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Updated: Feb 6, 2026

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Published on: September 20, 2024
Goiter Prevalence and Interrelated Components from Coastal Karnataka
Avinash Shetty1, Chythra R Rao2, Asha Kamath3
1Department of Community Medicine, Kasturba Medical College (KMC), Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Goiter affects 9.3% of school children in Udupi district, with higher prevalence in females. Despite adequate iodine nutrition, further research is needed to explore other factors contributing to this public health issue.
Area of Science:
- Public Health
- Endocrinology
- Pediatrics
Background:
- Goiter remains a significant public health concern, particularly in school-aged children.
- Assessing goiter prevalence and associated factors is crucial for targeted interventions.
Purpose of the Study:
- To determine the prevalence of goiter among school-aged children in Udupi district.
- To identify factors associated with goiter in this population.
Main Methods:
- A cross-sectional school-based survey involving 2703 children aged 6-12 years in Udupi district.
- Clinical goiter assessment using World Health Organization (WHO)/United Nations Children's Fund (UNICEF)/International Council for the Control of Iodine Deficiency Disorders (ICCIDD) criteria.
- Analysis of salt and urine samples for iodine content from a subsample.
Main Results:
- The overall prevalence of goiter was 9.3%, with 7.0% and 2.3% having grade 1 and grade 2 goiter, respectively.
- Goiter prevalence was significantly higher in females (11.1%) compared to males (7.4%).
- While 69.8% of salt samples had adequate iodine, median urinary iodine levels indicated sufficient iodine nutrition in the district.
Conclusions:
- The 9.3% goiter prevalence highlights its endemic nature as a public health problem in Udupi district.
- Adequate iodine nutrition was confirmed through urinary iodine levels.
- Further investigation into other contributing factors is necessary to address the persistence of endemic goiter.
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