In 2011, the Blacksmith Institute and Green Cross Switzerland published a report that began to quantify the burden of disease from industries using a single site, beginning the process of measuring health impacts. This report revisits that process but goes a step further. Using additional data the 2012 report estimates the total health impact from toxic industrial pollutants in 49 countries in the developing world, extrapolating health impacts to provide a better understanding of the true scope of the issue. Within the last year the Blacksmith Institute has investigated and analyzed hundreds of additional sites around the world and initiated.