MMWR Morb Mortal Wkly Rep. 2021 Oct 29;70(43):1501-1504. doi: 10.15585/mmwr.mm7043a2.
During 2018-2019, the Rhode Island Department of Health (RIDOH) and the Missouri Department of Health and Senior Services (DHSS) investigated cases of metal poisonings associated with commercially and home-prepared cakes decorated with products referred to as luster dust. Several types of glitters and dusts, broadly known as luster dust,* for use on prepared foods can be purchased online and in craft and bakery supply stores (1). Decorating foods with luster dust and similar products is a current trend, popularized on television programs, instructional videos, blogs, and in magazine articles. Some luster dusts are specifically produced with edible ingredients that can be safely consumed. Companies that make edible luster dust are required by law to include a list of ingredients on the label (2). Luster dusts that are safe for consumption are typically marked "edible" on the label. Some luster dusts used as cake decorations are not edible or food grade; labeled as "nontoxic" or "for decorative purposes only," these luster dusts are intended to be removed before consumption (3). RIDOH (2018) and Missouri DHSS (2019), investigated heavy metal poisonings associated with commercially and home-prepared cakes decorated with luster dust after receiving reports of children (aged 1-11 years) who became ill after consuming birthday cake. Cases in Rhode Island were associated with copper ingestion, and the case in Missouri was associated with a child's elevated blood lead level. In Rhode Island, luster dust products that had been used in cake frosting were found to contain high levels of multiple metals. These events indicate that increased vigilance by public health departments and further guidance to consumers and bakeries are needed to prevent unintentional poisonings. Labeling indicating that a product is nontoxic does not imply that the product is safe for consumption. Explicit labeling indicating that nonedible products are not safe for human consumption is needed to prevent illness from inappropriate use of inedible products on foods. Educating consumers, commercial bakers, and public health professionals about potential hazards of items used in food preparation is essential to preventing illness and unintentional poisoning from toxic metals and other nonedible ingredients.
在 2018 年至 2019 年期间，罗德岛卫生部门（RIDOH）和密苏里州卫生和高级服务部（DHSS）调查了与商业和家庭自制蛋糕装饰产品有关的金属中毒案件，这些产品被称为亮粉。几种类型的闪光粉和粉尘，通常被称为亮粉，*可用于准备食品，可以在网上和工艺品和面包店供应商店购买（1）。用亮粉和类似产品装饰食物是一种当前的趋势，在电视节目、教学视频、博客和杂志文章中得到了推广。一些亮粉是专门用可安全食用的成分制成的。生产可食用亮粉的公司被法律要求在标签上列出成分清单（2）。可食用的亮粉通常在标签上标有“可食用”。一些用作蛋糕装饰的亮粉不可食用或不是食品级的；标有“无毒”或“仅供装饰用途”，这些亮粉旨在食用前去除（3）。RIDOH（2018 年）和密苏里州 DHSS（2019 年）在收到有关食用生日蛋糕后生病的儿童（年龄在 1-11 岁之间）的报告后，调查了与商业和家庭自制蛋糕装饰用亮粉有关的重金属中毒事件。罗德岛的病例与铜摄入有关，密苏里州的病例与儿童血铅水平升高有关。在罗德岛，用于蛋糕糖霜的亮粉产品被发现含有多种金属的高含量。这些事件表明，需要公共卫生部门加强警惕，并向消费者和面包店提供进一步的指导，以防止意外中毒。标签表明产品无毒并不意味着产品可安全食用。需要明确标记表明不可食用产品对人类食用不安全，以防止因在食物上使用不可食用产品而导致疾病。教育消费者、商业面包师和公共卫生专业人员了解在食品准备中使用的物品的潜在危害，对于防止因有毒金属和其他不可食用成分而导致的疾病和意外中毒至关重要。
