目的 通过分析2013~2017年黄山市碘缺乏病监测资料和居民生活饮用水碘含量状况,探讨碘缺乏病防治工作进展。方法 在全市范围内以乡镇为单位按方位和供水方式分别采集生活饮用末梢水,检测水碘含量;按照安徽省碘缺乏病监测方案的要求抽取8~10岁儿童和孕期妇女,分别检测计算儿童甲状腺容积、儿童和孕妇尿碘水平以及家庭食用盐合格率、合格碘盐食用率、碘盐覆盖率。结果 黄山市2017年饮用水中碘含量＜10 μg/L占99.20%,水碘含量较低;黄山市2017年8~10岁儿童和孕期妇女家庭食用盐合格率、合格碘盐食用率、碘盐覆盖率均在95%以上;黄山市2013~2017年8~10岁儿童甲状腺容积检测结果变化不明显,但是儿童尿碘检测结果低于20 μg/L、孕妇尿碘低于50 μg/L的比例逐年增加。结论 黄山市居民饮用水中碘含量较低,部分儿童和孕妇仍处于中、轻度碘缺乏,应针对缺碘人群采取针对性的补碘措施。

Objective By analyzing the surveillance data of iodine deficiency disorders and iodine content of drinking water in Huangshan City from 2013 to 2017, the progress of prevention and treatment of iodine deficiency disorders was discussed. Methods Within the city, drinking water was collected from villages and towns according to location and water supply mode, and the iodine content in drinking water was detected. Children aged 8-10 and pregnant women were selected according to the requirements of the monitoring program of iodine deficiency disorders in Anhui Province, and the thyroid volume of children, urinary iodine levels of children and pregnant women, qualified rate of household edible salt, consumption rate of qualified iodized salt and coverage rate of iodized salt were measured and calculated respectively. Results The iodine content of drinking water in Huangshan City in 2017 was less than 10μg/L, accounting for 99.20%, it was low. In 2017, the qualified rate of household edible salt, the qualified iodized salt consumption rate and the coverage rate of iodized salt in families of children aged 8-10 and pregnant women in Huangshan City were all above 95%. The thyroid volume test results of children aged 8-10 years in Huangshan City from 2013 to 2017 showed no significant change, but the proportion of children's urine iodine test results less than 20 ug/L and pregnant women's urine iodine less than 50 ug/L increased year by year. Conclusion The iodine content of drinking water in Huangshan City is low, and some children and pregnant women are still in moderate to mild iodine deficiency. Targeted iodine supplementation measures should be taken for iodine deficiency population.