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Our May topic is “What Do Migrants from Mexico, Central and South America Think About Immunization?” MCN has conducted several focus groups in recent years on this topic, and we share with you, in two papers, what we learned in these focus groups.

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In July of 2005, MCN conducted a focus group with migrant women in a new receiving community on the Eastern Shore of Maryland to help understand their experiences regarding immunization.

The focus group was held at the one of the participant’s home, an established immigrant household. The town house apartment located in a growing immigrant neighborhood offered a comfortable, safe and trusting environment for the group’s participants.

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The following report summarizes research conducted by the Migrant Clinicians Network (MCN) in the summer of 2008. The report is an effort to identify state programs that address the immunization needs of adults and migrant and seasonal farmworkers across the country.

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An expert panel review of the scientific literature on lead and health - Environmental Health Perspective, March 2007

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The Immunization Initiative at MCN promotes improving childhood, adolescent, and adult immunization coverage levels among migrant and other mobile underserved populations. During the course of the initiative, anecdotal and documented evidence of an increase in the Hispanic indigenous population in United States and outside California surfaced from various sources. A separate initiative emerged, to design and develop a piece of educational material specifically for this population. This article, published in Streamline (March-April, 2009) discusses this initiative.

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EPA has revoked regulations that permitted small residues of the pesticide carbofuran in food.

FIOB has a good presentation that they use to teach the general community about indigenous cultures. This PowerPoint could be used to teach staff about indigenous languages.

Residential lead (Pb) contamination, resulting from decades-long use of leaded gasoline and lead-based paint, is likely to be present in soils in most urban areas. A screening level sampling effort demonstrated that Lubbock, Texas, USA, like other cities of its age and size, has areas of elevated soil Pb.

This organization, based in Woodburn, Oregon, has 3 community outreach workers and a receptionist in their office who speaks indigenous languages (Mixteco Alto and Mixteco Bajo). 

 

They utilize the following strategies to communicate with clients who speak indigenous languages:

1        Audio Materials: The Oregon Law Center puts important information and scenarios on tapes and CDs in indigenous languages for their clients

2        Radio: The employees at the Oregon Law Center who speak indigenous languages create radio ads for local Spanish language stations in indigenous languages.  They also participate on 2-3 radio shows per month. 

3        Presentations: They also do around 5 community presentations per month for workers (some of which are done in indigenous languages). 

4        Identifying and training interpreters for indigenous languages: They collaborate with the Oregon Judicial Department to provide training to become court interpreters for people who speak both an indigenous language and Spanish. 

 

Contact Information:

230 W. Hayes St.

Woodburn, OR 97071

Julie Samples juliesamps@yahoo.com

(503) 981-0336

1-800-973-9003

The World Health Organization (WHO) “World Oral Health Report 2003” emphasized that despite great improvements in the oral health status of populations across the world, problems persist. As knowledge is a major vehicle for improving the health of the poor in particular, the WHO Oral Health Programme focuses on stimulating oral health esearch in the developed and developing world to reduce risk factors and the burden of oral disease, and to improve oral health ystems and the effectiveness of community oral health programmes.

Describes the adverse health effects of lead in workers with blood-lead levels of 5-10 ug/dL and recommend changing OSHA’s medical removal trigger of 60 ug/dL. 

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A training guide for Promotor(a) programs from Migrant Health Promotion.
The US Department of Health and Human Services has published the Community Health Status Indicators Report, which contains health indicator data on over 200 measures for every county in the United States.

Welcome to the HepTalk Listserv. For July, we offer two articles about immunizing adolescents. Adolescents are often seen by many of you in your clinics for a variety of reasons, from prenatal care to sports physical exams, presenting a good opportunity to see if they have had their Hep B shots.

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In May 2005, near its beginning, the HepTalk Project presented a position paper, "Hepatitis Screening, Immunization and Testing for Mobile Populations and Immigrants from Latin America and the Caribbean" It has been updated with new immunization guidelines. This publication clarifies standard hepatitis immunization and testing recommendations for these populations.

HepQuick, also newly updated, incorporates specifics for mobile clients and recent immigrants from the position paper.

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This site is presented as a free medical Spanish immersion, with vocabulary including greetings, history, examination, and everyday speech, all with translation and audio. It is designed to be helpful for a variety of medical personnel. In addition to introducing Spanish medical terms, this site will hopefully improve fluency and even cultural competency.

Each dialogue consists of a few statements from the patient, the patient's family, and healthcare providers. Click to hear my voice and pronunciation. Then, repeat aloud everything you hear. When listening to Spanish medical phrases, feel free to use the pause button, and, of course, replay the recordings when needed.

This paper reviews the available research on HIV/AIDS in the farmworker community, supplemented with relevant findings from research with related populations, i.e., Latino, rural, migrant. The research reported in this paper focuses on behavioral, social and cultural, and structural risk factors that affect this community, as well as on ways that health care providers can help reduce HIV/AIDS risk within this highly vulnerable group.
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A production from American Radio Works that focuses on the impact of Latino immigration in America. It's sinking in among Americans that the nation's largest wave of immigration did not happen a century ago. It's happening now. About 35 million of us were born in other countries. That's one in eight residents of the United States. Immigrants come from all over the globe, but Latino immigration is remaking the country. And not just on the coasts and in the Southwest.

To maintain a workplace free of violence.

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This 2008 MCN/FJ Monograph compiles research on pesticides, pregnancy and reproductive health. English and Spanish.

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An opportunity to join live webcast on "Innovative HIV/STI Prevention Approaches."

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Includes an article about the screening of people from countries where Hep B is endemic. The second part offers resources for clients from Central America who speak languages other than Spanish, such as the indigenous Mixteco. Though the study was completed in Eastern North Carolina, the resource list presented is national in scope and very broad.

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Welcome to the January 2005 edition of the Listserv. There are four parts to this edition: 1. a list of Hepatitis C Coordinators for all states with HepTalk participants; 2. Hablamos Juntos, a website with resources and information on interpreters, translations, and interpreter training; 3. a link to an article from the National Alliance of State and Territorial AIDS Directors on integrating HIV and hepatitis screening and prevention; 4. A funding opportunity which may be interesting to some HepTalk participants.

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Our concentration for this month (September) and next month (October) is Resources for Effective Risk Assessment. This is a primary focus of the HepTalk project, and one on which we are continuously scouting out new resources. Some of the literature and research about effective risk assessment focuses on HIV and/or gay and populations, but is also relevant for hepatitis and for a broader population.

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In honor of National Adult Immunization Week, September 24-28, we call your attention to an excellent source for patient education materials in many different languages, some of which we have featured here before. The IAC or Immunization Action Coalition is another one of our CDC partners in the Viral Hepatitis Education and Training program. They offer many different kinds of patient education materials about Hepatitis A and B vaccines. They’re easy to access and easy to download as pdf files, so they can be printed and distributed at your clinic, and they are available in Spanish. We have chosen a few of the resources most relevant to adult immunization and Hepatitis, but be sure to check all of their excellent resources.

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California Rural Legal Assistance, Inc. (CRLA) has been a leading advocate for the rights of farmworkers and other low wage workers in California since 1966. CRLA has over twenty field offices in rural areas of California. We have five priority areas: housing, employment, education, family security (including public benefits), and civil rights. CRLA devotes a significant percentage of its resources to the employment and housing needs of California's rural poor, primarily farmworkers and their families.

Continuing with the information on interpreting vaccine schedules from Mexico in the May-June Listserv we offer the Migrant Clinician Network's new 2007 Mexican Migrant Guide: Recommended Vaccines for Recent Immigrants from Mexico, guide, and a vaccine equivalency chart for the state of Arizona. In addition, an important new resource, Health Care Language Services Implementation Guide is available through the Office of Minority Health.

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Welcome! The December 2004 edition of the Listserv focuses on hepatitis awareness and on screening tools for assessing risk factors and candidates for vaccination.

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This month we offer information about an important opportunity to receive adult hepatitis B vaccine resources. In addition, we're pleased to alert you to a case-based hepatitis continuing education offered by one of our CDC partners in the Viral Hepatitis Education and Training program.

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