| Popis: |
In Poland, as in the whole Europe, the content of environmental iodine is very differentiated. Iodine deficiency is seen especially in the southern part of Poland, in the Carpathian and Sudeten mountains. In Poland, iodine prophylaxis was first introduced in 1935 in the Krakow region, with supplementation of 5 mg KI/kg of salt. Word War II interrupted this iodization, but after the war, in some areas of Poland, prophylactic doses reached 12 mg KI/kg of salt. In Poland the basis for iodine prophylaxis is household salt iodization. Proper iodine concentration in household salt has been ensured. Studies on the effectiveness of iodine prophylaxis in children and adults should be continued. Taking into consideration the possibility of decreased salt consumption, other forms of iodine prophylaxis have to be developed. It has been assumed that the general consumption of natrium chloratum is from 6 to 14 g/day/person, and 60% of this comes from household salt consumption. However, effective iodine consumption amounts to only from 55 to 111 μg/day/person because of iodine loss during cooking. Mandatory iodization of formulas for bottle-fed infants and voluntary supplementation of pregnant and breast-feeding woman with 150 μg I/day have been also introduced. Much attention has to be paid to secure adequate iodine supply in the case of pregnant and breast-feeding women. Elimination of the consequences of iodine deficiency is still a current topic of public health in Poland. |
