台湾食盐加碘与居民碘营养的变迁

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我国台湾地区先于大陆实施强制食盐加碘,并在20世纪70年代就基本消除了人群中广泛存在的甲状腺肿,台湾的强制食盐加碘政策持续到2003年。此后为适应加入世界贸易组织(WTO),2003年台湾食盐加碘政策从强制改为居民自行选择,从而对居民的碘营养产生了显著的不利影响,并再次调整相关政策。我国大陆地区在2017年后也实施盐业体制改革,其后续的影响尚缺乏大规模的调查数据,本文综述了台湾的经验以供参考。“,”The implementation of mandatory iodized salt in Taiwan made a great achievements by eliminated the widespread goiter in 1970s, which is earlier than mainland China. The policy of mandatory iodized salt lasting until 2003, on which Taiwan changed its policy in accordence with the request of WTO. Iodized salt policy changed from mandatory to optional, in the aftermath of the change, the urine iodine level of citizens drop significantly that may be produce negative impact, and finally adjustments have to made. As what have happened in Taiwan, in 2017 a series of changes similar to Taiwan carried out in mailand China, but follow-up impact is lacking especially large-scale survey data. Therefore, this paper introduces Taiwan's experience in detail for reference.
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