iodine nutrition in the united states william h. dietz, md, phd centers for disease control and...
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Iodine Nutrition in the United States
Iodine Nutrition in the United States
William H. Dietz, MD, PhDCenters for Disease Control and Prevention
Director, Division of Nutrition and Physical Activity
William H. Dietz, MD, PhDCenters for Disease Control and Prevention
Director, Division of Nutrition and Physical Activity
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Reduced intellectualperformance
Goiter
CretinismCretinismCretinismCretinism
The Full Spectrum of Iodine Deficiency
GoiterGoiterCretinism Cretinism
Reduced intellectualperformance
The Full Spectrum of Iodine Deficiency
Reduced intellectual performance Reduced intellectual performance
Goiter
CretinismCretinism
The Full Spectrum of Iodine Deficiency
The network of connections are less denseThe network of connections are less dense
Iodine Sufficient Brain
Iodine Deficient Brain
Source: From Legrand, 1967.Source: From Legrand, 1967.
Incidence of simple goiter among mendrafted for service in the US Army during
World War 1
Incidence of simple goiter among mendrafted for service in the US Army during
World War 1
Morton develops iodized salt to help prevent goiters, which were common at the time. The Food and Drug Administration later requests that the product be labeled with the message,
"This salt provides iodide, a necessary nutrient."
Morton develops iodized salt to help prevent goiters, which were common at the time. The Food and Drug Administration later requests that the product be labeled with the message,
"This salt provides iodide, a necessary nutrient."
Iodized Salt in the US
19241924
Salt Iodization in the US: Trend in Goiter Prevalence in Michigan
Salt Iodization in the US: Trend in Goiter Prevalence in Michigan
0
10
20
30
40
50
1924 1929 1951
Year
Perc
en
t
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10
20
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1924 1929 1951
Year
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WHO Monograph Series No. 44WHO Monograph Series No. 44
WholesaleRetail
Traders
Customers(Household)
Iodine Supply to the PopulationIodine Supply to the Population
Salt Production
Salt for Food
Industry
Table Salt
IndividualIodine Status
Salt ProducersSalt Producers OutcomeOutcomeMarketMarket
IndividualIodine Status
WholesaleRetail
Traders
WholesaleRetail
Traders
Customers(Household)
Customers(Household)
Iodine Supply to the PopulationIodine Supply to the Population
Salt Production
Salt Production
Salt for Food
Industry
Salt for Food
Industry
Table Salt
Table Salt
Other Iodine SourcesDairy
Meat productsRed Food Dye
Bread
Other Iodine SourcesDairy
Meat productsRed Food Dye
Bread
Salt ProducersSalt Producers OutcomeOutcomeMarketMarket
Trend in Iodine Nutrition in the USTrend in Iodine Nutrition in the US
0
5
10
15
20
25
30
35
1971-74 1988-94
NHANES
UIE
ug
/dL
0
5
10
15
20
25
30
35
1971-74 1988-94
NHANES
UIE
ug
/dL
WholesaleRetail
Traders
Customers(Household)
IndividualIodine Status
Iodine Supply to the PopulationIodine Supply to the Population
Salt Production
Salt for Food
Industry
Table Salt
Other Iodine Sources DairyMeat productsRed Food Dye
Bread
Salt ProducersSalt Producers OutcomeOutcomeMarketMarket
Monitoring the Impact of IDD Elimination Overseas
Monitoring the Impact of IDD Elimination Overseas
• International Micronutrient Malnutrition Prevention and Control (IMMPaCt) program working with UNICEF/WHO/USAID and national Governments in a number of countries
• Building capacity to obtain baseline data and establish monitoring systems for process and impact indicators for USI and iodine nutrition
• International Reference Laboratories for Iodine (IRLI) network in formation
• International Micronutrient Malnutrition Prevention and Control (IMMPaCt) program working with UNICEF/WHO/USAID and national Governments in a number of countries
• Building capacity to obtain baseline data and establish monitoring systems for process and impact indicators for USI and iodine nutrition
• International Reference Laboratories for Iodine (IRLI) network in formation
WholesaleRetail
Traders
Customers(Household)
Salt ProducersSalt Producers OutcomeOutcomeMarketMarket
Iodine Supply to the PopulationIodine Supply to the Population
Salt Production
Salt for Food
Industry
Table Salt
Process Monitoring
Process Monitoring
Impact MonitoringImpact Monitoring
IndividualIodine Status
