Soil influences human health in a variety of ways, with human health being linked to the health of the soil. Historically, emphasis has been placed on the negative impacts that soils have on human health, including exposures to toxins and pathogenic organisms or the problems created by growing crops in nutrient-deficient soils. However, there are a number of positive ways that soils enhance human health, from food production and nutrient supply to the supply of medications and enhancement of the immune system. It is increasingly recognized that the soil is an ecosystem with a myriad of interconnected parts, each influencing the other, and when all necessary parts are present and functioning (ie, the soil is healthy), human health also benefits. Despite the advances that have been made, there are still many areas that need additional investigation. We do not have a good understanding of how chemical mixtures in the environment influence human health, and chemical mixtures in soil are the rule, not the exception. We also have sparse information on how most chemicals react within the chemically and biologically active soil ecosystem, and what those reactions mean for human health. There is a need to better integrate soil ecology and agronomic crop production with human health, food/nutrition science, and genetics to enhance bacterial and fungal sequencing capabilities, metagenomics, and the subsequent analysis and interpretation. While considerable work has focused on soil microbiology, the macroorganisms have received much less attention regarding links to human health and need considerable attention. Finally, there is a pressing need to effectively communicate soil and human health connections to our broader society, as people cannot act on information they do not have. Multidisciplinary teams of researchers, including scientists, social scientists, and others, will be essential to move all these issues forward.

Healthy soils provide the foundation for sustainable agriculture. However, soil health degradation has been a significant challenge for agricultural sustainability and environmental quality in water-limited environments, such as arid and semi-arid regions. Soils in these regions is often characterized by low soil organic matter (SOM), poor fertility, and low overall productivity, thus limiting the ability to build SOM. Soil health assessment frameworks developed for more productive, humid, temperate environments typically emphasize building SOM as a key to soil health and have identified the best management practices that are often difficult to implement in regions with water limitations. This study reviewed existing soil health assessment frameworks to assess their potential relevance for water-limited environments and highlights the need to develop a framework that links soil health with key ecosystem functions in dry climates. It also discusses management strategies for improving soil health, including tillage and residue management, organic amendments, and cropping system diversification and intensification. The assessment of indicators sensitive to water management practices could provide valuable information in designing soil health assessment frameworks for arid and semi-arid regions. The responses of soil health indicators are generally greater when multiple complementary soil health management practices are integrated, leading to the resilience and sustainability of agriculture in water-limited environments.