e-Library of Evidence for Nutrition Actions (eLENA)


An online library of evidence-informed guidelines for nutrition interventions and single point of reference for the latest nutrition guidelines, recommendations and related information.

Alternate Text All interventions

Iodization of salt for the prevention and control of iodine deficiency disorders

Intervention | Last updated: 17 April 2023


Iodine is essential for healthy brain development in the fetus and young child. Iodine deficiency negatively affects the health of women, as well as economic productivity and quality of life.

Most people need an additional source of iodine as it is found in relatively small amounts in the diet. Iodization is the process of fortifying salt for human consumption with iodine and is an effective strategy to increase iodine intake at the population level.

The public health goals of reducing salt and increasing iodine intake through salt iodization are compatible as the concentration of iodine in salt can be adjusted as needed. Monitoring the levels of iodine in salt and the iodine status of the population are critical for ensuring that the population's needs are met and not exceeded.

WHO Recommendations


All food-grade salt, used in household and food processing should be fortified with iodine as a safe and effective strategy for the prevention and control of iodine deficiency disorders in populations living in stable and emergency settings.

Guidelines and guidance documents Learn More Alternate Text


GRC-approved guidelines


Other guidance documents


Evidence


Systematic reviews used to develop the guidelines


Effect and safety of salt iodization to prevent iodine deficiency disorders: A systematic review with meta-analyses

Aburto NJ, Abudou M, Candeias V, Wu T. Geneva: World Health Organization; 2014.


Related Cochrane reviews


Iodine fortification of foods and condiments, other than salt, for preventing iodine deficiency disorders

Santos JAR, Christoforou A, Trieu K, McKenzie BL, Downs S, Billot L, et al. Cochrane Database of Systematic Reviews. 2019; Issue 2. Art. No.: CD010734.


Iodized salt for the prevention of iodine deficiency disorders

Wu T, Liu GJ, Li P, Clar C. Cochrane Database of Systematic Reviews. 2002; Issue 3. Art. No.: CD003204.

Summary of this review Alternate Text

Other related systematic reviews


Fortified salt for preventing iodine deficiency disorders: a systematic review

Jiang T, Xue Q. Chinese Journal of Evidence-Based Medicine. 2010; 7:857–861.


Iodized salt for iodine deficiency disorders: a systematic review

Clar C, Wub T, Liub G, Lic P. Endocrinology & Metabolism Clinics of North America. 2002; 31(3):681–698.