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This resource helps you address stigmatization by providing best practices for inhibiting and the actions to take when you encounter stigmatization when new infectious diseases and illness emerge.

Early in an outbreak, such as the 2009 H1N1 outbreak, groups of people, places, and animals can be singled out and will be at risk of being stigmatized by association with the threat this virus poses. Groups are stigmatized by an infectious disease when the risk of infection to others is not present or remote but the association of the risk is magnified by others for that population group, or place or animal.

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Residential lead (Pb) contamination, resulting from decades-long use of leaded gasoline and lead-based paint, is likely to be present in soils in most urban areas. A screening level sampling effort demonstrated that Lubbock, Texas, USA, like other cities of its age and size, has areas of elevated soil Pb.

The recommendations provided in this report include specific action steps and new activities that will require additional funding and a renewed commitment by government and nongovernment organizations involved in domestic and international TB control efforts to be implemented effectively. The Federal TB Task Force will coordinate activities of various federal agencies and partner with state and local health departments, nonprofit and TB advocacy organizations in implementing this plan to control and prevent XDR TB in the United States and to contribute to global efforts in the fight against this emerging public health crisis.

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The World Health Organization (WHO) “World Oral Health Report 2003” emphasized that despite great improvements in the oral health status of populations across the world, problems persist. As knowledge is a major vehicle for improving the health of the poor in particular, the WHO Oral Health Programme focuses on stimulating oral health esearch in the developed and developing world to reduce risk factors and the burden of oral disease, and to improve oral health ystems and the effectiveness of community oral health programmes.

Oral health is one of HRSA's Special Projects of National Significance (SPNS). The SPNS Innovations in Oral Health Care Initiative funds 15 demonstration sites for up to five years to support organizations using innovative models of care to provide oral health care to HIV-positive, underserved populations in both urban and non-urban settings.

Medicaid is a significant source of financing for oral health services, particularly for children and adolescents. Almost universally, however, Medicaid programs identify access to dental care as a significant and persistent problem for persons with Medicaid.  Oral health status and access to dental services are issues for all populations served by Medicaid.  This document from HRSA discusses some of the most critical issues in improving oral health access through Medicaid.  

The National Network for Oral Health Access (NNOHA) is a nationwide network of dental providers who care for patients in Migrant, Homeless, and Community Health Centers. These providers understand that oral disease can affect a person's speech, appearance, health, and quality of life and that inadequate access to oral health services is a significant problem for low-income individuals.

Describes the adverse health effects of lead in workers with blood-lead levels of 5-10 ug/dL and recommend changing OSHA’s medical removal trigger of 60 ug/dL. 

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Founded by singer/songwriter Paul Simon and pediatrician/child advocate Irwin Redlener, MD in 1987, The Children's Health Fund (CHF) works nationally to develop health care programs for the nation's most medically underserved population - homeless and disadvantaged children. CHF brings medical care and essential services directly to underserved children in rural and urban communities via Mobile Medical clinics (doctor's offices on wheels) and fixed site clinics. Moreover, CHF has become a major national advocacy voice on behalf of all children, and has inspired special federal legislation designed to help create innovative Children's Health Projects throughout the United States. The Children's Health Fund's website contains a lot of useful information, which would undoubtedly benefit your audience. 

To provide easily accessible immunizations, reduce patient waiting time, and assure quality of service in provision of immunizations.

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Physician outreach efforts regarding West Nile Virus diagnosis. We have created a webinar that medical professionals can access for free. CME credits are part of the activity, which makes it even better. The webinar features Lyle Petersen, head of CDC’s vector-borne disease unit, along with Anne Kemptrup, from California Dept. of Public Health and Susan Little, executive director of the DEET Education Program. The program runs for one hour.

The AgriSafe Network Distance Learning Webinars aims to provide appropriate and timely training opportunities for Network members and affiliates. Through partnering with the National Rural Health Association and the Great Plains Center for Agricultural Health, the Network has been able to offer a series of fantastic speakers using the web-based Elluminate program.

The National Audio Conference on the Hombres Unidos project was a rousing success on the 15th. There were about 100 folks from across the nation, and every sector of society in the discussion.

An Overview of Drinking Water Quality and Water and Sanitation-Related Disease by James VanDerslice, Ph.D. and Amy K. Liebman, MPA. The information for this article comes from presentations Jim VanDerslice made at recent MCN environmental health intensivesand an outreach program that both authors developed and implemented along the US-Mexico Border.

Also in this issue: Newsflashes, TB Education and Training Network and TB-Educate Listserv, Pizcando Suenos/Harvesting Dreams: The Voices of Mexican American Women.For more Streamline articles visit http://www.migrantclinician.org/news/streamline.html

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The US Department of Health and Human Services has published the Community Health Status Indicators Report, which contains health indicator data on over 200 measures for every county in the United States.

Welcome to the HepTalk Listserv. For July, we offer two articles about immunizing adolescents. Adolescents are often seen by many of you in your clinics for a variety of reasons, from prenatal care to sports physical exams, presenting a good opportunity to see if they have had their Hep B shots.

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In May 2005, near its beginning, the HepTalk Project presented a position paper, "Hepatitis Screening, Immunization and Testing for Mobile Populations and Immigrants from Latin America and the Caribbean" It has been updated with new immunization guidelines. This publication clarifies standard hepatitis immunization and testing recommendations for these populations.

HepQuick, also newly updated, incorporates specifics for mobile clients and recent immigrants from the position paper.

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This site is presented as a free medical Spanish immersion, with vocabulary including greetings, history, examination, and everyday speech, all with translation and audio. It is designed to be helpful for a variety of medical personnel. In addition to introducing Spanish medical terms, this site will hopefully improve fluency and even cultural competency.

Each dialogue consists of a few statements from the patient, the patient's family, and healthcare providers. Click to hear my voice and pronunciation. Then, repeat aloud everything you hear. When listening to Spanish medical phrases, feel free to use the pause button, and, of course, replay the recordings when needed.

There is convincing evidence that breastfeeding provides substantial health benefits for children and adequate evidence that breastfeeding provides moderate health benefits for women. This link provides a summary of the 2008 recommendation of the U.S. Preventive Services Task Force (USPSTF) on counseling to promote breastfeeding.

This paper reviews the available research on HIV/AIDS in the farmworker community, supplemented with relevant findings from research with related populations, i.e., Latino, rural, migrant. The research reported in this paper focuses on behavioral, social and cultural, and structural risk factors that affect this community, as well as on ways that health care providers can help reduce HIV/AIDS risk within this highly vulnerable group.
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Comprehensive website about lead in candy.  Information in English and Spanish for providers and patients.

The well-known seminar entitled, “The Carville Approach to Management of the Neuropathic Foot” has been modified for online instruction. The material presented includes principles and protocols that are time tested and proven effective for prevention of amputation in the lower extremity due to neuropathy. For course registration contact Josie Major at 800-642-2477, 225-756-3761 or via email jmajor@hrsa.gov

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The purpose of the National Maternal and Child Oral Health Resource Center (OHRC) is to respond to the needs of states and communities in addressing current and emerging public oral health issues. OHRC supports health professionals, program administrators, educators, policymakers, and others with the goal of improving oral health services for infants, children, adolescents, and their families.

To help ease the burden of displacement in the face of disaster/emergency, new information for pregnant women and mothers of young children has been uploaded to the Centers for Disease Control and Prevention’s (CDC) web site. Because you are recognized as an important champion in the community and can provide a channel for vital emergency information.

The HepTalk Training Manual for on-site training for clinics to help improve clinic systems that support communicable disease prevention, and training for clinicians and staff on communicating about risk across cultural differences and about potentially sensitive personal issues.

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An opportunity to join live webcast on "Innovative HIV/STI Prevention Approaches."

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Includes an article about the screening of people from countries where Hep B is endemic. The second part offers resources for clients from Central America who speak languages other than Spanish, such as the indigenous Mixteco. Though the study was completed in Eastern North Carolina, the resource list presented is national in scope and very broad.

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In honor of National Adult Immunization Week, September 24-28, we call your attention to an excellent source for patient education materials in many different languages, some of which we have featured here before. The IAC or Immunization Action Coalition is another one of our CDC partners in the Viral Hepatitis Education and Training program. They offer many different kinds of patient education materials about Hepatitis A and B vaccines. They’re easy to access and easy to download as pdf files, so they can be printed and distributed at your clinic, and they are available in Spanish. We have chosen a few of the resources most relevant to adult immunization and Hepatitis, but be sure to check all of their excellent resources.

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Our concentration for this month (September) and next month (October) is Resources for Effective Risk Assessment. This is a primary focus of the HepTalk project, and one on which we are continuously scouting out new resources. Some of the literature and research about effective risk assessment focuses on HIV and/or gay and populations, but is also relevant for hepatitis and for a broader population.

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