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Sample clinical protocol for Type I and II Diabetes.
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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.

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.

Mesothelioma is a rare cancer that occurs in the lungs. In addition to affecting the lungs, it can also result in complications that affect the heart and the abdomen. Every year, there are as many as 3,000 people diagnosed with mesothelioma. Men are four times more likely than women to be diagnosed with mesothelioma, and with the exception of benign mesothelioma all forms of the disease are terminal

Developed by MCN with funding from the Texas Department of State Health Services. This resource provides a guideline for healthy foods to eat in a page-size poster illustrating healthy foods in the right amounts, at which times, which foods to limit. Available in Spanish and English.

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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.

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https://www3.marshfieldclinic.org/nccrahs/default.aspx?page=nfmc_nccrahs_saghaf 

Seven guidelines in English and Spanish. Colorful, illustrated poster address supervisor responsibilities for ensuring work conditions are appropriate and adequate . Training and supervision tips, specific to teens and to each job, are provided. Developed by National Children’s Center for Rural and Agricultural Health and Safety.

http://www.nagcat.org/nagcat/default.aspx?page=nagcat_guidelines_posters

Guidelines for parents to match child's growth and development with the requirements of different farm chores in order to lessen the risk of farm related disease or injury in children and teenagers. North American Guidelines for Children's Agricultural Tasks was developed by the National Children's Center for Rural Agricultural Health and Safety.

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:

  • Diabetes and Healthy Eyes Flipchart to help community health workers educate people with diabetes about eye diseases in a small group setting.
  • Diabetes and Healthy Eyes Module for background information and materials to assist community health workers in using the flipchart.
  • Watch Out for Your Vision! Brochure to distribute to people with diabetes to educate them about eye disease and the importance of getting a dilated eye exam at least once a year.
  • Medicare Benefits Card to promote the glaucoma and diabetic eye disease benefit under Medicare and inform the public about eligibility.
  • Publications Order Form to obtain diabetic eye disease materials and resources for distributing to people in your community.
  • Evaluation Form to share your thoughts and experiences using the Diabetes and Healthy Eyes Toolkit.
  • CD-ROM with copies of the module, flipchart and handouts.

Additional materials include a:

  • TRACK Diabetes Magnet (English only) to provide tips to people with diabetes about keeping their health on TRACK.
  • Lo bello entra por los ojos...no deje que la diabetes cierre esa ventana (Beauty enters through the eyes. Don't let diabetes close the window.) Poster (Spanish only) to remind people with diabetes about receiving an annual dilated eye exam and offer tips about how to control diabetes.

Descripción del podcast:

Es importante que usted y su medico estén al tanto de todos los medicamentos que consume. Esta información podría mejorar su salud y evitar una situación peligrosa.

Description of the podcast:

It is important that you and your doctor are aware of all the medicines you take. This information could improve their health and avoid a dangerous situation.

Presentations shared by this year's East Coast presenters. Topics include:

  • STD's
  • Outreach
  • Pesticides
  • Obesity
  • Research
  • And more...

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. 

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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.

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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.

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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).

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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.

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The Texas After Violence Project is an independent narrative and human rights project. They:

  1. listen empathetically and without judgment to people directly touched by serious violence or other serious human rights violations, the criminal justice system, incarceration, and executions in Texas; 
  2. digitally record and transcribe these narratives;
  3. share the recordings and transcriptions to the extent, at the time, and in the manner to which individual narrators consent; so that we may
  4. promote collective, critical, and constructive conversations in which communities develop more effective, just, and compassionate ways to both prevent and respond to violence.

They work toward a more just and less violent Texas: a society that recognizes and affirms the dignity and value of every human being.

This flyer discusses diabetes and exercise. Available in Spanish and English.

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A one-page resource that describes the connection between diabetes and high blood pressure. Available in Spanish and English.

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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:

  • Immunization reminder systems
  • Baseline immunization rate audits
  • Measuring success
  • Patient self-management in record retrieval

Resources

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