Giving Children a Smart Start NETWORK FOR SUSTAINED ELIMINATION OF IODINE DEFICIENCY 180 Elgin Street, Suite 1000, Ottawa, ON Canada K2P 2K3 T 1 (613) F 1 (613) Update on the Iodine Task Force PAHO Meeting on Optimizing Iodine and Sodium Intake Wash. DC Mar 31- Apr 1

Giving Children a Smart Start 180 Elgin Street, Suite 1000, Ottawa, ON Canada K2P 2K3 T 1 (613) F 1 (613) Presentation Outline Rationale and Objective Structure Process and Time plan Linkage(s) with salt intake reduction initiative

Giving Children a Smart Start 180 Elgin Street, Suite 1000, Ottawa, ON Canada K2P 2K3 T 1 (613) F 1 (613) Structure: IFT operates under IDD Network Umbrella Steering Group: WHO, UNICEF, ICCIDD helps to assure that the work is aligned with and feed into the systematic review on salt iodization, also feeds into a revision of field-appropriate program guidelines Management Group :A. Timmer, J. Gorstein, F. van der Haar, L. Bohac Day to day management, define structures & processes, background research, WG support, communication & logistic support Five Technical Working Groups: Comprised of experts in the various areas from within and outside Network Member organizations

Giving Children a Smart Start 180 Elgin Street, Suite 1000, Ottawa, ON Canada K2P 2K3 T 1 (613) F 1 (613) Working Groups WG 1 : Establishment of salt iodization standards to achieve optimal iodine intake WG 2: Collection and interpretation of data on iodine status WG 3: Collection and interpretation of iodine content in household and Food industry salt WG 4: Other iodine interventions WG 5: Goal and program indicators

Giving Children a Smart Start 180 Elgin Street, Suite 1000, Ottawa, ON Canada K2P 2K3 T 1 (613) F 1 (613) Process and Time Plan The Task Force was conceived in April 2010 and got underway by September 2010 Each WG is led by a nominated Focal Point and consists of 5-7 subject matter specialists Each WG has set its expected outputs and has distributed the member’s contributions to defined outputs MG and WGs communicate through & coordinate through DropBox Each WG has a time trajectory, converging on a joint draft final report with the following time plan

Giving Children a Smart Start 180 Elgin Street, Suite 1000, Ottawa, ON Canada K2P 2K3 T 1 (613) F 1 (613) Process and Time Plan Draft timeline Iodine Task Force January February March April May Action Follow-up (if any) Action Follow-up if any) Action Follow-up if any) Action Follow-up (if any) Action Follow-up (if any) WG I: Standards Draft report submission end Jan MG to give feed-back FP submits final report MG acknowledges WG II: HH & Fd Salt Technical analysis ongoing Submit draft texts FP generates 1st draft report 1st TC Drafting of recommendat ions 2nd TC Draft report submission end May WG III: Iodine Nutrition Technical analysis ongoing FP develops draft report outline Technical analysis ongoing Submit draft texts FP generates draft report WG reviews, Submission to MG MG to give feedback FP submits final report MG acknowledges WG IV: Other Strategies Technical analysis ongoing 3rd TC end Jan Technical analysis ongoing Submit draft texts FP generates draft report WG reviews, Submission to MG MG to give feed-back FP submits final report MG acknowledges WG V: Progress Technical analysis ongoing 2nd TC early Feb WG obtains final report of WG I WG obtains draft report of WG II WG obtains draft report of WG IV WG obtains draft report of WG III Submission of draft texts, hold 3rd TC FPs generate draft report Draft report submission end May

Giving Children a Smart Start 180 Elgin Street, Suite 1000, Ottawa, ON Canada K2P 2K3 T 1 (613) F 1 (613) Linkage(s) with Salt Intake Reduction Initiative Technically, linkages depend on the type of national strategy : 1.Standards and norms affecting the supply of household salt 2.Legislation concerning the salt supply to food manufacturing industry 3.Legislation affecting combination of the salt supply channels (Households, food industry & livestock) 4.Programs based on diverse and/or multiple food supply channels: 1.USI (whole population) AND/OR Iodine supplements (target groups) IN COMBINATION WITH 2.Specialized foods containing iodine: for different age groups (6-24/59 months, pregnant and lactating women, women of child bearing age, adolescent girls), for different contexts (humanitarian response, food insecure areas, development areas) and with different objectives (reduce stunting, prevent micronutrient deficiencies, address moderate acute malnutrition, improve nutrient intake and complementary feeding) AND/OR 3.Spontaneous fluctuations in salt or iodine intake: special events/circumstances requiring adjustment e.g. high iodine intake from natural sources (water – China; pockets in East Africa…), natural sodium intake fluctuations

Giving Children a Smart Start 180 Elgin Street, Suite 1000, Ottawa, ON Canada K2P 2K3 T 1 (613) F 1 (613) Linkage(s) with Salt Intake Reduction Initiative The perception is paramount: “Our policies are not in conflict” Opportunities from collaboration: 1.Use each other’s available expertise and the outcomes produced by both groups 2.Going forward, preserve the benefits of our collaboration using realistic projections of national achievements from each policy 3.USI strategies (standards) have to adjust according to achievements made from national salt intake reduction policies 4.Work collaboratively in progress monitoring