Infants exposure to aflatoxin M₁ as a novel foodborne zoonosis
Wael F El-Tras1, Nevein N El-Kady, Ahmed A Tayel
1Department of Hygiene and Preventive Medicine (Zoonoses), Faculty of Veterinary Medicine, Kafrelsheikh University, Kafrelsheikh 33516, Egypt. wael_tras@yahoo.com
Abstract:
Occurrence of aflatoxin M(1) (AFM(1)) in infant formula milk powder (IFMP) and maternal breast milk (MBM) was investigated as a risk factor affects the health of newborns in Egypt. A total of 125 IFMP and 125 MBM samples were collected and examined for the presence of AFM(1) using competitive ELISA test. The results indicated that the relative risk (RR) of exposure to AFM(1) via consumption of MBM was higher than IFMP (RR; 1.6, 95%CI; 1.28-2.03, p=0.0001). The mean concentrations of AFM(1) were significantly differed (p<0.0001) between MBM (74.413 ± 7.070 ng/l) and IFMP (9.796 ± 1.036 ng/l). High frequency distributions were detected within the range of 5-25 ng/l and >50-100 ng/l in IFMP and MBM, respectively. The average daily exposure of newborns to AFM(1) via consumption of MBM and IFMP was 52.684 and 8.170 ng, respectively, with a significant difference at p<0.0001. Consumption of raw milk by lactating mothers exhibited a significant correlation (p<0.0001) with the presence of AFM(1) in their milk. In conclusion, this work established a pioneering concept that AFM(1) may be considered as an etiological factor for a novel foodborne zoonosis identified as Aflatoxicosis M(1).
Insights
Aflatoxin M(1) in infant formula and breast milk poses a health risk to newborns in Egypt. Maternal breast milk showed a higher risk of aflatoxin exposure than infant formula.
Area of Science:
- Food Safety
- Toxicology
- Public Health
Background:
- Aflatoxin M(1) (AFM(1)) is a significant foodborne contaminant.
- Infant formula milk powder (IFMP) and maternal breast milk (MBM) are critical nutrition sources for newborns.
- Investigating AFM(1) in these sources is crucial for newborn health risk assessment in Egypt.
Purpose of the Study:
- To investigate the occurrence of AFM(1) in IFMP and MBM in Egypt.
- To assess the associated health risks for newborns.
- To identify potential sources and correlations of AFM(1) contamination.
Main Methods:
- Collection and analysis of 125 IFMP and 125 MBM samples.
- Utilized competitive ELISA for AFM(1) detection.
- Calculated relative risk (RR) and mean concentrations of AFM(1).
Main Results:
- AFM(1) was detected in both IFMP and MBM, with higher concentrations in MBM (74.413 ± 7.070 ng/l) vs. IFMP (9.796 ± 1.036 ng/l).
- Relative risk of AFM(1) exposure was higher via MBM (RR=1.6) than IFMP.
- Consumption of raw milk by mothers significantly correlated with AFM(1) in MBM.
Conclusions:
- AFM(1) exposure is a significant risk for Egyptian newborns through both MBM and IFMP.
- Maternal consumption of raw milk is a key factor in MBM contamination.
- AFM(1) may be an etiological factor for a novel foodborne zoonosis, Aflatoxicosis M(1).
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