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Heavy Metal Index

Assessment of toxic heavy metals in commonly consumed foods in Egypt and their implications for public health and safety

Summary

This study measured lead, cadmium, chromium, and arsenic concentrations in 54 food and beverage samples collected from randomly selected local markets in Qena Governorate, Egypt, covering five categories: beverages, processed cereals, milk and dairy products, canned fish and meat products, and table salt. Lead was the highest detected metal; canned fish and meat products had the highest mean concentrations across all metal categories. Dietary exposures were quantified using estimated daily intake (EDI) and compared against EFSA and USEPA health-based guidance values. All hazard quotient (HQ) values were below 1, indicating no significant noncarcinogenic health concern at reported intake levels. Carcinogenic risk (CR) values ranged from 2.16 × 10^-6 to 4.37 × 10^-5, within the USEPA acceptable range.

Key numbers

MeasureValueUnitsMatrixSource location
Mean lead (Pb), canned fish and meat221.5 ± 39.9µg/kgCanned fish/meatTable 1, p. 3
Mean cadmium (Cd), canned fish and meat45.8 ± 52.8µg/kgCanned fish/meatTable 1, p. 3
Mean chromium (Cr), canned fish and meat36.2 ± 41.3µg/kgCanned fish/meatTable 1, p. 3
Mean arsenic (As), canned fish and meat8.5 ± 1.8µg/kgCanned fish/meatTable 1, p. 3
Overall mean lead (Pb) (all categories)174.0 ± 38.3µg/kg5118 total valueTable 1
Luncheon (processed meat) mean lead (Pb)264.5 ± 33.5µg/kgLuncheon meatTable 1
Wheat flour mean lead (Pb)20.4 ± 10.3µg/kgProcessed cerealsTable 1
Milk mean cadmium (Cd)20.8 ± 6.6µg/kgMilk and dairyTable 1
EDI lead (Pb)up to 0.688µg/kg body weight per dayAdult dietAbstract, p. 5
EDI cadmium (Cd)up to 0.112µg/kg body weight per dayAdult dietAbstract, p. 5
EDI chromium (Cr)up to 0.035µg/kg body weight per dayAdult dietAbstract, p. 5
EDI arsenic (As)up to 0.004µg/kg body weight per dayAdult dietAbstract, p. 5
HQ, all metalsbelow 1dimensionlessAdult dietResults
CR range2.16 × 10^-6 to 4.37 × 10^-5dimensionlessAdult dietAbstract
EFSA lead (Pb) benchmark dose (BW10)0.5 µg/kg body weight per dayReferencep. 5

Luncheon meat and canned fish and meat products were the primary contributors to lead (Pb) dietary exposure (21% from luncheon meat, 17% from canned fish, 11% from canned meat), followed by processed cereals (67.1% of arsenic (As), 54% of Cd). Pb exceedance of EFSA limits was noted in 79% of carbonated and energy drink samples (greater than 20 µg/kg limit), 50% of milk and dairy products (greater than 10 µg/kg), and 100% of canned beef and luncheon (greater than 20 µg/kg) based on EFSA MLs (p. 5).

Methods (brief)

54 samples (20 beverages, 18 processed cereals, 6 milk and dairy, 6 canned fish and meat, 4 table salt) collected January to December 2022 from Qena Governorate. Analyzed by atomic absorption spectroscopy (AAnalyst 400, PerkinElmer) at the National Research Centre, Cairo. Liquid and dairy samples digested with 10% H2SO4; solid samples with 0.5 g mixed with 95% sulfuric acid. LOD: Pb 0.1 to 0.5 µg/kg, cadmium (Cd) 0.05 to 0.1 µg/kg, chromium (Cr) 0.2 to 0.5 µg/kg, As 0.3 to 1.5 µg/kg. Recovery 85 to 96%. Body weight used: 70 kg (adult).

Evidence fitness

Demonstrates that canned fish and meat products and processed cereals drive the majority of heavy metal dietary exposure in this Egyptian population context. The HQ below 1 for all metals provides reassurance that current intake levels do not individually exceed noncarcinogenic thresholds. However, the EDI for lead approached the EFSA guidance value (up to 0.688 µg/kg body weight per day vs. 0.5 µg/kg body weight per day benchmark dose). The study is relevant to benchmarking Egyptian canned food metal levels and comparing with regional baselines, but the small sample size per category limits statistical confidence.

Limitations

Small n per food category (2 to 20 samples). Single-governorate sampling. Adult-only EDI; vulnerable populations (children, pregnant women) not assessed. No EFSA Pb margin of exposure calculation reported despite Pb being the dominant metal.

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