The ThyroMobil is supported by the German health insurer Barmer, which is also convinced of the efficacy of such screening. “The on-site examinations are carried out by qualified, local physicians,” adds Schintag. Around 45,000 patients have already been screened in this way since 1993. The figure refers to examinations worldwide, as ThyroMobils have been on the road on all five continents and in more than 35 countries during this period.

Schintag is well aware that the vehicle has an unbeatable advantage, especially in exotic locations: “The key factor is that we can reach children, and adults, in very remote areas.” Merck has donated one of the ThyroMobils, which cost about €80,000 each, to WHO for use in Africa. The health organization also recognizes this screening.

As we talk, the waiting line continues to stretch through the courtyard of the Cologne district government complex. Dr. Schwab, the department head, is just leaving the van with his report: “It doesn’t hurt, of course, and afterwards you have a feeling of security.” He knows he can relax. The ultrasound scan has revealed neither iodine deficiency nor any other abnormalities of his thyroid. “We tend to find something in almost half of all cases,” says Schintag, who sees to it that around 7,200 patients pass through “his” ThyroMobil every year.

This is what makes it possible to detect thyroid illnesses due to iodine deficiencies at an early stage. “Together with Barmer, we want to use the ThyroMobil to contribute to raising patients’ awareness, so that they take the initiative before a disorder becomes chronic,” adds Schintag. It is the only way to reduce the number of thyroid operations performed as a consequence of iodine deficiency, currently about 100,000 a year.

That’s why the ThyroMobils are on the road worldwide, and why they are met everywhere with the same enthusiasm Dr. Schwab showed in commenting on his examination: “Professional diagnosis and competent consultation — I felt every bit as well cared for in the ThyroMobil as in a physician’s office.”