Strategies

Establish local regulations for confined animal feeding operations (CAFOs) that address location, size, facility management, and pollution contributions to complement U.S. EPA regulations

Encourage methods of soil cultivation that keep at least one-third of cultivated soil covered with the previous year’s crop residue (e.g., mulch till, ridge till, strip till, or no-till)

Provide education and training sessions with parent-child activities and family meals for youth, parents, and care providers

Convene small groups of families for facilitated weekly meetings that include a family meal, structured activities, parent support time, and parent-child play therapy

Support young children who exhibit or are at risk for behavioral problems with interpersonal relationship training and parents and teachers who are trained to meet their needs

Support a four-tiered approach to outdoor pest control that minimizes potential hazards to people, property, and the environment

Support site-specific plans for crop production that match nutrient applications to crop needs, typically with agricultural best management practices

Partner with doctors, nurse practitioners, and other medical professionals to incorporate literacy support into regular well-child visits, especially in lower income communities

Establish plans consistent with personal values and current life circumstances that set goals related to having or not having children; goals often change over time

Ensure appropriate access to 17P, a synthetic version of the hormone progesterone, by identifying high-risk women, reducing barriers to treatment receipt and completion, coordinating care, etc.