Goitre prevalence (%) Grade 1. Grade 2. TGP < >300 <100 Median Mean. * * Kwahu South district: SAC B

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Vitamin and Mineral Nutrition Information System (VMNIS) WHO Global Database on Iodine Deficiency The database on iodine deficiency includes data by country on goitre prevalence and/or urinary iodine concentration Last Updated: 2006-2-05 Level Date Region and sample descriptor Sex Age (years) Sample size Goitre prevalence (%) 2 Urinary iodine (µg/l) Distribution (%) Prevalence (%) TGP <20 20-49 50-99 00-299 >300 <00 Median Mean L 998P Sekoti and Builsa villages: SAC/Women B 8.00-45.99 24 72.0 24.0 4.0 00.0 6.0 550 D 997 Kwahu South district: SAC B 6.00-2.99 344 6.7 26.2 504 Kwahu South district: SAC B 6.00-2.99 342.7 D 994 Jasikan, Hohoe and Kpandu districts: SAC B 8.00-9.99 292 9.9 28. 23.3 7.3 53.5 772 SD Reference Notes General Line N 99-994 SAC/Women by district: Adansi West B NS NS 28 388 SAC/Women by district: Agona B NS NS 09 SAC/Women by district: Ahafo Ano North B NS NS 72 SAC/Women by district: Akatsi B NS NS SAC/Women by district: Akwapim South B NS NS 83 SAC/Women by district: Asuogyaman B NS NS 9 SAC/Women by district: Asutifi B NS NS 77 SAC/Women by district: Berekum B NS NS 66 SAC/Women by district: Birim North B NS NS 87 SAC/Women by district: Bole B NS NS 23 SAC/Women by district: Bongo B NS NS 3 SAC/Women by district: East Mamprusi D B NS NS 42 SAC/Women by district: Ejura Sekyedumase B NS NS 68 SAC/Women by district: Hohoe B NS NS 47 SAC/Women by district: Jirapa Lambussie B NS NS 29 SAC/Women by district: Kwabre B NS NS SAC/Women by district: Kwahu South B NS NS 48 SAC/Women by district: Mfantseman B NS NS 04 SAC/Women by district: Nkoranza B NS NS 63 SAC/Women by district: Nkwanta B NS NS 30 SAC/Women by district: Sefwi Wiawso B NS NS 79 SAC/Women by district: Shama Ahanta East B NS NS 04 SAC/Women by district: Tema B NS NS 60 SAC/Women by district: Tolon Kumbungu B NS NS 85 SAC/Women by district: Upper Denkyira B NS NS 99 SAC/Women by district: Wassa Amenfi B NS NS 58 SAC/Women by district: Zabzugu Tatali B NS NS 48 SAC/Women by district: Adansi West B NS NS 3.8 SAC/Women by district: Agona B NS NS 20.8 SAC/Women by district: Ahafo Ano North B NS NS 9.2 SAC/Women by district: Akatsi B NS NS 20.

Vitamin and Mineral Nutrition Information System (VMNIS) WHO Global Database on Iodine Deficiency The database on iodine deficiency includes data by country on goitre prevalence and/or urinary iodine concentration Last Updated: 2006-2-05 Level Date Region and sample descriptor Sex Age (years) Sample size Goitre prevalence (%) 2 Urinary iodine (µg/l) Distribution (%) Prevalence (%) TGP <20 20-49 50-99 00-299 >300 <00 Median Mean SD Reference Notes General Line N 99-994 SAC/Women by district: Akwapim South B NS NS 8.7 388 SAC/Women by district: Asuogyaman B NS NS 3.7 SAC/Women by district: Asutifi B NS NS 23.7 SAC/Women by district: Berekum B NS NS 28. SAC/Women by district: Birim North B NS NS 2.2 SAC/Women by district: Bole B NS NS 7.6 SAC/Women by district: Bongo B NS NS 56.5 SAC/Women by district: East Mamprusi B NS NS 38.3 SAC/Women by district: Ejura Sekyedumase B NS NS 26.8 SAC/Women by district: Hohoe B NS NS 26.0 SAC/Women by district: Jirapa Lambussie B NS NS 56.4 SAC/Women by district: Kwabre B NS NS 5.5 SAC/Women by district: Kwahu South B NS NS 30.5 SAC/Women by district: Mfantseman B NS NS 7.6 SAC/Women by district: Nkoranza B NS NS 28.6 SAC/Women by district: Nkwanta B NS NS 20.5 SAC/Women by district: Sefwi Wiawso B NS NS 9.0 SAC/Women by district: Shama Ahanta East B NS NS 7.6 SAC/Women by district: Tema B NS NS.4 SAC/Women by district: Tolon Kumbungut B NS NS 2.9 SAC/Women by district: Upper Denkyira B NS NS 9.7 SAC/Women by district: Wassa Amenfi B NS NS 29.8 SAC/Women by district: Zabzugu Tatali B NS NS 30.8

NOTES Reference no 550 General Notes: Sample comprised of SAC and women from 7 Sekoti villages, Bolgatanga district and 5 Builsa villages, Builsa district of the upper east of Ghana. Line note SAC: 8-4 yrs; women: 5.45 yrs. Reference no 504 General Notes: Sample comprised SAC from 20 communities randomly selected from Kwahu South district; baseline values of intervention study. Reference no 772 General Notes: Cluster survey in 3 out of 3 districts (Jasikan, Hohoe and Kpandu) in Volta region. Reference no 388 General Notes: Survey in 27 out of 0 districts covering every 4th districts in all regions of Ghana; in each district goitre measured in approximately 000 individuals, school children 0-9 years and women of child bearing age 5-45 years; UI measured in a subsample of 0 %, approximately 00 individuals per district.

Reference 388 Reference 772 Reference 504 Reference 550 R E F E R E N C E S Asibey-Berko E, Orroca-Tetteh R, eds. Proceedings of the National Workshop on Iodine Deficiency Disorders in Ghana July 994. Legon, Accra, University of Ghana, Department of Nutrition and Food Science, 995. [Anonymous]. The health and nutritional status of schoolchildren in Africa, evidence from school-based health programmes in Ghana and Tanzania: the Partnership for Child Development. Transactions of the Royal Society of Tropical Medicine and Hygiene, 998, 92 :254-26. Micronutrient and Health (MICAH). MICAH Ghana follow-up survey report. Ghana, World Vision Ghana, MICAH Project, Asibey-Berko E, Amoah AG, Addo F, Agyepong E. Endemic goitre and urinary iodine levels in rural communities in the Bolgatanga and Builsa districts of the upper east region of Ghana. East African Medical Journal, 998, 75 :50-503.

ADDITIONAL REFERENCES Reference 360 Reference 295 Reference 4943 Reference 5420 Addo F. Report of a one day seminar on Iodine Deficiency Disorders, 6 May 99 organized by MOH, UNICEF and Department of Nutrition and Food Sciences, University of Ghana. 99. [Anonymous]. Prevalence of goitre in Ghana. In: Lemaire B, ed. Banque de Données sur le Goitre Endémique pour les pays de la Région Africaine. Brazzaville, World Health Organization, Regional Office for Africa, 99. :8. Ghana Statistical Service, Noguchi Memorial Institutte for Medical Research, ORC Macro. Ghana Demographic and Health Survey 2003. Calverton, MD, ORC Macro, 2004. Amoah AG, Asibey-Berko E, Ayettey OM, Addo F, Agyepong E, Lartey A, Ndanu TA. Feasibility of thyroid ultrasonography in field studies in a developing country, Ghana. African Journal of Medical Sciences, 2004, 33 :6-64.