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Environmental Health Impacts of concentrated animal feeding operations: Anticipating Hazards--Searching for Solutions.

A scientific conference and workshop was held March 2004 in Iowa City, Iowa Iowa City is a city in Johnson County, Iowa, United States. It is the principal city of the Iowa City, Iowa Metropolitan Statistical Area which encompasses Johnson and Washington counties. , that brought together environmental scientists from North America North America, third largest continent (1990 est. pop. 365,000,000), c.9,400,000 sq mi (24,346,000 sq km), the northern of the two continents of the Western Hemisphere.  and Europe to address major environmental health issues associated with concentrated animal feeding operations (CAFOs) in large, industrialized in·dus·tri·al·ize  
v. in·dus·tri·al·ized, in·dus·tri·al·iz·ing, in·dus·tri·al·iz·es
1. To develop industry in (a country or society, for example).

 livestock production facilities. After one and a half days of plenary sessions, five expert workgroups convened to consider the most relevant research areas, including respiratory health effects, modeling and monitoring of air toxics, water quality issues, influenza pandemics and antibiotic resistance antibiotic resistance,
n the ability of certain strains of microorganisms to develop resistance to antibiotics.

antibiotic resistance 
, and community health and socioeconomic issues. The workgroup reports that follow outline the state of the science and public health concerns relating to relating to relate prepconcernant

relating to relate prepbezüglich +gen, mit Bezug auf +acc 
 livestock production as they apply to each workgroup topic. The reports also identify areas in which further research is needed and suggest opportunities to translate science to policy initiatives that would effect improvements in public and environmental health. Viable solutions to some of the current environmental health problems associated with CAFOs are outlined. In addition, these reports bring to light several major concerns, including air and water contamination, the rise of antibiotic-resistant bacteria in livestock, and the specter of influenza outbreaks arising from siting industrialized poultry and swine production in proximity to each other and to humans. Key words: air quality, animal confinements, antibiotic resistance, antimicrobial growth promotants, avian influenza avian influenza: see influenza. , bioaerosols, livestock, poultry, swine, water quality. Environ Health Perspect 115:296-297 (2007). doi:10.1289/ehp.8831 available via[Online 14 November 2006]


Dramatic changes in livestock production have occurred over the past two decades. The trend in swine, poultry, and cattle operations has been toward fewer but increasingly larger operations. Traditional crop-livestock farms were balanced in that livestock manure supplied nutrients to grow the crops to feed those livestock. Farmers raised the quantity of livestock their croplands could support. Industrialized livestock production requires drawing feed from a wide area, often far away, whereas manure is distributed to a small, local landmass land·mass  
A large unbroken area of land.


a large continuous area of land

 resulting in soil accumulation and runoff of phosphorus, nitrogen, and other pollutants (Iowa State University Academics
ISU is best known for its degree programs in science, engineering, and agriculture. ISU is also home of the world's first electronic digital computing device, the Atanasoff–Berry Computer.
 and University of Iowa Not to be confused with Iowa State University.
The first faculty offered instruction at the University in March 1855 to students in the Old Mechanics Building, situated where Seashore Hall is now. In September 1855, the student body numbered 124, of which, 41 were women.
 Study Group 2002). The consolidation of the livestock industry has been observed throughout North America and Europe and has led to calls for increased regulation to reduce and control the wastes. The state of Iowa, which produces one-fourth of U.S. pork, exemplifies this trend. The number of farms in Iowa raising hogs decreased from 64,000 in 1980 to 10,500 in 2000--an 84% decrease--while the average number of hogs per farm increased from 250 to 1,430 over this same period (Otto and Lawrence 2000). Farms with more than 500 hogs now account for 65% of the statewide inventory and 75% of the U.S. inventory.

The results of the increasing intensity of livestock operations have been regionally higher levels of air contaminants and increased problems with contamination of surface waters with animal waste. Management practices such as feeding animals with antimicrobial growth promotants and housing poultry and swine in proximity are additional concerns. Fears of the communities and neighbors concerning potential adverse human health effects have increased, leading to the formation of citizen action groups in many locales. These groups have lobbied government officials at the local and regional levels to promulgate To officially announce, to publish, to make known to the public; to formally announce a statute or a decision by a court.  and enforce regulations to reduce environmental impacts and health hazards from nearby concentrated animal feeding operations (CAFO CAFO

). A town meeting sponsored by the National Institute of Environmental Health Sciences The National Institute of Environmental Health Sciences (NIEHS) is one of 27 Institutes and Centers of the National Institutes of Health (NIH),which is a component of the Department of Health and Human Services (DHHS). The Director of the NIEHS is Dr. David A. Schwartz.  (Research Triangle Park Research Triangle Park, research, business, medical, and educational complex situated in central North Carolina. It has an area of 6,900 acres (2,795 hectares) and is 8 × 2 mi (13 × 3 km) in size. Named for the triangle formed by Duke Univ. , NC) and the University of Iowa, Environmental Health Sciences Research Center (EHSRC), was held in Des Moines, Iowa “Des Moines” redirects here. For other uses, see Des Moines (disambiguation).
Des Moines (pronounced /dɪˈmɔɪn/ in English,
, in 2001 to bring stakeholders together to seek common ground. This town meeting gave producers, concerned citizens, and regulators the opportunity to discuss the issues. Many areas of discord were identified, and a need for better translation of science to policy was recognized.

Findings from the 2001 town meeting prompted the EHSRC to organize the scientific conference and workshop "Environmental Health Impacts of Concentrated Animal Feeding Operations: Anticipating Hazards--Searching for Solutions" held March 2004 in Iowa City, Iowa, which brought together experts in environmental science from the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area. , Canada, Sweden, Denmark, and the Netherlands to address major environmental health issues associated with CAFOs. The conference audience comprised scientists, agriculturalists, producer group representatives, environmental and community activists, government officials, and rural residents. Five workgroups of scientists convened to consider further the major topics and identify the state of the science. Their reports make up this mini-monograph. These reports outline the scientific issues and public health concerns relating to livestock production as it applies to each workgroup topic and identify areas in which further research is needed. They also suggest opportunities to translate science to policy initiatives that would advance public and environmental health.

Summary of Workshop Recommendations

The Workgroup on Health Effects of Airborne Exposures from CAFOs found a lack of data on the health effects of odors and complex mixtures emanating from CAFOs (Heederik et al. 2006). They also identified a need for research on susceptibility of people for ill health from CAFO exposures on the basis of age, gender, or genetic makeup. This workgroup expressed the view that international harmonization har·mo·nize  
v. har·mo·nized, har·mo·niz·ing, har·mo·niz·es
1. To bring or come into agreement or harmony. See Synonyms at agree.

2. Music To provide harmony for (a melody).
 is needed for analytical methods for exposure assessment of biological agents such as bacterial endotoxin Endotoxin

A biologically active substance produced by bacteria and consisting of lipopolysaccharide, a complex macromolecule containing a polysaccharide covalently linked to a unique lipid structure, termed lipid A.
, fungal glucan glucan /glu·can/ (gloo´kan) any polysaccharide composed only of recurring units of glucose; a homopolymer of glucose.

A polysaccharide, such as cellulose, that is a polymer of glucose.
, and other pathogen-associated molecular patterns. Additionally, they noted that recent advances have identified less invasive approaches for collection of body fluids from which more sensitive biomarkers of response can be measured. They recommended that panel studies be performed among susceptible populations exposed to CAFO emissions, as this approach is most effective for determining responsible agents and disease mechanisms. In terms of science translation to policy, they recommended that best practices for occupational hygiene Occupational Hygiene is both a technical field of study and a profession.

The term Occupational Hygiene (used in the UK and Commonwealth Countries as well as much of Europe) is synonymous with Industrial Hygiene
 be promoted for the livestock industry and that exposure standards for organic dust, biological agents, and toxic gases should be promulgated prom·ul·gate  
tr.v. prom·ul·gat·ed, prom·ul·gat·ing, prom·ul·gates
1. To make known (a decree, for example) by public declaration; announce officially. See Synonyms at announce.

 and enforced across the industry.

The Workgroup on Modeling and Monitoring of Emissions from CAFOs noted that the downstream concentrations of airborne effluents from CAFOs are not well understood (Bunton et al. 2006). They recommended establishment of monitoring networks for hydrogen sulfide hydrogen sulfide, chemical compound, H2S, a colorless, extremely poisonous gas that has a very disagreeable odor, much like that of rotten eggs. It is slightly soluble in water and is soluble in carbon disulfide.  and ammonia using many low-cost passive monitors and a lesser number of expensive realtime monitors. Some monitors should be located in relatively pristine areas away from livestock operations in order to characterize background levels in rural areas. There is a further need for particulate monitoring accompanied by analysis of adsorbed malodorous mal·o·dor·ous  
Having a bad odor; foul.

mal·odor·ous·ly adv.

 vapors and gases, since these appear to travel up to a kilometer from the source. This workgroup found that additional studies should seek to identify links between specific agents ascribed to CAFO emissions and health outcomes in the rural community. In terms of modeling fate and transport from livestock operations, the workgroup found that additional data are needed on emission rates from manure storage tanks or lagoons, land-applied manure, and livestock buildings that are tied to animal inventories and management practices. The workgroup determined that modeling has advanced as a science and should be better utilized for decisions on permitting, siting, and waste management of CAFOs. Further refinements should include models that account for chemical transformation of effluents and models that provide long-term concentration distributions at a regional level.

The Workgroup on Impacts of CAFOs on Water Quality listed several priority research areas, including monitoring of whole watersheds in order to understand the effects of extreme events on ecosystem health, toxicologic assessment of water contaminants from CAFOs, and studies of primary effluents and metabolites Metabolites
Substances produced by metabolism or by a metabolic process.

Mentioned in: Interactions
 in soils, sediments and water (Burkholder et al. 2006). This workgroup recommended surveillance programs for rural private well water in areas at high risk for contamination. They suggested that effective waste and wastewater treatment practices known for managing human wastes, augmented with emerging technologies, should be translated into practice to prevent consumption of emerging contaminants such as veterinary pharmaceuticals (including antibiotics and anabolic anabolic

pertaining to or arising from anabolism.

anabolic steroid
steroids with a tissue-building effect. Testosterone is an example of a natural anabolic steroid with the, sometimes undesirable, effect of causing masculinization.
 hormones). The workgroup identified a need for implementation of best management practices through education and regulation to reduce release of CAFO contaminants into surface waters and aquifers.

The Workgroup on The Potential Role of CAFOs in Infectious Disease Infectious disease

A pathological condition spread among biological species. Infectious diseases, although varied in their effects, are always associated with viruses, bacteria, fungi, protozoa, multicellular parasites and aberrant proteins known as prions.
 Epidemics and Antibiotic Resistance raised concerns about the practice of co-locating swine and poultry facilities and the specter of a global pandemic pandemic /pan·dem·ic/ (pan-dem´ik)
1. a widespread epidemic of a disease.

2. widely epidemic.

Epidemic over a wide geographic area.

 arising from new strains of avian influenza incubated in swine and transmitted to humans (Gilchrist et al. 2006). They recommended that minimum separation distances should be established and that animals should not be fed tissues, fecal matter, or contaminated contaminated,
v 1. made radioactive by the addition of small quantities of radioactive material.
2. made contaminated by adding infective or radiographic materials.
3. an infective surface or object.
 water from other animals. This workgroup stated that solid tanks for storage of manure and municipal style waste treatment are necessary to limit microbial microbial

pertaining to or emanating from a microbe.

microbial digestion
the breakdown of organic material, especially feedstuffs, by microbial organisms.
 contamination of soil and water, prevent access to waterfowl waterfowl, common term for members of the order Anseriformes, wild, aquatic, typically freshwater birds including ducks, geese, and screamers. In Great Britain the term is also used to designate species kept for ornamental purposes on private lakes or ponds, while in , and limit the spread of disease. The workgroup strongly endorsed phasing out the use of antimicrobial agents Antimicrobial agents

Chemical compounds biosynthetically or synthetically produced which either destroy or usefully suppress the growth or metabolism of a variety of microscopic or submicroscopic forms of life.
 as growth promotants in the United States, as is happening in the European Union European Union (EU), name given since the ratification (Nov., 1993) of the Treaty of European Union, or Maastricht Treaty, to the

European Community
 and was called for by the World Health Organization and dozens of scientific and medical organizations. One complication is a difference between the United States and the European Union animal industries' interpretation of the terms "growth promoter" and "therapeutic use." In the United States some routine, nontherapeutic uses of antibiotics are not considered to be growth promotion, whereas in the European Union, they are defined as such. At the time Denmark phased out antibiotic use for animal growth promotion, all remaining antibiotic uses with animals were administered by prescription only. This phase-out resulted in an overall drop in antibiotic use of about 54%. On the other hand, the U.S.-based Animal Health Institute, which respresents pharmaceutical manufacturers, has in the past stated that only about 13% of antibiotic use in U.S. animal production is for growth promotion, and that 87% is for therapeutic use, and almost all U.S. antibiotics used in animal production are available over-the-counter. This differentiation is important, as a phase-out of antibiotics used for growth promotion as defined in the United States would likely result in a much smaller reduction (13%) than the phase-out of growth promotion in Denmark (54%), given that Denmark's numbers include some antibiotics administered routinely for disease prevention or therapy. The workgroup identified a need to establish national surveillance programs to track the transmission of antimicrobial-resistant organisms from livestock to humans and to identify ecologic reservoirs and impacts. Fingerprinting of antibiotic-resistant bacteria is a necessary component and will allow characterization of changes in resistance profiles over time.

The Workgroup on Community Health and Socioeconomic Issues Surrounding CAFOs considered the impacts of industrialization industrialization

Process of converting to a socioeconomic order in which industry is dominant. The changes that took place in Britain during the Industrial Revolution of the late 18th and 19th century led the way for the early industrializing nations of western Europe and
 of livestock production on rural communities in terms of economics, social capital and quality of life (Donham et al. 2006). They recommended comprehensive community health studies comparing physical, mental and social health outcomes, and economic conditions in comparable communities with and without large livestock operations. This workgroup noted that much of the research funding Research funding is a term generally covering any funding for scientific research, in the areas of both "hard" science and technology and social science. The term often connotes funding obtained through a competitive process, in which potential research projects are evaluated and  for agriculture is directed toward nonsustainable production and recommended that funds be reoriented to sustainable systems. The workgroup concurred that there is sufficient information on the hazards of CAFOs to communities that a more measured approach to siting and permitting of facilities and waste management is needed and that permits should consider watershed level animal density and dispersion of airshed emissions. Decisions concerning the issuance of permits should also include greater involvement of communities through public hearings and open meetings. The workgroup suggested that permits for manure storage reservoirs should require bonding to ensure that spills will be cleaned up and manure lagoons will be decommissioned rather than abandoned, should the producer become insolvent.

There was general agreement among all workgroups that the industrialization of livestock production over the past three decades has not been accompanied by commensurate modernization of regulations to protect the health of the public, or natural public-trust resources, particularly in the United States. Even though the European Union has made greater strides, there is room for improvements in the control of air and water pollutants from CAFOs in Europe as well as the United States. Expansion of large CAFOs into central and eastern Europe The term "Central and Eastern Europe" came into wide spread use, replacing "Eastern bloc", to describe former Communist countries in Europe, after the collapse of the Iron Curtain in 1989/90.  and South America South America, fourth largest continent (1991 est. pop. 299,150,000), c.6,880,000 sq mi (17,819,000 sq km), the southern of the two continents of the Western Hemisphere.  is occurring without attention to lessons learned from health and environmental problems in the United States. and western Europe Western Europe

The countries of western Europe, especially those that are allied with the United States and Canada in the North Atlantic Treaty Organization (established 1949 and usually known as NATO).
. Major concerns exist over the role of intensive livestock production in influenza outbreaks and the emergence of antibiotic resistant organisms. Recent attention to these risks among the scientific community, the public, and governments is encouraging.


Bunton B, O'Shaughnessy P, Fitzsimmons S, Gering J Hoff S, Lyngbye M, et al. 2007. Monitoring and modeling of emissions from concentrated animal feeding operations: overview of methods. Environ Health Perspect 115:303-307.

Burkholder J, Libra B, Weyer P, Heathcote S, Kolpin D, Thorne PS, Wichman M. 2007. Impacts of waste from concentrated animal feeding operations on water quality. Environ Health Perspect 115:308-312.

Donham KJ, Wing S, Osterberg D, Flora JL, Hodne C, Thu KM, et al. 2007. Community health and socioeconomic issues surrounding concentrated animal feeding operations. Environ Health Perspect 115:317-320.

Gilchrist MJ, Greko C, Wallinga DB, Beran GW, Riley DG, Thorne PS. 2007. The potential role of concentrated animal feeding operations in infectious disease epidemics and antibiotic resistance. Environ Health Perspect 115:313-316.

Heederik D, Sigsgaard T, Thorne PS, Kline JN, Avery R, Bonlokke JH, et al. 2007. Health effects of airborne exposures from concentrated animal feeding operations. Environ Health Perspect 115:298-302.

Iowa State University and the University of Iowa Study Group. 2002. Iowa Concentrated Animal Feeding Operations Air Quality Study. University of Iowa. Available: [accessed 10 October 2005]

Otto D, Lawrence J. 2000. The Iowa Pork Industry 2000: Trends and Economic Importance. Iowa State University Economics Working Paper. Available: [accessed 10 October 2005].

Peter S. Thorne

College of Public Health, The University of Iowa, Iowa City, Iowa, USA

This article is part of the mini-monograph "Environmental Health Impacts of Concentrated Animal Feeding Operations: Anticipating Hazards--Searching for Solutions."

Address correspondence to P.S. Thorne, College of Public Health, The University of Iowa, 100 Oakdale Campus, 176 IREH, Iowa City Iowa City, city (1990 pop. 59,738), seat of Johnson co., E Iowa, on both sides of the Iowa River; founded 1839 as the capital of Iowa Territory, inc. 1853. Among its manufactures are foam rubber, animal feed, paper, and food products. The city is the seat of the Univ. , IA 52242-5000 USA. Telephone: (319) 335-4216. Fax: (319) 335-4225. E-mail:

The author thanks S. Kaliszewski, R. Ungar, J. Cook, and L. McCormick for handling the numerous arrangements for the conference and N. Newkirk for organizing and editing the workgroup reports in this mini-monograph.

This workshop was supported by grant P30 ES05605-14S from the Environmental Health Sciences Research Center at The University of Iowa and the National Institute of Environmental Health Sciences.

The authors declare they have no competing financial interests.

Received 9 November 2005; accepted 13 November 2006.
COPYRIGHT 2007 National Institute of Environmental Health Sciences
No portion of this article can be reproduced without the express written permission from the copyright holder.
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Title Annotation:Mini-Monograph
Author:Thorne, Peter S.
Publication:Environmental Health Perspectives
Date:Feb 1, 2007
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