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The U.S. Environmental Protection Agency’s (EPA) Worker Protection Standard (WPS) provides basic workplace protections to farmworkers and pesticide handlers to minimize the adverse effects of pesticide exposure. EPA announced major revisions to the WPS in September 2015. MCN and FJ's fact sheet provides a summary of the revised regulation.

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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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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.

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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.

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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.

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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.

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This new guide from the National Center for Medical-Legal Partnership is intended to help civil legal aid practitioners message their work to health care audiences in order to build stronger cross sector medical-legal partnerships and to encourage investment in that work.

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For the first time, the U.S. Preventive Services Task Force has released an e-book version of its Guide to Clinical Preventive Services. The e-book is compatible with many readers, including Kindle, Nook, iBook, and Kobo. The new “Guide to Clinical Preventive Services, 2014” is a comprehensive resource that can help primary care clinicians and patients decide together which preventive services are right for a patient’s needs. It includes all active Task Force evidence-based recommendations since 2004, including 28 new and updated recommendations since the 2012 guide, in a format meant for use at the point of patient care. It also includes information about topics in development, clinical summary tables and additional resources.

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On Monday August 18, 2014 MCN submitted technical comments to the EPA regarding the proposed changes to the Worker Protection Standard.  View MCN's recommendations for advancing stronger safeguards to protect farmworkers from pesticide exposure. 

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This proposal will I) provide a profile of the agricultural industry and Farmworkers in Washington State II) propose a theoretical framework to understand farmworker housing accessibility III) describe prior legislative actions to address farmworker housing IV) and propose a set of recommendations to address farmworker housing.

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Published July 15, 2014

MCN holds the position that immigrant children fleeing violence in their home countries must receive priority consideration for their safety and health. We have provided several links with additional resources on this issue.

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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.  

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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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Part 6 of the 6 webinar series: Essential Clinical Issues in Migration Health

DATE RECORDED: June 25, 2014
PRESENTED BY: Brett Pack, DMD, Dental Director, Moses Lake Community Health Center and Maria Smith, MPA, Project Director, National Network for Oral Health Access

View Recorded Webinar  

Participant Evaluation  

Presentation Slides (PDF)

To receive CME* or CNE credit after viewing any of these webinars you must do the following:
  • Complete the Participant Evaluation associated with each webinar
  • Send an email with your first and last name stating which webinar you completed to contedu@migrantclinician.org

Note: Only participants of the live webinar are eligible for continuing dental education units.

The Patient-Centered Health Home is a concept being implemented through a variety of approaches including full integration, co-location, shared financing, virtual linkages and facilitated referral and follow-up. Health Homes are an important approach for helping to ensure that health center populations have access to comprehensive health care services, including dental care. This presentation will describe how oral health can be integrated into overall primary care systems to improve health care quality and outcomes of the patients we serve, by illustrating promising practices from an example health center oral health program.

Learning Objectives:

  1. Understand why medical-dental integration is a positive attribute
  2. Describe examples of medical-dental integration at the clinical level
  3. Receive “take home” examples of how to incorporate oral health into your health center’s Patient-Centered Health Home.

 

FURTHER READING

Visit www.nnoha.org to access resources available to support safety net oral health programs and to join as a member.

Report mentioned during the webinar: Oral Health and the Patient Centered Health Home: Action Guide 
http://www.nnoha.org/resources/clinical-excellence/integrate-care/

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Part 5 of the 6 webinar series: Essential Clinical Issues in Migration Health

DATE RECORDED: June 5, 2014
PRESENTED BY: Katherine Brieger, RD and Elizabeth Magenheimer

View Recorded Webinar

Participant Evaluation  

Presentation Slides (PDF)

To receive CME* or CNE credit after viewing any of these webinars you must do the following:
  • Complete the Participant Evaluation associated with each webinar
  • Send an email with your first and last name stating which webinar you completed to contedu@migrantclinician.org

Diabetes continues to be one of the most common and challenging health condition confronting migrants and other underserved populations. It is clear that a healthy lifestyle is critical to mitigating the impact of diabetes on individuals and the population, however effective and appropriate interventions can be difficult to design. Fairhaven Community Health Center in Connecticut and Hudson River Healthcare in New York, are two health centers that have long led the way in creating culturally appropriate lifestyle programs for migrants and other underserved patients. In this session the presenters will discuss lessons learned from the development of a variety of programs for diabetics and other patients including a community garden, nutrition classes, cooking classes, weight management and strategies to encourage exercise. The session will address the clinical core measures related to nutrition and BMI and will also discuss current research test second line drug effectiveness in Type 2 DM. Available in English

Learning Objectives:

  1. Describe culturally appropriate diabetes intervention strategies
  2. Identify strategies to address clinical core competencies related to nutrition and BMI to improve quality care.
  3. Receive “take home” examples of how to incorporate effective nutrition, weight loss, exercise and other health lifestyle strategies.

 

FURTHER READING

Download the Spanish Toolkit Materials

National Diabetes Information Clearinghouse, http://diabetes.niddk.nih.gov/dm/pubs/preventionprogram

Bright Bodies, http://brightbodies.org

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Three concise and effective environmental/occupational health screening questions for the primary care provider. English and Spanish. MCN, 2014.

An EHR-friendly version of these screening questions was developed through MCN's Workers & Health Program. This can be used as a reference for integration into the health center's Electronic Health Record. 

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New bilingual resource available April 2014!

Student Action with Farmworkers (SAF) has been using theater as an educational tool with farmworkers for over twenty years. By drawing on techniques of popular theater, SAF performs culturally appropriate, lively skits and facilitates theater workshops at farm labor camps. These performances spur conversations about mental and physical health, living and working conditions, and farmworker movements for social justice.

Many of SAF’s performances have focused on health issues, and they aim for this guide to offer dynamic tools for health care providers, educators, outreach workers, and public health innovators. Practitioners can also use these techniques with other populations across the social justice spectrum. For both organizers and educators, SAF hopes that popular theater can bolster the messages and information that you so readily share and provide a dynamic approach to outreach. Resources include songs, scripts, theater games and icebreakers. Printed copies are free, but SAF accepts small contributions to cover shipping and handling ($5-10/copy).

 

Available in print and online

Contact: Laxmi Haynes , 919-660-3660

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These files are part of the Engaging Migrant Men project.

MCN developed 3 vignettes that portray the three messages developed in video and printed form.

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These files are part of the Engaging Migrant Men project.

Accompanying discussion guides were created to be used by male peers, community leaders, or outreach workers for one-on-one and small group discussions with men.

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Hombres Unidos is a peer-led workshop focused on the primary prevention of sexual and intimate partner violence (s/ipv) with Latino migrant men.  Developed in 2005 with the support from the Centers for Disease and Control, this five session workshop is implemented using a popular education technique (Paulo Freire) which is a concept that incorporates notions of class, political struggle and social transformation.  

This webinar (sponsored by the Washington Coalition of Sexual Assault Programs) focuses on the collaborative development of a primary prevention workshop for Latino migrant men, the evaluation of the workshop, and the continuing effort on engaging Latino migrant men as allies with women in s/ipv prevention after the five session workshop.

After this webinar, participants will be able to identify:

  • methods on how to begin a conversation on sexual and intimate partner violence with Latino migrant men
  • process and outcome evaluation techniques on a primary prevention workshop developed for a specific population
  • efforts to continue to engage Latino migrant men in sexual and intimate partner violence prevention
  • how to incorporate existing efforts with your population

Recording & Materials

During the webinar, Adrian referenced a few handouts that are used in the program.  Below you will find a few of these in Spanish.

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Print, cut, and distribute this handy bookmark to providers who treat migrant and seasonal farmworker patients. The bookmark includes links and a qr code to connect you to pesticide - related clinical tools and resources. In addition, we've included some useful phone numbers in case of a pesticide emergency.

You can also use the bookmark to keep handy the Health Network phone number to be sure your patients on the move remain in care.

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This colorful bilingual comic addresses workers' compensation and immigrant dairy farm workers’ rights and responsibilities. It tells the story of a Mexican dairy farm worker who is injured on the job and the steps he and his employer take to make sure he receives his benefits, and the farm improves its safety. 

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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.

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A report prepared by researchers at The George Washington University School of Public Health and Health Services features a wealth of information on occupational health and safety and the migrant population, from farmworkers to fast-food chain employees to restaurant cooks and servers.

News release:
http://defendingscience.org/news/labor-day-looking-back-year-us-occupational-health-and-safety

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Dramatic, visual and culturally relevant, fotonovelas are a successful means of communicating health information. The following fotonovela materials are downloadable.

Provided by Farmworker Justice 

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Dramatic, visual and culturally relevant, fotonovelas are a successful means of communicating health information. The following fotonovela materials are downloadable.

 

Provided by Farmworker Justice

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Dramatic, visual and culturally relevant, fotonovelas are a successful means of communicating health information. The following fotonovela materials are downloadable. 
 

Provided by Farmworker Justice

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