石青　熊培生　尹坚　李明健　周素华　黄宝国　张碧云　陈致泽　戴馨

湖北省疾病预防控制中心慢性病防治研究所，武汉，430079

2012-2014年湖北省实现持续消除碘缺乏病目标县级抽查考评工作分析

石青熊培生尹坚李明健周素华黄宝国张碧云陈致泽戴馨

湖北省疾病预防控制中心慢性病防治研究所，武汉，430079

摘要目的：全面评估湖北省各县(市、区)完成实现持续消除碘缺乏病目标的工作进展，考核各级政府和相关部门对建立健全可持续发展消除碘缺乏病工作机制的状况。方法：根据湖北省卫生厅、省发改委和省经信委制定的《湖北省实现持续消除碘缺乏病目标县级抽查考核评估方案》的要求，在2012-2014年随机抽查省内17个市(州)的总计100个地级市或县(市、区)，对碘缺乏病防治工作进行考核评估。结果：组织领导、碘盐管理、监测与防治、健康教育4项综合指标评分(95.04±3.20)分，居民合格碘盐食用率(97.16±3.04)%，8-10岁儿童尿碘含量平均(287.29±72.02)μg/L，8-10岁儿童尿碘含量低于50μg/L的比例均低于20%，抽查考评县达标率100%。结论：湖北省实现持续消除碘缺乏病目标工作完成情况良好。

关键词碘缺乏病；达标

Analysis of the Evaluation of Sustained Elimination of Iodine Deficiency Disorders in Target Counties, Hubei Province 2012-2014

Shi Qing et al

HubeiProvincialCenterforDiseaseControlandPrevention,Wuhan, 430079

AbstractObjective：To evaluate comprehensively the achievements and progress on sustained elimination of iodine deficiency disorders (IDD) in the counties (cities, districts) of our province, and to assess the work of related governments and departments on establishing the strategies for sustainable elimination of IDD. Methods： According to the desires of 'the evaluation program of sustained elimination of IDD in target counties, Hubei Province' (the Evaluation Program) which was drafted by the Provincial Health Office, the Provincial Development and Reform Commission and the Provincial Commission, total 100 prefecture-level cities or counties (cities, districts) were selected randomly from 17 cities (states)in Hubei province, 2012-2014, achievements and progress on the prevention and control of IDD were evaluation. Results：The comprehensive score of organizational leadership, salt management, monitoring and control, health education was 95.04 ± 3.20 points, the rate of qualified iodized salt coverage was 97.16 ± 3.04%, the average iodine content in the urine of children aged from 8 to 10 years old was 287.29 ± 72.02μg/ L, the ratio of children aged from 8 to 10 years old whose urinary iodine content was less than 50μg/L were all lower than 20%, and the compliance rate of these counties was 100%.Conclusion：The target work on sustained elimination of IDD in Hubei province completed well.

Key WordsIodine Deficiency Disorder; Compliance

湖北省地处长江中游，全省面积18.59万平方公里，其中山地面积占56%，丘陵面积占24%，平原湖区占20%。全省辖17个市(州)，l03个县(市、区)(2009年新增随县)。碘缺乏病在湖北省流行历史悠久[1]。1976年以前，全省50个县市抽样调查近120万人，地甲病和克汀病平均患病率分别为23.36%和6.64%，鄂西山区和大别山区的病情最为严重，甲状腺肿大率高达60%以上。1980-1983年，在供应碘盐防治的基础上，全省开展了地甲病和克汀病的普查，共调查2898.97万人，查出地甲病病人189万人，平均患病率为6.52%，克汀病41179人，患病率为1.42‰。……