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Workgroup Report: Public Health Strategies for Reducing Aflatoxin Exposure in Developing Countries

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Strosnider, Heather, Azziz-Baumgartner, Eduardo, Banziger, Marianne, Bhat, Ramesh V., Breiman, Robert, Brune, Marie-Noel, DeCock, Kevin, Dilley, Abby, Groopman, John, Hell, Kerstin, Henry, Sara H., Jeffers, Daniel, Jolly, Curtis, Jolly, Pauline, Kibata, Gilbert N., Lewis, Lauren, Liu, Xiumei, Luber, George, McCoy, Leslie, Mensah, Patience, Miraglia, Marina, Misore, Ambrose, Njapau, Henry, Ong, Choon-Nam, Onsongo, Mary T.K., Page, Samuel W., Park, Douglas, Patel, Manish, Phillips, Timothy, Pineiro, Maya, Pronczuk, Jenny, Rogers, Helen Schurz, Rubin, Carol, Sabino, Myrna, Schaafsma, Arthur, Shephard, Gordon, Stroka, Joerg, Wild, Christopher, Williams, Jonathan T., Wilson, David·2006·Environmental Health Perspectives
DOI 10.1289/ehp.9302
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Abstract

Consecutive outbreaks of acute aflatoxicosis in Kenya in 2004 and 2005 caused > 150 deaths. In response, the Centers for Disease Control and Prevention and the World Health Organization convened a workgroup of international experts and health officials in Geneva, Switzerland, in July 2005. After discussions concerning what is known about aflatoxins, the workgroup identified gaps in current knowledge about acute and chronic human health effects of aflatoxins, surveillance and food monitoring, analytic methods, and the efficacy of intervention strategies. The workgroup also identified public health strategies that could be integrated with current agricultural approaches to resolve gaps in current knowledge and ultimately reduce morbidity and mortality associated with the consumption of aflatoxin-contaminated food in the developing world. Four issues that warrant immediate attention were identified: a) quantify the human health impacts and the burden of disease due to aflatoxin exposure; b) compile an inventory, evaluate the efficacy, and disseminate results of ongoing intervention strategies; c) develop and augment the disease surveillance, food monitoring, laboratory, and public health response capacity of affected regions; and d) develop a response protocol that can be used in the event of an outbreak of acute aflatoxicosis. This report expands on the workgroup's discussions concerning aflatoxin in developing countries and summarizes the findings.

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Metadata

Authors
Strosnider, H., Azziz-Baumgartner, E., Banziger, M., Bhat, R. V., Breiman, R., Brune, M.-N., DeCock, K., Dilley, A., Groopman, J., Hell, K., Henry, S. H., Jeffers, D., Jolly, C., Jolly, P., Kibata, G. N., Lewis, L., Liu, X., Luber, G., McCoy, L., Mensah, P., Miraglia, M., Misore, A., Njapau, H., Ong, C.-N., Onsongo, M. T. K., Page, S. W., Park, D., Patel, M., Phillips, T., Pineiro, M., Pronczuk, J., Rogers, H. S., Rubin, C., Sabino, M., Schaafsma, A., Shephard, G., Stroka, J., Wild, C., Williams, J. T., & Wilson, D.
Venue
Environmental Health Perspectives
Publisher
American Chemical Society (ACS)
Published
2006-12
Volume
114
Issue
12
Pages
1898-1903
ISSN
  • 0091-6765 (ISSN-L)
  • 1552-9924
DOI
10.1289/ehp.9302
OpenAlex
W39025017
Cited by
538
References
0
FWCI
9.29
Type
journal article
Language
en
Open access
gold
Licence
creativecommons.org/licenses/by/4.0/ (vor, 4145 d)

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Strosnider, H., Azziz-Baumgartner, E., Banziger, M., Bhat, R. V., Breiman, R., Brune, M.-N., DeCock, K., Dilley, A., Groopman, J., Hell, K., Henry, S. H., Jeffers, D., Jolly, C., Jolly, P., Kibata, G. N., Lewis, L., Liu, X., Luber, G., McCoy, L., . . . Wilson, D. (2006). Workgroup Report: Public Health Strategies for Reducing Aflatoxin Exposure in Developing Countries. Environmental Health Perspectives. https://doi.org/10.1289/ehp.9302

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