Lok Sabha Question No. 522 (UNSTARRED), answered on 2016-02-26
Subject: Thyroid Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAMACHANDRAN MULLAPPALLY

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 522 TO BE ANSWERED ON 26 TH FEBRUARY , 2016

## THYROID DISEASES

## 522. SHRI MULLAPPALLY RAMACHANDRAN:

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

- (a) whether there is an increased rate of Thyroid diseases across the country during the years, if so, the details thereof;
- (b) whether the Government has made any study in this regard; and
- (c) if so, the findings thereof and the action taken by the Government thereon?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a)  to  (c)  :    Thyroid  diseases  comprise  spectrum  of  diseases  including  Iodine  Defi Disorders (Goitre).

As informed by Indian Council of Medical Research (ICMR), they have not carried o any study to assess the changes in the prevalence of thyroid diseases.

However, the resurveys conducted for Goitre in various districts in the States/UTs period of time have demonstrated significant reduction in total Goitre rate in range of 5 in the country.  A statement showing State wise and district wise Total Goitre Rate is ann

In order to prevent and control Iodine Deficiency Disorders (IDD), Government of India is  implementing  National  Iodine  Deficiency  Disorders  Control  Programme  (NIDDCP)  in  the country for entire population. Financial assistance is provided to all States/UTs for est of Iodine Deficiency Disorders Cell and ID D Monitoring Laboratory, conducting district IDD surveys/resurveys,  health  education  and  publicity  to  create  awareness  about  IDD,  prom consumption  of  adequately  iodated  salt  and  monitoring  of  iodine  content  of  salt  throug testing kit at the hous ehold/community level.  Funds are also provided to Salt Commissioner's Office for quality control of iodated salt at production level.

In addition, awareness campaign to promote use of iodised salt by the community carried out through Doordarshan, AIR , News Paper advertisements, railway reservation tickets etc.  Further,  Regulation  2.3.12  of  Food  Safety  and  Standards  (Prohibition  and  Restrict Sales), Regulation, 2011 restricts the sale of common salt for direct human consumption the same is iodized.

………………..

## Annexure

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

|         | State                      | Initial survey    | Initial survey   | Resurvey   | Resurvey   |
|---------|----------------------------|-------------------|------------------|------------|------------|
|         | Andhra Pradesh             |                   |                  |            |            |
| S.No 1. | District surveyed Adilabad | Year 1985         | TGR 54.00        | Year 2003  | TGR 12.40  |
| 2.      | East Godavari              | 1985              | 64.40            | 2003       | 11.50      |
| 3.      | Warangal                   | 1986              | 30.00            | 2003       | 15.90      |
|         | ASSAM                      |                   |                  |            |            |
| 5.      | Dhubri                     | 1959- 70          | 40.20            | 2003       | 4.60       |
| 6.      | Dibrugarh                  | 1986              | 65.80*           | 2003       | 5.40       |
|         | Arunachal Pradesh          | Arunachal Pradesh |                  |            |            |
| 7.      | Changlang                  | 1969              | 30.00            | 2003       | 8.40       |
| 8.      | E. Siang                   | 1969              | 30.00            | 2003       | 6.20       |
| 9.      | W.Siang                    | 1969              | 30.00            | 2001       | 6.37       |
| 10.     | Tirap                      | 1969              | 30.00            | 1982       | 26.30      |
| 11      | L. Sabansiri               | 1969              | 30.00            | 1982       | 26.30      |
| 12      | Upper Siang                | 1969              | 30.00            | 2001       | 6.44       |
|         | Goa                        |                   |                  |            |            |
| 13      | North Goa                  | 1986              | 27.40            | 1993       | 34.30      |
| 14      | South Goa                  | 1986              | 27.40            | 1993       | 34.30      |
|         | Gujarat                    |                   |                  |            |            |
| 15      | Amreli                     | 1989              | 14.00            | 2008- 09   | 25.20      |
| 16      | Bharuch                    | 1977              | 31.70            | 2008- 09   | 23.20      |
| 17      | Dangs                      | 1989              | 44.00            | 2008- 09   | 31.20      |
| 18      | Junagarh                   | 1997              | 23.30            | 2008- 09   | 17.40      |
| 19      | Sabarkantha                | 1989              | 25.80            | 2008- 09   | 11.30      |
| 20      | Valsad                     | 1983              | 36.59            | 2008- 09   | 21.50      |
|         | Haryana                    |                   |                  |            |            |
| 21      | Sonipat                    | 1993              | 24.50            | 2003       | 19.30      |
|         | Himachal Pradesh           | Himachal Pradesh  |                  |            |            |
| 22      | Kullu                      | 1956              | 41.20            | 2003       | 9.60       |
| 23      | Shimla                     | 1974              | 41.60            | 2003       | 10.40      |
| 24      | Una                        | 1956              | 41.20            | 2003       | 17.00      |
|         | Jammu & Kashmir            | Jammu & Kashmir   |                  |            |            |
| 25      | Baramulla                  | 1971              | 38.20            | 1983       | 8.46       |
| 26      | Jammu                      | 1971              | 27.40            | 2003       | 8.50       |
|         | Karnataka                  |                   |                  |            |            |
| 27      | Chickmaglur                | 1986              | 32.14            | 2003       | 7.20       |
| 28      | Kodagu                     | 1989              | 23.01            | 2003       | 8.10       |
| 29      | Bangalore ®                | 1992              | 32.14            | 2003       | 7.70       |
|         | Kerala                     |                   |                  |            |            |
| 30      | Waynad                     | 1994              | 21.00            | 2003       | 12.80      |
| 31      | Ernakulam                  | 1984              | 44.47            | 2003       | 11.20      |
|         | Maharashtra                |                   |                  |            |            |
| 32      | Kolhapur                   | 1993              | 35.00            | 2003       | 8.20       |
| 33      | Sindhurg                   | 1992              | 40.94            | 2003       | 14.50      |

|       | Madhya Pradesh   |           |             |           |             |
|-------|------------------|-----------|-------------|-----------|-------------|
| 34 35 | Shahdol Sarguja  | 1976 1981 | 55.60 41.81 | 2003 2003 | 10.20 16.20 |
|       | Manipur          |           |             |           |             |
| 36    | Bishnpur         | 1979      | 32.00       | 1986      | 26.00       |
| 37    | Chandel          | 1979      | 32.00       | 1986      | 20.17       |
| 38    | Churchandpur     | 1979      | 32.00       | 1986      | 25.77       |
| 39    | Imphal           | 1979      | 32.00       | 1986      | 34.52       |
| 40    | Senpati          | 1979      | 32.00       | 1986      | 11.42       |
| 41    | Tamengong        | 1979      | 32.00       | 1986      | 13.36       |
| 42    | Thoubal          | 1979      | 32.00       | 1986      | 20.88       |
|       | Mizoram          |           |             |           |             |
| 43    | Aizawal          | 1978      | 68.90       | 2004      | 18.50       |
| 44    | Chhintuipuri     | 1978      | 68.90       | 2004      | 18.50       |
| 45    | Lunglei          | 1978      | 68.90       | 2005      | 12.30       |
| 46    | Lawngtlai        | 1978      | 68.90       | 2005      | 11.40       |
|       | Nagaland         |           |             |           |             |
| 47    | Mon              | 1960      | 50.20       | 2003      | 8.60        |
|       | Punjab           |           |             |           |             |
| 48    | Gurdaspur        | 1961      | 40.30       | 2003      | 20.60       |
|       | Rajasthan        |           |             |           |             |
| 49    | Bikaner          | 1990      | 22.89       | 2003      | 9.20        |
| 50    | Kota             | 1987      | 13.70       | 2003      | 9.90        |
|       | Sikkim           |           |             |           |             |
| 51    | North            | 1976      | 30.00       | 2009- 10  | 30.12       |
| 52    | East             | 1976      | 39.60       | 2009- 10  | 14.04       |
| 53    | South            | 1976      | 37.19       | 2009- 10  | 10.15       |
| 54    | West             | 1976      | 39.26       | 2009- 10  | 6.62        |
|       | Tamil Nadu       |           |             |           |             |
| 55    | Trichrapalli     | 1990      | 24.00       | 2003      | 9.50        |
| 56    | Dindigul         | 1994      | 15.00       | 2003      | 9.30        |
| 57    | Madurai          | 1994      | 18.00       | 2001      | 6.30        |
| 58    | Ramananthapuram  | 1995      | 18.00       | 1995      | 18.00       |
| 59    | Salem            | 1994      | 27.40       | 1999      | 12.50       |
| 60    | Cuddalore        | 1994      | 20.20       | 2001      | 7.80        |
|       | Uttar Pradesh    |           |             |           |             |
| 61    | Deoria           | 1973      | 65.00       | 1998      | 21.70       |
| 62    | Gonda            | 1978      | 65.90       | 1989      | 26.60       |
| 63    | Meerut           | 1986      | 24.90       | 1995      | 15.96       |
| 64    | Muzaffarnagar    | 1988      | 31.58       | 2006      | 6.03        |
| 65    | Shahzahanpur     | 1975      | 44.70       | 2003      | 17.02       |
| 66    | Saharanpur       | 1988      | 45.66       | 2003      | 14.40       |
|       | Uttarakhand      |           |             |           |             |
| 67    | Nainital         | 1964      | 30.00       | 2003      | 6.90        |
| 68    | Dehradhun        | 1965      | 38.70       | 1969      | 16.30       |
|       | West Bengal      |           |             |           |             |
| 69    | Darjeeling       | 1963      | 34.50       | 2003      | 22.90       |
| 70    | Jalpaiguri       | 1965      | 33.20       | 2003      | 23.10       |
| 71    | Malda            | 1965      | 10.30       | 2005      | 11.30       |
| 72    | Chandigarh       | 1977      | 45.80       | 2006      | 14.20       |
| 73    | D&NH             | 1987      | 22.72       | 1997      | 13.70       |