In 2018, ALFA started the Foothills Area Harm Reduction Mission (the Farm). It began distributing syringes, injection supplies, naloxone and other items and services to reduce drug use harm. The need has grown, especially in Burke County. In 2020, despite COVID-19 restrictions that limited mobile services, the Farm provided 400 services to Burke County residents. Staff also provide educational and HIV/HepC screening services at several Burke organizations, including the correctional facility. The need for syringe access, harm reduction services and a link to HepC/HIV care in Burke County is great, and Dogwood has partnered with the Farm to support their work in this area.