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Iodised salt

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File:Global iodized salt logo.jpg
Global logo for iodised salt. Logos, such as this one, are placed on salt packages to help consumers identify salt that contains added iodine.

Iodised salt (also spelled iodized salt) is table salt mixed with a minute amount of various salts of the element iodine. The ingestion of iodine prevents iodine deficiency. Worldwide, iodine deficiency affects about two billion people and is the leading preventable cause of intellectual and developmental disabilities.[1][2] Deficiency also causes thyroid gland problems, including "endemic goitre". In many countries, iodine deficiency is a major public health problem that can be cheaply addressed by purposely adding small amounts of iodine to the sodium chloride salt.

Iodine is a micronutrient and dietary mineral that is naturally present in the food supply in some regions, especially near sea coasts, but is generally quite rare in the Earth's crust, since iodine is a so-called "heavy" element and abundance of chemical elements generally declines with greater atomic mass. Where natural levels of iodine in the soil are low and the iodine is not taken up by vegetables, iodine added to salt provides the small but essential amount of iodide needed by humans.

An opened package of table salt with iodide may rapidly lose its iodine content through the process of oxidation and iodine sublimation.[3]

Chemistry, biochemistry and nutritional aspects

A pile of iodised salt.

Four inorganic compounds are used as iodide sources, depending on the producer: potassium iodate, potassium iodide, sodium iodate, and sodium iodide. Any of these compounds supplies the body with its iodine required for the biosynthesis of thyroxine (T4) and triiodothyronine (T3) hormones by the thyroid gland. Animals also benefit from iodine supplements, and the hydrogen iodide derivative of ethylenediamine is the main supplement to livestock feed.[4]

Salt is an effective vehicle for distributing iodine to the public because it does not spoil and is consumed in more predictable amounts than most other commodities.[citation needed] For example, the concentration of iodine in salt has gradually increased in Switzerland: 3.75 mg/kg in 1952, 7.5 mg/kg in 1962, 15 mg/kg in 1980, 20 mg/kg in 1998, and 25 mg/kg in 2014.[5] These increases were found to improve iodine status in the general Swiss population.[6]

Salt that is iodised with iodide may slowly lose its iodine content by exposure to excess air over long periods.[7]

Production

Edible salt can be iodised by spraying it with a potassium iodate or potassium iodide solution. 60 ml of potassium iodate, costing about US$1.15 (in 2006), is required to iodise a ton of salt.[1] Dextrose is added as a stabilizer to prevent potassium iodide from oxidizing and evaporating. Anti-caking agents such as calcium silicate are commonly added to table salt to prevent clumping.[8]

In public health initiatives

Worldwide, iodine deficiency affects two billion people and is the leading preventable cause of intellectual and developmental disabilities.[1][2] According to public health experts, iodisation of salt may be the world's simplest and most cost-effective measure available to improve health, only costing US$0.05 per person per year.[1] At the World Summit for Children in 1990, a goal was set to eliminate iodine deficiency by 2000. At that time, 25% of households consumed iodised salt, a proportion that increased to 66% by 2006.[1]

Salt producers are often, although not always, supportive of government initiatives to iodise edible salt supplies. Opposition to iodisation comes from small salt producers who are concerned about the added expense, private makers of iodine pills, concerns about promoting salt intake, and unfounded rumours that iodisation causes AIDS or other illnesses.[1]

The United States Food and Drug Administration recommends[9] 150 micrograms (0.15 mg) of iodine per day for both men and women.

Brazil

Iodine Deficiency Disorders were detected as a major public health issue by Brazilian authorities in the 1950s, when about 20% of the population had goiter.[10] The National Agency for Sanitary Vigilance (ANVISA) is responsible for setting the mandatory iodine content of table salt. The Brazilian diet averages 12 g of table salt per day, more than twice the recommended value of 5 g a day. To avoid excess consumption of iodine, the iodizing of Brazilian table salt was reduced to 15–45 mg/kg in July 2013. Specialists criticized the move, saying that it would be better for the government to promote reduced salt intake, which would solve the iodine problem as well as reduce the incidence of high blood pressure.[11]

China

Much of the Chinese population lives inland, far from sources of dietary iodine. In 1996, the Ministry of Public Health estimated that iodine deficiency was responsible for 10 million cases of mental retardation in China.[12] The Chinese government had held a legal monopoly on salt production since 119 BCE and began iodizing salt in the 1960s, but market reforms in the 1980s led to widespread smuggling of non-iodized salt from private producers. In the inland province of Ningxia, only 20% of salt consumed was sold by the China National Salt Industry Corporation. The Chinese government responded by cracking down on smuggled salt, establishing a salt police with 25,000 officers to enforce the salt monopoly. Consumption of iodized salt reached 90% of the Chinese population by 2000.[13]

Kazakhstan

Kazakhstan, a country in Central Eurasia in which local food supplies seldom contain sufficient iodine, has drastically reduced iodine deficiency through salt iodisation programmes. Campaigns by the government and non-profit organisations to educate the public about the benefits of iodised salt began in the mid 1990s, with iodisation of edible salt becoming legally mandatory in 2002.[1]

United States

In the U.S. in the early 20th century, goitre was especially prevalent in the region around the Great Lakes and the Pacific Northwest.[14] David Murray Cowie, a professor of paediatrics at the University of Michigan, led the U.S. to adopt the Swiss practice of adding sodium iodide or potassium iodide to table and cooking salt. On May 1, 1924, iodised salt was sold commercially in Michigan.[15] By the fall of 1924, Morton Salt Company began distributing iodised salt nationally. There was a gradual increase in average intelligence of 1 standard deviation, 15 points, in iodine-deficient areas and 3.5 points nationally.[16]

South Africa

The South African government instructed that all salt for sale was to be iodised after December 12, 1995.[17][18]

No-additive salts for canning and pickling

In contrast to table salt, which often has iodide as well as anticaking ingredients, special canning and pickling salt is made for producing the brine to be used in pickling vegetables and other foodstuffs. This salt has no iodine added because the iodide can be oxidised by the foods and darken them—a harmless but aesthetically undesirable effect.[19]

Fortification of salt with other elements

Double-fortified salt

Salt can also be double-fortified with iron and iodine.[20] The iron is microencapsulated with stearin to prevent it from reacting with the iodine in the salt. By providing iron in addition to iodine in the convenient delivery vehicle of salt, it could serve as a sustainable approach to combating both iodine and iron deficiency disorders in areas where both deficiencies are prevalent.[21]

Adding iron to iodised salt is complicated by a number of chemical, technical, and organoleptic issues. Since a viable DFS premix became available for scale-up in 2001, a body of scientific literature has been emerging to support the DFS initiative including studies conducted in Ghana, India, Côte d'Ivoire, Kenya and Morocco.[22]

Fluoridated salt

In some countries, table salt is treated with potassium fluoride to enhance dental health.[23]

Diethylcarbamazine

In India and China, diethylcarbamazine has been added to salt to combat lymphatic filariasis.[24]

See also

Notes

  1. ^ a b c d e f g McNeil, Donald G. Jr (2006-12-16). "In Raising the World's I.Q., the Secret's in the Salt". New York Times. Retrieved 2008-12-04.
  2. ^ a b "Iodine deficiency—way to go yet". The Lancet. 372: 88. 12 July 2008. doi:10.1016/S0140-6736(08)61009-0. PMID 18620930. Retrieved 2014-12-10.
  3. ^ Diosady, L. L., and M. G. Venkatesh Mannar. "Stability of iodine in iodized salt." 8th World Salt Symposium. Amsterdam: Elsevier. 2000.
  4. ^ Phyllis A. Lyday "Iodine and Iodine Compounds" in Ullmann's Encyclopedia of Industrial Chemistry, Wiley-VCH, Weinheim, 2005. doi:10.1002/14356007.a14_381
  5. ^ "Sel de cuisine : hausse du taux d'enrichissement en iode" (in French). Swiss Federal Administration. Retrieved 8 January 2014.
  6. ^ Michael B Zimmermann, Isabelle Aeberli, Toni Torresani and Hans Bürgi (August 2005). "Increasing the iodine concentration in the Swiss iodized salt program markedly improved iodine status in pregnant women and children: a 5-y prospective national study". American Journal of Nutrition. 82 (2): 388–392. PMID 16087983.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  7. ^ Katarzyna Waszkowiak & Krystyna Szymandera-Buszka. Effect of storage conditions on potassium iodide stability in iodized table salt and collagen preparations. International Journal of Food Science & Technology. Volume 43 Issue 5, Pages 895 -899. (Published Online: 27 Nov 2007)
  8. ^ "Iodized Salt". The Salt Institute. Retrieved 7 October 2013.
  9. ^ 2005 CFR Title 21, Volume 2
  10. ^ Template:Pt icon Research assesses impact of iodised salt in Brazil
  11. ^ Salt with less iodize should be mandatory in Brazil in up to 90 days – Bem Estar – Globo Template:Pt icon
  12. ^ Tyler, Patrick E. (4 June 1996). "China Confronts Retardation Of Millions Deficient in Iodine". The New York Times. Retrieved 28 October 2015.
  13. ^ Fackler, Martin (October 13, 2002). "Special police protect an ancient monopoly -- and China's public health". Associated Press.
  14. ^ Markel, When in Rains it Pours, p. 220
  15. ^ McClure RD (October 1935). "GOITER PROPHYLAXIS WITH IODIZED SALT". Science. 82 (2129): 370–371. doi:10.1126/science.82.2129.370. PMID 17796701. Retrieved 2010-02-06.
  16. ^ Max Nisen (July 22, 2013). "How Adding Iodine To Salt Resulted In A Decade's Worth Of IQ Gains For The United States". Business Insider. Retrieved July 23, 2013.
  17. ^ Health Hints, Cerebos Archived 2008-03-25 at the Wayback Machine
  18. ^ Impact after 1 year of compulsory iodisation on the iodine content of table salt at retailer level in South Africa, 1999, vol. 50, no. 1, pp. 7–12 (12 ref.), International journal of food sciences and nutrition ISSN 0963-7486
  19. ^ Smith, S.E. "What Is Pickling Salt?". wisegeek.com. Retrieved 5 October 2011.
  20. ^ Diosady LL and Mannar MGV. Double fortification of salt with iron and iodine., 2000, University of Toronto, Department of Chemical Engineering, The Pages of Professor L.L. Diosady
  21. ^ Andersson M, Thankachan P, Muthayya S, Goud RB, Kurpad AV, Hurrell RF, Zimmermann MB (Nov 2008). "Dual fortification of salt with iodine and iron: a randomized, double-blind, controlled trial of micronized ferric pyrophosphate and encapsulated ferrous fumarate in southern India". Am J Clin Nutr. 88 (5): 1378–87.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  22. ^ Double Fortification of Salt: a Technical Breakthrough to Alleviate Iron and Iodine Deficiency Disorders Around the World. The Micronutrient Initiative., Micronutrient Initiative.
  23. ^ Aigueperse, Jean; Paul Mollard; Didier Devilliers; Marius Chemla; Robert Faron; Renée Romano; Jean Pierre Cuer (2005). "Fluorine Compounds, Inorganic". In Ullmann (ed.). Encyclopedia of Industrial Chemistry. Weinheim: Wiley-VCH. doi:10.1002/14356007.a11_307.
  24. ^ [1] WHO: Unfulfilled potential: using diethylcarbamazine-fortified salt to eliminate lymphatic filariasis

References

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