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This manual focuses on primary eye care tasks that can be performed by community health care workers. Community health care workers include lay health workers, outreach workers, nurses, mid-level practitioners, and general practitioners. This manual will cover vision screening and basic eye care exams which can be conducted in a variety of clinical and non-clinical settings, as well as eye care education, first aid, and primary eye care in the field.
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In this edition, we offer resources and information about water and sanitation issues. Fecal-to-oral transmission, via contaminated water, food, or other objects, is the principal means of spreading HAV, the virus that causes Hepatitis A.

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We began in July with information about substance abuse among migrant workers. The current edition is Harm Reduction Strategies for HCV Substance Abusers. Potential substance abuse treatment sites and resources for migrants will follow in September.

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A listing with links and ordering information to the EPA's bilingual posters, handbooks, guides, videos, CDs and other materials about pesticide safety and how to recognize and treat heat related illnesses.

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"Substance Use and Migrant Labor, Part One" The number of substances reported “ever used” by 127 farm workers in a study conducted in three southern states (Inscription in Drug Use among Farm Workers) ranged from one (17 persons) to ten/more (6 persons)

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Our focus this month is Hepatitis B.

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  1. Viral Hepatitis in Minority America
  2. The Perils of Needles on the Body
  3. A listing for updated hepatitis materials from the Immunization Action Coalition
  4. A listing from the IAC for new Vaccination Information Statements
  5. Announcements of relevant conferences
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May is Hepatitis Awareness Month. In light of this, we're posting a special edition for the month of May. The Migrant Clinicians Network is happy to release the position paper "Hepatitis Screening, Immunization and Testing for Mobile Populations and Immigrants from Latin America and the Caribbean." This paper clarifies standard hepatitis recommendations for these populations.

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We are finishing a three part series on substance abuse and Hepatitis B and C.

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The following links and and articles are available In the January Listserv: 1. Links to the full text of the ACIP recommendations for infants, adolescents, and children. 2. Dear Colleague Letter about New Recommendations to Prevent Perinatal HBV. Summary of the recommendations from HEP EXPRESS Viral hepatitis news from the Immunization Action Coalition Issue Number 39, January 6, 2006 3. ”Hepatitis B Vaccine Considered for All Adults from American Medical News on upcoming adult immunizations, summarizes issues that are central to the HepTalk project clinics and their clients. The article includes a mention of MCN's recommendations on these issues.

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Our focus this month is treatment for Hepatitis B and C.

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Midwives are essential caregivers in the worldwide struggle for maternal and child health. Appropriate information and training empower midwives and other health workers to provide the care needed to reduce dangers in childbirth.

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The focus for the month of April is Hepatitis C. The following links are included below: 1. Screening for Hepatitis C: A Common Sense Approach 2. Hepatitis C in New Mexico: A Public Health Approach to a "Silent" Epidemic 3. A Guide to Understanding Hepatitis C/Guia para Comprender la Hepatitis C 4. Combatting HCV Fatigue 5. Cost Estimates for Hepatitis Tests

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From the Seattle STD/HIV Prevention Training Center and the University of Washington. This excellent site provides interactive, case-based modules related to the clinical care of persons with Viral Hepatitis A, B, and C. Easy to access!
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This position paper provides critical information that clarifies standard hepatitis screening and vaccination recommendations for these populations. New updated version July 2008.
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A handy one page reference that covers basic hepatitis facts. Useful for keeping in exam rooms.
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The October issue of the Heptalk Listerv covers: 1. “Incorporating Sexual Risk Assessment in Routine Visits for Gay and Bisexual Men” Though targeted towards a narrower population, is applicable in most routine visit situations. Also includes some good specific questioning techniques. 2. Sexual History Taking. A complete module, in pdf form from the New England National Network of STD/HIV Prevention Training Centers, using 4 case studies. It reads easily and quickly and has many good suggestions.

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Publication of the World Health Organization

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