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MCN Webinar Examining Asthma at Work

 

DATE RECORDED: September 14, 2016 at 1 pm ET

PRESENTED BY: Robert Harrison, M.D., M.P.H.

 

  • 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.org
Description

Ricardo is a 35 year old man from Oaxaca, Mexico who mixes flour and other ingredients to make pizza at a local restaurant. In the last five years he has experienced progressive wheezing, cough and shortness of breath at work. Laboratory testing suggests new-onset asthma caused by flour dust. Ricardo is unable to return to his job and has filed for workers compensation.

This is an important issue for all workers, but especially for vulnerable workers who may work in industries with conditions that exacerbate asthma symptoms. This includes janitorial workers, farmworkers, and those working in meat processing plants. An estimated 40% of adults with asthma report that work has caused or aggravated the condition, yet only 28% have discussed their concerns about work with their doctor. Health care providers should be aware of the approaches to diagnosis, treatment and prevention of this condition. This interactive webinar will use case studies to discuss the link between work and asthma. It will also equip clinicians with the tools necessary to identify and manage work-related asthma with a particular emphasis on vulnerable workers and strategies for mitigating their unique challenges.

Learning Objectives
  1. Understand the link between asthma and the work environment
  2. Identify strategies for recognizing and managing work-related asthma
  3. Familiarize yourself with the clinical resources related to work-related asthma
Further Reading
  • Coming soon

This material will be produced under grant number SH-27640-15-60-F-48-SH5 from the Occupational Safety and Health Administration, U.S. Department of Labor. It will not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.

The 1999–2013 United States Cancer Statistics (USCS): Incidence and Mortality Web-based Report includes the official federal statistics on cancer incidence from registries that have high-quality data, and cancer mortality statistics. It is produced by the Centers for Disease Control and Prevention (CDC) and the National Cancer Institute (NCI). This report shows that in 2013, 1,536,119 Americans received a new diagnosis of invasive cancer, and 584,872 Americans died of this disease (these counts do not include in situ cancers or the more than 1 million cases of basal and squamous cell skin cancers diagnosed each year).

This year’s report features information on invasive cancer cases diagnosed during 2013, the most recent year of incidence data available, among residents of 49 states, six metropolitan areas, and the District of Columbia—geographic areas in which about 99% of the U.S. population resides. Incidence data are from CDC’s National Program of Cancer Registries (NPCR) and NCI’s Surveillance, Epidemiology, and End Results (SEER) Program. Data from population-based central cancer registries in these states and metropolitan areas meet the criteria for inclusion in this report.

The report also provides cancer mortality data collected and processed by CDC’s National Center for Health Statistics. Mortality statistics, based on records of deaths that occurred during 2013, are available for all 50 states and the District of Columbia.

The report also includes incidence rates and counts for Puerto Rico for 2009 through 2013 by sex and age, as well brain tumor and childhood cancer data.

USCS data are presented in the following applications—

 

MCN Clinician Guides

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).

MCN Clinician Guides

 

MCN y Farmworker Justice ofrecen estas guías para ayudar a los médicos en la comprensión de regulaciones de salud y seguridad de los  campesinos.  Información de los Estándares  de Saneamiento de  la Administración de Seguridad y Salud Ocupacional (OSHA) para los campos; la  Ley Federal de Insecticidas, Fungicidas y Rodenticidas (FIFRA) regulado por la Agencia de Protección Ambiental (EPA); la Ley de la Protección de la Calidad de los Alimentos (FQPA) también regulado por el EPA; y el estándar de protección del trabajador (WPS) establecido por el  EPA.

MCN y Farmworker Justice ofrecen estas guías para ayudar a los médicos en la comprensión de regulaciones de salud y seguridad de los campesinos.  Información de los Estándares  de Saneamiento de  la Administración de Seguridad y Salud Ocupacional (OSHA) para los campos; la  Ley Federal de Insecticidas, Fungicidas y Rodenticidas (FIFRA) regulado por la Agencia de Protección Ambiental (EPA); la Ley de la Protección de la Calidad de los Alimentos (FQPA) también regulado por el EPA; y el estándar de protección del trabajador (WPS) establecido por el EPA.

 

A CDC resource page where there is current Zika updates and resources.

A CDC resource page where there is current Zika updates and resources.

MCN Clinician Guides

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).

The 1999–2013 United States Cancer Statistics (USCS): Incidence and Mortality Web-based Report includes the official federal statistics on cancer incidence from registries that have high-quality data, and cancer mortality statistics. It is produced by the Centers for Disease Control and Prevention (CDC) and the National Cancer Institute (NCI). This report shows that in 2013, 1,536,119 Americans received a new diagnosis of invasive cancer, and 584,872 Americans died of this disease (these counts do not include in situ cancers or the more than 1 million cases of basal and squamous cell skin cancers diagnosed each year).

This year’s report features information on invasive cancer cases diagnosed during 2013, the most recent year of incidence data available, among residents of 49 states, six metropolitan areas, and the District of Columbia—geographic areas in which about 99% of the U.S. population resides. Incidence data are from CDC’s National Program of Cancer Registries (NPCR) and NCI’s Surveillance, Epidemiology, and End Results (SEER) Program. Data from population-based central cancer registries in these states and metropolitan areas meet the criteria for inclusion in this report.

The report also provides cancer mortality data collected and processed by CDC’s National Center for Health Statistics. Mortality statistics, based on records of deaths that occurred during 2013, are available for all 50 states and the District of Columbia.

The report also includes incidence rates and counts for Puerto Rico for 2009 through 2013 by sex and age, as well brain tumor and childhood cancer data.

USCS data are presented in the following applications—

 

From the 2016 International Union Against Tuberculosis & Lung Disease Conference

MCN

 

DATE RECORDED: June 22, 2016

PRESENTED BY: Kerry Brennan

 

 

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.org
Description

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 Objectives
  1. Recognize how workers become exposed to chemicals and illnesses
  2. Describe basic safety practices when working around chemicals
  3. Understand the role of community health workers in identifying and preventing work related illnesses and hazards
Further Reading

This material will be produced under grant number SH-27640-15-60-F-48-SH5 from the Occupational Safety and Health Administration, U.S. Department of Labor. It will not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.

MCN

 

 

DATE RECORDED: June 8, 2016

PRESENTED BY: Juliana Simmons, MSPH, CHES

 

 

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.org
Description

It was 95 degrees when Maria Jimenez, 17 years old, collapsed from heat exhaustion at a farm in California. She died two days later. Each year, nearly 30 workers die from heat-related illness in the United States. Outdoor work in labor-intensive industries poses serious risks for workers, but heat-related illness can be easily prevented.

This workshop will help community health workers recognize and prevent heat-related illness among at-risk workers. Case studies will show how to recognize the symptoms and health effects of heat-related illness. Participants in this workshop will receive resources for preventing heat-related illness.

Learning Objectives
  1. Recognize symptoms of heat-related illness and how to respond
  2. Identify steps workers can take to prevent heat-related illness
  3. Review employer and worker rights and responsibilities related to heat stress
  4. Become familiar with heat stress prevention resources
Further Reading

This material will be produced under grant number SH-27640-15-60-F-48-SH5 from the Occupational Safety and Health Administration, U.S. Department of Labor. It will not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.

As part of the response to the Zika outbreak, CDC, in collaboration with state, local, tribal, and territorial health departments, established a pregnancy registry for comprehensive monitoring of pregnancy and infant outcomes following possible Zika virus infection. The registry is an active surveillance system of pregnant women with laboratory evidence of possible Zika virus infection in the 50 US states and DC, and in the US territories. On May 20, 2016, CDC released detailed information about the registry and will initiate weekly reporting of the number of pregnant women followed in the registry.

The U.S. Environmental Protection Agency’s (EPA) Worker Protection Standard (WPS) provides basic workplace protections to farmworkers and pesticide handlers to minimize the adverse effects of pesticide exposure. EPA announced major revisions to the WPS in September 2015. MCN and FJ's fact sheet provides a summary of the revised regulation.

Download Resource

In 2015, for the first time in over 20 years, the Environmental Protection Agency updated the Worker Protection Standard (WPS). The WPS provides basic workplace protections for agricultural workers to reduce the risk of pesticide exposre. This issue brief overviews the major revisions that are particularly relevant for clinicians caring for agricultural workers. 

Download Resource

The National LGBT Health Education Center provides educational programs, resources, and consultation to health care organizations with the goal of optimizing quality, cost-effective health care for lesbian, gay, bisexual, and transgender (LGBT) people.

This is a resource dedicated to researching educational opportunities within public health to help make the decision to get your degree, go back to get your degree, or further your education with a master's or doctoral degree in public health. With over 150 schools and over 2,000 public health degrees in this database, this is a comprehensive resource for you to utilize when figuring out which public health program is best for you.

http://www.asbestosdiseaseawareness.org/

ADAO is the largest independent nonprofit in the U.S. dedicated to preventing asbestos exposure, eliminating asbestos-related diseases, and protecting asbestos victims' civil rights through education, advocacy, and community initiatives. 

http://www.cdph.ca.gov/programs/cosmetics/Pages/default.aspx

An online, searchable database that allows salon workers and others to learn about and report toxic chemicals found in nail salon products and other cosmetics.

National Health Service Corps released the 2015 Application and Program Guidance for the HHSC Scholarship Program. The application cycle will close on May 7, 2015, at 7:30 p.m. ET."The NHSC Scholarship Program awards scholarship to health professions students who want to pursue their passion and work as a primary care provider without the burden of overwhelming debt."

Spanish-language skin cancer outreach materials from the American Academy of Dermatology, which are used during their public skin cancer examinations. Their pilot program providing examinations, targeting Hispanic outdoor workers in California, Arizona, Texas and Florida, was featured in MCN's Streamline, Autumn 2014.

Messages to Millions is designed to provide consistent, science-based Million Hearts® messages to disseminate to partners and supporters on a quarterly basis. Message maps provide key and supporting messages that stress the steps that can be taken by consumers, health care providers, and other audiences to help prevent heart attacks and strokes.

Public Health Online includes expert-driven data and information about careers in the field, online learning options, and how students can gain valuable professional experience even before graduation. Some key features include:


-          An in-depth look at public health issues and the importance of public health education

-          A detailed examination of high-quality, available online public health degrees and specializations

-          Tips for choosing a high-quality, affordable online program that meets the student’s education and career goal

-          A public health career fit quiz

 

http://www.publichealthonline.org/degree-programs/masters/

 


These bilingual posters educate workers on how to work safely with machinery on the farm.  Developed by two Occupational Health Interns (OHIP) during their internship with the National Farm Medicine Center, these posters accompany the Seguridad en las Lecherías curriculum.

Download Resource

http://umash.umn.edu/needlestick-prevention/ This webpage features factsheets and videos developed by the Upper Midwest Agricultural Safety and Health Center (UMASH) to educate farmworkers, producers, and veterinarians about needlestick prevention.  Resources are available in both English and Spanish.  

Part 6 of the 6 webinar series: Essential Clinical Issues in Migration Health

DATE RECORDED: June 25, 2014
PRESENTED BY: Brett Pack, DMD, Dental Director, Moses Lake Community Health Center and Maria Smith, MPA, Project Director, National Network for Oral Health Access

View Recorded Webinar  

Participant Evaluation  

Presentation Slides (PDF)

To receive CME* or CNE credit after viewing any of these webinars you must do the following:
  • Complete the Participant Evaluation associated with each webinar
  • Send an email with your first and last name stating which webinar you completed to contedu@migrantclinician.org

Note: Only participants of the live webinar are eligible for continuing dental education units.

The Patient-Centered Health Home is a concept being implemented through a variety of approaches including full integration, co-location, shared financing, virtual linkages and facilitated referral and follow-up. Health Homes are an important approach for helping to ensure that health center populations have access to comprehensive health care services, including dental care. This presentation will describe how oral health can be integrated into overall primary care systems to improve health care quality and outcomes of the patients we serve, by illustrating promising practices from an example health center oral health program.

Learning Objectives:

  1. Understand why medical-dental integration is a positive attribute
  2. Describe examples of medical-dental integration at the clinical level
  3. Receive “take home” examples of how to incorporate oral health into your health center’s Patient-Centered Health Home.

 

FURTHER READING

Visit www.nnoha.org to access resources available to support safety net oral health programs and to join as a member.

Report mentioned during the webinar: Oral Health and the Patient Centered Health Home: Action Guide 
http://www.nnoha.org/resources/clinical-excellence/integrate-care/

DATE RECORDED: Wednesday, June 17, 2014
PRESENTED BY: Matthew Keifer, MD, MPH, Dean Emanuel Endowed Chair/Director National Farm Medicine Center

Webinar: Pesticide poisonings. Are you prepared?
View Recorded WebinarParticipant Evaluation

EOH iconMCN’s Environmental and Occupational Health Programs

Learn more about MCN’s training and technical assistance programs to help clinicians and health centers improve the recognition and management of pesticide exposures and other environmental/occupational health conditions.

 

Mistakes can be dangerous. Accurate identification of pesticides responsible for a patient's illness is important to avoid iatrogenic errors with respect to acute treatment.  Join us for an important webinar that will focus on key decision points in the diagnosis of pesticide exposures and emphasize the usefulness of the newly revised resource for clinicians - The Recognition and Management of Pesticide Poisonings, 6th ed.  Through interactive case studies, this webinar will illustrate effective recognition and treatment of patients over exposed to pesticides. 


The webinar, sponsored by Migrant Clinicians Network, the National Farm Medicine Center and AgriSafe Network features Dr. Keifer, a board certified occupational medicine specialist and internationally renowned researcher regarding pesticides and agricultural health and safety. For over 30 years, Dr. Keifer has focused his clinical practice and research largely on farmworkers. 

SPONSORED BY: AgriSafe Network, Migrant Clinicians Network, and the National Farm Medicine Center

OBJECTIVES: Participants will be able to:

  1. Better recognize the signs and symptoms of pesticide overexposure
  2. Identify key decision points in diagnosing pesticide exposures
  3. Demonstrate an understanding of how to use The Recognition and Management of Pesticide Poisonings, 6th ed. in a clinical setting

We encourage all participants to order The Recognition and Management of Pesticide Poisonings, 6th ed. prior to attending this webinar. Order here. PDF versions are also available at http://www2.epa.gov/pesticide-worker-safety/recognition-and-management-pesticide-poisonings
If you have experienced any trouble ordering your copy please contact: kbrennan@migrantclinician.org 

 

 


CLINICAL TOOLS & RESOURCES



PATIENT EDUCATION MATERIALS



ARCHIVED WEBINARS & TRAINING RESOURCES



LOCAL PESTICIDE RESOURCES


The following will provide information regarding the pesticides used in your areas:

Part 5 of the 6 webinar series: Essential Clinical Issues in Migration Health

DATE RECORDED: June 5, 2014
PRESENTED BY: Katherine Brieger, RD and Elizabeth Magenheimer

View Recorded Webinar

Participant Evaluation  

Presentation Slides (PDF)

To receive CME* or CNE credit after viewing any of these webinars you must do the following:
  • Complete the Participant Evaluation associated with each webinar
  • Send an email with your first and last name stating which webinar you completed to contedu@migrantclinician.org

Diabetes continues to be one of the most common and challenging health condition confronting migrants and other underserved populations. It is clear that a healthy lifestyle is critical to mitigating the impact of diabetes on individuals and the population, however effective and appropriate interventions can be difficult to design. Fairhaven Community Health Center in Connecticut and Hudson River Healthcare in New York, are two health centers that have long led the way in creating culturally appropriate lifestyle programs for migrants and other underserved patients. In this session the presenters will discuss lessons learned from the development of a variety of programs for diabetics and other patients including a community garden, nutrition classes, cooking classes, weight management and strategies to encourage exercise. The session will address the clinical core measures related to nutrition and BMI and will also discuss current research test second line drug effectiveness in Type 2 DM. Available in English

Learning Objectives:

  1. Describe culturally appropriate diabetes intervention strategies
  2. Identify strategies to address clinical core competencies related to nutrition and BMI to improve quality care.
  3. Receive “take home” examples of how to incorporate effective nutrition, weight loss, exercise and other health lifestyle strategies.

 

FURTHER READING

Download the Spanish Toolkit Materials

National Diabetes Information Clearinghouse, http://diabetes.niddk.nih.gov/dm/pubs/preventionprogram

Bright Bodies, http://brightbodies.org

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. 

Download Resource