Occurrence and Health Risk Assessment of Per- and Polyfluoroalkyl Substances in Yogurt Across Lebanese Governorates Sandra Sarkis, Maha Hoteit, Nikolaos Tzenios, Tony Tannous, Mireille Harmouche-Karaki, Khalil Helou, Joseph Matta Foods, 2025 Per- and polyfluoroalkyl substances (PFAS) are persistent environmental pollutants of emerging concern due to their widespread use and potential adverse health effects. This study assessed the concentrations of key PFAS compounds in yogurt samples collected from eleven Lebanese governorates. Results revealed notable geographic variability, with the Bekaa region exhibiting the highest PFAS levels, particularly PFHpA, PFOA, PFHxS, PFOS, and PFPeA, while Jbeil showed the lowest concentrations. Health risk assessment using estimated daily intake (EDI), risk quotients (RQ), and cumulative hazard index (HI) indicated all individual compound exposures below established safety thresholds. However, elevated RQs for PFOS and PFOA and an average HI of 0.71 suggest potential chronic exposure concerns in high-burden regions. These findings emphasize the importance of continued monitoring and risk management to protect public health and inform environmental policies addressing PFAS contamination in Lebanon.
Investigating PCBs and OCPs in Lebanese Yogurt: National Contamination Patterns and Health Risk Assessment Sandra Sarkis, Jean Claude Assaf, Mantoura Nakad, Tony Tannous, Mireille Harmouche-Karaki, Khalil Helou, Joseph Matta Foods, 2025 This study investigates the presence of polychlorinated biphenyls (PCBs) and organochlorine pesticides (OCPs) in 165 yogurt samples collected from farms across 11 Lebanese regions. As the first nationwide assessment of these contaminants in yogurt, it addresses a critical gap in Lebanon’s food safety monitoring. Levels of PCBs, ΣDDTs, ΣHCH, HCB, endosulfan, methoxychlor, and dieldrin were quantified, revealing widespread contamination. A total of 40.6% of samples recorded total PCB concentrations exceeding European maximum residue limits (MRLs), with a national mean of 39.26 ng/g fat. Keserwan, and North and South Lebanon showed the highest PCB contamination, likely linked to thermal power generation activities. For OCPs, mean concentrations of all tested compounds exceeded their respective MRLs across all regions. Levels of ΣDDTs surpassed the MRL in 100% of samples with the highest mean concentration at 376.79 ng/g fat, followed by endosulfan (70.32 ng/g fat) and β-HCH (65.32 ng/g fat). Elevated OCP levels were especially noted in Bekaa, Baalbek-Hermel, and South and North Lebanon, likely reflecting intensive agricultural practices and the ongoing use of contaminants. Estimated daily intakes (EDIs) indicated potential dietary exposure risks, particularly from PCBs, ΣDDTs, and ΣHCH. These findings underscore the urgent need for regulatory oversight and national food safety monitoring to ensure public health protection.
Heavy Metal Contamination in Yogurt from Lebanon: Evaluating Lead (Pb) and Cadmium (Cd) Concentrations Across Multiple Regions Sandra Sarkis, Rayan Kashmar, Nikolaos Tzenios, Maha Hoteit, Tony Tannous, Joseph Matta Toxics, 2025 The toxicity of metals such as lead (Pb) and cadmium (Cd) makes heavy metal contamination in food products a major health concern. The aim of this study is to measure the levels of Pb and Cd in yogurt samples that were collected from 11 distinct Lebanese locations and determine their compliance with the legal limits set by the European Commission (0.02 mg/kg for Pb and 0.005 mg/kg for Cd). A total of 165 yogurt samples were examined using atomic absorption spectrophotometry (AAS). Interestingly, the findings showed that 10.9% of samples had Pb concentrations over the allowable limit; the highest amounts were observed in Baalbeck-Hermel (0.118 mg/kg), North Area (0.125 mg/kg), and South Lebanon (0.115 mg/kg). In addition, the highest detected concentrations of Cd were found in North Area (0.094 mg/kg), Baalbeck-Hermel (0.076 mg/kg), and Akkar (0.042 mg/kg), with 14.5% of samples above the limit. The results show regional differences in contamination, which are probably caused by industrial emissions, agricultural activities, and environmental pollution. To better understand the potential health implications, the estimated daily intake (EDI) of Pb and Cd through yogurt consumption was calculated and compared to international health-based guidance values. Although the EDI values suggest a low risk from yogurt alone, the findings highlight the importance of cumulative exposure and emphasize the necessity of regular monitoring and stricter implementation of food safety laws to decrease exposure to heavy metals through dairy intake.
Olive mill wastewater treatment using coagulation/flocculation and filtration processes Layla Moustafa Fleyfel, Joseph Matta, Nicole Fakhoury Sayegh, Nasma Hamdi El Najjar Heliyon, 2024 Olive mill wastewater (OMWW), a pollutant resulting from the olive oil industry, poses a serious ecological challenge due to its high pollution load. This effluent is highly concentrated in chemical oxygen demand (COD), which is 200 times higher than that of sewage wastewater. Moreover, OMWW is characterized by a strong acidity, high content of fatty matter, and high concentration of phenolic compounds. In this study, coagulation/flocculation and filtration processes were investigated in order to decrease the pollution load of OMWW for potential reuse in olive orchard irrigation. First, two successive coagulation/flocculation steps were applied to a centrifuged OMWW. Lime and aluminum sulfate (alum) were used as coagulants by testing different concentrations in order to select optimal conditions. Then, the efficiency of various filtration systems using activated carbon and/or natural materials (olive stones, olive leaves, sand, Celite, and gravel) was tested. pH, electrical conductivity (EC), total solid (TS), and COD were measured before and after each treatment step (coagulation or filtration). Five phenolic compounds were monitored before and after applying the selected treatment steps under optimal conditions. The quantification and valorization of the sludge derived from coagulation/flocculation were also performed. During the first coagulation/flocculation step, the results showed that the application of 8 g/L of lime combined with 7 g/L of alum allows the removal rates for EC, TS, and COD of approximately 10 %, 41 %, and 48 %, respectively. While the application of 5 g/L of lime and 4 g/L of alum during the second coagulation/flocculation step allows for lower reductions rates for TS (37 %) and higher reduction rates for COD (67 %). In addition, the resulting sludge showed its potential usage as a solid alternative fuel with a calorific value of 3295.79 cal/g. Moreover, filtration using activated carbon and gravel was found to be the optimum filtration system. The reduction rates were 51 %, 37 %, and 26 % for EC, TS, and COD, respectively. Finally, the combination of coagulation/flocculation and filtration allows the substantial elimination of the studied phenolic compounds with global reduction yields of 97 % for vanillyl alcohol, 92 % for tyrosol, and 91 % for vanillic acid and p-coumaric acid. Besides, Mediterranean countries are suffering from water shortages and the majority of olive mill trituration units are known for their artisanal types thus facing economic challenges. This research suggests a practical treatment process and the final effluent can be used to irrigate olive orchards at a rate of 170 m 3 per hectare.
Fungal Isolation, Detection, and Quantification of Aflatoxins in Nuts Sold in the Lebanese Market Heba Hellany, Jean Claude Assaf, Joseph Matta, Mahmoud I. Khalil Processes, 2024 This study examines the prevalence of aflatoxin contamination in 160 nut samples, both shelled and unshelled (including pistachios, peanuts, and walnuts), from the Lebanese market, focusing on their fungal contamination and specific toxigenic strains. Aflatoxin B1 (AFB1), known for its potent carcinogenic and immunosuppressive properties, was detected in various samples. Moisture content analysis showed that unshelled nuts often exceeded maximum moisture limits more frequently than shelled nuts, with levels ranging from 1.9 to 9.5%. The predominant fungal genus identified through cultivation on potato dextrose agar (PDA) plates was Aspergillus. In total, 55% of samples were contaminated with A. flavus and 45% with A. niger. All toxigenic strains isolated were identified as Aspergillus flavus. The aflatoxins, particularly AFB1, were quantified using the enzyme-linked immunosorbent assay (ELISA) and reversed-phase high-performance liquid chromatography (HPLC), revealing contamination in 43.8% of the samples, with concentrations ranging from 0.4 to 25 µg/kg. Some samples notably exceeded the established maximum tolerable limits (MTLs) for AFB1, set between 2 and 8 µg/kg. Shelled pistachios showed the highest contamination rate at 52% and were the most frequent to surpass the MTL of 8 µg/kg for pistachios, whereas walnuts displayed the lowest contamination levels, with only 15.4% exceeding the MTL for aflatoxins.
Dioxins and furans maternal transfer: A study of breast milk and cord serum levels among Lebanese mothers and associations with newborn anthropometric measurements Yara Mahfouz, Mireille Harmouche-Karaki, Joseph Matta, Maya Mahfouz, Pascale Salameh, Hassan Younes, Khalil Helou, Ramzi Finan, Georges Abi-Tayeh, Mohamad Meslimani, Ghada Moussa, Nada Chahrour, Camille Osseiran, Farouk Skaiki, Jean-François Narbonne Marine Pollution Bulletin, 2024 Dioxins and furans (PCDD/Fs) are anthropogenic pollutants that persist in the environment for long years, bioaccumulating in food & contaminating humans. In pregnancy, they can transfer through the placenta and reach the fetus, which negatively affects fetal growth. They can also reach newborns through breastfeeding. In this study, we focused on this critical subpopulation and identified the presence of PCDD/Fs among pregnant women in breast milk (n = 41) and cord serum (n = 49); we assessed the correlation between different matrices, evaluated the predictors and associations with newborn anthropometric measurements. Over 70.7 % of PCDD/Fs were detected in breast milk and 46.9-55.1 % in cord serum. Cord/maternal serum and breast milk to maternal serum ratios were > 1 with a significant positive Spearman correlation (0.669-0.729). Breast milk & maternal serum PCDD/Fs were associated inversely with age and positively with red meat intake. Cord serum PCDD/Fs were inversely associated with pre-pregnancy weight loss and passive smoking. Parity and gestational weight gain showed positive associations with Z-scores at birth. Z-score differences showed negative and positive associations with passive smoking and pre-pregnancy BMI respectively.
Assessment of prerequisite programs implementation at food packaging manufacturing companies and hygiene status of food packaging in a developing country: Cross-sectional study Marilyn Abdessater, Fady Fayyad, Joseph Matta, Layal Karam Heliyon, 2023 Food packaging has a critical role in all food types and along the food chain from product preservation to transportation, distribution, storage, retailing, and end-use. However, it can become a source of contamination and transfer of microorganisms to the packed food when its hygienic status is not well maintained. The aim of this study was to evaluate the Prerequisite programs (PRPs) implementation in 5 food packaging companies across Mount Lebanon through on-site inspections and to assess the compliance of contact surfaces, employee hands and packaging materials to microbiological specifications. Following on-site inspection, none of the companies achieved a full total score of 100% and scores ranged from 25 to 62%. Regarding the assessment of hygienic status of contact surfaces, non-conforming results (acceptable limit ≤0.6 log colony forming units (CFU)/cm 2 ) were observed in 50% (5/10) of the surfaces for total viable count (TVC). For the employee hands, none of the hand swab samples (10/10) was conforming for TVC that was present in all samples above the acceptable limit. Highest and lowest reported values were 4.4 and 1.7 log CFU/hands respectively. For packaging samples collected during on-site inspections, TVC and yeasts and molds were detected in 20% (2/10) of the samples. However, the samples collected from the retail market, had higher contamination rates of 95% (19/20) and 65% (13/20) for TVC and yeasts and molds, respectively. As for Enterobacteriaceae, it was not detected in all tested contact surfaces, employees' hands, and packaging samples. PRPs assessment and related verification activities showed the need for companies to strengthen their hygienic programs and highlighted the importance of food safety management systems (FSMS) implementation not only in food companies but also in food packaging companies. Additionally, the effectiveness of PRPs implementation should be assessed on planned routine basis.
Maternal Serum, Cord and Human Milk Levels of Per- and Polyfluoroalkyl Substances (PFAS), Association with Predictors and Effect on Newborn Anthropometry Maya Mahfouz, Mireille Harmouche-Karaki, Joseph Matta, Yara Mahfouz, Pascale Salameh, Hassan Younes, Khalil Helou, Ramzi Finan, Georges Abi-Tayeh, Mohamad Meslimani, Ghada Moussa, Nada Chahrour, Camille Osseiran, Farouk Skaiki, Jean-François Narbonne Toxics, 2023 Background: The understanding of per- and polyfluoroalkyl substances (PFAS) health effects is rapidly advancing among critical populations. Therefore, the objective of this study was to assess PFAS serum levels among Lebanese pregnant women, cord serum and human milk levels, their determinants, and effects on newborn anthropometry. Methods: We measured concentrations of six PFAS (PFHpA, PFOA, PFHxS, PFOS, PFNA and PFDA) using liquid chromatography MS/MS for 419 participants, of which 269 had sociodemographic, anthropometric, environmental and dietary information. Results: The percentage of detection for PFHpA, PFOA, PFHxS and PFOS was 36.3–37.7%. PFOA and PFOS levels (95th percentile) were higher than HBM-I and HBM-II values. While PFAS were not detected in cord serum, five compounds were detected in human milk. Multivariate regression showed that fish/shellfish consumption, vicinity to illegal incineration and higher educational level were associated with an almost twice higher risk of elevated PFHpA, PFOA, PFHxS and PFOS serum levels. Higher PFAS levels in human milk were observed with higher eggs and dairy products consumption, in addition to tap water (preliminary findings). Higher PFHpA was significantly associated with lower newborn weight-for-length Z-score at birth. Conclusions: Findings establish the need for further studies, and urgent action to reduce exposure among subgroups with higher PFAS levels.
Vitamin D and Trabecular Bone Score in a Group of Young Lebanese Adults Abir Alwan, Nathalie Al Rassy, Abdel-Jalil Berro, Maroun Rizkallah, Joseph Matta, Fabienne Frenn, Falah Bachour, Amer Sebaaly, Ghassan Maalouf, Hassane Zouhal, Rawad El Hage Journal of Clinical Densitometry, 2018
Decreased Composite Indices of Femoral Neck Strength in Young Obese Women Abdel-Jalil Berro, Said Ahmaidi, Antonio Pinti, Abir Alwan, Hayman Saddik, Joseph Matta, Fabienne Frenn, Maroun Rizkallah, Ghassan Maalouf, Rawad El Hage Lecture Notes in Computer Science Including Subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics, 2018
