Iodine Nutrition in the United States

1. Iodine Nutrition in the United States William H. Dietz, MD, PhD Centers for Disease Control and Prevention Director, Division of Nutrition and Physical Activity

2. The Full Spectrum of Iodine Deficiency Cretinism Goiter Reduced intellectual performance

3. The Full Spectrum of Iodine Deficiency Cretinism Goiter Reduced intellectual performance

4. The Full Spectrum of Iodine Deficiency Cretinism Goiter Reduced intellectual performance

5. The network of connections are less dense Iodine Sufficient Brain Iodine Deficient Brain Source: From Legrand, 1967.

6. Incidence of simple goiter among mendrafted for service in the US Army during World War 1

7. Iodized Salt in the US • Morton develops iodized salt to help prevent goiters, which were common at the time. The Food and Drug Administration later requests that the product be labeled with the message, • "This salt provides iodide, a necessary nutrient." 1924

8. Salt Iodization in the US: Trend in Goiter Prevalence in Michigan WHO Monograph Series No. 44

9. Salt Producers Market Outcome Iodine Supply to the Population Table Salt Salt Production Wholesale Retail Traders Customers (Household) Individual Iodine Status Salt for Food Industry

10. Salt Producers Market Outcome Iodine Supply to the Population Table Salt Salt Production Wholesale Retail Traders Customers (Household) Individual Iodine Status Salt for Food Industry Other Iodine Sources Dairy Meat products Red Food Dye Bread

11. Trend in Iodine Nutrition in the US

12. Salt Producers Market Outcome Iodine Supply to the Population Table Salt Salt Production Wholesale Retail Traders Customers (Household) Individual Iodine Status Salt for Food Industry Other Iodine Sources Dairy Meat products Red Food Dye Bread

13. Monitoring the Impact of IDD Elimination Overseas • International Micronutrient Malnutrition Prevention and Control (IMMPaCt) program working with UNICEF/WHO/USAID and national Governments in a number of countries • Building capacity to obtain baseline data and establish monitoring systems for process and impact indicators for USI and iodine nutrition • International Reference Laboratories for Iodine (IRLI) network in formation

14. Salt Producers Market Outcome Iodine Supply to the Population Table Salt Salt Production Wholesale Retail Traders Customers (Household) Individual Iodine Status Salt for Food Industry Impact Monitoring Process Monitoring