Assessment of iodine deficiency disorders among population of district Chamba, Himachal Pradesh

Sumita Kumari Sandhu, Arvind Kumar Dhiman


Background: Iodine insufficiency is prevalent throughout the world, and is rated as one of the most significant public health concerns in more than 125 countries. Secondary to the insufficient dietary consumption of iodine, almost two billion individuals are prone to suffer from iodine deficiency disorders worldwide. The present survey was conducted in district Chamba of Himachal Pradesh in order to assess the extent of iodine deficiency disorders, 55 years after the initiation of salt iodisation programme.

Methods: A cross sectional survey was conducted in district Chamba of Himachal Pradesh. A close ended pretested questionnaire was used to collect the socio-demographic information of the participants. Iodine content of salt and water was assessed with the use of I-Check and AQUA test kits in the households.

Results: A total of 230 households were surveyed for the consumption of iodised salt which showed that 100% of the study population was using packet iodised salt for consumption. Majority of the population (92.6%) were placing their salt container near chulah in their kitchen and 73.5% were adding the salt in the beginning of the cooking followed by 16.1% in the middle of the cooking. Iodine content of salt sample collected revealed that 95.7% contain only 7 ppm iodine and 99.6% of the water sample contains less than 0.1 level iodine in water testing.

Conclusions: The results of study indicated that population of district Chamba is using iodised salt but there is still need of strengthening of monitoring system as well as health education regarding the cooking practices in the households.


Iodine deficiency disorders, Iodine content, Monitoring

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Global iodine deficiency disorder prevention day. Available at: Accessed on 04 September 2019.

De Benoist B, McLean E, Andersson M, Rogers L. Iodine deficiency in 2007: Global progress since 2003. Food Nutr Bull. 2008;29:195-202.

Swanson CA, Pearce EN. Iodine insufficiency: A global health problem? Adv Nutr. 2013;4:533-5.

Eckholm E. Iodine Deficiency in Himalyas is believed to disable millions. Available at: Accessed on 04 September 2019.

Himachal Survey. Available at: http://medind. Accessed on 1 October 2019.

National Institute of Health and Family Welfare. National iodine deficiency disorders control programme. Available at: NDC/DocumentationServices/NationalHealthProgramme/ National iodine deficiency disorders.html. Accessed on 02 September 2019.

Pandav CS, Yadav K, Salve HR, Kumar R, Goel AD, Chakrabarty A. High national and sub-national coverage of iodised salt in India: evidence from the first National Iodine and Salt Intake Survey (NISI) 2014-2015. Public Health Nutr. 2018;21(16):3027-36.

Rana R, Raghuvanshi RS. Effect of different cooking methods on iodine losses. J Food Sci Technol. 2013;50(6):1212–6.

Jayashree S, Naik RK. Iodine losses in iodised salt following different storage methods. Indian J Pediatr. 2000;67(8):559-61.