Primary Care and Worker Protection MCN is working on two projects with front-line providers to integrate a focus on environmental and occupational health into primary care. These projects will strengthen the quality of care and meet the unique healthcare needs of the migrant population. MCN recognizes the majority of primary care providers, inlcuding those caring for the mobile poor, generally do not bring this environmental and occupational health perspective to their work. MCN focuses on feasible changes in clinical practices to improve the recognition and management of occupational exposures and injuries.
With support from the
Environmental Protection Agency, MCN's Workers and Health program partners with Federally Qualified Health Centers (FQHCs) across the US and Puerto Rico to establish Centers of Excellence in Environmental and Occupational Health. The partnership program includes on-site clinical training, the provision of resources and technical assistance, and peer-to-peer networking between front-line providers and occupational and environmental medicine specialists.
MCN is working on a contract with
NIOSH to explore barriers to occupational health in primary care. This project brings together an expert advisory commitee to guide the research efforts and provide recommendations to NIOSH based on the findings. The advisory committee is made up of physicians, environmental and occupational health specialists, and academic leaders. Download a description of MCN's Workers and Health Program Dairy Worker Health and Safety Migrant and immigrant agricultural workers and their families face unique environmental and occupational health risks. Work in agriculture is one of the most dangerous occupations in the US.
MCN and the
National Farm Medicine Center are partnering to provide health and safety training to immigrant dairy workers in Wisconsin. The Seguridad en las lecherias project targets limited English proficient, hard-to-reach workers with culturally and linguistically appropriate safety messages. The project also tests the use of a promotor de salud model to reinforce the safety messages and support increased worker safety. The five module curriculum and accompanying resources are available to view and download via MCN's Seguridad en las lecherías webpage.
This effort is part of the
Upper Midwest Agricultural Safety and Health Center based out of the University of Minnesota. It is one of several dairy-focused projects targeting low-literate, limited English proficient, hard to reach immigrant workers.
Susan Harwood Training Grant, MCN developed OSHA-approved training and educational materials for immigrant dairy workers. MCN's training modules incorporate English-as-a-Second-Language (ESL) learning activities with culturally and linguistically appropriate safety and health trainings. The bilingual picture dictionary, developed to compliment the training modules, includes important vocabulary and image-based safety messages to be utilized in agricultural work places and further adapted for other industries. Visit MCN's ESL Dairy Health & Safety page to view and download lesson plans and accompanying resources. Worker Safety and Health in Community Health Centers MCN’s project, Worker Safety and Health in Community Health Centers: A sustainable and integrative approach to immigrant safety expands our efforts to integrate environmental and occupational health in the community health center setting. The project works with health center outreach teams to facilitate health and safety training for vulnerable worker populations, such as agricultural workers and nail salon workers.
MCN’s year two partners include
Next Door, Inc. and One Community Health both located in Hood River, OR. MCN will employ a train-the-trainer model to improve worker health and safety in the Columbia River Gorge community in the Pacific Northwest. This project will target workers in agriculture and the service sector, among other industries.
MCN's year one partners included
HOPE Clinic in Houston, TX and Hospital General Castañer in Castañer, PR. The project also included a Community Health Worker (CHW) webinar series which highlighted best practices in worker training on the topics of chemical safety, work-related asthma, and heat stress. In addition, MCN offered a work-related asthma webinar designed specifically for clinicians.
This project is supported by the Occupational Safety and Health Administration (OSHA) Susan Harwood Grant program.
EDUCATIONAL RESOURCES California Healthy Nail Salon Collaborative Occupational Heat Exposure Work-related Asthma CONTACT
For more information on this project, contact Juliana Simmons, Environmental and Occupational Health Program Manager, at
firstname.lastname@example.org. Protecting Children While Parents Work Children of agricultural workers are exposed to pesticides and other hazards when they accompany their parents to work. MCN is partnering with the National Children's Center for Rural Agricultural Health and Safety on a five-year project to facilitate the access to and availability of off-farm childcare services. The project will bring together stakeholders to determine best practices for creating family services for farmworkers. MCN will be conducting research and learning more about the barriers to off-farm childcare and strategies for best practices. Educational Materials
educational materials target workers and their families and utilize culturally appropriate formats to convey health and safety messages. NEW COMIC: WORKING WITH FARM ANIMALS
MCN’s efforts in environmental and occupational health also involve the development and distribution of clinical and patient resources, training of clinicians and stakeholders through
webinars, conferences and onsite workshops, and extensive partnerships with organizations having expertise in pesticides, occupational and environmental medicine and agricultural medicine. MCN has developed a number of patient education materials and training products for community health workers ( promotores de salud) to educate farmworkers about the risks from pesticide exposure and ways to protect themselves and their families. MCN distributes thousands of these resources each year. Clinical Tools
In collaboration with partners and experts in occupational and environmental medicine and migrant health, MCN has developed
tools for clinicians to translate need to practice. MCN's Environmental and Occupational Health Partners
MCN partners with organizations throughout the country to strengthen our ability to offer frontline clinicians expertise in primary care for immigrant and migrant agricultural workers, occupational and environmental medicine, migration health and worker protection.
National Farm Medicine Center National Children's Center for Rural Agricultural Health and Safety Association for Occupational and Environmental Clinics American College of Occupational and Environmental Medicine AgriSafe Network American Public Health Association ( Occupational Health and Safety Section) NIOSH-funded Agricultural Health and Safety Centers Wake Forest University Worker Health Center Farmworker Justice National Center for Farmworker Health Journal of Agromedicine Upper Midwest Agricultural Safety and Health Center Advisory Committees EOH Expert Advisory Committee Geoffrey M. Calvert, MD, MPH, Team Leader, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention Stephanie Chalupka, EdD, RN, PHCNS-BC, FAAOHN, Professor, Public Health Nursing and Master of Science in Nursing, Worcester State College Elizabeth Freeman Lambar, MPH, MSW, Program Director, North Carolina Farmworker Health Program Matthew C. Keifer MD, MPH, Director and Dean Emanuel Endowed Chair, National Farm Medicine Center Wilton Kennedy, DHSc, PA-C, MMSC, Past President of MCN, Director, Physician Assistant Program, Jefferson College of Health Sciences Katherine H. Kirkland, MPH, Executive Director, Association of Occupational and Environmental Clinics Candace Kugel, FNP, CNM, Director of Performance Improvement, MCN James R. Roberts, MD, MPH, Associate Professor, Medical University of South Carolina Edward Zuroweste, MD, Chief Medical Officer, Migrant Clinicians Network NIOSH Advisory Committee Candace Kugel, FNP, CNM, Specialist in Clinical Systems and Women’s Health, MCN Kris McVae, MD, Medical Director, OneWorld Community Health Center Rosemary Sokas, MD, MOH, Professor, Georgetown University Dori Rose Inda, JD, Chief Executive Officer, Salud Para La Gente Robyn Robbins, Director, Occupational Safety and Health Office, UFCW International Union Katherine Kirkland, DrPH, Executive Director, Association of Occupational and Environmental Centers Leslie Nickels, PhD, Med, Deputy Associate Director, NIOSH Nura Sadeghpour, MPH, Health Education Specialist, NIOSH Protecting Children Advisory Committee Frank Gasperini, Executive VP, National Council of Agricultural Employers Mary Miller, MSN, Child Labor Specialist, Washington State Department of Labor and Industries Cleo Rodriguez, Jr., Executive Director, National Migrant and Seasonal Head Start Association Barbara Mainster, Executive Director, Redlands Christian Migrant Association Jill Kianowski, PhD, Associate Professor, Michigan State University Is Your Clinic Ready For an Emergency?
This video describes a pesticides poisoning incident and how it affected a community health center.
**Many of MCN’s EOH efforts are supported through cooperative agreements with the US Environmental Protection Agency as part of their National Strategies for Health Care Providers: Pesticide Initiative. The conclusions and opinions expressed herein are those of MCN and do not necessarily reflect the positions and policies of the U.S. EPA.
Photos by Earl Dotter