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.

Information from the CDC on the Zika Virus and pregnant women.

A guide to know how to react when you see someone being harassed. Art and script by Uriel Saenz and Alma Galván.

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

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