Health Issues

Index:
Farm Workers Health Problems Related to Air Quality Inside Livestock Barns - Ontario Government - September 1997
Pathogens - description
Investigation of the Chcemial and Microbial Constituents of Ground and Surface Water - US Govt, 1998
Health Report - University of North Carolina, 1999
CAFOs - Concentrated Animal Feeding Operations (PDF)


 
Pathogens

A large variety of bacteria, viruses, protozoa, and parasitic worms can be transferred from hogs to people. They may be ingested via contaminated drinking water, or inhaled as aerosols carried by wind when manure is sprayed on fields.

The US Agriculture Dept. has cautioned that many swine pathogens can be spread on farms by rodents and cats.

Some examples:

Yersinia is a bacterium that causes severe gastrointestinal illness. Japan has identified Yersinia in imported Canadian pork. In Denmark, pork has been reported to be the only source of human infection in that country. It has been demonstrated in hog manure in Quebec.

Streptococcus suis is a meningitis that can infect hog workers

E. coli: some varieties can result in grave illness or even death

Listeria monocytogenes: a meningitis that can be lethal

Brucella: in 1992 there was an outbreak of brucellosis among the workers in a North Carolina pork processing plant

Bacillus anthracis: there was an outbreak of anthrax in 1989 at a pig farm in north Wales

Pfiesteria: outbreaks have occurred in various places around the world associated with intensive swine confinement

Salmonella: pigs now harbor many antibiotic-resistant strains. In Germany 20% of human cases have been shown to originate from swine.

Toxoplasma gondii: an intracellular parasite that is particularly hazardous to pregnant women. A 1991-92 study found that 8.6% of Canadian market-age pigs were infected with this organism

Cryptosporidium: a protozoan that has already been found in some water supplies in Manitoba. This organism is resistant to chlorination, and causes a severe gastrointestinal illness.

Ascaris: a large (30 cm) roundworm that lives in the intestine. One female worm produces 2 million eggs/day. Eggs can remain viable in water and soil for many months.

Trichinella spiralis is a small roundworm that may be found in cysts in pork meat. Eating undercooked pork may result in trichinosis in humans, and can be fatal. According to the Centers for Disease Control and Prevention in the U.S. 80% of trichinosis cases were due to pork consumption.

Taenia solium is a tapeworm that is readily transferable to humans.

Many kinds of viruses and other infectious agents: e.g. swine influenza: the Journal of Occupational Medicine reported an occupational hazard for pork producers, veterinarians and meat plant employees

In North Carolina, Texas, Minnesota and Iowa there have been outbreaks of influenza-A viruses that were very similar to human genetic strains.

Swine hepatitis-E virus has been shown to be transferable to humans.

The British Medical Journal reported that BSE (mad cow disease) can be present in pigs as well as cows
There are many health issues related to the Hog Industry

Air pollution

Odor reduces quality of life. On many days people can’t go outdoors. Hydrogen sulphide gas causes people to feel ill, have headaches, breathing difficulties as well as experiencing increased reaction time and mood changes

Water pollution

Nitrate in the waste gains easy access to surface and ground water. Nitrate in drinking water may cause methemoglobinemia, a condition where blood can no longer carry oxygen effectively. Infants are at greatest risk.

Chronic consumption of nitrate in drinking water may be associated with greater risk of stomach cancer

Some studies have implicated nitrate exposure in increased rate of birth defects, particularly spina bifida

Ammonia is extremely soluble in water. It is toxic to animals.

Phosphorus tends to leach easily from fields where manure has been spread because the nutrient proportion in manure does not match the needs of crops, therefore phosphorus tends to be in excess

In surface water phosphorus and nitrogen feed the growth of noxious algae that impact on the fisheries and tourism industries

Bluegreen algae may create blooms to the extent that the water may become toxic to people, livestock and wildlife. Water containing a bluegreen algal bloom is unsuitable for swimming because the toxins cause skin irritation and there is the danger of swallowing some water

Drug and vaccine residues

A variety of antibiotics, vaccines and hormones are used because disease can spread extremely quickly in the crowded conditions of the barns. The massive use of antibiotics contributes to the emergence of new antibiotic-resistant strains of disease organisms threatening human health. A 1998 study reported in the journal Microbial Drug Resistance showed that “E. coli from swine may represent a considerable reservoir of antibiotic resistance genes”.

There is considerable concern about residues of antibiotics in pork. Some (e.g. Sulfamethazine) are carcinogenic. Antibiotic residues may be high enough in meat that sensitive individuals may get an allergic reaction on consuming the meat. Hog farmers that use medicated feed have been shown to harbor a higher proportion of antibiotic resistance than the general population

Compounds that speed growth of swine, e.g. porcine somatotropin and beta-agonists increase the leanness of meat and reduce the amount of feed needed. Some studies suggest that hormone residues in meat may affect young consumers. The European Union has banned the use of hormones in meat, and no longer permits the importation of hormone-treated meat.

Drug residues are also present in the manure and can gain access to water. Ochratoxin A is a fungal toxin that can originate from contaminated grain and has been demonstrated in Canadian pork products. It Is carcinogenic and suppresses the immune system, and causes kidney damage.


Report to the State of Iowa Department of Public Health on the Investigation of the Chemical and Microbial Constituents of Ground and Surface Water Proximal to Large-Scale Swine Operations

October-December 1998

For more information please contact:
Enzo R. Campagnolo, DVM, MPH
Health Studies Branch
National Center for Environmental Health
Centers for Disease Control and Prevention
tel. 770-488-3530
fax. 770-488-3505
email: ejc5@cdc.gov

Carol S. Rubin DVM, MPH
Chief, Health Studies Branch
National Center for Environmental Health
Centers for Disease Control and Prevention
tel. 770-488-7350
fax. 770-488-3506
email: chrl@cdc.gov

EXECUTIVE SUMMARY

As a direct follow-up to a Centers for Disease Control and Prevention (CDC) workshop on public health issues related to concentrated animal feeding operations (CAFOs), an investigation into the chemical and microbial constituents of ground and surface water proximal to large-scale swine operations was conducted in Iowa. The goal of this study was to obtain a broad profile of the chemical and microbial constituents of both ground and surface water that were potentially hazardous to human health.

The highest levels of chemical pollutants and zoonotic pathogens were generally found in samples collected from earthen manure lagoons, which amass and store waste from swine barns until it is applied to agricultural fields as crop fertilizer. The contaminants included nutrients, common ions, trace elements, antibiotics, parasitic oocysts of the protozoan Cryptosporidium parvum, and bacteria that demonstrated particular resistance to several antibiotics commonly used in swine management practice as feed supplements and therapeutics.

The results of this study also demonstrated the presence of trace metals, common ions, nutrients. pesticides, antibiotics, bacteria. and parasitic oocysts in samples obtained from collection points other than earthen manure lagoons. These sites include agricultural drainage ditches, agricultural drainage v1ells, tile line inlets, tile line outlets, earthen lagoon monitoring wells, and a river. These findings suggest the possibility of the movement of both chemical pollutants and microbial pathogens through soil and away from their point of highest concentration, the animal manure lagoons, and by overland flow away from the site of manure application.

Although chemical pollutants and zoonotic pathogens were identified in the environment on and proximal to large-scale swine feedding operations, the sample collection sites did not appear to be in locations that could pose a direct threat to human health. However, more research is recommended to accurately determine the potential level of risk, possible pathways of exposure, and critical control points to avoid any potential exposure to humans.

The rapid expansion of intensive hog production in eastern North Carolina has been accompanied by reports of decreased health and quality of life among persons residing in proximity to large swine operations. To investigate these issues we enumerated households and surveyed residents of 3 rural communities, one in the vicinity of an approximately 6000-head hog operation, one in the vicinity of two intensive cattle operations, and a third rural agricultural area where residents lived at least 2 miles from livestock operations that use liquid waste management systems.

Trained interviewers were introduced to residents by members of local community-based organizations and completed 155 interviews. The refusal rate for this door-to-door survey was 15 percent. A short questionnaire was used to obtain information on the number of episodes of skin and eye irritation, respiratory and gastrointestinal problems, and reduced quality of life during the previous six months. Community differences in mean number of episodes were compared with adjustment for age, gender, smoking status and participation in the labor force.

The average number of episodes of most symptoms was similar in the three communities with the exception of elevations of certain respiratory and gastrointestinal problems and mucous membrane irritation among residents of the hog community. Hog community residents reported increased occurrence of headaches, runny nose, sore throat, excessive coughing, diarrhea, and burning eyes compared to residents of the community with no intensive livestock operations.

Quality of life, as indicated by the number of times residents could not open windows or go outside even in nice weather, was similar in control and cattle communities but greatly reduced among residents of the hog community. Respiratory and mucous membrane effects in hog community residents are consistent with results of studies of occupational exposures among swine confinement house workers. This study supports previous findings that community members experience health problems due to airborne emissions from intensive swine operations.

Long-term physical and mental health impacts of reduced quality of life could not be investigated in this study.

Authors: Steve Wing, PhD is Associate Professor and Susanne Wolf, MPH, RN is Research Associate in the Department of Epidemiology, UNC School of Public Health.

A full copy of the report can be found at:http://www.dhhs.state.nc.us/docs/ilo.pdf


A report by Melva Okun, School of Public Health, University of North Carolina at Chapel Hill, January, 1999.

"This paper summarizes the issues pertinent to human health that are raised by people and pigs living in proximity to each other. Section One includes research findings and information related to air issues. This section contains specific concerns for the health of workers employed in the hog industry, the effect on the physical and mental health of neighbours to hog ILOs [intensive livestock operations], and some preliminary concerns for asthmatics living in proximity to such operations. Section Two covers the groundwater issues associated with hog ILOs and the related health concerns of consuming water contaminated with nitrates. Section Three includes some of the surface water issues that appear to be related to high nutrient waters. Section Four contains information about infectious disease concerns for workers and neighbours to such hog operations. In Section Five the findings are summarized and recommendations made."

The full report can be found here.