Exposure of school children to aflatoxin and fumonisin is mainly through diet. In Kenyan public schools, children are given porridge made from maize flour for breakfast, a mixture of maize and beans, also known as githeri for lunch and ugali for dinner. Nixtamalization has proved to reduce mycotoxins in most cereals and not a mixture of maize and beans. This study, therefore, aimed to assess the exposure of primary school children in Turkana County to aflatoxin and fumonisin through maize-based food under the school meals program and the effectiveness of nixtamalization in the reduction of these mycotoxins. Samples of githeri were randomly collected from all public primary schools (n = 128) under the homegrown school meals program in Turkana County and analyzed for aflatoxin and fumonisin. The data was analyzed using SAS software, version 9.4. The deterministic model was used to calculate the estimated daily intake (EDI) and the margin of exposure (MOE) used to characterize the exposure risk. The contaminated samples were then treated with various concentrations of Ca(OH)2, 0.5-2.5%. The treated samples were cooked for 60 and 75min and soaked for 6 and 8h. Forty percent of the schools contained githeri samples with aflatoxin B1 levels above 5µg/Kg, the maximum limit for Kenya. Exposure to aflatoxin B1 and total aflatoxin was up to 2µg/kg/bw/day. The range for fumonisin exposure was 60-80µg/kg/bw/day. Ca(OH)2 concentration levels of up to 2.5% reduced aflatoxin by 75% and fumonisin by 72%. The findings indicate that githeri is contaminated with aflatoxin and fumonisin which exposes school children to these mycotoxins and nixtamalization can be used to reduce mycotoxin contamination in githeri.
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