Part of it will be the global supply chain. Deficiency to the point of physical abnormality was historically very localised to areas with soil nutrient deficiency. Nowadays it’s highly unlikely you are only buying local produce.
Now, consider that the problem is broader than just extreme cases. Reality is that iodine deficiency _is_ re-emerging. In Australia, Tasmania hits the news over it every few years. We might not be seeing goitres, but the problem persists at a level.
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