Salt Reduction

In 2005, WHO set a global goal to reduce rates of death from chronic (non-communicable) disease by an additional 2% every year. To this end, we investigated how many deaths could potentially be averted over 10 years by implementation of selected population-based interventions, and calculated the financial costs of their implementation. We selected two interventions: to reduce salt intake in the population by 15% and to implement four key elements of the WHO Framework Convention on Tobacco Control (FCTC). We used methods from the WHO Comparative Risk Assessment project to estimate shifts in the distribution of risk factors associated with salt intake and tobacco use, and to model the effects on chronic disease mortality for 23 countries that account for 80% of chronic disease burden in the developing world. We showed that, over 10 years (2006–2015), 13·8 million deaths could be averted by implementation of these interventions, at a cost of less than US$0·40 per person per year in low-income and lower middle-income countries, and US$0·50–1·00 per person per year in upper middle-income countries (as of 2005). These two population-based intervention strategies could therefore substantially reduce mortality from chronic diseases, and make a major (and affordable) contribution towards achievement of the global goal to prevent and control chronic diseases.

The Kangra Valley study of 1956–1972 was conducted with the aim of evaluating the effectiveness of iodized salt for the prevention of Himalayan goitre, which was highly endemic in the region at that time. The study concluded that providing iodine in the form of adequately iodized salt on a regular and continuous basis reduced the prevalence of goitre and as a result the National Goitre Control Programme (NGCP) was launched in 1962. Additional surveys conducted under this programme reported specific Himalayan foci of Iodine Deficiency Disorders (IDD) and a multi-centric study in 1984 concluded that iodine deficiency disorder was a public health problem in all states and Union Territories of India. The government subsequently set a goal to fully implement universal salt iodization by 1992 and the National Goitre Control Programme was renamed the National Iodine Deficiency Disorder Control Programme with major objectives of:

• Restricting the use of non-iodized salt
• Production and supply of iodized salt to iodine deficiency endemic regions
• Health education and publicity on iodine deficiency prevention
• Monitoring the quality of iodized salt, iodine deficiency disorders and urinary iodine concentrations patterns

The number of salt iodization plants has increased from 12 in 1962 to 764 in 2011. However, the household coverage of iodized salt in India still remains at 71%, far below the 90% target. Strengthening the political commitment towards universal salt iodization as well as monitoring to effectively track production, quality and movement of iodized salt will be required for coverage to improve.

We plan to do einterviews with MBBS doctors to understand 4 things
1) Tests or questions you ask in first few meetings
2) What it means in medical terms
3) What it means in non medical terms
4) What should the patient or care takers do

We might interview Aurvedic doctors, homeopathic doctors, Yoga teachers on this health issue

Video links
The Consequences of Salt Reduction.

How to Reduce Your Salt Intake

Don't Eat This: Why A "Low Salt Diet" Is Ruining Your Health

7 Reasons you should Reduce your salt intake

Dr. Michael Greger Talks About Salt
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