1. Introduction
Fungi are ubiquitous microorganisms that can endure as filamentous multicellular forms with hyphae or as unicellular yeasts [
1,
2,
3]. Moulds are filamentous fungi with hyphae connected to several spore-forming structures, such as conidia [
2]. In contrast to moulds, yeasts are single-celled microorganisms that do not produce secondary toxic metabolites [
4]. Although some species may divide by fission, yeasts reproduce primarily by budding [
4].
The high-humidity environment of slaughterhouses is prone to mould growth. Fungal growth and spore production are influenced by water activity and the availability of nutrients such as proteins, carbohydrates, and lipids [
2,
5].
Several mould species are known to produce mycotoxins and secondary toxic metabolites with teratogenic, mutagenic, and carcinogenic potential due to their ability to interfere with RNA synthesis and to cause DNA damage [
2,
6,
7].
Aspergillus spp.,
Fusarium spp., and
Penicillium spp. are prominent producers of these adverse mycotoxins [
6].
Although mycotoxins are more extensively described in cereals and other plant products, they are also found in meat and meat products [
5]. In food, the most frequently detected mycotoxins consist of aflatoxins, chiefly produced by
Aspergillus flavus, Aspergillus parasiticus, and
Aspergillus nomius; ochratoxin A, mainly produced by
Aspergillus ochraceus, Aspergillus niger, Aspergillus carbonarius, and
Penicillium verrucosum; zearalenone, primarily associated with
Fusarium graminearum; fumonisins, predominantly originated by
Fusarium verticillioides, Fusarium proliferatum, and
Aspergillus niger; and deoxynivalenol, generally produced by
Fusarium graminearum and
Fusarium culmorum [
8].
Meat can be contaminated with mould during the animal production phase and at the slaughterhouse due to improper handling, processing, and equipment contamination. This poses a potential public health risk for consumers. Therefore, monitoring the fungal load during slaughter is essential to ensure meat safety [
9].
From an occupational health perspective, chronic exposure or inhalation of mould and its metabolites is reportedly linked to asthma, dermatitis, allergies, respiratory infections and other infectious diseases in humans [
10]. Although fungal infections can affect healthy individuals, immunocompromised individuals are at a higher risk [
3].
Besides moulds, yeasts are also isolated in slaughterhouse lines and equipment and may contribute to opportunistic infections [
11,
12].
Preventing fungal dissemination in slaughterhouses is crucial to minimising the adverse effects and mitigating risks for slaughterhouse workers and meat consumers [
13].
Nevertheless, microbial monitoring in slaughterhouses typically prioritises bacterial contamination, and due to the lack of research and specific monitoring protocols and guidelines for fungi, fungal contamination still goes unnoticed. This underestimation may lead to unaddressed health risks. Considering this, the present review aims to provide an overview of the occurrence of moulds and yeasts in slaughterhouses based on the published data from the past twenty-five years and discuss their potential impact on meat safety and occupational health, emphasising the urgent need for more research and more fungal monitoring in slaughterhouses.
2. Impact of Fungi on Meat Safety and Occupational Health
Globally, more than 300 million people suffer from severe fungal disease, which can result in over 3.8 million deaths per year [
14,
15].
The routes of fungal infections through exposure to spores may include inhalation, ingestion of contaminated food, and skin contact [
3]. As moulds can produce mycotoxins, fungal-related health risks expand beyond direct infections.
The production of mycotoxins is influenced by intrinsic factors (e.g., species and strain) and external conditions, such as humidity, temperature, pH, gas composition, and the nature of the growth substrate [
16].
Depending on the dose and exposure duration, the toxic effects of mycotoxins can be acute or chronic, often influencing the protein, fat, and carbohydrate metabolism, and consequently the nucleic acid synthesis, and potentially causing kidney and liver damage or even cancer [
17].
Although the primary route of mycotoxin exposure is the oral ingestion of contaminated food [
18], which may pose a significant food safety risk, exposure can also occur through inhalation and dermal contact, representing an occupational hazard and which effect may be more harmful than oral exposure [
18].
2.1. Fungi as Meat-Borne Pathogens
Meat-borne pathogens consist of more than just bacteria, viruses, and parasites. Fungi can also be present in meat and meat product contaminants, releasing mycotoxins into the contaminated products, causing potentially serious implications on meat safety and public health [
19,
20].
Fungal spoilage of meat products is typically characterised by the presence of black, white, or blue-green colonies on the surface [
19].
The occurrence of moulds in meat, a significant source of food spoilage, is considered an indicator of the level of hygiene during processing activities [
21,
22].
Cladosporium spp. have been linked to black spot spoilage in dry-cured meats;
Chrysosporium pannorum is associated with the formation of white spots on frozen meat, and
Penicillium expansum may originate blue-green spots [
19]. Yeasts usually cause gas formation and an unpleasant odour [
19].
Commonly isolated fungal genera in red meat include
Cladosporium,
Geotrichum,
Mucor,
Rhizopus,
Sporotrichum,
Thamnidium,
Candida, and
Torulopsis. In contrast, in poultry meat,
Candida,
Debaryomyces,
Rhodotorula, and
Yarrowia are more frequently described [
19].
The primary sources of carcass contamination include air, water, walls, floors, workers, working surfaces, and equipment [
19,
23,
24]. The abattoir’s design and layout can also influence air currents, contributing to airborne contamination of carcasses and contact surfaces [
24]. However, mould in meat can also result from animals being fed contaminated feed [
25].
2.2. Fungi as Occupational Hazards
Slaughterhouse workers are exposed to several zoonoses, such as leptospirosis, brucellosis, Q fever, tuberculosis, avian influenza, and Crimean Congo haemorrhagic fever [
26]. Occupational exposure to fungal burden has been also assessed and confirmed [
13].
The biological risk in slaughterhouses is from direct and indirect contact with animal matter and exposure to bioaerosols [
13]. Bioaerosols involve airborne bacteria, viruses, fungi, and their by-products, including mycotoxins [
13]. Factors such as season, building materials, age of the facility, and ventilation conditions influence fungal concentrations and diversity. Studies on fungal bioaerosols have identified
Aspergillus,
Penicillium,
Stachybotrys,
Cladosporium,
Alternaria,
Trichoderma, and various yeasts as the most common indoor and outdoor fungi, with potential implications for severe health issues [
2,
27].
Indoor air quality is crucial for health and well-being, as people inhale approximately 10m³ of air daily, which can contain bioaerosols originating from individuals, organic dust, stored products, and air circulation through natural or artificial ventilation systems [
2]. Moreover, slaughtering and processing facilities ventilation systems serve as additional reservoirs for aerosolising and spreading airborne microorganisms [
13]. Among different types of slaughterhouses, poultry facilities previously exhibited the highest fungal load compared to cattle and mixed swine-cattle slaughterhouses, which can be attributed to greater indoor fungal contamination sources [
13].
Although European regulations mandate the assessment of biological risks in occupational settings, mycotoxins are not widely recognised as a risk factor. This may lead to an underestimation of exposure, as mycotoxins can persist in the environment even after removing fungi [
28]. Occupational exposure to aflatoxin B1 (AFB1), a potent hepatocarcinogen, was already described among poultry slaughterhouses [
14].
Occupational exposure to mycotoxins is mainly linked to working in poorly ventilated environments and improperly using protective equipment and clothing [
8]. As already mentioned, the main airborne mycotoxins exposure routes include inhalation and dermal contact, as mycotoxins can be present in airborne particles, as well as in dust that either carries these toxins or has been directly contaminated by fungal excretions [
18].
Inhalation of mycotoxins can lead to various adverse health effects, including mucous membrane irritation, epithelial damage, endocrine disruption, systemic symptoms such as fever, nausea, fatigue, and immunosuppression and immunotoxicity. Furthermore, exposure has been associated with nephrotoxicity, acute and chronic liver damage, central nervous system impairment, reproductive effects, and carcinogenic potential [
16].
Yeasts are also opportunistic hazards. The most frequently occurring yeast species associated with human disease include
Candida albicans,
Candida tropicalis,
Candida glabrata,
Candida parapsilosis, and
Cryptococcus neoformans [
29].
5. Microbiological Monitoring in Slaughterhouses: The Overlooked Impact of Fungi
Penicillium spp. [
23,
37,
40],
Aspergilus flavus and
Aspergillus niger [x – arire et al., x - Ja’afaru],
Cladosporium spp. [
5,
36],
Scopulariopsis spp. [
13],
Candida spp. [
82], and
Rhodotorula mucilaginosa [
11] were the most frequently isolated fungal species from slaughterhouses in the limited research carried out over the last twenty-five years. This could present a risk to both food safety and occupational health. However, there is a notable absence of risk assessments and regulations addressing the potential dangers associated with fungi and their secondary metabolites.
Most of the studies addressing the isolation of moulds and yeasts in the slaughterhouse are outdated and, in addition to being scarce, often describe the isolation of fungal species in slaughterhouses without establishing a statistical correlation with other factors, such as isolation sites, slaughterhouse type (species slaughtered, size), indoor humidity, ventilation, disinfection practices, and more. There is also a lack of studies conducted in slaughterhouses regarding the presence of mycotoxins in meat and the surrounding processing environment.
Toxic residues in animal products mainly arise from contaminated feed. Mycotoxins can be excreted in urine, faeces, and milk, or accumulate in eggs, meat, and internal organs, with aflatoxins predominating in the liver, gizzard, kidney, milk, eggs, and meat [
93]. These products are significant sources of human mycotoxin intake [
93]. As described in this review, meat contamination may also occur during slaughter. However, the current microbiological monitoring in slaughterhouses does not include fungi or mycotoxins in the protocols.
According to European legislation, point 3.2 in chapter 3 of the Commission Regulation (CE) No. 2073/2005 [
94] states that
Salmonella,
Enterobacteriaceae, bacterial aerobic colony count, and
Escherichia coli must be sampled and monitored in the context of slaughterhouses, thus not mentioning fungal species. The Commission Regulation (CE) No. 2023/915 [
95], which sets maximum levels for certain contaminants in food, does not set a maximum level of mycotoxin in meat.
Monitoring mycotoxigenic fungi could be an added component of the HACCP programs in the meat production chain and mould removal should be incorporated into the Standard Sanitary Operating Procedures (SSOPs) of the slaughterhouses and meat production companies.
Furthermore, based on the data collected in this review, the study of the role of possible vectors in slaughterhouses, such as flies and other insects, should be evaluated.
Regarding occupational exposure, among the fungal species mentioned in this review, only
Aspergillus spp. (including
Aspergillus flavus and
Aspergillus fumigatus),
Candida parapsilosis, and
Candida tropicalis are included in the list relating to the protection of workers against risks related to exposure to biological agents at work published in the Commission Directive (EU) 2000/54 [
96], emended by Commission Directive (EU) 2019/1833 [
97]. These species are classified as Group 2 biological agents, meaning that the agents can cause diseases in humans and pose a danger to workers. Still, the probability of its spreading in the community is low, and generally, there are effective means of prophylaxis or treatment [96 - Commission Directive (EU) 2000/54].
Moreover, although the most recent report published by the European Agency for Safety and Health at Work [
26] mentions the possibility of occupational exposure to fungi, such as histoplasmosis and cryptococcosis, it does not provide detailed insight into the exposure of slaughterhouse workers to other fungal species not associated with direct or indirect contact with animals and their fluids.
Currently, no specific regulation in the European Union exclusively addresses mycotoxins as an occupational risk. Previous studies, including those by Viegas et al. (2016) [
28] and Viegas et al. (2016) [
13], have highlighted the exposure of slaughterhouse workers to various fungal species and the mycotoxin Aflatoxin B1, revealing a significant gap in the comprehensive assessment of the occupational burden caused by fungal exposure in slaughterhouses across Europe. Despite this, there is still a lack of studies focused on assessing the risk of mycotoxin exposure for slaughterhouse workers.
Mycotoxin exposure requires the presence of mould and favourable conditions for toxin production, with humidity being a key factor [
98]. However, exposure can occur even without visible mould, as small fungal biomass may produce significant mycotoxins. Assessing occupational risks involves considering airborne mycotoxin concentration, exposure duration, and frequency. Two main scenarios exist: regular low-level exposure or occasional high peaks. Health risk evaluation remains challenging due to the absence of regulatory limits for airborne mycotoxins [
98].
The lack of monitoring of these compounds in workplaces makes it challenging to compare exposure levels, highlighting the need for standardized methods. Airborne fungi are often used as indirect indicators of mycotoxins [
99]. However, in addition to the unreliability of this approach, as mycotoxins can persist even after fungi are eliminated [
99], there is also a lack of standardization in fungal identification in slaughterhouses.
Additionally, insufficient epidemiological studies hinder assessing acute and chronic health effects of mycotoxin exposure, making it crucial to establish occupational exposure limits for individual mycotoxins and their mixtures [
99].
Protective measures should be taken to reduce the potential exposure to fungal burden. Preventive measures should be implemented, such as disinfection and wearing personal protection devices, such as filtration masks and gloves [
13]. Increased awareness and education on this topic should be provided to both workers and employers.
Ultimately, it is important to highlight that the presence of fungi capable of producing mycotoxins in slaughterhouse wastewater could present an environmental risk [
100].