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

MCN’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:

Better recognize the signs and symptoms of pesticide overexposure Identify key decision points in diagnosing pesticide exposures 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   Recognition and Management of Pesticide Poisonings 6th Edition
An essential clinical reference for recognizing and managing pesticide overexposures. Pesticide Reporting and Workers’ Compensation Map
This interactive map provides state-specific pesticide reporting requirements and contact information to facilitate reporting.  It also includes state-specific Workers’ Compensation criteria and agencies responsible for enforcing the Worker Protection Standard. Cholinesterase Testing Protocols for Healthcare Providers and Cholinesterase Testing Protocol Algorithm
These clinical tools provide a concise and simple guide for clinicians in managing care for patients working with Class I and Class II organophosphates (OP) and N-methyl-carbamates. Acute Pesticide Exposures Clinical Guidelines
Important guidelines for health centers outlining how to handle acute pesticide exposures, emergencies and decontamination. Pesticide Exposure Assessment
A user-friendly form and check list for data collection on the acute pesticide exposed patient. EOH Screening Questions for the Primary Care Setting
Three screening questions in both English and Spanish to quickly ascertain work-related and environmental exposures and injuries.   National Pesticide Information Center
Supports a toll-free telephone service and extensive website providing impartial information about pesticides across the United States. Phone: 1-800-858-7378  Email: npic@ace.orst.edu American Association of Poison Control Centers
Offers a listing of regional Poison Control Centers. Poison Control Centers provide information regarding possible or actual environmental or occupational exposures and recommended treatments EXTOXNET
Objective, science-based information about pesticides - written for the non-expert   PATIENT EDUCATION MATERIALS   Aunque Cerca Sano (Comic Book)
Educational comic book targeting farmworker parents to address children’s risks to pesticide exposure and ways to minimize these risks. Lo Que Bien Empieza… Bien Acaba (Comic Book)
Educational comic book addressing pesticide exposure in women of reproductive age. Poco Veneno… ¿No Mata? (Comic Book)
Educational comic book with a story and messages about risks from pesticide exposure and ways to minimize these risks in the home.   ARCHIVED WEBINARS & TRAINING RESOURCES   Pesticide Health Effects Medical Education Database 
A diverse collection of training materials useful in the training of physicians, nurses, physician assistants, and nurse practitioners. The Nuts & Bolts of Cholinesterase Monitoring for Farmers, Ranchers, and Agricultural Workers
Webinar addressing the importance of recognizing and managing certain pesticide exposures with a specific focus on the ways in which cholinesterase monitoring is a key component in clinical care for individuals working in agriculture.
  Workers and Health- How Frontline Providers Make a Difference in the Protection of Migrant Farmworkers and their Families
Webinar focusing on the factors that put migrant workers at increased risk for occupationally related injuries and illnesses and chronic diseases.  Emphasized exposure to pesticides and other contaminants as a particular concern to migrants and their families.
  Caring for the Injured Worker: Effective Partnerships between Clinicians, Health Centers and Lawyers
Webinar offering practical information for using the workers’ compensation system as well as legal avenues available to injured workers through a series of case studies.  Explores how clinicians can work collaboratively with legal advocates to help their patients secure these benefits.
    LOCAL PESTICIDE RESOURCES  

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

Minnesota’s Agricultural Extension offices
Program team and Extension County Offices Illinois’s Agricultural Extension offices
Program team and Extension County Offices

MCN's Director of Environmental and Occupational Health, Amy K. Liebman, appeared on the radio broadcast Epicenter: West Marin Issues on KWMR 90.5 FM to talk pesticides and the Worker Protection Standard. Liebman was joined by Hector Sanchez of the Labor Council for Latin American Advancement. Host Frederick Smith discusses with Liebman and Sanchez a variety of pesticide-related issues, including protections for farmworkers and their families, farmworkers' risks of pesticide exposures, how pesticides are regulated, their health effects on farmworkers and their families, and what healthcare providers can do to mitigate, diagnose, manage, and report pesticide exposures.

During the interview Liebman referenced the Agricultural Health Study, which is available here.

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.