ABSTRACT
Objective To investigate the status of maternal iodine deficiency in Lishui City of Zhejiang Province， and explore the effect of maternal iodine deficiency on the growth and development of infants. Methods A total of 209 pregnant women living in Liandu District of Lishui City from January 2017 to December 2018 were selected by stratified sampling method. Urine iodine level in pregnant women and iodine content in edible salt at home were determined to assess the status of iodine deficiency and to analyze the influencing factors. Their babies were followed up for 1 year， and metabolic disease screening and physical examination were carried out to evaluate the growth and development. Results The median of urinary iodine levels in 2017 and 2018 were 165 µg·L-1 and 192 µg·L-1， respectively. Both of the values met the standard of iodine sufficiency. The results of salt iodine content in pregnant women's homes showed that 7 cases （3.35%） were without iodized salt and 202 cases （96.65%） with iodized salt， including 186 cases （89.00%） with qualified iodized salt. Univariate analysis showed that pregnancy， education level， intake of iodized salt， cooking methods of salt， intake frequency of iodine-rich food and knowledge of iodine nutrition had significant impact on iodine deficiency in pregnant women （P<0.05）. Logistic regression analysis showed that early pregnancy （OR=1.626） and adding salt into heat oil （OR=1.874） were risk factors for iodine deficiency in pregnant women， while intake of qualified iodized salt （OR=0.593） was a protective factor. Follow-up results showed that there were no abnormalities in newborn screening， and babies of 2 women （2.41%） with iodine deficiency were short in height at 1， 6 and 12 months of age. Conclusion Attention should be paid to the monitoring of pregnant women's urinary iodine levels to guide the scientific supplementation of iodine， so as not to affect the growth and development of infants.
ABSTRACT
Objective To know the epidemiological characteristics of rubella case reported in Songyang Couny in 2004, and to know new ways of rubella control. Method To analyze the epidemiology on the rubella cases reported in Songyang Couny in 2004. Results In 2004, 195 rubella cases were reported, and the reported rubella incidence was 84.42/100,000. The rubella cases were mainly primary and middle school students,which were 180 cases. The rubella cases occurred from January to June, and 64.10% cases occurred in April. There were 12 rubella outbreaks with 181 cases in the rural areas. For the immunity history of rebulla vaccine of 181 cases, 48.07% cases were unvaccinated, 51.93% cases were unknown. The immunization coverage rate of rubella vaccine of students in rural areas (20%) was obviously lower than that of students in the urban areas (92%). Conclusion The main reasons of the high rubella incidence in Songyang County in 2004 were the low coverage rate of rubella vaccine and poor living accommodation for the primary and middle school students in the rural areas, and it was effective to adopt comprehensive measures such as emergent vaccination to control rubella outbreak.