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Control strategies to minimize mycotoxin levels in food comprise several broad categories, including good agricultural practice, good manufacturing practice, and hazard analysis and critical control point principles. In general, intervention strategies include pre-harvest, post-harvest, and dietary approaches, depending on the specific mycotoxins and the food commodity likely to be contaminated. This chapter describes practical interventions, which are arranged by the major groups of mycotoxins and are described according to their stage of development, efficacy, geographical regions in which they have been tested or applied, simplicity or complexity, and breadth of usefulness...

The economic impacts of mycotoxins to human society can be thought of in two ways: (i) the direct market costs associated with lost trade or reduced revenues due to contaminated food or feed, and (ii) the human health losses from adverse effects associated with mycotoxin consumption. Losses related to markets occur within systems in which mycotoxins are being monitored in the food and feed supply. Food that has mycotoxin levels above a particular maximum allowable level is either rejected outright for sale or sold at a lower price for a different use...

Risk assessment is the process of quantifying the magnitude and exposure, or probability, of a harmful effect to individuals or populations from certain agents or activities. Here, we summarize the four steps of risk assessment: hazard identification, dose-response assessment, exposure assessment, and risk characterization. Risk assessments using these principles have been conducted on the major mycotoxins (aflatoxins, fumonisins, ochratoxin A, deoxynivalenol, and zearalenone) by various regulatory agencies for the purpose of setting food safety guidelines...

Mycotoxins have been investigated in relation to a wide range of adverse human health effects, but the evidence for all but a small number of associations is limited. Thus, the full impact on human health of the widespread exposure to mycotoxins remains to be defined. The main exception is for aflatoxins; epidemiological, experimental, and mechanistic studies have contributed to establishing aflatoxins as a cause of human liver cancer, with a particularly elevated risk in people chronically infected with hepatitis B virus...

Unexplained disease outbreaks in farm and domestic animals have suggested the likely presence of mycotoxins in feeds for many years. The manifestations of mycotoxicoses in the field are frequently nondescript and potentially have many contributing factors, which are often difficult to define. Nevertheless, toxigenic moulds were implicated in, and sometimes proven to be the cause of, animal disease in field outbreaks long before the toxins were discovered. The development of methods for the chemical analysis of mycotoxins in feeds and animal tissues has contributed to an improved understanding of the dose-response relationships of farm animal diseases associated with exposure to aflatoxins, fumonisins, ochratoxin A, deoxynivalenol, zearalenone, and ergot alkaloids...

The analytical methods for mycotoxin determination used in fully developed countries require sophisticated infrastructure, stable electricity, ready availability of supplies, and qualified and experienced technicians for instrument maintenance. Simple and appropriately validated tools analogous to those used for the management of contaminated bulk commodities at the grain elevator level are needed at the rural level in developing countries. These tools are needed to promote public health and to manage emergency situations in subsistence farming communities with an immediate and severe problem of mycotoxin contamination of food grains, with the goal of working towards feasible reductions in exposure...