Environmental acidification is a global problem, especially in areas w
ith a combination of high fallout of acid precipitation and a low buff
ering capacity of water and soil. In light of the considerable effects
caused by acid precipitation in soil and water, it is important to id
entify and quantify the possible adverse effects on human health. The
Swedish Environmental Protection Agency initiated a five year research
program, starting in 1991, on the effects of acid precipitation on hu
man health. The program focused on the indirect effects of acid precip
itation, effects due mainly to changes in the mobility of trace elemen
ts, giving in most cases an increase, but sometimes a decrease in meta
l levels. Through the food-chain, the intake of toxic as well as essen
tial elements may be altered in man. The objective of the program is t
o elucidate i) to what extent acidification will change human exposure
to elements, either the total levels or the chemical form; and ii) wh
at this means for human health. The aim is to detect effects as early
as possible, in order to be able to prevent harmful effects in humans.
Although there are several indications that the exposure to toxic ele
ments, e.g. cadmium, methylmercury and lead, as well as the intake of
essential elements, e.g. selenium, may be affected by acid precipitati
on, there is at present no firm evidence of adverse health effects in
man. However, the present data clearly indicate that the safety margin
s are small and efforts should be made to keep all sources of exposure
to toxic elements as low as possible.