ORGANISATION OF REMONITORING OF GOITER ENDEMIA AND THE EVALUATION OF THE EFFICIENCY OF IODINE DEFICIENCY PREVENTION IN RYAZAN

The paper deals with the remonitoring organization of goiter endemia and the evaluation of the efficiency of iodine deficiency prevention in Ryazan. 584 pupils aged 8-10 years were examined. Routine monitoring methods, such as determination of goiter prevalence based on results of palpation and ultrasonography of thyroid, urinary iodine excretion with ioduria median calculation, were used as indicators of goiter endemia and iodine provision. The iodine prevention programmer implemented in Ryazan since 1999 has been found to be rather effective and to lower the strain of goiter endemia in the city; how ever, it failed to eliminate it completely. The reasons reducing the efficiency of iodine prevention were identified. These included: the short time of the initial stage of iodine prevention and/or the involvement of other strumogenic factors in the formation of goiter endemia.