A broad spectrum of earth materials have been linked to, blamed for, and/or debated as sources for disease. In some cases, the links are clear. For example, excessive exposures to mineral dusts have long been recognized for their role in diseases such as: asbestosis, mesothelioma, and lung cancers (asbestos); silicosis and lung cancer (silica dusts); and coal-workers pneumoconiosis (coal dust). Lead poisoning, particularly in toddlers and young children, has been conclusively linked to involuntary ingestion of soils or other materials contaminated with lead-rich paint particles, leaded gasoline combustion byproducts, and some types of lead-rich mine wastes or smelter particulates. Waters with naturally elevated arsenic contents are common in many regions of the globe, and consumption of these waters has been documented as the source of arsenic-related diseases affecting thousands of people in south Asia and other regions. Exposure to dusts or soils containing pathogens has been documented as the cause of regionally common diseases such as valley fever (coccidioidomycosis) and much rarer diseases such as anthrax. Links between many other earth materials and specific diseases, although suspected, are less clear or are debated. For example, it has been suggested that geographic clusters of diseases such as leukemia are related to exposures to waters or atmospheric particulates containing organic or metal contaminants; however, for many clusters the exact causal relationships between disease and environmental exposure are difficult to prove conclusively. Even for many diseases in which the causal relationship is clear, such as in asbestosis and mesothelioma triggered by asbestos exposure, the minimum exposures needed to trigger disease, the influence of genetic factors, and the exact mechanisms of toxicity are still incompletely understood and are the focus of considerable debate within the public health community. Hence, understanding the health effects resulting from occupational and environmental exposures to a wide variety of earth materials remains a very active and fruitful area of research.