A recent ecological study demonstrated a significant association between an increased risk of nonalcoholic liver disease mortality and freshwater cyanobacterial blooms. Moreover, previous epidemiology studies highlighted a relationship between cyanotoxins in drinking water with liver cancer and damage and colorectal cancer. These associations identified cyanobacterial blooms as a global public health and environmental problem, affecting freshwater bodies that are important sources for drinking water, agriculture, and aquafarms. Furthermore, as a result of climate change, it is expected that our freshwater environments will become more favorable for producing harmful blooms that produce various cyanotoxins. Food is an important source of cyanotoxin exposure to humans, but it has been less addressed. This paper synthesizes information from the studies that have investigated cyanotoxins in freshwater and food on a global scale. We also review and summarize the health effects and exposure routes of cyanotoxins and candidates for cyanotoxin treatment methods that can be applied to food.

Microcystins (MCs) are a family of cyanotoxins and pose detrimental effects on human, animal, and ecological health. Conventional water treatment processes have limited success in removing MCs without producing harmful byproducts. Therefore, there is an urgent need for cost-effective and environmentally-friendly methods for treating MCs. The objective of this study was to develop sustainable and non-chemical-based methods for controlling MCs, such as using cold plasma and ultra violet (UV) light with titanium dioxide (TiO₂) coating, which can be applied for diverse scale and settings. MCs, extracted from Microcystis aeruginosa, were treated with cold plasma or UV at irradiance of 1470 μW/cm² (high) or 180 μW/cm² (low). To assess synergistic effects, the outside of the UV treatment chamber was coated with nanoparticles (TiO₂) prior to irradiation, which can be reused for a long time. The degradation efficiency of UV was enhanced by the reusable TiO₂ coating at lower irradiance (70.41% [UV] vs. 79.61% [UV+TiO₂], 120 min), but no significant difference was observed at higher irradiance. Cold plasma removed MCs rapidly under experimental conditions (92%, 120 min), indicating that it is a promising candidate for controlling MCs in water without generating harmful disinfection byproducts. It can be also easily and practically used in household settings during emergency situations.