report idd survey, punjab (2012-13) - pbhealth.gov.inpbhealth.gov.in/idd survey report...
TRANSCRIPT
Report
IDD Survey, Punjab
(2012-13)
National Iodine Deficiency Disorders Control
Program (NIDDCP)
Faridkot, Sri Muktsar Sahib, Shahhed Bhagat Singh Nagar & Hoshiarpur
State IDD Cell, Department of Health & Family Welfare, Punjab
Parivar Kalyan Bhawan, Sector 34-A, Chandigarh …………………………………………………………………………………….....
Ph.:0172-5012356, Fax 5012357 E-mail- [email protected]
Visit us: www.pbhealth.gov.in/iodine.html
Foreword Iodine Deficiency Disorders (IDDs) are a worldwide major public health
problem. According to Govt. of India, more than 1.5 billion people all over the world
are at risk of IDD. Therefore, in 1962, Government of India launched National Goiter
Control Program and in 1992, it is renamed as National Iodine Deficiency Disorders
Control Program.
Iodine Deficiency may lead to Goiter, still births, abortions, congenital
anomalies increased infant mortality, mental deficiency, deaf mutism, squint &
dwarfism.
Iodine Deficiency Disorders with the exception of few are permanent and
incurable. However, all these disorders can be easily prevented before they occur. The
simplest, most effective and inexpensive method to prevent the broad spectrum of
IDDs is to consume iodated salt daily.
The main goal of this program is to bring the prevalence of IDD to below
5% by 2017 and to ensure 100% consumption of adequately iodated salt at the
household level.
To know the prevalence of Iodine Deficiency Disorders in the State of
Punjab in 2012-13, four districts namely Faridkot, Sri Muktsar Sahib, Shaheed Bhagat Singh
Nagar & Hoshiarpur have been successfully surveyed by State IDD Cell, Punjab as per
Govt. of India guidelines. State IDD Cell team, District Health Officers, School Health
Officers, Epidemiologists & Rural Medical Officers were trained by IDD Survey Team,
Ministry of Health & Family Welfare, Govt. of India regarding technique of IDD Survey
in collaboration with School of Public Health, PGIMER Chandigarh.
IDD Survey Report (2012-13) has been prepared by State IDD Cell, Punjab
on the basis of IDD Survey conducted by identified three teams in each district
consisting of District Epidemiologist (for Goiter examination), Block Level Medical
Officer/Rural Medical Officer, Block Level LHV/ANM, Block Level BEE/SI and ASHA/ Link
worker.
I congratulate State IDD Cell team, District IDD Survey teams for their
hard work and efforts in successfully completing the IDD Survey (2012-13) and also
thank Dr. Sonu Goel, Assistant Professor, School of Public Health, PGIMER Chandigarh
for his co-operation.
I hope that State IDD Cell will continue making efforts in future to bring
down the prevalence of Iodine Deficiency Disorders in the State of Punjab.
Dr. Ashok Nayyar Director Health & Family Welfare, Punjab
Introduction
Surveys conducted by Indian Council of Medical Research, Directorate
General of Health Services, State Health Directorates and other Research
institutions have revealed that out of 324 districts (28 States & 7 UTs) Surveyed
so far, 263 districts are endemic and no State/UT is free from Iodine Deficiency
Disorders.
It has been estimated by the Ministry of Health & Family Welfare that
about 70 million people are suffering from various Iodine Deficiency Disorders in
the country. These disorders include Goiter, still births, abortions, congenital
anomalies, increased infant mortality, mental deficiency, deaf mutism, squint &
dwarfism.
Iodine Deficiency Disorders with the exception of a few are permanent and
incurable. However, all these disorders can be easily prevented before they
occur. The simplest, most effective and inexpensive method to prevent the broad
spectrum of IDDs is to consume iodized salt daily.
In the State of Punjab, only three districts have earlier been surveyed by
the Central IDD Survey team of the Directorate General of Health Services, Govt.
of India
1. Hoshiarpur
2. Gurdaspur
3. Ropar
IDD Control Cell- An IDD Cell has been set up in the State under the
supervision of State Programme Officer. The posts of Technical Officer,
Statistical Assistant and LDC Typist have been filled up.
State IDD Lab Punjab- A State IDD lab has been set up at the State Food Lab,
Sector-11, Chandigarh under the supervision of State Programme Officer. The
posts of Lab Technician and Lab Assistant have been filled up.
IDD Survey- During year 2011-12, IDD Survey has been completed in
Jalandhar, Kapurthala, Amritsar, Tarn-Taran and Gurdaspur.
Distribution of Iodized Salt- The State does not have any facility for Iodization
of salt. The same is being procured from Rajasthan and Gujarat. Iodized salt
has not been included under Public Distribution System.
IEC Activities- These activities have so far been conducted through
Newspaper advertisements, Radio spots regarding prevention of IDDs through
regular consumption of Iodized salt.
Training- A one day training was organized by the IDD Cell of the Directorate
of Health Services, Punjab on 19th November 2013 to train District Health
Officers, Epidemiologists, School Health Officers & RMOs regarding IDD
Survey techniques. Dr. sonu Goel, Assistant Professor, School of Public Health,
PGI assisted during IDD Survey.
OBJECTIVES
General Objective
To assess the current status of IDD in the four chosen districts of Punjab.
Specific Objective
To assess the prevalence of clinical forms of IDD among 6-12 year children in 4
selected districts
To estimate random urinary excretion levels in a sub-sample of 6-12 year
children covered for clinical examination, and
To assess the use of iodized salt by community by on spot testing and analytical
estimation of iodine in salt samples.
IDD Survey Methodology
For year 2012-13, IDD Survey in 4 districts Faridkot, Sri Muktsar Sahib, SBS Nagar
& Hoshiarpur was conducted based on the guidelines issued by the Ministry of
Health & Family Welfare, Government of India using the method of Probability
Proportionate to Size (PPS) covering 6-12 years old children.
For the purpose of IDD Survey, first of all the State IDD Cell collected following
data from district:
– Total population of district
– Block/Village wise population
– Urban - ward wise population in urban city area
– District Literacy rate (male/female-literacy rate)
Based on above data from district, a total of 30 clusters were identified as per
PPS sampling for IDD Survey
Identification of clusters
A sample of 30 villages/wards was selected. The sample size was determined as
follows:-
Sample size = 30 villages
Sample interval = Total population of the district/30 = K
Selection of random start from 1 to K = R
Selected random numbers = R, R+K, R+2K, R+3K……R+29K
After identification & approval of identified 30 clusters in a district from Govt. of
India, State IDD Cell shared the list of identified 30 clusters with the district.
Capacity Building of District Staff
Capacity building visit was made by State IDD Cell team in all four districts
identified for IDD Survey.
District Preparation:
In each identified district, three teams were made to carry out Survey in 30
clusters (10 clusters per team). Each team consisted of four members
(compulsory) and one ASHA/Link Worker from identified cluster. Team
composition in each district was as follows:
– District Epidemiologist (for Goiter examination)
– Block Level RMO/MO (for Goiter examination)
– Block Level LHV/ANM
– Block Level BEE/SI
– ASHA/ Link worker from identified cluster
Each team in a district was provided with Honorarium/ Mobility budget support.
CLINICAL EXAMINATION
A Sample size of 90 children (45 boys & 45 girls) between age group of 6-
12 years from the school and community from each identified cluster was
taken.
From each identified district, 2700 children were covered for Goiter
examination.
Collection of Salt & Urine Sample- As per GoI guidelines
Every 5th child examined for Goiter was covered for Salt sample by visiting
the houses.
Every 10th child examined for Goiter Survey was covered for urine sample.
A total of 18 salt samples & 9 urine samples were collected from each
cluster.
In all, 540 Salt Samples & 270 Urine samples collected from each district.
Techniques of Examination
From the clinical point of view the diagnosis is entirely based on the inspection
and palpation of the neck by trained Medical Personnel.
Classification of Goiter
Grade 0- Neither Palpable nor visible—No Goiter
Grade 1- Goiter palpable but not visible when the neck is in normal position
Grade 2- A swelling in the neck that is visible when the neck is in a normal
position.
Results of IDD Survey in Faridkot
An analysis of data of district Faridkot reveals that nearly 12.7% of the children of
age group 6-12 years are affected with Iodine Deficiency. The prevalence of
Goiter among boys is higher than in girls.
The prevalence was found to be higher among children of 12 years age group
and similar among other age groups. (Please refer to Tables no. 1, 2 & 3).
Iodine content in Salt Samples: A total of 540 salt samples from district Faridkot
were analyzed for Iodine content in the State IDD Lab Punjab using titration
method. 486 (90%) salt samples were found adequately iodized and 54 salt
samples (10%) contained Iodine content less than 15 parts per million (Table 4).
Urinary Iodine Estimations: A total of 270 urine samples from district Faridkot
were analyzed for Iodine Estimations in the State IDD Lab, Punjab. All Urine
samples contained Iodine content more than 100 μg/l. (Table 5)
Indicators for Assessing IDD and Criteria for classifying IDD as a Public Health
Problem (> greater than, < less than)
Indicator Mild Moderate Severe
Goiter grade>0 5-19.9% 20-29% >30%
Median UIE (μg/l) 50-99 20-49 <20
0 1 2
M 45 36 9 0 9 20.0F 45 32 13 0 13 28.9M 45 36 9 0 9 20.0F 45 34 11 0 11 24.4
M 45 37 8 0 8 17.8F 45 38 7 0 7 15.6M 45 40 5 0 5 11.1F 45 37 8 0 8 17.8
M 45 34 11 0 11 24.4F 45 37 8 0 8 17.8M 45 38 7 0 7 15.6F 45 41 4 0 4 8.9
M 45 29 16 0 16 35.6F 45 30 15 0 15 33.3M 45 34 10 1 11 24.4F 45 41 3 1 4 8.9M 45 30 15 0 15 33.3F 45 33 12 0 12 26.7M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0M 45 45 0 0 0 0.0F 45 44 1 0 1 2.2M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0
M 45 44 1 0 1 2.2F 45 45 0 0 0 0.0M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0
M 45 44 1 0 1 2.2F 45 44 1 0 1 2.2M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0
M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0M 45 40 5 0 5 11.1F 45 39 6 0 6 13.3
M 45 39 6 0 6 13.3F 45 43 2 0 2 4.4M 45 35 10 0 10 22.2F 45 38 7 0 7 15.6
M 45 39 6 0 6 13.3F 45 41 4 0 4 8.9M 45 41 4 0 4 8.9F 45 38 6 1 7 15.6
M 45 35 9 1 10 22.2F 45 39 6 0 6 13.3M 45 40 5 0 5 22.2F 45 39 6 0 6 13.3
M 45 35 10 0 10 22.2F 45 37 8 0 8 17.8M 45 34 11 0 11 24.4F 45 34 11 0 11 24.4
M 45 34 11 0 11 24.4F 45 30 15 0 15 33.3M 45 38 7 0 7 15.6F 45 36 8 1 9 20.0
2700 2357 338 5 343 12.7
Table-1 Prevalance of IDD In FaridkotTotal No. of
Goiter Cases
Prevalence
(%) No. of
Children
Grades of GoiterS. No. Block Name of Village Sex
1
Jand Sahib
Bhag Singh wala
2 Saude ke
3 Chet Singh Wala
4 Bheguwala
5 Dana Romana
6 Chandbaja
7 Mand Wala
8 Kot Sukhia Hasan Bhatti
9
Golewala
Chugewala
10 Wada bhai Ka
11 Jhakhar Wala
12Bargari`
Chandbhan
13 Khachra
14Rori
KapooraBehbal Kalan
15 Guru Sar Matta
16 Panj
Ghrai
Kalan
Jeevan Wala
17 Jalae Aana
18Hari Naun
Braham wala
19 Maraak
20
Faridkot
Ward No 4
21 Ward no. 10
22 Ward No. 14
23 Ward no. 20
24
Kotakpura
Ward No 4
25 Ward no. 8
26 Ward no. 15
27 Ward no. 20
Total
28
Jaton
Ward no. 2
29 Ward no. 10
30 Ward no. 15
Table 2- Prevalance Rate of Goiter among Male/ Female of all age groups
Age Group Sex Total examinatio
n
Grades of Goiter Total cases Goiter
(1st & 2nd)
Percentage
0 Grade
1st Grade 2nd Grade
6-7 yrs
Male 334 291 43 0 43 12.9
Female 364 318 45 1 46 12.6
Total 698 609 88 1 89 12.8
8-9 yrs
Male 387 330 57 0 57 14.7
Female 360 322 38 0 38 10.6
Total 747 652 95 0 95 12.7
10-11 yrs
Male 421 369 51 1 52 12.4
Female 391 343 47 1 48 12.3
Total 812 712 98 2 100 12.3
12 yrs
Male 208 182 25 1 26 12.5
Female 235 202 32 1 33 14.0
Total 443 384 57 2 59 13.3
Grand Total 2700 2357 338 5 343 12.7
Table 3- Prevalence Rate of Goiter among Male/ Female of all age groups ( Faridkot)
Sex Total examinations Grades of Goiter Total
cases of Goiter
% Prevalence
0 1 2
Male 1350 1172 176 3 179 13.3
Female 1350 1185 162 2 164 12.1
Total 2700 2357 338 5 343 12.7
S. No. Block Name of Village Total salt
Samples
collected &
Tested
Salt Samples with
Iodine content
more than 15 ppm
Salt Samples
with Iodine
content less
than 15 ppm
% of Samples
with Iodine
content less
than 15 ppm
1 Bhag Singh wala 18 14 4 0
2 Saude ke 18 16 2 0
3 Chet Singh Wala 18 18 0 0
4 Bheguwala 18 7 11 61
5 Dana Romana 18 16 2 0
6 Chandbaja 18 17 1 0
7 Mand Wala 18 18 0 0
8 Kot Sukhia Hasan Bhatti 18 18 0 0
9 Chugewala 18 15 3 17
10 Wada bhai Ka 18 18 0 0
11 Jhakhar Wala 18 18 0 0
12 Chandbhan 18 13 5 28
13 Khachra 18 17 1 0
14Rori
KapooraBehbal Kalan
18 18 00
15 Guru Sar Matta 18 14 4 22
16 Jeevan Wala 18 18 0 0
17 Jalae Aana 18 14 4 22
18 Braham wala 18 17 1 6
19 Maraak 18 18 0 0
20 Ward No 4 18 18 0 0
21 Ward no. 10 18 18 0 0
22 Ward No. 14 18 18 0 0
23 Ward no. 20 1818 0 0
24 Ward no. 4 18 7 11 61
25 Ward no.8 18 18 0 0
26 Ward no. 15 18 17 1 0
27 Ward no. 20 18 18 0 0
28 Ward no. 2 1816 2 0
29 Ward no. 10 1816 2 0
30 Ward no. 15 1818 0 0
540 486 54 10.00
Jaiton
Total
Table -4 Result of Salt Samples (District Faridkot)
Jand Sahib
Golewala
Bargari
Panj
Ghrai
Kalan
Hari Naun
Faridkot
Kotakpura
S. No. Block Name of Village
Total Urine
Samples
collected &
Tested
Urine Samples
with Iodine
content more
than 100 ug/l
Urine Samples
with Iodine
content less than
100 ug/l
% of Urine
Samples with
Iodine content
less than 100
ug/l
1 Bhag Singh wala 9 9 0 0
2 Saude ke 9 9 0 0
3 Chet Singh Wala 9 9 0 0
4 Bheguwala 9 9 0 0
5 Dana Romana 9 9 0 0
6 Chandbaja 9 9 0 0
7 Mand Wala 9 9 0 0
8 Kot Sukhia Hasan Bhatti 9 9 0 0
9 Chugewala 9 9 0 0
10 Wada bhai Ka 9 9 0 0
11 Jhakhar Wala 9 9 0 0
12 Chandbhan 9 9 0 0
13 Khachra 9 9 0 0
14Rori
KapooraBehbal Kalan
9 9 00
15 Guru Sar Matta 9 9 0 0
16 Jeevan Wala 9 9 0 0
17 Jalae Aana 9 9 0 0
18 Braham wala 9 9 0 0
19 Maraak 9 9 0 0
20 Ward No 4 9 9 0 0
21 Ward no. 10 9 9 0 0
22 Ward No. 14 9 9 0 0
23 Ward no. 20 9 9 0 0
24 Ward no. 4 9 9 0 0
25 Ward no.8 9 9 0 0
26 Ward no. 15 9 9 0 0
27 Ward no. 20 9 9 0 0
28 Ward no. 2 9 9 0 0
29 Ward no. 10 9 9 0 0
30 Ward no. 15 9 9 0 0
270 270 0 0
Faridkot
Kotakpura
Jaiton
Total
Table-5 Result of Urine Samples (District Faridkot)
Jand Sahib
Golewala
Bargari
Panj Ghrai
Kalan
Hari Naun
Results of IDD Survey in Sri Muktsar Sahib
An analysis of data of district Sri Muktsar Sahib reveals that nearly 8.7% of the
children of age group 6-12 years are affected with Iodine Deficiency. The
prevalence of Goiter among girls is higher than in boys.
The prevalence was highest in children with age group of 8-9 years and lowest in
children with age group of 10-11 years. (Please refer to Table no. 6, 7 & 8).
Iodine content in Salt Samples: A total of 540 salt samples from district Sri
Muktsar Sahib were analyzed for Iodine content in the State IDD Lab, Punjab
using titration method. 497 (92%) salt samples were found adequately iodized
and 43 salt samples (8%) contained Iodine content less than 15 ppm (Table 9).
Urinary Iodine Estimations: A total of 270 urine samples from district Kapurthala
were analyzed for Iodine Estimations in the State IDD Lab, Punjab. All Urine
samples contained Iodine content more than 100 μg/l (Table 10).
0 1 2M 45 37 8 0 8 17.8F 45 40 5 0 5 11.1M 45 40 5 0 5 11.1F 45 39 6 0 6 13.3
M 45 39 6 0 6 13.3F 45 40 5 0 5 11.1
M 45 39 6 0 6 13.3F 45 39 6 0 6 13.3M 45 43 2 0 2 4.4F 45 39 6 0 6 13.3
M 45 39 6 0 6 13.3F 45 41 4 0 4 8.9
M 45 39 6 0 6 13.3F 45 41 4 0 4 8.9
M 45 45 0 0 0 0.0F 45 42 3 0 3 6.7
M 45 43 2 0 2 4.4F 45 42 3 0 3 6.7
M 45 41 4 0 4 8.9F 45 44 1 0 1 2.2M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0
M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0
M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0
M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0
M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0
M 45 44 1 0 1 2.2F 45 36 9 0 9 20.0
M 45 43 2 0 2 4.4F 45 38 7 0 7 15.6
M 45 40 5 0 5 11.1F 45 44 1 0 1 2.2
M 45 42 3 0 3 6.7F 45 39 5 1 6 13.3
M 45 43 2 0 2 4.4F 45 38 7 0 7 15.6M 45 39 6 0 6 13.3F 45 36 9 0 9 20.0
M 45 37 8 0 8 17.8F 45 41 4 0 4 8.9
M 45 41 4 0 4 8.9F 45 37 8 0 8 17.8
M 45 43 2 0 2 4.4F 45 35 10 0 10 22.2
M 45 36 9 0 9 20.0F 45 37 7 1 8 17.8
M 45 32 12 1 13 28.9F 45 37 8 0 8 17.8M 45 41 4 0 4 8.9F 45 39 4 2 6 13.3
M 45 43 2 0 2 4.4F 45 42 3 0 3 6.7
2700 2465 230 5 235 8.7
Gidderbaha
Chak Shere
Wala
Doda
Alamwala
Sri Muktsar
Sahib Urban
Malout
Total
Table 6 Prevalence of IDD in Sri Muktsar Sahib
Ward no. 7
28 Ward No. 15
29 Ward No. 1
30 Ward no. 13
23 Ward no. 5
24 Ward no. 11
25 Ward No. 17
26 Navi Abadi
27
20 Middhu Khera
21 Deon Khera
22 Tharaj Wala
16 Malout Vill
17 Bham
18
Lambi
Maan
19 Singhewala
12 Gurusar
13 Tamkot
14 Ena Khera
15 Virk Khera
Sarainga
5 Hari ke Kalan
6 Thandewala
7 Sanghu Dhoun
8 Daula
9 Butter Bakhua
10 kotli ablu
11 Badian
Total No. of
Goiter Cases
Prevalence
(%)
1 Nandgarh
2 Fattan Wala
3 Bhangewala
4
S. No. BlockName of
VillageSex
No. of
ChildrenGrades of Goiter
Table 7- Prevalance Rate of Goiter among Male/ Female of all age groups (Sri Muktsar Sahib)
Age Group Sex Total
examination
Grades of Goiter Total cases Goiter (1st
& 2nd) Percentage 0
Grade 1st
Grade 2nd Grade
6-7 yrs
Male 300 277 23 0 23 7.7
Female 330 299 31 0 31 9.4
Total 630 576 54 0 54 8.6
8-9 yrs
Male 420 381 39 0 39 9.3
Female 390 347 42 1 43 11.0
Total 810 728 81 1 82 10.1
10-11 yrs
Male 420 390 30 0 30 7.1
Female 420 380 39 1 40 9.5
Total 840 770 69 1 70 8.3
12
Male 210 196 13 1 14 6.7
Female 210 195 13 2 15 7.1
Total 420 391 26 3 29 6.9
Grand Total 2700 2465 230 5 235 8.7
Table 8- Prevalence Rate of Goiter among Male/ Female of all age groups ( Sri Muktsar Sahib)
Sex Total examinations Grades of Goiter Total
cases of Goiter
% Prevalence 0 1 2
Male 1350 1244 105 1 106 7.9
Female 1350 1221 125 4 129 9.6
Total 2700
2465 230 5 235 8.7
S. No. Block Name of Village
Total salt
Samples
collected
& tested
Salt Samples with
Iodine content more
than 15 ppm
Salt Samples
with Iodine
content less
than 15 ppm
% of Samples
with Iodine
content less
than 15 ppm
1 Nandgarh 18 13 5 27.8
2 Akalgarh 18 15 3 16.7
3 Maan Singh Wala 18 18 0 0
4 Sarainaga 18 17 1 5.6
5 Hari Ke Kalan 18 18 0 0
6 Thandewala 18 18 0 0
7 Bhullar 18 18 0 0
8 Daula 18 9 9 50.0
9 Butter Bakhua 18 17 1 0.0
10 Kotli Ablu 18 18 0 0.0
11 Badian 18 15 3 0.0
12 Gurusar 18 18 0 0.0
13 Lakhmireana 18 17 1 0.0
14 Mallwala 18 18 0 0.0
15 Bhagwanpura 18 18 0 0.0
16 Malout Vill. 18 16 2 0.0
17 Baham 18 17 1 0.0
18 Badal 18 18 0 0.0
19 Singhewala 18 17 1 0.0
20 Middhu Khera 18 18 0 0.0
21 Deon Khera 18 17 1 0.0
22 TharajWala 18 16 2 0.0
23 Ward No. 5 18 18 0 0.0
24 Ward No. 11 18 18 0 0.0
25 Ward No. 17 18 18 0 0.0
26 Navi Abadi 18 14 4 0.0
27 Ward No. 7 18 12 6 0.0
28 Ward No. 15 18 15 3 0.0
29 Ward No. 1 18 18 0 0.0
30 Ward No. 13 18 18 0 0.0
540 497 43 8.0
Malout
Gidderbaha
Total
Table-9 Result of Salt Samples (Sri Muktsar Sahib)
Chak shere
Wala
Doda
Bham
Lambi
Muktsar
Urban
S. No. Block Name of Village
Total Urine
Samples
collected &
Tested
Urine Samples
with Iodine
content more
than 100 μg/l
Urine Samples
with Iodine
content less than
than 100 μg/l
% of Samples
with Iodine
content less
than 100 μg/l
1 Nandgarh 9 9 0 0
2 Akalgarh 9 9 0 0
3 Maan Singh Wala 9 9 0 0
4 Sarainaga 9 9 0 0
5 Hari Ke Kalan 9 9 0
6 Thandewala 9 9 0 0
7 Bhullar 9 9 0 0
8 Daula 9 9 0 0
9 Butter Bakhua 9 9 0 0
10 Kotli Ablu 9 9 0 0
11 Badian 9 9 0 0
12 Gurusar 9 9 0 0
13 Lakhmireana 9 9 0 0
14 Mallwala 9 9 0 0
15 Bhagwanpura 9 9 0 0
16 Malout Vill. 9 9 0 0
17 Baham 9 9 0 0
18 Badal 9 9 0 0
19 Singhewala 9 9 0 0
20 Middhu Khera 9 9 0 0
21 Deon Khera 9 9 0 0
22 TharajWala 9 9 0 0
23 Ward No. 5 9 9 0 0
24 Ward No. 11 9 9 0 0
25 Ward No. 17 9 9 0 0
26 Navi Abadi 9 9 0 0
27 Ward No. 7 9 9 0 0
28 Ward No. 15 9 9 0 0
29 Ward No. 1 9 9 0 0
30 Ward No. 13 9 9 0 0
270 270 0.00 0
Malout
Gidderbaha
Total
Table-10 Result of Urine Samples( Sri Muktsar Sahib)
Chak shere
Wala
Doda
Bham
Lambi
Muktsar Urban
Results of IDD Survey in Shaheed Bhagat Singh Nagar
An analysis of data of district SBS Nagar reveals that nearly 2.4% of the children
of age group 6-12 years are affected with Iodine Deficiency. The prevalence of
Goiter among boys was found to be slightly higher than in girls.
The prevalence was highest in children with age group of 10 to 11 years and
lowest in children with age group of 6-7 years and 8-9 years. (Please refer to
Table no. 11, 12 & 13).
Iodine content in Salt Samples: A total of 540 salt samples from district SBS
Nagar were collected & analyzed for Iodine content in the State IDD Lab, Punjab
using titration method. 534 (98.9%) salt samples were found adequately iodized
and 6 salt samples (1.11%) contained Iodine content less than 15 ppm (Table 14).
Urinary Iodine Estimations: A total of 270 urine samples from district Amritsar
were collected & analyzed for Iodine Estimations in the State IDD Lab, Punjab. All
Urine samples contained Iodine content more than 100 μg/l (Table 15).
0 1 2
M 45 37 7 1 8 17.8F 45 39 5 1 6 13.3M 45 44 1 0 1 2.2F 45 44 1 0 1 2.2
M 45 43 2 0 2 4.4F 45 39 6 0 6 13.3M 45 45 0 0 0 0.0F 45 44 0 1 1 2.2
M 45 44 1 0 1 2.2F 45 42 3 0 3 6.7M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0
M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0M 45 43 1 1 2 4.4F 45 44 0 1 1 2.2M 45 45 0 0 0 0.0F 45 44 1 0 1 2.2
M 45 45 0 0 0 0.0F 45 44 1 0 1 2.2M 45 45 0 0 0 0.0F 45 44 1 0 1 2.2
M 45 43 2 0 2 4.4F 45 45 0 0 0 0.0M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0
M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0
M 45 44 1 0 1 2.2F 45 42 2 1 3 6.7M 45 43 2 0 2 4.4F 45 44 1 0 1 2.2
M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0
M 45 43 2 0 2 4.4F 45 44 1 0 1 2.2
M 45 44 1 0 1 2.2F 45 44 1 0 1 2.2M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0
M 45 43 2 0 2 4.4F 45 41 4 0 4 8.9M 45 43 2 0 2 4.4F 45 44 1 0 1 2.2
M 45 45 0 0 0 0.0F 45 43 2 0 2 4.4M 45 41 2 2 4 8.9F 45 43 1 1 2 4.4
Total 2700 2634 57 9 66 2.4
Name of Village SexNo. of
Children
Grades of Goiter
Table-11 Prevalance of IDD in SBS nagar
Total No. of
Goiter Cases
Prevalence
% S. No. Block
1
Mukandpur
Sadhpur
2 Jhingran
3 Dudhala
4 Nawan Bhurj
5 Lidhar Kalan
6
Sujjon
BHARO MAJARA
7 KHAMACHON
8 HAMIROWAL
9 SOONDH
10MAHANT
GURBACHAN
11 KHOTHHRAN
12
Muzzafarpur
Mandala
13 Bhangal Kalan
14 Saidpur
15 Punnu Mazara
16 Jethu Mazara
17 Sakohpur
18
Saroya
Bakapur
19 Khandupur
20 Katwara Khurd
21
Balachaur
Rail
22 Dubhali
23 Nighi
24 Roohno+Bung Nangli
25 Mehatpur
26 Banga Ward no. 5
27Nawanshahr
Ward no. 2
28 Ward no. 11
29 Rahon ward no. 5
30 Balachaur ward no. 5
Table 12- Prevalance Rate of Goiter among Male/ Female of all age groups
Age Group Sex Total
examination
Grades of Goiter Total cases Goiter (1st &
2nd) Percentage 0
Grade 1st
Grade 2nd
Grade
6-7 yrs
Male 300 321 5 0 5 1.7
Female 330 295 9 0 9 2.7
Total 630 616 14 0 14 2.2
8-9 yrs
Male 420 387 6 1 7 1.7
Female 390 405 8 3 11 2.8
Total 810 792 14 4 18 2.2
10-11 yrs
Male 420 407 11 2 13 3.1
Female 420 408 11 1 12 2.9
Total 840 815 22 3 25 3.0
12
Male 210 205 4 1 5 2.4
Female 210 206 3 1 4 1.9
Total 420 411 7 2 9 2.1
Grand Total 2700 2634 57 9 66 2.4
Table 13- Prevalence Rate of Goiter among Male/ Female of all age groups
Sex Total examinations Grades of Goiter Total
cases of Goiter
% Prevalence 0 1 2
Male 1350 1320 31 4 35 2.6
Female 1350 1314 26 5 31 2.3
Total
2700 2634 57 9 66 2.4
Table-14 Result of Salt Samples (SBS Nagar)
S. No.
Block Name of Village
Total salt Samples collected & Tested
Salt Samples with Iodine content more than 15 ppm
Salt Samples with Iodine content less than 15 ppm
% of Samples with Iodine content less than 15 ppm
1
Mukandpur
Sadhpur 18 18 0 0
2 Jhingran 18 18 0 0
3 Dudhala 18 18 0 0
4 Nawan Bhurj 18 18 0 0
5 Lidhar Kalan 18 18 0 0
6
Sujjon
BHARO MAJARA 18 18 0 0
7 KHAMACHON 18 18 0 0
8 HAMIROWAL 18 18 0 0
9 SOONDH 18 18 0 0
10 MAHANT
GURBACHAN DASS NAGAR
18 18 0 0
11 KHOTHHRAN 18 18 0 0
12
Muzzafarpur
Mandala 18 17 1 0
13 Bhangal Kalan 18 15 3 0
14 Saidpur 18 18 0 0
15 Punnu Mazara 18 17 1 0
16 Jethu Mazara 18 18 0 0
17 Sakohpur 18 18 0 0
18
Saroya
Bakapur 18 18 0 0
19 Khandupur 18 18 0 0
20 Katwara Khurd 18 18 0 0
21
Balachaur
Rail 18 17 1 0
22 Dubhali 18 18 0 0
23 Nighi 18 18 0 0
24 Roohno+Bung
Nangli
18 18 0 0
25 Mehatpur 18 18 0 0
26 Banga Ward no. 5 18 18 0 0
27 Nawanshahr
Ward no. 2 18 18 0 0
28 Ward no. 11 18 18 0 0
29 Rahon ward no. 5 18 18 0 0
30 Balachaur ward no. 5 18 18 0 0
Total 540 534 6 1.11
1 Sadhpur 9 9 0 0
2 Jhingran 9 9 0 0
3 Dudhala 9 9 0 0
4 Nawan Bhurj 9 9 0 0
5 Lidhar Kalan 9 9 0 0
6 BHARO MAJARA9
9 0 0
7 KHAMACHON 9 9 0 0
8 HAMIROWAL 9 9 0 0
9 SOONDH 9 9 0 0
10MAHANT
GURBACHAN
99 0 0
11 KHOTHHRAN 9 9 0 0
12 Mandala 9 9 0 0
13 Bhangal Kalan 9 9 0 0
14 Saidpur 9 9 0 0
15 Punnu Mazara 9 9 0 0
16 Jethu Mazara 9 9 0 0
17 Sakohpur 9 9 0 0
18 Bakapur 9 9 0 0
19 Khandupur 9 9 0 0
20 Katwara Khurd 9 9 0 0
21 Rail 9 9 0 0
22 Dubhali 9 9 0 0
23 Nighi 9 9 0 0
24Roohno+Bung
Nangli
9 9 00
25 Mehatpur 9 9 0 0
26 Banga Ward no. 5 9 9 0 0
27 Ward no. 2 9 9 0 0
28 Ward no. 11 9 9 0 0
29 Rahon Ward no. 5 9 9 0 0
30 Balachaur Ward no. 5 9 9 0 0
270 270 0 0
Nawanshahr
Total
Table-15 Result of Urine Samples (SBS Nagar)
Urine Samples
with Iodine
content less than
than 100 μg/l
% of Samples
with Iodine
content less
than 100 μg/l
Urine Samples
with Iodine
content more
than 100 μg/l
S. No. Block Name of Village
Total
Urine
Samples
collected
& Tested
Balachaur
Muzzafarpur
Saroya
Sujjon
Mukandpur
Results of IDD Survey in Hoshiarpur
An analysis of data of district Hoshiarpur reveals that nearly 10.4% of the children of age
group 6-12 years are affected with Iodine Deficiency. The prevalence of Goiter was found to
be similar among boys and girls.
The prevalence was highest in children with age group of 8-9 years & 12 years and lowest in
children with age group of 10-11 years. (Please refer to Table no. 16, 17 & 18).
Iodine content in Salt Samples: A total of 540 salt samples from district Hoshiarpur were
collected & analyzed for Iodine content in the State IDD Lab, Punjab using titration method.
531 (98.3%) salt samples were found adequately iodized and 9 salt samples (1.7%)
contained Iodine content less than 15 ppm (Table 19).
Urinary Iodine Estimations: A total of 270 urine samples from district Amritsar were
collected & analyzed for Iodine Estimations in the State IDD Lab, Punjab. All urine samples
contained Iodine content less than 100 μg/litre (Table 20).
0 1 2M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0M 45 39 6 0 6 13.3F 45 40 5 0 5 11.1
M 45 36 9 0 9 20.0F 45 41 4 0 4 8.9
4 M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0M 45 39 6 0 6 13.3F 45 34 11 0 11 24.4
M 45 44 1 0 1 2.2F 45 45 0 0 0 0.0M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0
8 M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0
9 M 45 44 1 0 1 2.2F 45 42 3 0 3 6.7
10 M 45 40 5 0 5 11.1F 45 44 1 0 1 2.2M 45 41 4 0 4 8.9F 45 38 7 0 7 15.6
12 M 45 35 10 0 10 22.2F 45 39 6 0 6 13.3
13 M 45 45 0 0 0 0.0F 45 45 0 0 0 0.0
14 M 45 43 2 0 2 4.4F 45 43 2 0 2 4.4
15 M 45 43 2 0 2 4.4F 45 41 4 0 4 8.9
16 M 45 37 8 0 8 17.8F 45 35 10 0 10 22.2
17 M 45 36 9 0 9 20.0F 45 36 9 0 9 20.0
18 M 45 39 6 0 6 13.3F 45 41 4 0 4 8.9
19 M 45 41 4 0 4 8.9F 45 38 7 0 7 15.6
20 M 45 39 6 0 6 13.3F 45 40 5 0 5 11.1
21 M 45 40 5 0 5 11.1F 45 42 3 0 3 6.7
22 M 45 40 5 0 5 11.1F 45 42 3 0 3 6.7
23 M 45 39 6 0 6 13.3F 45 36 9 0 9 20.0
24 M 45 38 7 0 7 15.6F 45 44 1 0 1 2.2
25 M 45 36 9 0 9 20.0F 45 37 8 0 8 17.8
26 M 45 33 12 0 12 26.7F 45 42 3 0 3 6.7
27 M 45 41 4 0 4 8.9F 45 43 2 0 2 4.4
28 M 45 34 11 0 11 24.4F 45 38 7 0 7 15.6
29 M 45 39 6 0 6 13.3F 45 36 9 0 9 20.0
30 M 45 37 8 0 8 17.8F 45 40 5 0 5 11.1
Total 2700 2420 280 0 280 10.4
Urban
Hoshiarpur
1
Chakowal
Dhugga
2 Kangri
3 Hardo Khanpur
7 Dalowal
Jahanpur
MansoorpurBudhwar
Husanepur
5 Choka
Total No. of
Goiter Cases
Prevalence
% S. No. Block Name of Village Sex
No. of
ChildrenGrades of Goiter
6 sakrala
Bhunga
Mukerian
11 Anandagarh
Marnian KhurdHarta
Badla
Hazipur
Beh Atta
Bhatoli
Gajreli
Hazipur
Mand
Bhander narayangarh
Kasba Mohalla
Section 9
Table-16 Prevalance of IDD in Hoshiarpur
Ghandowal
Section 1
Section 3
Section 6
Saooni
ChelaPaldi
Jhonowal
Nathupur
Maili
Possi
MoranwaliPossi
Tanda
Table17-Prevalence Rate of Goitre Among Male/Female of All Age Group (Hoshiarpur)
Age Group (Years)
Sex Total
Examination
Grades of Goitre Total Cases Goitre
(1st + 2nd)
Percentage (%) 0
Grade 1st
Grade 2nd
Grade
6 Male 300 263 37 0 37 12.3
to Female 360 328 32 0 32 8.9
7 Total 660 591 69 0 69 10.5
8 Male 420 372 48 0 48 11.4
to Female 360 323 37 0 37 10.3
9 Total 780 695 85 0 85 10.9
10 Male 420 375 45 0 45 10.7
to Female 390 358 32 0 32 8.2
11 Total 810 733 77 0 77 9.5
12
Male 210 188 22 0 22 10.5
Female 240 213 27 0 27 11.3
Total 450 401 49 0 49 10.9
Grand Total 2700 2420 280 0 280 10.4
Table 18 Prevalence Rate of Goiter among Male/ Female of all age groups (Hoshiarpur)
Sex Total examinations
Grades of Goiter Total cases of Goiter
Prevalence (% )
0
1
2
Male
1350 1198 152 0 152 11.3
Female
1350 1222 128 0 128 9.5
Total 2700 2420
280
0
280
10.4
1 Sadhpur 18 18 0 0
2 Jhingran 18 18 0 0
3 Dudhala 18 16 2 11.1
4 Nawan Bhurj 18 18 0 0
5 Lidhar Kalan 18 18 0 0
6 BHARO MAJARA 18 18 0 0
7 KHAMACHON 18 18 0 0
8 HAMIROWAL 18 18 0 0
9 SOONDH 18 18 0 0
10MAHANT
GURBACHAN DASS
NAGAR
18 18 0 0
11 KHOTHHRAN 18 18 0 0
12 Mandala 18 18 0 0
13 Bhangal Kalan 18 18 0 0
14 Saidpur 18 17 1 5.6
15 Punnu Mazara 18 18 0 0
16 Jethu Mazara 18 18 0 0
17 Sakohpur 18 18 0 0
18 Bakapur 18 18 0 0
19 Khandupur 18 18 0 0
20 Katwara Khurd 18 18 0 0
21 Rail 18 17 1 5.56
22 Dubhali 18 17 1 5.56
23 Nighi 18 17 1 5.6
24Roohno+Bung
Nangli18 16 2 11.1
25 Mehatpur 18 18 0 0
26 Banga Ward no. 5 18 18 0 0
27 Ward no. 2 18 17 1 5.56
28 Ward no. 11 18 18 0 0
29 Rahon Ward no. 5 18 18 0 0
30 Balachaur Ward no. 5 18 18 0 0
540 531 9 1.7
Nawanshahr
Total
Mukandpur
Sujjon
Muzzafarpur
Saroya
Balachaur
Table-19 Result of Salt Samples (District Hoshiarpur) % of Samples
with Iodine
content less than
15 ppm
S.
No.Block Name of Village
Total salt Samples
collected & tested
Salt Samples with
Iodine content
more than 15 ppm
Salt Samples with
Iodine content
less than 15 ppm
State IDD Cell Department of Health & Family Welfare, Punjab
Parivar Kalyan Bhawan, Sector 34-A, Chandigarh Ph.:0172-5012356
E-mail- [email protected] Visit us: www.pbhealth.gov.in/iodine.html
.