The variable manifestations of respiratory problems in finishing pigs have led to the concept of a multiple-factor aetiology for swine respiratory disease and in particular for enzootic pneumonia. The primary and secondary agents of the disease produce their most detrimental economic effects and the highest levels of mortality and morbidity during the finishing period, when the economics of production necessitate indoor housing and intensification. This paper considers the contribution of four main groups of environmental factors to the high levels of clinical disease and lesions which are found whenever large numbers of pigs are examined at slaughter. They are meteorological factors, population and social factors, management factors and airborne pollution.