Aflatoxin exposure from milk in rural Kenya and the contribution to the risk of liver cancer

Milk is an important commodity in Kenya; the country has the largest dairy herd and highest per capita milk consumption in East Africa. As such, hazards in milk are of concern. Aflatoxin M1 (AFM1) is a toxic metabolite of aflatoxin B1 (AFB1) excreted in milk by lactating animals after ingesting AFB1...

Descripción completa

Detalles Bibliográficos
Autores principales: Sirma, A.J., Makita, K., Grace, Delia, Senerwa, D., Lindahl, Johanna F.
Formato: Journal Article
Lenguaje:Inglés
Publicado: MDPI 2019
Materias:
Acceso en línea:https://hdl.handle.net/10568/102494
_version_ 1855520784141778944
author Sirma, A.J.
Makita, K.
Grace, Delia
Senerwa, D.
Lindahl, Johanna F.
author_browse Grace, Delia
Lindahl, Johanna F.
Makita, K.
Senerwa, D.
Sirma, A.J.
author_facet Sirma, A.J.
Makita, K.
Grace, Delia
Senerwa, D.
Lindahl, Johanna F.
author_sort Sirma, A.J.
collection Repository of Agricultural Research Outputs (CGSpace)
description Milk is an important commodity in Kenya; the country has the largest dairy herd and highest per capita milk consumption in East Africa. As such, hazards in milk are of concern. Aflatoxin M1 (AFM1) is a toxic metabolite of aflatoxin B1 (AFB1) excreted in milk by lactating animals after ingesting AFB1-contaminated feeds. This metabolite is injurious to human health, but there is little information on the risk to human health posed by AFM1 in milk in rural Kenya. To fill this gap, a quantitative risk assessment (QRA) applying probabilistic statistical tools to quantify risks was conducted. This assessed the risk of liver cancer posed by AFM1 in milk, assuming 10-fold lower carcinogenicity than AFB1. Data from four agro–ecological zones in Kenya (semi-arid, temperate, sub-humid and humid) were used. We estimated that people were exposed to between 0.3 and 1 ng AFM1 per kg body weight per day through the consumption of milk. The annual incidence rates of cancer attributed to the consumption of AFM1 in milk were 3.5 × 10−3 (95% CI: 3 × 10−3–3.9 × 10−3), 2.9 × 10−3 (95% CI: 2.5 × 10−3–3.3 × 10−3), 1.4 × 10−3 (95% CI: 1.2 × 10−3–1.5 × 10−3) and 2.7 × 10−3 (95% CI: 2.3 × 10−3–3 × 10−3) cancers per 100,000 in adult females, adult males, children 6–18 years old, and in children less than five years old, respectively. Our results show that aflatoxin exposure from milk contributes relatively little to the incidence of liver cancer. Nonetheless, risk managers should take action based on cumulative exposure from all sources of aflatoxins.
format Journal Article
id CGSpace102494
institution CGIAR Consortium
language Inglés
publishDate 2019
publishDateRange 2019
publishDateSort 2019
publisher MDPI
publisherStr MDPI
record_format dspace
spelling CGSpace1024942023-12-08T19:36:04Z Aflatoxin exposure from milk in rural Kenya and the contribution to the risk of liver cancer Sirma, A.J. Makita, K. Grace, Delia Senerwa, D. Lindahl, Johanna F. aflatoxins milk health food safety animal products dairying Milk is an important commodity in Kenya; the country has the largest dairy herd and highest per capita milk consumption in East Africa. As such, hazards in milk are of concern. Aflatoxin M1 (AFM1) is a toxic metabolite of aflatoxin B1 (AFB1) excreted in milk by lactating animals after ingesting AFB1-contaminated feeds. This metabolite is injurious to human health, but there is little information on the risk to human health posed by AFM1 in milk in rural Kenya. To fill this gap, a quantitative risk assessment (QRA) applying probabilistic statistical tools to quantify risks was conducted. This assessed the risk of liver cancer posed by AFM1 in milk, assuming 10-fold lower carcinogenicity than AFB1. Data from four agro–ecological zones in Kenya (semi-arid, temperate, sub-humid and humid) were used. We estimated that people were exposed to between 0.3 and 1 ng AFM1 per kg body weight per day through the consumption of milk. The annual incidence rates of cancer attributed to the consumption of AFM1 in milk were 3.5 × 10−3 (95% CI: 3 × 10−3–3.9 × 10−3), 2.9 × 10−3 (95% CI: 2.5 × 10−3–3.3 × 10−3), 1.4 × 10−3 (95% CI: 1.2 × 10−3–1.5 × 10−3) and 2.7 × 10−3 (95% CI: 2.3 × 10−3–3 × 10−3) cancers per 100,000 in adult females, adult males, children 6–18 years old, and in children less than five years old, respectively. Our results show that aflatoxin exposure from milk contributes relatively little to the incidence of liver cancer. Nonetheless, risk managers should take action based on cumulative exposure from all sources of aflatoxins. 2019-08-10 2019-08-13T13:40:42Z 2019-08-13T13:40:42Z Journal Article https://hdl.handle.net/10568/102494 en Open Access MDPI Sirma, A.J., Makita, K., Grace, D., Senerwa, D. and Lindahl, J.F. 2019. Aflatoxin exposure from milk in rural Kenya and the contribution to the risk of liver cancer. Toxins 11(8): 469.
spellingShingle aflatoxins
milk
health
food safety
animal products
dairying
Sirma, A.J.
Makita, K.
Grace, Delia
Senerwa, D.
Lindahl, Johanna F.
Aflatoxin exposure from milk in rural Kenya and the contribution to the risk of liver cancer
title Aflatoxin exposure from milk in rural Kenya and the contribution to the risk of liver cancer
title_full Aflatoxin exposure from milk in rural Kenya and the contribution to the risk of liver cancer
title_fullStr Aflatoxin exposure from milk in rural Kenya and the contribution to the risk of liver cancer
title_full_unstemmed Aflatoxin exposure from milk in rural Kenya and the contribution to the risk of liver cancer
title_short Aflatoxin exposure from milk in rural Kenya and the contribution to the risk of liver cancer
title_sort aflatoxin exposure from milk in rural kenya and the contribution to the risk of liver cancer
topic aflatoxins
milk
health
food safety
animal products
dairying
url https://hdl.handle.net/10568/102494
work_keys_str_mv AT sirmaaj aflatoxinexposurefrommilkinruralkenyaandthecontributiontotheriskoflivercancer
AT makitak aflatoxinexposurefrommilkinruralkenyaandthecontributiontotheriskoflivercancer
AT gracedelia aflatoxinexposurefrommilkinruralkenyaandthecontributiontotheriskoflivercancer
AT senerwad aflatoxinexposurefrommilkinruralkenyaandthecontributiontotheriskoflivercancer
AT lindahljohannaf aflatoxinexposurefrommilkinruralkenyaandthecontributiontotheriskoflivercancer