@article{fdi:010071940,
  title = {{U}nsatisfactory results of the {T}unisian universal salt iodization program on national iodine levels},
  author = {{D}oggui, {R}. and {E}l {A}ti-{H}ellal, {M}. and {T}raissac, {P}ierre and {E}l {A}ti, {J}.},
  editor = {},
  language = {{ENG}},
  abstract = {{L}ack of iodine intake may promote a spectrum of disorders termed iodine deficiency disorders. {U}niversal salt iodization laws were adopted in {T}unisia to overcome this problem. {T}his study examines the adequacy of iodized salt in the distribution chain two decades after its last assessment. {A} cross-sectional design was carried out in 2012 using the multi-stage cluster sampling technique. {S}alt samples from 24 govemorates were collected at wholesaler level (n = 635), retailer level (n = 1440) and household level (n = 1560), and analyzed using a validated iodometric titration method. {I}odine concentration at each level of distribution chain was within the recommended range of 15-27 mg/kg. {I}odine content in household salt was significantly different according to the salt manufacturer and also between geographical regions (p < 0,0001). {M}oreover, an insufficient coverage of adequately iodized salt consumption (less than 90%) was found with reference to international standards (>= 15 mg/kg). {A}bout 85.6% (95%{CI}: 78.3-90.8) of analyzed samples were adequately iodized at the intermediate levels of supply-chain (wholesalers and retailers). {O}ur study demonstrates a decrease in the availability of iodized salt in households. {I}t can thus be concluded that universal salt iodization legislation has not been sufficient to ensure an adequate supply of iodine in the population, and an evaluation system needs to be reactivated.},
  keywords = {{F}ood composition ; {F}ood analysis ; {F}ood safety ; {R}egulatory issues in ; {T}unisia ; {F}ortification ; {D}ietary intake ; {E}dible salt ; {I}odized salt ; {I}odine ; {P}otassium iodate ; {TUNISIE}},
  booktitle = {},
  journal = {{J}ournal of {F}ood {C}omposition and {A}nalysis},
  volume = {64},
  numero = {2},
  pages = {163--170},
  ISSN = {0889-1575},
  year = {2017},
  DOI = {10.1016/j.jfca.2017.09.001},
  URL = {https://www.documentation.ird.fr/hor/fdi:010071940},
}