Workgroup report: Public health strategies for reducing aflatoxin exposure in developing countries

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

Research output: Contribution to journalArticlepeer-review

281 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1898-1903
Number of pages6
JournalEnvironmental health perspectives
Issue number12
StatePublished - Dec 2006


  • Aflatoxins
  • Biomonitoring
  • Developing countries
  • Food safety
  • Hepatitis
  • Hepatocellular carcinoma
  • Public health
  • Surveillance

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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