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Aflatoxin Contamination Of Commercial Maize Products During An Outbreak Of Acute Aflatoxicosis In Eastern And Central Kenya, Karen E. Gieseker, Lauren Lewis, Mary Onsongo, Henry Njapau, Helen Schurz Rogers, George Luber, Stephanie Kieszak, Jack Nyamongo, Lorraine Backer, Abdikher Mohamud Dahiye, Ambrose Misore, Kevin Decock, Carol Rubin, Kenya Aflatoxicosis Investigation Group Dec 2005

Aflatoxin Contamination Of Commercial Maize Products During An Outbreak Of Acute Aflatoxicosis In Eastern And Central Kenya, Karen E. Gieseker, Lauren Lewis, Mary Onsongo, Henry Njapau, Helen Schurz Rogers, George Luber, Stephanie Kieszak, Jack Nyamongo, Lorraine Backer, Abdikher Mohamud Dahiye, Ambrose Misore, Kevin Decock, Carol Rubin, Kenya Aflatoxicosis Investigation Group

Public Health Faculty Publications

n April 2004, one of the largest aflatoxicosis outbreaks occurred in rural Kenya, resulting in 317 cases and 125 deaths. Aflatoxin-contaminated homegrown maize was the source of the outbreak, but the extent of regional contamination and status of maize in commercial markets (market maize) were unknown. We conducted a cross-sectional survey to assess the extent of market maize contamination and evaluate the relationship between market maize aflatoxin and the aflatoxicosis outbreak. We surveyed 65 markets and 243 maize vendors and collected 350 maize products in the most affected districts. Fifty-five percent of maize products had aflatoxin levels greater than the …


Outbreak Of Aflatoxin Poisoning - Eastern And Central Provinces, Kenya, January - July 2004, Karen E. Gieseker, Centers For Disease Control And Prevention Sep 2004

Outbreak Of Aflatoxin Poisoning - Eastern And Central Provinces, Kenya, January - July 2004, Karen E. Gieseker, Centers For Disease Control And Prevention

Public Health Faculty Publications

This report summarizes the preliminary results of the outbreak investigation. Aflatoxin poisoning likely will continue to be a public health problem until culturally appropriate storage methods for dry maize are implemented by the local population. In addition, enhanced surveillance for human aflatoxin poisoning and testing of commercially sold maize for aflatoxin levels will lead to long-term improvements in public health.