DATE: February 21, 2017

SPEAKERS: Ed Zuroweste, MD

• Recorded Webinar
• Participant Evaluation
• Presentation Slides (PDF)

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

MCN and Farmworker Justice offer these guides to assist clinicians in understanding farmworker health and safety regulations. OSHA’s Field Sanitation Standard; EPA's Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA); EPA's  Food Quality Protection Act (FQPA); EPA’s Worker Protection Standard (WPS).

DATE RECORDED: Wednesday, June 17, 2014
PRESENTED BY: Matthew Keifer, MD, MPH, Dean Emanuel Endowed Chair/Director National Farm Medicine Center

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:

1. Better recognize the signs and symptoms of pesticide overexposure
2. Identify key decision points in diagnosing pesticide exposures
3. 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 

This website and training material were developed to give communities and promotores ways to help farm workers learn how to protect themselves from pesticide exposure.

The project and all materials on the website were developed by the California Poison Control System in collaboration with the the Western Center for Agricultural Health and Safety at the University of California, Davis and the California Department of Pesticide Regulation.

Haz-Map® is an occupational health database designed for health and safety professionals and for consumers seeking information about the adverse effects of workplace exposures to chemical and biological agents. The main links in Haz-Map are between chemicals and occupational diseases. These links have been established using current scientific evidence.

MCN's Pesticide Clinical Guidelines and Pesticide Exposure Assessment Form assist in the recognition and management of acute pesticide exposures in primary care settings.

The pesticide guidelines were adapted from guidelines developed by Dr. Dennis H. Penzell, a former medical director of a Community and Migrant Health Center with experience in large-scale pesticide exposure incidents.

The Acute Pesticide Exposure Form was adapted from the data collection on an acute pesticide exposed patient tool developed by Matthew C. Keifer, MD, MPH, Director of the National Farm Medicine Center, appearing in the EPA's Recognition and Management of Pesticide Exposures, 6th Edition, EPA 2013.

These resources were developed with guidance from MCN's Environmental and Occupational Health Advisory Committee - a panel of healthcare professionals and researchers with expertise in pesticides and migrant health.

This resource helps you address stigmatization by providing best practices for inhibiting and the actions to take when you encounter stigmatization when new infectious diseases and illness emerge.

Early in an outbreak, such as the 2009 H1N1 outbreak, groups of people, places, and animals can be singled out and will be at risk of being stigmatized by association with the threat this virus poses. Groups are stigmatized by an infectious disease when the risk of infection to others is not present or remote but the association of the risk is magnified by others for that population group, or place or animal.

American Association of Poison Control Centers Offers a listing of regional Poison Control Centers. Poison Control Centers provide information regarding possible or actual environmental or occupational exposures and recommended treatments. The website offers education for children and adults.

A Spanish language trifold with pesticide safety information.

El manual es una guía que pueden usar los trabajadores comunitarios, educadores y promotores de salud durante sus actividades educativas en la comunidad. Ofrece información sobre los riesgos de la exposición a los contaminantes ambientales y plaguicidas y las formas de reducir esos riesgos. También incluye información y consejos útiles para trabajar en la comunidad. 

En cuanto al libro cómico, los trabajadores comunitarios, educadores y promotores de salud pueden usarlo como una herramienta educativa para informar a su comunidad sobre los riesgos de los contaminantes ambientales y los plaguicidas.