Queensland, Australia has a large mining industry and has been extracting coal seam gas (CSG) on an increasingly larger scale in recent years. CSG is a type of unconventional natural gas.Historically, concerns associated with unconventional natural gas development (UNGD) have come from areas where types of UNGD other than CSG are predominant. While shale gas and CSG development are not identical, there is an underlying theme of community concern about the potential environmentally-related health impacts (ERHIs) of such development. A problem for Australia is that there is a dearth of research on ERHIs associated with CSG, in particular, in Queensland.The purpose of this research was to explore the ERHIs associated with CSG development in Queensland and suggest areas for further research. This exploratory study used three environmental settings: a CSG setting and two alternative settings (i.e., coal mining and rural/agricultural). The CSG study area served as the primary setting, as this is a fairly new industry and there is as yet no substantial body of knowledge to fully understand what the health impacts may be. Data concerning CSG gas well numbers, as well as other 'macro' environmental determinants, such as production figures, were used to assess increased environmental activity within these areas.Subjective health outcomes in residents were assessed through a self-report survey. This was to determine any differences in health and psychosocial impacts of environmental change between the respondents living in each environmental setting. In addition to the subjective health outcomes data, objective health outcomes were examined through hospital admissions data for the period 1995-2011 for all three areas. These data were compared between the three areas for differences in hospitalisation rates over time in relation to various conditions according to the International Classification of Diseases (ICD) chapters. Hospital admissions data were also examined in conjunction with CSG well development activity data in the CSG area to gather evidence of CSG health impact using limited available environmental data.The findings showed that the self-reported health status of respondents in the CSG area did not differ compared to the two other study areas; however, respondents did self-report higher levels of environmental distress for some measures. There were significant increases in all-age hospitalisation rates over time in the CSG area compared to the coal mining and rural areas for 'All-cause' hospitalisation rates (RR: 1.01; 95% CI: 1.00-1.01 compared to the coal mining area and RR: 1.01; 95% CI: 1.01-1.02 compared to the rural area). Significant increases were also ii seen for admission rates within ICD chapters related to 'Blood/immune' diseases (RR: 1.08; 95% CI: 1.05-1.12 compared to the coal mining area and RR: 1.05; 95% CI: 1.01-1.09 compared to the rural area) and 'Eye' diseases (RR: 1.04; 95% CI: 1.02-1.06 compared to the coal mining area and RR: 1.04; 95% CI: 1.02-1.06 compared to the rural area)....