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East African Medical Journal 1998-Mar

Health effects of cassava consumption in south Ethiopia.

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C Abuye
U Kelbessa
S Wolde-Gebriel

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Health problems associated with cassava consumption was studied in three villages (Kodowono, Lotte and Woidewashe) of Gamo-Gofa, South Ethiopia. Total goitre rate (% TGR) increased with increasing rate of cassava consumption while, urinary iodine excretion (UIE) was found to be in the normal value range for the three villages. In both males and females incidence of goitre after the introduction of cassava to Kodowono village was significantly higher than before introduction of cassava (p < 0.001). This may indicate that the high rate of goitre is attributed to the frequency of cassava consumption. Of 450 individuals interviewed for health problems associated with cassava meal consumption, 50% reported that they were suffering from epigastric burning pain and dizziness while 38.7% reported abdominal distention and vomiting. Vomiting was relatively higher in the age group 20 years and below than it was in those above 20 years of age. These problems may be attributed to cassava consumption because, cassava contains cyanide which results in intoxication when poorly processed cassava meal is taken. Goitre prevalence and health problems attributed to cassava consumption therefore, necessitate an intervention programme to control iodine deficiency disorders (IDD), develop appropriate processing techniques to eliminate cassava toxicity and educate villagers on how to prepare safer meals from cassava.

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