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CURRENT STATUS OF NIDDCP

CURRENT STATUS OF NIDDCP. HISTORICAL BACKGROUND GOITRE & CRETINISM EVEN DESCRIBED IN ATHAR VEDA. 1950 IODINE & GOITRE 1960 ENDEMIC GOITRE & RIA 1970 RELATION BETWEEN TSH, T4 AND GOITRE 1980 IODINE DEFCIENCY DISORDERS 1990 IDD – PHYSICAL AND MENTAL DEVELOPMENT & IQ.

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CURRENT STATUS OF NIDDCP

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  1. CURRENT STATUS OF NIDDCP

  2. HISTORICAL BACKGROUNDGOITRE & CRETINISMEVEN DESCRIBED IN ATHAR VEDA 1950 IODINE & GOITRE 1960 ENDEMIC GOITRE & RIA 1970 RELATION BETWEEN TSH, T4 AND GOITRE 1980 IODINE DEFCIENCY DISORDERS 1990 IDD – PHYSICAL AND MENTAL DEVELOPMENT & IQ. 2000 IDD AS PREVENTABLE MENTAL RETARDATION AND HRD. GEO –CHEMICAL ENVIRONMENTAL PROBLEM

  3. SPECTRUM OF IODINE DEFICIENCY DISORDERS FOETUS ABORTIONS STILL BIRTHS CONGENITAL ANOMALIES INCREASED PERINATAL MORTALITY INCREASED INFANT MORTALITY NEUROLOGICAL CRETINISM --- MENTAL DEFICIENCY DEAF MUTISM SPASTIC DIPLEGIA SQUINT MYXEDEMATOUS DWARFISM MENTAL DEFICIENCY PSYCHOMOTOR DEFECTS NEONATE NEONATAL GOITRE NEONATAL HYPOTHYROIDISM CHILD AND GOITRE ADOLESCENT JUVENILE HYPOTHYROIDISM IMPAIRED MENTAL FUNCTION RETARDED PHYSICAL DEVELOPMENT ADULT GOITRE WITH ITS COMPLICATIONS HYPOTHYROIDISM IMPAIRED MENTAL FUNCTION

  4. IDD AT A GLANCE POPULATION AT RISK WORLD -1572 MILLIONS INDIA -ABOVE 200 MILLIONS GOITRE CASES WORLD -740 MILLIONS INDIA -70 MILLIONS DISTRICT SURVEYED -324 (28 STATES & 7 UTs) ENDEMIC DISTRICTS -263 (GOITRE PREVALENCE ABOVE 10 PER CENT)

  5. NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (1992) • OBJECTIVES • SURVEYS TO ASSESS THE MAGNITUDE OF THE IODINE DEFICIENCY DISORDERS. • SUPPLY OF IODATED SALT IN PLACE OF COMMON SALT. • RESURVEYS TO ASSESS THE EXTENT OF IODINE DEFICIENCY DISORDERS AND THE IMPACT OF IODATED SALT AFTER EVERY 5 YEARS.

  6. NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (1992) • LABORATORY MONITORING OF IODATED SALT AND URINARY IODINE EXCRETION. • HEALTH EDUCATION & PUBLICITY GOAL THE GOVERNMENT'S GOAL OF NIDDCP IS TO REDUCE THE PREVALENCE OF IODINE DEFICIENCY DISORDERS BELOW 10 PER CENT IN THE ENTIRE COUNTRY BY 2012 A.D. BUDGET FOR 2009-10 Rs.40 CRORES

  7. GOALS OF NIDDCP FOR THE 11TH PLAN • To bring down prevalence of IDD below 10% in the entire country by 2012 AD. • To ensure 100% consumption of adequately iodated salt (15 PPM) at the household level.

  8. ACHIEVEMENTS OF NIDDCP • THE GOVT. OF INDIA HAS ISSUED NOTIFICATION BANNING THE SALE OF NON-IODATED SALT FOR DIRECT HUMAN CONSUMPTION IN THE ENTIRE COUNTRY W.E.F.17TH MAY, 2006 UNDER THE PREVENTION OF FOOD ADULTERATION ACT, 1954. THERE IS NO BAN ON THE PRODUCTION OF COMMON SALT PER SE AND THE SAME CAN BE SOLD FOR IODISATION, IRON FORTIFICATION, PRESERVATION, ANIMAL, INDUSTRIAL & MEDICINAL USE WITH PROPER LABEL DECLARATION. • ANNUAL PRODUCTION HAS BEEN RAISED FROM 5 LAKHS MT 1985-86 TO 51 LAKH MT 2008-09. • 3) 824 PRIVATE MANUFACTURES HAVE BEEN LICENSED HAVING ANNUAL PRODUCTION CAPACITY OF IODATED SALT MORE THAN 120 LAKH MT.

  9. ACHIEVEMENTS OF NIDDCP • . ONE IDD CELL AND ONE IDD MONITORING LABHAVE BEEN SANCTIONED TO ALL STATES/UTS •   (5) 31 STATES AND UNION TERRITORIES HAVE ESTABLISHED IDD CELLS. •  (6) A NATIONAL REFERENCE LABORATORY FOR MONITORING OF IDD HAS BEEN SET UP AT THE BIO- CHEMISTRY DIVISION OF NICD. FOUR RETIONAL LABORATORIES AT NIN, HYDERBAD FOR SOUTH, AIIH&PH, KOLKATA FOR EAST AND NORTH-EAST, AIIMS, DELHI FOR WEST AND NICD FOR NORTH HAVE BEEN DECLARED FOR TRAINING, MONITORING, QUALITY CONTROL OF SALT AND URINE TESTING AT CONSUMPTION LEVEL & THYROID FUNCTION TESTS IN THE REGION.

  10. ACHIEVEMENTS OF NIDDCP • SALT TESTING KITS FOR CREATING AWARENESS AND MONITORING AT COMMUNITY LEVEL BY ASHA IS BEING DISTRIBUTED IN ALL THE DISTRICTS • ONE IDD MONITORING LAB HAS BEEN SANCTIONED TO ALL STATES/UTS. • CASH GRANTS PROVIDED FOR SURVEYS/RESURVEYS HEALTH EDUCATION AND PUBLICITY.

  11. ACHIEVEMENTS OF NIDDCP (10) NIDDCP HAS BEEN INCLUDED IN 20 POINT PROGRAMME OF PRIME MINISTER. (11) STANDARD OF IODINE CONTENT OF SALT FIXED AT PRODUCTION AND CONSUMPTION LEVEL AT LEAST 30 AND 15 PPM RESPECTIVELY. (12) REVISED POLICY GUIDELINES ON NATIONAL IODINE DEFICIENCY DISORDERS WERE PRINTED OUT AND DISTRIBUTED.

  12. FINANCIAL ASSISTANCE UNDER THE PROGRAMME • STATES/UTs (a) IDD CELL (b) IDD MONITORING LAB (c) IDD SURVEY/RESURVEY (Rs.50,000/- per district) (d) HEALTH EDUCATION & PUBLICITYS

  13. FINANCIAL ASSISTANCE TO STATES/UTSEstablishment of IDD Cell in State/UT DHS (28) with following staff

  14. FINANCIAL ASSISTANCE TO STATES/UTSEstablishment of IDD Monitoring Laboratory in State/UT DHS (23) with following staff Both posts filled up ST/UT 20

  15. AGENCIES ASSOCIATED WITH IEC DOORDARSHAN ALL INDIA RADIO   DIRECTORATE OF FIELD PUBLICITY SONG & DRAMA DIVISION DIRECTORATE OF ADVERTISING & VISUAL PUBLICITY STATE HEALTH DIRECTORATE

  16. MILESTONES ACHIEVED UNDER NIDDCP • VISIBLE GOITRE WHICH WAS RANGING 3 TO 10 % IN NINETIES REDUCED TO 0.75% TO 2.5% • THEE IS A SIGNIFICANT REDUCTION IN THYROID SURGERY IN RECENT YEARS AS COMPARED TO EARLY NINETIES • THE PRODUCTION OF IODATED SALT HAS REACHED 52 LAKH TONS IN 2006-2007 FROM 5 LAKH TONS IN 1985-86

  17. FUTURE PLANS • TO SET UP ONE IDD CELL & IDD MONITORING LAB IN EACH STATE & UT. • TO COMPLETE IDD SURVEY OF REMAINING DISTRICTS OF THE STATES    • PRODUCTION & DISTRIBUTION OF 52 LAKH MT IODATED SAL • EXTENSIVE IEC CAMPAIGN BY ASSOCIATING DOORDARSHAN, ALL INDIA RADIO, DIRECTORATE OF FIELD PUBLICITY, SONG & DRAMA DIVISION, DAVP, PRIVATE AGENCIES, ETC.   • IMPLEMTNATION, MONITORING & EVALUATION OF NIDDCP

  18. Thank you For your Precious time for this Presentation

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