Asin Law

NATIONAL SALT
IODIZATION
PROGRAM:
CONFERENCEAN
OVERVIEW
OVERVIEW
Iodine is essential for healthy brain

development in the fetus and young
child. Iodine deficiency negatively
affects the health of women, as well
as economic productivity and quality
of life.
Requirements: 150 g/day of iodine
200 g /day
to tsp iodized salt per day= 200
g
Benefits of Iodine
Improved Thyroid Function

Improved Brain Function
Healthy Pregnancies
Fights Depression
Weight Control
Irritable Bowel Syndrome (IBS)
Improved Appearance
Removes Toxins
Fights Cancer
Heart Health
Iodine deficiency is the main cause

of brain damage in childhood. It
results in impaired cognitive and
motor development which affects a
childs performance at school. In
adulthood, it affects productivity and
the ability to find a job. Iodinedeficient people may forfeit 15 IQ
points, and nearly 50 million people
suffer from some degree of iodine
deficiency-related brain damage.
The latest global estimate is that

1.88 billion people, including 241
million school-age children have
insufficient dietary iodine intake (1).
Even if iodine deficiency may be
more severe in developing
countries, it equally affects
developed and developing countries.
Table 1: Recommended Dietary

Allowances (RDAs) for Iodine [2]
Age
Male
Female
Pregnancy
Birth to 6 months 110 mcg* 110 mcg*

712 months
130 mcg* 130 mcg*
13 years
90 mcg
90 mcg
48 years
90 mcg
90 mcg
913 years
120 mcg
120 mcg
1418 years
150 mcg
150 mcg
290 mcg 19+ years
150 mcg
150 mcg
290 mcg * Adequate Intake (AI)
Lactation
220 mcg
220 mcg
RA 8172 or ASIN
Law
An Act Promoting
Salt Iodization
Nationwide and for
related purposes,
December 1995
contribute to
the elimination of
IDD through the
cost-effective
measure of salt
iodization
RA 8172 or ASIN
Law
All food-grade salt for human

and animal consumption should
be iodized
CONFERENCE
Locally produced OVERVIEW
Imported
Traded or distributed
Iodized salt for processed foods

and in food establishments
RA 8172 or ASIN
Law
All food-grade salt for human

and animal consumption should
be iodized
CONFERENCE
Locally produced OVERVIEW
Imported
Traded or distributed
Iodized salt for processed foods

and in food establishments
Progress in the elimination

of IDD in the Philippines
8th National Nutrition Survey Results on IDD
CONFERENCE OVERVIEW
Awareness, usage, and

adequacy of iodine in salt
8th National
Nutrition Survey
Results on IDD
CONFERENCE
OVERVIEW
Perception on What is Iodized Salt

Cleaned/refined
Prevent goiter
Good for the body
Added with iodine
Good for the brain
Good for pregnant
mother
Others
Awareness and Claimed Users

of Iodized Salt
100
80
79.5
83.4
78.5
71.5
67.3
60
49.2
40
47.5
41.9
38.1
24.8
Awarene
ss
20
1998
2003
2005
2008
2013
Awareness and Claimed Users of Iodized Salt by Region
PHILIPPINES
Ilocos
CAR
Cagayan Valley
Central Luzon
NCR
CALABARZON
MIMAROPA
Bicol
Western Visayas
Central Visayas
Eastern Visayas
Zamboanga Peninsula
N. Mindanao
Davao
SOCCSKSARGEN
CARAGA
ARMM
70
60
50
40
30
20
10
0
Percentage of Household
on Usage of Salt
45.8
39.2
59.3
52.4
1.4 1
0.1 0.8
Iodized Salt
Non-Iodized Salt
Reasons for not currently

using iodized salt
32
Used to using ordinary salt
24.8
Not available in stores

Expensive than ordinary salt
18.7
Run out of stock
18.1
10.6
Different taste from ordinary salt
5.0
Forgot to buy
Others
0
5.0
3.9
10.0
15.0
20.0
25.0
30.0
35.0
Market Source of Iodized Salt

Supermarket/grocery
Market/ Talipapa
Sari-sari store
Given free
Health centers/Hospitals
Ambulant vendors
Others
Percentage Distribution
on the Types of Salt Packaging
50
45.3
45
40
35
30
27.3
27
25
20
15
10
5
0.4
No package,
in takal
In package,
with label
In package,
without label
Combination
1-3
Test for iodine in

salt
Through the
rapid test kit
or the RTK
Through WYD
iodine checker
CONFERENCE OVERVIEW
Proportion of Household
turned Positive to RTK
PHILIPPINES
Ilocos
CAR
Cagayan Valley
Central Luzon
NCR
CALABARZON
MIMAROPA
Bicol
Western Visayas
Central Visayas
Zamboanga Peninsula
Eastern Visayas
Northern Mindanao
Davao
SOCCSKSARGEN
CARAGA
ARMM
Distribution of HH Iodine level using WYD

Philippines
Ilocos region
CAR
Cagayan Valley
Central Luzon
NCR
CALABARZON
MIMAROPA
Bicol
Western Visayas
Central Visayas
Eastern Visayas
Zamboanga Peninsula
Northern Mindanao
Davao Region
Socsargen
CARAGA
ARMM
0
5.7
47.5
26.8
20
60.1
20.7
15.5 3.8
11.8
36.8
18.2
33.1
9.5
41.6
23.2
25.6
77.2
5.8 11.3 5.7
10.2
38.6
18.6
32.6
11.9
40.3
16.3
31.4
57.1
20.6
17.7 4.6
49.7
35.4
12.12.9
52.8
34.3
11.11.8
31.9
48.9
16.5 2.7
2.1
18.6
48.8
30.5
1.2
81.6
11.9 5.3
41.3
36.3
20.4 2
35.1
49
13.2 2.6
48.3
41
8.22.5
41
44.3
12.91.8
59.4
32.4
8.20
10
20
30
40 and above ppm
40
50
60
15 to <40 ppm
70
80
90
5 to <15 ppm
100
Factors affecting iodine

retention
1.
2.
3.
4.
Store in glass container with cover

store salt away fron heat 20-25 C
Water content of food
Cooking process
Status of iodine deficiency

disorders among school children,
pregnant, and lactating women
th National Nutrition Survey
8CONFERENCE
Results on IDD
OVERVIEW
Epidemiological Criteria
for Assessing Severity of IDD
based on Median Urinary Iodine Levels
MEDIAN VALUE
g/L
< 20
20 - 49
50 - 99
> 100
SEVERITY OF IDD
severe
moderate
mild
No deficiency
The indicator of iodine deficiency elimination is a median value

of 100 g/L, that is , 50% of the sample should be above 100 g/L,
and not more than 20% of the samples should be below 50 g/L.
ICCIDD, 1994
Epidemiological Criteria for Assessing

Iodine Nutrition Based on Median Urinary Iodine
Concentrations in School-age Children (6 yrs)*
MEDIAN
VALUE
g/L
IODINE INTAKE
< 20
20 - 49
50 - 99
100 - 199
200 - 299
Insufficient
Insufficient
Insufficient
Adequate
Above requirements
300
g/day
Excessive
IODINE STATUS
Severe iodine deficiency

Moderate iodine deficiency
Mild iodine deficiency
Adequate iodine nutrition
Likely to provide adequate intake for
pregnant/lactating women, but pose
a slight risk of more than adequate
intake in the overall population
Risk of adverse health consequences
(iodine induced hyperthyroidism,
autoimmune thyroid diseases)
* Applies to adults, but not to pregnant women

WHO, UNICEF, and ICCIDD, 2001
Median UIE and frequency distribution of UIE values

<50g/L among 6-12 y old children by island groups
National/
Islands
PHILIPPINES
LUZON
VISAYAS
MINDANAO
22,588
Median UIE,
g/L
168
11,71
1
199
4,404
152
6,473
115
UIE <50 g/L, %
Median UIE and proportion of UIE values <50 g/L

among 6-12 y old children by region
Region
PHILIPPINES
22,588
Ilocos
1336
Cagayan
995
Central Luzon
1818
CALABARZON
2028
MIMAROPA
1046
Bicol
1719
W. Visayas
1464
C. Visayas
1508
E. Visayas
1432
Zamboanga Peninsula1039
N. Mindanao
1095
Davao
1090
SOCCSKSARGEN
1185
NCR
1905
CAR
864
ARMM
1025
CARAGA
1039
Median UIE,
g/L
168
173
223
203
236
136
150
125
166
161
68
121
122
137
220
123
128
128
UIE <50 g/L, %
Median UIE and proportion of UIE values <50g/L

among 6-12 y old children by region and province
Region/Province
SOCCSKSARGEN
North Cotabato
South Cotabato
Sultan Kudarat
Sarangani
Cotabato City
ARMM
Basilan
Lanao del Sur
Maguindanao
Sulu
Tawi-Tawi
CARAGA
Agusan del
Norte
Agusan del Sur
Surigao del
1185
357
428
190
164
46
1025
82
Median UIE,
g/L
137
156
117
124
151
149
128
120
355
99
UIE <50 g/L, %
CONFERENCE OVERVIEW
National Salt Iodization

Program
Strategic Plan 2011-2016
NSIP Strategic Plan

Framework
Goal
Eliminate Iodine Deficiency Disorders
Purpose
Acceptable median UIE levels for 6-12 years old children, pregnant and
lactating women
CONFERENCE OVERVIEW
1
Technical
assistance
2
Promotion
and
advocacy
3
Regulation
and
monitoring
4
Program
management
5
Support
activities
NSIP Strategic Plan

Framework
2
3
1
Technical
assistance
Promotion
and
advocacy
Regulation
and
4
Program
management
5
Support
activities
monitoring
1.
Development of quality salt seal (DOH-NCHP, NCDPC

and NNC)
2.
Integration of messages in school curriculum (DepEDHNC)
3.
Use of multimedia for promotional campaign (DOH-NNC,

DOF-CDA, DOST-TRC, DOH-NCHP, DOH-NCDPC, ICCIDD)
4.
Conduct of salt summits and other related fora (ASPTAI,

PCSP, TAMACO, AIM, DOST-FNRI)
CONFERENCE OVERVIEW

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NATIONAL SALT

Iodine is essential for healthy brain

Improved Thyroid Function

Iodine deficiency is the main cause

The latest global estimate is that

Table 1: Recommended Dietary

Birth to 6 months 110 mcg* 110 mcg*

All food-grade salt for human

Iodized salt for processed foods

All food-grade salt for human

Iodized salt for processed foods

Progress in the elimination

Awareness, usage, and

Perception on What is Iodized Salt

Awareness and Claimed Users

Awareness and Claimed Users of Iodized Salt by Region

Reasons for not currently

Used to using ordinary salt

Not available in stores

Run out of stock

Different taste from ordinary salt

Market Source of Iodized Salt

Test for iodine in

Distribution of HH Iodine level using WYD

40 and above ppm

Factors affecting iodine

Store in glass container with cover

Status of iodine deficiency

The indicator of iodine deficiency elimination is a median value

Epidemiological Criteria for Assessing

Severe iodine deficiency

* Applies to adults, but not to pregnant women

Median UIE and frequency distribution of UIE values

UIE <50 g/L, %

Median UIE and proportion of UIE values <50 g/L

UIE <50 g/L, %

Median UIE and proportion of UIE values <50g/L

UIE <50 g/L, %

National Salt Iodization

NSIP Strategic Plan

NSIP Strategic Plan

Development of quality salt seal (DOH-NCHP, NCDPC

Integration of messages in school curriculum (DepEDHNC)

Use of multimedia for promotional campaign (DOH-NNC,

Conduct of salt summits and other related fora (ASPTAI,

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