Rice makes up nearly a quarter of dietary intake in Haiti. Rice consumption began to rapidly increase during the mid-1980s and 1990s, corresponding to policy interventions that promoted the importation and consumption of U.S.-grown rice, soon making Haiti the second largest export market for American rice worldwide. Haitian growers also cultivate and sell local rice. Rice consumption can be a significant source of exposure to toxic metals since rice plants accumulate arsenic and cadmium from their environment. In August 2020, we collected samples of local (n=48) and imported (n=50) rice from vendor sites in the Lower Artibonite Valley region of Haiti. Cadmium and arsenic concentrations were measured via inductively coupled plasma mass spectrometry. Levels were compared between local versus imported commercial rice samples. For arsenic, we conducted a simulation study to estimate the intake of arsenic from varied quantities of local or imported rice samples on a per-body weight basis for adults and young children. We found that median concentrations were nearly two-fold higher for both arsenic and cadmium in imported rice (0.15 µg/g and 0.007 µg/g) compared to local rice (0.07 µg/g and 0.003 µg/g). Our simulation of arsenic intake through rice consumption suggests that adults of varying weights consuming 3 or more cups of imported rice per day would exceed a daily minimum risk level for toxicity. The simulation also suggests that most children consuming 1 or more cups of local or imported rice per day would exceed a health-based arsenic intake limit. In Haiti, imported rice had an average level of arsenic twice that of locally grown product, with some imported sources exceeding the international limits recommended to protect human health. Current consumption patterns of imported rice over the long-term for children and adults may adversely impact health in Haiti. Strengthening community food systems can promote better health.
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