Presentations by Pacific Northwest Agricultural Safety and Health Center (PNASH):
1. Age Considerations: Impacts on Pesticide Exposure and Health Outcomes
2. How to Identify the Products Your Patients are Exposed to
3. Reporting, Surveillance, Legal Aspects of Pesticide Related Illnesses
4. The Work to Home Pesticide Exposure Pathway: How to Protect Pregnant Women and Children (English and Spanish)
5. Chronic Health Effects of Pesticide Exposure
MCN's Pesticide Clinical Guidelines and Pesticide Exposure Assessment Form assist in the recognition and management of acute pesticide exposures in primary care settings.
The pesticide guidelines were adapted from guidelines developed by Dr. Dennis H. Penzell, a former medical director of a Community and Migrant Health Center with experience in large-scale pesticide exposure incidents.
The Acute Pesticide Exposure Form was adapted from the data collection on an acute pesticide exposed patient tool developed by Matthew C. Keifer, MD, MPH, Director of the National Farm Medicine Center, appearing in the EPA's Recognition and Management of Pesticide Exposures, 6th Edition, EPA 2013.
These resources were developed with guidance from MCN's Environmental and Occupational Health Advisory Committee - a panel of healthcare professionals and researchers with expertise in pesticides and migrant health.
Guidelines for health care providers from the Occupational Lead Poisoning Prevention Program, a program in the California Department of Public Health that helps employers, workers, and others prevent lead poisoning in workers.
Clinicial guidelines dealing with children and lead exposure. Special emphasis on working with migrant children.
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.
This is an MCN online course. The primary objective is to ensure clinicians serving migrant and underserved communities are aware of general childhood agricultural safety and health concerns. This will be accomplished in a way that increases the clinicians’ ability to provide effective healthcare to their patients by assessing and understanding agricultural health risks.
An MCN/CDN webcast facilitated by Candace Kugel, FNP, CNM
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.
Matthew Keifer, MD, MPH, a board certified occupational medicine specialist and internationally renowned researcher regarding pesticides and worker health, overviews the importance of recognizing and managing pesticide exposure. To obtain free CME* credit, please complete this evaluation at the end of the webinar http://www.migrantclinician.org/national_webinar_eval. Sponsored by AgriSafe Network, Migrant Clinicians Network and the National Farm Medicine Center.
*Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.
From Health Reources and Services Administration this resource is available in Spanish and english. In an accessible, easy-to-read format, the Seasonal Flu guide provides: flu facts; every day prevention steps; and ways that community leaders can contribute to the flu prevention effort. This guide is an important fight the flu resource for our Spanish-speaking community and faith-based partners.
Order printed copies of the Seasonal Flu guide (in English or in Spanish) from the HHS Partnership Center by emailing partnerships@hhs.gov. Please include # of copies requested, mailing address (or interoffice mail stop) and person of contact in the email. Please specify if you are ordering the English or the Spanish version.
The Diabetes and Healthy Eyes Toolkit helps community health workers provide sight-saving information to people with diabetes. The Toolkit is available in Spanish and English and includes a:
Additional materials include a:
Presentations shared by this year's East Coast presenters. Topics include:
Community health workers, educators and individuals from around the world use Where There Is No Dentist to help people care for their teeth and gums. This book's broad focus makes it an invaluable resource.
The author uses straightforward language and careful instructions to explain how to: examine patients; diagnose common dental problems; make and use dental equipment; use local anesthetics; place fillings; and remove teeth. There is also a special chapter on oral health and HIV/AIDS, which provides the dental worker with a detailed, well-illustrated discussion of the special problems faced by people living with HIV/AIDS, and appropriate treatment.
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.
From the CDC, complete background on cholera including: General information, resources for health professionlas, epidemiology and risk factors, diagnosis and testing, treatment, prevent & control and more.
A factsheet on "How to prevent cholera" from The Hesperian Foundation. Cholera can be prevented through careful sanitation, careful use and treatment of water before drinking or cooking, and careful handling of food. This Factsheet is written in simple language and heavily illustrated and talks about the importance of sanitation, how to identify cholera and how to make your water safe to drink.
Hesperian’s Cholera fact sheet is illustrated, easy to read and available as a free download in English, Spanish, French, Haitian Kreyòl, and Arabic. The fact sheet talks about the importance of sanitation, how to identify cholera, and how to make your water safe to drink.
Global Health Pathway includes online training in global health, Global Health Open Access Lecture Library, Tanzania Education Exchange, In-person Global Health Course, Community Activities, and Resident Training.
Program information for counties of Wicomico, Somerset, or Worcester residents. Supported by a Grant from the Maryland Affiliate of Susan G. Koman for the Cure this presentation outlines eligibility for the Koman Program, what the Koman Program provides, documentation, and who to refer clients to.
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.
Over the last three years, we have touched on many topics that we hoped would help you as you work to improve immunization rates in your clinic. For the final edition, we return to the important issue of patient-carried immunization records.
First, we offer an article that provides a convincing yes to the title question: “Are Patient-Held Vaccination Records Associated with Improved Vaccination Coverage Rates?” The authors of the article, James T. McElligott and Paul M. Darden.
As a compliment to the article, and by way of a final thank-you for your participation, MCN, along with CHEC (Community Health Education Concepts), has developed patient-friendly, low literacy, bi-lingual immunization cards for you to use with your clients. The cards are 5x7, and can be printed from your clinic computers. There are two versions, a Lifetime Card for adults, and a Child and Teen Card, both in Spanish/English. We designed the card to be as simple as possible, and to include only the most important information. If the information is meaningful and understandable to the clients, they are more likely to understand the importance of keeping their shots up to date.
Special Bulletin: Outbreak of pertussis (whooping cough) in California
For Immediate Attention:
There is a critical outbreak of pertussis (whooping cough) in California: it is classified now as an epidemic. Five infants, all Latino, have died. This is due to unrecognized pertussis in older children and adults which then infects babies before they’ve had a chance to get their shots. PLEASE spread the word through every mechanism you have that it is critical to get Tdap in adolescents and adults and to get children immunized properly. This months ImmuNews includes a number of resources on Pertussis (Whopping Cough).
An article that provides a convincing yes to the title question: “Are Patient-Held Vaccination Records Associated with Improved Vaccination Coverage Rates?” The authors of the article, James T. McElligott and Paul M. Darden, conclude that the “Use of patient-held vaccination records is an easily implemented strategy that is associated with increased immunization rates. A greater effect was seen in groups at risk for underimmunization. Methods to incorporate and to ensure effective use of these records should be implemented” The article was published in Pediatrics in February of 2010. The full citation is as follows: Pediatrics 2010;125;e467-e472; originally published online Feb 15, 2010; DOI: 10.1542/peds.2009-0835. The online version of this article, along with updated information and services also available.
A Shot of Quality Improvement!
Welcome to Immu-News, the Immunization Initiatives listserv, a monthly resource for the community of participants in this project.
All health care delivery organizations are required to have quality assurance and quality improvement programs, but it is often difficult to make these efforts really meaningful in the everyday practice of serving patients. This month’s Immu-News suggests a number of immunization quality measurements that you can adapt to your local setting. We are finding from our site visits that many of you really struggle with understanding who is getting immunized, who is missed, and what the root causes are for the gap between your goal of full immunization and the present reality at your center. Additionally, immunization data gathering is often very time consuming, often duplicated several times over for various outside agencies, and often not in step with the ways changes are made in other parts of your organization. Here are a few ideas from us, and we welcome responses back from you that will continually improve immunization practices.
Addressing the Big Four: On-Time Immunizations, Knowing Your Baseline, Making Improvement, and Accurate Records
Our four quality topics will cover:
Resources
This resource from the California Department of Public Health provides facts, information for health professionals, data and surveillance, vaccine, and prevention.
Este recurso del CDC ofrece una visión general de la tos ferina , también conocida como Whooping Cough. Los temas incluyen síntomas , propagación, la tos ferina en los EE.UU. y las medidas de prevención.
This resources provides an overview of Pertussis, also known as the Whooping Cough. Topics include symptoms, how its spread, Pertussis in the US and prevention measures.
This resource from the CDC provides an overview of Pertussis, also known as the Whooping Cough. Topics include symptoms, how its spread, Pertussis in the US and prevention measures.