Soils in areas affected by konzo (a cassava cyanide intoxication paralytic disorder) are predominantly infertile and probably unable to supply cassava the nutrients it needs to achieve optimal growth. The soil nutrient levels in these areas, could also be influencing cyanogenic glucoside production in cultivated cassava, however there is hardly any knowledge on this. An assessment of soil nutrient levels on cassava fields in konzo-affected 2 areas was therefore carried out to determine their adequacy for optimal cassava growth and how this influences cassava cyanogenic glucoside production. Konzo-affected Mtwara region, in Tanzania, was used as a case study area. Correlations between total hydrogen cyanide (HCN) levels in cassava roots and various soil nutrient levels on cassava fields were carried out and relationships between cyanide intoxication and soil nutrient levels on fields from which toxic cassava roots had been harvested were also investigated. The results showed that cassava grows under conditions of severe nutrient stress in the region. Soil nutrients found to be deficient on most fields, like potassium (mean = 0.09, SD = 0.05 cmol/kg), magnesium (mean = 0.26, SD = 0.14 cmol/kg) and zinc (mean = 1.34, SD = 0.26 mg/kg), are known to reduce cyanogenic glucoside levels in cassava roots when adequate in soils. Cyanogenic glucoside levels in cassava roots however increased by high levels soil phosphorous (r s = 0.486, p = 0.026 for all varieties) and sulphur (r s = 0.593, p = 0.032 and r s = 0.714, p = 0.047; for bitter and sweet cassava varieties, respectively) on these soils. The likelihood of cassava cyanide intoxication was also increased on fields with high pH and iron levels. High levels of sulphur and phosphorus, to very high levels of iron occurred on some fields. How soil nutrient supply influences cassava cyanogenic glucoside production in the konzo-affected areas was established.Rural and Newala) lie in Tanzania's, Coastal Lowlands agroecological zone [17,23]. Soils in the region are generally classified as Ferralic Cambisols and are predominantly sandy [17,23]. The rainfall in the region is mono-modal and ranges from 800 to 1000 mm/year and the maximum and minimum temperatures vary from 29 to 31 o C and 19 to 23 o C, respectively [23]. Both districts lie on the Makonde plateau, with Newala lying to the west and Mtwara Rural to the eastern side of the plateau.
Selection of households for the surveyThe survey was carried out from 7 th to 16 th October, 2014, during the hot-dry season, which is a common harvest time for cassava in the region. The survey was carried out in some konzo affected villages of Newala district and Mtwara Rural district. The villages were selected from the 18 villages visited during a konzo rehabilitation and prevention program that was carried out in 2008 to 2009, by the Tanzania Food and Nutrition Centre (TFNC) and the Tanzania Red Cross Society (TRCS), with technical support from the Australian National University (ANU) [13]. Four villages were selected from each distr...