Prevalence du goitre endemique dans une region du nord ouest de la Tunisie-1993

ABSTRACT

The present study include 1675 schoolboys from the six Jendouba districts and 61 schoulboys from Bizerte. All these children were aged between 8 and 10 years. The aim objective was to assess the program against the iodine deficiency disorders applied in Jendouba since 1984. The sample of children from Bizerte was choosen as a control group. All the children included were examined by a physician to search a goitre. A dosage of urine iodine was applied for 221 children from Jendouba and 61 children from Bizerte. The prevalence of goitre was higher in Jendouba than in Bizerte, 36,3% and 3,3% [pv< 0,001] respectively. In Jendouba, the prevalence was higher in the three districts whose are far the sea [districts of Jendouba, Boussalem an Fernana]. Concerning the dosage of urine iodine, more than 99% of all the children in both regions observed a iodine deficiency disorders. Nevertheless the prevalence of severe grade of IDD was higher in Jendouba than Bizerte [46,2% VS 11,5% p< 0,001]. These results call to revise the strategy of the program and extend this program to all the country