Improving agricultural production as a public health strategy in the United States: a framework for integrated policy

Published Article

United States

Publication date: June 1, 2026

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This policy and practice review examines how U.S. agricultural management influences water quality, air pollution, nutrition, and human health. It proposes integrated policies, public procurement reforms, and improved traceability systems to scale conservation agriculture practices that support public health, environmental performance, and sustainable food production.

Subject Tags

  • Agriculture
  • Health

Abstract

Agri-food management in the U.S.—including crop and livestock practices—directly influences health outcomes through drinking water quality, air pollution, pesticide exposure, and pathogen transmission. The broader food system also shapes nutrition and dietary health. Certain management practices can mitigate environmental and human health impacts by reducing input use or preventing input losses to the environment. Despite these interconnections, policies and incentives remain fragmented across food, health, and environmental sectors. In this policy and practice review, we propose three strategies to scale conservation agriculture practices that benefit human health: (1) interagency collaboration to expand agricultural incentives that advance environmental and public health, (2) public procurement reforms that reward sustainable production, and (3) enhanced traceability linking farm practices to health and environmental outcomes. Cross- and multi-sector policy alignment can accelerate adoption of practices that improve health outcomes, strengthen environmental performance, and support agricultural sustainability.

Citation

Wood SA, Loring PA, Machalaba C, Lovdal A, Gennet S, Collins B, Cardwell S, Keerthi S, Kazanski CE and Johnson K (2026) Improving agricultural production as a public health strategy in the United States: a framework for integrated policy. Front. Sustain. Food Syst. 10:1771142. doi: 10.3389/fsufs.2026.1771142

TNC Authors

  • Stephen A. Wood
    Senior Scientist, Agriculture and Food systems
    The Nature Conservancy
    Email: stephen.wood@tnc.org

  • Philip A. Loring
    Global Director of Human Dimensions Science. Global Science
    The Nature Conservancy
    Email: philip.loring@tnc.org

  • Catherine Machalaba
    Planetary Health Scientist. Global Science
    The Nature Conservancy
    Email: c.machalaba@tnc.org

  • Alison Lovdal
    Food Systems Scientist. Provide Food and Water
    The Nature Conservancy
    Email: alison.lovdal@tnc.org

  • Sasha Gennet
    Grazing Lands Strategy Manager. Provide Food and Water
    The Nature Conservancy
    Email: sgennet@tnc.org

  • Bridget Collins
    Senior Policy Advisor, Agriculture. North America Office
    The Nature Conservancy
    Email: bridget.collins@tnc.org

  • Sam Cardwell
    Policy Associate, Lands. North America Office
    The Nature Conservancy
    Email: sam.cardwell@tnc.org

  • Shamitha Keerthi
    Science Director for Regenerative Row Crop Systems. Midwest US Office
    The Nature Conservancy
    Email: shamitha.keerthi@tnc.org

  • Clare E. Kazanski
    Senior Scientist. North America Office
    The Nature Conservancy, Minneapolis, MN
    Email: clare.kazanski@tnc.org

  • Kris Johnson
    NA Agriculture Director. Midwest US Office
    The Nature Conservancy
    Email: kjohnson@tnc.org