Maize is one of the major staple foods of Sub-Saharan Africa and is consumed as whole or dehulled grain. In this region, where the environmental conditions favour fungal growth and mycotoxin production, the majority of the population are subsistence consumers who, unfortunately, have little or no access to mycotoxin testing of their food. In an attempt to develop feasible reduction strategies in dietary mycotoxin exposure of the population, a three-factorial design experiment was conducted to examine and compare the efficacy of hand sorting, flotation, dehulling and combinations thereof in removing naturally occurring aflatoxins, fumonisins, nivalenol, deoxynivalenol and alternariol in shelled white maize. Regression analysis was used to determine the significant (p < 0.05) process variables on the removal of mycotoxins from the maize. Results from this experiment indicated that hand sorting had the greatest effect on mycotoxin removal, while flotation yielded the least effect. In particular hand sorting left < 6% of aflatoxin B1 and < 5% of fumonisin B1. Based on these results, hand sorting of maize grains is being recommended as a last line of defence against mycotoxin exposure among subsistence consumers.

This study assessed knowledge, attitude, and practices (KAP) of the public in Malawi on issues related to molds in foodstuffs. A survey involving structured questionnaire was conducted with 805 respondents from seven districts of Malawi. Descriptive statistics, t tests, and analyses of variance were calculated. A majority of respondents recognized that molds were dangerous to human health (88%); however, about 50% of respondents were not informed that mold toxins are thermally stable and that they are not destroyable by normal cooking processes. About 33% of the respondents asserted that they buy moldy maize, while approximately 20% of respondents reported that they consume moldy fruits having discarded moldy fraction. There were significant differences in knowledge scores among different demographic groups. Females had significantly (p < 0.05) lower knowledge scores on issues related to molds in foods. Additionally, the respondent's location had a significant effect. However, respondent's education had subtle effect on knowledge score and the overall population's knowledge score was generally low (3.55 ± 1.32 score out of 9). Results of the study underline the need to raise public's knowledge about health risks associated with spoilage molds in food and prevention and management options.

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Following the discovery of aflatoxins in the early 1960s, there have been many studies leading to the uncovering of many mycotoxins and the understanding of associated health effects in animals and humans. Consequently, there has been a global increase in the number of countries with mycotoxin regulations in foods. However, many African countries have only regulations for aflatoxins (or a few other mycotoxins) in specific foods, or no regulations at all. This paper critically reviews the challenges thwarting the establishment of mycotoxin regulations and their impacts on human dietary mycotoxin exposure in Africa. Mycotoxin regulatory limits for different countries are compared with mycotoxin tolerable daily intakes established by international food safety bodies taking into account consumption patterns. The agrarian setup, food insecurity, and mycotoxin analytical challenges in African countries are discussed; and more feasible mycotoxin dietary exposure reduction strategies are proposed.

This study investigated the diversity of fungal metabolites in maize across four agro-ecological zones of Malawi. A total of 90 maize samples (for human consumption), collected from farmsteads, were analysed for 235 fungal metabolites using liquid chromatography-tandem mass spectrometry. A total of 65 metabolites were found in the samples. 75% of samples from the hottest agro-ecological zone contained either aflatoxins, fumonisins, deoxynivalenol, zearalenone; or a combination thereof in levels exceeding European Union (EU) maximum levels, whereas the related fraction was only 17% in the cool temperature zone. Aflatoxins, citrinin, 3-nitropropionic acid, monocerin and equisetin were most prevalent and in higher levels in samples from hot agro-ecological zones, whereas deoxynivalenol, nivalenol, zearalenone and aurofusarin were most prevalent in cool agro-ecologies. On the basis of per-capita maize consumption, estimated daily intakes for all samples from hot ecologies were well above the JECFA's provisional maximum tolerable daily intake (PMTDI) of 2.0 μg/kg body weight (bw)/day for fumonisins, whereas the PMTDI of 1.0 μg/kg bw/day for deoxynivalenol was exceeded in relatively more (90%) samples from the cool highlands than the other zones. These results demonstrate the influence of micro-climatic conditions on mycotoxin prevalence patterns and underscores the need for development of agro-ecological specific mycotoxin dietary exposure management strategies.