India has completed its transition from iodine deficiency to iodine replete status. It is believed that iodine supplementation can cause a spurt in autoimmune thyroid dysfunction and hypothyroidism, by making the thyroid gland more susceptible to damage by body’s own immune system. The prevalence of self-reported goitre or thyroid disorder in National Family Health Survey IV [NFHS IV (2015-2016)] was 2.2%, while it was 2.9% in NFHS-V (2019-2021).
The NFHS IV (2015-2016) has reported that amongst individuals between the age 15-49 years, the self-reported prevalence of goitre or thyroid disorder was nearly 2% in females and less than 1% in males. Also, the reported prevalence increased with age in women (15-19 years: 0.7%; 20-34 years: 1.8%; 35-49 years: 3.4%). As per NFHS V, the details of States/UTs wise cases reported are given below.
Goitre or Thyroid Disorders |
|
STATE/UT |
Number of Women per 100000 |
Kerala |
8696 |
Jammu and Kashmir |
6809 |
Delhi NCT |
5926 |
Telangana |
5763 |
West Bengal |
5298 |
Andhra Pradesh |
4551 |
Tamil Nadu |
4076 |
Himachal Pradesh |
3776 |
Tripura |
3643 |
Punjab |
3407 |
Manipur |
2989 |
Haryana |
2701 |
Assam |
2642 |
Goa |
2548 |
Uttarakhand |
2411 |
Sikkim |
2220 |
Maharashtra |
2126 |
Odisha |
2081 |
Meghalaya |
1988 |
Karnataka |
1969 |
Bihar |
1705 |
Jharkhand |
1697 |
Rajasthan |
1310 |
Uttar Pradesh |
1281 |
Gujarat |
1151 |
Madhya Pradesh |
1087 |
Mizoram |
908 |
Chhattisgarh |
903 |
Arunachal Pradesh |
732 |
Nagaland |
505 |
As per the NFHS IV (2015-2016), amongst 6,99,686 women in their reproductive age groups (15-49 years), those in the highest quintile of wealth index had three to four-fold higher risk of having thyroid disorders. In addition, there was a graded increase in risk of having thyroid disorders from poorest to richest.
The Union Minister of State for Health and Family Welfare, Dr. Bharati Pravin Pawar stated this in a written reply in the RajyaSabha today.
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MV/GS
HFW/PQ/ Status of Goitre or Thyroid Disorders in India/8thFebruary2022/5