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50 close on salt target


Bangladesh - swelling of the thyroid gland (goitre) is a visible sign of iodine deficiency.

Lack of iodine in the diet has condemned millions of children to cretinism, tens of millions to mental retardation, and hundreds of millions to milder degrees of mental and physical impairment. In total, 1.6 billion people in over 100 countries are at some degree of risk. The solution - employed in Europe and North America since the 1920s - is to iodize all edible salt at a cost of about 5 cents per person per year.

At the beginning of the 1990s, most of the affected countries agreed to attempt the iodization of at least 90% of all edible salt by the end of 1995. With less than a year to go, about 50 countries have a realistic chance of reaching that goal. Many others will surpass the 80% mark - putting them in a good position to reach the year 2000 target of virtually eliminating iodine deficiency.

India, which produces over 5 million metric tons of salt a year, has made massive efforts in the 1990s and now iodizes about two thirds of its salt. Nigeria, Africa's most populous country, has reached the 90% target within the last 12 months.

Meanwhile, a recent analysis of 21 research studies has shown that moderate iodine deficiency is associated with an average reduction of over 13 IQ points.

The table below shows the percentages of domestic and imported salt iodized in countries affected by iodine deficiency.

The problem has not entirely disappeared from the industrialized nations. In Luxembourg, for example, average daily consumption of iodine is well below the recommended level, and a campaign is now under way to persuade all bakers in the Duchy to use iodized salt in bread.

Table salt
Iodine deficiency disorders can be eliminated by iodizing all salt.


             % salt               % salt            % salt
            iodized              iodized           iodized
Sub-Saharan            Middle East           South 
Africa                 & N. Africa           Asia
-----------------------------------------------------------
Cameroon        100       Iraq        91     Bhutan     100        
Nigeria          96       Libya       90     India       65         
Kenya            95       Algeria     80     Bangladesh  18                       
Rwanda           90       Iran        70     Nepal       18              
Burundi          80       Turkey      31     Pakistan    11      
Zambia           50       Syria       18*    Sri Lanka    4       
Sierra Leone     43       Jordan       2        
Tanzania         32       Egypt        1        
C. African Rep.  20       Morocco      0        
Niger             1       Yemen        0             
Angola            0*                      
Benin             0                       
Burkina Faso      0                       
Côte d'Ivoire     0*                      
Guinea-Bissau     0                       
Mali              0                       
Namibia           0*                      
Togo              0            

East Asia              Latin America         Countries           
& Pacific              & Caribbean           in transition       
------------------------------------------------------------                                                                 
Thailand         50*   Panama         95*    Macedonia    100     
Viet Nam         24    El Salvador    92*    Yugoslavia    80      
Philippines      17    Bolivia        90     Croatia       75          
Myanmar           7    Peru           90     Belarus       37*            
Mongolia          0    Ecuador        85     Tajikistan    32*      
                       Brazil         84     Hungary       10          
                       Guatemala      80*    Kazakhstan    10* 
                       Chile          76     Ukraine        4*          
                       Honduras       67*    Romania        0           
                       Venezuela      65*    Russian Fed.   0*  
                       Paraguay       48     Turkmenistan   0*  
                       Dominican Rep.  2*    Uzbekistan     0   
                       Cuba            0*           

*Figure for total salt may include salt which is exported.

Note: Only countries with salt iodization data are included.

Source: Updated from UNICEF Nutrition Section, Progress towards universal salt iodization, December 1994.



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