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Temesgen Muche Ewunie Department of Human Nutrition, School of Public Health, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia

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Robel Hussen Kabthymer Department of Human Nutrition, School of Public Health, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia

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Samrawit Hailu Department of Reproductive Health, School of Public Health, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia

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Moges Mareg Department of Reproductive Health, School of Public Health, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia

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Tesfa Mengie Amhara Regional Health Bureau, CDC Project Zonal Monitoring and Evaluation Officer, Dessie, Ethiopia

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Daniel Sisay Epidemiology-Biostatistics Unit, School of Public Health, College of Medicine and Health Science, Dilla University, Dilla, Ethiopia

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Getachew Arage Department of School of Public Health, College of Medicine and Health Science, Debre Tabor University, Debre Tabor, Ethiopia

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, are among the vulnerable groups and are estimated to have insufficient intake of iodine from the total school-age children, 58 million of them are living in African ( 11 ). The global control of iodine deficiency through a universal salt iodization

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Catarina Senra Moniz Department of Endocrinology and Nutrition, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal

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Rita Carvalho Department of Endocrinology and Nutrition, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal

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Susana Prazeres Laboratory of Endocrinology, Instituto Português de Oncologia de Lisboa de Francisco Gentil, Lisboa, Portugal

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Edward Limbert Department of Endocrinology, Instituto Português de Oncologia de Lisboa de Francisco Gentil, Lisboa, Portugal

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Inês Mendes Department of Endocrinology and Nutrition, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal

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Rui César Department of Endocrinology and Nutrition, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, Portugal

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recommend salt iodination as a safe, cost-effective, and sustainable strategy to meet iodine requirements [ 6 ], and a recent Cochrane review validated this upon showing that supplementation with iodized salt (IS) was an efficient way to improve iodine

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inexpensively be prevented by iodine fortification, usually by provision of iodized salt. More specifically, iodized salt should replace non-iodized salt in nearly all food production, at least in areas where fortification would not increase risk of excessive

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Peter P.A. Smyth School of Medicine, University College Dublin, Dublin, Ireland

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recommend increasing iodine intake from 150 µg to 250 µg in pregnant mothers [ 4 , 5 ]. Under iodine replete conditions, this requirement can usually be met from normal foodstuffs, particularly if salt is iodized. However, as salt iodization is not always

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Stine Linding Andersen Departments of Endocrinology, Aalborg, Denmark
Departments of Clinical Biochemistry, Aalborg University Hospital, Aalborg, Denmark

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Peter Laurberg Departments of Endocrinology, Aalborg, Denmark
Department of Clinical Medicine, Aalborg University, Aalborg, Denmark

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achieving adequate iodine intake in populations is that salt iodization is the key strategy [ 5 ]. Supplements should only be the solution when salt iodization fails. This is in line with the general recommendations given by Geoffrey Rose [ 36 ] when

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Gabriella Morreale de Escobar CSIC/Fac. Med. UAM, Madrid, Spain

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gestation. This simply requires substituting all household salt, and that available to domestic animals, with iodized salt, containing 1.34 μg KI/kg salt. The misnamed ‘sporadic' cretins, on the other hand, identified by neonatal screening programs

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Rodrigo Moreno-Reyes Department of Nuclear Medicine, Hospital Erasme, Université Libre de Bruxelles, Brussels, Belgium

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Ulla Feldt-Rasmussen Department of Endocrinology and Metabolism, University Hospital Rigshospitalet, and Faculty of Ηealth and Clinical Sciences, University of Copenhagen, Copenhagen, Denmark

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Agnieszka Piekiełko-Witkowska Centre of Postgraduate Medical Education, Centre of Translational Research, Department of Biochemistry and Molecular Biology, Warsaw, Poland: Basic Lead of the European Society of Endocrinology Focus Area on Thyroid

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Adriana Gaspar da Rocha Public Health Unit, ULS Baixo Mondego, Figueira da Foz, Portugal Institute of Molecular Pathology and Immunology of the University of Porto (IPATIMUP), Porto, Portugal Health Investigation and Innovation Institute (i3S), University of Porto, Porto, Portugal

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Corin Badiu National Institute of Endocrinology "C. Davila" University of Medicine and Pharmacy, Bucharest, Romania

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Josef Köhrle Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, and Berlin Institute of Health, Institut für Experimentelle Endokrinologie, Berlin, Germany: Co-Lead of the European Society of Endocrinology Focus Area on Environmental Endocrinology

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Leonidas Duntas Evgenideion Hospital, Unit of Endocrinology, Metabolism and Diabetes, National Kapodistrian University of Athens, Athens, Greece

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. Today, despite increased salt iodization programs on a global scale, approximately 2 billion people worldwide are classified as having ‘iodine’ deficiency and about 50 million develop clinical symptoms ( 3 ). Changing dietary habits worldwide are partly

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Juan Bernal
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Granada. He completed his doctoral thesis on the administration of iodized salt in the iodine-deficient region of Alpujarras under the mentorship of Prof. Ortiz de Landazuri. From then on, his scientific career has been inseparable from that of his wife

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Ferenc Péter Pediatric Endocrinology Unit, St. John's Hospital and United Hospitals of North-Buda, Buda Children's Hospital, Budapest, Slovakia

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Jan Podoba Department of Endocrinology, Slovak Medical University and St. Elizabeth Cancer Institute, Bratislava, Slovakia

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Ágota Muzsnai Pediatric Endocrinology Unit, St. John's Hospital and United Hospitals of North-Buda, Buda Children's Hospital, Budapest, Slovakia

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]. After a revision of this recommendation, it was proposed to use UIC as the primary indicator of the impact of iodine supplementation, and the household coverage with iodized salt as a secondary indicator [ 5 ]. Three Hungarian cities (Csákvár in West

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Henry Völzke Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany

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Iris Erlund Department of Public Health Solutions, National Institute for Health and Welfare (THL), Helsinki, Finland

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Alicja Hubalewska-Dydejczyk Department of Endocrinology, Jagiellonian University Medical College, Krakow, Poland

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Till Ittermann Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany

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Robin P. Peeters Department of Internal Medicine, Rotterdam Thyroid Centre, Erasmus Medical Centre, Rotterdam, The Netherlands

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Margaret Rayman University of Surrey, Surrey, United Kingdom

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Monika Buchberger Department of Public Health and Health Technology Assessment, UMIT, University for Health Science, Medical Informatics and Technology, Hall, Austria

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Uwe Siebert Department of Public Health and Health Technology Assessment, UMIT, University for Health Science, Medical Informatics and Technology, Hall, Austria

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Betina H. Thuesen Research Centre for Prevention and Health, Glostrup, Denmark

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Michael B. Zimmermann Swiss Federal Institute of Technology, Zürich Department of Health Sciences and Technology, Zürich, Switzerland

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Stefan Grünert Biolution GmbH, Vienna, Austria

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John H. Lazarus Institute of Molecular Medicine, Cardiff University, Cardiff, United Kingdom

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fortifying table salt, staple foods and livestock feed. However, challenges remain, particularly in Europe, due to fragmentation and diversity of approaches. To the extent that regular programmes exist at all, iodine fortification may be based on the

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