重庆市消除碘缺乏病阶段目标评估

目的：评估考核各级政府和相关部门是否建立了可持续消除碘缺乏病的工作机制，掌握防治工作进程，为制定防治策略提供科学依据。方法：采用抽样问卷调查，以区县为单位自评，在自评基础上市级抽查。采取核实资料的方法对组织领导、碘盐管理、健康教育三项指标进行综合评分。结果：自评三项综合指标评分40个区县均在85分以上；2个碘盐生产厂合格率均达90％以上；全市36个批发企业合格率＞90％者39个区县，占97．5％；居民户合格率＞90％者35个区县，占87．5％；尿碘中位数均＞100μg/L；儿童甲状腺肿大率＜10％者11个区县，占27．5％，10％－19．9％者27个，占67．5％，＞20％者2个，占5％。市级抽查20个区县，综合评分在85分以上者19个；碘盐生产厂合格率均在90％以上，20个区县有19个批发企业，合格率＞90％者18个占94．74％，零售单位经均＞90％，居民户合格率＞90％者18个，占90％，尿碘中位数均＞100μg/L；儿童甲肿率无＜10％的区县，10％－19．9％者19个，＞20个者1个。结论：对照消除磺缺乏病阶段目标标准判断，无实现消除碘缺乏病阶段目标的区县，实现基本消除目标的有17个区县，未实现阶段目标者23个区县。

SUMMARY OF EVALUATION OF THE PHASE TARGET OF ELIMINATION IDD OF CHINGQING

Objective: In order to master the course of preventing work and provide scientific basis for setting down preventing strategy, the govemments and correlative departments of establishing continual mechanism of eliminating IDD were evaluated and examined. Methods: Use sampling qusetionair investigation. Every county evaluated itself and the municipality of Chingqing examined every counties on the base of it. Rusults: The mark of every county was more than 85. The salt-iodine quality rate of 2 factorise of iodine salt came up to more than 90%. The rate of wholesale corporations was more than 90% among 39 counties in 97.5%. The rate of dwellers was more than 90% among 35 counties in 87.5%. The median of urine iodine was above 100μg/L; the child goitre rate was less than 10% among 11 counties in 27.5%; the rate was 10%～19.9% among 27 counties in 67.5%; The rate was more than 20% among 2 counties in 5%. The municipality of Chingqing checked 20 counties. The mark was more than 85 among 19 counties; The saltiodine quality rate of the factory of iodine salt was more than 90%; The rate of 19 wholesale corporations was more than 90% among 18 corporations in 97.74%; The rate of retails was more than 90%; The rate of dwellers was more than 90% among 18 counties in 90%; The median of urine iodine was above 100μg/L; The child thyroid goitre rate of no county was less than 10%, The rate was 10%～19.9% among 19 counties. The rate was more than 20% among 1 county. Conclusions: According to the standard of eliminating IDD, there is no county of carrying out the phase target of eliminating IDD; There are 17 counties of basically carrying out the phase target of eliminating IDD; The are 23 counties of not carrying out the phase target of eliminating IDD.