2003
DOI: 10.1093/ije/dyg109
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Determinants of aflatoxin exposure in young children from Benin and Togo, West Africa: the critical role of weaning

Abstract: Exposure to this common toxic contaminant of West African food increases markedly following weaning and exposure early in life is associated with reduced growth. These observations reinforce the need for aflatoxin exposure intervention strategies within high-risk countries, possibly targeted specifically at foods used in the post-weaning period.

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Cited by 246 publications
(218 citation statements)
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“…Based on the facts represented herein, we hereby assume that the sources of AFM 1 exposure could have been either from breast milk for the wholly breastfed children and/or complementary milk products for the partially weaned infants. Interestingly, in earlier studies reported by Polychronaki et al (2008) and Gong et al (2003) with Guinean and Gambian children, significantly higher urinary aflatoxin levels were detected with the fully weaned children compared to the partially breastfed children. This result differs from our present findings.…”
Section: Discussionmentioning
confidence: 78%
See 1 more Smart Citation
“…Based on the facts represented herein, we hereby assume that the sources of AFM 1 exposure could have been either from breast milk for the wholly breastfed children and/or complementary milk products for the partially weaned infants. Interestingly, in earlier studies reported by Polychronaki et al (2008) and Gong et al (2003) with Guinean and Gambian children, significantly higher urinary aflatoxin levels were detected with the fully weaned children compared to the partially breastfed children. This result differs from our present findings.…”
Section: Discussionmentioning
confidence: 78%
“…An earlier report by Polychronaki et al (2007) raised the possibility that urinary AFM1 may not only reflect ingested AFM1 originating from breast milk. On the the hand, very sensitive detection systems such as fluorescence detection and enzyme-linked immunosorbent assay (ELISA) as used in the studies of Polychronaki et al (2008) andGong et al (2003) allowed detection at very low picogram/mL levels and hence possibly led to an increase in the power of their statistical prediction. It is worth noting that despite being a weaker carcinogen, AFM1 is as cytotoxic as AFB1 (Neal et al, 1998).…”
Section: Discussionmentioning
confidence: 99%
“…[37][38][39] In West Africa, studies by Gong et al and Egal et al have shown that 90% of children in Benin and Togo were exposed to aflatoxins in maize and groundnuts, which led to a measurable impairment of child growth. 38,[40][41][42] As a result of international trade in staple foods, the health impacts of aflae e toxin can extend far beyond local come e munities.…”
Section: Aflatoxins Agriculture and Healthmentioning
confidence: 99%
“…In the United States alone, aflatoxin contamination costs farmers and the peanut industry millions of dollars in losses each year [1]. Aside from causing high production costs, aflatoxins are a major health issue; they can cause acute hepatoxicity, immunosuppression [2], and stunting in children [3]. It is estimated that 4.5 billion people are chronically exposed to aflatoxins in the developing world [4].…”
Section: Introductionmentioning
confidence: 99%