Biological Trace Element Research

, Volume 116, Issue 3, pp 273–278

Evaluation of endemic goiter prevalence in Bulgarian schoolchildren

Results from National strategies for prevention and control of iodine-deficiency disorders
  • Penka Gatseva
  • Stefka Vladeva
  • Mariana Argirova

DOI: 10.1007/BF02698011

Cite this article as:
Gatseva, P., Vladeva, S. & Argirova, M. Biol Trace Elem Res (2007) 116: 273. doi:10.1007/BF02698011


Iodine deficiency is a major health problem worldwide. The environment of the Balkan countries, including Bulgaria, is distinguished for its low iodine content. In 1994, the strategies for the prevention and control of iodine-deficiency disorders were actualized in Bulgaria and universal salt iodization and supplementation for the risk population groups (schoolchildren, pregnant women) were introduced. The aim of this study was to assess the effectiveness of the iodine prophylaxis in schoolchildren, living in an endemic for goiter area after the introduction of salt iodization in Bulgaria. For this purpose, the goiter prevalence and iodine status in 483 schoolchildren (274 boys and 209 girls) aged between 8 and 15 yr, living in an endemic for goiter area in Bulgaria were evaluated. Despite the normalization of iodine supply, mild iodine deficiency on the basis of goiter prevalence (16.15%) and urinary iodine excretion was found. These data indicate the need for reevaluation of the national strategy for prevention of iodine deficiency.

Index entries

Endemic goiter urinary iodine schoolchildren 

Copyright information

© Humana Press Inc 2007

Authors and Affiliations

  • Penka Gatseva
    • 1
  • Stefka Vladeva
    • 2
  • Mariana Argirova
    • 3
  1. 1.Deptartment of Hygiene and EcomedicineMedical UniversityPlovdivBulgaria
  2. 2.Clinic of EndocrinologyMedical UniversityPlovdivBulgaria
  3. 3.Deptement of Chemistry and BiochemistryMedical UniversityPlovdivBulgaria

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