Effects of Dutch livestock production on human health and the environment

Mobility and persistence of pesticides and emerging contaminants in age-dated and redox-classified groundwater under a range of land use types

Understanding groundwater contamination patterns is hampered by the heterogeneous groundwater age and redox status over the depth range typically sampled for identifying pesticides and emerging contaminants threats. This study explores depth patterns of groundwater age and redox status across various land use types, unraveling spatial and temporal trends of pesticides and emerging contaminants using data from groundwater quality monitoring in the south of the Netherlands. The Netherlands is an ideal testing ground due to its high population density and widespread groundwater contamination from multiple sources. 146 multi-level observation wells were age-dated using 3H/3He, and contaminant concentrations were analyzed based on recharge year, land use type, and redox conditions, mitigating uncertainties from spatial and depth-dependent variations in both groundwater age and redox status. Redox-recharge year diagrams were developed to visually evaluate contaminant patterns in relation to these factors and to assess concentration patterns in relation to contamination history. Most detections of pesticides, metabolites, and emerging contaminants occurred in the youngest recharge periods (2000-2010 and 2010-2020) and in agricultural areas. However, certain contaminants, including BAM, desphenyl-chloridazon, short-chain PFCAs, PFOA, and EDTA, were consistently found in older water and Fe- or SO4-reduced conditions, indicating their mobility and persistence in the regional groundwater system. Comparing the presence of contaminants in specific redox classes and recharge periods with known application or leaching history provides insights into retardation (e.g., PFOS) and degradation (e.g., 2-hydroxy-atrazine, benzotriazole), explaining lower detection frequencies in earlier recharge periods. Identifying recharge years from age-dated groundwater helps relate contaminants to farmland application or river water recharge periods, revealing leaching history and contamination origins. The presented framework has the potential to enhance the interpretation of large groundwater datasets from dedicated, short-screened observation wells, such as those from the Danish GRUMO network, the Dutch monitoring networks, and parts of the US National Water Quality Program.

Intersections between climate change and antimicrobial resistance: a systematic scoping review

Climate change and antimicrobial resistance (AMR) present crucial challenges for the health and wellbeing of people, animals, plants, and ecosystems worldwide, yet the two are largely treated as separate and unrelated challenges. The aim of this systematic scoping Review is to understand the nature of the growing evidence base linking AMR and climate change and to identify knowledge gaps and areas for further research. We conducted a systematic search of the peer-reviewed literature in Scopus, Web of Science, and PubMed on 27 June, 2022. Our search strategy identified and screened 1687 unique results. Data were extracted and analysed from 574 records meeting our inclusion criteria. 222 (39%) of these reviewed articles discussed harmful synergies in which both climate change and AMR exist independently and can interact synergistically, resulting in negative outcomes. Just over a quarter (n=163; 28%) of the literature contained general or broad references to AMR and climate change, whereas a fifth (n=111; 19%) of articles referred to climate change influencing the emergence and evolution of AMR. 12% of articles (n=70) presented positive synergies between approaches aimed at addressing climate change and interventions targeting the management and control of AMR. The remaining literature focused on the shared drivers of AMR and climate change, the trade-offs between climate actions that have unanticipated negative outcomes for AMR (or vice versa), and, finally, the pathways through which AMR can negatively influence climate change. Our findings indicate multiple intersections through which climate change and AMR can and do connect. Research in this area is still nascent, disciplinarily isolated, and only beginning to converge, with few documents primarily focused on the equal intersection of both topics. Greater empirical and evidence-based attention is needed to investigate knowledge gaps related to specific climate change hazards and antimicrobial resistant fungi, helminths, protists, and viruses.

Nitrate trend reversal in Dutch dual-permeability chalk springs, evaluated by tritium-based groundwater travel time distributions

Historical use of fertilizer and manure on farmlands is known to have a lasting impact on ecosystems and water resources, but few studies assess the legacy of nitrate pollution on groundwater and surface water after farming applications were reduced. We studied the response of nitrate in spring water to a reduction of nitrogen fertilizer applications in agriculture realized since the mid-1980s. We assessed the travel time distribution of groundwater based on a time series of tritium measurements for 90 springs and small brooks that drain a dual porosity chalk aquifer. The travel time distributions were constrained using the tritium data in combination with time series of nitrate concentrations, applying a shape-free travel time distribution model. A clear trend reversal of nitrate concentrations was observed and simulated for springs with a large fraction of young water (< 30 years old) whereas the nitrate response in springs with relatively older water was attenuated and delayed. We conclude that obtaining a time series of tritium data helps to constrain age distributions of water that is discharged from dual permeability aquifers. The fraction of water aged <30 years was a meaningful parameter to distinguish between different types of springs. Nitrate trends in springs that drain large fractions of young water (> 0.6) show higher peak concentrations, shorter lag-time between leaching and outflow peaks and steeper declines after trend reversal, relative to trends in springs which are dominantly fed by older groundwater. The study thus shows that the nitrate legacy of groundwater systems is strongly determined by the range of their travel time distributions, and trend reversal in receiving springs and surface waters may appear within 10 to 15 years after measures to reduce nitrate losses from farming.

- Invited Review - Pig meat production in the European Union-27: current status, challenges, and future trends

The main objective of this study was to present data on the current situation and future trends of pig meat production in the European Union-27 (EU). Pig production has played an important social and economic role for centuries in many states of the EU. In 2022, pig meat production in the EU reached 23 M tons, which represented 21% of total production worldwide. The two key reasons that justify such amount of pork produced, are the acceptance and high consumption of the meat by the local population and the high quality of the meat produced which facilitated pork export. However, current data show a reduction in pork production for the last three years, as a consequence of a series of events that include i) problems with the chain of ingredients supply, ii) uncontrolled increase in African Swine Fever (ASF) outbreaks, iii) fast recovery of pig production in China, iv) increasing concerns by the rural population on the high cost to meet future requirements of the EU legislation on farm management, environmental sustainability and animal welfare, v) increased cost of all inputs involved in pig production and vi) limited interest of the new farmer generation to work on the pig sector. Consequently, pork production is expected to decrease in the EU for the next years, although sales will be maintained at a relative high level because pork is the meat preferred by local consumers in most EU countries. In order to maintain the favourable position of the pork industry in the near future, strategies to implement include: i) maintain the quality of the meat destinated to export markets, ii) improve the control of outbreaks of ASF and other swine diseases, iii) implementation of technological innovations to improve working conditions making more attractive to work in the pork sector of the food chain to the new generation of farmers and workers.

Impact of dietary digestible aromatic amino acid levels and stachyose on growth, nutrient utilization, and cecal odorous compounds in broiler chickens

This study evaluated the impact of dietary digestible aromatic amino acid (DAAA) levels and stachyose on growth, nutrient utilization and cecal odorous compounds in broiler chickens. A 3×2 two-factor factorial design: Three dietary DAAA levels (1.40, 1.54, 1.68%) supplemented with either 5 g/kg of stachyose or without any stachyose were used to create 6 experimental diets. Each diet was fed to 6 replicates of 10 birds from d 22 to 42. Findings revealed that broilers receiving a diet with 1.54% DAAA levels supplemented with 5 g/kg stachyose exhibited a significant boost in average daily gain and improved utilization of crude protein, ether extract, tryptophan, and methionine compared to other diet treatments (P < 0.05). As the dietary DAAA levels increased, there was a significant rise in the concentrations of indole, skatole, p-methylphenol, and butyric acid in the cecum of broilers (P < 0.05). The addition of stachyose to diets reduced concentrations of indole, skatole, phenol, p-methylphenol, acetic acid and propionic acid in the cecum (P < 0.05). The lowest concentrations of indole, phenol, p-methylphenol, volatile fatty acids and pH in cecum of broilers were observed in the treatment which diet DAAA level was 1.40% with stachyose (P < 0.05). In conclusion, dietary DAAA levels and stachyose had significant interactions on the growth, main nutrient utilization and cecal odorous compounds in broilers. The dietary DAAA level was 1.54% with 5 g/kg of stachyose can improve the growth performance, nutrient utilization. However, the dietary DAAA level was 1.40% with stachyose was more beneficial to decrease the cecal odor compound composition in broilers.

Interventions to increase circularity and reduce environmental impacts in food systems

Applying specific circularity interventions to the food system may have environmental benefits. Using an iterative linear food system optimisation model (FOODSOM), we assess how changes in human diets, imports and exports, and the utilisation of waste streams impact land use and greenhouse gas emissions (GHG). After including these circularity principles, land use and GHG emissions were on average 40% and 68% lower than in the current food system, primarily driven by a reduction in production volumes and a shift towards feeding the domestic population. Shifting from the current diet to a circular diet decreased land use with 43% and GHG emissions with 52%. Allowing up to half of each nutrient in the human diet to be imported, while balancing imports with equal exports in terms of nitrogen, phosphorus and potassium, also decreased land use (up to 34%) and GHG emissions (up to 26%) compared to no imported food. Our findings show that circularity interventions should not be implemented mutually exclusively; by combining a circular diet with imported food and fully utilising waste streams, the lowest land use and GHG emissions can be realised.

Deodorizing bacterial consortium: community analysis of biofilms and leachate water collected from an air biofiltration system in a piggery

Intensive livestock production is a source of water, soil, and air contamination. The first aspect that negatively affects the quality of life of residents in the vicinity of piggeries is malodorous aerosols, which are not only responsible for discomfort but can be an etiological factor in the development of various diseases during prolonged exposure. One of the proven and efficient ways to counteract odor emissions is the usage of air biofiltration. The purpose of this study was to qualitatively analyze the bacterial community colonizing the biofilm of a biofilter operating at an industrial piggery in Switzerland. The study material consisted of biofilm and leachate water samples. The microbiological analysis consisted of DNA isolation, amplification of the bacterial 16S rRNA gene fragment (V3-V4), preparation of a library for high-throughput sequencing, high-throughput NGS sequencing, filtering of the obtained sequencing reads, and evaluation of the species composition in the studied samples. The investigation revealed the presence of the following bacterial genera: Pseudochelatococcus, Methyloversatilis, Flexilinea, Deviosia, Chryseobacterium, Kribbia, Leadbetterella, Corynebacterium, Flavobacterium, Xantobacter, Tessaracoccus, Staphylococcus, Thiobacillus, Enhydrobacter, Proteiniclasticum, and Giesbergeria. Analysis of the microbial composition of biofilters provides the opportunity to improve the biofiltration process.

Field application of bio-foam spray to reduce ammonia emission from ammonia-rich swine manure piles

In this study, the first field-scale application of a bio-foam spray (a mixture of microbes and a surfactant) for the reduction of ammonia emitted from manure was investigated on six field swine manure piles. The objective of this study was to evaluate the odor suppression ability of bio-foam and odor degradation ability of odor-degrading bacteria loaded in the surfactant foam after covering manure piles. The size of field manure piles tested in this study ranged from 27 to 300 m3. Bio-foam spraying completely suppressed the release of the major odor component, ammonia (NH3), and odor-degrading bacteria in the bio-foam aided in the degradation of NH3 in field swine manure piles. On average, 85.7-100% of NH3 was reduced after 24-48 h of serial bio-foam spray application on the swine manure surface, while the control showed 25-42%. The reduction efficiency of NH3 by the bio-foam application was affected by the bio-foam spray frequency, ambient temperature, ventilation of the field facility, and upward airflow to the pile. The reduction in surface emission of NH3 also reduced the ambient air concentration of NH3 at the gate of the compost facility. NH3 gas measurements at a depth of 50 cm indicated that NH3-degrading bacteria infiltrated the manure and were active in biodegradation. Finally, the measured effectiveness of bio-foam application as shown by this study indicates that sprinkling bio-foam via specialized rotating sprinklers may be an efficient and uniform method for the delivery of bio-foam to wide field areas within composting facilities.

Assessment of a Novel Real-Time Bio-Liquor Circulation System for Manure Management and Mitigation of Odor Potential in Swine Farming

Recently, circulating biologically treated manure in slurry pits has been used as an odor reduction technology, but few successful results have been reported, due to the lack of proper control strategies for bioreactors. This study was conducted to investigate the performance of the developed real-time controlled bio-liquor circulation system (BCS) at farm scale. The BCS was operated sequentially as per swine manure inflow (anoxic, aerobic, and settling) circulation to the slurry pit. Each operational phase was self-adjusted in real-time using a novel algorithm for detecting the control point on the oxidation reduction potential (ORP) and pH (mV)-time profiles, the nitrogen break point (NBP), and the nitrate knee point (NKP) in the aerobic and anoxic phases, respectively. The NH4-N in the slurry manure was thoroughly removed (100%) in the bioreactor, optimizing the duration of each operational phase by accurately detecting real-time control points. The newly developed real-time BCS decreased the nitrogen and organic matter in the slurry pit by >70%, and the potential ammonia and methane emissions by 75% and 95%, respectively. This study highlights that improved BCS that utilizes ORP tracking and pH (mV)-time profiles can effectively optimize BCS operation, and thereby reduce malodor and GHG emissions from swine farms.

Contrasting perspectives on the risks of intensive livestock farming in The Netherlands: a survey study

In the Netherlands, intensive livestock farming is a recurrent topic of societal debate with stakeholders having quite different perspectives on the benefits and harms. In particular, stakeholders appear to have different perceptions on the risks to human and animal health. This paper reports a quantitative analysis of a survey on the perceptions of risks and benefits of intensive livestock farming conducted among the general public, including people living in livestock dense municipalities (n = 808), farmers (n = 237) and other stakeholders (n = 367). Results show that farmers and citizens have contrasting views about the benefits and concerns and in particular about the risks of intensive livestock farming for human health as well as animal well-being. People living in livestock dense communities held a somewhat more positive view than the general public, yet odour hinder and air quality was perceived as a serious health problem, but not by farmers. These differences in risk perceptions may well be explained from differences in interest, experience and options for control of potential hazards. Our study reflects more than just the perceived risks related to intensive livestock farming, but also reveal the global and multidimensional legitimate concerns and views on what matter to different groups of people. We argue that these differences in risk perspectives should be taken into account when communicating about human health risks, and should also be more explicitly addressed in discussions about the risks of intensive livestock farming in order to develop more inclusive policies that are supported by stakeholders.

Farmers and Local Residents Collaborate: Application of a Participatory Citizen Science Approach to Characterising Air Quality in a Rural Area in The Netherlands

In rural areas, livestock farming is a source of environmental concern. We describe a citizen science (CS) project in Venray, the Netherlands, where air quality was measured at livestock farms and surrounding residential premises. We used low-cost methods to measure air quality components and facilitated a dialogue between stakeholders about the results and solutions for cleaner air. PM_2.5 and PM₁₀ were measured using Nova Fitness SDS011 sensors, nitrogen dioxide (NO₂) and ammonia (NH₃) using Palmes tubes and odour annoyance was reported. Particulate Matter (PM) concentrations were higher close to layer farms, but elevated concentrations were limited at other farms and residential locations. NO₂ concentrations were elevated near busy roads, and higher NH₃ values were measured near livestock farms. Reporting of odour annoyance was limited, yet during the dialogue residents indicated that this was their largest concern. While both farmers and residents agreed with the general conclusions, they still preferred opposing measures. We conclude that characterisation of air quality using low-cost methods is possible, but expert guidance is needed. Moreover, education, commitment of participants and involvement of independent parties are crucial to ensuring a productive dialogue between stakeholders. The insights gained by participants and resulting dialogue were the greatest benefits of this CS approach.

Meat Substitute Development from Fungal Protein (Aspergillus oryzae)

The aim of this research is to develop burger patties from fungal protein. For this purpose, to maximize fungal biomass production, an optimization of the growth medium was initially carried out by testing different carbon sources and its proportion with nitrogen. Subsequently, for the design of the fungal patties, the effect of different flours, binders, and colorants on the properties of texture, water retention capacity, and color were tested, with a traditional animal-based burger patty as a control. Based on the first results, two optimal formulations were chosen and analyzed using an electronic tongue with the same control as reference. The conditions that maximized biomass production were 6 days of incubation and maltodextrin as a carbon source at a concentration of 90 g/L. In terms of product design, the formulation containing quinoa flour, carboxymethylcellulose, and beet extract was the most similar to the control. Finally, through shelf-life analysis, it was determined that the physical characteristics of the fungal meat substitute did not change significantly in an interval of 14 days. However, the product should be observed for a longer period. In addition, by the proximate analysis, it was concluded that fungal patties could have nutritional claims such as rich content in protein and fiber.

The Role of Different Types of Actors In The Future of Sustainable Agriculture In a Dutch Peri-urban Area

Peri-urban areas support a broad range of multifunctional demands for public goods. In northwest Europe, peri-urban areas tend to overlap with intensive agricultural land, resulting in conflicts between agricultural use and the public good demands of residents. Sustainable intensification (SI) of agriculture might help reconcile agricultural and well-being goals, but it is unclear how the mix of actors in a peri-urban setting can trigger or restrain SI. In a Dutch case study, we explored how SI of agriculture can contribute to making peri-urban areas more sustainable, and which actors are key enabling factors for implementing SI. We used interviews, surveys, workshops, and empirical analysis to obtain insight into the stakeholder's vision of a sustainable future for the case study area, the farming system and actor network. We integrated these insights in a Bayesian Belief Network, where we linked the actor network to implementation of three SI measures (farm-level efficiency measures, small landscape elements, and direct sales), and used sensitivity analysis to model effects of support for implementation by different groups of actors. The case study has a dense stakeholder network, where, dependent on the SI measure, farmers are triggered by all actors to implement SI, or have a stronger role in uptake themselves. The sensitivity analysis suggested that the future preferred by the stakeholders requires broad support of all actors involved, with local actors without a formal role being essential for uptake. Overall, trade-offs among public goods are almost inevitable when taking up SI measures.

Dry powder inhalation, part 2: the present and future

INTRODUCTION

The manufacture of modern dry powder inhalers (DPIs), starting with the Spinhaler (Fisons) in 1967, was only possible thanks to a series of technological developments in the 20^th century, of which many started first around 1950. Not until then, it became possible to design and develop effective, cheap and mass-produced DPIs. The link between these technological developments and DPI development has never been presented and discussed before in reviews about the past and present of DPI technology.

AREAS COVERED

The diversity of currently used DPIs with single dose, multiple-unit dose and multi-dose DPIs is discussed, including the benefits and drawbacks of this diversity for correct use and the efficacy of the therapy. No specific databases or search engines otherwise than PubMed and Google have been used.

EXPERT OPINION

Considering the relatively poor efficacy regarding lung deposition of currently used DPIs, the high rates of incorrect inhaler use and inhalation errors and the poor adherence to the therapy with inhalers, much effort must be put in improving these shortcomings for future DPI designs. Delivered fine particle doses must be increased, correct inhaler handling must become more intuitive and simpler to perform, and the use of multiple inhalers must be avoided.

A Circularity Evaluation of New Feed Categories in The Netherlands—Squaring the Circle: A Review

The concept of circularity is currently proposed to address key sustainability issues affecting and affected by livestock production. Through a desk study, this paper evaluates some feed sources that are being developed in The Netherlands as an alternative to current feeds, namely food waste; seaweed; and localized production and alternative plant-based feed sources. These feed categories are evaluated according to four circularity criteria. The first two criteria concern standard circularity principles aimed at both stopping and preventing environmental damage as well as a focus on natural resources use efficiency: (1) safeguard the health of ecosystems and (2) avoid the production of unnecessary products and use/recycle biomass effectively, as well as evaluating possible food–feed competition. In addition, two ‘people’ and ‘animal’ centred principles have been integrated: (3) fairness and accessibility and (4) animal health and wellbeing. The article concludes that people and animal centred principles are key to thinking of, developing, implementing, and evaluating circularity initiatives. Moreover, the article suggests that categories such as the local production of soya (approx. 132 ha) or seaweed (approx. 10–15 ha) are as yet irrelevant regarding production volumes within the Dutch context. However, some feed sources such as seaweed, insects, livestock leftovers produced at farms and abattoirs, and food waste might strengthen the transition towards more circular and sustainable practices.

Risk Preference, Health Risk Perception, and Environmental Exposure Nexus: Evidence from Rural Women as Pig Breeders, China

Rural women are an integral part of the agricultural economy. Still, their exposure to environmental pollution, especially in the context of risk preference and health risk perception, has not gained much attention in the existing literature. So to explore this notion, a survey and experimental data of 714 rural Chinese women as pig breeders are taken, we innovatively evaluate the degree of environmental exposure from the pre-exposure, in-exposure, post-exposure intervention of women breeders, and two-stage least squares (2SLS) method is employed to address the endogeneity issue between health risk perception and environmental exposure. The results show that rural women breeders suffer from severe environmental exposure, and the degree of environmental exposure is up to 72.102(Min = 0, Max = 100). Risk preference also emerges as a crucial determinant behind their environmental exposure, but health risk perception significantly deters the degree of environmental exposure. The health risk perception can offset risk preference effects on women breeders' environmental exposure by 15.15%. Moreover, considering the heterogeneity of the breeding scale, it is found that the impact of risk preference and health risk perception on women breeders' environmental exposure is an inverted U-shaped relationship, i.e., the results are at the turning stage when the breeding scale is 31-40 heads. Based on the empirical findings, the study offers guidelines for policymakers to enhance awareness amongst women breeders regarding health and pollution and encourage them to opt for environment-friendly breeding. Moreover, this research also has substantial guiding significance for related research on environmental exposure of rural women in other developing countries.

Untangling the Governance of Public Health Aspects of Manure in The Netherlands

The Netherlands is one of the most densely populated countries in terms of people and livestock and is the second largest exporter of agricultural products worldwide. As a result, the Netherlands has a manure surplus. Excess application of manure can lead to environmental problems; therefore, manure needs to be treated and discharged. Manure can contain zoonotic pathogens, but whether exposure to manure and manure treatment also poses a risk to public health is still unknown. This study analysed the regulations, relevant actors, and responsibilities in the complex system of manure and public health in the Netherlands. Interviews and system mapping have demonstrated interlinkages between environmental, economic, and health aspects. Constraints and opportunities for public health protection have been identified. This study reveals the complexity of the Dutch manure policy, its scattered responsibilities, the challenge to deal with uncertainties, and, most importantly, the need for a microbial risk assessment in order to adequately communicate and manage possible risks to protect the health of animals, the environment, and people.

Narrative review of citizen science in environmental epidemiology: Setting the stage for co-created research projects in environmental epidemiology

Several citizen science (CS) initiatives have been adopted in environmental science to monitor air and noise pollution, and water quality related to civic concerns. Nevertheless, CS projects in environmental epidemiology remain scarce. This is because little attention has been paid to evaluate associations of environmental exposures with health effects directly. This narrative review aims to promote the understanding and application of CS in environmental epidemiology. There are many commonalities between CS and other participatory approaches in environmental epidemiology. Yet, CS can foster the democratization of scientific governance and enhance the sustainability of research projects more effectively than other existing participatory approaches. This is especially the case in projects where citizens are invited to participate, engage and become involved throughout all the phases of a research project (co-created projects). This paper identifies various challenges and opportunities specific to the implementation of co-created CS projects in environmental epidemiology. The development of more locally relevant research designs, using local knowledge, obtaining medical ethical clearance, and co-analysing the association between exposure and health, are examples of opportunities and challenges that require epidemiologists to go beyond the traditional research framework and include more outreach activities. Continued efforts, particularly the sharing of information about projects' collaborative processes, are needed to make CS a more concrete and cohesive approach in environmental epidemiology.

Emissions, measurement, and control of odor in livestock farms: A review

Odor emissions from intensive livestock farms have attracted increased attention due to their adverse impacts on the environment and human health. Nevertheless, a systematic summary regarding the characteristics, sampling detection, and control technology for odor emissions from livestock farms is currently lacking. This paper compares the development of odor standards in different countries and summarizes the odor emission characteristics of livestock farms. Ammonia, the most common odor substance, can reach as high as 4100 ppm in the compost area. Sampling methods for point and area source odor emissions are introduced in this paper, and odor analysis methods are compared. Olfactometers, odorometers, and the triangle odor bag method are usually used to measure odor concentration. Odor control technologies are divided into three categories: physical (activated carbon adsorption, masking, and dilution diffusion), chemical (plant extract spraying, wet scrubbing, combustion, non-thermal plasma, and photocatalytic oxidation), and biological (biofiltration, biotrickling, and bioscrubbing). Each technology is elucidated, and the performance in the removal of different pollutants is summarized. The application scopes, costs, operational stability, and secondary pollution of the technologies are compared. The generation of secondary pollution and long-term operation stability are issues that should be considered in future technological development. Lastly, a case analysis for engineering application is conducted.

Proximity to livestock farms and exposure to livestock-related particulate matter are associated with lower probability of medication dispensing for obstructive airway diseases

OBJECTIVES

The aim of this study is to assess whether medication use for obstructive airway diseases is associated with environmental exposure to livestock farms. Previous studies in the Netherlands at a regional level suggested that asthma and chronic obstructive pulmonary disease (COPD) are less prevalent among persons living near livestock farms.

METHODS

A nationwide population-based cross-sectional study was conducted among 7,735,491 persons, with data on the dispensing of drugs for obstructive airway diseases in the Netherlands in 2016. Exposure was based on distances between home addresses and farms and on modelled atmospheric particulate matter (PM₁₀) concentrations from livestock farms. Data were analysed for different regions by logistic regression analyses and adjusted for several individual-level variables, as well as modelled PM₁₀ concentration of non-farm-related air pollution. Results for individual regions were subsequently pooled in meta-analyses.

RESULTS

The probability of medication for asthma or COPD being dispensed to adults and children was lower with decreasing distance of their homes to livestock farms, particularly cattle and poultry farms. Increased concentrations of PM₁₀ from cattle were associated with less dispensing of medications for asthma or COPD, as well (meta-analysis OR for 10th-90th percentile increase in concentration of PM₁₀ from cattle farms, 95%CI: 0.92, 0.86-0.97 for adults). However, increased concentrations of PM₁₀ from non-farm sources were positively associated (meta-analysis OR for 10th-90th percentile increase in PM₁₀-concentration, 95%CI: 1.29, 1.09-1.52 for adults).

CONCLUSIONS

The results show that the probability of dispensing medication for asthma or COPD is inversely associated with proximity to livestock farms and modelled exposure to livestock-related PM₁₀ in multiple regions within the Netherlands. This finding implies a notable prevented risk: under the assumption of absence of livestock farms in the Netherlands, an estimated 2%-5% more persons (an increase in tens of thousands) in rural areas would receive asthma or COPD medication.