Throughout much of its history, the United States was predominantly a rural society. The need to provide sustenance resulted in many people settling in areas where food could be raised for their families. Over the past century, however, a quiet shift from a rural to an urban society occurred, such that by 1920, for the first time, more members of our society lived in urban regions than in rural ones. This was made possible by changing agricultural practices. No longer must individuals raise their own food, and the number of person-hours and acreage required to produce food has steadily been decreasing because of technological advances, according to Roundtable member James Merchant of the University of Iowa. The Institute of Medicine's Roundtable on Environmental Health Science, Research, and Medicine held a regional workshop at the University of Iowa on November 29 and 30, 2004, to look at rural environmental health issues. Iowa, with its expanse of rural land area, growing agribusiness, aging population, and increasing immigrant population, provided an opportunity to explore environmental health in a region of the country that is not as densely populated. As many workshop participants agreed, the shifting agricultural practices as the country progresses from family operations to large-scale corporate farms will have impacts on environmental health. This report describes and summarizes the participants' presentations to the Roundtable members and the discussions that the members had with the presenters and participants at the workshop.

Though China's economy is projected to become the world's largest within the next twenty years, industrial pollution threatens both the health of the country's citizens and the natural resources on which their economy depends. Capturing the consequences of this reality, Bryan Tilt conducts an in-depth, ethnographic study of Futian Township, a rural community reeling from pollution. The industrial township is located in the populous southwestern province of Sichuan. Three local factories-a zinc smelter, a coking plant, and a coal-washing plant-produce air and water pollution that far exceeds the standards set by the World Health Organization and China's Ministry of Environmental Protection. Interviewing state and company officials, factory workers, farmers, and scientists, Tilt shows how residents cope with this pollution and how they view its effects on health and economic growth. Striking at the heart of the community's environmental values, he explores the intersection between civil society and environmental policy, weighing the tradeoffs between protection and economic growth. Tilt ultimately finds that the residents are quite concerned about pollution, and he investigates the various strategies they use to fight it. His study unravels the complexity of sustainable development within a rapidly changing nation.

We are not free from environmental risks that accompany the development of human societies. Modern economic development has accelerated environmental pollution, caused loss of natural habitats, and modified landscapes. These environmental changes have impacted natural systems: water and heat circulation, nutrient cycling, and biodiversity. These changes in natural systems degrade ecosystem services and subsequently increase environmental risks for humans. Environmental risks, therefore, are not only human health risks by pollution, climatic anomalies and natural disasters, but also degradation of ecosystem services on which most people are relying for their lives. We cannot entirely eliminate the risks, because it is not possible to attain zero impact on the environment, but we need to find a mechanism that minimizes environmental risks for human sustainably. This is the idea of the interdisciplinary framework of “environmental risk management” theory, which advocates harmony between economic development and environmental conservation. Based on this theory, the Sustainable Living with Environmental Risk (SLER) programme, adopted by the Japanese Ministry of Education (MEXT) as one of its strategic programmes, has been training graduate students at the Yokohama National University, Japan, from 2009 to 2013 to become future environmental leaders who will take the initiative in reducing the level of environmental risks and in protecting natural resources in the developing nations of Asia and Africa. This book provides students and teachers of this new academic field with a comprehensive coverage of case studies of environmental risks and their practical management technologies not only in Japan but also in developing nations in Asia and Africa.