The endemic goiter and effectiveness of prevention of iodine deficiency in workers of industrial enterprises in the region of radiation danger
The health of population residing in iodine deficiency regions with radiation dangerous objects requires particular attention. The objective. To study structure of pathology of thyroid and effectiveness of prevention of iodine deficiency in diet of workers of atomic industry and engineering industry in iodine deficiency region. Materials and methods. The sampling of 682 workers of industrial enterprises aged 20-60 years were examined. The intensity of iodine and goiter endemic in region of placement of atomic station and thyroid morbidity of workers were analyzed. The objective laboratory analysis, ultrasound screening and questionnaire survey of workers concerning issue of iodine deficiency were carried out. Results and discussion. The diseases of thyroid in workers are more propagated than it is reflected in official statistics. The echographic alterations in thyroid are detected in one third of of all examined workers and twice more often in women than in men. In the structure, the nodal (9.7%) and focal lumps are prevailed. At palpation examination of thyroid every third nodal lump larger than 1 cm is not detected. At that, twice more often in men than in women that indirectly testifies inadequate diagnostic ofpathology of thyroid according appealability of men. About problem of iodine deficiency in region are aware 92,8% of respondents. However, applied prevention is insufficient. Conclusion. In the regions with light iodine deficiency periodic monitoring of goiter endemic, ultrasound screening of thyroid in workers of industrial enterprises of atomic and engineering industry are required. The search of effective ways of iodine enrichment offood products ids required too.