Monitoring of salt iodisation programme in Iran; Health outcomes, shortages and perspective

Iodine deficiency disorders include a wide range of metabolic and nonmetabolic disorders including goiter. To control IDDs, the World Health Organization and responsible agencies in countries established daily iodine uptake. Almost all the countries in the world provide the required iodine through salt iodisation. IDDs are not completely eradicable, so monitoring the salt iodisation programme is necessary for control of IDDs. In Iran, a salt iodisation programme was started in 1996. In this study, we took salt samples from all legally produced salt brands in Iran in 30 provinces and measured iodine concentration. The results of the monitoring programme for iodine concentration in schoolchildren's urine was used to compare accessibility to iodized salts and health outcomes. The results show that more than 80% of available salts have a suitable or acceptable concentration of iodine. Despite large variance in iodine concentration in available salt in some provinces, the median of iodine concentration in salts is within an acceptable range. Also, the urinary concentration of iodine (national median = 161) confirms that shortage of iodine intake is very low in Iran. The high rate of salt consumption of the Iranian people also has a significant effect on iodine uptake, but can lead to hyperthyroidism and hypertension that must be controlled.

Data on spot-kits versus titration method for iodine determination in salt: Performance and validity

The aim of this data is comparison of achieved data from salt iodine measurement by titration method with using sodium thiosulfate in presence of lugol׳s reagent and commercial spot- kit. Titration measurement was carried out in two different laboratories using standard samples. 437 samples including 20 commercial brands were collected throughout Iran. The iodine contents of the samples were measured by both the titration method and two most frequently used spot-kit brands in Iran. There is no significant differences between the results obtained from the two brands of spot-kits (ICC = 0.797). The kits sensitivity for determination of negative samples was high (more than 0.9) but by increasing the iodine concentration up to 15 ppm, the kits’ sensitivity was decreased. These findings indicate that the titration method is necessary for quantitative purposes, especially for concentrations higher than 30 ppm. However, spot-kits are suitable for qualitative and semi-quantitative measurements.