The smell of hog feces was overwhelming, Elsie Herring said. The breezes that wafted from the hog farm next to her mother’s Duplin County, N.C., home carried hazardous gases: methane, ammonia, hydrogen sulfide.

“The odor is so offensive that we start gagging, we start coughing,” she told a congressional committee in November 2019. Herring, who died last week, said she and other residents developed headaches, breathing problems and heart conditions from the fumes.

Now, a first-of-its-kind study shows that air pollution from Duplin County farms is linked to roughly 98 premature deaths per year, 89 of which are linked to emissions directly caused by hogs. Those losses are among more than 17,000 annual deaths attributable to pollution from farms across the United States, according to research published today in the Proceedings of the National Academy of Sciences.

“The food system has really flown under the radar” as a source of deadly pollution, said University of Minnesota professor Jason Hill, the lead author of the new report. “But what we eat affects not just our own health, but the health of others. We’re showing that directly.”

Jim Monroe, a spokesman for the National Pork Producers Council, criticized the study as “highly suspect,” saying it “irresponsibly draws conclusions based on modeling and estimates.”