Iodine deficiency disorders in Bangladesh

Harun K.M. Yusuf, Salamatullah Quazi, Moududur R. Kahn, Mohammad Mohiduzzaman, Bardrun Nahar, M. Mostafizur Rahman, M. Narul Islam, M. Asaduzzaman Khan, Mohammad Shahidullah, Tujammul Hoque, Mohmand Baquer, Chandrakant S. Pandav

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7 Citations (Scopus)


An extensive iodine deficiency disorders survery was conducted in Bangladesh in 1993 to assess the latest iodine nutriture status of the country. The clinical variables of the survey were goitre and cretinism, and the biochemical variable was urinary iodine. The "EPI-30 cluster" sampling methodology was followed for selecting the survey sites. In each survey site, the study population consisted of boys and girls, aged 5-11 years, and men and women, aged 15-44 years, in about equal populations, the total number of survey sites was 78 and the total number of respondents was 30 072. The total number of urine samples was 4512 (15% sub-sample). The current total goitre rate (grade 1 + grade 2) in Bangladesh is 47.1% (hilly, 44.4%; flood-prone, 50.7%; and plains, 45.6%). The prevalence of cretinism in the country is 0.5% (hilly, 0.8%; flood-prone, 0.5%; and plains, 0.3%). Nearly 69% of Bangladeshi population have biochemical iodine deficiency (urinary iodine excretion [UIE] < 10 mg/dl) (hilly, 84.4; flood-prone, 67.1%; and plains 60.4%). Women and children are more affected than men, in terms of both goitre prevalence and UIE. The widespread severe iodine deficiency in all ecological zones indicates that the country as a whole is an iodine-deficient region. Important recommendations of global interest are made from the experience of the survey.

Original languageEnglish
Pages (from-to)105-110
Number of pages6
JournalIndian Journal of Pediatrics
Issue number1
Publication statusPublished - 1 Jan 1996
Externally publishedYes


  • Cretinism
  • Goitre
  • Iodine-deficiency disorders
  • Urinary iodine


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