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First of all, this month we offer some reminders for resources that are available to help you navigate, with your clients, between immunization requirements in the US and those from neighboring Mexico.   Second, we guide you to a link on the World Health Organization website where you can check other countries’ immunization requirements and schedules.   This may give you a starting point for understanding your migrant clients’ immunization histories. Third, we offer a sample bi-lingual parent-held pediatric vaccine record.  Remember, “the most reliable source of vaccine information on any particular individual is that individual! Contrary to popular belief, parents DO carry portable vaccination records when given them. This is particularly true for immigrant families, who are used to carrying important documents and who realize the potential of revaccination if records are unavailable to the local provider.”  Jennie McLaurin, MD Finally, in the season of giving, our gift offer to the clinics participating in Immunization Initiatives  send us the English patient-held vaccine record you use for your clients, and we will translate it into Spanish. We offer this first to the clinics participating in Immunization Initiatives, and to the first six clinics who contact us.  Email the listserv administrator to make arrangements at kath@healthletter.com

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The sourcebook contains information and activities on heart disease and stroke and on the major risk factors for these diseases in adults. It also contains information on risk factors that begin in childhood. Additionally, it addresses people’s adherence to treatment and their communication with health care providers. Because the sourcebook contains some technical information, it is recommended for CHWs who already have some experience in their profession.

http://www.neefusa.org/health/asthma/asthmaguidelines.htm

These guidelines are aimed at integrating environmental management of asthma into pediatric health care. Offers clinical competencies in environmental health relevant to pediatric asthma and outlines the environmental interventions to communicate to patients.

This table for healthcare providers and planners provides information related to spacing between the two doses of 2009 H1N1 vaccine for children 6 months through 9 years of age and for administration of 2009 H1N1 vaccine with seasonal influenza and other vaccines.

This table for healthcare providers and planners provides information related to spacing between the two doses of 2009 H1N1 Vaccine for children 6 months through 9 years of age.

This table for healthcare providers and planners provides information related to administration of 2009 H1N1 vaccine with seasonal influenza and other vaccines.

Continuing education course developed by the Occupational Lead Poisoning Prevention Program, California Department of Public Health.  Can view it for information or can register for credits.

An interactive lead case study by Susan Buchanan, MD, Linda Forst, MD, MPH, and Anne Evens, MS.

The Health Care for the Homeless (HCH) Clinicians’ Network and Migrant Clinicians Network (MCN) serve as National Partners to the HRSA Health Disparities Collaboratives. One of the critical roles for both organizations is helping health centers identify their migrant and homeless patients. Both organizations share a commitment to the principal that mobility should not be a barrier for health care access or continuity of care. What follows is a set of succinct and helpful suggestions for how to better identify homeless and migrant patients in your practice.

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Welcome to Immu-News, the Immunization Initiatives listserv, a monthly resource for the community of participants in this project. For now, this is post-only listserv (in other words, you will get only one e-mail per month in your mailbox, instead of floods of daily discussions) but we hope to evolve into a more interactive form, something that will truly be of service to you as each of you searches for ways to improve your ability to record and access immunization data, to increase immunizations provided to your clients, and thus to improve the health of your community.

Our topic for this month is introduced by Dr. Jennie McLaurin, MCN’s Migrant Health Specialist and the Project Director for the Immunization Initiative. We include examples and a source for patient-held immunization records, and two articles on the topic. Please feel free to send responses, comments, thoughts, and ideas to the listserv administrator at kath@healthletter.com. If you send comments, we will follow up with your responses and ideas in the next listserv.

Immu-News is also pleased to feature Grounded in Practice, highlights from the real world clinics participating in Immunization Initiatives. We begin with San Benito Health Foundation in Hollister, CA. We invite you to send suggestions, stories, examples of things that have worked to improve immunization practices in your clinic. Send your ideas to kath@healthletter.com

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Our June topic is IIS or Immunzaion Registries. Between August and October of 2008, immunization initiative staff at MCN conducted structured interviews with all State Immunization Coordinators or their designated contact persons in an effort to identify state programs that address the immunization needs. In response to the question “does your state have an electronic immunization registry?” we found that 42 states have registries, six states are in the process of implementing them, and two states do not have registries. Out of 42 states with registries, 37 are in both public and private settings and 31 are “birth to death” registries, including both children and adults. To view report, go to: http://www.migrantclinician.org/toolsource/resource/interviews-state-programs-addressing-immunization-needs.html

We offer three articles that discuss the progress of using immunization registries to improve recording and access of immunization data. Click on the links below to access the full articles.

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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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This site holds many medical Spanish material, including a comprehensive medical Spanish dictionary, complete with audio.

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

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A lead fact sheet from the Agency for Toxic Substances and Disease Registry

Variations in BCG vaccination practices impact the interpretation of TB diagnostics, such as the widely used Tuberculin Skin Test (TST). The World Atlas of BCG Policies and Practices will help clinicians in your country and around the world make better diagnostic decisions concerning TB infection.

An online resource for mesothelioma patients and their families.

This website provides access to information about asbestos. You may access general information about asbestos and its health effects. You may also read about what to do if you suspect asbestos in products, in your home or in your school. There are some resources listed in Spanish.

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.

Includes updates on key facts about the virus, links to oseltamivir and zanamivir information from Nursing2009 Drug Handbook, and the NursingCenter.com's printable patient education guide.

A leading online resource for comprehensive asbestos and mesothelioma information. The site contains patient education information as well as potential resources for patients suffering from mesothelioma.

The Toolkit is a combination of easy-to-use reference guides for health providers and user friendly health education materials on preventing exposures to toxic chemicals and other substances that affect infant and child health.

This website offers some free online lessons which teach basic Spanish concepts. More detailed and advanced lessons can be purchased on CDs from the website.
The goal of this project is to create awareness about less common languages. This website offers a database of less commonly taught language classes, instructional materials, and other resources for teaching these languages. There are some resources for Zapoteco, Nahuatl, and Mayan indigenous languages.