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There
is known linkage between IDD prevalence and transportation mode
of iodised salt in the country. A standard protocol to highlight
IDD is quoted below:
“Goiter
is the most common and visible manifestation of IDD. In fact, ‘Goitre’
is only the tip of the iceberg. But there are other more severe
consequences of IDD. The extreme iodine deficiency leads to abortions
and still births. It also contributes to higher child death rates.
The other manifestations include cretinism, psycho-motor incordination,
stunting, speech and learning defects. IDD also causes impaired
development of the brain and central nervous system in the early
fetal life in humans. These changes are irreversible. Children in
iodine deficiency environment on an average have 13 IQ points less
as compared to those children who live in iodine sufficient areas.
This adversely affects learning abilities of children, repeated
failures and school dropouts thereby denying them the opportunity
of attaining their full potential. Consequently, it deprives the
country of the fully developed human resource essential for development
and modernization of a country through economic, social and cultural
growth and development.”
The following
illustrations show the IDD status in India.
| State
|
Total
Districts |
Survey
Done |
IDD
endemic |
Goitre
Prevalence |
| From |
To |
| Andaman
& Nicobar Islands |
1 |
2 |
2 |
13.7 |
16.5 |
| Andhra
Pradesh |
23 |
10 |
9 |
9.2 |
64.4% |
| Arunachal
Pradesh |
10 |
10 |
10 |
11.8 |
26.5 |
| Assam |
18 |
18 |
18 |
.5 |
40.2 |
| Bihar/Jharkhand |
55 |
22 |
21 |
11.6 |
14.7 |
| Chandigarh |
1 |
1 |
1 |
11.8 |
|
| Dadra
& Nagar Haveli |
1 |
1 |
1 |
13.7 |
|
| Daman
& Diu |
1 |
1 |
|
12.2 |
|
| Delhi |
|
|
|
8.6 |
19.7 |
| Goa |
|
|
|
16.6 |
34.3 |
| Gujarat |
|
16 |
8 |
2.2 |
22.3 |
| Haryana |
19 |
9 |
8 |
10.4 |
24.5 |
| Himachal
Pradesh |
12 |
10 |
10 |
5.7 |
31.8 |
| Jammu
& Kashmir |
15 |
14 |
11 |
33.7 |
45.2 |
| Karnataka |
27 |
17 |
6 |
1 |
32.1 |
| Kerala |
20 |
14 |
11 |
6 |
44.5 |
| Lakshwadeep |
No
Survey Done |
| M.P
& Chhatisgarh |
61 |
16 |
16 |
14.1 |
40.9 |
| Maharashtra |
35 |
29 |
21 |
7.3 |
32.4 |
| Manipur |
9 |
8 |
8 |
25.9 |
|
| Meghalaya |
7 |
2 |
2 |
2.3 |
7.0 |
| Mizoram |
8 |
4 |
4 |
68.6 |
|
| Nagaland |
8 |
7 |
7 |
25.4 |
50.2 |
| Orissa |
30 |
4 |
4 |
15.8 |
30.3 |
| Pondicherry |
|
|
|
2.6 |
|
| Punjab |
17 |
3 |
|
9.3 |
52.3 |
| Rajasthan |
31 |
3 |
|
10.9 |
22.8 |
| Sikkim |
4 |
4 |
4 |
16 |
56.9 |
| Tamil
Nadu |
29 |
29 |
18 |
11 |
28 |
| Tripura |
4 |
3 |
3 |
23.3 |
38.4 |
| U.
P. / Uttaranchal |
83 |
34 |
29 |
8.8 |
50.3 |
| West
Bengal |
18 |
5 |
5 |
10.3 |
34.5 |
According to
WHO / UNICEF guidelines, Goitre is considered as the indicator for
IDD. The data given above is taken from ……..
The
Union Railway Minister announced during the discussions on demands
for grants for 2003-2004 for his Ministry the reduction of freight
rates of edible salt by 10 to 25 per cent. In the railway budget
for the previous year there was an escalation of freight charges,
which is stated to be 135 per cent according to sources. The increase
or decrease in the freight charges for transportation of iodised
salt by rail has a direct impact on the National Iodine Deficiency
Disorders Control Programme (NIDDCP) for large quantity of iodised
salt is transported by rail in the country. This can be attributed
mainly to the following reasons:
1.
Effective system is in place at rail heads for quality control of
iodised salt. Salt Commissioner’s staff verifies not only
the quality of iodised salt but also conformity to packaging norms.
2. Railways has high priority for iodised salt transportation, i.e.
category B, second only to defence.
3. Covered Wagon, bulk movements, rakeful - versus -trucks limited
quantity (3 to 5 tons) , environmental exposure..
4. Transportation of salt by road entails higher costs thus discouraging
the consumers, especially the rural and poorer segments.
5. Transportation of salt by road ensures little or no quality check
diminishes quality control.
6. Salt transported by road is more prone to exposure to heat and
moisture thus leading to loss of iodine content.
A study of the National Family Health Survey (NFHS-2) and the annual
report of Salt Commissioner’s Office indicates that coverage
of adequately iodised salt consumption in states to which salt is
transported by rail is high. The following table illustrates this:
| State
|
%
by rail |
%
of HH consuming Adequatelyiodised salt |
%
of HH consuming iodised salt |
%
by road |
| Mizoram |
100 |
91.2 |
99.3 |
0 |
| Manipur |
100 |
87.9 |
97.7 |
0 |
| Arunachal
Pradesh |
100 |
84.1 |
99.2 |
0 |
| Sikkim |
100 |
79.1 |
96.9 |
0 |
| Nagaland |
100 |
67.2 |
89.1 |
0 |
| Meghalaya |
100 |
63.0 |
93.3 |
0 |
| |
|
|
|
|
| Assam |
99 |
79.6 |
98.2 |
1 |
| West
Bengal |
98 |
61.8 |
88.7 |
2 |
| Uttar
Pradesh |
98 |
48.8 |
77.3 |
2 |
| Delhi |
85 |
88.2 |
93.9 |
15 |
| Orissa |
78 |
35.0 |
70.4 |
22 |
| Madhya
Pradesh |
58 |
56.7 |
75 |
42 |
| Karnataka |
52 |
43.4 |
75.9 |
48 |
| Jammu
& Kashmir |
37 |
52.9 |
75.2 |
63 |
| Punjab |
31 |
75.3 |
83.3 |
69 |
| Gujarat |
27 |
56.1 |
70.5 |
73 |
| Tamil
Nadu |
20 |
21.2 |
37.3 |
80 |
| Maharashtra |
12 |
60.1 |
68 |
88 |
| Andhra
Pradesh |
2 |
27.4 |
63.2 |
98 |
| Kerala |
0 |
39.3 |
52.4 |
100 |
| Himachal
Pradesh |
0 |
90.5 |
96.8 |
100 |
| Haryana |
0 |
71.0 |
80.5 |
100 |
| Rajasthan |
0 |
45.3 |
62.9 |
100 |
| Goa |
0 |
41.9 |
62.7 |
100 |
A
look at the above two illustrations will show a regional tilt in
the pattern of consumption of iodised salt. An important point to
note is the pronounced high level, rather highest level, of consumption
adequately iodised salt in the Northern eastern states and Sikkim.
Iodised salt is transported by rail upto Siligri and lifted from
there by trucks to the final destination.
Conversely,
States like Goa, A.P. Tamil Nadu, Rajasthan, etc. also have high
consumption level of iodised salt. This could be attributed to proximity
to production sites and better road accessibility.
States
in higher reaches like Himachal Pradesh, (90.5% iodised salt) J&K
(52.9%) also record higher percentage of iodised salt consumption.
The possible reason for this is redistribution of iodised salt from
Delhi. In fact, Delhi, which is well-connected by rail) is said
to be ‘salt mandi’ of northern India. The reason for
high percentage of iodised salt consumption in Haryana (71) and
Punjab (75.3) can also be traced to this reason. The redistribution
is either by rail or road.
Other
states in the plains, e.g. Madhya Pradesh (75%), Uttar Pradesh (77%),
Punjab (75%) also record a high percentage of adequately iodised
salt consumption. As the illustration shows, these states are also
rail linked for salt transportation either fully or for most part.
Thus,
higher percentage of iodised salt consumption has direct association
with rail links, which ensure protected and quality checked bulk
movement of the commodity. In contrast, states, even that has better
road transportation infrastructure has tends to show lesser percentage
of adequately iodised salt. The main reason for this may be not
enough or no quality control and transitional loss of iodine. Both
these causes are taken care in the case of rail transportation.
The
studies show that the states with higher level of iodised salt consumption
have lower percentage of iodine deficiency disorders. This can be
noted in states with history of endemic areas (e.g. Sikkim, Himachal
Pradesh). In other words the high percentage of iodised salt consumption
indicates low percentage of prevalence of IDD.
The
overall picture buttresses the reason for a lower or subsidized
rail freight rate pattern will contribute much to the national IDD
programme. During the discussions for grants for railway Ministry,
the Union railway minister has announced a reduction of freight
charges for edible salt, (meaning iodised salt) by 10 to 25%. However
according to sources, there has been an increase in the freight
charges for this commodity by 135% in the previous year’s
railway budget, forcing the small salt producers resort to protest
measures. It needs to be watched to assess as to how this decrease
will contribute to the iodised salt consumption pattern.
It
may be noted with appreciation that the railways has accorded high
priority for transportation of iodised salt (category B, second
only to Defence). This is not enough. To give effect to the Government’s
programme of NIDDC, it should be matched with cost affordability
by the consumers, especially those belonging to the poorer segments.
This can be possible only with a subsidized or special railway freight
charges. Yes, a harmonious equation of availability with affordability
is needed. And it depends a lot on this on the Indian Railways.
| State |
%
Salt coverage
(adequately iodised) |
%
rail transportation |
| Mizoram |
91.2 |
100 |
| Manipur |
87.9 |
100 |
| Arunachal
Pradesh |
84.1 |
100 |
| Sikkim |
79.1 |
100 |
| Nagaland |
67.2 |
100 |
| Meghalaya |
63 |
100 |
| Bihar |
47 |
100 |
| Assam |
79.6 |
99 |
| West
Bengal |
61.8 |
98 |
| U.
P. |
48.8 |
98 |
| Delhi |
88.2 |
85 |
| Orissa |
35 |
78 |
| M.P |
56.7 |
58 |
| Karnataka |
43.4 |
52 |
| Jammu
& Kashmir |
52.9 |
37 |
| Punjab |
75.3 |
31 |
| Gujarat |
56.1 |
27 |
| Tamil
Nadu |
21.2 |
20 |
| Maharashtra |
60.1 |
12 |
| Andhra
Pradesh |
27.4 |
2 |
| Kerala |
39.3 |
|
Reduction
in the Freight Rate of non-refined edible salt
The
Union Railway Minister Mr. Nitish Kumar, while replying to demand
for grants for Ministry of Railways for the year 2003-04, has announced
a major concession, i.e. reduction of freight charges for non-refined
edible salt. The decrease will be in the range of 10% to 25% depending
on the distance.
In the Railway Budget for the previous year, i.e. 2002-2003, there
was an increase in the freight charges of certain commodities, including
those falling in the essential categories including Edible Salt.
This happened by default due to reduction in the number of freight
classes in the Railways - from 59 to 32, with an additional yield
of INR. 4500 million, equivalent of US$ 90 million (I US$ = 50 INR)
to the Railways The Minister at that time stated that the increase
will be minimal for edible salt, i.e. price would be increased by
a rupee per month for a family of four. (We do not know exactly
the actual effect it had on the consumer.) Another point - for a
poor family a rupee a month does matter. Then, there is the psychological
impact of price increase, irrespective of the amount.
Therefore,
the decrease of freight charges in the current year’s budget
is a welcome step.
In
India majority of rural population and poorer sections of society
prefers non-refined edible salt. The main reason for this is an
age old habit coupled with the price factor. The main mode of transportation
of salt in the country is by rail. Iodized salt has second level
of priority for the Indian railways (Category B), i.e. after Defence.
The reduction in the freight rate by the railways is expected to
lower the overall price of non-refined edible salt. As a result
the consumer will be benefited. The higher demand of this variety
of salt may force in price reduction of other varieties of salt
including branded salt.
The
general belief that iodized salt is expensive is diminishing. There
may be increased influence in the consumer decision making for iodized
salt, especially by the poor and rural consumers. Thus a boost to
the USI programme is possible.
One
of the thrust areas for us in India (The ICCIDD) had been pressing
for reduction of railway freight charges of iodized salt for household
consumption. Towards this discussions and dialogues have been going
on at various levels. The salt industry and their apex associations
have been looking up to ICCIDD to take up this issue at the governmental
level. Last year we have interacted closely with the Minister of
State for Railways, Mr. Digvijay Singh, (before he was moved to
the External Affairs). He was expected to be the chief guest in
our sensitization workshop held on the 16th March 2002, but for
a sudden change in his programme. Copy of our letter dated 8th March,
2002 is enclosed for reference. Again this year ICCIDD has taken
up the issue for a special freight rate for transportation of iodized
salt about fortnight before the presentation of Union Railway Budget.
Copy of letter dated 10th February, 2003, (sent instantly by fax)
is enclosed.
In
addition to direct interactions at Ministerial level, ICCIDD have
also been in dialogue with People’s Representatives at various
levels including Members of Parliament for promotion of consumption
of iodized salt for prevention of IDD. One of the points that we
always highlighted was the lower freight rate of iodized salt that
can help more poor and rural populace in purchasing this essential
commodity.
We
believe our continued and concerted efforts contributed as one of
the inputs to this major concession by the Indian Railway Ministry.
Indian
Railways has a history of 150 years. It carries 13 million people
and one million tonne freight across the country everyday. It has
63000 route kilometers and 7000 stations. |