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Issue Brief Co-Authored by Health Outreach Partners and the Kaiser Family Foundation
Information provided by the Kaiser Commission on Medicaid and the Uninsured

Publication Number: 8249
Publish Date: 2011-10-27

This brief examines how the Affordable Care Act (ACA) may impact immigrant families based on data collected from Outreach/Eligibility Workers in four regions of the country and supported by needs data from several health outreach programs around the country.  You will note that the pivotal role of Community Health Centers (CHCs)  to connect immigrant families to coverage and care is highlighted.  Migrant Health Centers and Homeless Health Centers are specifically cited because of their history of pioneering and strengthening many of the models and strategies that will be needed to connect immigrant families to health coverage and care come 2014.

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This article, by the Center for Global Development, provides information about emigration and a comparison of emigration from poor Europe in the 19th century to emigration from other poor parts of the world to the US today.

EthnoMed contains information about cultural beliefs, medical issues and related topics pertinent to the health care of immigrants to Seattle or the US, many of whom are refugees fleeing war-torn parts of the world. Search the site via culture and clinical topics.

The importance of clinical diagnostic tools and biomonitoring of exposures to pesticides as well the role of clinicians in pesticide reporting and the challenges clinicians face in accurately diagnosing patients exposed to pesticides are described in a presentation by Matthew Keifer, MD, MPH and Amy K. Liebman, MPA. Click on the link for an APHA policy resolution underscoring the need for clinical diagnostic tools and biomomitoring of exposures to pesticides. This policy supports the information outlined by in the presentation.

HEAT ILLNESS CAN BE DEADLY. Every year, thousands of workers become sick from exposure to heat, and some even die. These illnesses and deaths are preventable.

OSHA has now posted a new Heat Illness Web Page that includes educational materials in English and Spanish, including low-literacy fact sheets for workers, worksite and community posters, and a public service announcement from Secretary of Labor Hilda Solis.  The Web page also includes a video from Assistant Secretary Dr. David Michaels (in English with a Spanish transcript).  OSHA will be posting additional materials on the Heat Illness Web page, including a lesson plan that employers can use to train their workers to stay safe in the heat and a heat index Smartphone app. 

This EPA report contains the latest estimates of agricultural and nonagricultural pesticide use in the United States.

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The Alliance of Nurses for Healthy Environments (ANHE) is a network of nurses from around the country (and world) who are acting on the notion that our environment and health are inextricably connected. We are a group of nurses from all walks of our profession – hospital-based, public health, school-based, academics, and advanced practice, to name a few.   

We are helping to integrate environmental health into nursing education, greening our many workplaces, incorporating environmental exposure questions into our patient histories, providing anticipatory guidance to pregnant women and parents about environmental risks to children, implementing research that addresses environmental health questions, and advocating for environmental health in our workplaces and governmental institutions.

Three newsletters the NHSC has developed for each of its primary member segments -- Clinicians in Service, Scholars in School, and NHSC sites.

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The Health Protection Agency's role is to provide an integrated approach to protecting UK public health through the provision of support and advice to the NHS, local authorities, emergency services, other arms length bodies, the Department of Health and the devolved administrations.

Through radiomexicointernacional, listen to unique programming to meet and know about Mexico. www.radiomexicointernacional.imer.gob.mx transmits content on a wide variety of topics in Spanish, English and French, and some Indian languages. With rich programming topics, languages and Mexican music, resurfaces Radio Mexico International, now via internet.

Fighting cancer is difficult enough, but living with it is even tougher - and that's where the Cleaning for A Reason Foundation steps in.  This nonprofit offers free professional housecleaning, and maid services to improve the lives of women undergoing treatment for cancer - any type of cancer.

This fact sheet provides insight into the most common obstacles that people with disabilities in California face when attempting to access health care. Through the administration of a state-wide survey on the accessibility of health care facilities for people with disabilities, many key problem areas were brought to attention. 

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Mobile Voices (VozMob) is a platform for immigrant workers and / or low income can create stories about their lives and communities directly from their mobile phones. Each week the team discusses popular media stories, develops and shares knowledge, designs the system, and creates training tools. The communication equipment is made popular by day laborers, domestic workers, and youth volunteers have taken very seriously the role of writing their own history. We also meet every week at USC to develop research on the project.

Poder Sano is a new initiative by Farmworker Justice to help mobilize rural Latino communities around the prevention of HIV/AIDS, sexually transmitted infections, and tuberculosis. Through this project, Farmworker Justice will provide free capacity-building assistance and community mobilization tools to strengthen community-based organizations' HIV prevention programs, improve monitoring and evaluation practices, and create partnerships for program support.

Poder Sano aims to mobilize rural Latino communities around the prevention of HIV/AIDS, sexually transmitted infections, tuberculosis, hepatitis, and other health concerns relevant to migrant farmworkers.

The first website in Spanish of its kind to help consumers take control of their health care by connecting them to new information and resources that will help them access quality, affordable health care coverage. President Obama wrote an op-ed in La Opinion and El Diario La Prensa today that highlights the website and the importance of health reform to the Latino community.

The Fresno County Website Community Health page offers information and resources on Pertussis also known as the Whooping Cough. Content includes information for parents, vaccination schedules and respitory hygiene, information for health care providers, and information for schools.

This brochure was created by the Migrant Clinicians Network Diabetes Program with funding from the Texas Department of Health Diabetes Program / Council. Brochure details basic information on Acanthosis Nigricans. Available in Spanish and English.

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A comprehensive lung cancer tool & information portal. Research Guide on Malignant Mesothelioma Lung Cancer and Asbestos Topics including types of Cancer, treatment options, Hazardous Careers at risk of asbestos exposure, clinical trials and more.

The Immunization Action Coalition (IAC) has recently released its fall issue of Needle Tips, http://www.immunize.org/nt with news and information for all health professionals who give vaccines.  Also available is Vaccinate Adults, http://www.immunize.org/va  a condensed version ofNeedle Tips for those who work only with adult patients. 

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Our topic for the month is H1N1 vaccinations.  Dealing with both seasonal flu vaccinations and the constant swirl of information, availability, and updates around the H1N1 vaccine has made this a challenging season flu season for providers.  We offer direct links to several CDC web pages and one patient flyer from the CDC.

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Again, Dr. Deborah Wexler, the Executive Director of the Immunization Action Coalition provides further reading and research on the topic of parental hesitation.  In the second half, we take a brief look at adults specifically:  why do adults hesitate to receive vaccines?  Are these barriers the same as for parents on behalf of their children?  Please feel free to send responses, comments, thoughts, and ideas to the listserv administrator atkath@healthletter.com. If you send comments, we will follow up with your responses and ideas in the next listserv.

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The Schedules lists the ages (birth through 6 years old and 7 through 18 years old) for when each vaccine or series of shots is to be given. If your child or adolescent has missed any shots, consult the catch-up schedule AND check with your doctor about getting back on track.

Asbestos.com is committed to providing the latest, up-to-date information to our visitors in the hopes of spreading awareness about the dangers of asbestos cancer. This website offers a one-stop resource on all asbestos issues ranging from occupational exposure to mesothelioma treatment options.

www.asbestos.com

First of all, this month we offer some reminders for resources that are available to help you navigate, with your clients, between immunization requirements in the US and those from neighboring Mexico.   Second, we guide you to a link on the World Health Organization website where you can check other countries’ immunization requirements and schedules.   This may give you a starting point for understanding your migrant clients’ immunization histories. Third, we offer a sample bi-lingual parent-held pediatric vaccine record.  Remember, “the most reliable source of vaccine information on any particular individual is that individual! Contrary to popular belief, parents DO carry portable vaccination records when given them. This is particularly true for immigrant families, who are used to carrying important documents and who realize the potential of revaccination if records are unavailable to the local provider.”  Jennie McLaurin, MD Finally, in the season of giving, our gift offer to the clinics participating in Immunization Initiatives  send us the English patient-held vaccine record you use for your clients, and we will translate it into Spanish. We offer this first to the clinics participating in Immunization Initiatives, and to the first six clinics who contact us.  Email the listserv administrator to make arrangements at kath@healthletter.com

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http://www.neefusa.org/health/asthma/asthmaguidelines.htm

These guidelines are aimed at integrating environmental management of asthma into pediatric health care. Offers clinical competencies in environmental health relevant to pediatric asthma and outlines the environmental interventions to communicate to patients.

This table for healthcare providers and planners provides information related to spacing between the two doses of 2009 H1N1 vaccine for children 6 months through 9 years of age and for administration of 2009 H1N1 vaccine with seasonal influenza and other vaccines.

This table for healthcare providers and planners provides information related to spacing between the two doses of 2009 H1N1 Vaccine for children 6 months through 9 years of age.

This table for healthcare providers and planners provides information related to administration of 2009 H1N1 vaccine with seasonal influenza and other vaccines.

An interactive lead case study by Susan Buchanan, MD, Linda Forst, MD, MPH, and Anne Evens, MS.

Welcome to Immu-News, the Immunization Initiatives listserv, a monthly resource for the community of participants in this project. For now, this is post-only listserv (in other words, you will get only one e-mail per month in your mailbox, instead of floods of daily discussions) but we hope to evolve into a more interactive form, something that will truly be of service to you as each of you searches for ways to improve your ability to record and access immunization data, to increase immunizations provided to your clients, and thus to improve the health of your community.

Our topic for this month is introduced by Dr. Jennie McLaurin, MCN’s Migrant Health Specialist and the Project Director for the Immunization Initiative. We include examples and a source for patient-held immunization records, and two articles on the topic. Please feel free to send responses, comments, thoughts, and ideas to the listserv administrator at kath@healthletter.com. If you send comments, we will follow up with your responses and ideas in the next listserv.

Immu-News is also pleased to feature Grounded in Practice, highlights from the real world clinics participating in Immunization Initiatives. We begin with San Benito Health Foundation in Hollister, CA. We invite you to send suggestions, stories, examples of things that have worked to improve immunization practices in your clinic. Send your ideas to kath@healthletter.com

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