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GB 16006-2008 English PDF

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GB 16006-2008: Criteria for elimination of iodine deficiency disorders
Status: Valid

GB 16006: Evolution and historical versions

Standard ID	Contents [version]	USD	STEP2	[PDF] delivered in	Standard Title (Description)	Status	PDF
GB 16006-2008	English	229	Add to Cart	3 days [Need to translate]	Criteria for elimination of iodine deficiency disorders	Valid	GB 16006-2008
GB 16006-1995	English	239	Add to Cart	2 days [Need to translate]	Criteria of elimination on iodine deficiency disorders	Obsolete	GB 16006-1995

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Basic data

Standard ID	GB 16006-2008 (GB16006-2008)
Description (Translated English)	Criteria for elimination of iodine deficiency disorders
Sector / Industry	National Standard
Classification of Chinese Standard	C61
Classification of International Standard	11.020
Word Count Estimation	10,127
Date of Issue	2008-06-11
Date of Implementation	2008-12-01
Older Standard (superseded by this standard)	GB 16006-1995
Quoted Standard	GB 16004; GB 16398; WS/T 107
Regulation (derived from)	Announcement of Newly Approved National Standards 2008 No. 9 (No. 122 overall)
Issuing agency(ies)	General Administration of Quality Supervision, Inspection and Quarantine of the People's Republic of China, Standardization Administration of the People's Republic of China
Summary	This Chinese standard specifies the criteria to eliminate iodine deficiency disorders. This standard applies to eliminate iodine deficiency disorders assessment, monitoring and evaluation of control effectiveness.

GB 16006-2008: Criteria for elimination of iodine deficiency disorders

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Criteria for elimination of iodine deficiency disorders ICS 11.020 C61 National Standards of People's Republic of China Replacing GB 16006-1995 The elimination of iodine deficiency disorders Standards Posted 2008-06-11 2008-12-01 implementation People's Republic of China Ministry of Health Standardization Administration of China released

Foreword

All the technical contents of this standard is mandatory. This standard World Health Organization (WHO), United Nations Childrens Fund (UNICEF) and the International Council of Control of Iodine Deficiency Disease (ICCIDD) recommended three international organizations in 1994, "the iodine deficiency disorders (IDD) as a public health problem to be eliminated standards" (cf. See Appendix B) and 2001 recommended "to iodine deficiency disorders as a public health problem of sustainable elimination of standards" (see Appendix C) as the basis, Combined with China's national conditions and modifications. This standard replaces GB 16006-1995 "standard for eliminating iodine deficiency disorders." From the date of implementation of this standard, GB 16006-1995 "Elimination of Iodine Deficiency Disorders Standards" shall be repealed simultaneously. This standard compared with GB 16006-1995 main changes are as follows. --- Modified to eliminate iodine deficiency disorders Indicators; --- Measures to increase the part of the support. Appendix A of this standard is a normative appendix, Appendix B and Appendix C are informative appendices. This standard is proposed and administered by the People's Republic of China Ministry of Health. This standard by the People's Republic of China Ministry of Health is responsible for interpretation. This standard is drafted by. Gansu Province Center for Disease Control and Prevention. Participated in the drafting of this standard. Tianjin Medical University, Disease Prevention and Control Center of Henan Province, Liaoning Provincial Disease Prevention and Control Center, Uigur I Autonomous Region Center for Disease Control. The main drafters. Zhang Yuxin, Zupei, Georgia Pengfei Cheng Heming, Wang Jianhui, Wang Fengrui. This standard was first published in 1996, this is the first revision. The elimination of iodine deficiency disorders Standards

1 Scope

This standard specifies the criteria for virtual elimination of iodine deficiency disorders. This standard applies to the elimination of iodine deficiency disease assessment, monitoring and evaluation of control effects.

2 Normative references

The following documents contain provisions which, through reference in this standard and become the standard terms. For dated references, subsequent Amendments (not including errata content) or revisions do not apply to this standard, however, encourage the parties to the agreement are based on research Whether the latest versions of these documents. For undated reference documents, the latest versions apply to this standard. Diagnosis and indexing standard GB 16004 endemic goiter GB 16398 children and adolescents of normal thyroid volume 107 photometric method of urinary iodine arsenic cerium catalytic spectrophotometry WS/T

3 to eliminate iodine deficiency disorders Indicators

3.1 iodized salt Iodized salt coverage of ≥95%. Residents qualified iodized salt > 90%. 3.2 goiter 8 years old to 10 years old children palpation or ultrasound diagnosis goiter rate < 5%. 3.3 urinary iodine Children 8 years old to 10 years old. Ratio 100μg/L or less < 50%. 50μg/L ratio less < 20%.

4 diagnostic and detection methods

4.1 goiter diagnostic criteria see GB 16004 and GB 16398. 4.2 urinary iodine detection method according to WS/T 107 operation.

5 safeguards

Accordance with Appendix A.

Appendix A

(Normative) To achieve the 2010 target action programs to eliminate iodine deficiency disorders China is one of the world's iodine deficiency epidemic the most serious, the party and government have always attached great importance to prevention and control of iodine deficiency disorders. I Government commitment made in 1991 to 2000 to achieve the goal of elimination of iodine deficiency disease, and promulgated the "iodized salt to eliminate iodine deficiency crisis Injury Management Regulations "," salt monopoly approach ", developed a series of health standards and technology programs, from 1996 onwards, the nationwide implementation of the whole Integrated control measures mainly people iodized salt; by 2000, the whole country to eliminate iodine deficiency disorders indicators elimination of iodine deficiency Work Into a sustained and steady development stage. In 2004, the State Council forwarded the Ministry of Health and other departments "key national endemic disease prevention plan (2004-2010)" (hereinafter referred to as "Plan"), by 2010, the provinces (autonomous regions and municipalities) and more than 95% of the counties (cities) to achieve the goal of eliminating iodine deficiency disorders. At present, there are seven provinces (autonomous regions and municipalities) did not achieve the elimination of iodine deficiency disorders target, there are seven provinces (autonomous regions) in the basic realization The elimination of iodine deficiency disorders target phase. These provinces (autonomous regions and municipalities) mainly in central and western China, a large prevention work difficult. special Do some salt-producing areas, ethnic minority areas and remote and poor mountainous areas, due to the natural environment, economic, cultural and living customs and other factors Movies Sound, long-term coverage of iodized salt at a low level, people still suffer from iodine deficiency hazard in some areas has emerged cases of endemic cretinism. versus Meanwhile, in recent years some have been achieved or substantially towards the elimination of iodine deficiency disorders in the target area, due to the inadequate attention, off guard, dilute management, Prevention landslide occurred, non-iodized salt Reversal increasingly serious iodine deficiency disorders in the rebound trend. Coupled with the natural environment of iodine deficiency it is difficult to change Objective reality, adhere to long-term measures for continuous improvement iodine iodine nutrition status of the only effective way. Therefore, prevention of iodine deficiency disorders The situation is still grim, to achieve the 2010 goal to eliminate iodine deficiency disorders is still very arduous, urgent need to further strengthen and improve the sustainable elimination of iodine Deficiency mechanism. According to "the State Council on Further Strengthening the elimination of iodine deficiency opinions" and "planning" spirit, to develop The program of action. First, strengthen the government's responsibility to ensure achievement of objectives Elimination of iodine deficiency is related to the quality of the population of the whole nation, to achieve national prosperity and building a new socialist countryside and build a socialist An important part of a harmonious society, the Party and the government is concerned about the sufferings of the masses, adhere to the people-oriented most direct and most practical manifestation of all localities and departments to The Important Thought of "Three Represents" as guidance, earnestly implement the scientific concept of development, the importance of improving the elimination of iodine deficiency, arduous and long Of cognition; further strengthen the government's responsibility to work to eliminate iodine deficiency disorders in the government's agenda, accountability and responsibility to implement the objectives Any accountability system; always adhere to the "government leadership, make concerted efforts, prevention, scientific control, focused, local conditions, overall planning, step by step real Shi "principle of the work to establish a sound mechanism to lead and coordinate prevention and control work. We have achieved the goal of elimination of iodine deficiency provinces (autonomous regions and municipalities), to further consolidate the results of prevention, strengthen and improve the Sustained Elimination Long-term mechanism of iodine deficiency. Has not been achieved or substantially achieve the goal of elimination of iodine deficiency provinces (autonomous regions and municipalities), to increase work Efforts, the annual task of indicators of gradual decomposition of the implementation to all levels of government and relevant departments to ensure that the 2010 goal of eliminating iodine deficiency disorders. Second, insist on prevention and control according to law, improve the legal All localities and departments to seriously implement the "iodized salt to eliminate iodine deficiency hazard management regulations", "salt monopoly approach" and other relevant laws Regulations and standards, according to control iodine deficiency disorders. For the current relevant laws and regulations and standards incompatible with the current prevention and treatment should be promptly Revised and improved, integrated control measures to ensure that salt iodization law-based, effective implementation. Third, the government investment grade, prevention funding arrangements Endemic iodine deficiency is one of China's key prevention "during." Local governments at all levels in accordance with the financial burden of original classification Then, the prevention of iodine deficiency disorders funds included in the budget. The central government through transfer payments, provide appropriate subsidies for poor areas. Fourth, the performance of functions of the departments, the implementation of salt iodization Salt iodization to eliminate iodine deficiency disease is our long-standing dominant measure. In accordance with the "planning" requirements, departments should carry out their duties, co-KONE For the effective implementation of comprehensive prevention and control measures mainly salt iodization. Development and Reform Commission, the competent authorities responsible for strengthening Salt iodized salt production and circulation management to ensure a steady supply of qualified iodized salt; further processing Shun salt management system, accelerating the flow of salt modernization and build a sound sales network iodized salt. Ensure the distribution of iodized salt to rural sales outlets, Ensure supply of iodized salt in remote poverty-stricken western areas. Development and Reform Commission, the price departments should continue to strengthen the regulation of the price of iodized salt, iodized salt to determine the reasonable price level, promote the use of adapted WEST Remote and poor areas the level of consumption of iodized salt varieties, the use of price policy to curb excessive packaging ordinary iodized salt. To improve governance in the region of uniform pricing Policy, "pumping up fat thin" to further reduce the financial burden on consumers in remote and poor areas, in order to ensure the effective increase household coverage of iodized salt. Salt administrations should be reasonable layout point non-iodine salt monopoly, to ensure consumption of iodized salt should not be a special disease groups, non-iodine salt supply. In explicitly canceled the supply of iodized salt iodine area, orderly organization non-iodine salt supply, and to ensure that non-iodine salt is not sold in iodine-deficient areas. Governments at all levels in accordance with the salt industry development plan, and actively promote industrial restructuring, to do the following small-scale salt (farm, factory) shut down Turn and work, leading authorities banned non-sentinel small Yantian (farm, factory), banned private indiscriminate digging. Salt business sector and the authorities should increase market supervision and crack down on non-iodized salt, iodized salt substandard, fake iodized salt market reversal violation Law, never allow industrial salt and other non-iodized salt flow into the market, maintaining market order of operation of salt. Quality inspection departments to intensify supervision over the quality of iodized salt production processes, and law enforcement and the daily supervision, strict product quality, substandard iodized salt Will be allowed to sell the factory. Health departments should do a good job catering and health supervision canteens iodized salt to ensure that the catering industry and canteens qualified iodized salt. Fifth, improve the monitoring system, highlighting the focus of prevention Health sector organizations responsible for monitoring iodine deficiency disorders, and improve the monitoring sensitivity and coverage, strengthen the monitoring and management and quality control System, and strengthen monitoring and prevention interventions organic integration, in particular local conditions to strengthen key areas, focusing on population monitoring and control Intervention, and constantly improve the monitoring and evaluation system, provide a scientific basis for sustainable elimination of iodine deficiency disorders. Health departments should promptly monitor communications departments, improve the timeliness and effectiveness of information utilization. Development and Reform Commission, workers Suppliers, quality inspection and salt industry competent departments to promptly adjust their regulatory functions according to priorities, and gradually establish a monitoring and orderly, timely response, measures Shi strong long-term monitoring mechanism. Health departments should organize the development of contingency plans, and enhance emergency response capacity to emergencies, timely in salt-producing areas, and the coverage of iodized salt To carry out special investigations lower rate of qualified iodized salt in areas found to have serious illness recovery area should be promptly reported to the local government and higher health Health administrative departments to take emergency measures iodine, and promptly inform the National Salt authorities, implementation of emergency supply of iodized salt. In severe iodine deficiency and universal salt iodization was occasionally difficult areas, health and other departments to severe iodine deficiency in women of childbearing age, especially pregnant women, breast-feeding Special needs of women and other groups, to take the measures safe, effective, inexpensive iodine strengthen measures to prevent the occurrence of intellectual disabilities. Health, civil affairs and federations and other departments should take active measures against endemic cretinism patients with different types of necessary medical treatment and Provide adequate rehabilitation services. Sixth, strengthen health education, in close cooperation department Through a multisectoral various forms of health education activities to iodine deficiency disease prevention knowledge known, well known, and actively create a whole Society to participate in the prevention and treatment of social atmosphere for the establishment of long-term mechanism to lay the basis for prevention of iodine deficiency disorders. We should focus on for the western remote, poor Sleepy, salt and other regions of origin and the surrounding population, health education to improve the relevance, accessibility and effectiveness. Health, Development and Reform Commission, broadcasting, education, women and children, industry and commerce, quality inspection, population and family planning, women's federations, federations, the Next Generation Working Salt and other committees and departments and units to seriously organize good annual "Iodine Deficiency Disorders Prevention Day", combined sectors Responsibilities Regular publicity activities. Newspapers, radio, television, Internet and other news media to actively carry out public campaigns forms of iodine deficiency disease prevention knowledge. Educational administrative departments should guide and supervise schools to their students to carry out regular health education so that students understand the prevention knowledge of iodine deficiency disorders. Health departments should organize community health service centers, rural medical and health institutions, through health counseling, health education prescription, health education advocacy In the form of mass health education and other field activities. Population and Family Planning Commission, to focus on doing CDPF married women of childbearing age and pregnant women and other people with special needs iodine publicity and education, prevention of mental disability occur. Salt sales companies in the sales of iodized salt, iodine deficiency prevention and treatment of disease to be printed on the bags of iodized salt in sales outlets to carry out post declared Transfer data, flashed wall slogans such promotional activities. Seven, strengthen scientific research and improve prevention and treatment Salt and health sector authorities should Sustained Elimination of Iodine Deficiency Disorders scientific and technological difficulties faced in our country, science and technology research organization, enhance branch Technical reserves. At present, we should focus on research adapted to the level of iodine nutrition concentration of salt iodization; explore the remote western, poverty and minority Integrated control measures practicable ethnic areas; research and improve our IDD surveillance system and technology programs; conduct special needs iodine nutrition Application of monitoring technology. Through technological breakthroughs to achieve sustainable elimination of iodine deficiency goal, to provide technical support. According to the action plan to be around, to develop the implementation of specific tasks and objectives of the action plan, the full deployment, careful implementation to ensure Results. The Ministry of Health in conjunction with the Development and Reform Commission, Ministry of Finance and other relevant departments and units in accordance with the "planning" requirements, develop mid-2007 the Assessment 2011 year-end assessment of programs and assessment program, a comprehensive assessment of the implementation of the assessment of the elimination of iodine deficiency disorders target. --- "The Ministry of Health, the National Development and Reform Commission, Ministry of Education, Ministry of Finance, the National Population and Family Planning Commission, the State Administration for Industry and Commerce, the State Administration of Quality Supervision, State SARFT, China Women's Federation, China Disabled Persons' Federation, NWCCW, China Next Generation Working Committee, China Salt Industry Corporation files (CDC Wei Fa [2006] No. 443) "

Appendix B

(Informative) The iodine deficiency disorders as a public health problem to be eliminated standards World Health Organization, UNICEF, the International Control of Iodine Deficiency Disorders 1994, the Council recommended "the iodine deficiency disorders as a public Health standards to be eliminated ", the list is as follows. Table B. 1 iodine deficiency disorders as a public health problem to be eliminated Standards (1994) Index Standard Iodized salt. Qualified iodized salt in the household rate > 90% Urinary iodine. 6 years old to 12 years old students Lower than 100μg L ratio/< 50% Ratio of less than 50μg L/< 20% Thyroid size. 6 years old to 12 years old students Palpation or ultrasound diagnosis. goiter rate < 5% Neonatal TSH. Whole blood TSH level> 5mU/L ratio of < 3%

Appendix C

(Informative) The standard iodine deficiency disorders as a public health problem of sustainable elimination World Health Organization, UNICEF, the International Control of Iodine Deficiency Disorders 2001, the Council recommended "the iodine deficiency disorders as a public Health issues of sustainable elimination of standards ", the list is as follows. Table C. 1 standard iodine deficiency disease as a public health problem of sustainable elimination (2001) Index Standard Iodized salt. Qualified iodized salt in the household rate > 90% Urinary iodine. 6 years old to 12 years old students Lower than 100μg L ratio/< 50% Ratio of less than 50μg L/< 20% Management indicators at least a 10 subparagraph 8 The following is a 10 management indicators. 1) there is a functioning and effective state-level entity (or the Commission) is responsible for the government's multisectoral national plan to eliminate iodine deficiency disorders (Commission It should be multi-sectoral, including nutrition, medicine, education, the salt industry, the media and consumers, its Chairman appointed by the Ministry of Health); 2) there is political commitment to universal salt iodization and eliminate iodine deficiency disorders; 3) elimination of iodine deficiency is responsible for national planning of executive officers; 4) There are laws or regulations of universal salt iodization; ideal laws and regulations should cover and agriculture (livestock) are iodized salt, if the latter can not be Cover, we can not exclude a country was identified as the elimination of iodine deficiency disorders; 5) commitment to the elimination of iodine deficiency disorders progress to evaluate and re-evaluate, so that the laboratory should be able to provide accurate information on salt iodine and urine iodine; 6) have carried out public health education for iodine deficiency disorders and consumption of iodized salt as well as the importance of social mobilization plan; 7) There iodized salt regularly monitor information on production, sales and household level; 8) have school-age children urinary iodine laboratory data regularly monitored, there should be an appropriate sampling data from high-risk areas; 9) Salt iodized salt to protect the quality of cooperation; 10) salt iodine, urinary iodine, TSH (if possible) the monitoring results, that regular monitoring of the database and issue public. references [1] iodized salt to eliminate iodine deficiency hazard management regulations. People's Republic of China State Council. 1994-10-1. [2] People's Republic of China Maternal and Child Health Law. NPC Standing Committee, People's Republic of China Presidential Decree. 1995-6-1. [3] to achieve the 2010 goal to eliminate iodine deficiency disorders program of action. The Ministry of Health, the National Development and Reform Commission, Ministry of Education, Ministry of Finance, the National Human Mouth and Family Planning Commission, the State Administration for Industry and Commerce, the State Administration of Quality Supervision, State Administration of Radio, the National Women's Federation, China Disabled Persons' Federation, NWCCW, China Next Generation Working Committee, China National Salt Industry Corporation. 2006-11-15. [4] the focus of endemic disease prevention plan (2004 to 2010). Office of the State Council. 2004-10-14. [5] China in 2000 to eliminate iodine deficiency disease Plan. Office of the State Council. 1994-9-21. [6] GB 16006-1995 standard for eliminating iodine deficiency disorders. [7] goal of eliminating iodine deficiency disease stage assessment program. The Ministry of Health, the State Bureau of Light Industry, the Ministry of Education, the State Administration for Industry and Commerce, Quality and Technical Supervision. 1999-2-5. [8] salt monopoly management approach. People's Republic of China State Council. 1996-5-27. [9] WHO/UNCEF/ICC Iodine Deficiency Disorders. IndicatorsforassessingIodineDeficiencyDisordersand theircontrolthroughsaltiodization. WHO/NUT, 1994.6; p36. [10] AssessmentofIodineDeficiencyDisordersandMonitoringtheirElimination-Aguidefor programmemanagers. WHO/NHD, 2001.1; p61.

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