The results suggest that iodised salt is an effective means of improving iodine status. No conclusions can be made about improvements in other, more patient-oriented outcomes, such as physical and mental development in children and mortality. None of the studies specifically investigated development of iodine-induced hyperthyroidism, which can be easily overlooked if just assessed on the basis of symptoms. High quality controlled studies investigating relevant long term outcome measures are needed to address questions of dosage and best means of iodine supplementation in different population groups and settings.
PRELIMINARY REPORT OF AN EXPERIMENT IN THE KANGRA VALLEY FOR THE PREVENTION OF HIMALAYAN ENDEMIC GOITRE WITH IODIZED SALT.
This report incorporates the results of an investigation designed to test the effectiveness of potassium iodide and potassium iodate in the control of Himalayan endemic goitre when these compounds are added in small physiological doses to the domestic salt habitually consumed by the people in the endemic belt. In a prospective study lasting five years, a striking reduction in the prevalence of goitre was observed in areas receiving salt fortified with either potassium iodide or potassium iodate. During the same period, goitre prevalence remained unchanged in the control zone, which received plain, unfortified salt. The study has an important bearing on the problem of goitre control in developing countries that use moist, coarsely crystalline salt.