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The National Audio Conference on the Hombres Unidos project was a rousing success on the 15th. There were about 100 folks from across the nation, and every sector of society in the discussion.

Lice Solutions Resource Network, Inc. is the only nonprofit treatment center in the US. Working closely with several universities, research groups and pharmaceuticals they are helping to update communities across the US with newer and more accurate head lice information.

An Overview of Drinking Water Quality and Water and Sanitation-Related Disease by James VanDerslice, Ph.D. and Amy K. Liebman, MPA. The information for this article comes from presentations Jim VanDerslice made at recent MCN environmental health intensivesand an outreach program that both authors developed and implemented along the US-Mexico Border.

Also in this issue: Newsflashes, TB Education and Training Network and TB-Educate Listserv, Pizcando Suenos/Harvesting Dreams: The Voices of Mexican American Women.For more Streamline articles visit http://www.migrantclinician.org/news/streamline.html

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The US Department of Health and Human Services has published the Community Health Status Indicators Report, which contains health indicator data on over 200 measures for every county in the United States.

Welcome to the HepTalk Listserv. For July, we offer two articles about immunizing adolescents. Adolescents are often seen by many of you in your clinics for a variety of reasons, from prenatal care to sports physical exams, presenting a good opportunity to see if they have had their Hep B shots.

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In May 2005, near its beginning, the HepTalk Project presented a position paper, "Hepatitis Screening, Immunization and Testing for Mobile Populations and Immigrants from Latin America and the Caribbean" It has been updated with new immunization guidelines. This publication clarifies standard hepatitis immunization and testing recommendations for these populations.

HepQuick, also newly updated, incorporates specifics for mobile clients and recent immigrants from the position paper.

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This site is presented as a free medical Spanish immersion, with vocabulary including greetings, history, examination, and everyday speech, all with translation and audio. It is designed to be helpful for a variety of medical personnel. In addition to introducing Spanish medical terms, this site will hopefully improve fluency and even cultural competency.

Each dialogue consists of a few statements from the patient, the patient's family, and healthcare providers. Click to hear my voice and pronunciation. Then, repeat aloud everything you hear. When listening to Spanish medical phrases, feel free to use the pause button, and, of course, replay the recordings when needed.

There is convincing evidence that breastfeeding provides substantial health benefits for children and adequate evidence that breastfeeding provides moderate health benefits for women. This link provides a summary of the 2008 recommendation of the U.S. Preventive Services Task Force (USPSTF) on counseling to promote breastfeeding.

This paper reviews the available research on HIV/AIDS in the farmworker community, supplemented with relevant findings from research with related populations, i.e., Latino, rural, migrant. The research reported in this paper focuses on behavioral, social and cultural, and structural risk factors that affect this community, as well as on ways that health care providers can help reduce HIV/AIDS risk within this highly vulnerable group.
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Comprehensive website about lead in candy.  Information in English and Spanish for providers and patients.

The well-known seminar entitled, “The Carville Approach to Management of the Neuropathic Foot” has been modified for online instruction. The material presented includes principles and protocols that are time tested and proven effective for prevention of amputation in the lower extremity due to neuropathy. For course registration contact Josie Major at 800-642-2477, 225-756-3761 or via email jmajor@hrsa.gov

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The purpose of the National Maternal and Child Oral Health Resource Center (OHRC) is to respond to the needs of states and communities in addressing current and emerging public oral health issues. OHRC supports health professionals, program administrators, educators, policymakers, and others with the goal of improving oral health services for infants, children, adolescents, and their families.

LIVESTRONG SurvivorCare (866.235.7205) where patients can speak to a case manager, receive one-on-one support, get help addressing financial concerns and gain access to clinical trials. Patients can also submit a request for help online by visiting LIVESTRONG.org/SurvivorCare.

To help ease the burden of displacement in the face of disaster/emergency, new information for pregnant women and mothers of young children has been uploaded to the Centers for Disease Control and Prevention’s (CDC) web site. Because you are recognized as an important champion in the community and can provide a channel for vital emergency information.

The Advisory Committee on Immunization Practices (ACIP) annually reviews the recommended Adult Immunization Schedule to ensure that the schedule reflects current recommendations for the licensed vaccines.  The latest changes to the immunization schedule are on the CDC website. 

The HepTalk Training Manual for on-site training for clinics to help improve clinic systems that support communicable disease prevention, and training for clinicians and staff on communicating about risk across cultural differences and about potentially sensitive personal issues.

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Palm Beach Post’s page Farmworkers and Pesticides. Excellent artilces on Florida's farmworkers, with special attention to pregnant farmworkers and birth defects.

This 2008 MCN/FJ Monograph compiles research on pesticides, pregnancy and reproductive health. English and Spanish.

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This useful link offers clinicians information on how to report a pesticide incidents in CA, training materials and other pesticide resources.

Includes an article about the screening of people from countries where Hep B is endemic. The second part offers resources for clients from Central America who speak languages other than Spanish, such as the indigenous Mixteco. Though the study was completed in Eastern North Carolina, the resource list presented is national in scope and very broad.

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An opportunity to join live webcast on "Innovative HIV/STI Prevention Approaches."

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Any clinician in CA that suspects a patient is suffering from pesticide poisoning is required to report this information. Use this link to access forms and numbers to assist in reporting.

An editorial by Carol J. Baker, M.D. from The New England Journal of Medicine, Volume 357:1757-1759, October 25, 2007, Number 17.

This planning tool helps hospitals predict the pattern of casualty severity, and their capacity to provide care after a mass casualty event.

An article from The New England Journal of Medicine, Volume 357:1685-1694, October 25, 2007 Number 17 by John C. Victor, Ph.D., M.P.H., Arnold S. Monto, M.D., Tatiyana Y. Surdina, M.D., Saida Z. Suleimenova, M.D., Gilberto Vaughan, Ph.D., Omana V. Nainan, Ph.D., Michael O. Favorov, M.D., Ph.D., Harold S. Margolis, M.D., and Beth P. Bell, M.D., M.P.H

North Carolina now has a mandatory reporting rule for clinicians. Follow this link to easily report pesticide exposure in North Carolina.
1-800-222-1222/ 24 hours per day
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In honor of National Adult Immunization Week, September 24-28, we call your attention to an excellent source for patient education materials in many different languages, some of which we have featured here before. The IAC or Immunization Action Coalition is another one of our CDC partners in the Viral Hepatitis Education and Training program. They offer many different kinds of patient education materials about Hepatitis A and B vaccines. They’re easy to access and easy to download as pdf files, so they can be printed and distributed at your clinic, and they are available in Spanish. We have chosen a few of the resources most relevant to adult immunization and Hepatitis, but be sure to check all of their excellent resources.

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