Variability and uncertainty assessment of patulin exposure for preschool children in Flanders

Health risk assessment of Patulin intake through apples and apple-based foods sold in Qatar

This is the first report on assessing the non-carcinogenic health risk associated with Patulin exposure in Qatar. The concentrations of Patulin, as determined in previous studies, in apples, apple juice, and apple-based baby foods sold in Qatar and nearby countries were used to conduct the health risk assessment (HRA). The risk related to Patulin intake by different age groups was calculated using the USEPA risk assessment models. The intake levels (ILs) of various age groups was compared with the international standards. The highest IL in Qatar was for babies between 5-12 months old through ingesting contaminated apple-based baby foods, yet those levels were below the tolerable daily intake of Patulin set by the EU at 0.4 μg/kg BW/d. The results showed that the intake of Patulin in Qatar is lower than that in Tunisia and Iran based on the HRA analysis. The risk caused by chronic exposure to Patulin through ingesting raw apples and apple juice separately was below “1,” indicating that the overall population is not likely to be at risk of Patulin exposure. However, various uncertainties should be considered when adopting these results, mainly the low number of samples and additive exposure to other mycotoxins from different sources.

Patulin in fruit juices: occurrence, bioaccessibility, and risk assessment for Serbian population

This paper reports the first study of patulin occurrence in fruit juices and risk assessment related to patulin intake by children, adolescents and adults in Serbia. During 3 consecutive years (2013-2015), 142 fruit (apple or multi-fruit) juices were collected from the market and analysed using HPLC-UV. Patulin was found in 51.4% of juices with 0.7% of the samples in excess of the legal limit of 50 μg kg^-1 (mean 4.3 μg kg^-1). Apple juices showed significantly higher percentage of contaminated samples (74.0% vs 27.5%), as well as higher mean patulin content (6.4 vs 2.1 μg kg^-1) when compared with the multi-fruit ones. Bioaccessibility of patulin in fruit juices was studied using the standardised in vitro digestion method. A mean of 21.6% of the initial patulin amount reached the end of the intestinal phase showing a significant reduction of this toxin during the human digestion process. Risk assessment of patulin intake by Serbian children, adolescents and adults, conducted by deterministic and probabilistic approaches and including the bioaccessibility results, revealed no health concern. Although patulin alone does not represent risk, further research should consider its co-occurrence with other toxic substances in food and potential adverse effects of their mixtures.

Risk assessment of patulin intake through apple-based food by infants and preschool children in Serbia

This study reports for the first time in Serbia the occurrence of patulin in apple-based food and the risk assessment associated with patulin intake by infants and preschool children. In total, 214 samples of infant fruit juices (48), infant purée (66), and juices for children (small package with straw, 100) were collected over 3 years (2013-15) and analysed using HPLC with ultraviolet detection. Patulin was found in 43.8% of infant juices and 16.7% of infant purée, with all values below the legal limit of 10 μg kg^-1 (maximum 8.3 and 7.7 μg kg^-1, respectively). The proportion of contaminated samples among fruit juices for children was 43.0%, with the highest patulin concentration at 30.2 μg kg^-1, not exceeding the maximum allowed level of 50 μg kg^-1. Risk assessment of patulin intake by Serbian infants and preschool children, conducted by deterministic and probabilistic approaches, revealed a hazard quotient well below 1, indicating a tolerable exposure level and no health concern.

Patulin and ochratoxin A co-occurrence and their bioaccessibility in processed cereal-based foods: A contribution for Portuguese children risk assessment

Patulin (PAT) and ochratoxin A (OTA) are well known enteropathogenic mycotoxins that are present in several foodstuffs. Processed cereal-based foods are among the first solid foods eaten by children, a particularly vulnerable population group. There is a lack of knowledge related to the co-occurrence of PAT and OTA in food intended for children consumption and their potential interactions during the digestion process. The present study aims to evaluate, for the first time, the co-occurrence of PAT and OTA in processed cereal-based foods for children consumption, the bioaccessibility of these two mycotoxins, and the contribution of the bioaccessibility data for human health risk assessment. PAT and OTA incidence were 75% and 50%, respectively. These mycotoxins co-occurred in 40% of analysed samples. Bioaccessibility assays revealed mean values of 52% and 56% for PAT, alone and combined with OTA; and 100% and 106% for OTA, alone and combined with PAT. Considering the human health risk assessment, and taking into account the co-occurrence and the bioaccessibility results, this study indicates a tolerable exposure to these mycotoxins representing a low risk for Portuguese children. The present work reinforces the importance of a holistic approach for risk assessment which gathers data from occurrence, exposure and bioaccessibility.

Risk analysis of main mycotoxins occurring in food for children: An overview

Mycotoxins are secondary metabolites produced by fungi contaminating the food chain that are toxic to animals and humans. Children up to 12 years old are recognized as a potentially vulnerable subgroup with respect to consumption of these contaminants. Apart from having a higher exposure per kg body weight, they have a different physiology from that of adults. Therefore they may be more sensitive to neurotoxic, endocrine and immunological effects. For these reasons, a specific and up-to-date risk analysis for this category is of great interest. In this review, an accurate analysis of the main mycotoxins occurring in food intended for children (deoxynivalenol, aflatoxins, ochratoxins, patulin and fumonisins) is presented. In particular, known mechanisms of toxicity and levels of exposure and bioaccessibility in children are shown. In addition, recent discoveries about the strategies of mycotoxins managing are discussed.

Screening for the presence of patulin in molded fresh produce and evaluation of its stability in the production of tomato products

A screening for the presence of patulin in molded fresh produce was conducted. Patulin was present in 11% of the sweet bell peppers and in 8% of the soft red fruits, but not in onions. Patulin was also found in tomatoes, but could not be detected in derived tomato products. When the production process of tomato concentrates was simulated, none of the evaluated hypotheses could however explain a complete degradation of patulin. It was thus concluded that the tomato varieties used for further processing are probably less susceptible to infestation by patulin-producing molds compared to tomatoes used for the fresh market. This was confirmed by screening for patulin throughout the production process of tomato concentrate, gazpacho, and salmorejo in three different countries; all 191 samples were negative for patulin. Therefore, it can be concluded that no health risk can be associated with derived tomato products considering this particular mycotoxin.

Mycotoxins: occurrence, toxicology, and exposure assessment

Mycotoxins are abiotic hazards produced by certain fungi that can grow on a variety of crops. Consequently, their prevalence in plant raw materials may be relatively high. The concentration of mycotoxins in finished products is usually lower than in raw materials. In this review, occurrence and toxicology of the main mycotoxins are summarised. Furthermore, methodological approaches for exposure assessment are described. Existing exposure assessments, both through contamination and consumption data and biomarkers of exposure, for the main mycotoxins are also discussed.

On the treatment of uncertainty and variability in making decisions about risk

Much attention has been paid to the treatment of dependence and to the characterization of uncertainty and variability (including the issue of dependence among inputs) in performing risk assessments to avoid misleading results. However, with relatively little progress in communicating about the effects and implications of dependence, the effort involved in performing relatively sophisticated risk analyses (e.g., two-dimensional Monte Carlo analyses that separate variability from uncertainty) may be largely wasted, if the implications of those analyses are not clearly understood by decisionmakers. This article emphasizes that epistemic uncertainty can introduce dependence among related risks (e.g., risks to different individuals, or at different facilities), and illustrates the potential importance of such dependence in the context of two important types of decisions--evaluations of risk acceptability for a single technology, and comparisons of the risks for two or more technologies. We also present some preliminary ideas on how to communicate the effects of dependence to decisionmakers in a clear and easily comprehensible manner, and suggest future research directions in this area.

Occurrence of patulin in organic and conventional apple-based food marketed in Catalonia and exposure assessment

In the last years, consumption of organic foods has become increasingly popular. Nevertheless, safety of organic foods is still unclear, and needs to be thoroughly evaluated. Patulin is a mycotoxin mainly present in rotten apples and apple-based products. The aim of this study is to analyse the content of patulin in apple juices and purees derived from organic and conventional production systems, in order to assess the risk to consumers, particularly in children. A total of 93 apple-based products marketed in Catalonia were analysed, 49 of which were derived from conventional and 44 from organic farming. The results showed higher incidence of positive samples and higher concentration of patulin in organic apple purees when comparing with conventional ones. In the case of juices, significant differences were found between conventional and organic samples, but applying a multivariate analysis the type of agriculture did not seem to have a relevant contribution to patulin occurrence, being cloudiness the main factor involved. The estimated daily intake of patulin for infants and young children (0-3 years old), children (4-18 years old) and adults (19-66 years old), were below the provisional maximum tolerable daily intake (PMTDI) of 0.4 μg/kg bw in all scenarios considered.

Aflatoxin m1 in milk products in china and dietary risk assessment

This study was conducted to investigate the occurrence of aflatoxin M1 (AFM1) in milk products in China using the competitive enzyme-linked immunosorbent assay method and to estimate the dietary exposure to this toxin through a probabilistic approach. Based on the exposure assessment results, a quantitative cancer potency formula developed by the Joint Food and Agriculture Organization and World Health Organization Expert Committee on Food Additives was applied to assess the cancer risk. AFM1 was detected in 48.07% of the milk samples and 4.49% of the yoghurt samples. No samples contained AFM1 above the current regulatory limit in China. The simulated AFM1 intake (90% confidence interval) in various sex-age groups ranged from 0.023 (0.021 to 0.023) ng/kg of body weight per day for 30- to 45-year-old men to 0.382 (0.354 to 0.386) ng/kg of body weight per day for 2- to 4-year-old girls at the 99th percentile. The cancer risk of AFM1 to the general population of China was assessed to be 0.129 cancer cases per year per 10(8) persons at the 99th percentile. These results indicate that the health risk associated with AFM1 in milk in China is relatively low.

Risk assessment of patulin intake from apple containing products by young children

Patulin is a mycotoxin for which a provisional maximum tolerable daily intake (PMTDI) of 400 ng/kg bodyweight/ day has been set based on its most sensitive toxic effect, growth retardation. Apple containing products are the major source for patulin exposure, with major intake differences according to age and living region. Young children are most at risk of patulin intoxication, because they consume much higher amounts of apple products than adults. In this study, the patulin intake was calculated for Dutch children of 8 to 48 months and the risks of patulin intoxication were assessed. In addition, the bioaccessibility of patulin from apple containing products was investigated for a more refined risk assessment of patulin. The bioaccessibility of patulin was high, varying between 55 and 100%, and, consequently, no refinement of the risk assessment was possible. Based on the probabilistic intake calculations, children are exposed to levels below the PMTDI. Children aged 13-20 months with a high organic apple product intake have the highest patulin exposure, 342 ng/kg bodyweight/day at the upper confidence interval of the P95. No harmful effects are expected with the current patulin intake in young children. No concentration data are available for baby food (organic and conventional) and, therefore, concentrations were set at half the legal limit for intake calculations. Concentration data are needed for a more refined intake calculation for children younger than one year to estimate the actual risk in these children, because baby food comprises 23% of their diet.

Strategies to reduce exposure of fumonisins from complementary foods in rural Tanzania

Feeding infants with maize can expose them to fumonisin mycotoxins. We assessed fumonisin exposure from complementary foods in rural Tanzania and determined strategies to reduce the exposure. We conducted a cross-sectional study in four villages of Tarakea division, Northern Tanzania. We used a repeat 24-hour dietary recall to collect data of maize consumption as complementary food for 254 infants aged 6-8 months. Fumonisin concentrations in the maize were also estimated. Fumonisin exposure was assessed using @risk analysis software. With the software, several maximum fumonisin contamination and maize consumption patterns were combined in order to determine effective strategies for minimizing fumonisin exposure. Of the infants, 89% consumed maize at amounts up to 158g/person/day (mean; 43g/person/day±28). The maize was contaminated with fumonisins at levels up to 3201µgkg(-1) . Risk of fumonisin intake above the provisional maximum tolerable daily limit of 2µgkg(-1) body weight was 15% (95% confidence interval; 10-19). The risk was minimized when the maximum contamination was set at 150µgkg(-1) . The risk was also minimized when the maximum consumption was set at 20g/child/day while keeping the maximum contamination at the European Union (EU) maximum tolerated limit (MTL) of 1000µgkg(-1) . Considering the economical and technological limitations of adopting good agricultural practices in rural Tanzania, it is practically difficult to reduce contamination in maize to 150µgkg(-1) . We suggest adoption of the EU MTL of 1000µgkg(-1) for fumonisins in maize and reduction, by replacement with another cereal, of the maize component in complementary foods to a maximum intake of 20g/child/day.

Consuming organic versus conventional vegetables: the effect on nutrient and contaminant intakes

The health benefits of consuming organic compared to conventional foods are unclear. This study aimed at evaluating the nutrient and contaminant intake of adults through consumption of organic versus conventional vegetables, namely carrots, tomatoes, lettuce, spinach and potatoes. A probabilistic simulation approach was used for the intake assessment in two adult populations: (1) a representative sample of Belgians (n=3245) and (2) a sample of Flemish organic and conventional consumers (n=522). Although significant differences in nutrient and contaminant contents were previously found between organic and conventional vegetables, they were inconsistent for a component and/or vegetable. These findings were translated here into inconsistent intake assessments. This means that the intake of specific nutrients and contaminants can be higher or lower for organic versus conventional vegetables. However, when considering the consumption pattern of organic consumers, an increase in intake of a selected set of nutrients and contaminants is observed, which are explained by the general higher vegetable consumption of this consumer group. In public health terms, there is insufficient evidence to recommend organic over conventional vegetables. The general higher vegetable consumption of organic compared to conventional consumers outweighs usually the role of differences in nutrient and contaminant concentrations between organic and conventional vegetables.

Developments in mycotoxin analysis: an update for 2007-2008

This review highlights developments in mycotoxin analysis and sampling over a period between mid-2007 and mid-2008. It covers the major mycotoxins: aflatoxins, Alternaria toxins, cyclopiazonic acid, fumonisins, ochratoxin, patulin, trichothecenes, and zearalenone. Some aspects of natural occurrence, particularly if linked to novel aspects of analytical methods, are also included. The review demonstrates the rise of LC-MS methods, the continuing interest in developing alternative and rapid methods and the modification of well-established mycotoxin analytical methods by individual laboratories to meet their own requirements.