Lok Sabha Question No. 3011 (UNSTARRED), answered on 2021-08-06
Subject: Iodine Deficiency Disorder
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Gajanan Chandrakant Kirtikar, Supriya Sadanand Sule, Dhanush M Kumar, Gautham Sigamani Pon, Ganesan Selvam, C.N. Annadurai

## GOVERNMENT OF INDIA

## MINISTRY OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3011 TO BE ANSWERED ON 06 TH  AUGUST,2021

## IODINE DEFICIENCY DISORDER

3011:  SHRI GAJANAN KIRTIKAR:

SHRIMATI SUPRIYA SULE:

SHRI DHANUSH M. KUMAR:

SHRI GAUTHAM SIGAMANI PON:

SHRI SELVAM G:

SHRI C.N.ANNADURAI:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) the  number  of  people  suffering  from  Iodine  Deficiency  Disorder  (IDD),  State/UTwise;
- (b) whether the Government has any target to bring down the IDD cases in the country, if so, the details thereof;
- (c) whether  the  Government  is  implementing  National  Iodine  Deficiency  Disorder Control  Programme  (NIDDCP),  if  so,  the  details  thereof  and  the  achievement  made  by NIDDCP in controlling Iodine Deficiency since its inception;
- (d) the  challenges  faced  by  the  Government  in  controlling  Iodine  deficiency  among women  along  with  the  steps  taken/  being  taken  by  the  government  to  control  Thyroid disorders among women particularly related to hypothyroidism; and
- (e) whether the Government also observed World Iodine Deficiency day, if so, the details thereof along with the initiatives taken by the Government to make the event successful?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR.BHARATI PRAVIN PAWAR)

- a) Prevalence  of  Iodine  Deficiency  Disorders  (IDD)  is  steadily  declining  in  the country.  The details of  Total Goitre Rate (TGR) based on  initial surveys and subsequent re-surveys are annexed.
- b) The target under NIDDCP is to bring the prevalence of IDDs to below 5% in the country and to ensure 100% consumption of adequately iodated salt (>15ppm) at the household level.
- c) National  Iodine  Deficiency  Disorders  Control  Programme  (NIDDCP)  is  being implemented in the entire country. For effective implementation of the programme, financial assistance is provided to all States/UTs for establishment of  State/UT  Iodine  Deficiency  Disorders  Control  Cell  and  IDD  Monitoring Laboratory,  conducting  district  IDD  Surveys/  Resurveys,  health  education  and publicity to create awareness about IDD, promoting consumption of adequately iodated salt and monitoring of Iodine content of salt through salt testing kit at the Household/Community level.

The significant achievements under NIDDCP are :-

-  Over the years, the Total Goiter Rate (TGR) in the entire country has reduced significantly.
-  The production and supply of Iodized salt in the country during 202021 is 78.58 Lakh Tonnes and 75.66 Lakh Tonnes respectively.
-  For effective implementation of National Iodine Deficiency Disorders Control Programme, 34 States/UTs have established Iodine Deficiency Disorders  Control  Cells  and  Iodine  Deficiency  Disorders  monitoring laboratories in their State Health Directorate.
-  Consumption of Iodated salt at household level has increased to 93% as  per  NFHS  -  4  (2015-16)  from  76%  in  NFHS  3  (2005-06) conducted by Ministry of Health and Family Welfare.

 The  Comprehensive  National  Nutrition  Survey  (CNNS)  (2016  2018) indicated that there was adequate level of Iodine intake which is essential to prevent Iodine Deficiency Disorders including Hypothyroidism.

d). The  challenges  faced  by  the  government  in  controlling  Iodine  deficiency include the lack of awareness regarding consumption of iodine rich foods and iodized salt.

To control thyroid disorders among women particularly related to hypothyroidism the following steps have been taken by the Government:-.

- (i) NIDDCP is  being  implemented  in  all  the  States/UTs  of  the  country  for  entire population including women.
- (ii) National  Guidelines  for  screening  of  Hypothyroidism  during  pregnancy  were released by Maternal Health Division of this Ministry in December, 2014 and are available on the website of NHM.
- (iii) Under  the  Pradhan  Mantri  Surakshit  Matritva  Abhiyan  (PMSMA),  pregnant women are screened for hypothyroidism on 9 th of every month.
- e). Under NIDDCP, Global Iodine Deficiency Disorders Prevention Day is being observed  every  year  on  21 st October  in  all  the  States/UTs.  In  the  year  2020,  several initiatives were taken by the Government including:-
- (i) Communication from Ministry of Health & Family Welfare was issued to all States/UTs,  emphasizing  to  generate  awareness  about  Iodine  Deficiency Disorders (IDDs) and their prevention and benefits of Iodized salt etc. through IEC in the States/UTs on this Day by following the Guidelines for Covid-19 prevention.
- (ii) IEC material on IDD were provided to all States/UTs. These were utilized by States/UTs to spread awareness among the community.
- (iii) Financial assistance was given to the States/UTs to observe this Day.
- (iv) IDD  Messages  were  released  on  Ministry  of  Health  &  Family  Welfare's (GOI) Twitter handle.

Annexure

## State wise & district wise Initial Survey/Resurvey Total Goiter Rate

|             | State                 | Initial survey   | Initial survey   | Resurvey         | Resurvey    |
|-------------|-----------------------|------------------|------------------|------------------|-------------|
| S.No        | District surveyed     | Year             | TGR (%)          | Year             | TGR (%)     |
| 1           |                       |                  |                  |                  |             |
|             | Chhattisgarh Bilaspur | 1985             | 32.5             | 2013-14          | 5.3         |
|             | Sarguja               | 1981             | 41.81            | 2003, 2013-14    | 16.20, 9.1  |
|             | Raighad               | 1980             | 34.8             | 2013-14          | 15.9        |
| 2           | Gujarat               |                  |                  |                  |             |
|             | Amreli                | 1989             | 14.00            | 2008-09, 2018-19 | 25.20, 0.63 |
|             | Bharuch               | 1977             | 31.70            | 2008-09, 2018-19 | 23.20, 0.0  |
|             | Dangs                 | 1989             | 44.00            | 2008-09, 2018-19 | 31.20, 0.0  |
|             | Junagarh              | 1997             | 23.30            | 2008-09, 2018-19 | 17.40, 0.3  |
|             | Sabarkantha           | 1989             | 25.80            | 2008-09          | 11.30       |
|             | Valsad                | 1983             | 36.59            | 2008-09, 2018-19 | 21.50, 0.9  |
| 3           | Jammu &Kashmir        |                  |                  |                  |             |
|             | Ananthang             | 1965             | 35.7             | 2009-10, 2016-17 | 28.2, 13.8  |
|             | Badgam                | 1971             | 26.6             | 2016-17          | 16.4        |
|             | Pulwama               | 1971             | 35.7             | 2008-09          | 25.3        |
|             | Srinagar              | 1971             | 26.6             | 2016-17          | 13.9        |
|             | Udhampur              | 1963             | 33               | 2008-09          | 26.25       |
|             | Poonch                | 1971             | 26.8             | 2010-11          | 9.7         |
| 4           | Karnataka             |                  |                  |                  |             |
|             | Chickmaglur           | 1986             | 32.14            | 2003, 2014-15    | 7.20, 3.0   |
|             | Kodagu                | 1989             | 23.01            | 2003, 2019-20    | 8.10, 14.8  |
|             | Bangalore®            | 1992             | 32.14            | 2003, 2017-18    | 7.70, 3.63  |
| 5           | Madhya Pradesh        |                  |                  |                  |             |
|             | Chhaterpur            | 1989             | 35.10            | 2009-10          | 4.67        |
|             | Chindwara             | 1985             | 35.00            | 2016             | 0.6         |
|             | Damoh                 | 1989             | 19.30            | 2016             | 2.1         |
|             | Jabalpur              | 1989             | 16.10            | 2016             | 2.2         |
|             | Khandwa               | 1985             | 85.35            | 2013-14          | 20.7        |
|             | Khargaon              | 1985             | 35.00            | 2013-14          | 17.8        |
|             | Sagar                 | 1989             | 19.2             | 2008, 2018       | 13.68, 10.5 |
|             | Mandla                | 1986             | 34.4             | 2009-10, 2016    | 5.08, 0.74  |
|             | Shahdol               | 1976             | 55.60            | 2003, 2009-10    | 10.20, 8.41 |
|             | Tikkamgarh            | 1989             | 18.7             | 2008, 2016       | 25.08, 1.9  |
|             | Hoshangabad           | 1985             | 35               | 2008, 2018       | 40.85, 1.9  |
|             | Betul                 | 1985             | 35               | 2008, 2018       | 20.35, 2.8  |
| 6           | Rajasthan             |                  |                  |                  |             |
|             | Bikaner               | 1990             | 22.89            | 2003, 2011-12    | 9.20, 4.1   |
|             | Bharatpur             | 2006             | 7.0              | 2011-12          | 1.6         |
|             | Kota                  | 1987             | 13.70            | 2003             | 9.90        |
| 7 Telangana | 7 Telangana           |                  |                  |                  |             |

|    | Adilabad     | 1985    | 54.00   | 2003 , 2012-13         | 12.40, 8.89      |
|----|--------------|---------|---------|------------------------|------------------|
|    | Warangal     | 1986    | 30.00   | 2003, 2012-13          | 15.90, 6.0       |
|    | Mehboobnagar | 1999    | 13.00   | 2015                   | 8.00             |
|    | Khammam      | 1985    | 42.00   | 2015                   | 7.07             |
| 8  | West Bengal  |         |         |                        |                  |
|    | Howrah       | 2005    | 37.80   | 2017-18                | 2.93             |
|    | Darjeeling   | 1963    | 34.50   | 2003                   | 22.90            |
|    | Jalpaiguri   | 1965    | 33.20   | 2003 , 2017-18         | 23.10 , 0.61     |
|    | Malda        | 1965    | 10.30   | 2005                   | 11.30            |
| 9  | Chandigarh   | 1977    | 45.80   | 2006, 2011-12, 2017-18 | 14.20, 7.3, 3.4  |
| 10 | Punjab       |         |         |                        |                  |
|    | Amritsar     | 2011-12 | 20.3    | 2016-17                | 1.6              |
|    | Jalandhar    | 2011-12 | 23.4    | 2016-17                | 15.0             |
|    | Mohali       | 2007-08 | 6.74    | 2015-16                | 1.7              |
|    | Patiala      | 2007-08 | 6.11    | 2014-15                | 5.3              |
|    | Tarn Taran   | 2011-12 | 15.9    | 2016-17                | 8.9              |
|    | Gurdaspur    | 1961    | 40.30   | 2003, 2011-12, 2016-17 | 20.60, 10.1, 4.3 |
|    | Bhatinda     | 2004    | 3.68    | 2015                   | 0.4              |
|    | SAS Nagar    | 2007-08 | 6.74    | 2015-16                | 1.7              |
|    | Rupnagar     | 1962    | 45.80   | 2003, 2014-15          | 3.93, 2.7        |