Climate change and the health impact of aflatoxins exposure in Portugal - an overview
Climate change and the health impact of aflatoxins exposure in Portugal - an overview
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DOI：
10.1080/19440049.2018.1447691
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发表时间：
2018-01-01
影响因子：
2.9
通讯作者：
Alvito, Paula
中科院分区：
文献类型：
--
作者：
Assuncao, Ricardo;Martins, Carla;Alvito, Paula
气候变化被认为是全球食品安全问题的驱动因素，主要是由于对食物链各个阶段食品安全危害发生的影响。真菌毒素是由真菌产生的天然污染物，是这些危害中最重要的一种。黄曲霉毒素在所有真菌毒素中具有最高的急性和慢性毒性，具有特别重要的意义。最近的一项研究预测，在未来100年内，欧洲玉米和小麦作物中的黄曲霉毒素污染，黄曲霉毒素B1预计将成为欧洲的食品安全问题，特别是在气候变化（+2摄氏度）的最可能情景下。本文综述了气候变化对葡萄牙人群黄曲霉毒素膳食暴露相关健康风险的潜在影响。我们估计疾病的负担与目前的黄曲霉毒素暴露葡萄牙人口的残疾调整寿命年（DALYS）。预计未来由于气候变化，由于黄曲霉毒素暴露导致的糖尿病和肝细胞癌的相关病例数量将增加。通过这次审查强调的主题，包括通过饮食暴露于黄曲霉毒素对葡萄牙人口健康的潜在影响，应代表对未完全探索气候变化前景的潜在后果的警报。政治家和决策者应参与并致力于执行有效措施，处理气候变化问题，减少其可能的后果。这次审查有助于确定各项战略的优先次序，以应对葡萄牙和整个欧洲与天气有关的灾害造成的不平等负担。
Climate change has been indicated as a driver for food safety issues worldwide, mainly due to the impact on the occurrence of food safety hazards at various stages of food chain. Mycotoxins, natural contaminants produced by fungi, are among the most important of such hazards. Aflatoxins, which have the highest acute and chronic toxicity of all mycotoxins, assume particular importance. A recent study predicted aflatoxin contamination in maize and wheat crops in Europe within the next 100years and aflatoxin B1 is predicted to become a food safety issue in Europe, especially in the most probable scenario of climate change (+2 degrees C). This review discusses the potential influence of climate change on the health risk associated to aflatoxins dietary exposure of Portuguese population. We estimated the burden of disease associated to the current aflatoxin exposure for Portuguese population in terms of Disability Adjusted Life Years (DALYs). It is expected that in the future the number of DALYs and the associated cases of hepatocellular carcinoma due to aflatoxins exposure will increase due to climate change. The topics highlighted through this review, including the potential impact on health of the Portuguese population through the dietary exposure to aflatoxins, should represent an alert for the potential consequences of an incompletely explored perspective of climate change. Politics and decision-makers should be involved and committed to implement effective measures to deal with climate change issues and to reduce its possible consequences. This review constitutes a contribution for the prioritisation of strategies to face the unequal burden of effects of weather-related hazards in Portugal and across Europe.