Search

Mycotoxins are toxic fungal metabolites naturally found in food and feed as contaminants. Animal feed and human food samples (n=1818) from three major Kenyan laboratories were categorized as compliant and non-compliant according to Kenya, America (USA) and Europe (EU) mycotoxin regulatory limits. Quantitative risk assessment of dietary aflatoxin intake in maize, wheat, peanut and dairy products in relation to human hepat[degrees]Cellular carcinoma was carried out employing deterministic approach. Non-compliant samples' proportions were calculated, and logistic regression and chi-square test used to compare different commodities. Animal feed were least compliant, with 64% and 39% having total aflatoxin (AFT) levels above Kenya and USA standards, respectively. Peanuts were the most non-compliant food, with 61% and 47% samples failing Kenya and USA AFT standards respectively, while wheat was least compliant (84%) according to EU threshold for AFT. Half of baby food sampled had AFT level above Kenya and EU standards. High non-compliance rate with Kenya, USA and EU regulatory thresholds with respect to seven different mycotoxins (summarized as 'mycotoxins'), and also AFT and aflatoxin Ml alone in edible materials is reported. Significant non-compliance is reported for compound animal feed, peanuts, wheat, baby food, feed ingredients, herbal healthy drink, maize and fodder feed in that order. High levels of aflatoxin residues in animal feed and human food was also observed. Lifetime human consumption of wheat and maize leads to high additional risk for primary liver cancer, human hepat[degrees]Cellular carcinoma (HCC) ass[degrees]Ciated with dietary aflatoxin, wheat and its products causing the highest disease burden. Subsequent implications and limitations of current food safety standards are discussed. Humans and animals in Kenya appear to be chronically exposed to mycotoxin hazards: this calls for surveillance and risk management. There is urgent need for enhanced and consistent surveillance of the dietary mycotoxin hazards observed in this study employing representative sampling plans. Regulation and future research need to f[degrees]Cus on reliable analysis techniques, collection of data on toxicological effects of mycotoxins and food consumption pattern, and regulatory limits accordingly set and compliance enforced to protect vulnerable groups such as paediatric, geriatric and sick members of the s[degrees]Ciety to reduce cancer burden in Kenya. Key words: Mycotoxins, food, feed, risk analysis, human hepat[degrees]Cellular carcinoma, Kenya, INTRODUCTION Mycotoxins are toxic secondary metabolites produced by fungi that infest food and feed. Commonly encountered mycotoxins are aflatoxins, [degrees]Chratoxins, zearalenone, fumonisins, trichothecenes and patulin, which are produced by the [...]

Aflatoxins are toxic by-products of fungi contaminating maize and other crops; they can be carried over into milk, meat and eggs when livestock eat aflatoxin-contaminated feed or fodder. People who consume such animal products are exposed to the toxins. To assess the aflatoxin contamination status in marketed raw milk and associated risk factors in peri-urban Nairobi, we conducted a census of raw milk retailers in Dagoretti Division, Nairobi, Kenya. Structured questionnaires were filled in by face-to-face interviews with all retailers who agreed to participate in this study. Small portions of milk were purchased from each respondent and tested for aflatoxin M1 (AFM1) using competitive enzyme-linked immunosorbent assay (cELISA) tests. Geographic coordinates of each eligible retailer were recorded. A total of 350 milk retailers were visited and 344 were plotted on a map. Of these, 250 retailers answered the questionnaire and a milk sample from each of 200 retailers underwent cELISA analysis for AFM1. Four types of businesses were found: kiosks (71%), dairy shops (21%), street or mobile vendors (3%) and grocery stands (1%); for 4% the business type was not identified. Milk was mainly sourced directly from dairy farms (59%) or from intermediate distributors (35%). Most retailers sold less than 20 litres per day of raw milk. The mean daily milk consumption of the milk retailers' households was 940 ml for adults and 729 ml for children. Although 58% of retailers had heard about aflatoxins and the majority of them agreed that aflatoxins could be present in milk, only 29% believed that 'milk safety cannot be solely judged by sight or taste' and only 6% that 'milk is not completely safe even after boiling'. The cELISA test found the mean concentration of AFM1 was 128.7 parts per trillion (ppt) (median=49.9; 95% confidence interval=3.0-822.8) with a maximum of 1675 ppt. Overall, 55% of samples exceeded the European Union maximum level of 50 ppt and 6% exceeded the recommended maximum level of the United States Food and Drug Administration of 500 ppt. Compared to milk from street vendors, a significantly higher amount of AFM1 was detected in milk from kiosks and dairy shops, especially when the milk was sourced from farms without an intermediate distributor. Our findings indicate the need to better understand and manage aflatoxin in milk in Nairobi. Key words: Aflatoxin M1, Kenya, milk, dairy value chain, milk retailers, Dagoretti, mycotoxin, informal milk marketing, INTRODUCTION Aflatoxins are toxic by-products of fungi, mainly Aspergillus flavus and A. parasiticus, which contaminate maize and other crops in areas with hot and humid climates. Aflatoxin contamination is a [...]

Populations in tropical and subtropical developing countries are exposed to largely uncontrolled levels of aflatoxins through food. These countries (especially in Africa and Asia) also present a high prevalence of stunting. Studies have reported an association between aflatoxin exposure and growth impairment in children but there is not yet conclusive evidence that aflatoxins are a significant cause of stunting in children, thus further research is warranted. In this cross-sectional study, 204 low-income households were randomly selected in two low-income areas of Nairobi, Kenya. Korogocho is a higher population density area and Dagoretti a lower population density area. We asked questions about household demographics and a 24-hour dietary recall was conducted in children aged 1-3 years. Child anthropometric measurements were also conducted. Height-for-age Z-scores (HAZ), weight-for-age Z-scores (WAZ) and weight-for-height Z-scores (WHZ) were calculated for each child using World Health Organization (WHO) growth standards reference data. Samples of foods were taken from the household or from the retailer for analysis using competitive enzyme-linked immunosorbent assay (ELISA). Laboratory results for aflatoxin levels in the food samples collected were used to calculate the daily aflatoxin intake, according to the results from the dietary assessment. The study found 41% of children sampled had stunted growth. Boys were more stunted than girls (p=0.057) and Korogocho had more stunted children than Dagoretti (p=0.041). In all, 98% of food samples collected tested positive for aflatoxin and there was an average exposure to aflatoxins of 21.3 ng/kg bodyweight per day. Exposure to aflatoxin M1 (AFM1), location and sex were significantly associated with HAZ, with boys and children from Korogocho having lower HAZ, and AFM1 was negatively associated with HAZ (p=0.047), indicating that AFM1 was associated with stunting. There was no association between total aflatoxins (aflatoxin B [AFB] and aflatoxin G [AFG]) and HAZ, WAZ and WHZ. The study showed a high prevalence of malnutrition, especially stunting, in two low-income urban sites, and this was most pronounced in the high-density area. The reported association between AFM1 and stunted children indicates that more research is needed on the health impacts of this aflatoxin in growing children. Key words: stunting, aflatoxin M1, contamination, exposure, mycotoxin, ELISA, aflatoxins, mycotoxins, aflatoxin B1, INTRODUCTION Impaired growth is an important public health problem as it leads to long-term negative impacts on physical and psychological development. Poor nutrition brought about by food insecurity and disease [...]