CONTAMINATION OF FOODS AND 
FEEDS WITH AFLATOXIN AND 
FUMONISIN 
Kang’ethe, E. K 
University of Nairobi 
and 
Hannu Korhonen 
MTT Agrifood Research Finland
OUTLINE 
• Introduction 
• Objectives 
• Results 
• Challenges
INTRODUCTION 
• Aflatoxin and Fumonisins are fungal metabolites produced by 
Aspergillus and Fusarium genera respectively. 
• Aspergillus flavus and parasiticus are the primary fungal 
species producing aflatoxins 
• Fusarium verticilloides mainly produce fumonisins. 
• Aflatoxins have been listed as carcinogens (Hepatic 
carcinomas) by IARC and Fumonisins as potential carcinogens 
(esophageal cancers).
INTRODUCTION 
• Aflatoxin and fumonisins affect the pillars of food security 
o Access to food – contaminated food removed from the food 
chain 
o Affordability – less volumes in market leads to increase in 
prices of staple foods 
o Nutrition – though not directly connected but may affect 
the assimilation of ingested food due to liver damage – 
kwashiorkor and aflatoxin 
o Safety – carcinogenic, mutagenic, teratogenic and 
immunosuppresant
INTRODUCTION 
• In Africa, liver cancer mortalities are 8.19/100,000 
population with liver cirrhosis at 3.85/100,000 (WHO,2004) 
• In Kenya Aflatoxins are associated with 8.9 and 4.5 liver 
cancers incidences /100,000 in males and females 
respectively (IARC Globocan 2008) 
• Mortalities in Kenya due to liver cancer are 2.58/1000,000 
population and liver cirrhosis 2.47/100,000 population 
(WHO,2004) 
• Associated with stunting in children no causal relationship 
yet established
OBJECTIVES 
Determine the contamination levels in foods and feeds that 
contribute to household exposure 
Explain why aflatoxin outbreaks in Lower and Mid Eastern 
none in North Rift 
Knowledge attitudes and practices that may contribute to 
the exposure
CHARACTERISTICS 
Nandi 
Makueni 
100 0 100 200 Miles 
Makueni 
N 
Nandi 
W E 
Nandi 
Elevation 1200-2500 m above 
sea level 
Rainfall 1200 – 2000mm of 
rainfall ; one maize growing 
season 
Makueni 
Elevation 800m-1700m 
Rainfall300 and 600mm 
Two maize growing seasons
RESULTS-AFLATOXIN 
NANDI 
• Maize home grown 68% positive 
• Maize market 73% positive 
Mean 0.98± 0.06 ppb; 25% >10ppb 
• Sorghum 37.08 ±8.85 ppb X1.8 
• Millet 
• Cow or goat milk 52% positive 
• Breast milk 57% positive 0.0011 
±0.0017 ppt 
MAKUENI 
• Maize home grown 80% positive 
• Maize market 91% positive 
Mean 31.14±4.08 ppb 45% > 10ppb 
X31 
• Sorghum 20.03 ±3.45 ppb 
• Millet 
• Cow or goat milk 77% positive 3 
samples > 50ppt 
• Breast milk 87% 0.0085 ±0.0011 
ppt X 8.5
FUMONISINS 
NANDI 
• Maize home 0.29 ±0.89ppm 
• Maize market 0.34 ±0.67 ppm 
• Sorghum home 1.63 ±1.88 ppm 
MAKUENI 
• Maize home 1.31 ±2,09 ppm 
X4.5 
• Maize market 2.14 ±3.05 ppm 
X6.3 
• Sorghum home 2.19 ±1.81 ppm 
X1.3 
• Sorghum market 1.84 ±1.90 ppm
AFLATOXIN 
• Urine samples from children 80% were positive for AFM1 - 
the children were recently exposed aflatoxin. 
• The average stunting rate in Makueni and Nandi was 28.38 
and 17.47 % respectively and Underweight was 13.0 and 
2.9% in Makueni and Nandi respectively ( were < than 16.4% 
for underweight and 36.2% for stunting by the World Bank in 
2009) 
• 55 and 75% of home grown maize and 60-85% of market 
maize samples (905) had both Aflatoxin and fumonisins in 
Nandi and Makueni respectively – Co-occurrence of the two 
toxins increases additively the probability of the risk for 
cancer (hepatocellular and esophageal)
RISK FOR STUNTING AND UNDERWEIGHT 
The probability of underweight children being 
exposed to aflatoxins was 2.4 times more likely to 
occur in Makueni compared to 1.9 times among 
children in Nandi (OR= 2.4 and 1.9 respectively 
The probability of children who are stunted and 
being exposed to aflatoxins was 6.8 times more likely 
to occur in Makueni compared to 2.1 times in Nandi 
(OR= 6.8 and 2.1 respectively
FUNGAL ISOLATION 
The most commonly isolated fusarium species in Nandi were 
F. verticilloides and proliferatum which were also found to 
have the FUM 1 gene 75% and 65% respectively. The amount 
of fumonisin correlated with the presence of these species 
in maize kernels 
Aspergillus flavus (82%) and parasiticus (73%) were the most 
commonly isolated in maize kernels in both Nandi and 
Makueni. A higher incidence of section flavi was isolated in 
Nandi 
Toxigenic strains were more prevalent than non toxigenic 
strains
FUNGAL ISOLATION 
Makueni toxigenic strains were mainly S type while in Nandi 
were L type. 
S strains produced more toxin (152,966 ppb) in vitro than the 
L strain (116,666 ppb). 
The Aspergillus distribution mirrors the maize and sorghum 
contamination with aflatoxin. Makueni had 31 times higher 
aflatoxin in maize than Nandi. 
The fact that less toxigenic L strains are more in Nandi and 
produce less amounts toxins – currently no acute toxicities 
but chronic exposure is sure. Future security uncertain
FOOD CONSUMPTION 
Food consumption(maize) was 0.27 and 0.34kg /day 
in Makueni and Nandi respectively. 
Considering the contamination levels of 0.98 and 
31.14ppb in Nandi and Makueni, households were 
chronically exposed to 15ppb/kg/day in Makueni. 
Exposure from milk, AFM1 6-14ppt/litre/day 
consumed in Makueni compared to 1ppt/litre/ day 
consumed in Nandi
KEY MESSAGES 
The differences in the mycoflora in both sites is 
account for differences in contamination and 
exposure 
 Mitigation strategies should reflect these 
differences 
 Kenya should consider food diversity and functional 
diversity than over reliance on maize (maize >35% 
dietary energy/day)
CONTROL OF THE CONTAMINATION 
CHALLENGES WE FACE
CHALLENGES 
 Low education of the populace 
 Barrier to Change – Poverty 
 Inadequate or non- existence extension services 
 Heavy reliance on maize to meet daily energy needs 
 Extension messages do not emphasize practice and attitude 
change – passing of information 
 Poor agronomical practices
CHALLENGES- EDUCATION &POVERTY 
Attribute Makueni Nandi Kenya 
Male Female Male Female Male Female 
Popul % 48.8 51.2 48.3 51.3 49 51 
Edu – no 
3.6 4.2 12. 1 9.7 13 19 
formal 
Edu 
Primary - 
53.8 57.3 53.2 57.4 ND ND 
Edu- 
Secondary 
14.6 11.4 16.6 15.1 12 9 
Poverty 
index 
64.1 47.4 34-42
EDUCATION& POVERTY CHALLENGES 
80% of the agricultural labor force is female 
 11% of standard 8 cannot do standard 3 
arithmetic
CHALLENGES –EXTENSION SERVICES 
• Number of Public extension officers -5470 
across the country (private, non profit 
extension sectors) 
• Kenya’s agricultural population is 72% of total 
population (1 extension officer to 5,265 
farmers)
OVER RELIANCE ON MAIZE 
 Kenyans maize consumption will be 3.50 million tons in 
2030, represents 2.9% of world maize consumption. 2030 
SSA consumption will be 15.8 MMT 13.8% of worlds 
consumption (Rosegrant et al, 2009). 
 Cassava 100 g root provides 160 calories. Their calorie 
mainly comes from sucrose, forming the bulk in these 
tubers accounting for more than 69% of total sugars. 
 Potatoes have 36Kcal/10g of edible portion
AGRONOMIC CHALLENGES PRE- HARVEST 
• Crop rotation was associated with 
reduction of aflatoxin and 
fumonisin (toxins) levels in maize. 
Intercrop without crop rotation 
did not help in reducing toxins 
levels in maize 
• Stacking of maize stovers with 
maize cobs in the field increased 
toxin levels 
• Use of soil amendments and 
agrochemicals also contributed to 
toxin reduction in maize
AGRONOMIC CHALLENGES –POST HARVEST 
• Bad post harvest practices in 
Nandi did not result into high 
toxin accumulation due to the 
prevalence of non-toxigenic and 
less toxin producing strains in 
the region 
• The prevalence of toxigenic 
Aspergillus species in Makueni 
seems to override the effects of 
good postharvest practices that 
were done resulting in 
contaminated maize at harvest
ACKNOWLEDGEMENTS 
• Funded by Finnish Ministry of Foreign Affairs 
University of Nairobi Kenya 
• MTT Agrifood Research Finland 
• 
• Kenya Agricultural Research Institute 
Egerton University Kenya 
EVIRA – Finnish Food Safety Authority 
24
ACKNOWLEDGEMENTS 
Kenya Government Officials in Nandi and 
Makueni counties 
• Communities in the Makueni and Nandi counties 
• Research team: Kang’ethe, E.K ; Okoth, S ; 
Korhonen ,H ; Mungatu, J. K; Shalo, P ; Wamae, L.W 
; Hietaniemi, V; Joutsjoki ,V; Peltonen, K; Lindfors, 
S; Berg, S; Ramos, S; Anima, S. J ; Ouko, E ; Gatwiri 
,M ; Mburugu, C. K ; Ayugi, V; Mutele, B. N ; Kihara, 
S ; Kiaye, D ; Alberg, S.; Mburu, H.N; Nderitu,J; 
Nduhiu, G and Githinji, T. W. 
• Project details available on 
www.safefood.uonbi.ac.ke 
25

Contamination of foods and feeds with Aflatoxin and fumonisin

  • 1.
    CONTAMINATION OF FOODSAND FEEDS WITH AFLATOXIN AND FUMONISIN Kang’ethe, E. K University of Nairobi and Hannu Korhonen MTT Agrifood Research Finland
  • 2.
    OUTLINE • Introduction • Objectives • Results • Challenges
  • 3.
    INTRODUCTION • Aflatoxinand Fumonisins are fungal metabolites produced by Aspergillus and Fusarium genera respectively. • Aspergillus flavus and parasiticus are the primary fungal species producing aflatoxins • Fusarium verticilloides mainly produce fumonisins. • Aflatoxins have been listed as carcinogens (Hepatic carcinomas) by IARC and Fumonisins as potential carcinogens (esophageal cancers).
  • 4.
    INTRODUCTION • Aflatoxinand fumonisins affect the pillars of food security o Access to food – contaminated food removed from the food chain o Affordability – less volumes in market leads to increase in prices of staple foods o Nutrition – though not directly connected but may affect the assimilation of ingested food due to liver damage – kwashiorkor and aflatoxin o Safety – carcinogenic, mutagenic, teratogenic and immunosuppresant
  • 5.
    INTRODUCTION • InAfrica, liver cancer mortalities are 8.19/100,000 population with liver cirrhosis at 3.85/100,000 (WHO,2004) • In Kenya Aflatoxins are associated with 8.9 and 4.5 liver cancers incidences /100,000 in males and females respectively (IARC Globocan 2008) • Mortalities in Kenya due to liver cancer are 2.58/1000,000 population and liver cirrhosis 2.47/100,000 population (WHO,2004) • Associated with stunting in children no causal relationship yet established
  • 6.
    OBJECTIVES Determine thecontamination levels in foods and feeds that contribute to household exposure Explain why aflatoxin outbreaks in Lower and Mid Eastern none in North Rift Knowledge attitudes and practices that may contribute to the exposure
  • 7.
    CHARACTERISTICS Nandi Makueni 100 0 100 200 Miles Makueni N Nandi W E Nandi Elevation 1200-2500 m above sea level Rainfall 1200 – 2000mm of rainfall ; one maize growing season Makueni Elevation 800m-1700m Rainfall300 and 600mm Two maize growing seasons
  • 8.
    RESULTS-AFLATOXIN NANDI •Maize home grown 68% positive • Maize market 73% positive Mean 0.98± 0.06 ppb; 25% >10ppb • Sorghum 37.08 ±8.85 ppb X1.8 • Millet • Cow or goat milk 52% positive • Breast milk 57% positive 0.0011 ±0.0017 ppt MAKUENI • Maize home grown 80% positive • Maize market 91% positive Mean 31.14±4.08 ppb 45% > 10ppb X31 • Sorghum 20.03 ±3.45 ppb • Millet • Cow or goat milk 77% positive 3 samples > 50ppt • Breast milk 87% 0.0085 ±0.0011 ppt X 8.5
  • 9.
    FUMONISINS NANDI •Maize home 0.29 ±0.89ppm • Maize market 0.34 ±0.67 ppm • Sorghum home 1.63 ±1.88 ppm MAKUENI • Maize home 1.31 ±2,09 ppm X4.5 • Maize market 2.14 ±3.05 ppm X6.3 • Sorghum home 2.19 ±1.81 ppm X1.3 • Sorghum market 1.84 ±1.90 ppm
  • 10.
    AFLATOXIN • Urinesamples from children 80% were positive for AFM1 - the children were recently exposed aflatoxin. • The average stunting rate in Makueni and Nandi was 28.38 and 17.47 % respectively and Underweight was 13.0 and 2.9% in Makueni and Nandi respectively ( were < than 16.4% for underweight and 36.2% for stunting by the World Bank in 2009) • 55 and 75% of home grown maize and 60-85% of market maize samples (905) had both Aflatoxin and fumonisins in Nandi and Makueni respectively – Co-occurrence of the two toxins increases additively the probability of the risk for cancer (hepatocellular and esophageal)
  • 11.
    RISK FOR STUNTINGAND UNDERWEIGHT The probability of underweight children being exposed to aflatoxins was 2.4 times more likely to occur in Makueni compared to 1.9 times among children in Nandi (OR= 2.4 and 1.9 respectively The probability of children who are stunted and being exposed to aflatoxins was 6.8 times more likely to occur in Makueni compared to 2.1 times in Nandi (OR= 6.8 and 2.1 respectively
  • 12.
    FUNGAL ISOLATION Themost commonly isolated fusarium species in Nandi were F. verticilloides and proliferatum which were also found to have the FUM 1 gene 75% and 65% respectively. The amount of fumonisin correlated with the presence of these species in maize kernels Aspergillus flavus (82%) and parasiticus (73%) were the most commonly isolated in maize kernels in both Nandi and Makueni. A higher incidence of section flavi was isolated in Nandi Toxigenic strains were more prevalent than non toxigenic strains
  • 13.
    FUNGAL ISOLATION Makuenitoxigenic strains were mainly S type while in Nandi were L type. S strains produced more toxin (152,966 ppb) in vitro than the L strain (116,666 ppb). The Aspergillus distribution mirrors the maize and sorghum contamination with aflatoxin. Makueni had 31 times higher aflatoxin in maize than Nandi. The fact that less toxigenic L strains are more in Nandi and produce less amounts toxins – currently no acute toxicities but chronic exposure is sure. Future security uncertain
  • 14.
    FOOD CONSUMPTION Foodconsumption(maize) was 0.27 and 0.34kg /day in Makueni and Nandi respectively. Considering the contamination levels of 0.98 and 31.14ppb in Nandi and Makueni, households were chronically exposed to 15ppb/kg/day in Makueni. Exposure from milk, AFM1 6-14ppt/litre/day consumed in Makueni compared to 1ppt/litre/ day consumed in Nandi
  • 15.
    KEY MESSAGES Thedifferences in the mycoflora in both sites is account for differences in contamination and exposure  Mitigation strategies should reflect these differences  Kenya should consider food diversity and functional diversity than over reliance on maize (maize >35% dietary energy/day)
  • 16.
    CONTROL OF THECONTAMINATION CHALLENGES WE FACE
  • 17.
    CHALLENGES  Loweducation of the populace  Barrier to Change – Poverty  Inadequate or non- existence extension services  Heavy reliance on maize to meet daily energy needs  Extension messages do not emphasize practice and attitude change – passing of information  Poor agronomical practices
  • 18.
    CHALLENGES- EDUCATION &POVERTY Attribute Makueni Nandi Kenya Male Female Male Female Male Female Popul % 48.8 51.2 48.3 51.3 49 51 Edu – no 3.6 4.2 12. 1 9.7 13 19 formal Edu Primary - 53.8 57.3 53.2 57.4 ND ND Edu- Secondary 14.6 11.4 16.6 15.1 12 9 Poverty index 64.1 47.4 34-42
  • 19.
    EDUCATION& POVERTY CHALLENGES 80% of the agricultural labor force is female  11% of standard 8 cannot do standard 3 arithmetic
  • 20.
    CHALLENGES –EXTENSION SERVICES • Number of Public extension officers -5470 across the country (private, non profit extension sectors) • Kenya’s agricultural population is 72% of total population (1 extension officer to 5,265 farmers)
  • 21.
    OVER RELIANCE ONMAIZE  Kenyans maize consumption will be 3.50 million tons in 2030, represents 2.9% of world maize consumption. 2030 SSA consumption will be 15.8 MMT 13.8% of worlds consumption (Rosegrant et al, 2009).  Cassava 100 g root provides 160 calories. Their calorie mainly comes from sucrose, forming the bulk in these tubers accounting for more than 69% of total sugars.  Potatoes have 36Kcal/10g of edible portion
  • 22.
    AGRONOMIC CHALLENGES PRE-HARVEST • Crop rotation was associated with reduction of aflatoxin and fumonisin (toxins) levels in maize. Intercrop without crop rotation did not help in reducing toxins levels in maize • Stacking of maize stovers with maize cobs in the field increased toxin levels • Use of soil amendments and agrochemicals also contributed to toxin reduction in maize
  • 23.
    AGRONOMIC CHALLENGES –POSTHARVEST • Bad post harvest practices in Nandi did not result into high toxin accumulation due to the prevalence of non-toxigenic and less toxin producing strains in the region • The prevalence of toxigenic Aspergillus species in Makueni seems to override the effects of good postharvest practices that were done resulting in contaminated maize at harvest
  • 24.
    ACKNOWLEDGEMENTS • Fundedby Finnish Ministry of Foreign Affairs University of Nairobi Kenya • MTT Agrifood Research Finland • • Kenya Agricultural Research Institute Egerton University Kenya EVIRA – Finnish Food Safety Authority 24
  • 25.
    ACKNOWLEDGEMENTS Kenya GovernmentOfficials in Nandi and Makueni counties • Communities in the Makueni and Nandi counties • Research team: Kang’ethe, E.K ; Okoth, S ; Korhonen ,H ; Mungatu, J. K; Shalo, P ; Wamae, L.W ; Hietaniemi, V; Joutsjoki ,V; Peltonen, K; Lindfors, S; Berg, S; Ramos, S; Anima, S. J ; Ouko, E ; Gatwiri ,M ; Mburugu, C. K ; Ayugi, V; Mutele, B. N ; Kihara, S ; Kiaye, D ; Alberg, S.; Mburu, H.N; Nderitu,J; Nduhiu, G and Githinji, T. W. • Project details available on www.safefood.uonbi.ac.ke 25