<prompt> tafadhali geuza maudhui haya ya swahili kwenda kwa kiingereza.hiyo inalingana na wamarekani milioni takriban milioni 20 na aina fulani ya ugonjwa wa tezi, na hadi asilimia 60 yao hawajui hali yao.  <response>: that statistic means that nearly 20 million americans have some form of thyroid-related disease and up to 60 percent are unaware of their condition. 