Endemic goitre by significant compression of nearby structures. Endemic goitre Endemic goiter is a type of goitre that is associated with dietary iodine deficiency. Some inland areas where soil and water lacks in iodine compounds and consumption of marine foods is low are known for higher incidence of goitre. In such areas goitre is said to be "endemic". This type of goiter is easily preventable. In most developed countries regulations have been put into force by health policy institutions requiring salt, flour or water to be fortified with iodine. Treatment of endemic goiter is medical with iodine and thyroxine preparations. Surgery is
Trace metal vegetables are sources. Taken in excessive amounts, trace elements can cause problems. For example fluorine is required for the formation of bones and enamel on teeth. However, when taken in an excessive amount can cause a disease called "Fluorosis', in which bone deformations and yellowing of teeth are seen. Fluorine can occur naturally in some areas in ground water. Trace metals include iron that can help to prevent anemia, and zinc that is a cofactor in over 100 enzyme reactions. Trace metal Trace metals are the metals subset of trace elements; that is, metals normally present in small but measurable