Abstract

Background.Although herbal medicines play an important role as a source of medicine, concerns have been raised about the risks posed by consumption of these plants, especially if consumed above permissible levels.Objectives.This study was undertaken to assess the level of exposure, toxicity and health risk associated with the consumption of herbal plants in Ado Ekiti urban market, Nigeria.Methods.Ten commonly consumed herbal plants sold in Ado Ekiti urban market were subjected to heavy metal analysis. Health risk assessment was carried out to determine the estimated daily intake (EDI) of heavy metals, health risk index (HRI), target hazard quotient for non-carcinogenic risk and estimation of cancer risk (ECR).Results. The EDIs for lead (Pb), nickel (Ni), chromium (Cr), copper (Cu) and magnesium (Mn) were above the upper tolerable daily intake reference for all studied plant species in both children and adults, an indication that herbal use poses a short-term to long-term health risk to consumers of these herbal products. The EDI for children was significantly lower compared to that of adults, indicating higher risks for adult consumers of these herbal products. The HRI in children for Pb (Alstonia congensis, Terminalia avicennioides, Aframomum melegueta, Cymbopogon citratus and Napoleona vogelii) were greater than 1; HRI in Cu and Mn also showed an unusually high concentration, an indication that long term exposure to the consumption of these herbal plants poses a serious health risk. The HRI in children and adults follows the order Mn > Cu > Ni > Pb > Cr; cadmium (Cd) was not detected in any of the herbal plants. The ECR for Pb, Ni and Cr present in the herbal plants for children ranged between 10−6 (low) to 10−3 (high), while the ECR for Pb, Ni and Cr for herbal plants for adults ranged between 10−5 (acceptable) to 10−2 (unacceptable). For both children and adults, there is a call for concern due to ECRs above the acceptable range; the consumption of these herbal plants poses a long-term cancer risk.Conclusions.In both children and adults, ECRs for some of the herbal plants in the present study above the acceptable range present a risk to human health. The consumption of such herbal plants poses a long-term cancer risk.Competing Interests. The authors declare no competing financial interests.

Highlights

  • Herbal plants and medicine are heavily relied upon in Africa and globally

  • The aim of the present study was to assess the level of exposure, toxicity and health risk associated with the consumption of herbal plants bought from Ado Ekiti urban market for consumption by adults and children in Ado Ekiti, southwest Nigeria

  • Estimated daily intake is a function of the frequency, duration and body weight of the persons exposed to the herbal plants; for this study a body weight of 30 kg and 60 kg was used for children and adults in Nigeria, with an exposure frequency of 350 days/year, exposure duration (7 years and 30 years for children and adult in Nigeria), while the ingestion rate of herbal plants in Nigeria was assumed to be 0.25 L/day and 0.75 L/day for children and adults

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Summary

Introduction

Herbal plants and medicine are heavily relied upon in Africa and globally. Herbal medicines, known as botanical medicines or phytomedicines, refer to herbs, herbal materials, herbal preparations, and finished herbal products that contain parts of plants or other plant materials as active ingredients.[1]. This study was undertaken to assess the level of exposure, toxicity and health risk associated with the consumption of herbal plants in Ado Ekiti urban market, Nigeria. The EDIs for lead (Pb), nickel (Ni), chromium (Cr), copper (Cu) and magnesium (Mn) were above the upper tolerable daily intake reference for all studied plant species in both children and adults, an indication that herbal use poses a short-term to long-term health risk to consumers of these herbal products. In both children and adults, ECRs for some of the herbal plants in the present study above the acceptable range present a risk to human health. The consumption of such herbal plants poses a long-term cancer risk. In most LMIC, the use of herbal remedies is relatively common, with a reported prevalence of 20–80% in the Caribbean,[5,6] Trinidad,[7,8] South Africa,[9] and Nigeria.[10,11]

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