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Conclusions UHR was significantly associated with NAFLD and may serve as a novel and reliable marker for NAFLD in lean adults. Copyright © 2020 Ya-Nan Zhang et al.Background Iodine deficiency is a public health problem. The universal salt iodization (USI) program is the main, simple, and cost-effective intervention strategy to control iodine deficiency. The study examined the iodine status in school-aged children in Ashanti region, Ghana, using thyroid volumes along with urinary iodine concentrations, the methods recommended by the WHO/