ENDEMIC GOITER AND CRETINISM
1. Give brief description of each of latest country and regional studies on prevalence of endemic goiter and cretinism showing: date of the study, population studied, type of sample and its representativity, the clinical classification method used, and th e clinical and laboratory results (attach copies of the report(s) and publications referred to).
2. lf there is a system for the epidemiological surveillance of the prevalence of endemic goiter and cretinism, describe it and indicate the responsible institution, the intervals at which information is gathered, the type of information sought, the clini cal classification used, and recent results.
3. List the studies done in the country on goiter, cretinism, thyroid function and/or mental retardation, giving names of researchers, their addresses and institutions, the titles of the studies, dates, and important results (attach copies of the reports and articles cited).
C. LEGISLATION AND REGULATIONS
List chronologically the legal provisions (law(s), decrees, resolutions, etc.) that have established measures for the prevention and control of endemic goiter, indicating the dates of their enactment, the types of measures calied for, the geographic area of their application, the dates on which their application began, and their present status (attach copies of those legal provisions).
D. CURRENT SALT PRODUCTION, IODIZATION, DISTRIBUTION, AND MARKETING
1. Salt Supplies in the Country
________________________________________________________________________ Availabilities Rock Sal Sea Salt Others Total ________________________________________________________________________ National production (metric tons/year) Imports (MT/year) xxx xxx xxx Exports (MT/year) xxx xxx xxx ________________________________________________________________________
2. Production Plants and Types of Salt
________________________________________________________________________ Name of Plant Location Type of Salt Annual Production (MT) ________________________________________________________________________
3.Current Use of Salt Output (net of exports)
____________________________________________________________ lodized Uniodized Total Use of Salt (MT/year) (MT/year) (MT/year) ____________________________________________________________ Human consumption ____________________________________________________________ Animal consumption ____________________________________________________________ Industrial use ____________________________________________________________
4. Current Use of Imported Salt
____________________________________________________________ lodized Uniodized Total Use of Salt (MT/year) (MT/year) (MT/year) ____________________________________________________________ Human consumption ____________________________________________________________ Animal consumption ____________________________________________________________ Industrial use ____________________________________________________________
5. Salt Exports
Indicate the countries and the quantities (iodized and uniodized) exported yearly to each
country.
6. Standards for and Types of Controls on Imported and Exported Salt
Describe them, indicating the types of control and the agencies exercising them.
7. Domestic Distribution and Marketing of Salt
Briefly deseribe the systems for the national or regional distribution of salt, the
marketing channels and systems, selling units, and current prices.
8. Salt Consumption per CapitalDay (g)
Indicate how the estimate was arrived at.
E. SALT IODIZATION
1. Procedures
Briefly describe the processes by which salt is iodized in the country (dry, in brine, by
dripping, spersion, etc.), the iodine compound used (iodide, iodate, etc.), the stabilizer
added to the dine compound, the required level of iodization and the actua l level reached
in each plant, control procedures in the plant and intervals at which carried out, the
packaging, and the national and/or regional coverage.
2. Iodized Salt Production of Plants
_____________________________________________________________________________ Iodized Salt Current Production Capacity Production Name of Plant Location (MT/year) (MT/year) _____________________________________________________________________________ _____________________________________________________________________________
3. Iodization Costs
Estimate the cost of iodization per metric ton of iodized salt and explain who bears those
additional costs. If possible, give the cost of the equipment. If the iodine compounds are
imported, state which, from where, at what cost, and in what quantities i n each of the
last five years, if possible. If the compounds are produced locally, try to ascertain the
quantities purchased by the iodization plants in each of the last five years, if possible.
F. MONITORING AND CONTROL OF SALT IODIZATION
1. Standards and Procedures
State the current standards and those currently enforced for the control of salt
iodization, the responsible agencies, the intervals at which the controls are practiced,
the procedures (sampling location, collection methods, laboratory techniques), the co
verage of the control program (nationwide or regional), and its cost. Also, state whether
specific standards are applied for inplant quality control and on the marketing,
packaging, transportation, and sale of iodized salt.
2. Control Activities in the Last Year (l982)
Describe the number of samples analyzed by place at which taken (a production plant, local
markets, homes, etc.) and the iodine levels found (frequencies of classes of levels in ppm
if the analyses are quantitative). Also, say what measures are taken if insufficient
iodization levels are detected.
3. Control Problems
Describe the chief problems to the systematic control of iodization at the national level,
the measures taken to solve them, and those that should be taken.
G. USE OF IODIZED OIL
If iodized oil is administered parenterally or perorally, say whether this is done sporadically or regularly, to whom, the doses administered at different ages, the compound used, the intervals at which administered, the problems encountered, and the resu lts of evaluations, if any have been made (attach copies of the evaluation reports). lf studies have been done on the peroral or parenteral administration of iodized oil, briefly describe them and give their results (attach copies of the publications and reports).
H. PROGRAMS AND ACTIVITIES FOR THE PROMOTION OF AND EDUCATION ON ENDEMIC GOITER, CRETINISM, AND THE USE OF IODIZED SALT
Describe the programs and activities, if any, for informing and motivating the general public (or professionals or other specific groups) on endemic goiter and cretinism, and the use of iodized salt. Include both education and information programs throug h mass media, and specific activities for information (seminars, conferences, courses, etc.) and for formal and informal community education.
I. ADDITIONAL COMMENTS
J. RECOMMENDATIONS ON NEEDS FOR TECHNICAL COOPERATION AND FINANCIAL ASSISTANCE TO THE COUNTRY'S PROGRAM
Reprinted from "Towards the Eradication of Endemic Goiter, Cretinism, and Iodine Deficiency" with permission from Pan American Health Organization. This publication is available in full from the Pan American Health Organization, $10.- plus $6.- shipping and handling. To request a publications catalog, write to: Pan American Health Organization, Publications Program, 525 Twenty-third St., NW, Washington, DC 20037. Fax: 202/338-0869.
