Intensive pig farming (IPF), characterized by high stocking densities and reliance on antibiotics, presents significant public health concerns. The excessive use of antibiotics in livestock contributes to the rise of antimicrobial resistance (AMR), limiting treatment options for human infections. IPF can also facilitate the emergence and spread of zoonotic diseases, such as influenza and African swine fever (ASF), posing a direct threat to human health. Furthermore, environmental pollution from IPF, including the release of greenhouse gases and organic waste, can degrade air and water quality, impacting human health and ecosystems. Occupational health risks for farm workers, including exposure to pathogens and hazardous working conditions, are also prevalent in this sector. Food safety concerns arise from potential contamination of pork products with bacteria like Salmonella and Campylobacter, increasing the risk of foodborne illnesses. Addressing these challenges requires a multifaceted approach, including promoting responsible antibiotic use, strengthening surveillance systems for zoonotic diseases and AMR, improving farm worker safety, and encouraging theadoption of more sustainable farming practices. By implementing these measures, the swine farming industry can contribute to food security while minimizing its negative impacts on public health and the environment.