The study aimed to evaluate food handling practices and assess the maize-bean supply chain in selected boarding schools of western Uganda. Additionally, it sought to determine the extent of aflatoxin exposure in the maize-bean meal consumed by students within the age range of 5 to 24. A cross-sectional study was conducted in two districts of Bushenyi and Sheema to gather 95 samples (31 beans, 32 maize flour, and 32 cooked maize flour-posho). In addition, 262 individual interviews were conducted. The findings revealed that only 9.38% of the schools store food as per World Health Organisation standards. The majority of schools (57.9%) purchase maize flour and beans from any stockist with no contractual obligations (random supplier), and all the 32 schools base on visual parameters, especially white colour, and smell to rule out aflatoxin contamination. Maize flour stored on the ground registered significantly (P = 0.0018) higher levels (54.3 ± 10.1 μg/kg) of total aflatoxins than that stored on a raised platform (14.7 ± 2.6 μg/kg). Likewise, the supplier significantly influenced total aflatoxins levels (P = 0.0064), with higher levels (44.6 ± 8.0 μg/kg) detected in maize flour supplied by a random supplier than a pre-qualified one (14.7 ± 2.6 μg/kg). Given the low levels (1.3 to 2.8 μg/kg), which are far less than the Maximum Tolerated Limit (MTL) of 10 μg/kg, aflatoxins do not pose a significant problem in beans. Aflatoxins exposure in younger children (5-12 years) was higher (61.5 ng/kg bw/day) than in older ones (13-24 years; 41.5 ng/kg bw/day). Similarly, the risk of developing hepatocellular carcinoma was greater in younger children (1.84 cases per 100,000 people) compared to older ones (1.24 cases per 100,000 people). The findings underscore an urgent need to formulate guidelines for procurement, storage, and food handling in schools, alongside intensifying inspection programmes for food handling. Additionally, there is need to expand the research scope by incorporating a greater number of schools from varied geographical areas within Uganda, while rigorously monitoring the entirety of the food supply chain.
Purchase
Buy instant access (PDF download and unlimited online access):
Institutional Login
Log in with Open Athens, Shibboleth, or your institutional credentials
Personal login
Log in with your brill.com account
Asiki, G., Seeley, J., Srey, C., Baisley, K., Lightfoot, T., Archileo, K., Agol, D., Abaasa, A., Wakeham, K., Routledge, M.N., Wild, C.P., Newton, R. and Gong, Y.Y., 2014. A pilot study to evaluate aflatoxins exposure in a rural Ugandan population. Tropical Medicine and International Health 19: 592-599. https://doi.org/10.1111/tmi.12283
Atongbiik Achaglinkame, M., Opoku, N. and Amagloh, F.K., 2017. Aflatoxins contamination in cereals and legumes to reconsider usage as complementary food ingredients for Ghanaian infants: a review. Journal of Nutrition and Intermediary Metabolism 10: 1-7. https://doi.org/10.1016/j.jnim.2017.09.001
Ayoki, M., 2007. Munich personal RePEc archive. Agricultural market in Uganda: a profile. Kampala, Uganda, pp. 34-64. Available at: https://mpra.ub.unimuenchen.de/80900/1/MPRA_paper_80900.pdf.
Bukirwa, P., Wabinga, H., Nambooze, S., Amulen, P.M., Joko, W.Y., Liu, B. and Parkin, D.M., 2021. Trends in the incidence of cancer in Kampala, Uganda, 1991 to 2015. International Journal of Cancer 148: 2129-2138. https://doi.org/10.1002/ijc.33373
Cardador-MartıÌnez, A., CastanÌo-Tostado, E. and Loarca-PinÌa, G., 2010. Antimutagenic activity of natural phenolic compounds present in the common bean (Phaseolus vulgaris) against aflatoxins B1. Food Additives and Contaminants 19: 62-69. https://doi.org/10.1080/02652030110062110
de Castro, L. and Vargas, E.A., 2001. Determining aflatoxins B1, B2, G1 and G2 in maize using florisil clean up with thin layer chromatography and visual and densitometric quantification. Food Science and Technology 21: 115-122. https://doi.org/10.1590/S0101-20612001000100024
Doolotkeldieva, T.D., 2010. Microbiological control of flour manufacture: dimension of mycotoxins producing fungi in cereals. Microbiology Insights 3: 1-15.
Edgar Mugizi, A., Imade, F. and Tanvir, A., 2021. Update on mycotoxin contamination of maize and peanuts in East African community countries. Journal of Food Science and Nutrition Therapy 7: 1-10. https://doi.org/10.17352/jfsnt.000026
Grace, D., 2017. Food safety in developing countries: research gaps and opportunities. Annual reports. The 2017-2018 report. Available at: https://cgspace.cgiar.org/bitstream/handle/10568/81515/White%20paper%20food%20safety.pdf?sequence=1.
Hwang, J.H. and Lee, K.G., 2006. Reduction of aflatoxins B1 contamination in wheat by various cooking treatments. Food Chemistry 98: 71-75. https://doi.org/10.1016/j.foodchem.2005.04.038
Imathiu, S., 2017. Street vended foods: potential for improving food and nutrition security or a risk factor for foodborne diseases in developing countries. Current Research in Nutrition and Food Science Environmental Research 5: 55-65. http://dx.doi.org/10.12944/CRNFSJ.5.2.02
Ismail, A., Riaz, M., Levin, R.E., Akhtar, S., Gong, Y.Y. and Hameed, A., 2016. Seasonal prevalence level of aflatoxins M1 and its estimated daily intake in Pakistan. Food Control 60: 461-465. https://doi.org/10.1016/j.foodcont.2015.08.025
John, L., Gurumurthy, A., Mateen, A. and Narayanamurthy, G., 2022. Improving the coordination in the humanitarian supply chain: exploring the role of options contract. Annals of Operations Research 319: 15-40. https://doi.org/10.1007/s10479-020-03778-3
Kaaya, A.N. and Eboku, D., 2010. Mould and aflatoxins contamination of dried cassava chips in Eastern Uganda: association with traditional processing and storage practices. Journal of Biological Sciences 10: 718-729.
Kikafunda, J., Agaba, E. and Bambona, A., 2014. Malnutrition amidst plenty: an assessment of factors responsible for persistent high levels of childhood stunting in food secure western Uganda. African Journal of Food, Agriculture, Nutrition and Development 14: 2088-2113. http://doi.org/10.18697/ajfand.65.12570
Kitandwe, P.K., Muyanja, E., Nakaweesa, T., Nanvubya, A., Ssetaala, A., Mpendo, J., Okech, B., Bagaya, B.S., Kiwanuka, N. and Price, M.A., 2021. Hepatitis B prevalence and incidence in the fishing communities of Lake Victoria, Uganda: a retrospective cohort study. BMC Public Health 21: 394. https://doi.org/10.1186/s12889-021-10428-1
Korley Kortei, N., Annan, T., Akonor, P.T., Richard, S.A., Annan, H.A., Kyei-Baffour, V., Akuamoa, F., Akpaloo, G. and Esua-Amoafo, P., 2021. The occurrence of aflatoxins and human health risk estimations in randomly obtained maize from some markets in Ghana. Scientific Reports 11: 4295. https://doi.org/10.1038/s41598-021-83751-7
Kyalo, W.M., Onono, J.O., Ombui, J.N. and Gathura, P.B., 2022. Knowledge of subsistence maize farmers on aflatoxins contamination and determinants for adoption of artisanal control technologies in Kitui, Kenya. Journal of Agricultural Extension and Rural Development 14: 198-209. https://doi.org/10.5897/Jaerd2022.1348
Lewis, L., Onsongo, M., Njapau, H., Schurz-Rogers, H., Luber, G., Kieszak, S., Nyamongo, J., Backer, L., Dahiye, A.M., Misore, A., DeCock, K., Rubin, C. and Gupta, N., 2005. Aflatoxins contamination of commercial maize products during an outbreak of acute aflatoxicosis in Eastern and Central Kenya. Environmental Health Perspectives 113: 1763-1767. https://doi.org/10.1289/ehp.7998
Mcglynn, K.A., Petrick, J.L. and El-Serag, H.B., 2020. Epidemiology of hepatocellular carcinoma. Hepatology Reviews 73: 2021. https://doi.org/10.1002/hep.31288
Meijer, N., Kleter, G., de Nijs, M., Rau, M.L., Derkx, R. and Van der Fels-Klerx, H.J., 2021. The aflatoxins situation in Africa: systematic literature review. Comprehensive Reviews in Food Science and Food Safety 20: 2286-2304. https://doi.org/10.1111/1541-4337.12731
Mufumbi, I., 2021. Kenyan ban on maize should be an eye opener. Second report. Available at: https://www.monitor.co.ug/uganda/news/national/kenyan-ban-on-maize-should-be-an-eye-opener-3329766 2-5.
Namubiru, L.L., Male, D., Mukisa, I.M. and Byaruhanga, Y.B., 2022. Food safety knowledge, attitudes and practices of food handlers along the rice value chain of Uganda. Journal of Food Industry 6: 1-13. https://doi.org/10.5296/jfi.v6i1.19431
Ngabirano, H. and Birungi, G., 2022. Pesticide residues in vegetables produced in rural south-western Uganda. Food Chemistry 370: 130972. https://doi.org/10.1016/j.foodchem.2021.130972
Nicholaus, C., Martin, H.D., Matemu, A., Kimiywe, J. and Kassim, N., 2021. Risks of aflatoxins exposure among adolescents in boarding schools in Kilimanjaro region, Tanzania. World Mycotoxin Journal 14: 221-235. https://doi.org/10.3920/WMJ2020.2570
Nyumba, T.O., Wilson, K., Derrick, C.J. and Mukherjee, N., 2018. The use of focus group discussion methodology: insights from two decades of application in conservation. Methods in Ecology and Evolution 9: 20-32. https://doi.org/10.1111/2041-210X.12860
Partnership for Aflatoxins control in Africa (PACA), 2017. Strengthening aflatoxins control in Uganda: policy recommendations based on findings of the country-led situation analysis and action planning (C-SAAP). First report. The 2014-2017 country reports. Available at: https://www.aflatoxinspartnership.org/wpcontent/uploads/2021/05/Uganda_Aflatoxins_Control_MAY15.pdf
Reardon, T., Tschirley, D., Liverpool-Tasie, L.S.O., Awokuse, T., Fanzo, J., Minten, B., Vos, R., Dolislager, M., Sauer, C., Dhar, R., Vargas, C., Lartey, A., Raza, A. and Popkin, B.M., 2021. The processed food revolution in African food systems and the double burden of malnutrition. Global Food Security 28: 100-466. http://doi.org/10.1016/j.gfs.2020.100466
Sahar, N., Arif, S., Iqbal, S., Riaz, S., Fatima, T., Ara, J. and Banks, J., 2022. Effects of drying surfaces and physical attributes on the development of aflatoxins (AFs) in red chilies. Journal of Food Processing and Preservation 46: e16173. https://doi.org/10.1111/jfpp.16173
Suleiman, M.S., Omotayo, D.S., Atanu, F.O., Apeh, D.O., Jegede, R.E. and Fatima Sule, F.A., 2021. Assessment of total aflatoxin contamination of varieties of Oryza sativa and Phaseolus vulgaris in Anyigba Metropolis, Kogi State Nigeria. Chemistry Research Journal 6: 113-118.
The Independent, 2021. Kenyaâs ban on Uganda, Tanzania maize threatens EAC treaty. The Independent, March 9, 2021. Available at: https://tinyurl.com/ybev4p76
Tukahirwa, P., 2021. Dietary diversity and nutritional status of learners in secondary schools of Kampala city, Uganda. Kyambogo University nutritional report. Available at: http://kyuspace.kyu.ac.ug/handle/20.500.12504/489.
Wangia, R.N., Githanga, D.P., Wang, J.S. and Anzala, O.A., 2019. Aflatoxins exposure in children age 6-12 years: a study protocol of a randomized comparative cross-sectional study in Kenya, East Africa. Pilot and Feasibility Studies 5: 141-149. https://doi.org/10.1186/s40814-019-0510-x
World Food Program (WFP), 2023. School meals fuel young minds, but most vulnerable still missing out. Annual reports. The 2022-2023 situational reports. Available at: https://news.un.org/en/story/2023/03/1134832.
World Health Organisation (WHO), 1996. Essential requirements of street vended food. Food Safety Unit Division of Food and Nutrition World Health Organisation. Available at: https://apps.who.int/iris/bitstream/handle/10665/63265/WHO_FNU_FOS_96.7.pdf;sequence=1
| å ¨é¨æé´ | è¿å»ä¸å¹´ | è¿å»30天 | |
|---|---|---|---|
| æè¦æµè§æ¬¡æ° | 947 | 230 | 18 |
| å ¨ææµè§æ¬¡æ° | 20 | 6 | 0 |
| PDFä¸è½½æ¬¡æ° | 52 | 15 | 0 |
The study aimed to evaluate food handling practices and assess the maize-bean supply chain in selected boarding schools of western Uganda. Additionally, it sought to determine the extent of aflatoxin exposure in the maize-bean meal consumed by students within the age range of 5 to 24. A cross-sectional study was conducted in two districts of Bushenyi and Sheema to gather 95 samples (31 beans, 32 maize flour, and 32 cooked maize flour-posho). In addition, 262 individual interviews were conducted. The findings revealed that only 9.38% of the schools store food as per World Health Organisation standards. The majority of schools (57.9%) purchase maize flour and beans from any stockist with no contractual obligations (random supplier), and all the 32 schools base on visual parameters, especially white colour, and smell to rule out aflatoxin contamination. Maize flour stored on the ground registered significantly (P = 0.0018) higher levels (54.3 ± 10.1 μg/kg) of total aflatoxins than that stored on a raised platform (14.7 ± 2.6 μg/kg). Likewise, the supplier significantly influenced total aflatoxins levels (P = 0.0064), with higher levels (44.6 ± 8.0 μg/kg) detected in maize flour supplied by a random supplier than a pre-qualified one (14.7 ± 2.6 μg/kg). Given the low levels (1.3 to 2.8 μg/kg), which are far less than the Maximum Tolerated Limit (MTL) of 10 μg/kg, aflatoxins do not pose a significant problem in beans. Aflatoxins exposure in younger children (5-12 years) was higher (61.5 ng/kg bw/day) than in older ones (13-24 years; 41.5 ng/kg bw/day). Similarly, the risk of developing hepatocellular carcinoma was greater in younger children (1.84 cases per 100,000 people) compared to older ones (1.24 cases per 100,000 people). The findings underscore an urgent need to formulate guidelines for procurement, storage, and food handling in schools, alongside intensifying inspection programmes for food handling. Additionally, there is need to expand the research scope by incorporating a greater number of schools from varied geographical areas within Uganda, while rigorously monitoring the entirety of the food supply chain.
| å ¨é¨æé´ | è¿å»ä¸å¹´ | è¿å»30天 | |
|---|---|---|---|
| æè¦æµè§æ¬¡æ° | 947 | 230 | 18 |
| å ¨ææµè§æ¬¡æ° | 20 | 6 | 0 |
| PDFä¸è½½æ¬¡æ° | 52 | 15 | 0 |