Occurrence of Aflatoxins and Fumonisins Contamination in Herbal Medicinal Products Sold in Nairobi, Kenya

Aflatoxins and fumonisins are referred to as Mycotoxins. They are secondary metabolites of some moulds which are highly toxic, mutagenic or teratogenic compounds. These substances are not formed by all mould species but are characteristic of their producers. The aim of this study was to determine the occurrence of Aflatoxin and Fumonisins contamination in herbal medicinal products sold in Nairobi Kenya. The study was undertaken in Nairobi, the capital and largest city in Kenya. Nairobi has several herbal clinics, especially in densely populated areas. This study employed an exploratory as well as laboratory-based experimental design to sample 138 herbal medicinal products. The sample were in different preparations, which included liquids, powders, capsules, creams/lotions, and syrups. Screening of the presence of aflatoxins and fumonisins were done using Envirologix Quick ToxTM Kit following the manufacturer’s instructions. Fumonisins and aflatoxins concentration in parts per billion (ppb) was analyzed statistically using Pearson Chi square test at 95% confidence interval. Contaminations were presented in form of frequencies and percentages. Aflatoxins were detected in 74(53.6%) samples while fumonisins were detected in 75(54.3%). Four (11.8%) samples from herbal clinics and 3(4.1%) from street vendors in form of powders and liquids had aflatoxins levels above 4.0ppb. Nine (26.5%) samples from herbal clinics, 10(13.5%) from streets vendors/hawkers and two (10.5%) from the supermarkets in form of powders and liquids had fumonisins levels above 4.0ppb. There was no significant association (c2 test; p>0.05) between detection of fungi from an herbal product and the occurrence of mycotoxins. Aspergillus flavus and A. parasiticus isolated in this study were associated with occurrence of aflatoxins while the Fusarium isolated were responsible for the presence of fumonisins among the herbal products. We conclude that herbal products investigated were contaminated with fumonisins and aflatoxins in varying degrees. Some were contaminated beyond the accepted limits. There were many genera of molds isolated in this study, which are associated with mycotoxins production, but the current study only focused on aflatoxins and fumonisins and therefore other mycotoxins should be investigated so as to ensure overall fungi toxins safety among the herbal products. Key words: aflatoxin, fumonisins, contamination, herbal medicinal products, Aspergillus, Fusarium, Nairobi

Pyrethrins In Soil and Water From Selected Pyrethrum Growing Areas In Nakuru County, Kenya

Introduction: Pyrethrum also known as Chrysanthemum is a plant from which compounds known as pyrethrins are derived. The pyrethrins have  been used for many years as insecticides. Incidentally due to their high instability they have slowly been replaced by synthetic pyrethroids.  Pyrethrins are generally regarded as safe compared to the pyrethroids. However, the amounts released into the environment have not been well documented especially in pyrethrum growing regions.Objective:  The aim of the study was to determine the concentration of pyrethrins that come from pyrethrum plants and released into the  environment through their use as insecticides, thus, into drinking water and soil, in pyrethrum growing regions in Kenya.Methodology: Quantification to amounts of pyrethrins from pyrethrum plants, in soil and water bodies in and around pyrethrum farms in Kiambogo and Naivasha (Nakuru County). The study was carried out using High Performance Liquid Chromatography (HPLC). Water samples (0.5L) were collected from the following water bodies: rivers, streams, dams, wells and boreholes near or within pyrethrum farms.Conclusion: It was established that, the quantity of pyrethrins present in water and soil samples werebelow detectable levels within the WHO recommended range. Hence safe for the environment,more so for the farmers and the people living around pyrethrum farms. Key words: Pyrethrum, pyrethrins, chromatography, water, soil

Risk of Fungi Associated with Aflatoxin and Fumonisin in Medicinal Herbal Products in the Kenyan Market

Utilization of herbal products is a major concern due to the possibility of contamination by toxigenic fungi that are mycotoxin producers such as Aspergillus species during processing and packaging. Research was carried out to determine the presence of aflatoxins and fumonisins in herbal medicinal products sold in Eldoret and Mombasa towns in Kenya. The study employed both exploratory and laboratory experimental design. The herbal products were purchased from the market and transported to Kenya Medical Research Institute for processing and analysis. Fungal contaminants were determined according to Pharmacopoeia specifications. The toxins were quantified using ELISA based technique. The genus Aspergillus was the most dominant followed by Penicillium. Fungal counts ranged between 1 CFU/g and >1000 cfu/g. Analysis of variance showed that the rate of fungal contaminants for Eldoret and Mombasa samples had significant association (p≤0.001). Aflatoxin levels ranged from 1 to 24 ppb, while fumonisin levels ranged from 1 to >20 ppb. Only 31% of samples met the standards for microbial limits as specified in Pharmacopoeia. There is need for product microbial quality improvement through proper harvesting, processing, storage, and marketing. It is recommended that a policy be enacted to enable regulation of herbal products in Kenya

Validation of Safety and Efficacy of Antitussive Herbal Formulations

Background: Cough is an important defensive pulmonary reflex that removes irritants, fluids or foreign materials from the airways. Frequently, cough is non-productive and requires suppression and opioid receptor agonists such as codeine are commonly used as antitussive agents. However, opioids produce side effects that include sedation, addiction potential and constipation. Novel cough suppressant therapies should maintain or improve upon the antitussive efficacy profile of opioids but with minimum or no side effects. Objective: To evaluate antitussive activity of combination of herbal medicines as formulations in sulphur dioxide - induced cough model in rats. Methodology: Wister rats of either sex, weighing 150 - 200 g, were divided into 7 groups (n = 6). Group 1 served as a control and received normal saline, groups 2 received codeine phosphate, group 3 and 4 received the coded market samples and groups 5, 6 and 7 received the test samples, respectively. Thirty or sixty minutes following administration, the rats were exposed to sulphur dioxide gas for 1 minute and then placed in an open chamber for counting of cough bouts. Results: The formulations exhibited cough inhibitions of between 15 and 27%, and 14 and 38%, with respect to the control group, 30 and 60 minutes after sample administration respectively. Conclusion: The herbal formulations demonstrated significant (p < 0.05) antitussive activity in sulphur dioxide induced cough model. Key words: Antitussive activity; herbal formulations; sulphur dioxide; coug

Development of a nutraceutical from natural products: A case study of a herbal-based low sodium table salt

Background: Cyperus papyrus reed ash has been used traditionally as a salt substitute in Western Kenya. Previous work carried out at Kenya Medical Research Institute indicated that potassium salt substitution derived from local papyrus reed has a favourable potassium/sodium ratio that is suitable for use to regulate high blood pressure. Objective: To develop and design a process flow for pilot scale production and to develop suitable analytical methods for quality assurance for a herbal based low sodium table salt. Methodology: The plant material was collected from two study sites in Rift Valley then cleaned, chopped, dried, ashed and extracted at laboratory and optimized industrial scale to yield laboratory and pilot scale samples. Elemental analysis was determined using Atomic Absorption and Flame emission spectroscopy. Results: The herbal salt yield for the laboratory scale processing was about 10% for both samples but 13% and 22%, respectively, using the optimized industrial procedure. Elemental analysis results indicate the presence of both essential and non-essential elements and heavy metal was within the World Health Organization acceptable limits. The potassium/sodium ratios obtained were between 3 and 11. Discussion: The herbal salt has the capacity to preserve meat and is a source of other essential trace elements such as chromium, Zinc and manganese. Key words: Nutraceuticals; process optimization; low sodium; herbal salt; elemental compositio

Quality and Brands of Amoxicillin Formulations in Nairobi, Kenya

Antibiotics are among the most counterfeited anti-infectious medicines in developing countries. Amoxicillin is one of the commonly prescribed, affordable, and easily accessible antibiotic in Kenya. It is a broad-spectrum antibiotic hence commonly used in chemotherapy. This study sought to determine the quality and identify the various brands of amoxicillin and its combination amoxicillin/clavulanic acid marketed in Nairobi County. Nairobi is the capital city of Kenya, gateway for imports and exports, and the headquarters to most of the pharmaceutical distributors. Ten wards in Nairobi County representing different socioeconomic settings were purposively sampled for the study. A detailed questionnaire was used to collect background data on brands of amoxicillin and amoxicillin/clavulanic acid in the market. A total of 106 different brands were found in the market: 85 were imports while 21 were locally manufactured. Fifty-three samples were analyzed with reference to the United States Pharmacopoeia. Amoxicillin and clavulanic acid contents for oral suspensions were determined immediately after reconstitution and 7 days thereafter to determine their stability during the prescription period. On day seven, 23.1% (3 out of 13) of amoxicillin and 66.7% (8 out of 12) amoxicillin/clavulanic acid oral suspensions presented levels below recommended limits. Uniformity of weight for amoxicillin capsules noted 13.6% (3 out of 22) failure rate, while amoxicillin/clavulanic acid tablets complied. Potency determination for all amoxicillin capsules analyzed were within required limits, but amoxicillin/clavulanic acid tablets showed 33.3% (2 out of 6) noncompliance. For amoxicillin capsule and amoxicillin/clavulanic acid tablet dissolution tests, there was 10.5% (2 out of 19) and 50% (2 out of 4) noncompliance, respectively. Overall, 37.7% of the drugs analyzed failed to comply with the Pharmacopoeia. These results highlight the presence of poor-quality amoxicillin formulations in Nairobi County, affirming the need for regular postmarket surveillance to inform on the situation of antibiotic quality in the Kenyan market