Includes EPA manual "How to Comply With the 2015 Revised Worker Protection Standard For Agricultural Pesticides - What Owners and Employers Need To Know" and an excerpt specifically for clininicians regarding medical evaluation and respirator fit test. See also the medical evaluation questions in English and Spanish.
DATE: February 21, 2017
SPEAKERS: Ed Zuroweste, MD
Continuing Education Credit
To receive CME* or CNE credit after viewing this webinar, you must:
- Complete the Participant Evaluation associated with this webinar
- Send an email with your first and last name stating which webinar you completed to contedu@migrantclinician.org
Description
Agriculture is also one of the most dangerous industries in the United States. For vulnerable populations working in agriculture, their lack of training, poor safety precautions, regulatory exclusions, lack of health insurance, language barriers, piece-rate pay, immigration status, and geographical and cultural isolation can put these workers at increased risk for occupationally related injuries and illnesses and chronic sequelae. Exposure to pesticides and other contaminants is a particular concern to agricultural workers and their families. This continuing education training will discuss health risks facing immigrant and migrant agricultural workers and their families as a result of their working conditions and environment, with a particular focus on Kansas. It will also highlight best practices and resources for the incorporation of environmental and occupational health in the practice setting, showcasing successful initiatives in primary care settings. Participants will explore the importance of and become familiar with the methods to integrate environmental and occupational health into the practice setting from the clinical perspective as well as consider these issues within the framework of social determinants of health.
Resources
- MCN's Environmental and Occupational Health Program (Migrant Health Center Partnership Description)
- MCN's EOH Screening Tool
- Farmworker Clinicians Manual
- Pesticide Reporting and Workers’ Compensation in Agriculture - Interactive Map
- EPA Recognition and Management of Pesticide Poisonings
- MCN & Farmworker Justice Clinician Guides for Farmworker Health and Safety Regulations
- Patient Education Materials
- Immigrant Dairy Worker Health and Safety
- iCuídate!, a comic book aimed at preventing musculoskeletal injuries among farmworkers
- Pesticide Comic Books
This material was produced, in part, under Assistance Agreement No. X883487601 awarded by the U.S. Environmental Protection Agency. It has not been formally reviewed by EPA. EPA does not endorse any products or commercial services mentioned in this product.
Substance Use Warmline
Peer-to-Peer Consultation and Decision Support
10 am – 6 pm EST Monday - Friday
855-300-3595
Free and confidential consultation for clinicians from the Clinician Consultation Center at San Francisco General Hospital focusing on substance use in primary care
Objectives of the Substance Use Warmline:
- Support primary care providers in managing complex patients with addiction, chronic pain, and behavioral health issues
- Improve the safety of medication regimens to decrease the risk of overdose
- Enhance the treatment, care and support for people living with or at risk for HIV
- Discuss useful strategies for clinicians in managing their patients living with substance use, addiction and chronic pain.
Consultation topics include:
- Assessment and treatment of opioid, alcohol, and other substance use disorders
- Approaches to suspected misuse, abuse, or diversion of prescribed opioids
- Methods to simplify opioid-based pain regimens to reduce risk of misuse and toxicity
- Urine toxicology testing- when to use it and what it means
- Use of buprenorphine and the role of methadone maintenance
- Withdrawal management for opioids, alcohol, and other CNS depressants
- Harm reduction strategies and overdose prevention
- Managing substance use in special populations (pregnancy, HIV, hepatitis)
- Productive ways of discussing (known or suspected) addiction with patients.
The CCC’s multi-disciplinary team of expert physicians, clinical pharmacists and nurses provides consultation to help clinicians manage complex patient needs, medication safety, and a rapidly evolving regulatory environment.
Learn more at http://nccc.ucsf.edu/clinician-consultation/substance-use-management
- CCC Substance Use Warmline Flier EST 7.25.16.pdf (112.12 KB)
This 90-minute webinar was created for physicians, nurses, and other health professionals who treat and case manage patients with active TB. The webinar introduced the 2016 Official American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America Clinical Practice Guidelines: Treatment of Drug-Susceptible Tuberculosis. This training highlighted the guidelines development process, the key changes in recommendations, and discussed the evidence supporting the changes. The webinar was originally presented on November 4, 2016. This training was jointly sponsored by all 5 RTMCCs.
Diabetes HealthSense provides easy access to resources to help you live well and meet your goals—whether you have diabetes or are at risk for the disease. Available in English.
Libro cómic educativo bilingüe sobre cómo prevenir las enfermedades zoonóticas. Desarrollado por MCN en colaboración con la Universidad Estatal de Ohio.
- Working with farm animals_1.pdf (13.33 MB)
- Trabajos con animales en un rancho_1.pdf (13.31 MB)
DATE RECORDED: September 14, 2016 at 1 pm ET
PRESENTED BY: Robert Harrison, M.D., M.P.H.
- Recorded Webinar
- Participant Evaluation
- Presentation Slides (PDF)
This material will be produced under grant number SH-27640-15-60-F-48-SH5 from the Occupational Safety and Health Administration, U.S. Department of Labor. It will not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.
DATE RECORDED: September 14, 2016 at 1 pm ET
PRESENTED BY: Robert Harrison, M.D., M.P.H.
This material will be produced under grant number SH-27640-15-60-F-48-SH5 from the Occupational Safety and Health Administration, U.S. Department of Labor. It will not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.
- https://youtu.be/MpNJ-qxL1O0
- http://www.migrantclinician.org/
- https://www.osha.gov/Publications/OSHA3707.pdf
- https://www.thoracic.org/statements/resources/eold/an-official-ats-statement-work-exacerbated-asthma.pdf
- http://journal.publications.chestnet.org/article.aspx?articleid=1044851
- http://www.nj.gov/health/eoh/survweb/wra/documents/asthmagens.pdf
- http://www.ccohs.ca/oshanswers/diseases/asthma.html
- http://www.aoec.org
MCN y Farmworker Justice ofrecen estas guías para ayudar a los médicos en la comprensión de regulaciones de salud y seguridad de los campesinos. Información de los Estándares de Saneamiento de la Administración de Seguridad y Salud Ocupacional (OSHA) para los campos; la Ley Federal de Insecticidas, Fungicidas y Rodenticidas (FIFRA) regulado por la Agencia de Protección Ambiental (EPA); la Ley de la Protección de la Calidad de los Alimentos (FQPA) también regulado por el EPA; y el estándar de protección del trabajador (WPS) establecido por el EPA.
- OSHA's Field Sanitation Standard Clinician's Guide.pdf (747.53 KB)
- FIFRA FQPA Clinician's Guide.pdf (287.9 KB)
- WPS Clinician's Guide.pdf (843.35 KB)
MCN y Farmworker Justice ofrecen estas guías para ayudar a los médicos en la comprensión de regulaciones de salud y seguridad de los campesinos. Información de los Estándares de Saneamiento de la Administración de Seguridad y Salud Ocupacional (OSHA) para los campos; la Ley Federal de Insecticidas, Fungicidas y Rodenticidas (FIFRA) regulado por la Agencia de Protección Ambiental (EPA); la Ley de la Protección de la Calidad de los Alimentos (FQPA) también regulado por el EPA; y el estándar de protección del trabajador (WPS) establecido por el EPA.
- OSHA's Field Sanitation Standard Clinician's Guide.pdf (747.53 KB)
- FIFRA FQPA Clinician's Guide.pdf (287.9 KB)
- WPS Clinician's Guide.pdf (843.35 KB)
En los años 1999 a 2013, las estadísticas del Cáncer en los Estados Unidos: un informe basado en el web sobre la Incidencia y Mortalidad, incluye las estadísticas oficiales federales de la incidencia de cáncer obtenidos por registros que tienen datos de alta calidad , y las estadísticas de mortalidad por cáncer. Este reporte es producido por los Centros de Control y Prevención de Enfermedades (CDC) y el Instituto Nacional de Cáncer (NCI). El informe muestra que en el año 2013, había 1,536,119 estadounidenses que recibieron un nuevo diagnostico de cancer invasivo y 584,872 estadounidenses murieron de esta enfermedad; estas cuentas no incluyen el cáncer in situ o los más de 1 millón de casos de los cánceres de la piel de células basales y escamosas, que son diagnosticados cada año.
El informe de este año cuenta con información sobre los casos de cáncer invasivo que fueron diagnosticados en 2013. Contiene los datos más recientes de incidencia disponibles, entre los residentes de 49 estados, 6 áreas metropolitanas, y el Distrito Federal de Columbia ㅡáreas geográficas en donde aproximadamente 99% de la población de los Estados Unidos reside. Los datos de incidencia son del Programa Nacional de Registros del Cáncer bajo de la agencia de los Centros Para el Control de Enfermedades (CDC), y la Vigilancia, Epidemiología, y Resultados Finales (SEER) del Instituto Nacional del Cáncer (NCI). Los datos basados en la población central de los registros de cáncer en estos estados y áreas metropolitanas cumplen con los criterios para su inclusión en el presente informe.
El informe también proporciona datos de mortalidad por cáncer recogidos y tratados por en Centro Nacional de Estadísticas de Salud de la CDC. Las estadísticas de mortalidad, con base en los registros de muertes que se produjeron durante el año 2013, están disponibles para los 50 estados y el Distrito de Columbia.
El informe también incluye las tasas de incidencia y los recuentos de Puerto Rico para el año 2009 hasta el año 2013 por sexo y edad así como tumor cerebral y los datos de cáncer infantil.
Los datos de USCS se presentan el las siguientes aplicaciones:
- https://nccd.cdc.gov/uscs/?s_cid=govD_USCS2013_1
- http://links.govdelivery.com/track?type=click&enid=ZWFzPTEmbWFpbGluZ2lkPTIwMTYwNzA2LjYxMjE2OTcxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE2MDcwNi42MTIxNjk3MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE3MDg5NzQwJmVtYWlsaWQ9dGx5b25zQG1pZ3JhbnRjbGluaWNpYW4ub3JnJnVzZXJpZD10bHlvbnNAbWlncmFudGNsaW5pY2lhbi5vcmcmZmw9JmV4dHJhPU11bHRpdmFyaWF0ZUlkPSYmJg%3D%3D&101=&https%3A%2F%2Fnccd_cdc_gov%2Fuscs%2F%3Fs_cid=govD_USCS2013_2
- https://nccd.cdc.gov/DCPC_INCA/
- http://links.govdelivery.com/track?type=click&enid=ZWFzPTEmbWFpbGluZ2lkPTIwMTYwNzA2LjYxMjE2OTcxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE2MDcwNi42MTIxNjk3MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE3MDg5NzQwJmVtYWlsaWQ9dGx5b25zQG1pZ3JhbnRjbGluaWNpYW4ub3JnJnVzZXJpZD10bHlvbnNAbWlncmFudGNsaW5pY2lhbi5vcmcmZmw9JmV4dHJhPU11bHRpdmFyaWF0ZUlkPSYmJg%3D%3D&103=&https%3A%2F%2Fnccd_cdc_gov%2FStateCancerFacts%2F%3Fs_cid=govD_USCS2013_4
From the 2016 International Union Against Tuberculosis & Lung Disease Conference
DATE RECORDED: June 22, 2016
PRESENTED BY: Kerry Brennan
This material will be produced under grant number SH-27640-15-60-F-48-SH5 from the Occupational Safety and Health Administration, U.S. Department of Labor. It will not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.
DATE RECORDED: June 8, 2016
PRESENTED BY: Juliana Simmons, MSPH, CHES
This material will be produced under grant number SH-27640-15-60-F-48-SH5 from the Occupational Safety and Health Administration, U.S. Department of Labor. It will not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.
- https://youtu.be/qcCci3GQs04
- http://www.migrantclinician.org/
- https://www.osha.gov/SLTC/heatstress/prevention.html
- http://www.farmworkerjustice.org/sites/default/files/FJpesticidetrainingspanish2016.pdf
- https://www.osha.gov/SLTC/heatstress/index.html
- https://www.osha.gov/SLTC/heatillness/index.html
- https://www.osha.gov/SLTC/heatstress/industry_resources.html
- http://www.dir.ca.gov/dosh/heatIllnessQA.html
- http://www.lni.wa.gov/Safety/Topics/AtoZ/HeatStress/
- http://en.hesperian.org/hhg/Workers%27_Guide_to_Health_and_Safety:Dangers_from_heat
- http://www.naplesnews.com/news/crime/report-farmworkers-death-should-have-been-prevented-2738c212-4e00-109c-e053-0100007fd972-363310521.html
- http://www.cdc.gov/niosh/topics/heatstress/heatrelillness.html
As part of the response to the Zika outbreak, CDC, in collaboration with state, local, tribal, and territorial health departments, established a pregnancy registry for comprehensive monitoring of pregnancy and infant outcomes following possible Zika virus infection. The registry is an active surveillance system of pregnant women with laboratory evidence of possible Zika virus infection in the 50 US states and DC, and in the US territories. On May 20, 2016, CDC released detailed information about the registry and will initiate weekly reporting of the number of pregnant women followed in the registry.
The U.S. Environmental Protection Agency’s (EPA) Worker Protection Standard (WPS) provides basic workplace protections to farmworkers and pesticide handlers to minimize the adverse effects of pesticide exposure. EPA announced major revisions to the WPS in September 2015. MCN and FJ's fact sheet provides a summary of the revised regulation.
- WPS-2015.pdf (981.69 KB)
In 2015, for the first time in over 20 years, the Environmental Protection Agency updated the Worker Protection Standard (WPS). The WPS provides basic workplace protections for agricultural workers to reduce the risk of pesticide exposre. This issue brief overviews the major revisions that are particularly relevant for clinicians caring for agricultural workers.
- WPS_MCN_FJ_IssuesBrief2016.pdf (3.02 MB)
The National LGBT Health Education Center provides educational programs, resources, and consultation to health care organizations with the goal of optimizing quality, cost-effective health care for lesbian, gay, bisexual, and transgender (LGBT) people.
http://www.asbestosdiseaseawareness.org/
ADAO is the largest independent nonprofit in the U.S. dedicated to preventing asbestos exposure, eliminating asbestos-related diseases, and protecting asbestos victims' civil rights through education, advocacy, and community initiatives.
http://www.cdph.ca.gov/programs/cosmetics/Pages/default.aspx
An online, searchable database that allows salon workers and others to learn about and report toxic chemicals found in nail salon products and other cosmetics.
A Tip Sheet by Health Outreach Partners and MHP Salud.
Spanish-language skin cancer outreach materials from the American Academy of Dermatology, which are used during their public skin cancer examinations. Their pilot program providing examinations, targeting Hispanic outdoor workers in California, Arizona, Texas and Florida, was featured in MCN's Streamline, Autumn 2014.
- CCP_Spanish_SpotMe.pdf (2.48 MB)
- Spanish_Sunscreen_Poster.pdf (154.57 KB)
- Spanish_Free_Screening_Poster.pdf (1.23 MB)
- Latino_Outreach_Event_Flyer_2UP.pdf (499.55 KB)
Messages to Millions is designed to provide consistent, science-based Million Hearts® messages to disseminate to partners and supporters on a quarterly basis. Message maps provide key and supporting messages that stress the steps that can be taken by consumers, health care providers, and other audiences to help prevent heart attacks and strokes.
For the first time, the U.S. Preventive Services Task Force has released an e-book version of its Guide to Clinical Preventive Services. The e-book is compatible with many readers, including Kindle, Nook, iBook, and Kobo. The new “Guide to Clinical Preventive Services, 2014” is a comprehensive resource that can help primary care clinicians and patients decide together which preventive services are right for a patient’s needs. It includes all active Task Force evidence-based recommendations since 2004, including 28 new and updated recommendations since the 2012 guide, in a format meant for use at the point of patient care. It also includes information about topics in development, clinical summary tables and additional resources.
http://umash.umn.edu/needlestick-prevention/ This webpage features factsheets and videos developed by the Upper Midwest Agricultural Safety and Health Center (UMASH) to educate farmworkers, producers, and veterinarians about needlestick prevention. Resources are available in both English and Spanish.
Part 6 of the 6 webinar series: Essential Clinical Issues in Migration Health
DATE RECORDED: June 25, 2014
PRESENTED BY: Brett Pack, DMD, Dental Director, Moses Lake Community Health Center and Maria Smith, MPA, Project Director, National Network for Oral Health Access
To receive CME* or CNE credit after viewing any of these webinars you must do the following:
Note: Only participants of the live webinar are eligible for continuing dental education units. |
The Patient-Centered Health Home is a concept being implemented through a variety of approaches including full integration, co-location, shared financing, virtual linkages and facilitated referral and follow-up. Health Homes are an important approach for helping to ensure that health center populations have access to comprehensive health care services, including dental care. This presentation will describe how oral health can be integrated into overall primary care systems to improve health care quality and outcomes of the patients we serve, by illustrating promising practices from an example health center oral health program.
Learning Objectives:
- Understand why medical-dental integration is a positive attribute
- Describe examples of medical-dental integration at the clinical level
- Receive “take home” examples of how to incorporate oral health into your health center’s Patient-Centered Health Home.
FURTHER READING |
Visit www.nnoha.org to access resources available to support safety net oral health programs and to join as a member. Report mentioned during the webinar: Oral Health and the Patient Centered Health Home: Action Guide |
DATE RECORDED: Wednesday, June 17, 2014
PRESENTED BY: Matthew Keifer, MD, MPH, Dean Emanuel Endowed Chair/Director National Farm Medicine Center
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MCN’s Environmental and Occupational Health Programs
Learn more about MCN’s training and technical assistance programs to help clinicians and health centers improve the recognition and management of pesticide exposures and other environmental/occupational health conditions.
Mistakes can be dangerous. Accurate identification of pesticides responsible for a patient's illness is important to avoid iatrogenic errors with respect to acute treatment. Join us for an important webinar that will focus on key decision points in the diagnosis of pesticide exposures and emphasize the usefulness of the newly revised resource for clinicians - The Recognition and Management of Pesticide Poisonings, 6th ed. Through interactive case studies, this webinar will illustrate effective recognition and treatment of patients over exposed to pesticides.
The webinar, sponsored by Migrant Clinicians Network, the National Farm Medicine Center and AgriSafe Network features Dr. Keifer, a board certified occupational medicine specialist and internationally renowned researcher regarding pesticides and agricultural health and safety. For over 30 years, Dr. Keifer has focused his clinical practice and research largely on farmworkers.
SPONSORED BY: AgriSafe Network, Migrant Clinicians Network, and the National Farm Medicine Center
OBJECTIVES: Participants will be able to:
- Better recognize the signs and symptoms of pesticide overexposure
- Identify key decision points in diagnosing pesticide exposures
- Demonstrate an understanding of how to use The Recognition and Management of Pesticide Poisonings, 6th ed. in a clinical setting
We encourage all participants to order The Recognition and Management of Pesticide Poisonings, 6th ed. prior to attending this webinar. Order here. PDF versions are also available at http://www2.epa.gov/pesticide-worker-safety/recognition-and-management-pesticide-poisonings
If you have experienced any trouble ordering your copy please contact: kbrennan@migrantclinician.org
CLINICAL TOOLS & RESOURCES |
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PATIENT EDUCATION MATERIALS |
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ARCHIVED WEBINARS & TRAINING RESOURCES |
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LOCAL PESTICIDE RESOURCES |
The following will provide information regarding the pesticides used in your areas:
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- http://migrantclinician.adobeconnect.com/p77irjl7cvq/
- http://www.marshfieldclinic.org/nfmc/
- http://www.agrisafe.org/
- http://1.usa.gov/1aF9rHY
- http://www2.epa.gov/pesticide-worker-safety/recognition-and-management-pesticide-poisonings
- http://1.usa.gov/1fFUSZm
- http://bit.ly/1imO43V
- http://npic.orst.edu/
- http://www.aapcc.org/
- http://extoxnet.orst.edu/
- http://www.pesticidemededucation.com/
- http://www.extension.umn.edu/agriculture/pesticide-safety/program-team/
- http://www3.extension.umn.edu/county
- http://web.extension.illinois.edu/psep/about/psepteam.cfm
- http://web.extension.illinois.edu/state/findoffice.cfm