Chapter

Case study 1: universal salt iodization

Mark Lawrence

in Food Fortification

Published in print January 2013 | ISBN: 9780199691975
Published online January 2013 | e-ISBN: 9780191748806 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199691975.003.0005
Case study 1: universal salt iodization

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Universal salt iodisation (USI) to help prevent iodine deficiency disorders (IDD) was the case study selected to assess and analyse food fortification as a policy option to tackle public health problems that arise when the food supply is unable to provide sufficient nutrients for population health. USI is associated with high public health benefits in preventing and controlling IDD. Evaluative evidence indicates it is an effective intervention, cost-effective and mostly equitable. USI also is associated with moderate public health risks. Ethically, USI can be justified in terms of its public health effectiveness, proportionality with benefits outweighing risks, its high level of infringement being moderated by its necessity and public justification. Actors have formed powerful coalitions to advocate for maintaining USI as a global public health policy priority. Globally, the development of USI and its roll-out across the majority of countries has been facilitated by powerful and particularly active public-private partnerships.

Keywords: universal salt iodisation; micronutrient malnutrition; iodine deficiency disorder; goitre

Chapter.  13561 words.  Illustrated.

Subjects: Public Health and Epidemiology

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