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)
Aedes species mosquitoes transmit chikungunya virus, as well as dengue and Zika viruses, and bite most often during the day.* Infectious mosquito bites frequently occur in and around homes (1,2). Caribbean countries first reported local transmission of chikungunya virus in December 2013, and soon after, chikungunya virus spread throughout the Americas (3). Puerto Rico reported its first laboratory-positive chikungunya case in May 2014 (4), and subsequently identified approximately 29,000 suspected cases throughout the island by the end of 2015 ...
In May 2015, Zika virus was reported to be circulating in Brazil. This was the first identified introduction of the virus in the Region of the Americas. Since that time, Zika virus has rapidly spread throughout the region. As of April 20, 2016, the Florida Department of Health Bureau of Public Health Laboratories (BPHL) has tested specimens from 913 persons who met state criteria for Zika virus testing. Among these 913 persons, 91 met confirmed or probable Zika virus disease case criteria and all cases were travel-associated (1).
Diagnostic testing for Zika virus infection can be accomplished using molecular and serologic methods. Real-time reverse transcription–polymerase chain reaction (rRT-PCR) is the preferred test for Zika virus infection because it can be performed rapidly and is highly specific (1,2) ...
- resourceZika-05112016.pdf (95.67 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)
FECHA DE GRABACION: 30 de Marzo de 2016
PRESENTAOD POR: Ileana Ponce-González, MD, MPH
Este material será producido bajo la subvención número SH-27640-15-60-F-48-SH5 de la Administración de Seguridad y Salud Ocupacional del Departamento de Trabajo de los Estados Unidos. Ni los puntos de vista ni las políticas del Departamento de Trabajo de los Estados Unidos serán necesariamente reflejados; ni la mención de nombres comerciales, productos comerciales, u organizaciones implica la aprobación por el Gobierno de EE.UU.
- http://migrantclinician.adobeconnect.com/p92vsy5l9ox/
- http://www.migrantclinician.org/
- http://workerscomphub.org/
- http://workerscomphub.org/navigating-system
- http://www.migrantclinician
- https://www.osha.gov/workers-spanish/index.html
- http://www.coshnetwork.org/know-your-rights
- http://hesperian.org/books-and-resources/
FECHA DE GRABACION: 25 de Mayo de 2016
PRESENTAOD POR: Antonio Tovar, PhD
- Ver Webinar Grabado
- Evaluacion de los Participantes
- Diapositivas de la Presentacion
Este material será producido bajo la subvención número SH-27640-SH5 de la Administración de Seguridad y Salud Ocupacional del Departamento de Trabajo de los Estados Unidos. Ni los puntos de vista ni las políticas del Departamento de Trabajo de los Estados Unidos serán necesariamente reflejados; ni la mención de nombres comerciales, productos comerciales, u organizaciones implica la aprobación por el Gobierno de EE.UU.
- http://www.migrantclinician.org/
- https://www.osha.gov/SLTC/heatstress/index.html
- https://www.osha.gov/SLTC/heatillness/spanish/index_sp.html
- https://www.osha.gov/SLTC/heatstress/industry_resources.html
- http://deohs.washington.edu/pnash/heat_illness
- 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
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.
FECHA DE GRABACION: 17 de febrero 2016
PRESENTADO POR: Ileana Ponce-González, MD, MPH | Nelly Ayala, RN, MSN | Juan J Martinez, MSN, RN, CDE
- http://migrantclinician.adobeconnect.com/p4r9q058gd5/?OWASP_CSRFTOKEN=5cda39ea343db034320a5f908410459c08acbc6dc8eae39211163603ad29bfe2
- http://www.migrantclinician.org/
- http://www.ncbi.nlm.nih.gov/pubmed/11024588
- http://scholarworks.boisestate.edu/nursing_facpubs/3/
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3662286/
- http://www.idf.org/diabetesvoice/articles/diabetes-tipo-2-su-prevenci%C3%B3n-y-la-comisi%C3%B3n-sobre-determinantes-sociales-de-la-salud-de-la
- http://www.doh.wa.gov/Portals/1/Documents/Pubs/345-342-DiabetesEpidemicActionReport.pdf
- http://ibis.dhss.alaska.gov/
- http://www.paho.org/diabetes
- http://www.diabetes.org/
- http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-29532003000200008&lng=es&nrm=iso&tlng=es
- https://www.youtube.com/watch?v=_11xLlwKgWc
- http://www.hopeheart.org/our-programs/
FECHA DE GRABACION: 30 de Marzo de 2016
PRESENTAOD POR: Ileana Ponce-González, MD, MPH
Este material será producido bajo la subvención número SH-27640-15-60-F-48-SH5 de la Administración de Seguridad y Salud Ocupacional del Departamento de Trabajo de los Estados Unidos. Ni los puntos de vista ni las políticas del Departamento de Trabajo de los Estados Unidos serán necesariamente reflejados; ni la mención de nombres comerciales, productos comerciales, u organizaciones implica la aprobación por el Gobierno de EE.UU.
- http://migrantclinician.adobeconnect.com/p92vsy5l9ox/
- http://www.migrantclinician.org/
- http://workerscomphub.org/
- http://workerscomphub.org/navigating-system
- http://www.migrantclinician
- https://www.osha.gov/workers-spanish/index.html
- http://www.coshnetwork.org/know-your-rights
- http://hesperian.org/books-and-resources/
A primary goal of the Partnerships for Care (P4C) project is to provide innovative, cost-efficient, and culturally competent training and technical assistance (TTA) to the four health departments and 22 health centers serving high HIV prevalence areas funded under the project. To that end, the HIV Training, Technical Assistance, and Collaboration Center (HIV TAC) was funded to support the goals of the P4C project through planned collaboration with existing HIV-related TTA programs, across different levels of government and with nongovernment partners. The MayaTech Corporation operates the P4C HIV TAC.
Video interview with COPE Executive Director Mark Sullivan, MD, PhD.
About COPE: The University of Washington’s COPE for Chronic Pain CME Program offers evidence-based clinical knowledge and training on how best to treat patients experiencing chronic pain. COPE CME helps clinicians assess patients and monitor their progress, mitigate risk, and focus on restoring function and quality of life. It provides guidance on when and how to start, stop, or modify opioid therapies. COPE’s online course includes case-based video vignettes that model interactions between providers and patients, helping to improve communications that promote trust. Live and web-based CME is available.
Only 25% of physicians feel very confident in managing patients on opioids.
When many of today's physicians were in medical school, they learned that opioids were safe, and no dose seemed too high. Now, evidence-based practice paints a far more nuanced picture. More than 200 million prescriptions a year have contributed to widespread problems:
- 33% of young adults say that prescription opioids are "easy to get," with many taking their friends' or parents' pills.
- Nearly 20% of U.S. veterans with PTSD are receiving higher-dose or multiple opioids, or early refills.
- Increased prescribing to women of childbearing age has contributed to a 4-fold increase in neonatal abstinence syndrome
COPE offers free CME on safe opioid prescribing:
- COPE-REMS: an online, self-paced tutorial that awards up to 4 CME credits
- UW TelePain: Providers can call in to UW Medicine and present their most difficult chronic pain cases to a multidisciplinary panel of pain medicine experts for discussion and advice. Tune in to live, lunchtime, 1-hour sessions most Wednesdays at 12 PM to earn up to 1.5 CME credits per session.
Other resources from COPE include:
- 7 Things You Should Know about PTSD and Use of Opioid Pain Medications
- Women, Pregnancy & Prescription Opioids
- COPE-REMS has posted new content on prescribing opioids for chronic pain related to the 2015 Washington State Interagency Guideline on Prescribing Opioids for Pain. The 2015 guideline provides valuable insights for clinicians nationwide and for the federal government, which is now developing a national guideline. COPE interviewed Dr. David Tauben, Chief of the University of Washington Division of Pain Medicine.
- http://www.coperems.org/
- http://www.coperems.org/register/
- http://depts.washington.edu/anesth/care/pain/telepain/index.shtml
- http://www.coperems.org/wp-content/uploads/2015/06/flyer-ptsd-opioids-rev.pdf
- http://www.coperems.org/wp-content/uploads/2015/05/factsheet-womenpregnancy.pdf
- http://www.coperems.org/new-washington-state-opioid-guidelines/
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.
Public Health Online includes expert-driven data and information about careers in the field, online learning options, and how students can gain valuable professional experience even before graduation. Some key features include:
- An in-depth look at public health issues and the importance of public health education
- A detailed examination of high-quality, available online public health degrees and specializations
- Tips for choosing a high-quality, affordable online program that meets the student’s education and career goal
- A public health career fit quiz
http://www.publichealthonline.org/degree-programs/masters/
The National Nework for Oral Health Access has developed a user’s guide that provides a structure, options, and suggestions to help Health Centers develop programs to implement oral health competencies that integrate oral health care into primary care practice, which increases access to oral health care and improves the oral health status of the populations Health Centers serve.
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.
DATE RECORDED: Friday, July 11
PRESENTED BY: Ed Zuroweste, MD. Chief Medical Officer, Migrant Clinicians Network
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.
Migrant workers are often employed in some of the most dangerous jobs in the United States. Lack of training, poor safety precautions, regulatory exclusions, lack of health insurance, language barriers, piece-rate pay, undocumented worker status, and geographical and cultural isolation can put these workers at increased risk for occupationally related injuries and illnesses and chronic sequelae.
This webinar will discuss health risks facing migrants as a result of their working conditions and highlight best practices and resources to incorporate environmental and work-related health into the primary care setting. It will aslo showcase successful initiatives employed in Community and Migrant Health Centers. Participants will become familiar with the importance of and feasible approaches to integrate environmental and occupational health into primary care from both a clinical and social justice perspective.
SPONSORED BY: Migrant Clinicians Network
OBJECTIVES: Participants will be able to:
- Understand the reasons for integratin environmental and occupational health into primary care
- Recognize the role of the clinician in work-related exposure
- Be familiar with tools and resources to address occupational injuries and exposures in primary care
CLINICAL TOOLS & RESOURCES |
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PATIENT EDUCATION MATERIALS |
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ARCHIVED WEBINARS & TRAINING RESOURCES |
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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
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
Part 5 of the 6 webinar series: Essential Clinical Issues in Migration Health
DATE RECORDED: June 5, 2014
PRESENTED BY: Katherine Brieger, RD and Elizabeth Magenheimer
To receive CME* or CNE credit after viewing any of these webinars you must do the following:
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Diabetes continues to be one of the most common and challenging health condition confronting migrants and other underserved populations. It is clear that a healthy lifestyle is critical to mitigating the impact of diabetes on individuals and the population, however effective and appropriate interventions can be difficult to design. Fairhaven Community Health Center in Connecticut and Hudson River Healthcare in New York, are two health centers that have long led the way in creating culturally appropriate lifestyle programs for migrants and other underserved patients. In this session the presenters will discuss lessons learned from the development of a variety of programs for diabetics and other patients including a community garden, nutrition classes, cooking classes, weight management and strategies to encourage exercise. The session will address the clinical core measures related to nutrition and BMI and will also discuss current research test second line drug effectiveness in Type 2 DM. Available in English
Learning Objectives:
- Describe culturally appropriate diabetes intervention strategies
- Identify strategies to address clinical core competencies related to nutrition and BMI to improve quality care.
- Receive “take home” examples of how to incorporate effective nutrition, weight loss, exercise and other health lifestyle strategies.
FURTHER READING |
Download the Spanish Toolkit Materials
National Diabetes Information Clearinghouse, http://diabetes.niddk.nih.gov/dm/pubs/preventionprogram Bright Bodies, http://brightbodies.org |
- https://youtu.be/s9tdKcyE5OE
- http://www.cdc.gov/diabetes/ndep/pdfs/16-road-to-health-user-guide-spanish.pdf
- http://www.cdc.gov/diabetes/ndep/pdfs/17-road-to-health-activities-guide-spanish.pdf
- http://www.cdc.gov/diabetes/ndep/pdfs/18-road-to-health-resource-guide-spanish.pdf
- http://www.cdc.gov/diabetes/ndep/pdfs/19-road-to-health-flipchart-spanish.pdf
- http://www.cdc.gov/diabetes/ndep/pdfs/20-road-to-health-physical-activity-quiz-spanish-508.pdf
- http://www.cdc.gov/diabetes/ndep/pdfs/21-road-to-health-city-of-excuses-spanish.pdf
- http://www.cdc.gov/diabetes/ndep/pdfs/22-road-to-health-future-poster-spanish.pdf
- http://diabetes.niddk.nih.gov/dm/pubs/preventionprogram/
- http://diabetes.niddk.nih.gov/dm/pubs/preventionprogram
- http://brightbodies.org/
- http://brightbodies.org
Three concise and effective environmental/occupational health screening questions for the primary care provider. English and Spanish. MCN, 2014.
An EHR-friendly version of these screening questions was developed through MCN's Workers & Health Program. This can be used as a reference for integration into the health center's Electronic Health Record.
- EOHScreeningQs_2014Nov.pdf (3.99 MB)
- EOHScreeningQs_EHR_2014Nov.pdf (4.49 MB)
Part 4 of the 6 webinar series: Essential Clinical Issues in Migration Health
DATE RECORDED: May 14, 2014
PRESENTED BY: Candace Kugel, FNP, CNM and Megan Danielson, CNM
To receive CME* or CNE credit after viewing any of these webinars you must do the following:
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Migrant women face significant disparities with an additional layer of complexity and require different intervention strategies. Among them are reproductive health, pregnancy and childbirth, sexual and intimate partner violence, and cancers that disproportionately affect women, including cervical and breast cancer. Women often face environmental and occupational health exposures both in the home and in the workplace that heighten health risks. This session will provide a follow-up to the July 2013 presentation “Women’s Health at the Intersection of Poverty and Migration” that was part of our Clinician Orientation to Migration Health webinar series. During this presentation Candace Kugel, FNP, CNM, and Meagan Danielson, CNM will discuss quality improvement and health care services for migrant women. The HRSA clinical performance measures related to women’s health will be reviewed as well as resources and best practices for improving the health of migrant women.
Learning Objectives:
- Describe strategies to address clinical core measures that relate to women’s health .
- Discuss case studies that assist participants in understanding how creative collaborations and models of care can improve health outcomes for migrant women.
- Participants will be able to access clinical resources for working with female migrant patients.
FURTHER READING |
Low Birth Weight Resources
Cervical Cancer Resources
Other Resources
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- WomenWebinar2014May12.pdf (999.83 KB)
- https://youtu.be/AJe7SVQxWTA
- http://www.healthcare.gov/
- http://www.healthcare.gov
- http://www.text4baby.org/
- http://www.text4baby.org
- http://www.migranthealth.org/
- http://www.migranthealth.org
- http://www.acog.org
- http://www.cdc.gov
- http://www.cancer.org
- http://www.rwhp.org
- http://cdc.gov/cancer/nbccedp
- http://bphc.hrsa.gov/policiesregulations/performancemeasures/index.html
- http://www.nashp.org/
- http://www.nashp.org
- http://bphc.hrsa.gov/spotlight/eriefamilyhc/index.html
- http://transform.childbirthconnection.org/