Señales y síntomas de envenenamiento por pesticidas

Developed by the California Poison Control System in collaboration with the Western Center for Agricultural Health and Safety at the University of California, Davis and the California Department of Pesticide Regulation

This webinar is the second in a series of seven in our Clinician Orientation to Migration Health.

DATE RECORDED: Wednesday, March 13, 2013
PRESENTED BY: Jennie McLaurin, MD, MPH, Specialist in Child and Migrant Health, Migrant Clinicians Network

To view the recorded version of this webinar, click here.

Farmworker Justice and MCN compiled state-by-state requirements for employers to provide workers compensation to agricultural workers. The document sites case law where applicable.

This website contains information on the 156 health centers that get federal funds to provide primary care to migrant and seasonal farmworkers regardless of immigration status. Most are part of community health centers that also receive additional federal funding to serve all low-income people. They offer services on a sliding fee scale.

The Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) provides for federal regulation of pesticide distribution, sale, and use. All pesticides distributed or sold in the United States must be registered (licensed) by EPA. Before EPA may register a pesticide under FIFRA, the applicant must show, among other things, that using the pesticide according to specifications "will not generally cause unreasonable adverse effects on the environment.''

If you would like to signal that yours is a welcoming business, social setting or place of worship, download one of MCN’s window posters and signal to the migrants in your midst, you are welcome here. Available in English and Spanish.

New research out of Cornell University's College of Human Ecology found that low-income children of immigrants have much poorer health than low-income children of citizens, as reported in a special section of the journal Child Development.

Abstract

STUDY OBJECTIVE:

To compare interpreter errors and their potential consequences in encounters with professional versus ad hoc versus no interpreters.

METHODS:

This was a cross-sectional error analysis of audiotaped emergency department (ED) visits during 30 months in the 2 largest pediatric EDs in Massachusetts. Participants were Spanish-speaking limited-English-proficient patients, caregivers, and their interpreters. Outcome measures included interpreter error numbers, types, and potential consequences.

RESULTS:

The 57 encounters included 20 with professional interpreters, 27 with ad hoc interpreters, and 10 with no interpreters; 1,884 interpreter errors were noted, and 18% had potential clinical consequences. The proportion of errors of potential consequence was significantly lower for professional (12%) versus ad hoc (22%) versus no interpreters (20%). Among professional interpreters, previous hours of interpreter training, but not years of experience, were significantly associated with error numbers, types, and potential consequences. The median errors by professional interpreters with greater than or equal to 100 hours of training was significantly lower, at 12, versus 33 for those with fewer than 100 hours of training. Those with greater than or equal to 100 hours of training committed significantly lower proportions of errors of potential consequence overall (2% versus 12%) and in every error category.

CONCLUSION:

Professional interpreters result in a significantly lower likelihood of errors of potential consequence than ad hoc and no interpreters. Among professional interpreters, hours of previous training, but not years of experience, are associated with error numbers, types, and consequences. These findings suggest that requiring at least 100 hours of training for interpreters might have a major impact on reducing interpreter errors and their consequences in health care while improving quality and patient safety.

Copyright © 2012. Published by Mosby, Inc.

 OVERVIEW OF NATIONAL BOARDThe mission of the National Board is to foster improved healthcare outcomes, patient safety and patient/provider communication, by elevating the standards for and quality of medical interpreting through a nationally recognized and accredited certification for medical interpreters.The CMI certification program is governed by the National Board of Certification for Medical Interpreters (National Board), an independent division of the International Medical Interpreters Association (IMIA). The purposes of the National Board are to:·         Develop, organize, oversee and promote a national medical interpreter certification program in all languages.·         Promote patients and providers working with credentialed medical interpreters who have met minimal national standards to provide accurate and safe interpretation.·         Ensure credibility of national certification by striving to comply with national accreditation standards including transparency, inclusion, and access. The Board of Directors of the National Board consists of 12 voting members that include medical interpreters, a health care provider, industry representatives, and a public member. Initial Board members were selected by a public process and independent selection committee. Subsequently, Board members are recruited through a Nominating Committee process and are elected by the members of the National Board. To see the National Board click here. 

The information that follows is an overview of this type of cancer. It is based on the more detailed information in American Cancer Society's document, Cervical Cancer. This document and other information can be obtained by calling 1-800-227-2345 or visiting our Web site at www.cancer.org.

Summary of the June 2012 article from the New York Times on American attitudes toward immigration.