“…Figure 1 illustrates how IFAP can lead to adverse health effects in nearby communities via the generation and spread of microbial and chemical hazards. Studies have identified bacterial pathogens, such as antibiotic-resistant strains of Staphylococcus and Enterococcus, in and around IFAP operations, including colonizing animals and surfaces [7][8][9][10], in manure [11][12][13][14][15][16], and carried by flies [17,18] and rats [19] near operations. IFAP is also a source of airborne pathogens [8,[20][21][22], endotoxins [23], particulate matter (PM) [24], hydrogen sulfide (H 2 S), ammonia, odorous chemicals, and other contaminants [23,[25][26][27][28], which may be spread from operations to the downwind environment, e.g., via ventilation fans and emissions from decomposing manure [7,8,26,27,[29][30][31][32].…”