It is well known that iodine and thyroid hormone are essential for nor
mal development of the human brain and body, Lack of iodine in the die
t leads to 'visible' and 'invisible' spectrum of iodine deficiency dis
orders. The prevalence of iodine deficiency can be assessed by estimat
ing the total goitre rate in the population. A large section of the In
dian population suffers from iodine deficiency disorders. These are ea
sily preventable as was shown more than 40 years ago in the study cond
ucted in Kangra Valley, Salt is the best medium of iodine supplementat
ion in India. The potential risks of iodine supplementation, including
the risk of iodine-induced thyrotoxicosis, are discussed, Finally, we
attempt to formulate policy guidelines on iodine supplementation on t
he basis of presumed risk:benefit ratio for carrying out an iodine sup
plementation programme. Taking into consideration medical, social, eco
nomic and political aspects of universal salt iodization, the benefits
far outweigh the potential low risk due to iodine excess in a small s
egment of the population.