Aflatoxin M1 Levels Research Articles

Assessment of aflatoxin M1 and B1 in some dairy products with referring to the analytical performances of enzyme-linked immunosorbent assay in comparison to high-performance liquid chromatography.

Background and Aim:Aflatoxin M1 (AFM1) is a major fungal metabolite found in milk coming from aflatoxin B1 (AFB1) contaminated rations and is subsequently present in milk-based products demonstrating a serious public health hazard. This study aimed to investigate the levels of AFM1 and AFB1 in milk and some dairy products consumed widely by infants and children.Materials and Methods:This study investigated the incidence of AFM1 in 105 samples of processed cheese, Ras cheese, and raw milk (35 of each) retailed in the Egyptian markets. The degree of sensitivity and accuracy was evaluated using the enzyme-linked immunosorbent assay (ELISA) method followed by the estimation of the positive samples using the high-performance liquid chromatography (HPLC) with fluorescence detection. Mold count was determined in the examined samples by investigating AFB1 content using HPLC.Results:AFM1 was found in all investigated Ras cheese, raw milk, and 82.86% of the processed cheese samples with mean values of 51.05±6.19, 40.27±3.996, and 10.77±1.39 ng/kg, respectively. Moreover, there was statistically no significant difference between AFM1 levels in the core and crust parts of the tested Ras cheese. AFM1 contaminated Ras cheese and raw milk samples were 48.57% and 25.71%, which exceeded the European and Egyptian tolerance levels. Results showed an acceptable correlation between ELISA and HPLC methods with no significant difference (p>0.05). Alternatively, none of the examined samples proved to be contaminated with AFB1 despite the presence of mold with mean counts of 3.79±3.29, 4.39±4.34, and 4.84±4.29 log CFU/g in the examined processed cheese, Ras cheese, and raw milk samples, respectively.Conclusion:Therefore, it is urgent to regularly inspect the contamination of animal feeds with AFB1 and apply special measures and novel techniques to protect the feed and food from public health hazards.

Safety and Efficacy of Novasil Clay (Calcium Montmorillonite) in Children Exposed to Aflatoxin in Ejura-Sekyedumase District in Ghana

Background. Aflatoxin levels are very high in animals and humans in places where cereals are poorly stored. In this study, Novasil was evaluated for safety and efficacy in children. Methods. Children (200) aged between 2 and 9 years were put into Novasil and placebo group. Participants received either 1.5 g of Novasil or calcium carbonate in their food. Urine samples were analyzed for AFM1 by HPLC, blood samples were assayed for complete blood count and chemistries. Results. Aflatoxin M1 levels in the Novasil treated group, significantly reduced to 60% compared to an increase of urine AFM1 in the placebo group. Hematological parameters did not change except for an increase in hemoglobin level in the Novasil group. Biochemical parameters remained unchanged except calcium ions. Glutathione levels in the Novasil increased, compared group to the placebo group. Conclusion. Novasil is safe, reduce aflatoxin bioavailability in humans while improving GSH antioxidant capacity as well.The trial has been registered with Pan African Clinical Trial Registry (www.pactr.org). A WHO registry for clinical trials with a unique identification number PACTR202202797930675.

Exposure assessment and cancer risk characterization of aflatoxin M1 (AFM1) through ingestion of raw cow milk in southern Ghana

Milk and dairy products are the most important nutritional foods among all age groups. Aflatoxin M1 (AFM1) contaminates milk and makes its consumption potentially dangerous. Infants are mostly at risk because they are typically fed as many as six and more times per day, which is indeed a disquieting concern. This study aimed at evaluating AFM1 levels especially above international (European Food Safety Authority, EFSA) (0.05 µg/kg) and local (Ghana Standards Authority, GSA) (0.5 µg/kg) standards and cancer risks associated with the ingestion of raw cow milk (n = 120) sampled from Southern Ghana (Greater Accra, Volta, Western and Eastern Regions). AFM1 were measured with High-Performance Liquid Chromatography with a Fluorescence Detector (HPLC-FLD). Risk assessments were also conducted using models prescribed by the Joint FAO/WHO Expert Committee on Additives (JECFA). Out of the 120 samples analyzed for AFM1, 67 (55.8%) tested positive, 63 (52.5%) exceeded the limits of EFSA and were between the range 0.06 ± 0.001–3.52 ± 0.5 µg/kg whereas 50(41.7%) within the range of 0.50 ± 0.03–3.52.01 ± 0.5 µg/kg exceeded GSA limits. Risk assessments of AFM1 for infants, toddlers, children, adolescents, and adults ranged between 0.06 and 2.03 ng/kg bw/day, 197.04–6666.67, 0–0.0323 ng aflatoxins/kg bw/day and 1.94 × 10-3- 0.07 cases/100,000 person/yr respectively for Estimated Daily Intake (EDI), Margin of Exposure (MOE), Average Potency, and Cancer Risks. It was concluded that the consumption of raw milk posed adverse health effects on all age categories studied for the regions investigated. The use of raw cow milk may cause some problems and endanger the health of people of different age groups due to noncompliance with prescribed regulatory limits.

Anadolu Manda Sütünde Aflatoksin M1 Kontaminasyonu

Aflatoxin M1 (AFM1), a hepatotoxic metabolite, occurs due to the consumption of feeds contaminated with aflatoxin B1 (AFB1) by lactating animals. This study aims to specify the presence and levels of AFM1 in water buffalo milk produced widely in our region. 
 Between the years 2019 - 2021, a total of 250 raw water buffalo milk samples were used as material. All samples were transported to the laboratory in the cold chain (4 °C) and analyzed. Tests were done with ELISA (Enzyme-Linked Immunosorbent Assay) technique and AFM1 specific test kits Ridascreen® Aflatoxin M1, r-biopharm were used for detection of AFM1. First, the samples were prepared as described in the kit manufacturer’s instructions. Later, for the calculation of AFM1 levels, RIDASOFT WIN.NET software was also used as recommended. 
 Two hundred and fifty raw water buffalo milk samples were analyzed in duplicate, and the average values of the results was taken into account. While AFM1 was not detected in 174 samples (69.6%), 76 sample (30.4%) was contaminated with AFM1. However, it was observed that the AFM1 levels of these 76 samples did not exceed the levels specified in the Turkish Food Codex.
 In conclusion, although water buffalo milk and dairy products pose a potential risk in AFM1, this risk was found relatively low in samples belong to our region. However, this situation may vary depending on the feeding conditions of lactating animals and sampling season. Therefore, it is recommended that similar and further studies are needed to diversify the data in the future.

The use of the two different mycotoxin deactivators in the nutrition of dairy cows

The aim of this study was to investigate the effect of two different commercial products for mycotoxin deactivation in the dairy cows’ nutrition. The research was done on the 18 dairy cows in the different phase of lactation, with the average production of 14 L of milk per day. The diet contained in average 8 kg of concentrate feed, 10 kg of mixed peas and wheat forage, 4 kg hay of alfalfa and cereal straw ad libitum. Before starting the trials all components of the cows’ ration were analysed for the presence of aflatoxin B1, while cow’s milk was analysed for the presence of aflatoxin M1. In the first phase of the trial cows were fed diet containing aflatoxin B1 at level of 5±0.9 µg/kg, which resulted in the average aflatoxin M1concentration of 181±3.5 ng/kg in the milk. In the second phase of the trail 0.5% of the commercial product 1 (Neozel®) was added into the feed ration of cows and after the period of adaptation, the aflatoxin M1 concentration in milk was measured. In the third phase of the trail 0.3% of the commercial product 2 (miko-Stop 0.3®) was added into the feed ration of cows and also, after the period of adaptation, the concentration of aflatoxin M1 in milk was measured. The last phase was the control phase in which cows were fed diets with aflatoxin B1 (5 µg/kg) without added mycotoxin deactivators. The use of both commercial products for ten days resulted in the reduction of aflatoxin M1 levels for 35.9% and 53.6%, respectively.

Dietary Exposure and Risk Assessment of Aflatoxin M1 for Children Aged 1 to 9 Years Old in Serbia.

The present study was conducted to estimate the exposure and characterize the risk for the child population of Serbia to Aflatoxin M1 (AFM1) from milk and milk-based food. A total of 3404 samples comprising milk and different milk-based food samples were collected from various regions of Serbia from 2017 to 2019. Evaluation of AFM1 exposure was carried out using the deterministic method, whereas risk characterization was evaluated using the margin of exposure (MOE) and the risk of hepatocellular carcinoma (HCC). Detection rates for AFM1 in milk and milk-based food samples ranged between 2% and 79%, with the highest incidence (79%) and mean level (22.34 ± 0.018 ng kg−1) of AFM1 being detected in pasteurized and UHT milk. According to the three consumption estimates, the values of estimated daily intake (EDI) were higher for toddlers as compared with children aged 3–9 years. Children aged 1–3 years had the highest risk of exposure to AFM1 in milk, with an estimated daily intake of 0.164 and 0.193 ng kg−1 bw day−1 using lower bound (LB) and upper bound (UB) exposure scenarios, respectively. Such difference could result from the higher consumption to weight in younger children. Based on the estimated daily intake (EDI) found in this study, the risk of AFM1 exposure due to consumption of milk and milk-based food was low since the MOE values obtained were >10,000. In addition, the risk of HCC cases/year/105 individuals of different age groups showed that the value of HCC, using potency estimates of 0.0017 (mean), was maximum (0.00034) in the age group 1–3 years, which indicates no health risk for the evaluated groups. The present study revealed the importance of controlling and preventing AFM1 contamination in milk through continuous monitoring and regular inspection to reduce the risk of AFM1 exposure, especially in children.

Determination of aflatoxin levels in bokina beverage.

The main aim of this study was to investigate levels of total aflatoxin and aflatoxin M1 in bokina, a home-made non-alcoholic beverage prepared from dairy milk, millet and sugar. Bokina, dairy milk and millet were purchased monthly over a period of 7 months from bokina producers at Ashaiman and Nima, in Ghana. Total aflatoxin and aflatoxin M1 levels in these samples were measured using a fluorometric procedure and High-Performance Liquid Chromatography. Aflatoxin levels in bokina samples ranged from 1.0 to 21.0 ppb for Ashaiman samples and 1.0 to 23.0 ppb for Nima samples. Out of 21 samples from each site 1 from Ashiaman and 2 from Nima had levels total aflatoxin above the acceptable limit of 20 ppb. Similarly, total aflatoxin levels millet samples ranged from 1.0 to 55.0 ppb for Ashaiman and 5.0 to 53.0 ppb for Nima samples, with 2 samples from Ashiaman and 6 from Nima having levels above 20ppb. The levels of Aflatoxin M1 in milk ranged from 0.09 to 6.20 ppb for Ashaiman samples and 0.13 to 12.55 ppb for Nima samples. Out of the samples, 12 from Ashiaman and 10 from Nima (n=21) had levels of Aflatoxin M1 above the acceptable limit of 0.5 ppb. Bokina samples tested were contaminated with aflatoxin. All doses of aflatoxin have a cumulative effect on the risk of cancer. Therefore, farmers and bokina producers must be educated on good storage practices and monitored to protect the public from aflatoxin exposure and toxicity. The study was self-funded.

Investigation of aflatoxin M1 levels of fresh white cheeses offered for sale in Elazig, Kovancilar, Bingol, and Tunceli, in Turkey

In this study, in fresh white cheeses collected from Elazig, Kovancilar, Bingol, and Tunceli in Turkey were examined presence and residue levels of Aflatoxin M1 (AFM1). For this purpose, twenty-four white cheese samples were collected from each city, and a total of 96 white cheese samples were collected periodically from March to August in 2020. Aflatoxin analysis was performed by ELISA method. As a result of the analysis, the incidence of AFM1 in the fresh white cheese samples collected from Elazig, Kovancilar, Bingol, and Tunceli ranged from 0.71 to 4.50 μg/kg, from 1.80 to 4.33 μg/kg, from 0.12 to 3.96 μg/kg, and from 1.35 to 3.51, respectively. The AFM1 level in the analyzed cheese samples was found higher than 0.05 μg/kg, which is the limit value for AFM1 stated in the Turkish Food Codex. As a result, AFM1 levels of fresh white cheeses produced at different sales points in different provinces pose a potential risk for consumers in terms of public health, farmers/producers/employees in feed and cheese production companies need to be informed about the aflatoxin and aflatoxicosis and terms of hygiene and sanitation rules to be followed during production, and also the continuous monitoring of the aflatoxin level must be applied by the Turkish public health authorities.

Analysis of the Aflatoxin M1 contamination in traditional and commercial cheeses consumed in Yemen

The current study aimed to determine the levels of Aflatoxin M1 in traditional Taizi cheese and commercial cheeses utilised in Yemen. A total of 273 cheese samples were collected from supermarkets and analysed for AFM1 contamination by enzyme‐linked immunosorbent assay (ELISA) and high‐performance liquid chromatography (HPLC). Among these samples, 79.12% were positive for AFM1 contamination with levels ranging from 0.020 to 5.955 μg/kg. AFM1 was detected at 84.67 and 73.53% in commercial and traditional cheeses, respectively. In the current study, 32.6% of the total cheese samples were contaminated with AFM1 at a level above the acceptable limit (0.250 μg/kg) of the European Commission. Results of this study revealed that the presence of AFM1 contamination in different types of cheese samples should be considered a serious public health problem in Yemen.

Innovative application of postbiotics, parabiotics and encapsulated Lactobacillus plantarum RM1 and Lactobacillus paracasei KC39 for detoxification of aflatoxin M1 in milk powder.

This study aimed to evaluate aflatoxin M1 (AFM1) level in milk powder and infant milk formulae, in addition to applying innovative methods for AFM1 & AFB1 detoxification. Fifty random samples of milk powder and infant formulae (25 of each) were collected from the Egyptian markets for assessing AFM1 level using ELISA technique. Bioactive components comprising cell free supernatants (postbiotic), acid-dead cells (parabiotic) and the encapsulated-cells of Lactobacillus plantarum RM1 and Lactobacillus paracasei KC39 were evaluated for their antifungal activity against toxigenic mold strains and their impact on AFB1 and AFM1 reduction in reconstituted milk powder. AFM1 concentration in unpacked milk powder was higher than that of packed samples and infant formulae, although these differences were not significant (P > 0.05). About 96.0, 29.4 and 25.0% of the tested infant formulae, unpacked, and packed milk powder were unacceptable in terms of the AFM1 limit defined by Egyptian and European standards, while all samples were in accordance with the USA/FDA standard. All tested mycotoxigenic strains were sensitive to the different treatments of the probiotics with the highest sensitivity regarding Fusarium strain with L. paracasei KC39 compared to other genera. The degradation ratios of AFM1 using the bioactives of the L. paracasei KC39 were higher than that of L. plantarum RM1 bioactives. Additionally, KC39 parabiotic manifested the best AFB1 reduction (60.56%). In conclusion, the positive and highly significant relationship (P < 0.05) between these effective biocompounds mirrors their major detoxification role which gives a safe solution for AFs contamination issues in milk and milk products.

Molds and Aflatoxins in Traditional Moldy Civil Cheese: Presence and Public Health Concerns

The purpose of this study was to detect the mold biota, the contamination levels of total aflatoxin (AFB1, AFB2, AFG1, AFG2) and aflatoxin M1 (AFM1) in moldy civil cheese. A total of 100 moldy civil cheese were collected from randomly selected retailers. Mold biota was determined with conventional and ITS sequence analysis, and Aflatoxin (AF) analysis was performed usingEnzyme-Linled Immunosorbent Assay (ELISA). In the analyzed samples, Penicillium roqueforti (100%) was isolated as the dominant species followed by P. verrucosum (83%), Aspergillus flavus (17%). Fifteen (15 %) of moldy civil cheese samples contained AF with levels ranging from 12 to 378 ng/kg.Likewise, AFM1 was found in 25 (25 %) of samples (ranging from 5.46 to 141.56 ng/kg), among which 5 (5 %) were above the legal limits. Considering the presence of A. flavus, total AF and AFM1 contamination in the analyzed cheese samples it could be emphasized that moldy civil cheese might pose a hazard for public health.

Factors contributing to urinary aflatoxin M1 occurrence among residents in Hulu Langat district, Malaysia

Introduction: Chronic exposure to aflatoxin can lead to complications such as liver failure and cancer. There are many factors that affect aflatoxin occurrence. This study aimed to assess the association between sociodemographic factors and the knowledge, attitude and practice towards aflatoxin with urinary aflatoxin M1 occurrence among residents in Hulu Langat district, Malaysia. Methods: This was a cross-sectional study conducted among healthy Malaysian adults aged 18 to 60 years residing in Hulu Langat district, Malaysia. Socio-demographic background and the knowledge, attitude and practice of respondents towards aflatoxin were assessed through questionnaires. Non-fasting urine sample (15 ml) was collected in the morning and urinary aflatoxin M1 level was quantified. Results: Of the 444 healthy Malaysian adults, 199 urine samples were detected with aflatoxin M1. From 37 positive samples with aflatoxin M1 level above detection limit (0.64 ng/ml), mean value was 1.23±0.91 ng/ml (range = 0.65-5.34 ng/ml). Urinary aflatoxin M1 occurrence was significantly different across ethnicity, age group, monthly household income, attitude and practice towards aflatoxin. Binomial logistic regression confirmed ethnicity and monthly household income as factors contributing to urinary aflatoxin M1 occurrence. Chinese were 3.20 times more likely to have aflatoxin exposure than non-Chinese. Detected urinary aflatoxin M1 was more common among household with a monthly income above RM1,500. Conclusion: The results provided an insight to explain the variation in aflatoxin occurrence among the population.

English

The aim of this study was to determine the level of aflatoxin M1 (AFM1) in pasteurized and UHT milk marketed in Dar es Salaam, Tanzania.&nbsp; AFM1 in pasteurized milk samples (75) and ultra-high temperature (UHT) milk (43) was determined by using immuno-affinity high performance liquid chromatography. AFM1 was detected in 97% (115/118) of samples that consisted of 96% (72/75) of pasteurized milk samples and 100% (43/43) of UHT milk samples. About 82% of the contaminated pasteurized and UHT had AFM1 levels above EU acceptable levels (0.05 &micro;g/L). However, none of the contaminated pasteurized and UHT milk sample had levels of AFM1 above the maximum recommended Codex limits (0.5 &micro;g/L). The results indicate that the contamination of the samples with AFM1 at such level could pose a serious public health problem. Thus, regular monitoring of AFM1 levels in milk is important in order to protect consumers.&nbsp; &nbsp; Key words: Aflatoxin M1, ultra-high temperature (UHT), milk, pasteurized milk, food safety.

Occurrence and associated factors of aflatoxin M1 in raw cow milk in South Gondar Zone, North West Ethiopia, 2020.

Aflatoxin M1 is the most significant toxin of milk and milk products. It is immunosuppressive, mutagenic, and carcinogenic compounds to humans. Therefore, this study was aimed to evaluate the concentration of aflatoxin M1 and its determinants in raw cow milk sample intended for human consumption in South Gondar Zone, Ethiopia. A cross‐sectional study was conducted on a total of 100 dairy farmers from January to February 2020. Around 50 ml, 100 raw milk samples were collected for aflatoxin M1 analysis. A simple random sampling technique was applied to get the households. Binary and multivariate logistic regressions were used to see the association between predictor and outcome variables. From the 100 dairy farmers who had participated, 38% had heard about aflatoxin in the milk sample. Aflatoxin M1 was detected in the 99(99%) raw milk samples, of these 41 (41%) exceeded the limit of the European Union. The logistic regression analysis result showed that residence, awareness about the level of aflatoxin in the milk sample, management mold‐contaminated animal feed, animal feed storage facility, and grazing systems were significantly associated with the high level of aflatoxin in the milk sample. Almost all milk samples analyzed were positive for aflatoxin M1, and 41% of samples were above the limit set by European Union. Many easily manageable and preventable factors were associated with higher levels of aflatoxin M1 in the milk sample than the European Union limit, which suggests continuous monitoring of milk and milk products is necessary.

Occurrence and exposure assessment of Aflatoxin M1 in milk and milk products in India.

Milk containing Aflatoxin M1 (AFM1) poses a serious health risk to consumers. Present study was undertaken to determine levels of AFM1 in 146 milk and value added dairy products sold in retail markets of Chhattisgarh, India using HPLC coupled with fluorescence detector. A total of 52 samples (35.6%) were found to contain AFM1 with overall concentrations ranging from nd -2.608µg/L. The contamination levels were higher in non-fermented milk products than fermented milk products samples, although this difference was statistically non-significant (p > 0.05). AFM1 concentrations above maximum permissible limits established by the European Commission were found in 94.2% of positive samples. Health risk assessments ascertained that the estimated daily intakes for AFM1 is higher than the established tolerable daily intakes for both adults and children (Hazard Index > 1), there by implying a potentially high risk to consumer's health. Current investigation provides valuable information regarding contamination of raw as well as value added milk products sold in Indian markets. Therefore, to protect consumer's health and promote dairy trade; there is an urgent need to increase farmer's knowledge on good storage practices of feed and fodder. Further, stringent enforcement of food safety regulations is imperative to safeguard and promote human health.

The behavior of aflatoxin M1 during lactic cheese production and storage

This study aimed to determine the fate of aflatoxin M1 (AFM1) during lactic cheese processing and storage. About 70.72% of the total AFM1 content of the raw milk was carried over into the whey. The levels of AFM1 during cheese storage were reduced by 77.66%. The transfer of the AFM1 into the brine solution depended on the storage time and showed variable trends. Collectively, 6.42% of the total AFM1 content of milk remained in lactic cheese, and 93.58% of it was removed during production and storage. Lactic cheese could be safer than milk from the AFM1 level point of view.

Occurrence of aflatoxin M1 in bovine milk and associated risk factors among dairy farms of Punjab, India

Aflatoxin M1 (AFM1) contamination in milk and milk products may pose a major public health concern. The present cross-sectional study was aimed to estimate the prevalence of AFM1 in bovine milk across all districts of Punjab, India and to identify the associated animal and farm level risk factors. A total of 402 milk samples (266 cow milk and 136 buffalo milk) were analysed using commercial ELISA and representative samples were confirmed using HPLC-FLD. The results revealed that 56.2 and 13.4% of the milk samples exceeded the maximum levels of the European Union, i.e. 0.05 μg/l and Food Safety and Standards Authority of India (FSSAI), i.e. 0.5 μg/l for AFM1 in milk, respectively. On analysis of species variation, buffalo milk (prevalence: 56.6%; mean concentration: 0.42±0.9 μg/l) was found to have higher AFM1 levels than cow milk (prevalence: 56.0%; mean concentration: 0.19±0.3 μg/l), with statistically significant difference between mean concentrations (P&lt;0.01) and non-significant difference between AFM1 prevalence (P=0.91). Furthermore, milk from commercial dairy farms (prevalence: 64.7%; mean concentration: 0.34±0.65 μg/l) was found to be more contaminated than from household dairy establishments (prevalence: 47.8%; mean concentration: 0.19±0.65 μg/l). The risk factors ‘above average milk yield/day’ (odds ratio (OR): 2.4) and ‘poor animal hygiene’ (OR: 1.9) were identified at animal level, and ‘intensive dairy farming’ (OR: 3.1) and ‘animal feed without aflatoxin binder’ (OR: 4.7) as farm level risk factors for AFM1 excretion above maximum levels of European Union in milk. Among cow breeds, the milk from ‘non-descript’ breed (OR: 11.5) was found to be most contaminated with AFM1 and the least from Jersey breed (OR: 1.0). The present study highlighted the presence of AFM1 in milk samples; therefore, regular monitoring of AFM1 in milk is required so that high risk regions and associated risk factors can be addressed appropriately.

The Presence of Aflatoxin M1 in Milk and Milk Products in Bangladesh.

As milk provides both micro- and macronutrients, it is an important component in the diet. However, the presence of aflatoxin B1 (AFB1) in the feed of dairy cattle results in contamination of milk and dairy products with aflatoxin M1 (AFM1), a toxic metabolite of the carcinogenic mycotoxin. With the aim to determine AFM1 concentrations in milk and milk products consumed in Bangladesh, in total, 145 samples were collected in four divisional regions (Sylhet, Dhaka, Chittagong, and Rajshahi). The samples comprised these categories: raw milk (n = 105), pasteurized milk (n = 15), ultra-high temperature (UHT)-treated milk (n = 15), fermented milk products such as yogurt (n = 5), and milk powder (n = 5). AFM1 levels in these samples were determined through competitive enzyme-linked immunosorbent assay (ELISA). Overall, AFM1 was present in 78.6% of milk and milk products in the range of 5.0 to 198.7 ng/L. AFM1 was detected in 71.4% of raw milk (mean 41.1, range 5.0–198.7 ng/L), and in all pasteurized milk (mean 106, range 17.2–187.7 ng/L) and UHT milk (mean 73, range 12.2–146.9 ng/L) samples. Lower AFM1 levels were found in yogurt (mean 16.9, range 8.3–41.1 ng/L) and milk powder samples (mean 6.6, range 5.9–7.0 ng/L). About one-third of the raw, pasteurized, and UHT milk samples exceeded the EU regulatory limit (50 ng/L) for AFM1 in milk, while AFM1 levels in yogurt and milk powder samples were well below this limit. Regarding regions, lower AFM1 contamination was observed in Chittagong (mean 6.6, max 10.6 ng/L), compared to Sylhet (mean 53.7, max 198.7 ng/L), Dhaka (mean 37.8, max 97.2 ng/L), and Rajshahi (mean 34.8, max 131.4 ng/L). Yet, no significant difference was observed in AFM1 levels between summer and winter season. In conclusion, the observed frequency and levels of aflatoxin contamination raise concern and must encourage further monitoring of AFM1 in milk and milk products in Bangladesh.

Occurrence of aflatoxin M1 in human breast milk in Bangladesh.

Breast milk is the best, most complete form of nutrition for newborns and infants. However, human milk can contain aflatoxin M1 (AFM1) upon ingestion of dietary mycotoxin contaminants, namely, aflatoxin B1 (AFB1), by lactating mothers. AFB1 and its hydroxylated metabolite AFM1 are potent carcinogens and thus an important issue in food safety and public health. This study is the first to explore the presence of AFM1 in breast milk samples from Bangladesh and assess infant exposure to this toxin, as a consequence of maternal mycotoxin intake. A total of 62 breast milk samples were collected from nursing mothers in Sylhet region of Bangladesh. The milk samples were collected between October 2019 and March 2020 and analyzed by a sensitive enzyme-linked immunosorbent assay. AFM1 was detected in 51.6% of the breast milk samples (colostrum, transitional and mature milk), with a mean concentration of 4.42 ± 0.56 pg/mL, and in the range between LOD (4.0 pg/mL) and 6.66 pg/mL. The frequent detection of AFM1 in breast milk indicates widespread dietary exposure to mycotoxins in our cohort. The estimated average daily intake of AFM1 for all nursed infants was 0.49 ng/kg b.w./day. No significant correlations were observed between AFM1 levels in human milk and food items regularly consumed by nursing women. Overall, AFM1 levels in breast milk samples from the Sylhet region of Bangladesh are moderate, and lower than the permissible levels established for AFM1 in dairy milk or infant formulae (50 and 25 ng/kg, respectively). Yet, this first data for AFM1 breast milk contaminant levels just reflect the recent situation in one cohort, and monitoring should be continued.

A Study on the Presence of Aflatoxin M1 in Cow’s Milk in Jiroft

Background and Aims: Cow's milk is a daily staple food for many individuals that can be contaminated with many toxins such as aflatoxin M1 (AFM1). AFM1 is a chemical form of the aflatoxin B1 produced by some species of Aspergillus genus like A. ochraceus, A. flavus, A. nomius, and A. parasiticus that can contaminate feed and forage cattle. This toxin enters into the milk after eating contaminated feed by cows. AFM1 can cause various dangerous diseases such as cancer and immune deficiency in humans. The present study is aimed to investigate the level of AFM1 in cow's milk in Jiroft, Kerman Province, Iran. Materials and Methods: A total of 90 cow’s milk samples were collected in spring and summer 2019 from available stores in Jiroft city. Enzyme-linked immunosorbent assay was used to measure AFM1 in all cow’s milk samples.Results: In the present study, AFM1 was found in 88 (97.8%) milk samples with a range of 0.2-90.62 ppt (mean, 20.07±24.46 ppt). AFM1 concentrations exceeded 50 ppt (maximum tolerance level of AFM1 in the European Union) was seen in 12 (13.3%) samples. Conclusions: The results of this study showed the presence of AFM1 in cow's milk in Jiroft city. So, in this region, many people are exposed to dangerous diseases such as cancer due to the consumption of milk contaminated with AFM1.