Iodine  Deficiency and  Human Health: An Environmental Concern

 

Iodine is naturally present in water. Iodine was one of the first minerals to be recognized as vital for good health. It is still considered one of the most important elements in our body. In practically all countries, there are areas where iodine is lacking in the soil and water. Only one country - Japan - is virtually free from Goitre (an iodine deficiency diseases) and this is attributed to the relatively high consumption of seaweed as a foodstuff. Seaweed contains about thousand times as much iodine as any other food. It has been used in the Japanese diet for many generations without any apparent adverse effects. 

Iodine ends up in surface waters naturally through rains and water evaporation. Eventually, it also ends up in groundwater. Other options include weathering of iodine-containing rocks, and volcanic activity (including under-water volcanoes). In nature, iodine can be found in reasonably in large amounts, but only in compounds. Brown algae accumulate up to 0.45% (dry mass) of iodine. Corals, sea sponges, shells and fishes accumulate high iodine concentrations, usually in the shape of thyroxin or tri-iodine thyroxin.  

Iodine plays an important role in the production of thyroid hormones. The human body usually contains about 10-15 mg of this substance. The larger part can be found in the thyroid gland. The recommended daily intake for iodine is between 150 and 200 mg. Generally this dose is achieved by eating kitchen salt to which iodine is added. Iodine mainly affects the thyroid gland, which controls many important functions in the body. In fact, iodine is the single most important nutrient to the thyroid gland. Goiter, an enlargement of the thyroid, occurs when the thyroid doesn't have enough iodine. The thyroid gland is an iodine organ, producing powerful hormones needed throughout the rest of the body's organs. The hormones produced, regulate the metabolism of the body. The speed of all basic cell functions, called metabolism, depends on the thyroid. When the thyroid can't produce the iodine the body needs, many serious conditions may result. Some minor conditions are fatigue, weight gain, and bad circulation. Iodine protects the brain from toxins, and helps to neutralize toxins found in the rest of the body. The body has a much harder time warming itself when there is a deficiency in iodine. Iodine is also essential for children’s growth and development, and a deficiency in pregnant women is the primary cause of preventable mental retardation and brain damage.

 

 

 

Causes of Iodine Deficiency

  1. Worldwide, we are experiencing epidemic proportions of iodine deficiency, in part due to deforestation, soil erosion, and poor farming practices that deplete minerals from the soil and yield iodine-deficient crops. Twenty-nine percent of the world’s population living in approximately 130 countries is estimated to live is areas of deficiency. This occurs primarily in mountainous regions such as the Himalayas, the European Alps, and the Andes, where iodine has been washed away by glaciations and flooding. Iodine deficiency also occurs in lowland regions far from the oceans, such as central Africa and eastern Europe. Those who consume only locally produced foods in these areas are at risk for Iodine Deficiency Disorders.

  2.       Exposure to chlorine (the oxidized form of chloride), as well as fluoride found in toothpaste , the water supply and many pharmaceutical drugs, further compound dilemma        as these toxins compete with iodine for absorption by bodily tissue.

The prevalence of Goitre or other thyroid disorders: 

The Northeastern states, Kerala and Delhi show very high reporting of Goitre or any other thyroid problem. Women have higher prevalence of goiter and any thyroid disorder compared to men. Educated women show higher prevalence because they get health check-ups compared to other women.

National Family Health Survey (NFHS-3) included testing of household salt for iodine content. In NFHS-3, women age 15-49 and men age 15-54 were asked whether they have goitre or other thyroid disorder. As shown in Table 1 the prevalence of goitre is 2.5 times higher among women than among men (949 per 100,000 women compared to 383 per 100,000 men). The number with goitre or other thyroid disorders increases with age, especially among women. In general, women exhibit greater differentials in prevalence of goitre across background characteristics than men (NFHS- 3, National Report, International Institute for Population Sciences, Mumbai, 2008).  

Table 1: Number of women and men age 15-49 per 100,000 who reported that they have Goitre or any other thyroid disorders by State, India, 2005-06

INDIA & STATES

Number of Women per 100,000

Number of Men per 100,000

INDIA

949

383

 

 

 

NORTH ZONE

 

 

Delhi

1,481

133

Haryana

388

739

Himachal Pradesh

678

304

Jammu & Kashmir

237

0

Punjab

601

241

Rajasthan

376

246

Uttranchal

257

215

 

 

 

CENTRAL ZONE

 

 

Chhattisgarh

563

358

Madhya Pradesh

599

424

Uttar Pradesh

517

138

 

 

 

EAST ZONE

 

 

Bihar

853

273

Jharkhand

858

74

Orissa

362

122

West Bengal

1,626

667

 

 

 

NORTHEAST ZONE

 

 

Arunachal Pradesh

2,037

567

Assam

760

1,371

Manipur

2,623

1,389

Meghalaya

864

179

Mizoram

1,857

315

Nagaland

629

725

Sikkim

1,574

1,191

Tripura

2,439

552

 

 

 

WEST ZONE

 

 

Goa

841

584

Gujrat

484

72

Maharashtra

590

201

 

 

 

SOUTH ZONE

 

 

Andhra Pradesh

1,155

829

Karnataka

798

285

Kerala

5,744

1,888

Tamil Nadu

1,568

170

Source: National Family Health Survey -3, Conducted by International Institute for Population

             Sciences, Mumbai, Published in Sep, 2007.

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