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.

FECHA: 11 de Octubre de 2017 @ 1 PM (ET)

PRESENTADORES: 

• Alma R. Galván, MHC, Migrant Clinicians Network
• Richard Rabin, MassCOSH
• Rossana Coto-Batres, MSW, Northeast New York Coalition for Occupational Safety and Health (NENYCOSH)

• Ver Webinar Grabado
• Diapositivas de la Presentacion
• Recursos

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 malvarado@migrantclinician.org

Descripción

Conforme las familias regresan a sus hogares en Houston, una vez que las inundaciones causadas por los Huracanes Irma y María se van retirando, esto se convierte en una carrera contra el tiempo. Un olor sofocante llena los cuartos de las casas, los charcos permanecen en los pasillos, y el moho se multiplica rápidamente. En cuestión de días, los patios ensopados de los vecinos se convierten en tiraderos de basura, conforme los trabajadores empiezan a quitar de las casas las paredes con moho, los pisos y los cielos destruidos, así como los muebles dañados. En este proceso, los trabajadores y muchos residentes se exponen al agua contaminada con químicos y basura, materiales de construcción peligros y alimañas dañinas. Pero hay otros riesgos adicionales, estructuras inestables y posibles intoxicaciones por monóxido de carbono de los generadores que trabajan incansablemente en espacios con poca ventilación. La exposición a asbestos, sílice y plomo son también peligros comunes para estos trabajadores.

Katrina, Sandy, Harvey, Irma y ahora Maria: son nombres de tormentas que nos indican las diferentes comunidades que terminaron bajo el agua, pero muchas de las historias emanadas de ellas, sobre la limpieza -- y los peligros involucrados-- son las mismas. Con resiliencia y determinación, las comunidades se tratan de reconstruir, pero la reconstrucción necesita una fuerza de trabajo inmediata, lista para este trabajo peligroso y extenuante.

Las operaciones de recuperación después del desastre, limpieza y reconstrucción presentan muchos riesgos y peligros para los trabajadores. Muchos de ellos realizan este trabajo sin el equipo de seguridad o el entrenamiento de mitigación de peligros adecuado.

En la recuperación de una supertormenta, ¿cuáles son las vulnerabilidades que los trabajadores enfrentan y qué significa eso para la seguridad y la salud del trabajador? Las siguientes preguntas surgen para los proveedores y trabajadores de salud comunitarios que cuidan y se preocupan por estos trabajadores: ¿cuáles son los puntos claves que necesitamos entender para poder cuidar de aquellos involucrados en estos esfuerzos de limpieza y reconstrucción? y ¿qué podemos hacer para que ellos mismos prevengan las lesiones y las enfermedades?

Este seminario en línea recupera experiencias obtenidas de desastres naturales anteriores y ofrece recursos que le pueden guiar en su trabajo. Ofreceremos casos reales para ilustrar los peligros y revisaremos formas en que los trabajadores se pueden proteger a sí mismos, incluyendo el entendimiento de sus derechos y responsabilidades.

Objetivos de aprendizaje

1. Los participantes identificarán los peligros más comunes y críticos que los trabajadores y residentes encuentras cuando se involucran en la demolicion y reconstruccion despues de un desastre.
2. Los participantes articularán las mejores estrategias para educar a los trabajadores y residentes sobre como prevenir lesiones y enfermedades durante las actividades de limpieza y reconstrucción después de huracanes y supertormentas. 
3. Los participantes enlistarán al menos tres recursos que pueden usar para guiar a los trabajadores y residentes durante la demolición y reconstrucción después de un desastre. 

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.

This page highlights important tools for clinicians as well as diagnoses to consider when caring for disaster-affected patients.

"Coccidioidomycosis or Valley Fever is an infectious disease in parts of the U.S.A. It is caused by inhaling microscopic arthroconidia (also known as arthrospores or spores) of the closely related fungal species Coccidioides immitis and C. posadasii. Areas where Coccidioides is endemic (native and common) include states in the southwestern U.S.A. such as Arizona, California, New Mexico, Nevada, Texas, and Utah and parts of Mexico, Central America and South America."

DATE: May 24, 2017, 1 pm (ET)

SPEAKERS: Juliana Simmons, MSPH, CHES

• Recorded Webinar
• Participant Evaluation
• Presentation Slides
• Resources

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

1. Recognize how workers become exposed to chemicals and illnesses
2. Describe basic safety practices when working around chemicals
3. 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.

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

• Evaluacion de los Participantes
• Diapositivas de la Presentacion

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

1. Definir el término ‘enfermedad mental’
2. Enumerar al menos dos síntomas de la depresión
3. Definir las medidas de calidad de HRSA para el cribado de la depresión
4. 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.

Available in English and Spanish!

Created by MCN, medical student Rachel Kelley of UCSF, and collaborators at East Tennessee State University, this guide is intended to be a reference for health care providers who work with people employed in the U.S. tomato industry. It aims to prepare providers with a more detailed understanding of hazards, health issues, and work processes associated with different tomato industry jobs.

This guide draws on published research, experienced health professionals’ advice, and information gathered from interviews and focus groups conducted with 36 tomato workers from diverse backgrounds and 14 community leaders familiar with tomato workers’ health in multiple states. It is important to note that health and safety conditions at any particular farm or company may vary from what is described here. Furthermore, individual workers may experience the same set of conditions differently.

The first section of the guide focuses on health hazards and health conditions commonly encountered in tomato production. The second section consists of detailed descriptions and illustrations of different tomato production tasks. The third section covers “human resources” information and policies that apply to U.S. agricultural workers generally. The appendices contain a Spanish-English glossary, further detail about different types of pesticides, information about agricultural occupational health policies and regulation, and a list of resources and readings.

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.  

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

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).

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:

1. Better recognize the signs and symptoms of pesticide overexposure
2. Identify key decision points in diagnosing pesticide exposures
3. 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 

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. 

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.