Aerial applications of Foray 48B, which contains Bacillus thuringiensis strain HD1, were carried out on 9 to 10 May, 19 to 21 May, and 8 to 9 June 1999 to control European gypsy moth (Lymantria dispar) populations in Victoria, British Columbia, Canada. A major assessment of the health impact of B. thuringiensis subsp. kurstaki was conducted by the Office of the Medical Health Officer of the Capital Health Region during this period. Environmental (air and water) and human (nasal swab) samples, collected before and after aerial applications of Foray 48B, both in the spray zone and outside of the spray zone, were analyzed for the presence of strain HD1-like bacteria. Random amplified polymorphic DNA analysis, cry gene-specific PCR, and dot blot DNA hybridization techniques were used to screen over 11,000 isolates of bacteria. We identified bacteria with genetic patterns consistent with those of B. thuringiensis subsp. kurstaki HD1 in 9,102 of 10,659 (85.4%) isolates obtained from the air samples, 13 of 440 (2.9%) isolates obtained from the water samples, and 131 of 171 (76.6%) isolates from the nasal swab samples. These analyses suggest that B. thuringiensis subsp. kurstaki HD1-like bacteria were present both in the environment and in the human population of Victoria prior to aerial applications of Foray 48B. The presence of B. thuringiensis subsp. kurstaki HD1-like bacteria in human nasal passages increased significantly after the application of Foray 48B, both inside and outside the spray zone.In February 1999, the government of the province of British Columbia, Canada, authorized an aerial spray program to control insurgent populations of the European gypsy moth, Lymantria dispar, found in and around the cities of Victoria, Duncan, and Nanaimo, British Columbia, Canada. The provincial government felt that the presence of gypsy moth populations posed a serious economic threat to exports of British Columbian lumber products to other provinces of Canada, as well as to neighboring states of the United States. Both a potential embargo of British Columbian lumber products and a significant environmental threat would exist if the insurgent gypsy moth populations were to become established. The biological insecticide Foray 48B, which contains spores of Bacillus thuringiensis subsp. kurstaki, was applied to more than 13,400 ha on Vancouver Island, of which 12,204 ha were in the greater Victoria region (Fig. 1).B. thuringiensis is a spore-forming, gram-positive bacterium that produces intracellular, crystal proteins during sporulation. These parasporal proteins have insecticidal activity that are specific to certain groups of insects (27). The genus Bacillus has been divided into five groups (4). Group I contains a large number of soil-dwelling species, including B. thuringiensis, Bacillus sphaericus, Bacillus subtilis, Bacillus anthracis, and Bacillus cereus. Some of these bacilli are very closely related and form separate groups within the group I Bacillus species. The B. cereus group consists of B. cereus, B. anthracis...