Strategies

Restrict alcohol availability and use at sporting events, other public events (e.g., concerts and street fairs) and in public spaces such as parks and beaches

Limit increases in the number and concentration of alcohol outlets by area or by population through licensing or zoning regulations

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

Adjust and monitor fluoride levels in public water supplies to reach and retain optimal fluoride concentrations

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)

Use specialized courts to offer criminal offenders with drug dependency problems an alternative to adjudication or incarceration

Use specialized courts to work with parents involved in the child welfare system who may lose custody of their children due to substance abuse

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

Provide medications such as methadone to individuals diagnosed with opioid use disorder in outpatient, residential, and hospital settings, usually with counseling and behavioral therapies; often called MAT

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