Iodine deficiency lower the risk of cardiovascular disease have resulted in lower discretionary salt use at the table. Additionally, there is a trend towards consuming more processed foods in western countries. The noniodized salt used in these foods means that people are less likely to obtain iodine from adding salt during cooking. Goiter is said to be endemic when the prevalence in a population is > 5%, and in most cases goiter can be treated with iodine supplementation. If goiter is untreated for around five years, however, iodine supplementation or thyroxine treatment may not reduce the size of the thyroid gland because
Tincture of iodine drinking. When an alcohol solution is not desirable for this purpose, the alcohol-free Lugol's iodine, an aqueous solution of iodine in potassium iodide solution, or else povidone-iodine (brand names Wokadine, Betadine), a PVPI solution, can be used. Small amounts may be added to suspect drinking water as a disinfectant (typically 5 mg free iodine per liter, or 5 drops of 2% tincture). Though this treatment is effective against bacteria and virus, it does not protect against protozoan parasites such as "Cryptosporidium" and "Giardia". Iodine solution is used to sanitize the surface of fruit and vegetables for bacteria and virus. The