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This report has three purposes. First, it reviews the global and national efforts to eliminate IDD during the past two decades. And it shows how governments, the salt industry and communities, with UNICEF support, have made great progress in eliminating iodine deficiency through universal salt iodization. Second, it captures the lessons learned and best practices in the elimination of IDD in various countries. Third, it proposes an agenda against IDD as a vital step towards preventing adverse effects on international development and human potential