Arthur L. Frank, MD, PhD, Amy K. Liebman, MPH, MA, Bobbi Ryder, BA, Maria Weir, MAA, MPH, and Thomas A. Arcury, PhD

Background The Agriculture, Forestry, and Fishery (AgFF) Sector workforce in theUS is comprised primarily of Latino immigrants. Health care access for these workersis limited and increases health disparities.

Methods This article addresses health care access for immigrant workers in the AgFF Sector, and the workforce providing care to these workers.

Contents Immigrant workers bear a disproportionate burden of poverty and ill health and additionally face significant occupational hazards. AgFF laborers largely are uninsured, ineligible for benefits, and unable to afford health services. The new Affordable Care Act will likely not benefit such individuals. Community and Migrant Health Centers (C/MHCs) are the frontline of health care access for immigrant AgFF workers.C/MHCs offer discounted health services that are tailored to meet the special needs of their underserved clientele. C/MHCs struggle, however, with a shortage of primary care providers and staff prepared to treat occupational illness and injury among AgFF workers. A number of programs across the US aim to increase the number of primary care physicians and care givers trained in occupational health at C/MHCs. While such programs are beneficial, substantial action is needed at the national level to strengthen and expand the C/MHC system and to establish widely Medical Home models and Accountable Care Organizations. System-wide policy changes alone have the potential to reduce and eliminate the rampant health disparities experienced by the immigrant workers who sustain the vital Agricultural, Forestry, and Fishery sector in the US. Am. J. Ind. Med.

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.

The world continues to deal with COVID-19 and herd immunity is not reached and skepticism, resistance and hesitation about vaccines continues representing a major obstacle. During the first few months of the vaccination effort, filmmaker Chris Newberry and his team followed a diverse set of health professionals as they gained the trust of at-risk communities across Minnesota. The resulting documentary is a tribute to the doctors, nurses, organizers and influencers who are embracing community-led efforts to overcome vaccine doubts.

Watch the conversation with the film's creators and a panel of experts:

Our partners at NRC RIM have put together a series of discussion guides for clinicians, community groups, and community health workers in English and Spanish for the documentary can be found here.

For anyone who would like to contact the producers with questions or for help in organizing their own TRUSTED MESSENGER event, they can reach us here:

http://www.terminal1.tv/contacta

Bilingual flyer from the CA Department of Public Health.

"The Latent TB Infection (LTBI): Guide for Diagnosis and Treatment mobile application for health care providers makes it easy to find CDC’s latest LTBI recommendations on your iPad, iPhone, iPod Touch, or Android device. When your device is connected to wireless or cellular service, the content is updated automatically to ensure you always have the most up-to-date information.

This application serves as a ready and useful reference that highlights the main points of key guidelines for diagnosis and treatment of latent TB infection.

Check out these features:

• CDC guidelines on latent TB infection
• Treatment table outlining regimen options
• TB testing and diagnosis recommendations
• TB education and training resources
• Sample documentation forms for TB testing
• Personalize your experience with highlighting, annotation, and bookmark options
• Share the content with others through social media, such as Facebook and Twitter"