The biological sciences are and should be responsive to the needs of medicine: thus the deficiency diseases (e.g. ben-ben and scurvy) stimulated the search for vitamins, just as contagious diseases fathered immunology and the study of antibiotics. It has been said that we live in the era of environmental disease, which suggests that an important fraction of human disease in technological societies is induced by environmental conditions, including some which are more commonly referred to as life styles. While this assessment requires further amplification (see below), it is clear that the sheer number and variety of potentially dangerous environmental agents has become so great that a better understanding of their fundamental interactions with the living system is clearly needed. As of the end of 1977, the American Chemical Society's Chemical Abstract Service contained over four million entities, and it is estimated that there are about 63000 chemicals in common usage. The toxicity of only a very small number of these has been investigated.

Lead is probably the oldest and most widely distributed environmental intoxicant, but unlike many of the synthetic agents which cause the greatest concern in industrial societies today, it occurs naturally at low levels in the environment and was present during evolutionary times. Galena (PbS), the most important lead-bearing mineral, is abundant and it is readily smelted. The metal is easily shaped and does not corrode and its compounds have found innumerable uses, particularly as pigments. This explains, in brief, why lead has had great economic importance since ancient times and why lead disease has plagued civilized societies for thousands of years and continues to be a serious concern to health authorities today. (Grandjean, 1975; Eisinger, 1977).

In 1968 it was discovered that mercury could be biomethylated to give methylmercury as the major product (Wood, Kennedy & Rosen, 1968; Jensen & Jernelöv, 1969). This discovery has proved to be important in two respects: (a) it provided us with the recognition that biological systems are capable of synthesizing very toxic organometallic compounds from relatively innocuous inorganic precursors, and (b) it opened the door to the study of organometallic compounds produced by biological mechanisms in the aqueous environment.

As of November 1977, the American Chemical Society's Chemical Abstracts Service computer registry of chemicals contained 4039907 distinct entities, and has been growing at an average rate of about 6000 per week. How many of these chemicals are in everyday use? Current estimates from the Environmental Protection Agency indicate that there may be as many as 50000 commonly used chemicals, not including pesticides, pharmaceuticals, and food additives. The EPA estimates that there may be as many as 1500 different active ingredients in pesticides. The Food and Drug Administration estimates that there are about 4000 active ingredients in drugs and about 2000 other ancillary compounds used in the drug industry. The FDA also estimates that there are about 2500 additives used for nutritional value and flavouring and 3000 chemicals used to preserve processed food. Thus there seem to be about 63000 chemicals in common use.

Some species of minerals, when comminuted and aerosolized in the form of respirable-size particulate dusts, are recognized as capable of producing disease in man after their inhalation. Comprehensive listings of such agents are in the current literature (e.g. in Aponte, 1970; Langer & Mackler, 1972; Ehrenreich et al. 1973a, b) and many of these and their effects are well known and receive much attention. Asbestos fibres of all varieties, ampbibole and quartz contaminated talcum powders (see Rohl et al. 1976), fibrous amphiboles and their cleavage fragments which contaminate the ambient environment (e.g., the contamination of Lake Superior with cummingtonite-grunerite, as discussed in Bowes, Langer & Rohl, 1977), have been the subject of recent intensive investigations mostly due to their protential impact to large segments of the general population.

As a consequence of the activities of modern industry and agriculture, many made-made organic compounds have found their way into our environment, and by persisting there for varying periods of time have caused concern to society. Why do some chemicals persist while others disappear? Detailed answers to this question require an understanding of the degradative segment of the earth's carbon cycle, most of the reactions of which are catalysed by enzymes used by microbes. These organisms owe much of their degradative expertise to their ability to render oxygen gas chemically reactive. This is a process that would be extremely dangerous for any living organism if it were carried out in a haphazard or accidental fashion; but when catalysed and cantrolled by enzymes (oxygenases) of micro-organisms, reaction sequences are started that result in biodegradation of compounds that resist the enzymes of all other living forms.

The use of traditional Western concepts of disease (i.e. the ‘germ’ theory) has guided the use of scientific knowledge and technologies in the Control of acute infectious diseases (Gori & Peters, 1975; Trosko & Chang, 1978c). The intervention of all sorts of technologies has prolonged the life expectancy, allowing more people to reach the limit of what appears to be a rather fixed life-span (Hayflick, 1976). At the same time, human beings have used technologies to alter out dependence on the natural enviroment We intervene on many levels to minimize threats to our dependence on natural forces for food (e.g. agricultural technology, food additives), for water (e.g. wells or dams), for health (e.g. instituting sanitary measures or using drugs), for protection against the elements (e.g. wearing clothes, building homes with heaters and air conditioners) and for pleasure (e.g. snowmobiles, etc.). It is now extremely clear that much of the ‘effluents of our technological affluence’ can be harmful to living systems.