Combining findings from more than 2,000 scientific and government studies, a report published Thursday details how hydraulic fracturing has “dire impacts on public health and the climate.”

Physicians for Social Responsibility and Concerned Health Professionals of New York (CHPNY) released the eighth edition of their “Compendium of Scientific, Medical, and Media Findings Demonstrating Risks and Harms of Fracking,” a comprehensive examination of the state of the hydraulic fracturing industry and its impacts.

“The scientific evidence reveals conclusively that fracking causes widespread and severe harm to people and the climate,” Sandra Steingraber, CHPNY co-founder and compendium co-author, said in a statement.

“For over 10 years, individual studies have demonstrated impacts in multiple areas, including toxic air pollution, water contamination, radioactive releases, earthquakes, methane emissions, and much more,” she added.

“The compendium takes stock of all the science together, which shows that continuing and expanding fracking brings with it a grave cost.”