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Findings from this study should help make holistic mitigation and intervention policies to monitor air quality for sustainability of public health in agricultural regions where farming activities are a dominant economic driver for society.The U.S. alcohol-attributable mortality burden makes it the third-leading cause of preventable deaths. This 1999-2018 observational study used the Tenth Revision of the International Classification of Diseases codes and the alcohol-related disease impact (ARDI) causes of death records to track alcohol'