This almost real-time map shows where COVID-19 cases have been reported, all over the world, which provides some perspective and allows for a visual understanding of the spread as it progresses.
NACHC’s new FAQ runs down a number of additional resources not covered here, specifically tailored for health centers.
HRSA’s new COVID-19 FAQs give some overview on the health center requirements around emergency preparedness as well as recommendations for communications from health centers.
This new poll, taken by Migrant Clinicians Network in January and February 2018, reflected the experiences of clinical staff from 26 states across the country. Respondents came from every corner of the clinic; occupations listed include Physician, Executive Director, Dental Assistant, Outreach Specialist, Therapist, Community Health Worker, Registered Nurse, and 24 other occupations. The poll follows up on MCN’s 2017 poll, in which 63 percent of respondents indicated that immigrant and mobile patients’ attitudes and feelings toward health care access had changed.
- Poll Results February 2018.pdf (92.89 KB)
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 Practicesfor Nail Salon Workers and a Training Guide for Nail Salon Worker Safety and Health Outreach Program
- Best_Practices_HOPE.pdf (230 KB)
- Trainer_Guide_HOPE.pdf (1.34 MB)
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.
Libro cómic educativo bilingüe sobre cómo prevenir las enfermedades zoonóticas. Desarrollado por MCN en colaboración con la Universidad Estatal de Ohio.
- Working with farm animals_1.pdf (13.33 MB)
- Trabajos con animales en un rancho_1.pdf (13.31 MB)
MCN y Farmworker Justice ofrecen estas guías para ayudar a los médicos en la comprensión de regulaciones de salud y seguridad de los campesinos. Información de los Estándares de Saneamiento de la Administración de Seguridad y Salud Ocupacional (OSHA) para los campos; la Ley Federal de Insecticidas, Fungicidas y Rodenticidas (FIFRA) regulado por la Agencia de Protección Ambiental (EPA); la Ley de la Protección de la Calidad de los Alimentos (FQPA) también regulado por el EPA; y el estándar de protección del trabajador (WPS) establecido por el EPA.
- OSHA's Field Sanitation Standard Clinician's Guide.pdf (747.53 KB)
- FIFRA FQPA Clinician's Guide.pdf (287.9 KB)
- WPS Clinician's Guide.pdf (843.35 KB)
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).
- OSHA's Field Sanitation Standard Clinician's Guide.pdf (747.53 KB)
- FIFRA FQPA Clinician's Guide.pdf (287.9 KB)
- WPS Clinician's Guide.pdf (843.35 KB)
DATE RECORDED: June 22, 2016
PRESENTED BY: Kerry Brennan
This material will be produced under grant number SH-27640-15-60-F-48-SH5 from the Occupational Safety and Health Administration, U.S. Department of Labor. It will not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.
DATE RECORDED: June 8, 2016
PRESENTED BY: Juliana Simmons, MSPH, CHES
This material will be produced under grant number SH-27640-15-60-F-48-SH5 from the Occupational Safety and Health Administration, U.S. Department of Labor. It will not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.
- https://youtu.be/qcCci3GQs04
- http://www.migrantclinician.org/
- https://www.osha.gov/SLTC/heatstress/prevention.html
- http://www.farmworkerjustice.org/sites/default/files/FJpesticidetrainingspanish2016.pdf
- https://www.osha.gov/SLTC/heatstress/index.html
- https://www.osha.gov/SLTC/heatillness/index.html
- https://www.osha.gov/SLTC/heatstress/industry_resources.html
- 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
- http://www.cdc.gov/niosh/topics/heatstress/heatrelillness.html
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)
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)
ACA Toolkit:
Available in English and Spanish
Health Insurance Guide:
Available in English and Spanish and Haitian Creole
Older Guides:
Available in English, Spanish, and Haitian Creole for workers on employer-provided health insurance
Created by Farmworker Justice.
- http://www.farmworkerjustice.org/sites/default/files/FJ_ACA_Fact_Sheet_Employer_Provided_Health_Insurance_FINAL.pdf
- http://www.farmworkerjustice.org/sites/default/files/FJ_ACA_Fact_Sheet_Employer_Provided_Health_Insurance_SPANISH_FINAL.pdf
- http://www.farmworkerjustice.org/sites/default/files/FJ_ACA_Fact_Sheet_Employer_Provided_Health_Insurance_CREOLE_FINAL.pdf
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.
This is a resource dedicated to researching educational opportunities within public health to help make the decision to get your degree, go back to get your degree, or further your education with a master's or doctoral degree in public health. With over 150 schools and over 2,000 public health degrees in this database, this is a comprehensive resource for you to utilize when figuring out which public health program is best for you.
National Health Service Corps released the 2015 Application and Program Guidance for the HHSC Scholarship Program. The application cycle will close on May 7, 2015, at 7:30 p.m. ET."The NHSC Scholarship Program awards scholarship to health professions students who want to pursue their passion and work as a primary care provider without the burden of overwhelming debt."
Migrant Clinicians Network, Inc. (MCN) will work during the next two years to engage members of our clinical network and all relevant stakeholders to advance health justice for the mobile poor. Our advocacy and education priorities focus on safe and legal entry into the United States, as well as strong and equal protection for workers in all occupations. Advancement in these areas creates the greatest opportunity for all to access high-quality, affordable healthcare.
- Comprehensive Immigration Reform
- Access to Health Care
- MCNAdcovacyAgendaFinal.pdf (148.62 KB)
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/
This new guide from the National Center for Medical-Legal Partnership is intended to help civil legal aid practitioners message their work to health care audiences in order to build stronger cross sector medical-legal partnerships and to encourage investment in that work.
- Framing Legal Care as Health Care.docx (72.27 KB)
On Monday August 18, 2014 MCN submitted technical comments to the EPA regarding the proposed changes to the Worker Protection Standard. View MCN's recommendations for advancing stronger safeguards to protect farmworkers from pesticide exposure.
- MCN_WPS_FinalComments_2014.pdf (164.74 KB)
This proposal will I) provide a profile of the agricultural industry and Farmworkers in Washington State II) propose a theoretical framework to understand farmworker housing accessibility III) describe prior legislative actions to address farmworker housing IV) and propose a set of recommendations to address farmworker housing.
Published July 15, 2014
MCN holds the position that immigrant children fleeing violence in their home countries must receive priority consideration for their safety and health. We have provided several links with additional resources on this issue.
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.
New bilingual resource available April 2014!
Student Action with Farmworkers (SAF) has been using theater as an educational tool with farmworkers for over twenty years. By drawing on techniques of popular theater, SAF performs culturally appropriate, lively skits and facilitates theater workshops at farm labor camps. These performances spur conversations about mental and physical health, living and working conditions, and farmworker movements for social justice.
Many of SAF’s performances have focused on health issues, and they aim for this guide to offer dynamic tools for health care providers, educators, outreach workers, and public health innovators. Practitioners can also use these techniques with other populations across the social justice spectrum. For both organizers and educators, SAF hopes that popular theater can bolster the messages and information that you so readily share and provide a dynamic approach to outreach. Resources include songs, scripts, theater games and icebreakers. Printed copies are free, but SAF accepts small contributions to cover shipping and handling ($5-10/copy).
Available in print and online
Contact: Laxmi Haynes , 919-660-3660
Part 2 of the 6 webinar series: Essential Clinical Issues in Migration Health
DATE RECORDED: April 2, 2014
PRESENTED BY: Hans Dethlefs, MD and Ed Zuroweste, MD
If you have any follow up questions for this webinar, feel free to contact Dr. Ed Zuroweste at kugelzur@migrantclinician.org or 512.579.4540 .
To receive CME* or CNE credit after viewing any of these webinars you must complete the Participant Evaluation associated with each webinar. If you have any questions, contact our Continuing Education Assistant at contedu@migrantclinician.org |
At their best, clinical core measures serve as an important window to examine the impact and quality of care being delivered at health centers. However, without an effective system in place clinical core measures can require a great deal of time and effort without yielding important quality improvement. This session will examine both short and long term strategies health centers can employ to make the best use out of the clinical core measures to improve care for patients. Drs Zuroweste and Dethlefs will examine the building blocks health centers need for an effective quality improvement system. Through a series of case studies, this session will explore the role of clinical leadership, technology and strategies for building a short and long term quality infrastructure that works.
Learning Objectives:
- Identify common pitfalls health centers encounter related to the clinical core measures.
- Discuss strategies for assessing a health center’s current capacity to engage in meaningful quality improvement.
- Through case studies, evaluate different approaches to clinical quality improvement using the clinical core measures.
FURTHER READING |
Approved Uniform Data System (UDS) Changes for Calendar Year 2014 Program Assistance Letter Effective Data Management for the Pursuit of Quality Health Care: OneWorld Health Center. MCN's Streamline. Winter 2014 Issue 1. |
Part 1 of the 6 webinar series: Essential Clinical Issues in Migration Health
DATE RECORDED: March 19, 2014
PRESENTED BY: Deliana Garcia, MA, International Research and Development, Migrant Clinicians Network
To receive CME* or CNE credit after viewing any of these webinars you must do the following:
|
**Note: Due to technical difficulities the first 7 minutes of the presentation are not recorded. Please refer to the pdf of the slides for the content that was covered in those 7 minutes.
Over the last 30 years, considerable attention has been paid in the clinical setting to cultural competency- the ability to mitigate against the effects of the sociocultural differences between clinicians and patients and to take into account how culture affects the symptoms presented or the patients’ attitude about health care. More recently, scholars and clinicians have encouraged those in practice or health professions training to focus not only on the behaviors and beliefs of cultural groups but more importantly to consider the structural determinants, prejudices, injustices and blind spots, the “pathologies of social systems” that affect health outcomes and the stigma experienced by patients. The session will introduce participants to the broad framework of structural competency and the five core structural competencies.
Learning Objectives:
- Identify the structures that shape clinical interactions;
- Discuss the means of developing an extra-clinical language of structure;
- Rearticulate “cultural” formulations in structural terms;
- Explain the process of observing and imagining structural interventions; and
- Describe the concept of structural humility.
FURTHER READING |
Farmer, Paul, Bruce Nizeye, Sara Stulac, Salmaan Keshavjee. 2006. Structural Violence and Clinical Medicine. PLoS Medicine 2006 (3): 1686-1691. Holmes, Seth, Fresh Fruit Broken Bodies, 2013 Messac, Luke, Dan Ciccarone, Jeffrey Draine, Philippe Bourgois. 2013. The good-enough science-and-politics of anthropological collaboration with evidence-based clinical research: Four ethnographic case studies. Social Science & Medicine 99 (2013): 176-186 Quesada, James, Laurie Kain Hart, & Philippe Bourgois. 2011. Structural Vulnerability and Health: Latino Migrant Laborers in the United States. Medical Anthropology, Vol. 30, No. 4: 339- 362 Srivastava, Ranjana. Complicated Lives—Taking the Social History. New England Journal of Medicine 2011 (365): 587-589. Willen, Sarah. 2012. How is Health-Related “Deservingness” Reckoned? Perspectives from Unauthorized Im/migrants in Tel Aviv. Social Science & Medicine 74 (2012): 812-821. |
- StructuralCompetencyFinal.pdf (3.94 MB)
- https://youtu.be/smEPZKr-6gg
- http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.0030449
- http://sethmholmes.com/
- http://www.sciencedirect.com/science/article/pii/S0277953613002207
- http://www.haverford.edu/anthropology/faculty/hart/Medical-Anthropology-Structural-Vulnerability-and-Health--Latino-Migrant-Laborers-in-the-United-States.pdf
- http://www.ranjanasrivastava.com/wp-content/uploads/2013/01/Complicated-Lives.pdf
- http://www.sciencedirect.com/science/article/pii/S0277953611003984
Print, cut, and distribute this handy bookmark to providers who treat migrant and seasonal farmworker patients. The bookmark includes links and a qr code to connect you to pesticide - related clinical tools and resources. In addition, we've included some useful phone numbers in case of a pesticide emergency.
You can also use the bookmark to keep handy the Health Network phone number to be sure your patients on the move remain in care.
- EOHbookmark_final_92013.pdf (722.68 KB)
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.
- 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)