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Cholinesterase (ChE) Testing Protocols and Algorithm for Healthcare Providers

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These Cholinesterase (ChE) clinical tools provide a concise and simple format to guide clinicians in monitoring the ChE levels for patients working with Class I and Class II organophosphates (OP) or OP and N-methyl-carbamates. 

National Pesticide Practice Skills Guidelines for Medical and Nursing Practice

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Outlines the knowledge and skills that health professionals need to have about pesticides. This document is part of a national initiative aimed at ensuring that pesticides issues become integral elements of education and practice of primary care providers. English and Spanish

Recognition and Management of Pesticide Poisonings

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EPA’s updated comprehensive manual for healthcare providers on pesticide toxicology, diagnosis, and treatment helps to take the guess work out of providing effective care for the pesticide-exposed patient.  

This manual guides clinicians on how to:

Webinar: Pesticide poisonings. Are you prepared?


EPA's New Pesticide Resource Includes Expanded Content, Features MCN

Your patient reports stomach pain, nausea and headache. It’s nearing the heart of flu season - these are possible flu symptoms, you think. On examination, the patient doesn’t present with a fever.

“Is anyone at home sick?” you ask.   


“When did the symptoms begin?” 

Hoy (Today).

You notice the patient appears to be dressed for work. “Where were you when the symptoms began?” you ask.

En el trabajo (At work).  

At work, you think. “And what do you do for work?”

Occupational Exposure to Hazardous Agents

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Haz-Map® is an occupational health database designed for health and safety professionals and for consumers seeking information about the adverse effects of workplace exposures to chemical and biological agents. The main links in Haz-Map are between chemicals and occupational diseases. These links have been established using current scientific evidence.

EPA's Soil Fumigant ToolBox for First Responders and Medical Personnel

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Emergency Medical and Field Fumigation Guides for Methyl Bromide, Methylisothiocyanate (MITC), Chloropicrin, and Metam Sodium/Metam Potassium.

Fall-Spring Internship Opportunities - Salisbury, MD

MCN’s Salisbury, MD office has an opportunity for an intern to assist in special projects and research related to the Environmental and Occupational Health (EOH) program. The EOH program works to assist frontline providers to integrate EOH practices into primary care to meet the unique healthcare needs of migrant patients. MCN’s EOH efforts involve the development and distribution of clinical and patient education resources, training of clinicians and stakeholders, advocating for environmental justice for migrant and seasonal farmworkers.

Farmworker Clinical Care Resource for Occupational Health

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This comprehensive manual was developed by the New York Center for Agricultural Medicine and Health and the Migrant Clinicians Network for the diagnosis and treatment of occupational injuries in migrant and seasonal farmworkers. The information in the manual does focus on agricultural occupations in the Northeast.

MCN and Partners Develop Comprehensive Clinical Tool

As part of our series of continuing education webinars, MCN partnered with the National Farm Medicine Center and Agrisafe Network in March to present the Nuts & Bolts of Cholinesterase Monitoring for Farmers, Ranchers and Agricultural Workers.

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