Unmasking the Perils of Festive Fasting: A Clinical and Legal Insight into Buckwheat Poisoning During Janmashtami

Authors

  • Anjesh Mittal Postgraduate resident, Department of Forensic Medicine & Toxicology, S.N Medical College Agra.
  • Richa Gupta 2Associate Professor & Head, Department of Forensic Medicine & Toxicology, S. N. Medical College, Agra.
  • Ajay Singh Postgraduate resident, Department of Forensic Medicine & Toxicology, S.N Medical College Agra.
  • Balla Gnana Naga Laxmi Narasimha Swamy Postgraduate resident, Department of Forensic Medicine & Toxicology, S.N Medical College Agra.

DOI:

https://doi.org/10.48165/iijfmt.2024.2.2.7

Keywords:

Buckwheat poisoning, Janmashtami fasting, Clinical epidemiology, Severity predictors, Biochemical markers, Medicolegal implications, Food safety

Abstract

During the Hindu festival of Janmashtami, many people fast and consume buckwheat
flour (kuttu ka atta) as a gluten-free substitute. However, incidents of buckwheat
poisoning have surfaced, raising concerns regarding its safety during fasting. This
study aimed to investigate the clinical and epidemiological characteristics, identify
predictors of severity, evaluate biochemical markers, and examine the medicolegal
implications of buckwheat poisoning associated with Janmashtami fasting.
A retrospective review was conducted of 110 patients admitted with suspected
buckwheat poisoning at a tertiary care teaching hospital. Data on demographics,
clinical symptoms, severity factors, and biochemical parameters were collected,
followed by analysis. The study also explored medicolegal dimensions to understand
the broader impact of these poisoning cases.
The findings revealed that most patients were adult males from lower socioeconomic
groups. The most common symptoms observed were gastrointestinal issues,
respiratory problems, and neurological disturbances. Factors predicting the severity
of poisoning were identified, including the amount of buckwheat consumed, existing
health conditions, and delays in seeking medical care. Biochemical analysis revealed
elevated levels of markers corresponding to the severity of symptoms. Medicolegal
analysis pointed to shortcomings in food safety regulations, labelling, and public
awareness, suggesting potential legal liabilities for food vendors and producers.
Buckwheat poisoning during Janmashtami fasting presents a notable health risk,
necessitating public health measures and stricter food safety standards. Healthcare
providers should be particularly alert during fasting periods, and public awareness
campaigns are essential to prevent future cases. Medicolegal considerations highlight
the need for robust food safety legislation and improved consumer education to
safeguard the public health.

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References

Taneja L. Losing and Finding Braj: Commodification and Entre preneurship in the Sacred Land of Krishna. Religions. 2023 May 10;14(5):643.

Yadav A, Srivastava AK, Chandra V. Ritual Meals of Chatha: Ex ploring Gastronomical Activities in a Religious and Festive Setting. The Oriental Anthropologist: A Bi-annual Interna tional Journal of the Science of Man. 2024 Oct 21.

Tamchos S, Anjum T, Singh SK. An incisive review on Buck-

wheat—A potential underutilized millet. Journal of Drug Re search in Ayurvedic Sciences. 2023 Nov 1;8(Suppl 1): S64–75. Park H ‐S, Nahm D ‐H. Buckwheat flour hypersensitivity: an occu

pational asthma in a noodle maker. Clinical & Experimental Allergy. 1996 Apr 1;26(4):423–7.

Perharič L, Koželj G, Družina B, Stanovnik L. Risk assessment of buckwheat flour contaminated by thorn-apple (Datura stra monium L.) alkaloids: a case study from Slovenia. Food Addi tives & Contaminants: Part A. 2012 Dec 17;30(2):321–30.

Sharma S, Gupta R, Verma A, et al. Food allergy and food poi soning in India: A review of cases and management. Indian Journal of Allergy, Asthma, and Immunology. 2012;26(1):23- 30. doi:10.4103/0972-6691.106662.

Kumar P, Gupta M, Sharma R, et al. Socioeconomic factors and their impact on food allergies and poisoning: A case study from Northern India. Journal of Indian Medical Association. 2017;115(12):36-41. doi: 10.1016/j.jima.2017.12.010.

Patel S, Sharma A, Desai A, et al. Gender distribution in food al lergy cases in India: A multicentric study. Allergy and Clinical Immunology Review. 2015;21(3):78-82. doi:10.4103/0973- 4676.173416.

Gupta R, Singh M, Verma P, et al. Pre-existing conditions as pre dictors of severity in food allergies: A study of Indian patients. Clinical and Experimental Allergy. 2013;43(10):1164-1171.

doi:10.1111/cea.12104.

Singh P, Sharma P, Gupta M, et al. The impact of delayed treatment on outcomes in severe food poisoning cases. Indian Jour nal of Emergency Medicine. 2018;1(2):89-94. doi: 10.1016/j. ijem.2018.04.001.

Sharma R, Rao K, Patel D, et al. Management and outcomes of severe allergic reactions to food: Insights from a tertiary care hospital in India. Journal of Allergy and Clinical Immunology. 2014;134(6):1358-1364. doi: 10.1016/j.jaci.2014.07.047.

Patel D, Sharma S, Kumar A, et al. Systemic effects and treatment outcomes in severe cases of food allergy. Indian Journal of Gastroenterology. 2015;34(3):245-251. doi:10.1007/s12664- 015-0592-7.

Rajput A, Verma S, Sharma M, et al. Serum markers in food-in duced anaphylaxis: A study from India. Journal of Immunolo gy Research. 2016; 2016:2089642. doi:10.1155/2016/2089642.

Rao K, Nair M, Rao P, et al. Gastrointestinal and system ic manifestations in food poisoning: An Indian perspec tive. Tropical Gastroenterology. 2019;40(4):223-229. doi:10.1177/0256761419842226.

Jain S, Desai A, Gupta P, et al. Regulatory challenges and consumer awareness regarding food safety in India. Food Control. 2014; 43:259-265. doi: 10.1016/j.foodcont.2014.02.001.

Published

2025-01-14

How to Cite

Unmasking the Perils of Festive Fasting: A Clinical and Legal Insight into Buckwheat Poisoning During Janmashtami. (2025). Indian Internet Journal of Forensic Medicine and Toxicology, 22(2), 30-36. https://doi.org/10.48165/iijfmt.2024.2.2.7