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Asian Journal of Health Sciences 2022, 8(1):32
Open Access Full Text Article Review
Food Technology and Nutrition Science
Department, Noakhali Science and
Technology University, Sonapur,
Noakhali-3814, Bangladesh
Correspondence
Md Shahedul Islam, Food Technology
and Nutrition Science Department,
Noakhali Science and Technology
University, Sonapur, Noakhali-3814,
Bangladesh
Email:
shahedul0810@student.nstu.edu.bd
History
•Received: Jan 10, 2022
•Accepted: Feb 23, 2022
•Published: Mar 17, 2022
DOI : 10.15419/ajhs.v8i1.503
Copyright
© Biomedpress. This is an open-
access article distributed under the
terms of the Creative Commons
Attribution 4.0 International license.
Dreadful Practices of Adulteration in Foods: Their Frequent
Consequences on Public Health
Md Shahedul Islam*, Nusrat Jahan Jhily, Md. Mahedi Hasan Shampad, Jilon Hossain, Sujan Chandra Sarkar,
Md. Maminur Rahman, Md. Ashiqul Islam
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ABSTRACT
Despite the numerous health benets of food, people today face a variety of health issues because
of food adulteration. Food adulteration is the consequence of corporate rampant consumerism
which maliciously does so to optimize its benets. Food adulteration degrades food quality and
has a wide range of negative health consequences for humans. An adulterant is a food-depleting
toxic substance. Such adulterants can escalate to causing multiple fatal diseases which can have
a destructive eect on public health. Food adulteration can lead to slow toxicity and a number of
diseases that can cause death. This paper highlights the common scenario of food adulteration
practices, as well as the detrimental eects of adulterated food consumption on human health as
well as the role of the authorities involved in eradicating it. The purpose of this paper is to inform
the responsible authorities about the current situation of food adulteration and to present the im-
plications of meaningful change through proactive measures from these authorities.
Key words: Food adulteration, adulterants, public health, health risks, food safety
INTRODUCTION
e adulteration of food is dened as consciously or
unconsciously incorporating foreign substances into
foods or attempting to remove some of the value from
the main food source production, both of which can
aect food quality 1. Adulterants are toxic chemicals
that should never be present in predominant food-
stus. However, when incorporated, they deteriorate
the food ingredients and reduce the food quality2.
Adulteration makes eating unlivable and unpleasant,
and it can be poisonous. It also harms our health by
dispossessing us of the food’s usual nutritional con-
stituents. People can also experience diculties in
terms of food intolerances or the neurotoxic eects
caused by tainted food3. Multiple factors, including
economic gain, carelessness, and an absence of ade-
quate hygienic conditions of processing, storage, con-
veyance, and transaction, are related to the contami-
nation or adulteration of food. Hence, the consumer
is either misled or generally victimized by disease4.
Such adulteration is generally seen in backward or de-
veloping nations. Consumers must be conscious of
prevalent adulterants and their health eects 5.
e adulteration of food can be classied into three
types. ere are purposeful adulterations, in which
silt, liquid, sand, coal, colored powder, etc., are in-
corporated for marketing gain, metallic adulterations,
which encompass lead, arsenic, tin, and other metals
from chemical plants, and unintended adulteration,
in which the most widely known adulterants, includ-
ing pests, insects, as well as many microbes from nu-
merous sources6,7. In today’s world, food adulter-
ation is quite widespread and adulterated products are
distributed on the open market where individual citi-
zens, posed a range of health consequences as a result,
consume them. Numerous food products have been
revealed to be tainted, the signicant proportion of
which are bread, dairy, frozen yogurts, fruits and veg-
gies, oil, seasonings, and so forth8,9. In addition, the
intervention of fruits and veggies causes them to de-
velop relatively quickly. Steroids have been inoculated
into chickens in a short span of time to develop them
into hens10 . Food adulteration leads to a number of
human health problems11 .
Due to this, food adulteration should be emphasized
in public health policy due to its impact on population
health12. Numerous factors determine food safety
and security, as evidenced by a study conducted by the
government and other regulatory authorities. All of
these variables contribute to the food products in ev-
ery step of the food chain13. Potential dangers result
in contamination throughout the supply chain, which
includes handling, stockpiling, mass transit, and dis-
semination, controlled by food risk control14. Ap-
proximately 57 percent of people worldwide are af-
fected by various health hazards because of consum-
ing infected and adulterated foods, with 32 percent
Cite this article : Islam M S, Jhily N J, Shampad M M H, Hossain J, Sarkar S C, Rahman M M, Islam M A.
Dreadful Practices of Adulteration in Foods: Their Frequent Consequences on Public Health. Asian
J. Health Sci. 2022; 8(1):32.
1
Asian Journal of Health Sciences 2022, 8(1):32
being young and 25 percent being adults15. It should
be necessary to conduct quality control tests to pro-
vide foods that are completely independent of adul-
terants and approved for human ingestion16.
e main goal of this review paper is to identify the
dreadful practices of adulteration in various foods, as
well as the public health consequences of these adul-
terations.
METHODS OF THE CITED
LITERATURE
Criteria for considering the studies for re-
view
During the search and selection of the appropriate
documents for use in this study, the following param-
eters were considered: articles on the basic aspects of
food adulteration, articles containing the scenario or
practices of adulteration from the viewpoint of dier-
ent countries in the world, articles on the patterns and
practices of adulteration in a variety of important food
products, and the eects or implications on the public
in the world.
Search methods for the identication of
suitable studies
To write this research paper, articles and reviews
were searched for using PubMed, Google Scholar, and
Google.
Selection of the studies
Only papers that were linked to the study selection
criteria were added to this paper from among the ar-
ticles that were searched. On the other hand, papers
that were unable to follow the study selection criteria
were excluded from the study paper. Aer reviewing
more than 40 research articles, information from 60
relevant reference sources was included.
MOST COMMON ADULTERATED
FOODS
e food products that we purchase and consume
are already at risk of being tainted in various phases
of the supply chain. As per the FSSAI study con-
ducted, the much more popular dishes discovered
to be tainted include dairy, sh, fruits and vegeta-
bles, liquids, syrup, oil, wheat bread, tea, chilies, and
many other seasonings, among others. e foods
were tainted by incorporating toxic substances with
their companions17,18 . Lead chromate has been dis-
covered in pulses, painted barn in seasonings, ac-
etaldehyde and gelatin in cream, urea, washing pow-
der, starch, etc. in dairy, iron additives in tea, sand,
dry erase powder, etc., in wheat our, calcium carbide,
copper salt, formalin, etc. in fruits and vegetables, salt
is oen adulterated by light-skinned powdered stone,
and honey is found with molasses and cane sugar as
adulterants19,20 . To make foods more appealing to
customers, a variety of colorants are used. Sulfuric
acid is used to make evaporated milk5,21–24. O-
cial statistics released by the Bangladesh government’s
Ministry of Health and Family Welfare (MOHFW) re-
vealed that nearly half of the food samples were found
to have been adulterated from 2001 to 2009 by the In-
stitute of Public Health (IPH) 25.
OVERALL CONSEQUENCES OF
FOOD ADULTERATION ON PUBLIC
HEALTH
Food adulteration is a long-standing criminal of-
fense26,27. Food adulteration is becoming more com-
mon which aects public health to a greater extent,
especially with the widespread use of contaminants.
is causes increased mindfulness, distress, and vul-
nerability 22,28–32. Nausea, abdominal discomfort,
autoimmune disease, asthma, headache, sinus infec-
tion, larynx constriction, bronchitis, dermatitis, al-
lergic reactions, diarrhea, hematuria, numbness, and
dizziness are some of the acute signs and symptoms
caused by adulterants. Acute adulteration for a long
period of time can lead to circulatory failure, cardio-
genic shock, renal failure, hepatocellular carcinoma,
liver cancer, epilepsy, and a variety of other diseases,
in addition to the eects listed earlier in this sec-
tion33–35.
Among the adulterants listed in the table and
preceding paragraph are lead, mercury, cobalt,
chromium, cadmium, arsenic, Sudan red, metanil
yellow, melamine, urea, aatoxin, DDT (dichloro
diphenyl trichloroethane), calcium carbide, formalin,
and others.
Heavy metals have no potential health benets. How-
ever, there is no established homeostasis framework
for them36. Acute long-term exposure can easily
hinder normal physiological cellular functions in hu-
mans37. Heavy metals, such as lead, chromium,
and arsenic, accumulate in the body, which might
cause kidney and liver damage and developabnormal-
ities among children38 . Moreover, the International
Agency for Research on Cancer (IARC) has labeled
As, Cd, and Pb as carcinogens39. e persistent ef-
fects of low concentrations of As, Cd, and Pb may thus
result in a variety of cancers40 .
Sudan dyes, which are commonly used in foods such
as chili powder and curry, can be extremely hazardous
2
Asian Journal of Health Sciences 2022, 8(1):32
to human health41,42 . Lawful uses of Sudan II, III,
and IV are fully accountable for the wide occurrence
of these intoxicants and result in the permanent ex-
posure of people to such substances. Sudan III con-
tinues to remain admissible for ingredients that do
not interact with the mucosal surfaces42 . Individu-
als subjected to addictive substances on a routine ba-
sis for extended periods at a signicant level may also
experience detrimental ramications43 . Sudan I, II,
and III reaction products, along with Sudan Red 7B
and Sudan Black B reaction products, have now been
proclaimed carcinogens and they are now categorized
as group 3 substances by the International Agency for
Research on Cancer44,45.
Metanil yellow is a bright orange cationic dye that is
extensively used as a food colorant in a wide range of
food products due to its low cost46,47 . Metanil yellow
can cause harm to the human heart, abdomen, liver,
kidneys, peripheral nerves, gastrointestinal tract, gas-
tric tissue, and other important organs and home-
ostatic mechanisms46,48–50 . According to some re-
search, access to metanil yellow wreaked havoc in
both the ne grained and Purkinje intercellular spaces
of the nervous system of rats51 . e intestinal epithe-
lium was also discovered to be irreversibly altered as
a result of metanil yellow disclosure, leading to a loss
of nutrient uptake capacity 52 . A study of goat cardiac
tissue found that metanil yellow provokes hepatotox-
icity, increases oxidative stress, and distorts the stages
of the intracellular antioxidative enzymes and super-
oxide dismutase in a goat’s heart in utero53. A study
on Swiss albino mice discovered that metanil yellow
provokes scrotal cellular injury, as well as demyelina-
tion in the Sertoli cells and sperm cells. It was also
connected to scrotal damage in studies that pointed
to select components in lab rats, mice, and rats54,55.
Melamine-contaminated food has exacerbated kid-
ney problems and nephrolithiasis in Asia and North
America throughout 2004 as well as 200756,57 .In
2008, a melamine-contaminated powdered milk im-
broglio in China drew worldwide interest. Because
of this imbroglio, 294,000 patients were reported to
have melamine-related urolithiasis, 51,900 of whom
were hospitalized and at least 6 of whom starved to
death56,58. Pure melamine seems to be non-toxic in
tiny quantities59,60 ; the daily limit is 0.5 milligrams
per kg of body mass61. Melamine-cyanurate multi-
faceted hydrolyzing items are much more threatening
than melamine and cyanuric acid alone57 .
Aatoxin can contaminate foods such as grains, wal-
nut, maize, cotton, groundnuts, and tree nuts 62 where
they are grown, cultivated, and preserved 63. Aatox-
ins can pose signicant threats to humansand animals
by exacerbating the hepatic damage, carcinogenic ef-
fects, mutagenicity, teratogenic eects, and hypersen-
sitivity 64–71. e most widespread aatoxins seems
to be in forms B1, B2, G1, and G2 72, among which
type B1 is noticed most oen in food products. It has
been observed to be the most ecient organic car-
cinogen and unwanted substance64,66,67.
e unbounded use of poisonous DDT powder in dry
sh is a potential carcinogen73 . Several observational
studies have failed to detect a higher risk of death74 ,
whereas others have explored a signicant relation-
ship with pancreatic cancer75 , hepatic and bile duct
cancer76, myeloma77, cardiac disease, and presum-
ably diabetes78. DDT was classied as a ”probable
human carcinogen (Group 2B)” by the International
Agency for Research on Cancer (IARC) in 199179.
e pervasive use of formaldehyde solution in fruits,
vegetables, sh, meats, and dairy foods for lengthy
restoration causes harm to population health80. Ac-
cess to formaldehyde solution gaseous fuel can in-
duce ocular, nose, and respiratory system itchiness81 .
Formaldehyde solution exposure ranging from 5 to
30 ppm and greater can cause or exasperate bronchial
asthma. Paraformaldehyde oen can impair the
retina and lead to blindness. Prolonged exposure to
formalin can cause respiratory, gastrointestinal, hep-
atic, cardiovascular, nephrological, and cognitive dif-
culties, as well as cancer73,82–85. Formaldehyde was
recently designated a Group 1 carcinogen by the Inter-
national Agency for Research on Cancer (IARC)86,87.
Calcium carbide (CaC2) is a chemical substance used
in the manufacturing of acetylene and calcium cyan-
imide88,89, the rst of which aects the central ner-
vous system by minimizing oxygen circulation to the
brain90,91. e conduct of food with calcium carbide
is predominantly destructive because it encompasses
drops of arsenic and phosphorous. e carbide pro-
duces acetylene vapor when liqueed in water. By
inducing elongated hypoxia, acetylene vapor can dis-
tress the nervous system. Nuisances, vertigo, mood
disorders, lassitude, mental shakiness, a lack of mem-
ory, cerebral edema, and conscations are the conse-
quences. Carbide may also cause renal and liver prob-
lems, especially in children 92. Calcium carbide in-
duces neurological disorders93,94 and can cause can-
cer in the lungs, kidney, liver, skin, and prostate 73.
Babies born to pregnant women who ingest carbide-
ripened fruit may have birth defects93,94.
e rising number of cancers, metabolic syndrome,
and kidney failure recurrences across the country
could be attributed primarily to tainted food con-
sumption. Toxic residues in food have the most neg-
ative impact on children’s cognitive growth, as well as
women’s reproduction95 .
3
Asian Journal of Health Sciences 2022, 8(1):32
Table 1: The eects of food adulteration on public health
References Study
Location
Food Involved Adulterants Used Health Consequences of Adulterants
96 Italy Wine Methanol Caused the deaths of 23 individuals
97 Bangladesh Spices, pulps, juices, lentils, and oils Chromium, tartrazine, and erythro-
sine
Kidney, skin, liver, prostate, and lung cancer
98 Spain Vegetable Oils Car oil - More than 20000 cases of illness
- 663 fatalities
97 Bangladesh Bread and wheat our Rye our •Spontaneous abortion and traumatic event
99 Bangladesh Sweet, sauce, pastry, powder, sea-
sonings
Coal tar and synthetic colorants Oncogenic
100 Ethiopia Water from boreholes Fluoride level •Dental uorosis can result from long-term exposure
•Induce skeletal uorosis in children and adults
99 Bangladesh Chinese food products for restau-
rants
Agenomato or monosodium gluta-
mate
•Disorder and depression of the nervous system
101 Tanzania Milk and dairy products Bacterial infection of Staphylococ-
cus aureus
•Pimples, skin infections
•Pneumonia
•Even blood poisoning
3India Rat Poison tainted Foods Barium •Violent peristalsis, hypertension, twitching of the muscles,
convulsions, cardiac disorders
102 Kenya Animal products that are tainted,
such as unpasteurized milk or cheese
A microorganism called Brucella Fever, fatigue, weight loss, and malaise, a u-like illness
99 Bangladesh Blanched and pued rice Urea •Renal and nervous system damage
•Respiratory problems
103 Ethiopia Dairy milk Staphylococcus aureus bacterial in-
fection
•Nausea, vomiting, sweating, diarrhea, stomach cramps
3India Edible oils and fats Mineral oil •Can causes cancer
104 China Honey Large fructose syrup with corn •Weight gain, diabetes, obesity, and liver disease
97 Bangladesh Turmeric powder Brick dust, articial powder, and
pigment
•Carcinogenic
Continued on next page
4
Asian Journal of Health Sciences 2022, 8(1):32
Table 1 continued
References Study
Location
Food Involved Adulterants Used Health Consequences of Adulterants
105 Nepal Food grains (i.e., corn, groundnuts,
wheat, etc.) or other food products
are typically stored during storage
Aatoxin •Causes toxicity
•Associated with cancer, kwashiorkor, and delay in childhood
development
3India Smoked sh, meat, water contami-
nated with mineral oil, oils, fats and
sh, especially shellsh
Refrigerated together with fried and
raw sh
Can causes cancer
106 Malaysia Herbal and food products Inhibitors of Phosphodiesterase-5
and its analogs
•Headaches, ushing, nasal inammation, nasopharyngitis,
and dyspepsia
99 Bangladesh Chili powder Sudan red, red brick powder, sand,
gravel, unauthorized colors, saw-
dust or dry papaya seeds
•Tumors in liver and bladder
•Eventually for cancer, respiratory complaint, stomach dis-
order
3India Saron, cashew, clove, chilies Petals, husks or stalks, and fruits Aected by low-quality standards
99 Bangladesh Fruit ripening Calcium Carbide •Kidney, skin, liver, prostate, and lung cancer
107 Brazil Honey Fed extra sucrose or sucrose solu-
tion or syrup
•Can cause obesity
•Increase blood glucose level
•Demonstrate toxicity eects
3India Drinking water, seafood, tea, etc. Flouride •Fluorosis induces excess uoride.
108 China Meat products Unauthorized sudan powder •Cancer-causing teratogenicity, genotoxicity and carcino-
genicity, and their degradation products are considered haz-
ardous
97 Bangladesh Tea Using processed and colored tea
leaves
•Detrimental to health, cancer
3India Foreign
seeds
Mixture of black pepper and others
seeds
•Deleterious to health
•Even can causes cancer
97 Bangladesh Butter Dalda mixed with pigment, powder,
soap, oleomargarine or lard, cow’s
intestine
Asthma and deteriorated kidney function
Continued on next page
5
Asian Journal of Health Sciences 2022, 8(1):32
Table 1 continued
References Study
Location
Food Involved Adulterants Used Health Consequences of Adulterants
3India Oils Rancid oil •Abolishes vitamin A and E
99 Bangladesh Sweet, sauce, pastry, powder, spices Coal tar and manufacturing dyes Carcinogenic
3India Fruits like water Arsenic •Vertigo, anxieties, cramps, paralysis
•And, even can causes death
99 Bangladesh Condensed milk Sulfuric acid and palm oil •Cardiac function delinquent
56 China Milk foodstus Melamine •Kidney failure
3India Fish Mercury •Brain damage, paralysis, death
99 Bangladesh Dry sh DDT •Breast cancer, liver cancer and pancreatic cancer
•Reproductive damage
•Neurological damage
81,85,109,110 Bangladesh Raw sh Formaldehyde (formalin) •Irritated eyes, nose, and throat
•Asthma can be provokedby exposures of 5-30 ppm or higher
•Long-term ingestion can increase cancer risk, as well as res-
piratory, gastrointestinal, cardiovascular, nephrological, and
cognitive troubles
3India Fruit drinks, food and beverages Cadmium •Disease of Itai-itai
•Increased salivation
•Liver and kidney impairment
•Cancer of the prostate
97 Bangladesh So and hard beverages Dyes based on copper, zinc or in-
digo
•Toxic to health
3India Natural and processed water and
food
Lead •Causes base drips, insomnia, anemia, and constipation
3India Food grains, pulses etc. Sand, stone, chips of marble, lth Impairment of gastrointestinal tract
Continued on next page
6
Asian Journal of Health Sciences 2022, 8(1):32
Table 1 continued
References Study
Location
Food Involved Adulterants Used Health Consequences of Adulterants
99 Bangladesh Milk Adulterate cow or bualo milk with
starch, milk powder and urea
Cancer or acute renal distortion
3India Water, liquors Cobalt •Insuciency of the heart and myocardial failure
97 Bangladesh Sweets Metanil yellow •Can causes cancer and tumor
7
Asian Journal of Health Sciences 2022, 8(1):32
CONCLUSION
From the above analysis and conversations, we can
summarize that without our understanding, adulter-
ation added to food products can cause enormous
health eects. Many traders use various adulterants
in dierent ways to make the maximum prot from
food rather than enough investment. Adulteration
can be avoided through a few attentive measures.
Consumers should avoid purchasing food from lo-
cations where adequate hygiene conditions are not
maintained. e government should also take more
of the initiative by conducting various campaigns to
promote its rights and to help detect food adulteration
at home. e consumers’ rights to obtain good food
should be recognized and correctly and eciently en-
forced to create a stronger and more powerful coun-
try. Health education should be made mandatory. To
construct positive change in this situation, all respon-
sible stakeholders in society must come forward to
protect our health and to prevent future generations
from contracting food-borne diseases.
ABBREVIATIONS
None.
ACKNOWLEDGMENTS
We would like to acknowledge the role of our depart-
ment and teachers in conducting this research and
their inspirations for doing such research activities.
AUTHOR’S CONTRIBUTIONS
All authors equally contributed to this work, read and
approved the nal manuscript.
FUNDING
None.
AVAILABILITY OF DATA AND
MATERIALS
Not applicable.
ETHICS APPROVAL AND CONSENT
TO PARTICIPATE
Not applicable.
CONSENT FOR PUBLICATION
Not applicable.
COMPETING INTERESTS
e authors declare that they have no competing in-
terests.
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