The majority of U.S. sewage sludges are disposed by application to land for use as a soil amendment. Class B sludges, containing a complex mix of chemical and biological contaminants, comprise the majority. Residents near land application sites report illness. Symptoms of more than 328 people involved in 39 incidents in 15 states are described. Investigation and tracking of the incidents by agencies is poor. Only one of 10 EPA regions provided substantial information on the incidents in their region. Investigations, when conducted, focused on compliance with regulations. No substantial healthrelated investigations were conducted by federal, state, or local officials. A system for tracking and investigation is needed. Analysis of the limited data suggests that surface-applied Class B sludges present the greatest risk and should be eliminated. However, even under less risky application scenarios, the potential for off-site movement of chemicals, pathogens, and biological agents suggests that their use should be eliminated.
OBJECTIVEWe conducted investigations into the numerous incidents in which residents living near sites where sewage sludges are land applied have reported illness. We compiled information about the health complaints. In order to find out what tracking and investigations had been carried out by the responsible authorities, we sought any information that federal and state agencies had about these incidents. Information regarding the sludge management practices associated with the 387 Ó 2002, Baywood Publishing Co., Inc.