Between April and September 2004, one of the largest known aflatoxicosis outbreaks occurred in Kenya, with 317 reported cases and 125 deaths. A less severe outbreak occurred in 2005, resulting in 16 deaths. Food samples collected from households in the affected areas contained high levels of aflatoxin Bi (20 to > 1,000 ng/g), suggesting that the outbreak was caused by acute aflatoxin poisoning. The outbreak resulted from aflatoxin contamination of locally grown maize that was stored under damp conditions.

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