Occurrence and Health Risk Assessment of Aflatoxins through Intake of Eastern Herbal Medicines Collected from Four Districts of Southern Punjab—Pakistan
Abstract
:1. Introduction
2. Materials and Method
2.1. Sampling
2.2. Sample Preparation and Aflatoxins Analysis
2.2.1. Extraction and Immunoaffinity Clean-Up
2.2.2. Post-Column Derivatization
2.2.3. Chromatographic Analysis
2.2.4. Method Validity
2.3. Health Risk Assessment
2.3.1. Exposure Assessment
2.3.2. Health Risk Characterization
2.4. Statistical Analysis
3. Results and Discussion
3.1. Aflatoxins Occurrence in Herbal Medicine Formulations
3.2. Health Risk Assessment
3.2.1. Exposure Assessment
3.2.2. Health Risk Characterization
4. Conclusions
Author Contributions
Funding
Data Availability Statement
Conflicts of Interest
References
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HM No | Medicine Name | Composition | Target Population | Recommended Dosage | Therapeutic Indications | |
---|---|---|---|---|---|---|
Children | Adults | |||||
1 | Hazmina Plus | Carcum copticum, Piper nigrum, Mangifera indica, Zingiber officinale, ammonium chloride, black salt | children and adults | 5 g twice in a day | 10 g thrice in a day | Helps to control dyspepsia, eases in digestion, flatulence, heaviness in abdomen, and irritable bowel syndrome. |
2 | Safoof-e-lal | Myrobolan green, liquorice root, Pistacia integerrima, Orchis latifolia Linn, Viola odorata | children and adults | 5 g thrice in a day | 10 g four times in a day | Expectorant for respiratory disorder, shortness of breath, dryness of bronchial airways, irritation, cough, cold, and flu. |
3 | Safoof Musaffi-e-Khoon | Terminalia chebula, Calotropis procera, Cassia fistula | children and adults | 5 g once in a day | 10 g once in a day | Effective blood purifier, cures pimples, boils, and other skin eruptions. |
4 | Safoof Mumanek Khas | Orchis latifolia, Dactylorhiza hatagirea, Sida cordifolia, Chlorophytum borivilianum | adults | NR | 10 g once in a day | Strengthens the reproductive system and effective in muscle cramp. |
5 | Safoof Lecodine | Punica granatum, Amaranthus viridis, Citrullus colocynthis, Fumaria officinalis | adult females | NR | 5 g thrice in a day | Effective in leucorrhea and amenorrhea. |
6 | Akhseer Pachish | Plantago ovata husk, Punica granatum, Chrysopogon zizanioides, Polygonum aviculare | children and adults | 5 g thrice in a day | 10 g thrice in a day | Effective in acute and chronic diarrhea, griping, intestinal irritation, dysentery, and mucus and bloody stools. |
7 | Johar Hazim | Illicium verum, Hyoscyamus niger, Piper longum | children and adults | 5 g thrice in a day | 5 g thrice in a day | Effective in stomach acidity, irritable bowel syndrome, improves digestion. |
8 | Khameera Marvareed | Mytilus margaritiferus, Vateria Indica, Bambusa arundinacea, Santalum Album, Serpentine, Sugar | children and adults | 5 g once in a day | 10 g once in a day | Potent cardiac tonic, relieves perplexity and palpitation, useful in measles, normalizes high blood pressure. |
9 | Safoof-e-Thandak | liquorice root, Cucumis melo seeds, Trachyspermum ammi, Tragacanth gum, Portulaca oleracea, Althaea officinalis, Prunus dulcis | children and adults | 5 g twice in a day | 10 g twice in a day | Effective in bladder inflammation, burning and dysuria, controls the intrinsic heat of the body, normalizes the effects of heat, sunstroke, and thirst. |
10 | Safoof-e-Supari pak | Areca catechu, Rubia cordifolia, Tribulus terrestris, Butea monosperma, Cinnamomum zeylanicum, Amomum subulatum, Zingiber officinalis, Asparagus adscendens, Syzyglum aromaticum, Myristica fragrans, Bombex malabaricum, Pistacla vera, Acacia nilotica, Bouhinia variegata, Censcora decussate | adult females | NR | 10 g once in a day | A specific remedy for leucorrhea, effective in general weakness, paleness, blood deficiency, muscular and nervine, weakness associated with leucorrhea, tones up uterus, and stops excessive fluid discharge. |
11 | Gond Katira | Valeriana officinale, Pistacia lentiscus, Red ochre, Orchis latifolia, Pastinaca secaucus, Wrightia tinctoria, Bergenia ligulata, Punica granatum, Butea monosperma, Cochlospermum religiosum, Vachellia nilotica, Salvia haematodes | children and adults | 5 g twice in a day | 10 g thrice in a day | Effective in hepatitis, urinary problems, maintains nocturnal ejaculation, gonorrhea. |
12 | Safoof-e-Mughaliz | Babul pods, liquorice, Austral sage, Vachellia nilotica | adult males | NR | 10 g once in a day | Increase and thicken the seminal fluid, cures nocturnal emission and spermatorrhea. Additionally produces vigor, vitality, and virility by strengthening the nerves. |
13 | Safoof-e-Tabkhir | Trachyspermum ammi, Foeniculum vulgare, Plantago ovata husk, Cuminum cyminum, liquorice root, Mentha arvensis, sodium chloride, Elettaria cardamomum, sal ammoniac, Coriandrum sativum | children and adults | 5 g once in a day | 10 g once in a day | Indigestion, acidity, and associated problems such as flatulence, heart burn, vertigo, vomiting, and stomachache. |
14 | Allergex | Coriandrum sativum, Mentha arvensis, Foeniculum vulgare, brown sugar | children and adults | 5 g once in a day | 10 g once in a day | Effective in allergies due to intrinsic heat, medicines, and food conditions such as allergic dermatitis, urticaria, itching, genital pruritis, and eczema. |
15 | Safoof-e-Jarian | Liquorice root, Vachellia nilotica, hydrated magnesium silicate, Argyreia nervosa | adult males | NR | 10 g once in a day | Effectively removes the causes of spermatorrhea and premature ejaculation. Thickens the seminal fluid and eliminates its unnatural and unwilling discharge. Additionally useful in regaining vitality and vigor. |
16 | Senna Maki | Senna alexandrina, Nigella sativa, Piper nigrum, Rosa, Zingiber officinale, Roscoe | children and adults | 5 g twice in a day | 10 g twice in a day | Effective in constipation, fever, asthma, dyspepsia, obesity, bone problems. |
17 | Kalvanji Hazim | Nigella sativa, Trachyspermum ammi, Cuminum cyminum, Sodium bicarbonate, Senna alexandrin | children and adults | 5 g twice in a day | 10 g twice in a day | Effective in nausea, constipation, dyspepsia, heart burn. |
18 | Majoon Azaraqi | Strychnos nux-vomica, Onosma bracteatum, Hyssopus officinalis, Astragalus gummifer gum, Pinus Gerardiana, Lodoicea maldivica fruit pulp, Lavandula stoechas, Emblica officinalis, Elettaria cardamomum seed, Terminalia chebula, Pastinaca secacul, Curcuma zedoaria root, Aquilaria agallocha fungus, Caryophyllus aromatica bud, honey | adults | NR | 10 g once in a day | Effective for nervine weakness and neuromuscular pain; useful in paralysis, tremors, and rheumatic pain; regulates the digestive system; nervine stimulant, cardiac stimulant, analgesic, anti-inflammatory; urinary bladder tonic, anti-gout, antiepileptic, anticonvulsant, aphrodisiac. |
19 | Alhazim | Piper longum, Piper nigrum, Zingigiber officinale, Carcum capticum, Cuminum cyminum, Mangifera indica powder, Mentha arvensis, Black salt. | children and adults | 5 g thrice in a day | 10 g thrice in a day | Effective in abdominal pain, constipation, vomiting, nausea, stomach ulcers. |
20 | Habis | Red ochre, Shellac, Shorea robusta, aluminum potassium sulfate, Butea monosperma, Dracaena cinnabari, Saussurea costus, hydrated magnesium silicate | adult females | NR | 5 g thrice in day | Effective in trauma, wound, menorrhea, hemorrhoid, and every type of bleeding, hemoptysis, epistaxis, and hematuria. |
HM formulation | P (%P) | ||||
---|---|---|---|---|---|
AFB1 | AFB2 | AFG1 | AFG2 | AFs | |
Hazmina Plus | 12 (60) | 12 (60) | 04 (20) | 02 (10) | 12 (60) |
Safoof-e-Lal | 13 (65) | 07 (35) | 18 (90) | 18 (90) | 18 (90) |
Safoof Musaffi-e-Khoon | 9 (45) | 6 (30) | 8 (40) | 6 (30) | 15 (75) |
Safoof Mumanek Khas | 15 (75) | 14 (70) | 15 (75) | 4 (20) | 15 (75) |
Safoof Lecodine | 5 (25) | 3 (15) | 5 (25) | 0 (0) | 5 (25) |
Akhseer Pachish | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
Johar Hazim | 0 (0) | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
Khameera Marvareed | 2 (10) | 0 (0) | 1 (5) | 0 (0) | 2 (10) |
Safoof-e-Thandak | 15 (75) | 15 (75) | 14 (70) | 14 (70) | 15 (75) |
Safoof-e-Supari Pak | 15 (75) | 15 (75) | 8 (40) | 7 (35) | 15 (75) |
Gond Katira | 14 (70) | 8 (40) | 8 (40) | 7 (35) | 14 (70) |
Safoof-e-Mughaliz | 7 (35) | 6 (30) | 13 (65) | 13 (65) | 14 (70) |
Safoof-e-Tabkhir | 12 (60) | 9 (45) | 11 (55) | 10 (50) | 12 (60) |
Allergex | 14 (70) | 10 (50) | 8 (40) | 14 (70) | 14 (70) |
Safoof-e-Jarian | 16 (80) | 16 (80) | 13 (65) | 3 (15) | 16 (80) |
Senna Maki | 06 (30) | 3 (15) | 3 (15) | 3 (15) | 6 (30) |
Kalvanji Hazim | 11 (55) | 2 (10) | 5 (25) | 0 (0) | 13 (65) |
Majoon Azaraqi | 4 (20) | 2 (10) | 4 (20) | 2 (10) | 7 (35) |
Alhazim | 9 (45) | 9 (45) | 2 (10) | 2 (10) | 10 (50) |
Habis | 6 (30) | 1 (5) | 3 (15) | 3 (15) | 7 (35) |
Total | 185 (46.3) | 138 (34.5) | 142.4 (35.6) | 108 (27) | 210 (52.5) |
HM formulation | AFB1 | AFB2 | AFG1 | AFG2 | AFs |
---|---|---|---|---|---|
Hazmina Plus | 0.88 ± 0.70 ab | 0.36 ± 0.43 bc | 0.13 ± 0.25 c | 0.02 ± 0.05 c | 1.39 ± 1.29 cde |
Safoof-e-Lal | 0.77 ± 0.751 ab | 0.20 ± 0.32 bcde | 9.12 ± 3.07 a | 2.32 ± 1.30 a | 12.40 ± 3.83 a |
Safoof Musaffi-e-Khoon | 0.50 ± 0.65 abcde | 0.22 ± 0.40 bcdef | 0.24 ± 0.33 c | 0.39 ± 0.71 bc | 1.34 ± 1.29 cde |
Safoof Mumanek Khas | 0.79 ± 0.82 ab | 0.29 ± 0.17 bcd | 0.33 ± 0.24 c | 0.08 ± 0.13 c | 1.49 ± 1.03 cd |
Safoof Lecodine | 0.32 ± 0.36 bcde | 0.07 ± 0.08 def | 0.28 ± 0.29 c | <LOD | 0.67 ± 0.70 cde |
Akhseer Pachish | <LOD | <LOD | <LOD | <LOD | <LOD |
Johar Hazim | <LOD | <LOD | <LOD | <LOD | <LOD |
Khameera Marvareed | 0.14 ± 0.41 cde | <LOD | 0.03 ± 0.13 c | <LOD | 0.17 ± 0.52 de |
Safoof-e-Thandak | 0.86 ± 1.08 ab | 0.32 ± 0.37 bcd | 0.47 ± 0.61 c | 0.33 ± 0.41 c | 1.98 ± 2.35 c |
Safoof-e-Supari Pak | 0.91 ± 0.77 a | 0.37 ± 0.29 a | 0.20 ± 0.26 c | 0.17 ± 0.26 c | 1.66 ± 1.34 c |
Gond Katira | 0.79 ± 0.68 ab | 0.15 ± 0.21 cdef | 0.14 ± 0.22 c | 0.23 ± 0.29 c | 1.40 ± 0.93 cde |
Safoof-e-Mughaliz | 0.08 ± 0.11 de | 0.07 ± 0.10 ef | 3.23 ± 2.69 b | 0.82 ± 0.68 b | 4.21 ± 3.15 b |
Safoof-e-Tabkhir | 0.83 ± 0.85 ab | 0.21 ± 0.26 bcde | 0.30 ± 0.37 c | 0.14 ± 0.16 d | 1.48 ± 1.40 def |
Allergex | 0.67 ± 0.70 abc | 0.29 ± 0.38 bcd | 0.28 ± 0.45 c | 2.02 ± 1.88 a | 3.26 ± 2.87 b |
Safoof-e-Jarian | 0.74 ± 0.71 ab | 0.59 ± 0.40 a | 0.35 ± 0.49 c | 0.09 ± 0.20 c | 1.76 ± 1.37 c |
Senna Maki | 0.53 ± 0.62 abcde | 0.21 ± 0.20 bcdef | 0.18 ± 0.30 c | 0.85 ± 1.17 b | 1.77 ± 1.88 c |
Kalvanji Hazim | 0.78 ± 0.99 ab | 0.05 ± 0.11 ef | 0.08 ± 0.15 c | <LOD | 0.92 ± 1.00 cde |
Majoon Azaraqi | 0.60 ± 1.33 abcd | 0.17 ± 0.37 bcdef | 0.25 ± 0.57 c | 0.19 ± 0.43 c | 1.21 ± 2.55 cde |
Alhazim | 0.99 ± 1.26 a | 0.37 ± 0.46 ab | 0.05 ± 0.11 c | 0.04 ± 0.09 c | 1.45 ± 1.79 cd |
Habis | 0.44 ± 0.76 abcde | 0.03 ± 0.06 ef | 0.06 ± 0.12 c | 0.08 ± 0.16 c | 0.60 ± 0.93 cde |
Total * | 0.58 ± 0.68 | 0.20 ± 0.23 | 0.78 ± 0.53 | 0.39 ± 0.40 | 1.95 ± 1.51 |
Punjabi Districts | AFB1 | AFB2 | AFG1 | AFG2 | AFs | |||||
---|---|---|---|---|---|---|---|---|---|---|
Mean (±SD) | %P | Mean (±SD) | %P | Mean (±SD) | %P | Mean (±SD) | %P | Mean (±SD) | %P | |
Multan | 0.59 (±1.14) | 45 | 0.20 (±0.47) | 32 | 0.718 (±2.23) | 29 | 0.40 (±0.91) | 27 | 1.913 (±3.57) | 50 |
Bahawalpur | 0.50 (±1.0) | 38 | 0.16 (±0.34) | 30 | 0.78 (±2.28) | 35 | 0.34 (±0.92) | 22 | 1.79 (±3.44) | 46 |
Rahim Yar Khan | 0.59 (±0.83) | 47 | 0.16 (±0.29) | 31 | 0.86 (±2.28) | 37 | 0.30 (±0.78) | 25 | 1.91 (±3.05) | 54 |
Dera Ghazi Khan | 0.63 (±0.76) | 55 | 0.27 (±0.43) | 45 | 0.78 (±2.31) | 42 | 0.52 (±1.43) | 34 | 2.20 (±3.40) | 60 |
HM Formulation | EU Standards | |
---|---|---|
AFB1 (2 ng/g) * | AFs (4 ng/g) * | |
Hazmina Plus | 3 (15) | 2 (10) |
Safoof-e-Lal | 0 (0) | 18 (90) |
Safoof Musaffi-e-Khoon | 0 (0) | 2 (10) |
Safoof Mumanek Khas | 1 (5) | 1 (5) |
Safoof Lecodine | 0 (0) | 0 (0) |
Akhseer Pachish | 0 (0) | 0 (0) |
Johar Hazim | 0 (0) | 0 (0) |
Khameera Marvareed | 0 (0) | 0 (0) |
Safoof-e-Thandak | 1 (5) | 1 (5) |
Safoof-e-Supari Pak | 1 (5) | 1 (5) |
Gond Katira | 1 (5) | 0 (0) |
Safoof-e-Mughaliz | 0 (0) | 12 (60) |
Safoof-e-Tabkhir | 2 (10) | 0 (0) |
Allergex | 1 (5) | 11 (55) |
Safoof-e-Jarian | 1 (5) | 2 (10) |
Senna Maki | 2 (10) | 3 (15) |
Kalvanji Hazim | 3 (15) | 0 (0) |
Majoon Azaraqi | 2 (10) | 1 (5) |
Alhazim | 4 (20) | 1 (5) |
Habis | 1 (5) | 0 (0) |
Total | 23 (5.75) | 41 (10.25) |
Medicine Type | AFB1 | AFs | ||||||
---|---|---|---|---|---|---|---|---|
Children | Adults | Children | Adults | |||||
LB | UB | LB | UB | LB | UB | LB | UB | |
Hazmina plus | 0.07 | 0.07 | 0.09 | 0.09 | 0.10 | 0.13 | 0.14 | 0.15 |
Safoof-e-lal | 0.09 | 0.09 | 0.11 | 0.11 | 1.40 | 1.41 | 1.70 | 1.71 |
Safoof Musaffi-e-Khoon | 0.02 | 0.02 | 0.02 | 0.02 | 0.05 | 0.06 | 0.05 | 0.05 |
Safoof Mumanek Khas | NS | NS | 0.03 | 0.03 | NS | NS | 0.05 | 0.05 |
Safoof Lecodine | N\S | NS | 0.02 | 0.02 | NS | NS | 0.03 | 0.04 |
Khameera Marvareed | 0.01 | 0.03 | 0. 01 | 0.01 | 0.01 | 0.01 | 0.01 | 0.01 |
Safoof-e-thandak | 0.07 | 0.07 | 0.06 | 0.06 | 0.15 | 0.15 | 0.14 | 0.14 |
Safoof-e-Supari pak | NS | NS | 0.03 | 0.03 | NS | NS | 0.06 | 0.06 |
Gond Katira | 0.06 | 0.06 | 0.08 | 0.03 | 0.10 | 0.11 | 0.13 | 0.14 |
Safoof-e-Mughaliz | NS | NS | 0.003 | 0.01 | NS | NS | 0.14 | 0.15 |
Safoof-e-Tabkhir | 0.03 | 0.03 | 0.03 | 0.03 | 0.06 | 0.06 | 0.05 | 0.05 |
Allergex | 0.03 | 0.03 | 0.02 | 0.02 | 0.12 | 0.13 | 0.11 | 0.11 |
Safoof-e-Jarian | NS | NS | 0.03 | 0.03 | NS | NS | 0.06 | 0.06 |
Senna Maki | 0.04 | 0.05 | 0.04 | 0.04 | 0.13 | 0.14 | 0.12 | 0.13 |
kalvanji Hazim | 0.06 | 0.06 | 0.05 | 0.01 | 0.07 | 0.08 | 0.63 | 0.07 |
Majoon Azaraqi | NS | NS | 0.02 | 0.02 | NS | NS | 0.04 | 0.05 |
Alhazim | 0.11 | 0.12 | 0.10 | 0.11 | 0.16 | 0.18 | 0.15 | 0.16 |
Habis | NS | NS | 0.02 | 0.03 | NS | NS | 0.03 | 0.04 |
Total * | 0.05 | 0.06 | 0.04 | 0.04 | 0.21 | 0.22 | 0.17 | 0.18 |
Medicine Type | MOE | Cancer Risk per Year (per 75 Years) | ||||||
---|---|---|---|---|---|---|---|---|
Children | Adults | Children | Adults | |||||
LB | UB | LB | UB | LB | UB | LB | UB | |
Hazmina Plus | 1628.37 | 1499.49 | 1195.14 | 1100.54 | 0.0019 (0.1425) | 0.0025 (0.151) | 0.0027 (0.2025) | 0.0029 (0.2175) |
Safoof-e-Lal | 121.233 | 120.49 | 100.101 | 99.4949 | 0.0264 (1.951) | 0.0268 (2.010) | 0.0323 (2.4525) | 0.0325 (2.455) |
Safoof Musaffi-e-Khoon | 3366.16 | 3024.12 | 3705.86 | 3329.31 | 0.00095 (0.0712) | 0.0011 (0.0825) | 0.00091 (0.0675) | 0.00094 (0.0675) |
Safoof Mumanek Khas | NS | NS | 3334.9 | 3197.42 | NS | NS | 0.0009 (0.0675) | 0.0011 (0.075) |
Safoof Lecodine | NS | NS | 4946.69 | 4317.46 | NS | NS | 0.00072 (0.0525) | 0.00075 (0.0563) |
Khameera Marvareed | 26680.3 | 17409.1 | 29372.8 | 19166.0 | 0.00011 (0.0083) | 0.00018 (0.0135) | 0.0001 (0.0075) | 0.0002 (0.0127) |
Safoof-e-Thandak | 1136.73 | 1118.68 | 1251.45 | 1231.58 | 0.00281 (0.213) | 0.00285 (0.211) | 0.0026 (0.195) | 0.0029 (0.217) |
Safoof-e-Supari pak | NS | NS | 2995.59 | 2837.22 | NS | NS | 0.0011 (0.0825) | 0.0014 (0.105) |
Gond Katira | 1734.89 | 1608.62 | 1273.31 | 1180.64 | 0.0018 (0.135) | 0.0021 (0.157) | 0.00254 (0.1875) | 0.0027 (0.2025) |
Safoof-e-Mughaliz | NS | NS | 1180.43 | 1152.07 | NS | NS | 0.0027 (0.2025) | 0.0028 (0.212) |
Safoof-e-Tabkhir | 3054.86 | 2927.9 | 3363.14 | 3223.38 | 0.0011 (0.0825) | 0.0011 (0.0825) | 0.0009 (0.0675) | 0.0013 (0.075) |
Allergex | 1381.59 | 1351.77 | 1521.02 | 1488.19 | 0.0023 (0.1725) | 0.0023 (0.1725) | 0.0021 (0.1575) | 0.0022 (0.165) |
Safoof-e-Jarian | NS | NS | 2823.26 | 2724.1 | NS | NS | 0.0011 (0.0825) | 0.0012 (0.0885) |
Senna Maki | 1277.33 | 1211.76 | 1406.23 | 1334.05 | 0.0025 (0.1875) | 0.0026 (0.195) | 0.0023 (0.1725) | 0.0024 (0.183) |
Kalvanji Hazim | 2462.57 | 2180.35 | 2711.09 | 2400.39 | 0.0013 (0.0975) | 0.0015 (0.1125) | 0.0012 (0.091) | 0.0015 (0.075) |
Majoon Azaraqi | NS | NS | 4102.14 | 3619.13 | NS | NS | 0.00081 (0.061) | 0.00089 (0.0667) |
Alhazim | 1035.65 | 958.386 | 1140.17 | 1055.1 | 0.0031 (0.2325) | 0.0033 (0.2475) | 0.0028 (0.213) | 0.0032 (0.225) |
Habis | NS | NS | 5492.67 | 4496.38 | NS | NS | 0.0006 (0.045) | 0.0007 (0.0525) |
Total * | 3989.06 | 3037.33 | 3995.33 | 3219.58 | 0.00402 (0.3017) | 0.00421 (0.3155) | 0.00324 (0.2431) | 0.00341 (0.2557) |
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Javed, A.; Naeem, I.; Benkerroum, N.; Riaz, M.; Akhtar, S.; Ismail, A.; Sajid, M.; Tayyab Khan, M.; Ismail, Z. Occurrence and Health Risk Assessment of Aflatoxins through Intake of Eastern Herbal Medicines Collected from Four Districts of Southern Punjab—Pakistan. Int. J. Environ. Res. Public Health 2021, 18, 9531. https://doi.org/10.3390/ijerph18189531
Javed A, Naeem I, Benkerroum N, Riaz M, Akhtar S, Ismail A, Sajid M, Tayyab Khan M, Ismail Z. Occurrence and Health Risk Assessment of Aflatoxins through Intake of Eastern Herbal Medicines Collected from Four Districts of Southern Punjab—Pakistan. International Journal of Environmental Research and Public Health. 2021; 18(18):9531. https://doi.org/10.3390/ijerph18189531
Chicago/Turabian StyleJaved, Aqib, Iqra Naeem, Noreddine Benkerroum, Muhammad Riaz, Saeed Akhtar, Amir Ismail, Muhammad Sajid, Muhammad Tayyab Khan, and Zubair Ismail. 2021. "Occurrence and Health Risk Assessment of Aflatoxins through Intake of Eastern Herbal Medicines Collected from Four Districts of Southern Punjab—Pakistan" International Journal of Environmental Research and Public Health 18, no. 18: 9531. https://doi.org/10.3390/ijerph18189531