Mycological Quality of Maize Flour from Aflatoxins “Hot” Zone Eastern Province – Kenya Korir K.1 and Bii CC1. 1 Centre for Microbiology Research - Kenya Medical Research Institute P.O. Box 54840-00200, Nairobi, Kenya. Corresponding author:Tel.: +254-2724264; Mobile + 254 – 710173815; Fax: +254202720030 E-mail address: [email protected] SUMMARY Background: Many agricultural commodities are vulnerable to attack by fungi that produce mycotoxins. Among the mycotoxins, aflatoxins produced by Aspergillus flavus and Aspergillus parasiticus, have assumed significance owing to their widespread occurrence. Aflatoxins are proven carcinogens. In developing countries many individuals are chronically exposed to high levels of aflatoxins and other mycotoxins in their diets. Tropical climate not only favour fungal infestation and toxins production but lack of monitoring may lead to grave consequences. Methods: Twenty sample of maize flour collected and confirmed to be mycotoxin positive from aflatoxin “hot” zones in Eastern Province were subjected to mycological investigations. The samples were dissolved in sterile distilled water and inoculated into Potato Dextrose Agar and incubated at 30oC. After 48 hours, fungal colony forming units were determine and identified using conventional procedures. Results/Discussion: Over 70% of the maize samples investigated were infested with toxigenic moulds. The predominant species of fungi identified were; Aspergillus flavus. A. parasiticus, A. niger, Penicillium citrinum, Fusarium moniliforme and Rhizomucor. Two Bacterial spp, Bacillus anthracoides and Streptomyces spp were also isolated. This is an indication that other than aflatoxins produced by Aspergillus spp, there could be other potentially carcinogenic mycotoxin such as fumonisins produced by Fusarium spp. which goes undetected. Conclusion: The results are of a particular public health importance given the long term consequences of mycotoxins exposure to human and animal health and calls for detection of other non aflatoxin mycotoxins and constant monitoring of mycotoxicological food contamination. Key words: Fungi, Mycotoxins, Aflatoxines, Fumonisins, Tropical Climate, Public Health. [Afr J Health Sci. 2012; 21:143-146] Introduction Mycotoxins are potent fungal metabolites that frequently contaminates maize and other agricultural products world wide (Peraica et al., 1999, Guo, 2000). Aflatoxin is a fungal toxin produced by Aspergillus flavus and its related A. parasiticus. Chronic exposure to aflatoxin contaminated foods is a risk factor for liver cancer and over consumption leads to acute hepatic failure known as aflatoxicosis (Williams, 2004, Fung and Clark, 2004). It also leads to impaired immune system and protein-nutrient metabolism which may impact negatively on other health parameters including HIV infection, malnutrition and infectious disease (Fung and Clark, 2004). Several outbreaks of acute aflatoxicosis have been periodically reported in Kenya, with acute aflatoxicoses reported in Machakos, Makueni and Kitui Districts in 1982, 2004 and 2005 and now known as the aflatoxin ‘hot’ zones (Lauren, 2004, Ngindu et al., 1982). The zones catchments and population consists of Kibwezi, Makindu, MtitoAndei, Mutha, Mutomo, Ikutha, Central and Kyuluni. This catchment area comprises the region where the majority of aflatoxicosis cases occurred in 2004 and 2005. It is a rural area where most of the local population engages in small-scale, mixed farming with maize being the primary dietary staple food crop. Epidemiologic investigations determined that the outbreak was as a result of aflatoxin poisoning from ingestion of contaminated maize (corn). As of 20 July 2004, 317 cases and 125 deaths had occurred; making this one of the largest and most severe outbreaks of acute aflatoxicosis documented worldwide (CDC 2004). African Journal of Health Sciences, Volume 21, Number 3-4 April-June 2012 143 Several control strategies including early detection and replacement of contaminated food among subsistence farmers has been attempted (AzzizBaumgartner, 2005, Sherphard, 2003), controlled moisture level and adequate drying, proper storage facilities and practices (Guo, 2000). Unfortunately, in Kenya even if such guidelines exist, they are not fully enforced However, in order to find a long term, cost effective solution to mycotoxicoses given the remote location of the high risk population, there is need for educational, agricultural and medical intervention. Given the favorable condition for fungal contamination and proliferation, it is possible that the population continue to be exposed to other fungal metabolites other than aflatoxins which might lead to long term adverse health consequences. Maize replacement efforts by the Ministry of Health during 2004, 2005 aflatoxin outbreak served only the short term effort of reducing morbidity and mortality (Azziz-Baumgartner, 2005). In developed countries, mycotoxin detection and control strategies have eliminated aflatoxicosis (Guo, 2000). For long term solutions to mycotoxin exposure in Kenya, strategies at the subsistence farm level should target awareness, storage practices, and control of storage pests, good quality maize breeds and risk factors. Materials and methods The study catchments and population consists of three divisions in Makueni (Kibwezi, Makindu, MtitoAndei) and five divisions within Kitui District (Mutha, Mutomo, Ikutha, Central and Kyuluni). According to the 1999 Kenya National Census data, the total population of these six districts is 527,679. This catchment area comprises the region within Makueni and Kitui Districts where the majority of aflatoxicosis cases occurred in 2004 and 2005. It is a rural area where most of the local population engages in small-scale, mixed farming with maize being the primary dietary staple crop. Villages were randomly selected from the catchment area where the majority of reported acute aflatoxicosis cases occurred. Out of 147 samples initially collected for detection of aflatoxin, we randomly selected twenty samples for mycological investigations. The maize flour samples were prepared for colony forming units culture by weighing five grams in 10ml of sterile distilled water and the mixture was vortex for 1 min. One hundred microlitres of the sample was inoculated onto potato dextrose agar using micro pipette and uniformly spread using sterile spreaders. The plates were incubated for 48 hours after which the colony forming units were counted. The procedure was done in triplicates and the average result was recorded. Fungal identification was done using cultural and morphological characteristics (Campbell, 1996, Marassas et al, 1994). Plates inoculated with sterile distilled water were included as controls. Results The results revealed that 15/20 (75%) of the samples were infested with potential mycotoxin producing fungi. Three samples had >1000 colony forming unit (CFU) per ml of sample tested. In the positive samples 12/15(80%) were infested with A. flavus and A. parasiticu, 6/15 (40%) were A. niger infested. There were five samples infested with Fusarium moniliforme and three with Penicillium citrinum. The results are as shown in table I below. Table I: Colony Forming Unit Counts of Fungal Contaminants after 48 Hours Reference No. Colony forming Units Contaminants M141 M035 Fusarium moniliforme, Rhizomucor, Bacillus >1000 anthracoides M073 2 Fusarium miniliforme M071 3 Penicillium citrinum, A. flavus, A. parasiticus M083 3 Aspergillus niger, A. flavus, A. parasiticus M023 2 A. flavus, A. parasiticus M062 21 A. flavus, A. parasiticus, A. niger, Fusarium moniliforme M084 37 Bacillus anthracoides, Streptomyces spp. M088 20 A. flavus, A. parasiticus, Penicillium citrinum, Fusarium moniliforme M144 85 A.flavus, A. niger, A. parasiticus M074 5 A. niger, A. flavus, A. parasiticus, Penicillium citrinum M134 A. niger, A. flavus, A. parasiticus >1000 African Journal of Health Sciences, Volume 21, Number 3-4 April-June 2012 144 M086 M087 M082 M081 M135 M091 M134 M077 18 5 >1000 16 A. flavus, A. niger, A. parasiticus, A. tereus F. moniliforme A. niger, A. flavus, A. parasiticus A. flavus, A. parasiticus The following are sample photographs of culture plates with heavy infestation with toxigenic fungi. Figure I: Plates of Flour Samples Showing Heavy Infestation by Toxigenic Fungi a. Fusarium moniliforme and A. parasiticus c. Aspergillus flavus and A. niger Discussion Other contaminants encountered were bacterial strain; Bacillus anthracoides and Streptomyces spp. The presence of environmental bacterial contaminants such as Bacillus anthracoides and Streptomyces spp is an indication of poor hygienic condition during handling, transportation and storage of maize product which is a further predisposing factor to fungal contamination. Rhizomucor is a saprophyte found in the environment and although it has not been reported to produce any harmful mycotoxins, such fungal infestation leads to caking and poor quality of maize (Hesseltine, 1976). Several practices have been suggested to reduce fungal infestations and includes; Sanitation practices, destroying and discarding hairs, shattered kernels and shelled cobs which can harbour insects (especially maize weevil) and A. flavus. Fumigation for insects (especially maize weevil) at the earliest practical time after shelling can also reduce fungal infestation. Build-up of fungal during temporary storage (prior to transport to the silo) may be a major contributor to A. flavus and A. Parasiticus b. Penicillium citrinum d. Bacillus anthrocoides leading to aflatoxin build-up. Aflatoxin out break in Kenya with certainty and is attributed to drought and food shortages (USAID, 2004). However, before a long lasting mycotoxin control can be achieved, apart from enforcing the recommended guidelines, first, there is need to determine whether we are dealing with only aflatoxin exposure or there are other fungal metabolites of public health concerns and why are certain areas of the country prone to aflatoxicoses outbreaks. There is a possibility that the maize seed variety grown in the Aflatoxin ‘hot’ zones could be more susceptible to fungal infestations and subsequent mycotoxin contamination with possible ‘super’ aflatoxin producing Aspergillus flavus. There could also be cultural practices among the population that makes the grains more susceptible to fungal infestations and subsequent toxin production while the population may not understand the long term consequences of mycotoxin exposure. There is also a possibility that the rising cases of cancers may be attributed to mycotoxin exposure. There is also need to investigate the role of insect pest such as weevil in African Journal of Health Sciences, Volume 21, Number 3-4 April-June 2012 145 fungal infestation of maize from the field to the granary. Conclusion The maize samples from ‘aflatoxin hot zones’ had a high percentage of potential mycotoxin producing fungal contaminants. There is a possibility that the population is exposed to other toxic fungal metabolites such as fumonisins. The results are of a particular public health importance given the long term health consequences of mycotoxins exposure in both human and animal. In order to reduce morbidity and mortality associated with aflatoxin exposure in high risk population, there is need for long term intervention measures. Apart from identifying simple cost effective method of detecting fungal contamination, on-farm mycotoxin management approach and educational campaigns would be useful in finding long term solution to mycotoxin exposure in peasant farmers. Acknowledgement The authors would like to sincerely acknowledge the Director KEMRI for providing a conducive environment for this work to be accomplished. References 1. Azziz-Baumgartner E. (2005). Case-control study of an acute aflatoxicosis outbreakKenya, 2004. Environ Health Perspect: doi:10.1289/ehp.8384. [Online 9 August 2005]. 2. 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Toxigenic Fusarium species, Identity and Mycotoxicology. Penn State Univ. Press, University Park. 9. Ngindu A, Kenya PR, Ocheng DMl. (1982). Outbreak of acute hepatitis by aflatoxin poisoning in Kenya. Lancet. 319: 1346-1348. 10. Peraica M, Radic B, Lucic A, Pavlovic M. (1999). Toxic effects of mycotoxins in humans. Bull World Health Organ. 77: 754-66. 11. Shephard, G S. (2003). “Aflatoxin and Food Safety: Recent African Perspectives.” Journal of Toxicology 22 (2&3): 267-286. 12. USAID Famine Early Warning Systems Network (Kenya), World Food Program, Kenya Ministry of Agriculture. Kenya food security report-August 9, 2004. 13. Williams J. (2004). Human aflatoxicosis in developing countries: A review of toxicology, exposure, potential health consequences, and interventions. American Journal of Clinical Nutrition. 80: 1106-22. African Journal of Health Sciences, Volume 21, Number 3-4 April-June 2012 146
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