Iodized

Iodized oil by injection or by mouth is singularly appropriate for isolated communities characteristic of mountainous endemic goiter areas. The striking regression of goiter following iodized oil administration, with improved well-being from correction of hypothyroidism, ensures general acceptance of the measure (Figure 5).

Iodized oil is more expensive than iodized salt but is used especially for severe iodine deficiency in remote areas. It provides instant correction of the deficiency and the consequent prevention of brain damage.

Figure 5 Subsidence of goiter in a New Guinea woman 3 months after the injection of iodized oil. This is accompanied by a feeling of well-being due to a rise in the level of the thyroid hormone in the blood. This makes the injections very popular. (Reproduced from Hetzel BS (1989) The Story of Iodine Deficiency: An international Challenge in Nutrition. Oxford: Oxford University Press.)

Figure 5 Subsidence of goiter in a New Guinea woman 3 months after the injection of iodized oil. This is accompanied by a feeling of well-being due to a rise in the level of the thyroid hormone in the blood. This makes the injections very popular. (Reproduced from Hetzel BS (1989) The Story of Iodine Deficiency: An international Challenge in Nutrition. Oxford: Oxford University Press.)

In a suitable area, the oil (1ml contains 480 mg iodine) should be administered to all females up to the age of 40 years and all males up to the age of 20 years. A dose of 480 mg will provide coverage for 1 year by mouth and for 2 years by injection.

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