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First do no harm : Protect patients by making sure all staff receive yearly influenza vaccine!

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Our members enjoy professional support, educational programs, and numerous opportunities for participation in association decision making. With your support, we can carry out our mission to advance the art and science of dental hygiene, and to promote the highest standards of education and practice in the profession.

An interactive lead case study by Susan Buchanan, MD, Linda Forst, MD, MPH, and Anne Evens, MS.

The Lancet's H1N1 Resource Center is a collaborative effort by the editors of over 40 Elsevier-published journals and 11 learned societies who have agreed to make freely available on this site any relevant content. All papers have been selected by a Lancet editor, grouped by topic and fulltext pdfs made available to download free of charge.
Charles W. Schmidt, Swine CAFOs & Novel H1N1 Flu: Separating Facts from Fears, Environmental Health Perspectives Volume 117, Number 9, September 2009

A broken system leaves immigrant workers invisible -- and in danger. High Country News, 8/2009

The Health Care for the Homeless (HCH) Clinicians’ Network and Migrant Clinicians Network (MCN) serve as National Partners to the HRSA Health Disparities Collaboratives. One of the critical roles for both organizations is helping health centers identify their migrant and homeless patients. Both organizations share a commitment to the principal that mobility should not be a barrier for health care access or continuity of care. What follows is a set of succinct and helpful suggestions for how to better identify homeless and migrant patients in your practice.

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Welcome to Immu-News, the Immunization Initiatives listserv, a monthly resource for the community of participants in this project. For now, this is post-only listserv (in other words, you will get only one e-mail per month in your mailbox, instead of floods of daily discussions) but we hope to evolve into a more interactive form, something that will truly be of service to you as each of you searches for ways to improve your ability to record and access immunization data, to increase immunizations provided to your clients, and thus to improve the health of your community.

Our topic for this month is introduced by Dr. Jennie McLaurin, MCN’s Migrant Health Specialist and the Project Director for the Immunization Initiative. We include examples and a source for patient-held immunization records, and two articles on the topic. Please feel free to send responses, comments, thoughts, and ideas to the listserv administrator at kath@healthletter.com. If you send comments, we will follow up with your responses and ideas in the next listserv.

Immu-News is also pleased to feature Grounded in Practice, highlights from the real world clinics participating in Immunization Initiatives. We begin with San Benito Health Foundation in Hollister, CA. We invite you to send suggestions, stories, examples of things that have worked to improve immunization practices in your clinic. Send your ideas to kath@healthletter.com

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Our June topic is IIS or Immunzaion Registries. Between August and October of 2008, immunization initiative staff at MCN conducted structured interviews with all State Immunization Coordinators or their designated contact persons in an effort to identify state programs that address the immunization needs. In response to the question “does your state have an electronic immunization registry?” we found that 42 states have registries, six states are in the process of implementing them, and two states do not have registries. Out of 42 states with registries, 37 are in both public and private settings and 31 are “birth to death” registries, including both children and adults. To view report, go to: http://www.migrantclinician.org/toolsource/resource/interviews-state-programs-addressing-immunization-needs.html

We offer three articles that discuss the progress of using immunization registries to improve recording and access of immunization data. Click on the links below to access the full articles.

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Our May topic is “What Do Migrants from Mexico, Central and South America Think About Immunization?” MCN has conducted several focus groups in recent years on this topic, and we share with you, in two papers, what we learned in these focus groups.

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In July of 2005, MCN conducted a focus group with migrant women in a new receiving community on the Eastern Shore of Maryland to help understand their experiences regarding immunization.

The focus group was held at the one of the participant’s home, an established immigrant household. The town house apartment located in a growing immigrant neighborhood offered a comfortable, safe and trusting environment for the group’s participants.

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The following report summarizes research conducted by the Migrant Clinicians Network (MCN) in the summer of 2008. The report is an effort to identify state programs that address the immunization needs of adults and migrant and seasonal farmworkers across the country.

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California Department of Public Health offers numerous bilingual educational materials regarding childhood lead poisoning prevention.

The Occupational Lead Poisoning Prevention Program (OLPPP) is a program in the California Department of Public Health that helps employers, workers, and others prevent lead poisoning in workers.

An expert panel review of the scientific literature on lead and health - Environmental Health Perspective, March 2007

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U.S. Department of Housing and Urban Development lead information

Lead information from National Institute of Environmental Health Sciences

Lead is a toxic metal that was used for many years in products found in and around our homes. Lead also can be emitted into the air from motor vehicles and industrial sources, and lead can enter drinking water from plumbing materials. Lead may cause a range of health effects, from behavioral problems and learning disabilities, to seizures and death. Children six years old and under are most at risk.

A lead fact sheet from the Agency for Toxic Substances and Disease Registry

To access information on a specific state or local area, click on the map or scroll down and pick the state or local name from the list provided.

Approximately 250,000 U.S. children aged 1-5 years have blood lead levels greater than 10 micrograms of lead per deciliter of blood, the level at which CDC recommends public health actions be initiated. Lead poisoning can affect nearly every system in the body. Because lead poisoning often occurs with no obvious symptoms, it frequently goes unrecognized. CDC’s Childhood Lead Poisoning Prevention Program is committed to the Healthy People goal of eliminating elevated blood lead levels in children by 2010.

Variations in BCG vaccination practices impact the interpretation of TB diagnostics, such as the widely used Tuberculin Skin Test (TST). The World Atlas of BCG Policies and Practices will help clinicians in your country and around the world make better diagnostic decisions concerning TB infection.