Thyroid cancer caused by iodized salt consumption or increased iodine intake? Authoritative response: no direct evidence

Dazhong Net·Poster News reporter Sun Haiyan correspondent Su Jianguang reported from Jinan

May 15th this year is the 29th “Iodine Deficiency Disease Prevention and Control Day” in my country. The theme of this year’s Iodine Deficiency Prevention Day is: “Smart Life and Healthy Path, the First Step of Scientific Iodine Supplementation”. The Shandong Institute of Endemic Disease Prevention and Control has adopted various forms such as offline lectures, online Q&A, and expert guest science programs to strengthen the publicity of core information and actively respond to social concerns.

Iodine deficiency disease is a general term for a group of diseases and hazards manifested by iodine malnutrition in the body due to iodine deficiency in the natural environment. In 2012, according to the new “Iodine Content of Edible Salt” (GB26878-2011) standard, after scientific demonstration and pilot, Shandong adjusted the concentration of iodized salt from 35±15mg/kg to 25mg/kg±30%. The latest monitoring data show that the median urine iodine of children aged 8-10 years old in 97 iodine-deficient counties in Shandong Province is 187.90 g/L, and the median urine iodine of pregnant women is about 151.10 g/L, all of which meet the iodine nutrition recommended by WHO. Appropriate standard; the rate of thyroid B-ultrasound in children was 2.36%, which met the goal of eliminating iodine deficiency disorders.

According to experts from the Shandong Provincial Institute of Endemic Disease Control, the harm of iodine deficiency is caused by iodine deficiency in the natural environment, and the iodine deficiency in the natural environment cannot be changed. The hazards of fetal iodine deficiency mainly include miscarriage, premature birth, stillbirth, congenital malformations, cretinism and subclinical cretinism. The harm of iodine deficiency in neonates and infants, if not diagnosed and treated early, will also lead to life-long intellectual disability in children. Iodine deficiency in children and adolescents can affect intellectual development and physical development, resulting in motor, visual, and hearing impairments. The prominent performance is goiter. The most obvious effect of iodine deficiency in adults is a goiter. Eating iodized salt is the easiest, safe and effective way to prevent iodine deficiency diseases. Women of childbearing age, pregnant women, breastfeeding women, infants and children should especially ensure adequate iodine intake. Experts suggest that residents should go to regular stores to buy qualified iodized (table) salt with the iodized salt mark. Iodized (table) salt should be stored in ceramic products or brown glass containers, and stored in a dry, shaded place. It is not advisable to put iodized salt too early when cooking, so as to avoid the failure of iodine and the loss of iodine supplementation.

According to reports, in 2022, Shandong Province will continue to maintain the state of continuous elimination of iodine deficiency diseases, integrate the prevention and treatment of iodine deficiency diseases into the construction of healthy Shandong, and promote the implementation of the special action for the prevention and control of infectious diseases and endemic diseases in the Healthy China Action. Further intensify health education, adopt an easy-to-understand format, publicize and popularize knowledge on the prevention and treatment of endemic diseases, guide key groups to change their lifestyles, and improve their awareness and ability to protect themselves.

According to authoritative information, there is currently no direct evidence that consumption of iodized salt or increased iodine intake is associated with the development of thyroid cancer.