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Monitoring and managing mycotoxins on maize Challenges and opportunities for resolving an emerging public health crisis in Kenya Rebecca Nelson ASM meeting January 2014 Outline Overview of the problem in the African context


  1. Monitoring and managing mycotoxins on maize Challenges and opportunities for resolving an emerging public health crisis in Kenya Rebecca Nelson ASM meeting January 2014

  2. Outline • Overview of the problem – in the African context • Assessment – Evidence of pervasive contamination of Kenyan maize • Perception – Who knows; who needs to know? • Management – Management options – The posho mill scheme Photo: S. Mideros

  3. Focus fungi/toxins for this study Feature Aflatoxin Fumonisin Fungus Aspergillus flavus and A. parasiticus Fusarium , esp. F. verticillioides Health issue Hepatitis and liver cancer; growth Esophageal cancer; growth impairment; immunosuppression impairment; neural tube defects Mechanisms DNA damage; gut irritation Sphingolipid interference; gut irrit’n Lifestyle Generalist; weak ear-rot pathogen; Maize endophyte and stronger ear- pre- and post-harvest rot pathogen; pre-harvest Environmental Warmer temps (30 - 43°C); Moderate temps (15 - 37°C) drivers plant stress (drought) Regulatory limit 10 ppb (Kenya) 1,000 ppb Fumonisin B1 Aflatoxin B1 WHO 2000; http://gallery.cimmyt.org; http://www.aspergillusflavus.org/aflavus/; Marasas et al., 2008

  4. Why worry about mycotoxins on maize in Kenya? • Maize as staple – 25% of calories; 25% of cropped area; • Substantial self-provisioning – >70% by 3.5 M smallholders • Climate and other stressors  high risk • Most Kenyans HepB seropositive • There are known problems… – Fatal aflatoxicosis in most years; highly toxigenic Aspergillus in E Kenya – Fumonisin also reported • … but there is limited data, awareness or management; methods are limiting

  5. Framework Perception Assessment Response

  6. Framework Perception Assessment Response What is the extent of mycotoxin contamination of Kenyan maize?

  7. 2009/2010 study sites 2010 2009 Kenya

  8. Grain mill survey Samuel Mutiga, Vivian Hoffmann et al.

  9. Mycotoxin measurements Biosciences Eastern and Central Africa ILRI, Nairobi • Helica ELISA • Total Aflatoxin Assay: Solid phase direct competitive immunoassay • Range: 1-20 ppb Immunocapture Aflatoxin extraction • VICAM Aflatest Immunocapture • Fluorometer/monoclonal antibody based affinity chromatography; • Range: 0.1‐300 ppb ELISA

  10. Aflatoxin occurrence in eastern vs. western regions Eastern Western 60 2010 2009 % for Western 146 mills 26 mills 50 % for Eastern n=1,500 n=985 40 39% over 15% over legal limit legal limit 30 % 20 10 0 <1 ppb 1-10 ppb >10 ppb Aflatoxin bins S. Mutiga

  11. Districts with sub-humid agroecologies at greatest risk (watch semi-humid and arid too)? Western Eastern Predominant AEZ Semi Arid Semi humid Humid Semi-humid to Semi-arid Sub humid S. Mutiga

  12. Aflatoxin drivers in maize – E. Kenya • 1,500 samples w/questionnaire • Sub-humid most on 31 management factors contaminated (post-harvest?) • 60% samples home-grown • Rainfall during grain filling • 1/3 < 1 ppb significant in semi-humid • More land and yield  less • Drivers of +/- (GLM) toxin – Yield, land size, cropping system, – Less crop stress AEZ – More ability to select – Home sorted, preservative • Intercrops  less toxin than • Drivers of quantity (> 1 ppb; monocultures mixed model) • Kernel damage poor – Quality, kernel integrity, AEZ indicator • 17% of variance explained by mills w/in AEZ Mutiga and Vermeylen

  13. Fumonisin occurrence in western and eastern Kenya Western Eastern Kenya Kenyan 45 n = 569 n = 270 40 38% over legal 31% over legal limit 35 limit 30 % for 25 Western 20 % for 15 Eastern 10 5 0 <100 ppb 101-1000 ppb >1000 ppb Fumonisin levels S. Mutiga

  14. Contamination with two mycotoxins across AEZs 60 Aflatoxin Fumonisin Percent of samples 50 40 above limit 30 20 10 0 Humid Sub-Humid Semi-Humid Semi-humid to Semi-Arid Semi-Arid Decreasing soil moisture availability

  15. Do fumonisin levels affect child growth?  Yellow- Demographic and Health Survey cluster location (n=73 clusters)  Blue- mycotoxin sample location  Orange- 20 km radius Laura Smith, Becky Stoltzfus

  16. Fumonisin associated with stunting  Median fumonisin levels (controlling for FB variance) significantly predicted HAZ ( B=-0.00055; p=0.034 ) and WAZ ( B=-0.0005; p=0.029 ) of children.  Controlled for known predictors of poor child growth: Gender, HH income, mother’s education, mother’s height, mother’s weight, diet diversity  In a region with a median fumonisin level of 1000 ppb, the international legal limit for fumonisin, the average child is 0.5 Z scores shorter and lighter than a child in a region with no fumonisin. Laura Smith, Becky Stoltzfus

  17. High rates of esophageal cancer in Kenya Fumonisin : big and important Perception Assessment Response What is the extent • Aflatoxin : lots where it is a of mycotoxin known problem; present but contamination of less where not recognized. Kenyan maize? • Overall mean of [aflatoxin] = 3x legal limit

  18. Perception Assessment Response Do people know?

  19. Maize for own consumption : 20% chance of being over the legal limit for aflatoxin Maize for sale : 40% chance of being over the legal limit for afatoxin Hoffmann, Mutiga et al.

  20. Less care taken with maize for sale Post-harvest: people take more care with maize they will eat • 100 people surveyed; 38% sold maize – Keep small-grain local types; sell large-grain hybrid – 50% of sellers take less care in drying, storage – 50% of sellers use pesticides on maize to be sold V. Hoffmann Photo: James Gethi

  21. Emerging concern about aflatoxin in Kenya Maize quality loss Acute aflatoxicosis Year Fatalities 1982 - 1999 15 2000 - 2010 207 • Inadequate surveillance • No proper regulation 2010: 2.3 million bags = 20,700 t condemned

  22. Increasing concern about aflatoxin in research, policy, & Perception funding circles Assessment Response Information Consumers need to asymmetry; know what they are lack of incentive feeding their families for clean maize

  23. Perception Assessment Response What can people do to reduce mycotoxin accumulation and exposure? Pre-harvest Post-harvest Soil fertility Grain sorting resistance resistance management

  24. Genetic resistance to mycotoxin accumulation? Dan Jeffers, CIMMYT CML 269 – derived hybrid Aspergillus ear rot evaluation trial, Mexico, July 2005. Pre-harvest Post-harvest Soil fertility Grain sorting resistance resistance management

  25. Pre-harvest resistance: QTL meta-analysis synthesis of 12 mapping studies Heritability is low to moderate for aflatoxin resistance, Mideros et al., 2013 moderate to high for fumonisin resistance Pre-harvest Post-harvest Soil fertility Grain sorting resistance resistance management

  26. Post-harvest resistance: mature kernel assay 26 diverse inbred maize lines; seed grown in five locations (7 sets) Location Year 1 Year 2 Aurora 2009 Puerto Rico 2007 2008 Missouri 2007 2009 Florida 2007 Blacksburg 2009 Pre-harvest Post-harvest Soil fertility Grain sorting resistance resistance management

  27. Susceptibility of mature kernels to aflatoxin is influenced by grain production conditions  Low heritability, H 2 =35% Pre-harvest Post-harvest Soil fertility Grain sorting resistance resistance management

  28. Maize varieties in farmer’s storage conditions Setup Questions Do the following influence • Humid AEZ in Bungoma, W. mycotoxin accumulation in Kenya farmers’ stores? • 182 farmers who grew • Variety/texture major varieties: • Moisture content at harvest – H614 • Storage conditions – H513 • Ear rot/integrity Grain – WH505 Varietal • Preservative – Local # 8 moisture at differences harvest in toxin associated levels in with storage fumonisin H614 S. Mutiga H513 WH505 Local # 8

  29. Mycotoxin levels much higher in posho mills than in grain stores Grain store (N=488) Posho mill (N=324) At mill In storage Aflatoxin % Undetectable Det., under limit Above limit Undetectable Det., under limit Above limit In storage At mill Grain store (N=316) Posho mill (N=125) Fumonisin % Undetectable Det., under limit Above limit Undetectable Det., under limit Above limit

  30. CIMMYT IMAS goal: develop varieties tolerant to low N 403 genotypes KARI Kiboko KARI Embu KARI Kiboko KARI Kiboko Low N Low N Optimal N Optimal N Long Rains Long Rains Long Rains Short Rains Rep 1 Rep 1 Rep 1 Rep 2 Bulked 109 genotypes common to all environments Pre-harvest Post-harvest Soil fertility Grain sorting resistance resistance management

  31. Nitrogen management v. mycotoxins 900 N treatment 800 associated with 700 lower aflatoxin 600 but not lower fumonisin 500 Aflatoxin Fumonisin 400 300 200 100 0 Embu Low N Rep 2 Embu Low N Rep 1 Kiboko Low N Kiboko Optimal Long Kiboko Optimal Short N-treated N-depleted Collaboration with CIMMYT’s Improve Maize for African Soils Project

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