SEA/RC60/17 - Follow-up action on selected resolutions/decisions of the last three years: iodine deficiency disorders in the South-East Asia region
AbstractThe WHO Regional Committee resolution (SEA/RC57/R4 – Iodine Deficiency Disorders in the South-East Asia Region) adopted in 2004 urges Member States to reaffirm their commitment to early and sustainable elimination of Iodine Deficiency Disorders (IDD) and requests the Regional Director to provide technical assistance and support to Member countries for the same and to report on the achievements to the Sixtieth session of the Regional Committee in 2007. This background document was prepared as the progress report for the meeting. The progress made in the South-East Asia Region during the reporting period (2004-2007) was assessed by the Regional Office on the basis of the guidelines for assessment of iodine deficiency disorders and monitoring their elimination (WHO/UNICEF/ICCIDD, 2001). The assessment was further verified at the Expert Consultative Meeting held in Bangkok, Thailand on 25-26 June 2007. Member countries of the Region have recorded considerable progress in eliminating IDD. The population with insufficient iodine intake in eight reporting countries declined from 556 million in 2004 to 443 million in 2006. In 2004, Bhutan was the only country that had achieved elimination status. Sri Lanka too has reported achieving this status in 2007. Progress has also been made in achieving programmatic indicators. The number of countries having a national inter-sectoral coordinating body increased to 10 in 2006 from eight in 2004. The number of countries having salt iodization legislation in place reached eight in 2006, while the remaining three countries from the Region are advancing towards achieving it. Nine countries now have laboratory facilities for monitoring salt quality and programmes as against seven which had these facilities in 2004. The report was discussed at the Joint Meeting of Health Secretaries and the Consultative Committee for Programme Development and Management held in the Regional Office, New Delhi from on 2-6 July 2007. The Joint Committee made the following recommendations: Action by Member States To revitalize and strengthen IDD programmes to ensure sustainable elimination of IDD problems, monitor progress through the application of urinary iodine excretion tests and ensure access to adequately iodised salt. Action by WHO-SEARO (1) To facilitate the access to affordable Potassium-iodate or iodine from the regional sources in collaboration with other partners. (2) To support Member States in development of quality control protocols for production of iodized salt in collaboration with the other partners and WHO Collaborating Centers (WHO–CC). (3) To support, through the application of MCA to Member States, tackling of the crossborder IDD, including quality control of iodized salt. (4) To support the Member States by: (a) Strengthening the availability of data related to IDD for policy and programme analysis. (b) Establishing IDD sentinel surveillance by using most sensitive indicators. (c) Sub-analysis of the data from national surveys to identify the areas of excess and insufficient iodine intake. The document is now submitted to the Sixtieth session of the Regional Committee for its review and consideration.
World Health Organization, Regional Office for South East-Asia. (2007). SEA/RC60/17 - Follow-up action on selected resolutions/decisions of the last three years: iodine deficiency disorders in the South-East Asia region. WHO Regional Office for South East-Asia. http://www.who.int/iris/handle/10665/128613