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Aedes species mosquitoes transmit chikungunya virus, as well as dengue and Zika viruses, and bite most often during the day.* Infectious mosquito bites frequently occur in and around homes (1,2). Caribbean countries first reported local transmission of chikungunya virus in December 2013, and soon after, chikungunya virus spread throughout the Americas (3). Puerto Rico reported its first laboratory-positive chikungunya case in May 2014 (4), and subsequently identified approximately 29,000 suspected cases throughout the island by the end of 2015 ...

In May 2015, Zika virus was reported to be circulating in Brazil. This was the first identified introduction of the virus in the Region of the Americas. Since that time, Zika virus has rapidly spread throughout the region. As of April 20, 2016, the Florida Department of Health Bureau of Public Health Laboratories (BPHL) has tested specimens from 913 persons who met state criteria for Zika virus testing. Among these 913 persons, 91 met confirmed or probable Zika virus disease case criteria and all cases were travel-associated (1).

Diagnostic testing for Zika virus infection can be accomplished using molecular and serologic methods. Real-time reverse transcription–polymerase chain reaction (rRT-PCR) is the preferred test for Zika virus infection because it can be performed rapidly and is highly specific (1,2) ...

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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. 

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MCN Webinar

DATE RECORDED: March 30, 2016

PRESENTED BY: Ileana Ponce-González, MD, MPH

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
Webinar Description

Milton “Tito” Rafael Barreto Hernandez was 22 years old when he died. He was killed when he was pulled into a machine at the concrete crushing facility where he worked.  This work-related death could have been prevented and would likely never have happened had the right safety procedures been followed.  Low-wage workers like Tito often work in dangerous jobs and immigrants are more likely to die or get hurt at work.  In spite of dangers on the job, all workers have the right to a safe and healthy workplace. This training for community health workers will equip you with the knowledge you need to empower people to advocate for their rights on the job. Additionally, participants will come to understand how to seek help in case of a dangerous work environment and to be familiar with resources to assist workers. 

Learning Objectives
  1. Identify worker safety and health rights and responsibilities in the United States
  2. Describe the role of government agencies in protecting workers
  3. Recognize resources to assist workers in addressing workplace 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.

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MCN

FECHA DE GRABACION: 25 de Mayo de 2016

PRESENTAOD POR: Antonio Tovar, PhD

 

Crédito de educación continua

Para recibir credito de Trabajador/a de Salud Comunitaria o Educacion de Continua de Enfermera después de ver alguno de estos seminarios usted debe hacer lo siguiente:

  • Completar la evaluación participante asociado a cada webinar
  • Enviar un correo electrónico con su nombre y apellido indicando que ha completado a contedu@migrantclinician.org
Descripción

El día era de 95 grados afuera cuando María Jiménez, una joven de 17 años,  se derrumbó de agotamiento por el calor en una granja en California.  María murió dos días después.  Cada año, cerca de 30 trabajadores mueren por causa de enfermedades relacionadas con el calor en los Estados Unidos.  El trabajo al aire libre en las industrias  intensivas en mano de obra plantea riesgos serios para los trabajadores. Sin embargo, las enfermedades causadas por el calor se pueden prevenir fácilmente.  

Este taller ayudará a los trabajadores de salud comunitarios  reconocer y prevenir las enfermedades por causa del calor entre los trabajadores que trabajan en situaciones de riesgo.  Los estudios de casos demostrará cómo reconocer las síntomas y efectos a la salud de la insolación.  Los participantes de este taller también recibirán recursos para la prevención de las enfermedades causadas por el calor.

Objetivos de aprendizaje
  1. Reconocer las síntomas de la insolación y cómo responder a estas situaciones
  2. Identificar los pasos que pueden tomar los trabajadores para prevenir las enfermedades a causa del calor
  3. Revisar los derechos y obligaciones de los trabajadores y empleadores
  4. Familiarizarse con los recursos de prevención de las enfermedades causadas por el calor
Lectura Adicional

OSHA- Occupational Heat Exposure

Campaña de OSHA para prevenir las enfermedades a causa del calor en trabajadores al aire libre

OSHA- Recursos para Industrias Específicas

Pacific Northwest Agricultural Safety and Health Center (PNASH)- Heat Illness Prevention: Training Materials For Educators

California and Washington State- Heat Exposure Regulations

Hesperian Health Guide- Workers' Guide to Health and Safety: Chapter 15: Heat and Cold

Report: Farmworker’s death should have been prevented

Este material será producido bajo la subvención número SH-27640-SH5 de la Administración de Seguridad y Salud Ocupacional del Departamento de Trabajo de los Estados Unidos. Ni los puntos de vista ni las políticas del Departamento de Trabajo de los Estados Unidos serán necesariamente reflejados; ni la mención de nombres comerciales, productos comerciales, u organizaciones implica la aprobación por el Gobierno de EE.UU.

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.

MCN

FECHA DE GRABACION: 17 de febrero 2016

PRESENTADO POR: Ileana Ponce-González, MD, MPH | Nelly Ayala, RN, MSN | Juan J Martinez, MSN, RN, CDE

 

Crédito de educación continua

Para recibir credito de Trabajador/a de Salud Comunitaria o Educacion de Continua de Enfermera después de ver alguno de estos seminarios usted debe hacer lo siguiente:

  • Completar la evaluación participante asociado a cada webinar
  • Enviar un correo electrónico con su nombre y apellido indicando que ha completado a contedu@migrantclinician.org
Descripción

Los determinantes sociales de salud son las condiciones en que las personas nacen, se desarrollan, viven, trabajan y envejecen. Cada vez más, están siendo reconocidos por su relación con la incidencia creciente de la diabetes tipo 2 en los EE.UU., así como las oportunidades que presentan para nosotros para contrarrestarla. Muchas intervenciones para la diabetes tipo 2  se centran en factores biológicos y de comportamiento, tales como síntomas, la dieta y la actividad física. Sin embargo, es igualmente importante para hacerle frente a la enfermedad la influencia de los entornos físicos y sociales, que pueden influir en la aparición temprana de la enfermedad , el manejo y sus complicaciones, tales como los bajos ingresos, la inseguridad laboral, el bajo nivel de instrucción academica, y la una pobre calidad de vida. En este curso  aprenderán el efecto que las desigualdades socioeconómicas tienen en el desarrollo de la diabetes en los EE.UU.

Objetivos de aprendizaje
  1. Entender la diabetes como un problema de salud pública.
  2. Entender el efecto que las desigualdades socioeconómicas tienen en el desarrollo de la diabetes en los EE.UU.
  3. Incorporar el conocimiento de la Diabetes y los determinantes sociales en el desarrollo de estrategias efectivas para involucrar a las comunidades, los pacientes y los médicos para gestionar por la diabetes.
  4. Aprender sobre los servicios sociales de apoyo que pueden apoyar en última instancia a superar las desigualdades sociales en la población.
Lectura Adicional

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MCN

FECHA DE GRABACION: 30 de Marzo de 2016

PRESENTAOD POR: Ileana Ponce-González, MD, MPH

 

Crédito de educación continua

Para recibir credito de Trabajador/a de Salud Comunitaria o Educacion de Continua de Enfermera después de ver alguno de estos seminarios usted debe hacer lo siguiente:

  • Completar la evaluación participante asociado a cada webinar
  • Enviar un correo electrónico con su nombre y apellido indicando que ha completado a contedu@migrantclinician.org
Descripción

Milton “Tito” Rafael Barreto Hernández tenía 22 años cuando murió.  La causa de su muerte fue debido a que fue tirado dentro de una máquina de trituración de concreto en la planta donde él trabajaba.  Esta muerte relacionada con el trabajo se podría haber evitado y probablemente nunca hubiera sucedido si los procedimientos de seguridad adecuados fueron seguidos. Trabajadores de bajos salarios, como Tito, trabajan a menudo en trabajos peligrosos.  Los inmigrantes tienen más probabilidades de morirse o de ser seriamente heridos en el trabajo.  A pesar de los peligros en el trabajo, todos los trabajadores tienen el derecho de trabajar en un lugar seguro y saludable.  Esta formación, orientada para los Promotores de Salud, los equipará con esos conocimientos necesarios para capacitar a las personas a defender sus derechos en el trabajo.  Además, los participantes llegaran a comprender cómo buscar ayuda cuando se encuentran en un ambiente de trabajo peligroso, y se familiarizarán con los recursos para ayudar a los trabajadores.

Objetivos de aprendizaje
  1. Identificar seguridad de los trabajadores y de los derechos de salud y responsabilidades en los Estados Unidos
  2. Describir la función de las agencias gubernamentales en la protección de los trabajadores
  3. Reconocer los recursos para ayudar a los trabajadores hacer frente a los riesgos laborales
Lectura Adicional

Este material será producido bajo la subvención número SH-27640-15-60-F-48-SH5 de la Administración de Seguridad y Salud Ocupacional del Departamento de Trabajo de los Estados Unidos. Ni los puntos de vista ni las políticas del Departamento de Trabajo de los Estados Unidos serán necesariamente reflejados; ni la mención de nombres comerciales, productos comerciales, u organizaciones implica la aprobación por el Gobierno de EE.UU.

Ver en español

MCN Webinar

DATE RECORDED: March 30, 2016

PRESENTED BY: Ileana Ponce-González, MD, MPH

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
Webinar Description

Milton “Tito” Rafael Barreto Hernandez was 22 years old when he died. He was killed when he was pulled into a machine at the concrete crushing facility where he worked.  This work-related death could have been prevented and would likely never have happened had the right safety procedures been followed.  Low-wage workers like Tito often work in dangerous jobs and immigrants are more likely to die or get hurt at work.  In spite of dangers on the job, all workers have the right to a safe and healthy workplace. This training for community health workers will equip you with the knowledge you need to empower people to advocate for their rights on the job. Additionally, participants will come to understand how to seek help in case of a dangerous work environment and to be familiar with resources to assist workers. 

Learning Objectives
  1. Identify worker safety and health rights and responsibilities in the United States
  2. Describe the role of government agencies in protecting workers
  3. Recognize resources to assist workers in addressing workplace 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.

A primary goal of the Partnerships for Care (P4C) project is to provide innovative, cost-efficient, and culturally competent training and technical assistance (TTA) to the four health departments and 22 health centers serving high HIV prevalence areas funded under the project.  To that end, the HIV Training, Technical Assistance, and Collaboration Center (HIV TAC) was funded to support the goals of the P4C project through planned collaboration with existing HIV-related TTA programs, across different levels of government and with nongovernment partners. The MayaTech Corporation operates the P4C HIV TAC.

Video interview with COPE Executive Director Mark Sullivan, MD, PhD.

About COPE: The University of Washington’s COPE for Chronic Pain CME Program offers evidence-based clinical knowledge and training on how best to treat patients experiencing chronic pain. COPE CME helps clinicians assess patients and monitor their progress, mitigate risk, and focus on restoring function and quality of life. It provides guidance on when and how to start, stop, or modify opioid therapies. COPE’s online course includes case-based video vignettes that model interactions between providers and patients, helping to improve communications that promote trust. Live and web-based CME is available.

 

Only 25% of physicians feel very confident in managing patients on opioids. 

When many of today's physicians were in medical school, they learned that opioids were safe, and no dose seemed too high. Now, evidence-based practice paints a far more nuanced picture. More than 200 million prescriptions a year have contributed to widespread problems:

  • 33% of young adults say that prescription opioids are "easy to get," with many taking their friends' or parents' pills.
  • Nearly 20% of U.S. veterans with PTSD are receiving higher-dose or multiple opioids, or early refills.
  • Increased prescribing to women of childbearing age has contributed to a 4-fold increase in neonatal abstinence syndrome

COPE offers free CME on safe opioid prescribing:

  • COPE-REMS: an online, self-paced tutorial that awards up to 4 CME credits
  • UW TelePain: Providers can call in to UW Medicine and present their most difficult chronic pain cases to a multidisciplinary panel of pain medicine experts for discussion and advice. Tune in to live, lunchtime, 1-hour sessions most Wednesdays at 12 PM to earn up to 1.5 CME credits per session.

Other resources from COPE include:

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.

"A new issue brief from the National Center for Medical-Legal Partnership shares how medical-legal partnerships operate at health centers and how integrated legal care can help health centers meet their mission."

Migrant Clinicians Network, Inc. (MCN) will work during the next two years to engage members of our clinical network and all relevant stakeholders to advance health justice for the mobile poor. Our advocacy and education priorities focus on safe and legal entry into the United States, as well as strong and equal protection for workers in all occupations. Advancement in these areas creates the greatest opportunity for all to access high-quality, affordable healthcare. 

  • Comprehensive Immigration Reform
  • Access to Health Care
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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.

Recently in the UK, there has been research supporting midwifery care. Due to this research, the UK has made some policy changes in regards to maternity. Midwifery care has been shown to be more safe for women with uncomplicated pregnancies and because of these new policies, the United States may follow in their footsteps.

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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/

 


The National Nework for Oral Health Access has developed a user’s guide that provides a structure, options, and suggestions to help Health Centers develop programs to implement oral health competencies that integrate oral health care into primary care practice, which increases access to oral health care and improves the oral health status of the populations Health Centers serve.

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.

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DATE RECORDED: Friday, July 11
PRESENTED BY: Ed Zuroweste, MD. Chief Medical Officer, Migrant Clinicians Network

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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.

Migrant workers are often employed in some of the most dangerous jobs in the United States. Lack of training, poor safety precautions, regulatory exclusions, lack of health insurance, language barriers, piece-rate pay, undocumented worker status, and geographical and cultural isolation can put these workers at increased risk for occupationally related injuries and illnesses and chronic sequelae.  

This webinar will discuss health risks facing migrants as a result of their working conditions and highlight best practices and resources to incorporate environmental and work-related health into the primary care setting.  It will aslo showcase successful initiatives employed in Community and Migrant Health Centers.  Participants will become familiar with the importance of and feasible approaches to integrate environmental and occupational health into primary care from both a clinical and social justice perspective.

 

SPONSORED BY: Migrant Clinicians Network

OBJECTIVES: Participants will be able to:

  1. Understand the reasons for integratin environmental and occupational health into primary care
  2. Recognize the role of the clinician in work-related exposure
  3. Be familiar with tools and resources to address occupational injuries and exposures in primary care

 


CLINICAL TOOLS & RESOURCES



PATIENT EDUCATION MATERIALS



ARCHIVED WEBINARS & TRAINING RESOURCES


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.  

Safety in Words

Este diccionario ilustrado bilingüe de MCN, "Seguridad en Palabras/ Safety in Words", muestra los peligros que hay en el lugar de trabajo y las mejores prácticas para la salud y la seguridad en la agricultura. Desarrollado con el apoyo del Programa de Subvenciones Susan Harwood de OSHA, este recurso refuerza el vocabulario en inglés de los trabajadores que hablan español lo que ayudará a prevenir lesiones en la agricultura. 

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