2. Iodine Nutrition in the United States William H. Dietz, MD, PhD Centers for Disease Control and Prevention Director, Division of Nutrition and Physical Activity William H. Dietz, MD, PhD Centers for Disease Control and Prevention Director, Division of Nutrition and Physical Activity

3. Reduced intellectual performance Goiter CretinismCretinism The Full Spectrum of Iodine Deficiency

4. Goiter Cretinism Reduced intellectual performance The Full Spectrum of Iodine Deficiency

5. Reduced intellectual performance Goiter Cretinism The Full Spectrum of Iodine Deficiency

6. The network of connections are less dense Iodine Sufficient Brain Iodine Deficient Brain Source: From Legrand, 1967.

7. Incidence of simple goiter among men drafted for service in the US Army during World War 1

8. Morton develops iodized salt to help prevent goiters, which were common at the time. The Food and Drug Administration later requests that the product be labeled with the message, "This salt provides iodide, a necessary nutrient." Morton develops iodized salt to help prevent goiters, which were common at the time. The Food and Drug Administration later requests that the product be labeled with the message, "This salt provides iodide, a necessary nutrient." Iodized Salt in the US 1924

9. Salt Iodization in the US: Trend in Goiter Prevalence in Michigan WHO Monograph Series No. 44

10. Wholesale Retail Traders Customers (Household) Iodine Supply to the Population Salt Production Salt for Food Industry Table Salt Individual Iodine Status Salt Producers Salt Producers Outcome Market

11. Individual Iodine Status Wholesale Retail Traders Customers (Household) Iodine Supply to the Population Salt Production Salt for Food Industry Table Salt Other Iodine Sources Dairy Meat products Red Food Dye Bread Salt Producers Salt Producers Outcome Market

12. Trend in Iodine Nutrition in the US

13. Wholesale Retail Traders Customers (Household) Individual Iodine Status Iodine Supply to the Population Salt Production Salt for Food Industry Table Salt Other Iodine Sources Dairy Meat products Red Food Dye Bread Salt Producers Salt Producers Outcome Market

14. Monitoring the Impact of IDD Elimination Overseas International Micronutrient Malnutrition Prevention and Control (IMMPaCt) program working with UNICEF/WHO/USAID and national Governments in a number of countries Building capacity to obtain baseline data and establish monitoring systems for process and impact indicators for USI and iodine nutrition International Reference Laboratories for Iodine (IRLI) network in formation International Micronutrient Malnutrition Prevention and Control (IMMPaCt) program working with UNICEF/WHO/USAID and national Governments in a number of countries Building capacity to obtain baseline data and establish monitoring systems for process and impact indicators for USI and iodine nutrition International Reference Laboratories for Iodine (IRLI) network in formation

15. Wholesale Retail Traders Customers (Household) Salt Producers Salt Producers Outcome Market Iodine Supply to the Population Salt Production Salt for Food Industry Table Salt Process Monitoring Impact Monitoring Impact Monitoring Individual Iodine Status