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Iodine deficiency disorders in Kapenguria: a urinary iodine estimation

S M Karugu1, D G Narayana

  • 1Department of Physics, University of Nairobi.

East African Medical Journal
|December 1, 1993
PubMed

Insights

Urinary iodine concentration was assessed in Kenyan schoolchildren to evaluate iodine deficiency disorders (IDD). Results indicate low iodine levels in most schools, highlighting a public health concern for IDD in the region.

Area of Science:

  • Public Health
  • Nutritional Science
  • Endocrinology

Background:

  • Iodine deficiency disorders (IDD) pose a significant health risk to populations in highland regions of Africa and Asia.
  • Assessing urinary iodine concentration in school-aged children is a key method for evaluating regional IDD severity.

Purpose of the Study:

  • To assess the iodine status in four primary schools in Kapenguria Division, West Pokot district, Kenya.
  • To determine the prevalence of iodine deficiency disorders (IDD) in the study population.

Main Methods:

  • A cross-sectional study was conducted involving 102 school-aged children from four primary schools.
  • Urinary iodine concentration (UIC) was measured for each participant.

Main Results:

  • Median UIC varied significantly across schools: Kammorou (2.0-2.5 µg/dL), Nasokol (2.5-3.0 µg/dL), Nangrotum (2.5-3.0 µg/dL), and Makutano (5.5-6.0 µg/dL).
  • Three of the four schools exhibited median UIC below the recommended level of >5.0 µg/dL for a goitre-free area.

Conclusions:

  • The study indicates a high prevalence of iodine deficiency in school-aged children in Kapenguria Division.
  • Urgent public health interventions are recommended to address iodine deficiency disorders in the West Pokot district.

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