California's Medical Supervision Program is a biomonitoring program that measures cholinesterase activity in bloog samples from agricultural workers. Employers are required by law to contract with physicians who have registered for this program, all of whom are included in this list.
Safety and Health Practices
for Nail Salon Workers
Safety and Health Practicesfor Nail Salon Workers and a Training Guide for Nail Salon Worker Safety and Health Outreach Program
Download Resource
- Best_Practices_HOPE.pdf (230 KB)
- Trainer_Guide_HOPE.pdf (1.34 MB)
DATE: May 24, 2017, 1 pm (ET)
SPEAKERS: Juliana Simmons, MSPH, CHES
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
José Navarro was excited for his new career after landing a job in the poultry industry. After five years on the job, 37 year-old Navarro began coughing up blood. He died soon after when his lungs and kidneys failed. His death triggered a federal investigation raising questions about the health risks associated with the use of toxic chemicals in poultry plants.
Millions of workers are exposed to chemicals everyday on the job. All workers have the right to know about the chemicals they work with and community health workers can be an important source of information and support for workers. This workshop will teach community health workers how to explain what happens when someone is exposed to chemicals and how workers can best protect themselves
Learning Objectives
- Recognize how workers become exposed to chemicals and illnesses
- Describe basic safety practices when working around chemicals
- Understand the role of community health workers in identifying and preventing work related illnesses and hazards
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number U30CS09742, Technical Assistance to Community and Migrant Health Centers and Homeless for $1,094,709.00 with 0% of the total NCA project financed with non-federal sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
DATE: May 10, 2017, 1 pm (ET)
SPEAKERS: Patria Alguila and Ileana Ponce-Gonzalez, MD, MPH, CNC
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
In this webinar participants will be able to identify the Health Resource Services Administration performance measures related to depression, describe symptoms of depression, understand how to encourage patients to control and manage their diabetes and depression, and understand the principle barriers faced by patients in the control and management of their diabetes and depression
Learning Objectives
- Define the term mental illness
- List at least two symptoms of depression
- Define the HRSA quality measure for depression screening
- Understand at least one barrier in the control of diabetes and depression
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number U30CS09742, Technical Assistance to Community and Migrant Health Centers and Homeless for $1,094,709.00 with 0% of the total NCA project financed with non-federal sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
FECHA DE GRABACION: 3 de Mayo de 2017, 1 pm ET (zona horaria del Este)
ORADORAS: Ileana Ponce-Gonzalez, MD, MPH y Daniel Ramos, MPH
Crédito de educación continua
Para recibir credito de Trabajador/a de Salud Comunitaria o Educacion de Continua de Enfermera después de ver alguno de estos seminarios usted debe hacer lo siguiente:
- Completar la evaluación participante asociado a cada webinar
- Enviar un correo electrónico con su nombre y apellido indicando que ha completado a contedu@migrantclinician.org
Descripción
En este seminario los participantes podrán identificar las medidas de desempeño de la Administración de Servicios de Recursos de Salud relacionadas con la depresión, podrán describir los síntomas de la depresión, entender cómo alentar a los pacientes para que ellos mismos puedan controlar su diabetes y depresión, y comprender las barreras principales que enfrentan pacientes con diabetes en el control y manejo de su enfermedad y la depresión.
Objetivos de aprendizaje
- Definir el término ‘enfermedad mental’
- Enumerar al menos dos síntomas de la depresión
- Definir las medidas de calidad de HRSA para el cribado de la depresión
- Entender al menos una barrera en el control de la diabetes y la depresión
Lectura Adicional
- https://www.cdc.gov/mentalhealthsurveillance/fact_sheet.html
- http://www.apa.org/helpcenter/data-behavioral-health.aspx
- https://en.wikipedia.org/wiki/Comorbidity
- https://www.cdc.gov/mentalhealthsurveillance/fact_sheet.html
- http://www.diabetes.org/living-with-diabetes/complications/mental-health/depression.html
- https://www.qualitymeasures.ahrq.gov/hhs/content.aspx?id=3527#.WJ4xsm8rKUk
- http://www.integration.samhsa.gov/clinical-practice/screening-tools#depression
- http://www.mentalhealthamerica.net/mental-health-screening-tools
- https://psychcentral.com/lib/diabetes-and-depression/
- http://www.diabetes.org/living-with-diabetes/complications/mental-health/stress.html
- http://www.diabetes.org/living-with-diabetes/complications/mental-health/
- https://www.adaa.org/finding-help/treatment/complementary-alternative-treatment
- https://www.psychologytoday.com/blog/when-your-adult-child-breaks-your-heart/201401/addressing-mental-health-treatment-barriers
- http://www.mayoclinic.org/diseases-conditions/diabetes/basics/risk-factors/con-20033091
- https://www.ptsd.va.gov/public/ptsd-overview/basics/symptoms_of_ptsd.asp
- https://www.psychologytoday.com/blog/hide-and-seek/201205/the-7-reasons-why-depression-is-more-common-in-women
Este proyecto cuenta con el apoyo de la Administración de Recursos y Servicios de Salud (HRSA) del Departamento de Salud y Servicios Humanos de los Estados Unidos bajo el acuerdo de cooperación número U30CS09742, Asistencia Técnica a Centros de Salud Comunitarios y Migrantes y Personas sin Hogar por $ 1,094,709.00 con 0% del total Proyecto NCA financiado con fuentes no federales. Esta información o contenido y las conclusiones son las del autor y no deben ser interpretadas como la posición o política oficial de, ni cualquier endosos deben ser inferidos por HRSA, HHS o el Gobierno de los Estados Unidos.
Links
- https://www.cdc.gov/mentalhealthsurveillance/fact_sheet.html
- http://www.apa.org/helpcenter/data-behavioral-health.aspx
- https://en.wikipedia.org/wiki/Comorbidity
- http://www.diabetes.org/living-with-diabetes/complications/mental-health/depression.html
- https://www.qualitymeasures.ahrq.gov/hhs/content.aspx?id=3527#.WJ4xsm8rKUk
- http://www.integration.samhsa.gov/clinical-practice/screening-tools#depression
- http://www.mentalhealthamerica.net/mental-health-screening-tools
- https://psychcentral.com/lib/diabetes-and-depression/
- http://www.diabetes.org/living-with-diabetes/complications/mental-health/stress.html
- http://www.diabetes.org/living-with-diabetes/complications/mental-health/
- https://www.adaa.org/finding-help/treatment/complementary-alternative-treatment
- https://www.psychologytoday.com/blog/when-your-adult-child-breaks-your-heart/201401/addressing-mental-health-treatment-barriers
- http://www.mayoclinic.org/diseases-conditions/diabetes/basics/risk-factors/con-20033091
- https://www.ptsd.va.gov/public/ptsd-overview/basics/symptoms_of_ptsd.asp
- https://www.psychologytoday.com/blog/hide-and-seek/201205/the-7-reasons-why-depression-is-more-common-in-women
"Emerging Infectious Diseases is an open access journal published monthly by the Centers for Disease Control and Prevention (CDC)." ... "Emerging Infectious Diseases follows the International Committee of Medical Journal Editors recommendations for the conduct, reporting, editing, and publishing of scholarly work in medical journals. The journal’s peer review process allows for critical assessment of submitted manuscripts by experts who are usually not part of its editorial staff. As an independent publication, the journal’s peer-review process operates independently from CDC’s clearance processes."
FECHA DE GRABACION: 29 de Marzo de 2017, 1 pm ET (zona horaria del Este)
ORADORA: Ileana Ponce-González, MD, MPH, CNC
Crédito de educación continua
Para recibir credito de Trabajador/a de Salud Comunitaria o Educacion de Continua de Enfermera después de ver alguno de estos seminarios usted debe hacer lo siguiente:
- Completar la evaluación participante asociado a cada webinar
- Enviar un correo electrónico con su nombre y apellido indicando que ha completado a contedu@migrantclinician.org
Descripción
En este seminario los participantes serán capaces de identificar las medidas de rendimiento de HRSA relacionadas con la salud bucodental, así como los factores de riesgo para la mala salud bucal. También reflexionaremos sobre el importante papel que desempeñan los promotores de salud en la mejora del acceso a los servicios de salud bucodental.
Objetivos de aprendizaje
- Describa la oferta de servicios orales preventivos y adicionales requeridos en su centro de salud
- Describa las medidas orales de HRSA
- Comprender el papel de los trabajadores comunitarios de salud en la prevención de la enfermedad bucodental
Lectura Adicional
- ADA Store—Brochures for purchase: https://goo.gl/xF1zWU
- ADA Facebook and Twitter ads (free images): https://goo.gl/Q2zsug
- WDS Foundation—Free materials: https://goo.gl/FYxdri
- ADA Practice Guidelines (2016): https://goo.gl/pzyfOd
- Medicaid/CHIP Dental Sealant Measure in the Child Core Set: https://goo.gl/n66YAD
- Texas Health and Human Service: https://goo.gl/H6fAKL
Este proyecto cuenta con el apoyo de la Administración de Recursos y Servicios de Salud (HRSA) del Departamento de Salud y Servicios Humanos de los Estados Unidos bajo el acuerdo de cooperación número U30CS09742, Asistencia Técnica a Centros de Salud Comunitarios y Migrantes y Personas sin Hogar por $ 1,094,709.00 con 0% del total Proyecto NCA financiado con fuentes no federales. Esta información o contenido y las conclusiones son las del autor y no deben ser interpretadas como la posición o política oficial de, ni cualquier endosos deben ser inferidos por HRSA, HHS o el Gobierno de los Estados Unidos.
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.
Download Resource
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
Download Resource
- 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.
Download Resource
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).
Download Resource
- OSHA's Field Sanitation Standard Clinician's Guide.pdf (747.53 KB)
- FIFRA FQPA Clinician Guide.pdf (287.9 KB)
- WPS Clinician's Guide.pdf (843.35 KB)
Este diccionario ilustrado bilingüe de MCN, "Seguridad en Palabras/ Safety in Words", muestra los peligros que hay en el lugar de trabajo y las mejores prácticas para la salud y la seguridad en la agricultura. Desarrollado con el apoyo del Programa de Subvenciones Susan Harwood de OSHA, este recurso refuerza el vocabulario en inglés de los trabajadores que hablan español lo que ayudará a prevenir lesiones en la agricultura.
Download Resource
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.
Download Resource
- EOHScreeningQs_2014Nov.pdf (3.99 MB)
- EOHScreeningQs_EHR_2014Nov.pdf (4.49 MB)
This colorful bilingual comic addresses workers' compensation and immigrant dairy farm workers’ rights and responsibilities. It tells the story of a Mexican dairy farm worker who is injured on the job and the steps he and his employer take to make sure he receives his benefits, and the farm improves its safety.
Download Resource
- DairyWrkrRightsWrkComp_ENG2016_web.pdf (7.78 MB)
- DairyWrkrRightsWrkComp_ESP2016_web.pdf (7.92 MB)
- COMIC - Safety and Health on the Farm - New Mexico - English.pdf (3.4 MB)
- COMIC - Safety and Health on the Farm - New Mexico - Spanish.pdf (3.41 MB)
- COMIC - Safety and Health on the Farm - New York - English.pdf (3.45 MB)
- COMIC - Safety and Health on the Farm - New York - Spanish.pdf (3.46 MB)
- COMIC - Safety and Health on the Farm -Minnesota -English.pdf (7.78 MB)
- COMIC - Safety and Health on the Farm - Minnesota - Spanish_0.pdf (7.91 MB)
MCN's Director of Environmental and Occupational Health, Amy K. Liebman, appeared on the radio broadcast Epicenter: West Marin Issues on KWMR 90.5 FM to talk pesticides and the Worker Protection Standard. Liebman was joined by Hector Sanchez of the Labor Council for Latin American Advancement. Host Frederick Smith discusses with Liebman and Sanchez a variety of pesticide-related issues, including protections for farmworkers and their families, farmworkers' risks of pesticide exposures, how pesticides are regulated, their health effects on farmworkers and their families, and what healthcare providers can do to mitigate, diagnose, manage, and report pesticide exposures.
During the interview Liebman referenced the Agricultural Health Study, which is available here.
Links
- http://kwmr.org/show/186
- http://kwmr.org/show/186','','location=yes,scrollbars=yes,menubar=yes,resizable=yes,width=960,height=720,left='+(screen.availWidth/2-480)+',top='+(screen.availHeight/2-360)+
- http://www.lclaa.org/
- http://aghealth.nih.gov/
- http://aghealth.nih.gov/','','location=yes,scrollbars=yes,resizable=yes,width=960,height=720,left='+(screen.availWidth/2-480)+',top='+(screen.availHeight/2-360)+
- https://w.soundcloud.com/player/?url=http%3A//api.soundcloud.com/tracks/108699853
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.
Download Resource
- DPR_Facilitator_Manual_EN.pdf (4.77 MB)
- DPR_Participant_Manual_EN.pdf (4.91 MB)
Señales y síntomas de envenenamiento por pesticidas
Developed by the California Poison Control System in collaboration with 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.
Links
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.
Download Resource
- PesticideClinicalGuidelines_2014Nov.pdf (395.73 KB)
- 2022-Pesticide-Exp-Assessment_ENG.pdf (316.56 KB)
- 2016-08-16 - Acute Pesticide Exposures Clinical Guidelines (Spanish).pdf (203.88 KB)
- 2022_Pesticide-Exp-Assessment_SPA.pdf (626.33 KB)
The importance of clinical diagnostic tools and biomonitoring of exposures to pesticides as well the role of clinicians in pesticide reporting and the challenges clinicians face in accurately diagnosing patients exposed to pesticides are described in a presentation by Matthew Keifer, MD, MPH and Amy K. Liebman, MPA. Click on the link for an APHA policy resolution underscoring the need for clinical diagnostic tools and biomomitoring of exposures to pesticides. This policy supports the information outlined by in the presentation.
Download Resource
Outlines the knowledge and skills that health professionals need to have about pesticides. This document is part of a national initiative aimed at ensuring that pesticides issues become integral elements of education and practice of primary care providers. English and Spanish
Download Resource
- NEETFPesticidePracticeGuidelines.pdf (2.04 MB)
- NEETFHabilidadesParaLaPracticaPesticidas.pdf (668.29 KB)
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.
Links
The manual is a guide that can be used by community workers, educators, and health promoters for their educational activities in the community. It provides information on the risks of exposure to environmental contaminants and pesticides and ways to reduce those risks. It also includes useful information and tips for working in the community.
As for the comic book, community workers, educators and health promoters can use it as an educational tool to inform their community about the risks of environmental contaminants and pesticides.
Download Resource
- pocovenenocomicless20.pdf (16.8 MB)
- A LITTLE POISON WILL IT KILL YOU_June-2019.pdf (5.14 MB)
- Poco Veneno No Mata 2nd Edition - June2019.pdf (5.27 MB)