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How Do We Improve the Impact of Iodine Deficiency Disorders Prevention in Europe and Beyond?

Völzke, Henry, Erlund, Iris, Hubalewska-Dydejczyk, Alicja, Ittermann, Till, Peeters, Robin P., Rayman, Margaret, Buchberger, Monika, Siebert, Uwe, Thuesen, Betina H., Zimmermann, Michael B. , Grünert, Stefan and Lazarus, John H. (2018) How Do We Improve the Impact of Iodine Deficiency Disorders Prevention in Europe and Beyond? European Thyroid Journal, 7 (4). pp. 193-200.

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Abstract

Iodine deficiency disorders (IDD) represent a global health threat to individuals and societies. IDD prevention programmes have been introduced in many parts of the world. However, challenges remain, particularly in Europe due to fragmentation and diversity of approaches that are not harmonized.

Objectives: This review is dedicated to the public-health impact of IDD prevention programmes. It sums up experiences collected by the EUthyroid consortium so far and provides information on stakeholders that should be involved in actions directed to improve the impact of IDD prevention.

Methods: A joint European database for combining registry-based outcome and monitoring data as well as tools for harmonizing study methods were established. Methods for analyzing thyroglobulin from a dried blood spot are available for assessing the iodine status in the general population and at-risk groups. Mother-child cohorts are used for in-depth analysis of the potential impact of mild-to-moderate iodine deficiency on the neurocognitive development of the offspring. A decision-analytic model has been developed to evaluate the long-term effectiveness and cost effectiveness of IDD prevention programmes.

Results: EUthyroid has produced tools and infrastructure to improve the quality of IDD monitoring and follows a dissemination strategy targeting policymakers and the general public. There are tight connections to major stakeholders in the field of IDD monitoring and prevention.

Conclusions: EUthyroid has taken steps towards achieving a euthyroid Europe. Our challenge is to inspire a greater sense of urgency in both policymakers and the wider public to address this remediable deficit caused by IDD.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Biosciences and Medicine
Authors :
NameEmailORCID
Völzke, Henry
Erlund, Iris
Hubalewska-Dydejczyk, Alicja
Ittermann, Till
Peeters, Robin P.
Rayman, MargaretM.Rayman@surrey.ac.uk
Buchberger, Monika
Siebert, Uwe
Thuesen, Betina H.
Zimmermann, Michael B.
Grünert, Stefan
Lazarus, John H.
Date : 31 July 2018
DOI : 10.1159/000490347
Copyright Disclaimer : © 2018 European Thyroid Association Published by S. Karger AG, Basel
Uncontrolled Keywords : Iodine; Prevention; Epidemiology; Outcomes research
Depositing User : Clive Harris
Date Deposited : 10 Oct 2018 22:42
Last Modified : 11 Oct 2018 10:47
URI: http://epubs.surrey.ac.uk/id/eprint/849643

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