摘要目的 观察云南省居民碘缺乏病防治措施落实情况.方法 收集2011-2015年云南省各州(市)上报的碘盐监测数据和监测报告,分析各年度碘盐覆盖率、碘盐合格率、合格碘盐食用率.结果 2011-2015年,在省级水平上,全省每年的碘盐覆盖率均＞98％,201 1、2012年合格碘盐食用率保持在97％以上,2013-2015年保持在95％以上;在县级水平上,合格碘盐食用率≥90％的县(市、区)所占比例分别为99.22％(128/129)、98.44％(126/128)、91.47％(118/129)、92.25％(119/129)、99.22％(128/129).盐碘含量在18～ 33 mg/kg的碘盐构成比由2011年的64.07％(24 297/37 923)上升到2015年的95.15％(36 930/38 813).结论 近几年云南省碘缺乏病防治措施落实较好,在2012年(执行新碘盐标准)后,合格碘盐食用率有所下降.经过4年的过渡,按新标准生产的碘盐已覆盖全省.整顿盐业市场,提高碘盐质量和监测质量以巩固防治成果是今后防治工作的重点.

abstractsObjective To understand the implementation of preventive measures for iodine deficiency disorders among residents in Yunnan Province.Methods Iodized salt monitoring database and reports from states (cities) of Yunnan Province from 2011 to 2015 were collected,and the coverage rate of iodized salt,the quality of iodized salt,the rate of qualified iodized salt consumption were evaluated.Results From 2011 to 2015,at the province level,the coverage rate of iodized salt was ＞ 98％.The rate of qualified iodized salt consumption was ＞ 97％ from 2011 to 2012,and kept at higher than 95％ from 2013 to 2015.At the county level,the county (city,district) coverage rate of qualified iodized salt that ≥90％ accounted for 99.22％ (128/129),98.44％ (126/128),91.47％ (118/129),92.25％ (119/129) and 99.22％ (128/129).The constitute ratio of salt containing 18-33 mg/kg iodine increased year by year,from 64.07％ (24 297/37 923) in 2011 to 95.15％ (36 930/38 813) in 2015.Conclusions In recent years,measures for control of iodine deficiency disorders are implemented well in Yunnan Province.After production of new standard iodized salt in 2012,the rate of qualified iodized salt consumption is decreased.After the four-year transition period,the new standard iodized salt has covered over the whole province.To rectify salt market,improve quality of iodized salt and enhance monitoring quality in order to consolidate the control achievements is the focus of prevention work in the future.