Risk communication as a component that provides stability of strategy aimed at eliminating diseases caused by iodine deficiency in Belarus

Abstract

There is a strategy being implemented now in Belarus that involves obligatory application of high quality iodized salt in food industry; it has resulted in iodine deficiency elimination among population. Sales of iodized salt account for more than 70 % of the overall salt sales in retail outlets. However, attention paid to the issue has started to decline recently, including mass media; at present there is no social advertising that informs people about iodized salt being useful for their health. Our research object was population awareness about various aspects related to prevention of diseases caused by iodine deficiency and objective indicators of iodine provision. Our research goal was to determine probable risks of iodine deficiency prophylaxis becoming less efficient and to substantiate ways how to prevent negative trends. Data and methods. We assessed population awareness on iodine deficiency via questioning; overall, 805 people living in Belarus took part in it. Alimentary exposure to iodine was calculated for various scenarios taking into account natural iodine contents and artificially added iodine in food products as well as consumption volumes. Ioduria was assessed with cerium-arsenite technique. We considered dynamics in morbidity with simple goiter and congenital hypothyroidism to be indicators of iodine provision. Basic results. We detected that most respondents, 658 (81.7 %, 95 % CI 78.8-84.7) to be exact, thoughts that their therapists were the primary source of knowledge on health-related issues; 176 (21.9 %, 95 % CI 15.8-28.0) trusted mass media including the Internet. More than half respondents (61.4 %, 95 % CI 60.8-62.0 %) and medical personnel statistically significantly more frequently (77.1 %, 95 % CI 70.7-83.61 %) believed there was a iodine deficiency problem existing in the country. We didn't detect any risk of excessive iodine introduction with food products. Selective monitoring over ioduria among children proves their iodine provision is quite appropriate as it amounts to more than 100 µg/l. Dynamics of primary morbidity with congenital hypothyroidism confirms that stable positive results have been achieved in the sphere; in 2006 primary morbidity was equal to 1.96 per 100 thousand people, but in 2017 it dropped to 0.96 per 100 thousand people. It proves that Belarus is among countries where population consume proper amounts of iodine. But an arising trend for lower awareness about iodine deficiency calls for more active risk communication about possible diseases related to iodine deficiency, including mass media campaigns.

A influência do Zinco, Selênio e Iodo na suplementação alimentar em pessoas com Hipotireoidismo

“…Outros países como a Bielorrússia o sal iodado também é adicionado na indústria alimentícia como estratégia para diminuição da DDI e apresenta resultados satisfatórios (Yadav 2018, Phedorenko 2019.…”

“…Outro fator importante observado no presente estudo foi relacionado à informação da população sobre a importância da suplementação de Iodo. Phedorenko (2019) realizou uma pesquisa e teve como um de seus objetivos avaliar a conscientização da população sobre a deficiência de iodo. A pesquisa foi realizada na Bielorrússia, onde por lei é implementado sal iodado de alta qualidade na indústria de alimentos a fim de reduzir problemas relacionados à deficiência de iodo.…”

“…A pesquisa foi realizada na Bielorrússia, onde por lei é implementado sal iodado de alta qualidade na indústria de alimentos a fim de reduzir problemas relacionados à deficiência de iodo. Foi identificado que tanto a população quanto a classe médica tem pouca ou nenhuma conscientização sobre a importância dessa suplementação na saúde (Phedorenko 2019).…”

Iodine Status of Women and Infants in Russia: A Systematic Review

“…In countries neighboring Russia (Norway, Denmark, Mongolia, China, Belarus, Ukraine) iodized salt is a source of I [43][44][45][46][47][48][49]. In Norway and Denmark, products such as milk, dairy products, fish and fish products make up almost 80% of the dietary I intake [43,44].…”

“…In Ukraine, along with iodized salt, one of the most accessible sources of I is algae [46]. In Belarus, the mandatory use of high-quality iodized salt in the food industry has led to the elimination of I deficiency among the population [48].…”