Sunday, April 20, 2008

Three Million Suffer from IDD in Western Oromia Alone


"I have never seen any other country like this. If this problem continues, a generation will suffer." (Dr. Iqbal Kabir, UNICEF Head of Nutrition and Food Security in Ethiopia)

Dr. Kabir was referring to what he and his colleagues at UNICEF called in their report “A silent epidemic” - Iodine deficiency Disorder (IDD) – in Oromia. He had led a team of UNICEF staff on its second field trip to Western Oromia between April 22nd and 24th, 2007 to investigate the prevalence of IDD in that region and returned “absolutely convinced [that] the situation needs to be intervened without further delay”. His team consisted of a communication expert and a nutrition consultant, both from UNICEF. The epidemic had been officially reported to UNICEF by Obbo Mesfin Namrraa – a WAFIDO MP from Najjoo - with a request to assess the situation and provide support. Obbo Mesfin accompanied the UNICEF team on the trip. Having visited some waradas in Illu Abbaa Booraa the previous year and Ghimbi, Gullisoo, Boojji Birmajii and other waradas in Wallaga this time around, and having met the affected population and local Health Department officials, the team compiled its trip report titled “A silent Epidemic” in which it categorized the problem as “severe public health problem according to World Health Organization’s (WHO) cut-off point.”

According to this report, “young children, adolescent boys and girls, pregnant and lactating women and elderly women” are the most affected segment of the population. In one house hold of six, the team observes, the mother (age 28) and all of her children ranging in age from five to twelve all suffered from goiter. The report goes on to say: “the situation in Gullisso Primary School was even more alarming – in that particular shift of 400 – 500 children attending classes, a very significant number has visible goiter.” The team also tested salt samples sold in the area and found that “the samples tested absolutely negative for iodine content.”

Statistics from Oromia Regional Health Department dwarfs even the gloomy picture painted by Dr. Kabir’s team report. According to this statistic, almost 3 million people suffer from IDD just in Wallaga and Illu Abbaa Booraa regions alone.

Estimate of population Affected by IDD in 4 Zones of oromia

Illubabor
Woreda
Affected Population
Metu
63,360
Bere
55,573
Metu town
20,517
Nopa
27,081
Chewaka
82,716
Darimu
138,857
Sub Total
388,104
East Wollega
Saasigga
81,667
Guto Gidda
93,667
Haroo Limmu
55,842
Leeka Kelecha
77,462
Wayo Tuka
64,212
Lemu
64,360
Gidda Kiramu
162,427
Ebantu
34,500
Sibu Sire
99,184
Waama Bonayya
47,012
Waama Hagalo
46,860
Jimma Arjo
93,390
Nunnu Kumba
66,885
Gebuseyu
41,159
Gudeya Bila
51,412
Sub Total
1,080,039
West Wollega
Boji Birmaji
59,496
Boji Chokorsa
55,798
Kiltu Karra
54,117
Hooma
28,113
Manasibu
131,925
Najjoo (rural)
13,770
Gullisso
75,492
Nole Kabba
60,013
Lalo Assabi
89,403
Sub Total
568,127
Kelem Wollega
Anfillo
79,678
Dale Sedi
89,069
Dale Wabara
99,615
Hawa Galan
111,273
Lato Like
53,433
Seyo
131,484
Denbi Dollo
28,562
Gidami
84,452
Gawo Kebe
71,720
Yaama Logi Walal
43,799
Jimma Haro
44,556
Seyo Noole
80,250
Sub Total
917,891
Total
2,954,161


While it is difficult to estimate the number of population affected across all Oromia zones, Global Scorecard 2008 puts the prevalence of goiter in the Ethiopian Empire at 53.3%. (Read here) Some have attributed the recent upsurge of IDD in the country to the war between Ethiopia and Eritrea. Assab, Eritrea, which supplied Ethiopia with iodized salt, has ceased to do so since the war between the two countries begu -(Read here.) This theory is consistent with what the head of one of the Zone Health Departments had to say about the timing of the upsurge. Asked when the problem was first observed, he said “the problem started to show up over the last 7 – 9 years period. The peripheral Kelem woredas were affected first … and gradually moved to more central areas over the last 2 – 3 years.” He goes on to say he, and others have reported the situation to Oromia Regional Health Bureau but “no intervention measures have been taken.”

What is IDD?

IDD is caused by lack of enough iodine in the diet - Iodine being a kind of mineral needed by the thyroid gland for healthy functioning. A visible sign of IDD in a person is goiter, a swollen neck caused by a swollen thyroid gland. Goiter due to iodine deficiency is a worldwide problem; in particular communities in developing countries are at risk. Consumption of salt not fortified with iodine may be partly to blame for iodine deficiencies. Various governments around the world are being urged to step up efforts to promote the consumption of iodine-enriched salt to combat iodine deficiency in populations of their respective countries. Another proven method of prevention of iodine deficiency is to introduce iodine into the public waters supply, an option which is not available to Oromia. However, provision of iodine fortified salt for public consumption is cheap and affordable method of prevention of IDD.

Once considered a minor problem causing goiter, according to International Council for the Control of IDD (ICCIDD), IDD is “the single most common cause of preventable mental retardation and brain damage in the world.” Among its devastating effects on social and economic development of the affected population are impaired growth and development in children as children with IDD can grow up “stunted, apathetic, mentally retarded, and incapable of normal movements, speech, or hearing”; causing miscarriages, stillbirths, and other complications in pregnant women and many others - (Read here.)


According to UNICEF, IDD “takes its greatest toll in impaired mental growth and development, which contributes to poor school performance, reduced intellectual ability, and impaired work performance.” - (Read here)

Many have written urging the world community to intervene without delay. The Diaspora Oromo Community should take part in this large scale advocacy work, including raising awareness, educating the public and fund raising activities. Doing nothing would be tantamount to condemning millions of Oromo people, particularly children, to a life of few prospects and continued underdevelopment.

Have your say.

66 comments:

Anonymous said...

“impaired mental growth and development, which contributes to poor school performance, reduced intellectual ability, and impaired work performance.”

The wayanes would love this. I don't think they will going to adapt a policy that makes "iodized salt" available to every one even if it is cheap. Why would they? It serves their purpose. A purpose of keeping Oromos incompetent for generations to come. This is a biological war. It is up to us to bring this to the attention of the world in general and the Oromo people in particluar. If we don't do it, no body will.

Anonymous said...

Dear Blogger,

Thanks for bringing this important issue to our attention.

I suggest we, collectively and individually, encourage and agitate our people to demand to buy iodized salt only. The Oromo people have immense collective buying power, even if not individually, because of our shear number. The Oromo people must refuse buying unionized salt.

We have to make noise about it and the world will also join us. I do agree the Wayyaane do not care about the health of the Oromo nation. The leading causes of morbidity and mortality in Oromia are preventable diseases including malaria, HIV, TB etc.

Iodized salt is the best means of providing iodine to deficient populations, and it has been used successfully and safely for 70 years around the world. The manufacture and use of iodized salt in some countries is compulsory. There are some mega rich Oromo entrepreneurs who can start business enterprise of providing iodine-fortified salt to the market in Oromia. It is an ethical business and we have to encourage them.

Have a nice day.

Gumaa Guddaa

Anonymous said...

While our politcal organizations are working had to score points against each other, our people are suffering under poverty,desease, abuse by Mallasa & Co. "Yaa rabbi, bilisa nu baasi" ja'e Zaarihuun Wadaajoo. Nutillee akkuma obboleeyyssa keenyaa rabbiin itti kadhachaa jirran seha. Rabbiin qophaa isaa bilisa nama hin baasu barttanii?

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Having a different political view shouldn't be taken as a show stopper for humanitarian work. Oromo nation is not alone to have multiple political views, parties or ideologies. The whole world is in the same boat on this. The challenge is putting the political difference aside and working together on common issues such as humanitarian, human right, education,…

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Work for it, research on it, invest on it. Kan Waaqaan wal lole, eenyuufuu hin tolu- abalutu balleesse hin jedhin, sammuu kee bal'isi, harkakees akkasuma.

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Shell cameos have a thin concave spine, using the exception of abalone and mommy of pearl which might be normally flat around the back and somewhat thicker.
Why not promote the real message and ideals behind sexual abstinence and purity
all together; the message that Island Wall Entertainment is no doubt seeking to encourage.

With the discovery of smaller-than-1-carat
diamonds, the diamond industry started to market eternity rings and promise rings, featuring tiny diamonds around the shank.



Here is my web blog; promise rings vs purity rings

Anonymous said...

Accurate predictions were a rarity for the ring wearer.
Some people prefer not to wear rings, and others want to
make the purity vow in private. The historical origins of the friendship
rings stretches back to the Ancient world.

Feel free to surf to my web site; promise rings 3 diamonds

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