云南省2009～2010年实现消除碘缺乏病规划目标考评结果分析  

Analysis of assessment results of eliminating iodine deficiency disorders in Yunnan Province by the year 2009 to 2010

作　　者：叶枫[1] 黄文丽[1] 李加国[1] 吴鹤松[1] 郭玉熹[1] 张海涛[1] 王安伟[1] 杨林[1] 李兆祥[1] 赵溯[1] 张浩伟[1] 王跃兵[1] 马琳[1] 马永康[1] 董兴齐[1] 

机构地区：[1]云南省地方病防治所,云南大理671000

出　　处：《中国地方病防治》2012年第3期205-208,共4页Chinese Journal of Control of Endemic Diseases

摘　　要：目的了解云南省实现95%的县达到消除碘缺乏病目标完成情况,分析、总结考评结果,评价防治效果,为制订碘缺乏病防治策略提供依据。方法按照卫生部《关于印发<实现消除碘缺乏病目标县级考核评估方案>的通知》及中国疾病预防控制中心地方病控制中心《2008年度中央补助地方病公共卫生专项资金地方病防治项目关于"省级实现消除碘缺乏病目标评估"技术实施的说明》的要求,在全省以县为单位开展自查、省级抽查;采取听取汇报、查看资料、现场调查,开展组织领导、碘盐管理、监测与防治、健康教育(简称:"四项管理指标")的检查,和居民户碘盐普及、8～10岁儿童碘营养状况及健康教育开展情况等调查。结果在县级自查和省级考评结果中,全省四项管理指标平均得分分别为91.79分、93.52分,居民合格碘盐食用率分别为95.28%、98.46%,碘盐覆盖率分别为97.79%、99.58%,碘盐合格率分别为97.39%、98.87%,儿童尿碘中位数分别为262.57μg/L、289.04μg/L,儿童甲状腺肿大率分别为1.09%、0.76%,5年级学生健康教育知晓率分别为88.0%、96.6%。除大关县居民合格碘盐食用率为89.9%,儿童甲状腺肿大率为19%,未申报达标验收外,其余128个县自查及省级抽查各项指标均达到国家碘缺乏病消除标准。结论全省碘盐产供销一体化,碘盐生产质量保证,碘盐供应充足;云南省99.2%的县实现碘缺乏病消除目标。Objective In order to know the condition about 95% counties reached the standard of eliminating IDD in Yunnan Province. Analysis and summary the evaluation results, evaluate the preventive effect, to provide the basis for making IDD preven- tion strategies. Methods The notice will be used in accordance with the content and requirement of the evaluating programme of realizing the stage goal of elimilating IDD at the county level issued by state＇ s three ministries. In the province, county self - ex- amination, provincial selective examination. Listen to the reports, look into materials, spot check and selective examination, devel- op examination on leadership, iodized salt management, monitoring and control, health education （ hereinafter referred to as the four management index）, residents iodized salt popularization, 8 - 10 years old children iodine nutritional status and health edu- cation, etc. Results The results of the county self - examination and provincial assessment respectively were： the province re- spectively have gained 91.79 and 93.52 scores on average in the four management index, the consumption rate of qualified edible sah in residents were 95.28% and 98.46% respectively, the coverage of iodized salt were 97.79% and 99.58% respectively, the qualified rate of iodized salt were 97.39% and 98.87% respectively, the urinary median iodine were 262.57 μg/L and 289.04μg/L respectively, the goiter rate of children accounted for 1.31% and 0.85% respectively, the awareness rate of health educa- tion in grade five students were 88.0% and 96.6% respectively. The stage goal of elimilating IDD in Yunnan Province has come true except Daguan county which qualified rate of iodized salt were 89.9% and the goiter rate of children was 19%. Conclusions Production - demand - sales integration, production quality assurance and abundant supply for iodized salt. The stage goal of elimilating IDD has come true in the 99.2% of county in Yunnan Province.

关 键 词：碘缺乏病 消除 评估 结果分析 

分 类 号：R591.1[医药卫生—内科学]