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May 15 this year is the 31st National "Prevention and Treatment of Iodine Deficiency Disease Day", with the theme of "Salt Iodization to Prevent Diseases, Balanced Nutrition and Health". Adhering to the principle of "adapting measures to local conditions, categorical guidance and differentiated intervention, and scientific and precise iodine supplementation", the mainland has made remarkable achievements in the prevention and treatment of iodine deficiency diseases by implementing comprehensive prevention and control measures focusing on universal salt iodization. Facts have proved that salt iodization is a major event that benefits the country and the people, benefits future generations, and improves the quality of the whole people.
"Adhering to the concept of science" has always run through the process of prevention and treatment of iodine deficiency diseases in the mainland. For example, in areas where water iodine is below 10 μg/L, measures are taken to ensure the supply of iodized salt; For areas with water iodine 10~100 micrograms/liter, establish regional standards for iodine adaptation in the mainland; For areas with water iodine above 100 μg/L, non-iodized salt is available. On this basis, combined with the iodine nutrition status of the general population and the special needs population, the classification guidance was carried out, and corresponding measures were taken. In another example, the National Health Commission issued the Guidelines for Iodine Supplementation for Chinese Residents, which adopts an individualized iodine supplementation method and proposes different iodine supplementation plans for different patients with thyroid diseases. It is precisely because of the formulation of scientific policies and measures that the prevention and treatment of iodine deficiency diseases in the mainland has achieved remarkable results for all.
At the same time, it should be soberly recognized that most of the continent is iodine-deficient, and that without sustained scientific iodine supplementation measures, iodine deficiency diseases may make a comeback.
Taking the road to the future is inseparable from scientific and accurate monitoring. At present, county-level iodine nutrition monitoring covers all counties in the country, and the monitoring objects involve key groups such as children and pregnant women, and the monitoring content covers the condition of iodine deficiency diseases, the iodine nutrition level of the population, and the degree of implementation of prevention and control measures. In the future, the construction of the monitoring system should continue to enhance the sensitivity, and the evaluation indicators should return to the iodine nutrition indicators of the disease and the population, supplemented by the indicators of prevention and control measures.
To take the road to the future, it is necessary to scientifically adjust the prevention and control strategy. Over the past 30 years since the popularization of salt iodization in the mainland, although the state of continuous elimination of iodine deficiency diseases has been maintained, there is still a long way to go to further establish and improve a sustainable mechanism. In this regard, it is necessary to always uphold a scientific attitude, seriously consider how to adjust the prevention and control measures under the new situation, and implement the prevention and control strategy of "adapting measures to local conditions, categorical guidance, and scientific iodine supplementation".
To take the road ahead, we must adhere to the principle of government leadership, departmental coordination, and the participation of the whole society, and further strengthen the close coordination of health, development and reform, market supervision, water conservancy, education and other departments. In addition, it is necessary to increase publicity efforts to make the public aware of the serious dangers of iodine deficiency diseases, especially to strengthen health education for key groups such as pregnant women, lactating women, and children.
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Text: Zhang Lei (media person)
Editor: Guan Zhongyao
Proofreading: Ma Yang
Review: Qin Mingrui, Xu Bingnan
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