The paper dwells on the results obtained via long-term monitoring over food grain (wheat, barley, corn, oats, and rye) contamination with mycotoxin deoxynivalenol (DON). From 1989 to 2018 6,800 grain samples from Central, Southern, Volga, Ural, Siberian, North-Caucasian, Far Eastern, and North-western Federal Districts (FD) of the RF were analyzed. Depending on a year harvest, DON occurrence varied from 0 to 42 % and maximum toxin content reached 6.65 mg/kg. Over the whole examined period 10 % samples turned out to be contaminated and one forth of them contained the toxin in quanti- ties exceeding maximum permissible levels (MPL). DON occurrence amounted to 24–42 % in years of mass epiphytoties (1989, 1992 and 1993) as well as in crops gathered in 2014 and 2017; DON was detected in quantities exceeding MPL in 9–27 % of examined samples in those years. 78 % contaminated samples came from Southern and North-Caucasian FD and another 10 % were from Far Eastern FD. A significant correlation between DON occurrence and a number of rainy and sunny days in May was established on the example of wheat samples from Krasnodar region. Analysis of contamination dy- namics has revealed that over the last years there has been an ascending trend in frequency of DON detection in wheat that came not only from regions where Fusarium head blight was widely spread but also from regions in North-western, Siberian and Volga FD. Health risks related to DON intake with wheat grains processing products were assessed; the assessment revealed that DON intake higher than tolerable daily intake (TDI) for the residents of Southern and North-Caucasian FD in 1992, 1993, 2014 and 2017. Average occurrence of DON was 4.2; 11.9; 3.0 and 0.6 % for barley, corn, rye, and oats samples and its maximum contents amounted to 8.95; 0.95; 0.96 and 0.44 mg/kg accordingly. Just as it was the case with wheat, the most of contami- nated samples came from Southern, North-Caucasian and Far Eastern FD. Contamination tended to grow for all the exam- ined grains and it calls for relevant measures aimed at controlling food grains safety