FORTAF: Fortifying Africa’s Future - Fortifier L’avenir de L’Afrique

 

Hazard Assessment In Flour Fortification

There are two types of safety concerns in fortifying flour. The first is that the standard be set at a level low enough to guarantee that no one will consume chronically dangerous levels of any micronutrient over the long run, while still being set high enough to provide beneficial intake levels. One way of assessing this is from the new Upper Levels (UL) set by the National Academy of Sciences, shown in the Table below.

This UL is set at a level lower than the No Observed Adverse Effect Level, so it should not be interpreted as meaning that higher levels are unsafe. It does mean that any intake below it is safe. The amounts of fortified flour or maize meal that anyone person could consume on a regular basis will vary greatly depending on the person's size and what other food is available. But it can be surmised that hardly anyone will consume his or her caloric requirement of 2000 kcal/day entirely from flour or meal, which amounts to 540 grams. The table below shows the level of each micronutrient that would have to be in flour for the UL to be exceeded at that consumption on a regular basis corrected for the highest retention given in the Table below

Maximum safe levels in flour

Nutrient Upper Level (UL)
From the Food and Nutrition Board
of the U.S. Institute of Medicine, 2001
Amount needed in flour for
540 grams (2000 kcal) to exceed UL
  mg/day ppm
Iron 45 83
Zinc 40 74
Calcium 2500 4630
Selenium 0.4 0.74
Iodine 1.1 2.0
Folate 1 2.6
Vitamin B 1 none  
Vitamin B2 none  
Niacin 35* 72
Vitamin B6 100 206
Vitamin B12 none  
Vitamin A 3.0 or
10,000 IU
6.2 mg/kg or 20,600 IU/kg
Vitamin D 0.050 or
2,000 IU
3,700 IU/kg
*The UL for niacin is based on its vasodilatation effect, which is less of a problem with niacinamide. The Scientific Committee for Food in the European Union has proposed a UL for nicotinic acid of 10 mg and a separate UL for niacinamide of 900 mg. Thus the later form poses no safety limitations in common food fortification practice.
 
Source: Fortification Handbook

The other safety concern relates to the chance of acute toxicity if flour was accidentally over fortified. Because of the high cost of fortification premixes, no mill could tolerate having excessively high amounts used over extended periods. Normal QC testing would quickly show a problem. Any over-fortification would, thus, be for a short period and involve a small amount of flour. This could happen if the fortification feeder was kept running after the flour stopped flowing. Equipment and procedures for preventing that will be discussed in Implementation. Also, there are some built-in mechanisms that would prevent such flour from actually being sold or consumed. Highly overfortified flour would show an off-color, from the iron and riboflavin as well as an off-flavor, making it unacceptable to consumers.

A fifty-year experience with flour fortification has proven it to be very safe with hazards that can be easily prevented by established QA and QC procedures.

© The Micronutrient Initiative
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