【摘要】 [目的]通过碘缺乏病综合干预,使2004年底全区居民碘盐覆盖率达到95%;居民合格碘盐食用率达到90%;居民对食用碘盐可预防碘缺乏病的知晓率达到80%的3项指标。[方法]执行北京市2004年度消除碘缺乏病综合干预项目,进行目标动员、知识业务培训、摸底调查、专项检查、执法检查、工作检查、健康教育、健康促进、自我评估,最后市评估组根据评估方案对全区综合干预进行项目评估。[结果]摸底调查医院、学校、宾馆饭店、餐厅94家,合格碘盐35家,合格碘盐食用率37.23%。执法检查超市便利店28家出售合格碘盐单位占96.57%,集贸市场25家出售合格碘盐单位占20%,查出仿冒、伪劣私盐、非碘盐1 kg包装袋共1 873袋,散装盐65 kg。工作检查1 299户居民,居民合格碘盐食用率89.84%,非碘盐占10.16%,个体路边零售店227家,出售合格碘盐164家,占72.25%,出售私盐非碘盐63家,占27.75%。市检查组评估检查居民合格碘盐覆盖率98.75%,居民合格碘盐食用率98.75%,商场出售合格碘盐100%,碘缺乏病知识知晓率98.33%和99.17%,3项指标均达到项目标准。[结论]碘缺乏病防治工作是一项社会化的系统工程,需要全社会各部门密切配合,政府应强化各部门职责,完善可持续发展,建立长效消除碘缺乏病的运作工作机制,将打击私盐、非碘盐工作列入工商、卫生监督所长期工作议事日程,确保碘缺乏病防治工作长期可持续开展。更多还原

【Abstract】 [Objectives]Through wholesale intervention of the Iodine Deficiency Disorders(IDD),to increase the iodized salt’s coverage rate of residents in Haidian district to 95%;the intaking eligible iodized salt rate of residents to 90%;the knowledgle of iodized salt’s function rate to 80%.[Methods]The Beijing’s IDD eradication intervention program in 2004 was executed,by the mobilizing,training,pilot study,special item check,law-executing check,health education and promotion and self evaluation.The effect was evaluated by city-level check group.[Results]Basis study found that out of the 94 organizations including hospitals schools and restaurants,only 35 offered eligible iodized salt,the intaking eligible iodized salt rate was 37.23%.Out of the 28 supermarkets and 25 bazaars,iodized salt eligible rate were 96.57% and 20% respectively and totally confiscated 1873 package of sham salt or inferior salt.The intaking eligible iodized salt rate of 1299 households was 89.84%,164 out of 227 retail grocery stores sold eligible iodized salt,accounting for 72.25%.The city-level check group’s evaluation result showed that the iodized salt’s coverage rate of residents was 98.75%,iodized salt eligible rate was 98.75%,the salt samples sold out by the shops were all eligible.The knowledgable of IDD rate was 98.33%.These three rates were all above the expectation level.[Conclusions]IDD prevention work is a socialized systematic project.Government should strengthen the responsibilities of all departments and set up long-term ruled-out IDD mechanism,put the task of striking privately-produced salt and non-iodized salt into the schedule of commercial and health management burean in order to continuablely carry out the IDD prevention work更多还原