National Iodine Deficiency Disorders

Control Program, Punjab

(NIDDCP)

Introduction to NIDDCP • Iodine is essential micronutrient.

Required for

-optimal mental & physical development

-regulation of body metabolism .

• The disorders caused due to deficiency of nutritional iodine in the food/diet are called Iodine Deficiency Disorders (IDDs).

• IDD may lead to

-abortions & stillbirths,

-goiter,

-cretinism & dwarfism,

-retarded mental & physical development

-deaf mutism, squint etc.

Infrastructure & Manpower of State IDD Cell & IDD

Monitoring Laboratory

Establishment of State IDD Cell & State IDD Lab,

Punjab

• State IDD Cell & State IDD Lab Punjab

For effective implementation of NIDDCP Program in state, State

IDD Cell has been established at Directorate of Health & Family Welfare Room No.223 and State IDD Lab has been established in State Food Lab, Kharar and is now fully functional

•

S.No. Name of Post No. of Post

1 Technical Officer 1

2 Statistical Assistant 1

3 LDC cum Typist 1

4 Lab Technician 1

5 Lab Assistant 1

Salt & Urine Sample Collection Testing

• As per SoPs developed under NIDDCP Program,

– In a District every month, 10 salt samples per Block are to be collected by MPHW (M & F).

– As per GoI guidelines, Out of the total salt samples collected, (90%) of the salt samples are to be tested in District level Labs identified for iodine estimations (District Malaria Labs) and (10%) of the salt samples are to be tested in State IDD Lab, Punjab.

—Urine and Salt samples tested at State IDD Lab, Punjab

• 20183 urine samples & 40031 salt samples tested by State IDD lab, Punjab

• Results shared with districts.

• Total 221 urine samples & 1082 salt samples contained Iodine content less than adequate levels.

Sample Collection & Testing

On Spot Salt Testing (Qualitative Testing)

• During year 2015-16,

– As per compiled report of IDD Survey submitted to GoI by State, GoI declared

8 districts endemic namely Jalandhar, Patiala, SAS Nagar, Gurdaspur, Tarn-Taran, Amritsar, Kapurthala and Roop Nagar.

– On spot Salt testing Kits were provided to eight Endemic districts Jalandhar,

Patiala, SAS Nagar, Gurdaspur, Tarn-Taran, Amritsar, Kapurthala and Roop Nagar.

– As per GoI guidelines under NIDDCP Punjab • ASHA workers to test 50 household samples per month using On Spot Salt

Testing Kit. • Payment of Incentive of Rs 25/- to each ASHA for testing of 50 household

Salt samples .

• During year 2016-17, – On spot Salt testing Kits have been provided to Pathankot, Gurdaspur,

Hoshiarpur, Roop Nagar, SAS nagar and Patiala.

On Spot Salt Testing Report

On Spot Salt Testing Report

(till March 2017 )

District Number of Salt Samples Tested

Salt Samples with Nil Iodine

Salt Samples with inadequate Iodine (<15ppm)

Salt Samples with adequate Iodine (>15ppm)

SAS Nagar 91651 2 241 91408

Patiala 78858 15 62 78781

Ropar 77196 66 77 77053

Jalandhar 144313 8 114 144191

Kapurthala 2800 0 0 2800

Amritsar 130968 3159 5321 122488

Tan-Taran 214547 86 218 214243

Gurdaspur 214410 43 68 214299

Total 954743 3379 6101 945263

Year 2017 -18

Pathankot 19367 15 76 19276

Total 974110 3394 6177 964539

IDD Survey, Punjab

– According to GoI guidelines, on the basis of PPS Sampling IDD Survey has been completed in the State of Punjab with the assistance of PGIMER Chandigarh. 540 Salt Samples and 270 Urine Samples were collected from each district during IDD Survey and have been tested by State IDD Lab, Punjab.

IDD Survey, Punjab

– According to GoI guidelines, on the basis of PPS Sampling IDD Survey has been completed in the

State of Punjab with the assistance of PGIMER Chandigarh District wise prevalence of Iodine Deficiency Disorders as per Surveys carried out from time to time is as follows:

S.No. District

Year of Survey

Results

1961 1962 2003 2006 2007 2011 2012 2013 2014 2015

1

Gurdaspur

(including

Pathankot)

40.3%

10.1%

2 Hoshiarpur 52.3% 6.07% 10.4%

3 Roopnagar 45.8% 3.93 % 5.33% 2.7%

4 Bathinda 3.8 % 2.33% 0.4%

5 Nawanshahar 0.05% 2.4%

6 Fatehgarh Sahib 0.2% 1.9%

7 Patiala 6.99% 5.3%

8 SAS Nagar(Mohali) 6.74% 1.7%

9 Jalandhar 23.4%

10 Kapurthala 8.1%

11 Tarn-Taran 15.9%

12 Amritsar 20.3%

13 Sri Muktsar Sahib 8.7%

14 Barnala 6.8%

15 Mansa 5.4%

16 Ferozepur

(including Fazilka)

13.3%

17 Moga 2.6%

18 Ludhiana 0.4%

19 Sangrur 0.7%

20 Faridkot 12.7%

IDD Re- Survey in Punjab

• During year 2016-17,

• IDD Re-Survey done in district Amritsar, Tarn-Taran, Gurdaspur & Jalandhar .

• Samples are being tested at State IDD Lab, Punjab.

• District Level training to the field staff was given by State IDD Cell team with assistance of School of Public Health, PGI Chandigarh.

Activities

• 20 Question booklet in Punjabi about common FAQs on Iodine Salt & Deficiency manifestations of IDD has been printed & distributed.

Celebration of 21st October as “Global IDD Prevention Day”

• Every year 21st October is celebrated as “Global Iodine Deficiency Disorders Prevention Day”. – During year 2016 “Global Iodine

Deficiency Disorders Prevention Day“ was celebrated on 21st October 2016.

– IEC material printed and distributed to all districts.

– All districts organized Loud speaker campaign regarding importance of iodized salt.

Standard Operating Procedures (SoPs)

• SOPs for salt & urine sample collection, transportation & testing in State IDD Lab, Punjab has been developed with Govt. of India inputs & sent to districts.

• First of its kind in India.

• Includes SOP for salt & urine sample collection, transportation & testing in State IDD Lab.

Notification regarding Ban on Uniodized Salt

Commissioner Food & Drug Administration, Punjab has issued notification regarding ban on sale of uniodized salt as per section 2.3.12 of FSSAI Act.

Circular for Sampling under FSSAI • As per GoI guidelines,

FSOs to take two salt samples every month under FSSAI Act.

• Commissioner Food & Drug Administration, Punjab has issued circular dated 22-06-2016 to all FSOs for taking two salt samples every month under FSSAI Act as per GoI guidelines