BRAZIL. Vitamin and Mineral Nutrition Information System (VMNIS)

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WHO Global Database on Iodine Deficiency

The database on iodine deficiency includes data by country on goitre prevalence and/or urinary iodine concentration

BRAZIL

Vitamin and Mineral Nutrition Information System (VMNIS)

Last Updated: 2007-01-08

Level Date _{Region and sample descriptor} _Sex Sample

size Goitre prevalence (%) Urinary iodine (µg/L) Distribution (%) Reference Grade 1 Grade 2 TGP <20 20-49 50-99 100-299 >300 <100 Median Mean Age (years) SD Prevalence (%) Notes General Line

S 2003 Sao Paulo state: SAC B 6.00 - 14.99 844 53.0 5479 1

*

L 2000 ThyroMobi study: 17 sentinel sites: SAC: Total B 6.00 - 12.99 1013 35.3 64.7 0.0 360.0 3350

_*

2

SAC by state: Goais B 6.00 - 12.99 187 33.3 66.6 0.0 330.0

SAC by state: Maranhao B 6.00 - 12.99 205 100.0 0.0 0.0 220.0

SAC by state: Mato Grosso B 6.00 - 12.99 95 0.0 100. 0.0 520.0

SAC by state: Mato Grosso do Sul B 6.00 - 12.99 239 0.0 100. 0.0 480.0

SAC by state: Minas Gerais B 6.00 - 12.99 99 0.0 100. 0.0 500.0

SAC by state: Tocantins B 6.00 - 12.99 188 25.0 75.0 0.0 315.0

SAC by sentinel site: Almas B 6.00 - 12.99 47 240.0

SAC by sentinel site: Arraias B 6.00 - 12.99 49 300.0

SAC by sentinel site: Barra do Bugres B 6.00 - 12.99 71 530.0

SAC by sentinel site: Campo Grande B 6.00 - 12.99 52 560.0

SAC by sentinel site: Colinas de Tocantins B 6.00 - 12.99 38 360.0

SAC by sentinel site: Itumbiara B 6.00 - 12.99 58 480.0

SAC by sentinel site: Jaraguari B 6.00 - 12.99 73 480.0

SAC by sentinel site: Jequitinhonha B 6.00 - 12.99 60 640.0

SAC by sentinel site: Mirabela B 6.00 - 12.99 39 348.0

SAC by sentinel site: Mirador B 6.00 - 12.99 77 220.0

SAC by sentinel site: Nova Roma B 6.00 - 12.99 79 280.0

SAC by sentinel site: Pocone B 6.00 - 12.99 24 520.0

SAC by sentinel site: Sao Raimundo das Mangab B 6.00 - 12.99 55 260.0

SAC by sentinel site: Sao Simao B 6.00 - 12.99 50 360.0

SAC by sentinel site: Silvanopolis B 6.00 - 12.99 54 310.0

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WHO Global Database on Iodine Deficiency

The database on iodine deficiency includes data by country on goitre prevalence and/or urinary iodine concentration

BRAZIL

Vitamin and Mineral Nutrition Information System (VMNIS)

Last Updated: 2007-01-08

Level Date _{Region and sample descriptor} _Sex Sample

size Goitre prevalence (%) Urinary iodine (µg/L) Distribution (%) Reference Grade 1 Grade 2 TGP <20 20-49 50-99 100-299 >300 <100 Median Mean Age (years) SD Prevalence (%) Notes General Line

N 1994 -1996 SAC by state: Ceara B 6.00 - 14.99 636 197.0 184.5 3599

SAC by state: Espirito Santo B 6.00 - 14.99 403 153.0 159.2

SAC by state: Goias B 6.00 - 14.99 434 136.0 146.7

SAC by state: Maranhao B 6.00 - 14.99 396 143.0 154.4

SAC by state: Mato Grosso Sul B 6.00 - 14.99 423 143.0 162.4

SAC by state: Minas Gerais B 6.00 - 14.99 291 151.0 153.3

SAC by state: Para B 6.00 - 14.99 74 131.0 160.4

SAC by state: Paraiba B 6.00 - 14.99 329 133.0 151.5

SAC by state: Parana B 6.00 - 14.99 140 149.0 153.2

SAC by state: Pernambuco B 6.00 - 14.99 283 135.0 149.5

SAC by state: Piani B 6.00 - 14.99 449 130.0 145.4

SAC by state: Rio Grande do Norte B 6.00 - 14.99 404 126.0 148.1

SAC by state: Rio Grande do Sul B 6.00 - 14.99 191 193.0 193.7

SAC by state: Rio de Janeiro B 6.00 - 14.99 112 156.0 147

SAC by state: Rondonia B 6.00 - 14.99 30 122.0 122

SAC by state: Roraima B 6.00 - 14.99 96 124.0 133.4

SAC by state: Santa Catarina B 6.00 - 14.99 429 137.0 154.2

SAC by state: Sao Paulo B 6.00 - 14.99 346 155.0 161.8

SAC by state: Sergipe B 6.00 - 14.99 408 152.0 170.4

SAC by state: Tocantins B 6.00 - 14.99 754 94.0 109.8

National: SAC B 6.00 - 14.99 178774 4.0

_*

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NOTES

BRAZIL

Reference no 5479

General Notes: Sample randomly selected from 6 areas in the state of Sao Paulo; goitre measured by ultrasonography, values not included in the database.

UI <300 µg/L: 25.0%, UI >600 µg/L: 21.0%, UI >1000 µg/L: 1.0%

Line note 1

General Notes: The ThyroMobil study in Brazil covered 17 sentinel sites in 6 states randomly selected in provinces known as iodine deficient in the past; sample selection was done in coordination with the

health authorities, using Ministries of Health's records; SAC randomly selected from one school at each site; goitre investigated by ultrasonography, values not included in the database; same survey reported in reference No. 2896, 3480 and 5554.

UI <50 µg/L: 2.3% (data from reference No. 2896).

Line note 2

General Notes: Facility based study (public hospital in the city of Sao Paulo); sample comprised of pregnant women (first trimester); same survey reported in reference No. 4822.

UI median range: 98-145 µg/L. In reference No. 4822 UI median reported to be 167.8 µg/L.

Line note 3

General Notes: Sample comprised of SAC from one private and one public school in Ouro Preto, Minas Gerais.

Public school. UI <25 µg/L: 8.9%, UI 25-49 µg/L: 12.9%

Line note 4

Private school. UI <25 µg/L: 0.0%, UI <25-49 µg/L: 1.1%

Line note 5

General Notes: Multistage cluster sampling with probability proportionate to size, 26 states; median TGP reported for each state, values not included in the database; UI data not available from Mato

Grosso State; same survey reported in reference No. 3255. UI <25 µg/L: 5.1%, UI 25-50 µg/L: 7.6%

Line note 6

General Notes: SAC randomly selected (538 girls and 556 boys) among the entire population of 21544 SAC from the City of Passo Fundo, located in the highland region of Southern Brazil; a subsample of

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R E F E R E N C E S

BRAZIL

Lisboa HR, Gross JL. Ultrasonographic determination of goiter prevalence in southern Brazilian schoolchildren. Brazilian Journal of Medical and Biological Research, 2002, 35 :1147-1152.

Reference 518

Pretell EA. Thyromobil project in Latin America: report of the study in Brazil. Brasilia, Ministry of Health, 2000.

Reference 3350

Correa Filho HR, Vieira JB, Silva YS, Coelho GE, Cavalcante Fdos A, Pereira Mda P. Inquérito sobre a prevalência de bócio endêmico no Brasil em escolares de 6 a 14 anos: 1994 a 1996 [Endemic goiter prevalence survey in Brazilian schoolchildren 6 to 14 years old, 1994-1996]. Revista Panamericana de Salud Pública/Pan American Journal of Public Health, 2002, 12 :317-326.

Reference 3599

Nimer M, Silva ME, de Oliveira JED. Associações entre iodo no sal e iodúria em escolares, Ouro Preto, MG [Relationship between iodized salt and urinary iodine excretion in school children, Brazil]. Revista de Saúde Pública, 2002, 36 :500-504.

Reference 4711

Barca MF, Knobel M, Tomimori E, Cardia MS, Medeiros-Neto G. Prevalence and characteristics of postpartum thyroid dysfunction in São Paulo, Brazil. Clinical Endocrinology, 2000, 53 :21-31.

Reference 4819

Duarte GC, Tomimori EK, Boriolli RA, Ferreira JE, Catarino RM, Camargo RY, Medeiros-Neto G. Avaliação ultra-sonográfica da tireóide e determinação da iodúria em escolares de diferentes regiões do Estado de São Paulo [Echographic evaluation of the thyroid gland and urinary iodine concentration in school children from various regions of the State of Sao Paulo, Brazil]. Arquivos Brasileiros de Endocrinologia e Metabologia, 2004, 48 :842-848.

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ADDITIONAL REFERENCES

BRAZIL

Medeiros-Neto GA. Towards the eradication of iodine-deficiency disorders in Brazil through a salt iodination programme. Bulletin of the World Health Organization, 1988, 66 :637-642.

Reference 416

Dantas LM. Endemic goiter in Brazil. In: Dunn JT et al., eds. Towards the eradication of endemic goiter, cretinism, and iodine deficiency. Washington, DC, Pan American Health Organization, 1986 :271-275.

Reference 427

Vannucchi H. Country assessment prepared for 'Ending Hidden Hunger', Brazil. A Policy Conference on Micronutrient Malnutrition; 1991 Oct 10-12; Montreal, Canada. Atlanta, Task Force for Child Survival and Development, 1991.

Reference 797

Freire-Maia DV, Freire-Maia A, Schull WJ, Morton NE, Quelce-Salgado A, Lobo LC. Epidemiology and genetics of endemic goiter, I: epidemiological aspects. Israel Journal of Medical Sciences, 1983, 19 :11-16.

Reference 1482

Freire-Maia DV, Freire-Maia A. Epidemiologia do bócio endêmico [Epidemiology of endemic goiter]. Revista da Associação Médica Brasileira, 1982, 28 :59-62.

Reference 1483

Vieira Filho JP. O bócio entre os ídios brasileiros [Goiter among Brazilian Indians]. Revista da Associação Médica Brasileira, 1981, 27 :285-287.

Reference 1485

Freire-Maia DV, Freire-Maia A. Endemic goitre in whites and negroes: racial or social effect?. Tropical and Geographical Medicine, 1981, 33 :387-392.

Reference 1486

Freire-Maia DV, Freire-Maia A. Sex and age prevalence of endemic goitre: an epidemiological study. Journal of Hygiene, Epidemiology, Microbiology, and Immunology, 1981, 25 :401-406.

Reference 1487

Medeiros Filho A. Bócio endemico: levantamento de sua prevalencia em todo o território Brasileiro por microrregiões homogéneas [Endemic goiter: survey of its incidence in the entire Brazilian territory surveying homogeneous small regions]. Revista Brasileira de Malariologia e Doenças Tropicais, 1976, 28 :1-223.

Reference 1488

Lowenstein FW. Endemic goiter and nutrition: a study of some aspects of their relationship in a Brazilian Amazon community. American Journal of Clinical Nutrition, 1959, 7 :331-348.

Reference 2847

Filho C, Rodrigues H. Relatório: Inquérito Brasileiro sobre a prevalência nacional do bócio endemico- 1994- 1995. Brasilia, Ministério da Saúde, 1997.

Reference 3255

[Anonymous]. Tabela 1 - Prevalencia de bocio Brasil 1990-2000. Brasilia, Ministério, 2002.

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ADDITIONAL REFERENCES

BRAZIL

Esteves RZ, de Barros Maciel RM. Urinary iodine excretion in 16803 Brazilian schoolchildren. IDD Info, 1997.

Reference 4694

Barca MF, Knobel M, Tomimori E, Cárdia MS, Zugaib M, Medeiros-Neto G. Aspectos ultra-sonográficos e prevalência da tireoidite pós-parto em gestantes sem disfunção tireóidea atendidas em hospital público de São Paulo. Arquivos Brasileiros de Endocrinologia e Metabologia, 2001, 45 :180-189.

Reference 4822

de Melo e Albuqueque A. Pesquisa de bócio endêmico no meio escolar de Campinas e município (nota prévia). Arquivos de Higiene e Saúde Pública, 1944, 9 :107-131.

Reference 4832

Lyra A, de Melo e Albuqueque A. Inquéritos sôbre a incidência do bócio endêmico nos escolares dos municipios de Botucatú e Campinas. Arquivos de Higiene e Saúde Pública, 1943, 8 :59-70.

Reference 4833

Gandra YR. O bócio endêmico e o suprimento e excreção urinária de iôdo no estado de São Paulo [Endemic goiter, in the supply of iodated salt and urinary iodine excretion in the state of Sao Paulo]. Archivos Latinoamericanos de Nutrición, 1967, 16 :129-147.

Reference 5059

Pontes AAN, Adan LF, Costa ADM, Benicio AVL, Silva CRA, Morais RM, Pedrosa VC. Prevalência de Doenças da Tireóide em Uma Comunidade do Nordeste Brasileiro [Prevalence of Thyroid Diseases in a Northeast Brazilian Community]. Arquivos Brasileiros de Endocrinologia e Metabologia, 2002. 46 544-549.

Reference 5481

Rossi A, Tomimori E, Camargo R, Medeiros-Neto G. Determination of thyroid volume by Sonography in healthy Brazilian schoolchildren. Journal of Clinical Ultrasound, 2002, 30 :226-231.

Reference 5554

Knobel M, Medeiros-Neto G. Moléstias associadas à carência crônica de iodo [Disorders associated to chronic iodine deficiency]. Arquivos Brasileiros de Endocrinologia e Metabologia, 2004, 48 :53-61.