Americium often enters landfills from discarded smoke detectors. The rules associated with the disposal of smoke detectors are very relaxed in most municipalities. For instance, in the UK it is permissible to dispose of an americium containing smoke detector by placing it in the dustbin with normal household rubbish, but each dustbin worth of rubbish is limited to only containing one smoke detector. The manufacture of products containing americium (such as smoke detectors) as well as nuclear reactors and explosions may also release the americium into the environment.
In 1999, a truck transporting 900 smoke detectors in France had been reported to have caught fire; it is claimed that this led to a release of americium into the environment. In the U.S., the "Radioactive Boy Scout" David Hahn was able to buy thousands of smoke detectors at remainder prices and concentrate the americium from them.
There have been cases of humans being exposed to americium.  The worst case was that of Harold McCluskey, who was exposed to an extremely high dose of americium-241 after an accident involving a glove box. He was subsequently treated with chelation therapy. It is likely that the medical care which he was given saved his life; despite similar biodistribution and toxicity to plutonium, the two radioactive elements have different solution-state chemistries. Americium is stable in the +3 oxidation state, while the +4 oxidation state of plutonium can form in the human body.
The most common isotope americium-241 decays (half-life 432 years) to neptunium-237 which has a much longer half-life, so in the long term, the issues discussed above for neptunium apply.
Americium released into the environment tends to remain in soil and water at relatively shallow depths and may be taken up by animals and plants during growth; shellfish such as shrimp take up americium-241 in their shells, and parts of grain plants can become contaminated with exposure. In a 2021 paper, J.D. Chaplin et al. reported advances in the Diffusive gradients in thin films technique, which have provided a method to measure labile bioavailable Americium in soils, as well as in freshwater and seawater.