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2021 Guía del proveedor de servicios de salud para enfermedades relacionadas con el calor

Los trabajadores agrícolas corren un riesgo importante de sufrir estrés por calor. El estrés por calor se produce cuando el cuerpo no puede deshacerse del exceso de calor y su temperatura central aumenta. El estrés por calor puede dar lugar a enfermedades más graves relacionadas con el calor, como el agotamiento por calor, los calambres por calor, el golpe de calor e incluso la muerte, si no se trata. El trabajo agrícola, que requiere la realización de un trabajo físicamente exigente durante largas horas en un clima caluroso y a veces húmedo, pone a los trabajadores en alto riesgo.

Esta guía proporciona información a los proveedores de servicios de salud sobre la prevención y el tratamiento de las enfermedades relacionadas con el calor. Dado que los trabajadores pueden no estar familiarizados con todos los síntomas del estrés por calor, es importante que los proveedores de servicios de salud hablen con los trabajadores agrícolas y otras personas en riesgo sobre los síntomas de las enfermedades relacionadas con el calor y su prevención.

 


This joint FJ and MCN publication was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of awards totaling $1,949,598 with 0% financed with non-governmental sources. The contents are those of the authors and do not necessarily represent the official views of, nor an endorsement by, HRSA, HHS, or the U.S. Government. For more information, please visit HHS.gov.

 

Agricultural workers are at significant risk for heat stress. Heat stress results when the body cannot get rid of excess heat and its core temperature rises.  Heat stress may lead to more severe heat illness including heat exhaustion, heat cramps, heat stroke, and even death if left untreated.  Agricultural work, which requires performing physically demanding work for long hours in hot and sometimes humid weather, places workers at high risk.

This guide provides information to clinicians on the prevention and treatment of heat-related illness. Since workers may not be familiar with all of the symptoms of heat stress, it is important that clinicians discuss heat illness symptoms and prevention with agricultural workers and others who are at risk.

 


This joint FJ and MCN publication was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of awards totaling $1,949,598 with 0% financed with non-governmental sources. The contents are those of the authors and do not necessarily represent the official views of, nor an endorsement by, HRSA, HHS, or the U.S. Government. For more information, please visit HHS.gov.

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This colorful vaccine calendar comic gives low-literacy information on vaccines and some information on why adults need immunizations, too. Available in high resolution to download and print into poster size.


Worker Protection Standard Pesticide Safety Training Curriculum - Culturally and linguistically appropriate curriculum with supporting resources for training workers on the revised Worker Protection Standard. Developed by the Florida State University PISCA Project and Migrant Clinicians Network.

 

Diabetes is a common but complicated health condition facing agricultural workers within the United States. To help assist agricultural workers in learning about this diagnosis, Migrant Clinicians Network has partnered with professional artist and collaborator Salvador Sáenz to create “Mi salud es mi tesoro: Un guía para vivir bien con diabetes,” or, “My Health is My Treasure: A Guide to Living Well with Diabetes.” This low-literacy comic book explores the topic through the full-color story of an agricultural farmworker named Goyo, whose recent diagnosis of diabetes prompts him to engage in conversations with other agricultural workers on topics of diet, exercise, and illness prevention while facing the unique hurdles of living a life of migration. The comic book was originally produced in Spanish, and is now available in English below. Please click "Leer en español" above to access the Spanish-language version. 

In order to print the right number of comic books, we are asking organizations to pre-order in quantities up to 500. The comic book and shipping will be paid for by MCN. In exchange, we simply ask that you, or someone from your organization, complete an evaluation of the comic book several months after you first receive it. Information from the evaluation will help us improve our resources and will give us important insight into how the comic book is being used in the community.

Download a digital copy of the comic book below!

This guide is intended to support new and existing community health center program grantees in the State of California to successfully navigate through their unique and complex environment, particularly in regards to financial and operational processes at both the state and federal levels. Offered for free on the California Primary Care Association Store.

MCN Webinar Despues de la tormenta - salud y seguridad de los trabajadores

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)

 

 

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.

Offers basic screening questions, common occupations and ailments associated with them, as well as recommended treatment. Also includes sample letters from clinicians to employers for restricted work.

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

MCN webinar It’s your right to know! Helping Community Health Workers Promote Chemical Safety on the Job

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

  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.


MCN webinar what to do when diabetes affects your mood

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

  1. Define the term mental illness
  2. List at least two symptoms of depression
  3. Define the HRSA quality measure for depression screening
  4. 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.

mcn webinar Qué hacer cuando la diabetes afecta su estado de ánimo

 

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

  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

 

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.

"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."

mcn webinar Prevención de la Enfermedad Oral

 

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

  1. Describa la oferta de servicios orales preventivos y adicionales requeridos en su centro de salud
  2. Describa las medidas orales de HRSA
  3. Comprender el papel de los trabajadores comunitarios de salud en la prevención de la enfermedad bucodental

 

Lectura Adicional

 

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.

MCN webinar clinicians sowing seeds in kansas

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

 

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

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.

mcn comic book working with farm animals

Libro cómic educativo bilingüe sobre cómo prevenir las enfermedades zoonóticas. Desarrollado por MCN en colaboración con la Universidad Estatal de Ohio.

MCN Webinar Examining Asthma at Work

 

DATE RECORDED: September 14, 2016 at 1 pm ET

PRESENTED BY: Robert Harrison, M.D., M.P.H.

 

  • Recorded Webinar
  • Participant Evaluation
  • Presentation Slides (PDF)

 

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

Ricardo is a 35 year old man from Oaxaca, Mexico who mixes flour and other ingredients to make pizza at a local restaurant. In the last five years he has experienced progressive wheezing, cough and shortness of breath at work. Laboratory testing suggests new-onset asthma caused by flour dust. Ricardo is unable to return to his job and has filed for workers compensation.

This is an important issue for all workers, but especially for vulnerable workers who may work in industries with conditions that exacerbate asthma symptoms. This includes janitorial workers, farmworkers, and those working in meat processing plants. An estimated 40% of adults with asthma report that work has caused or aggravated the condition, yet only 28% have discussed their concerns about work with their doctor. Health care providers should be aware of the approaches to diagnosis, treatment and prevention of this condition. This interactive webinar will use case studies to discuss the link between work and asthma. It will also equip clinicians with the tools necessary to identify and manage work-related asthma with a particular emphasis on vulnerable workers and strategies for mitigating their unique challenges.

Learning Objectives
  1. Understand the link between asthma and the work environment
  2. Identify strategies for recognizing and managing work-related asthma
  3. Familiarize yourself with the clinical resources related to work-related asthma
Further Reading
  • Coming soon

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.

MCN Webinar Examining Asthma at Work

 

DATE RECORDED: September 14, 2016 at 1 pm ET

PRESENTED BY: Robert Harrison, M.D., M.P.H.

 

 

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

Ricardo is a 35 year old man from Oaxaca, Mexico who mixes flour and other ingredients to make pizza at a local restaurant. In the last five years he has experienced progressive wheezing, cough and shortness of breath at work. Laboratory testing suggests new-onset asthma caused by flour dust. Ricardo is unable to return to his job and has filed for workers compensation.

This is an important issue for all workers, but especially for vulnerable workers who may work in industries with conditions that exacerbate asthma symptoms. This includes janitorial workers, farmworkers, and those working in meat processing plants. An estimated 40% of adults with asthma report that work has caused or aggravated the condition, yet only 28% have discussed their concerns about work with their doctor. Health care providers should be aware of the approaches to diagnosis, treatment and prevention of this condition. This interactive webinar will use case studies to discuss the link between work and asthma. It will also equip clinicians with the tools necessary to identify and manage work-related asthma with a particular emphasis on vulnerable workers and strategies for mitigating their unique challenges.

Learning Objectives
  1. Understand the link between asthma and the work environment
  2. Identify strategies for recognizing and managing work-related asthma
  3. Familiarize yourself with the clinical resources related to work-related asthma
Further Reading

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.

MCN Clinician Guides

 

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.

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.

 

A CDC resource page where there is current Zika updates and resources.

MCN Clinician Guides

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).

From the 2016 International Union Against Tuberculosis & Lung Disease Conference

As part of the response to the Zika outbreak, CDC, in collaboration with state, local, tribal, and territorial health departments, established a pregnancy registry for comprehensive monitoring of pregnancy and infant outcomes following possible Zika virus infection. The registry is an active surveillance system of pregnant women with laboratory evidence of possible Zika virus infection in the 50 US states and DC, and in the US territories. On May 20, 2016, CDC released detailed information about the registry and will initiate weekly reporting of the number of pregnant women followed in the registry.

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. 

Download Resource

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.