This page highlights important tools for clinicians as well as diagnoses to consider when caring for disaster-affected patients.
"Coccidioidomycosis or Valley Fever is an infectious disease in parts of the U.S.A. It is caused by inhaling microscopic arthroconidia (also known as arthrospores or spores) of the closely related fungal species Coccidioides immitis and C. posadasii. Areas where Coccidioides is endemic (native and common) include states in the southwestern U.S.A. such as Arizona, California, New Mexico, Nevada, Texas, and Utah and parts of Mexico, Central America and South America."
DATE: May 24, 2017, 1 pm (ET)
SPEAKERS: Juliana Simmons, MSPH, CHES
Recorded WebinarParticipant EvaluationPresentation SlidesResources
Continuing Education Credit
To receive CME* or CNE credit after viewing this webinar, you must:
Complete the Participant Evaluation associated with this webinarSend an email with your first and last name stating which webinar you completed to contedu@migrantclinician.orgDescription
José Navarro was excited for his new career after landing a job in the poultry industry. After five years on the job, 37 year-old Navarro began coughing up blood. He died soon after when his lungs and kidneys failed. His death triggered a federal investigation raising questions about the health risks associated with the use of toxic chemicals in poultry plants.
Millions of workers are exposed to chemicals everyday on the job. All workers have the right to know about the chemicals they work with and community health workers can be an important source of information and support for workers. This workshop will teach community health workers how to explain what happens when someone is exposed to chemicals and how workers can best protect themselves
Learning ObjectivesRecognize how workers become exposed to chemicals and illnessesDescribe basic safety practices when working around chemicalsUnderstand the role of community health workers in identifying and preventing work related illnesses and hazards
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number U30CS09742, Technical Assistance to Community and Migrant Health Centers and Homeless for $1,094,709.00 with 0% of the total NCA project financed with non-federal sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
DATE: May 10, 2017, 1 pm (ET)
SPEAKERS: Patria Alguila and Ileana Ponce-Gonzalez, MD, MPH, CNC
Recorded Webinar Participant Evaluation Presentation Slides (PDF)
Continuing Education Credit
To receive CME* or CNE credit after viewing this webinar, you must:
Complete the Participant Evaluation associated with this webinar Send an email with your first and last name stating which webinar you completed to contedu@migrantclinician.orgDescription
In this webinar participants will be able to identify the Health Resource Services Administration performance measures related to depression, describe symptoms of depression, understand how to encourage patients to control and manage their diabetes and depression, and understand the principle barriers faced by patients in the control and management of their diabetes and depression
Learning Objectives Define the term mental illness List at least two symptoms of depression Define the HRSA quality measure for depression screening Understand at least one barrier in the control of diabetes and depression
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number U30CS09742, Technical Assistance to Community and Migrant Health Centers and Homeless for $1,094,709.00 with 0% of the total NCA project financed with non-federal sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
Available in English and Spanish!
Created by MCN, medical student Rachel Kelley of UCSF, and collaborators at East Tennessee State University, this guide is intended to be a reference for health care providers who work with people employed in the U.S. tomato industry. It aims to prepare providers with a more detailed understanding of hazards, health issues, and work processes associated with different tomato industry jobs.
This guide draws on published research, experienced health professionals’ advice, and information gathered from interviews and focus groups conducted with 36 tomato workers from diverse backgrounds and 14 community leaders familiar with tomato workers’ health in multiple states. It is important to note that health and safety conditions at any particular farm or company may vary from what is described here. Furthermore, individual workers may experience the same set of conditions differently.
The first section of the guide focuses on health hazards and health conditions commonly encountered in tomato production. The second section consists of detailed descriptions and illustrations of different tomato production tasks. The third section covers “human resources” information and policies that apply to U.S. agricultural workers generally. The appendices contain a Spanish-English glossary, further detail about different types of pesticides, information about agricultural occupational health policies and regulation, and a list of resources and readings.
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FECHA DE GRABACION: 29 de Marzo de 2017, 1 pm ET (zona horaria del Este)
ORADORA: Ileana Ponce-González, MD, MPH, CNC
Ver Webinar GrabadoEvaluacion de los ParticipantesDiapositivas de la Presentacion
Crédito de educación continua
Para recibir credito de Trabajador/a de Salud Comunitaria o Educacion de Continua de Enfermera después de ver alguno de estos seminarios usted debe hacer lo siguiente:
Completar la evaluación participante asociado a cada webinarEnviar un correo electrónico con su nombre y apellido indicando que ha completado a contedu@migrantclinician.orgDescripción
En este seminario los participantes serán capaces de identificar las medidas de rendimiento de HRSA relacionadas con la salud bucodental, así como los factores de riesgo para la mala salud bucal. También reflexionaremos sobre el importante papel que desempeñan los promotores de salud en la mejora del acceso a los servicios de salud bucodental.
Objetivos de aprendizajeDescriba la oferta de servicios orales preventivos y adicionales requeridos en su centro de saludDescriba las medidas orales de HRSAComprender el papel de los trabajadores comunitarios de salud en la prevención de la enfermedad bucodental
Lectura AdicionalADA Store—Brochures for purchase: https://goo.gl/xF1zWUADA Facebook and Twitter ads (free images): https://goo.gl/Q2zsugWDS Foundation—Free materials: https://goo.gl/FYxdriADA Practice Guidelines (2016): https://goo.gl/pzyfOdMedicaid/CHIP Dental Sealant Measure in the Child Core Set: https://goo.gl/n66YADTexas Health and Human Service: https://goo.gl/H6fAKL
Este proyecto cuenta con el apoyo de la Administración de Recursos y Servicios de Salud (HRSA) del Departamento de Salud y Servicios Humanos de los Estados Unidos bajo el acuerdo de cooperación número U30CS09742, Asistencia Técnica a Centros de Salud Comunitarios y Migrantes y Personas sin Hogar por $ 1,094,709.00 con 0% del total Proyecto NCA financiado con fuentes no federales. Esta información o contenido y las conclusiones son las del autor y no deben ser interpretadas como la posición o política oficial de, ni cualquier endosos deben ser inferidos por HRSA, HHS o el Gobierno de los Estados Unidos.
Substance Use Warmline
Peer-to-Peer Consultation and Decision Support
10 am – 6 pm EST Monday - Friday
855-300-3595
Free and confidential consultation for clinicians from the Clinician Consultation Center at San Francisco General Hospital focusing on substance use in primary care
Objectives of the Substance Use Warmline:
Support primary care providers in managing complex patients with addiction, chronic pain, and behavioral health issuesImprove the safety of medication regimens to decrease the risk of overdoseEnhance the treatment, care and support for people living with or at risk for HIVDiscuss useful strategies for clinicians in managing their patients living with substance use, addiction and chronic pain.Consultation topics include:
Assessment and treatment of opioid, alcohol, and other substance use disordersApproaches to suspected misuse, abuse, or diversion of prescribed opioidsMethods to simplify opioid-based pain regimens to reduce risk of misuse and toxicityUrine toxicology testing- when to use it and what it meansUse of buprenorphine and the role of methadone maintenanceWithdrawal management for opioids, alcohol, and other CNS depressantsHarm reduction strategies and overdose preventionManaging substance use in special populations (pregnancy, HIV, hepatitis)Productive ways of discussing (known or suspected) addiction with patients.The CCC’s multi-disciplinary team of expert physicians, clinical pharmacists and nurses provides consultation to help clinicians manage complex patient needs, medication safety, and a rapidly evolving regulatory environment.
Learn more at http://nccc.ucsf.edu/clinician-consultation/substance-use-management
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- CCC Substance Use Warmline Flier EST 7.25.16.pdf (112.12 KB)
This 90-minute webinar was created for physicians, nurses, and other health professionals who treat and case manage patients with active TB. The webinar introduced the 2016 Official American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America Clinical Practice Guidelines: Treatment of Drug-Susceptible Tuberculosis. This training highlighted the guidelines development process, the key changes in recommendations, and discussed the evidence supporting the changes. The webinar was originally presented on November 4, 2016. This training was jointly sponsored by all 5 RTMCCs.
An educational comic book on the prevention of zoonotic illnesses. Developed by MCN in collaboration with Ohio State University.
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- Working with farm animals_1.pdf (13.33 MB)
- Trabajos con animales en un rancho_1.pdf (13.31 MB)
MCN and Farmworker Justice offer these guides to assist clinicians in understanding farmworker health and safety regulations. OSHA’s Field Sanitation Standard; EPA's Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA); EPA's Food Quality Protection Act (FQPA); EPA’s Worker Protection Standard (WPS).
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- OSHA's Field Sanitation Standard Clinician's Guide.pdf (747.53 KB)
- FIFRA FQPA Clinician Guide.pdf (287.9 KB)
- WPS Clinician's Guide.pdf (843.35 KB)
Three concise and effective environmental/occupational health screening questions for the primary care provider. English and Spanish. MCN, 2014.
An EHR-friendly version of these screening questions was developed through MCN's Workers & Health Program. This can be used as a reference for integration into the health center's Electronic Health Record.
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- EOHScreeningQs_2014Nov.pdf (3.99 MB)
- EOHScreeningQs_EHR_2014Nov.pdf (4.49 MB)
Children encounter pesticides daily and have unique susceptibilities to their potential toxicity. Acute poisoning risks are clear, and understanding of chronic health implications from both acute and chronic exposure are emerging. Epidemiologic evidence demonstrates associations between early life exposure to pesticides and pediatric cancers, decreased cognitive function, and behavioral problems.
In this policy statement, the American Association of Pediatrics outlines the symptoms and suggested course of treatment for acute exposure pesticides belonging to the eight most predominant classes of pesticides. The policy statement also makes recommendations for both pediatricians and government to take measures to improve pesticide safety.
© AAP - 2012; This document is copyrighted and is property of the American Academy of Pediatrics and its Board of Directors.
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- PestExposureChild_Policy_AAP.pdf (523.63 KB)
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.
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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.
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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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- CERC Stigmatization fact sheet.doc (89.5 KB)
The Toolkit is a combination of easy-to-use reference guides for health providers and user friendly health education materials on preventing exposures to toxic chemicals and other substances that affect infant and child health.
Links
The manual is a guide that can be used by community workers, educators, and health promoters for their educational activities in the community. It provides information on the risks of exposure to environmental contaminants and pesticides and ways to reduce those risks. It also includes useful information and tips for working in the community.
As for the comic book, community workers, educators and health promoters can use it as an educational tool to inform their community about the risks of environmental contaminants and pesticides.
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- pocovenenocomicless20.pdf (16.8 MB)
- A LITTLE POISON WILL IT KILL YOU_June-2019.pdf (5.14 MB)
- Poco Veneno No Mata 2nd Edition - June2019.pdf (5.27 MB)