Potentially Toxic Elements in Foods Consumed in Uganda: Occurrence, Dietary Exposure, and Public Health Risks

Abstract

Potentially toxic element (PTE) contamination of food systems has emerged as an important environmental and public health concern in many developing countries, including Uganda, owing to rapid urbanization, industrialization, mining activities, wastewater reuse, informal waste disposal, and expanding urban agriculture. This review synthesizes evidence from peer-reviewed and selected grey literature on the occurrence of cadmium (Cd), chromium (Cr), nickel (Ni), lead (Pb), and arsenic (As) in cereals, vegetables, tubers, livestock products, fish, fruits, and processed foods consumed in Uganda. A structured literature synthesis and screening-level dietary risk assessment using estimated daily intake (EDI), target hazard quotient (THQ), hazard index (HI), carcinogenic risk (CR), and total carcinogenic risk (TCR) were conducted to identify contamination hotspots, priority exposure pathways, and potential public health implications. The available evidence revealed substantial spatial variability, with contamination consistently concentrated in mining-influenced agricultural areas, wastewater-irrigated farms, municipal dumpsites, industrial corridors, and urban food markets. Vegetables, cereals, livestock products, fish, and street-vended foods exhibited the greatest contamination burdens, while Pb and Cd were the PTEs most frequently reported exceeding WHO/FAO, Codex Alimentarius, and Ugandan food safety limits. Screening-level risk estimates indicated that Pb, Cd, and Cr contributed most to cumulative dietary exposure, with children consistently exhibiting higher EDI, THQ, HI, and TCR values than adults because of greater food intake relative to body weight. Although cumulative HI and TCR values exceeded recommended screening thresholds in several hotspot regions, these estimates should be interpreted as conservative screening-level indicators derived from heterogeneous published datasets rather than nationally representative measures of dietary exposure. Overall, the evidence indicates that PTE contamination in Ugandan food systems is predominantly hotspot-driven and highlights the need for targeted surveillance, standardized monitoring and reporting, improved pollution control, and strengthened food safety management to reduce chronic dietary exposure and protect public health.