Skip to main content
Journal of Epidemiology and Community Health logoLink to Journal of Epidemiology and Community Health
. 1997 Aug;51(4):391–393. doi: 10.1136/jech.51.4.391

Iodine, milk, and the elimination of endemic goitre in Britain: the story of an accidental public health triumph.

D I Phillips 1
PMCID: PMC1060507  PMID: 9328545

Abstract

OBJECTIVE: To determine how iodine deficiency and endemic goitre disappeared in Britain. DESIGN: Review of surveys of endemic goitre and iodine nutrition. MAIN RESULTS: Endemic goitre was widespread in Britain but has declined, most notably since the 1960's. Its disappearance was probably due to changes in farming practice, especially iodine supplementation in dairy herds which has resulted in iodine contamination of milk and dairy produce. CONCLUSIONS: Although iodization of dairy herds offers an indirect method of counteracting iodine deficiency, it is haphazard and there should be careful and continuous monitoring of iodine intakes in the population.

Full text

PDF
391

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barker D. J., Phillips D. I. Current incidence of thyrotoxicosis and past prevalence of goitre in 12 British towns. Lancet. 1984 Sep 8;2(8402):567–570. doi: 10.1016/s0140-6736(84)90776-1. [DOI] [PubMed] [Google Scholar]
  2. HUGHES D. E., RODGERS K., WILSON D. C. Thyroid enlargement in schoolchildren of North Oxfordshire. Br Med J. 1959 Jan 31;1(5117):280–281. doi: 10.1136/bmj.1.5117.280. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. KILPATRICK R., MILNE J. S., RUSHBROOKE M., WILSON ES WILSON G. M. A survey of thyroid enlargement in two general practices in Great Britain. Br Med J. 1963 Jan 5;1(5322):29–34. doi: 10.1136/bmj.1.5322.29. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Phillips D. I., Barker D. J., Winter P. D., Osmond C. Mortality from thyrotoxicosis in England and Wales and its association with the previous prevalence of endemic goitre. J Epidemiol Community Health. 1983 Dec;37(4):305–309. doi: 10.1136/jech.37.4.305. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Phillips D. I., Nelson M., Barker D. J., Morris J. A., Wood T. J. Iodine in milk and the incidence of thyrotoxicosis in England. Clin Endocrinol (Oxf) 1988 Jan;28(1):61–66. doi: 10.1111/j.1365-2265.1988.tb01204.x. [DOI] [PubMed] [Google Scholar]
  6. TROTTER W. R., COCHRANE A. L., BENJAMIN I. T., MIALL W. E., EXLEY D. A goitre survey in the vale of Glamoragan. Br J Prev Soc Med. 1962 Jan;16:16–21. doi: 10.1136/jech.16.1.16. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Wenlock R. W., Buss D. H., Moxon R. E., Bunton N. G. Trace nutrients. 4. Iodine in British food. Br J Nutr. 1982 May;47(3):381–390. doi: 10.1079/bjn19820049. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Epidemiology and Community Health are provided here courtesy of BMJ Publishing Group

RESOURCES