四川省消除碘缺乏病阶段目标自查评估结果

目的：了解全省实现消除碘缺乏病阶段目标自查评估工作情况，全面评估我省消除碘缺乏病工作进展和效果，建立健全可持续性消除碘缺乏病工作机制。方法：随机抽取自查评估实现消除、基本实现消除和未实现消除碘缺乏病阶段目标的县共计7县（区），按国家评估方案的要求，采用听取汇报、查看资料、实地核查和现场抽样调查等方法进行调查。结果：居民户碘盐合格率76．7％，盐碘中位数40.37mg/kg，加碘盐变异系数27.8%；盐厂及盐库碘盐合格率52．8％，均值44.3mg/kg；零售点碘盐合格率74．3％。儿童尿碘中位数326.0ug/L。儿童甲肿率10.4%。学生和家庭主妇健康教育问卷调查及格率分别为72．5％和67．1％。组织领导、碘盐管理及健康教育3项指标综合评估计分77．1。结论：尿碘中位数达到实现消除碘缺乏病阶段目标；甲肿率达到基本实现消除碘缺乏病阶段目标；碘盐合格率及3项指标综合评估计分未达到实现消除碘缺乏病阶段目标。

EVALUATION ON IODINE DEFICIENCY DISORDERS ELIMINATION IN SICHUAN PROVINCE

Objective:To acknowledge the work of evaluation by self for iodine deficiency disorders(IDD) elimination in Sichuan province and establish the strategies for sustainable elimination of IDD.Methods:We sampled seven counties randomly.This research work had been done by using several methods such as listenting report,checking materials,spot sampling,et al,according to national assessment methods.Results:The proportion of households consuming effectively iodized salt was 76 7%.The media iodized salt was 40 37mg/kg and the CV was 27 8%;The qualified rate about iodized salt of factory and storehouse was 52 8% and the average was 44 3mg/kg;The qualified rate about iodized salt of spot selling was 74 3%.The media urinary iodine concentration was 326 0ug/L of children and the total goiter prevalence was 10 4%.The qualified rate of questionaire investigation about students and housewives was 72 5% and 67 1%,respectively.Conclusion:The media urinary iodine concentration and the total goiter prevalence had completed the IDD elimination.But the qualified rate about iodized salt had not accomplished.