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Aflatoxin M1 Contamination Level in Iranian Milk and Dairy Products: A Systematic Review and Meta-Analysis Publisher



Hamzeh Pour S1 ; Mahmoudi S2, 3 ; Masoumi S4 ; Rezaie S3 ; Barac A5 ; Ranjbaran M4 ; Oliya S6 ; Mehravar F7 ; Sasani E8 ; Noorbakhsh F9 ; Khodavaisy S3
Authors
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Authors Affiliations
  1. 1. Department of Pathobiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Clinic for Infectious and Tropical Diseases, Clinical Centre of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  6. 6. Department of Nutrition, School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran
  7. 7. Health Management and Social Development Research Center, Golestan University of Medical Sciences, Gorgan, Iran
  8. 8. Department of Medical Mycology, Tarbiat Modares University, Tehran, Iran
  9. 9. Department of Microbiology, Biological Science College, Varamin-pishva Branch, Islamic Azad University, Varamin-pishva, Iran

Source: World Mycotoxin Journal Published:2020


Abstract

Aflatoxin M1 is a derivate of aflatoxin B1 and an important contaminant of milk and dairy products. This systematic review and meta-analysis was conducted on relevant Persian and English original articles in national and international databases with no time limits until 1 January 2018. In total 605 articles were found among which 70 articles met the inclusion criteria for meta-analysis. The prevalence (95% confidence interval (CI)) and mean concentration (95% CI) of aflatoxin M1 was found to be 64% (53-75%) and 39.7 ng/l (31.9-47.4 ng/l) in raw milk, 95% (89-98%) and 62.3 ng/l (40.6-84 ng/l) in pasteurised milk, 71% (56-84%) and 60.1 ng/l (30.9-89.3 ng/l) in sterilised milk, 59% (20-93%) and 5.5 ng/l (3.3-7.7 ng/l) in breast milk and 72% (61-81%) and 82.3 ng/kg (63.7-100.9 ng/kg) in dairy products. In general, 9% (4-16%) of milks and 10% (4-17%) of dairy products had aflatoxin M1 in concentrations exceeding the permitted level of Iranian standards (500 ng/l). Based on the maximum permitted aflatoxin M1 concentration in standards of Europe (50 ng/l), these percentages increase to 25% (18-32%) for milks and 18% (9-29%) for dairy products. According to the results, further control and preventive measures should be applied on livestock feeds because decreased aflatoxin B1 contamination at this level results in decreased aflatoxin M1 in milk and dairy products. © 2019 Wageningen Academic Publishers
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