Environmental impact of hydraulic fracturing in the United States tuberculosis, kidney disease, autoimmune disorders and airway disease such as asthma and bronchitis. Most of these debilitating and potentially fatal diseases are preventable with occupational control measures regarding respirable crystalline exposure. Hydraulic fracturing uses abundant amounts of sand in the process of fracturing as part of the hydraulic fluid. The fracturing fluid consists of a base fluid, proppant and chemical additives. The majority of proppant used in fracturing are made of silica (sand). Truck loads of sand are delivered to the sites, then loaded to sand movers that are then transferred to a blender that mixes the hydraulic fluid. The
Hydrochloric acid between 20% and 32% are sold as muriatic acid. Solutions for household purposes in the US, mostly cleaning, are typically 10% to 12%, with strong recommendations to dilute before use. In the United Kingdom, where it is sold as "Spirits of Salt" for domestic cleaning, the potency is the same as the US industrial grade. In other countries, such as Italy, hydrochloric acid for domestic or industrial cleaning is sold as "Acido Muriatico", and its concentration ranges from 5% to 32%. Major producers worldwide include Dow Chemical at 2 million metric tons annually (2 Mt/year), calculated as HCl gas, Georgia