Iodine is required for adequate thyroid hormone production, which is essential for brain development, particularly in the first trimester of pregnancy. Milk is the principal source of iodine in UK diets, and while small studies in Europe have shown organic milk to have a lower iodine concentration than conventional milk, no such study has been conducted in Britain. In view of the increasing popularity of organic milk in the UK, we aimed to compare the iodine concentration of retail organic and conventional milk and to evaluate regional influences in iodine levels. Samples of organic milk (n 92) and conventional milk (n 80), purchased from retail outlets in sixteen areas of the UK (southern England, Wales and Northern Ireland), were analysed for iodine using inductively coupled plasma MS. The region of origin of the milk was determined from information on the label. Organic milk was 42·1 % lower in iodine content than conventional milk (median iodine concentration 144·5 v. 249·5 ng/g; P,0·001). There was no difference in the iodine concentration of either conventional or organic milk by area of purchase. However, a difference was seen in iodine concentration of organic milk by region of origin (P, 0·001). The lower iodine concentration of organic milk has public-health implications, particularly in view of emerging evidence of iodine deficiency in UK population sub-groups, including pregnant women. Individuals who choose organic milk should be aware that their iodine intake may be compromised and should ensure adequate iodine intake from alternative sources.Key words: Iodine: Organic produce: Milk: United Kingdom Iodine is needed for the production of thyroid hormones that are vital during pregnancy and infancy owing to their role in brain and neurological development (1) . While severe iodine deficiency can cause gross mental deficiency and infant mortality (1) , there is emerging evidence that mild-to-moderate maternal iodine deficiency is associated with impaired infant development, including lower intelligence quotient (IQ) and increased incidence of attention deficit hyperactivity disorder (2) . For these reasons, pregnant women are vulnerable to iodine deficiency (1) . The iodine content of foods is dependent on the source of the food, whether from sea or land, the soil content (affected by geology, geography, pH and soil leaching) and farming practice (1) . In the UK, milk and dairy products are the most important sources of dietary iodine, contributing as much as 42 % of adult intake (3) . Higher milk-iodine concentration and increased milk consumption have been cited as the reasons for the eradication of endemic goitre in the UK in the 1960s, which was labelled as an 'accidental public health triumph' by Phillips (4) . Iodine sufficiency has been assumed in the UK for many years (5,6) and iodised salt is scarcely available (7) .However, there is emerging concern that the iodine status of the population, particularly of young women (8 -10) and pregnant women (7) , may be inadequate. Although conv...