Severe iodine deficiency in two endemic goitre areas of Zimbabwe. 1991

C H Todd, and P P Bourdeux
Community Medicine Field Project (Chiweshe), University of Zimbabwe Medical School.

The purpose of the study was to investigate the iodine status of the population and the possible role of goitregens (that are metabolised to thiocyanate), in two endemic goitre areas of Zimbabwe. This was done through estimation of iodine (I) and thiocyanate (SCN) levels in spot urine samples collected from goitrous and non-goitrous subjects. Mean and median urine iodine concentrations respectively for Wedza (n = 50) were 1.4 micrograms/dl and 1.0 micrograms/dl and for Chiweshe (n = 60) were 2.1 micrograms/dl and 1.65 micrograms/dl. The differences between the two districts are significant (P = 0.005) and mirror the overall differences in goitre rates found. Urine I levels were generally lower in goitrous than non-goitrous subjects, but the difference was not significant. Mean urine SCN concentrations and mean I/SCN ratios respectively for Wedza were 0.5 micrograms/dl and 2.9 micrograms/dl and for Chiweshe were 0.7 micrograms/dl and 3.4 micrograms/dl. These results indicate that the populations studied are affected by severe iodine deficiency, but that thiocyanate does not have a significant goitrogenic effect. The implications of the results, and the reasons for the discrepancies between them and ones obtained in earlier studies, are discussed.

UI MeSH Term Description Entries
D007455 Iodine A nonmetallic element of the halogen group that is represented by the atomic symbol I, atomic number 53, and atomic weight of 126.90. It is a nutritionally essential element, especially important in thyroid hormone synthesis. In solution, it has anti-infective properties and is used topically. Iodine-127,Iodine 127
D008297 Male Males
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003677 Deficiency Diseases A condition produced by dietary or metabolic deficiency. The term includes all diseases caused by an insufficient supply of essential nutrients, i.e., protein (or amino acids), vitamins, and minerals. It also includes an inadequacy of calories. (From Dorland, 27th ed; Stedman, 25th ed) Deficiency Disease,Disease, Deficiency,Diseases, Deficiency
D005260 Female Females
D006043 Goiter, Endemic A form of IODINE deficiency disorders characterized by an enlargement of the THYROID GLAND in a significantly large fraction of a POPULATION GROUP. Endemic goiter is common in mountainous and iodine-deficient areas of the world where the DIET contains insufficient amount of iodine. Endemic Goiter,Endemic Goiters,Goiters, Endemic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D013861 Thiocyanates Organic derivatives of thiocyanic acid which contain the general formula R-SCN. Rhodanate,Rhodanates
D015030 Zimbabwe A republic in southern Africa, east of ZAMBIA and BOTSWANA and west of MOZAMBIQUE. Its capital is Harare. It was formerly called Rhodesia and Southern Rhodesia. Rhodesia, Southern,Southern Rhodesia,Republic of Zimbabwe,Zimbabwe Rhodesia

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