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Background Human dietary exposure to chemicals can result in a wide range of adverse health effects. Some substances might cause non-communicable diseases, including cancer and coronary heart diseases, and could be nephrotoxic. Food is the main human exposure route for many chemicals. We aimed to assess human dietary exposure to a wide range of food chemicals. MethodsWe did a total diet study in Benin, Cameroon, Mali, and Nigeria. We assessed 4020 representative samples of foods, prepared as consumed, which covered more than 90% of the diet of 7291 households from eight study centres. By combining representative dietary surveys of countries with findings for concentrations of 872 chemicals in foods, we characterised human dietary exposure. FindingsExposure to lead could result in increases in adult blood pressure up to 2•0 mm Hg, whereas children might lose 8•8-13•3 IQ points (95th percentile in Kano, Nigeria). Morbidity factors caused by coexposure to aflatoxin B1 and hepatitis B virus, and sterigmatocystin and fumonisins, suggest several thousands of additional liver cancer cases per year, and a substantial contribution to the burden of chronic malnutrition in childhood. Exposure to 13 polycyclic aromatic hydrocarbons from consumption of smoked fish and edible oils exceeded levels associated with possible carcinogenicity and genotoxicity health concerns in all study centres. Exposure to aluminium, ochratoxin A, and citrinin indicated a public health concern about nephropathies. From 470 pesticides tested across the four countries, only high concentrations of chlorpyrifos in smoked fish (unauthorised practice identified in Mali) could pose a human health risk. Interpretation Risks characterised by this total diet study underscore specific priorities in terms of food safety management in sub-Saharan Africa. Similar investigations specifically targeting children are crucially needed. Funding Standards and Trade Development Facility.

A new solid phase microextraction method for the determination of pesticide residues in strawberries for 16 commonly used compounds was described. The strawberries were crushed and centrifuged. An aliquot of the well agitated aqueous supernatant (4 ml) was extracted with a fibre coated with polydimethylsiloxane (PDMS, 100 microns) for 45 min at room temperature. Identification and quantification were achieved using a gas chromatography-mass spectrometry (GC-MS) system and selective ion monitoring (SIM). The method was tested for the following pesticides: carbofuran, diethofencarb, penconazole, hexaconazole, metalaxyl, folpet, bromopropylate, dichlofluanid, alpha-endosulfan, beta-endosulfan, parathion ethyl, procymidone, iprodione, vinclozolin, myclobutanil and chlorothalonil. Limits of detection, repeatability and linearity for standard calibration in strawberries were obtained. Positive and negative effects of the matrix between the extracting solution of strawberries and water were observed. Stabilities of these compounds in the extracting solution of strawberries were determined. The solvent-free SPME procedure was found to be quicker and more cost effective than the solvent extraction methods commonly used.