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University of Minnesota's Global Health training program is offering free short courses on immigrant and refugee health.

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This web site houses a collection of information, contacts and resources to assist health practitioners in providing care to migrant farm workers. Although the primary intended audience is health care providers in Ontario, much of the information may be useful to other parties.

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This website contains information on the 156 health centers that get federal funds to provide primary care to migrant and seasonal farmworkers regardless of immigration status. Most are part of community health centers that also receive additional federal funding to serve all low-income people. They offer services on a sliding fee scale.

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A preliminary total of fatal work injuries recorded in the United States. According to results from the 
Census of Fatal Occupational Injuries (CFOI) program conducted by the U.S. Bureau of Labor
 Statistics.
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At Workers' Comp Hub we provide basic information for workers with job-related injuries and illnesses. We also share resources to advance pro-worker advocacy and action.

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The Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA) provides for federal regulation of pesticide distribution, sale, and use. All pesticides distributed or sold in the United States must be registered (licensed) by EPA. Before EPA may register a pesticide under FIFRA, the applicant must show, among other things, that using the pesticide according to specifications "will not generally cause unreasonable adverse effects on the environment.''

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Haz-Map® is an occupational health database designed for health and safety professionals and for consumers seeking information about the adverse effects of workplace exposures to chemical and biological agents. The main links in Haz-Map are between chemicals and occupational diseases. These links have been established using current scientific evidence.

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Emergency Medical and Field Fumigation Guides for Methyl Bromide, Methylisothiocyanate (MITC), Chloropicrin, and Metam Sodium/Metam Potassium.

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The Superior Court in the State of Delaware ruled that an undocumented worker who had been deported was entitled to receive workers’ compensation benefits to cover medical costs incurred due to an injury sustained on the job while in the US.

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The purpose of this course is to prepare providers to diagnose and treat acute pesticide poisoning and to increase their awareness of health problems associated with chronic pesticide exposure. While the focus of the course is on workers in agricultural settings, the course contents are also applicable for treating all pesticide related illness.

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Physicians, nurses, nurse practitioners, physician assistants, paramedics and other health care professionals often encounter work-related health and safety issues as they care for their patients. The Clinicians' webpage provides information, resources and links to help clinicians navigate OSHA's website and provide care for workers. Topics on the webpage include evaluating occupational exposures, OSHA requirements for recordkeeping and medical records, and setting up a safe outpatient office.

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http://www.onlineschools.org/online-bachelors-in-public-health/


http://www.onlineschools.org/online-masters-degree/ 


http://www.onlineschools.org/online-phd-in-public-health/

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If you would like to signal that yours is a welcoming business, social setting or place of worship, download one of MCN’s window posters and signal to the migrants in your midst, you are welcome here. Available in English and Spanish.

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Children encounter pesticides daily and have unique susceptibilities to their potential toxicity. Acute poisoning risks are clear, and understanding of chronic health implications from both acute and chronic exposure are emerging. Epidemiologic evidence demonstrates associations between early life exposure to pesticides and pediatric cancers, decreased cognitive function, and behavioral problems.
In this policy statement, the American Association of Pediatrics outlines the symptoms and suggested course of treatment for acute exposure pesticides belonging to the eight most predominant classes of pesticides. The policy statement also makes recommendations for both pediatricians and government to take measures to improve pesticide safety.
© AAP - 2012; This document is copyrighted and is property of the American Academy of Pediatrics and its Board of Directors.

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Evidence is increasingly emerging about chronic health implications from both acute and chronic exposure. A growing body of epidemiological evidence demonstrates associations between parental use of pesticides, particularly insecticides, with acute lymphocytic leukemia and brain tumors. Prenatal, household, and occupational exposures (maternal and paternal) appear to be the largest risks.
This report from the American Academy of Pediatrics reviews findings from population studies and related animal toxicology studies linking early/ parental exposure to pesticides to adverse birth defects and health conditions in children.

© AAP - 2012; This document is copyrighted and is property of the American Academy of Pediatrics and its Board of Directors.

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Migrant Clinicians Network and Migrant Health Promotions recommend strategies for increasing clinician involvement in consumer board member recruitment.

"What is your role in recruiting consumer board members?" is an Implementation Plan for Increasing Consumer Board Members at FQHCs.

Additionally, MCN and MHP have created a template for a recruitment poster to hang in your clinic. Feel free to take this tool and adapt it for the unique needs of your site.

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This poster is the first in a series at Pacific Lutheran University underwritten by a grant from the Pride Foundation.

The My Language. My Choice (MLMC) Campaign is a poster campaign to address the use of hurtful and harmful language. The campaign is focused on personal responsibility and choice.  Student leaders from various areas on campus have been photographed tearing up a word that they personally choose not to use.

If you would like further information about hurtful/harmful language, provide feedback, and continue the conversation about language choice, please visit the PLU Diversity Center website at www.plu.edu/dcenter.

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This archived webinar originally presented by Jennie McLaurin, MD and Tillman Farley, MD, provides an overview of effective strategies to integrate behavioral health into health center operations. The presenters come with many years of experience in providing culturally appropriate and high quality health care to migrants and other underserved populations. This page includes links to other SAMHSA-HRSA sponsored archived webinars in additional topics.

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The California Healthcare News regularly posts jobs around the state. Check back frequently for updated information.

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Much of the medical home model is predicated on a relatively stable population that can access regular care at a single network of providers.  So how can this model effectively transfer to a mobile population?  One of the key elements needed is a more expansive vision of a medical home beyond a single geographic location.  This session will explore strategies to create a patient centered medical home for patients on the move.  The presentation includes an update and overview of MCN’s Health Network to manage critical health care issues such as infectious disease, Cancer, Diabetes and Pre-natal patient navigations.  The content highlights innovative promising practices in the creation of patient centered medical homes for migrant patients. 

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October 15, 2012

Spanish version

Background
The Centers for Disease Control and Prevention (CDC) with state and local health departments and the Food and Drug Administration (FDA)External Web Site Icon are investigating a multistate meningitis outbreak of fungal infections among patients who have received a steroid injection of a potentially contaminated product into the spinal area. This form of meningitis is not contagious. The investigation also includes fungal infections associated with injections in a peripheral joint space, such as a knee, shoulder or ankle.

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Barbara C. Lee PhD, Susan S. Gallagher MPH, Amy K. Liebman MPA, MA, Mary E. Miller RN, MN & Barbara Marlenga PhD (2012)Journal of Agromedicine, 17:2, 88-93ABSTRACT. In 1996 the US launched a National Childhood Agricultural Injury Prevention Initiative, guided by an action plan generated by a 42-member multidisciplinary committee. A major update to the plan was released following the 2001 Summit on Childhood Agricultural Injury Prevention. From the year 2010 through 2011 a comprehensive assessment of progress to date was conducted followed by the drafting, review and finalizing of a new action plan—“The 2012 Blueprint for Protecting Children in Agriculture.” This paper briefly describes the purpose and process for generating the new action plan then provides a listing of the 7 goals and 26 strategies within the plan. These goals and strategies account for trends in childhood agricultural injuries, changes in agricultural production and the demographics of its workforce, effectiveness of interventions, and the increasing use of social media, marketing and social networking. Primary funding for this  project was provided by the National Institute for Occupational Safety and Health (NIOSH), which continues to serve as the lead federal agency for the national initiative.

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American Journal of Public Health. October 2012, Vol 102, No. 10

Werner E. Bischoff, MD, PhD, Maria Weir, MAA, MPH, Phillip Summers, MPH, Haiying Chen, MD, PhD, Sara A. Quandt, PhD,
Amy K. Liebman, MPA, MA, and Thomas A. Arcury, PhD

Objectives. The purpose of this study was to assess water quality in migrant farmworker camps in North Carolina and determine associations of water quality with migrant farmworker housing characteristics. Methods. We collected data from 181 farmworker camps in eastern North Carolina during the 2010 agricultural season. Water samples were tested using the Total Coliform Rule (TCR) and housing characteristics were assessed using North Carolina Department of Labor standards. Results. A total of 61 (34%) of 181 camps failed the TCR. Total coliform bacteria were found in all 61 camps, with Escherichia coli also being detected in 2. Water quality was not associated with farmworker housing characteristics or with access to registered public water supplies. Multiple official violations of water quality standards had been reported for the registered public water supplies. Conclusions. Water supplied to farmworker camps often does not comply with current standards and poses a great risk to the physical health of farmworkers and surrounding communities. Expansion of water monitoring to more camps and changes to the regulations such as testing during occupancy and stronger enforcement are needed to secure water safety. (Am J Public Health. 2012;102: e49–e54. doi:10.2105/AJPH.2012.300738)

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Cancer statistics for Hispanics/Latinos, 2012 by Rebecca Siegel MPH, Deepa Naishadham MA, MS, Ahmedin Jemal DVM, PhD

Article first published online: 17 SEP 2012

Abstract

Hispanics/Latinos are the largest and fastest growing major demographic group in the United States, accounting for 16.3% (50.5 million/310 million) of the US population in 2010. In this article, the American Cancer Society updates a previous report on cancer statistics for Hispanics using incidence data from the National Cancer Institute, the Centers for Disease Control and Prevention, and the North American Association of Central Cancer Registries and mortality data from the National Center for Health Statistics. In 2012, an estimated 112,800 new cases of cancer will be diagnosed and 33,200 cancer deaths will occur among Hispanics. In 2009, the most recent year for which actual data are available, cancer surpassed heart disease as the leading cause of death among Hispanics. Among US Hispanics during the past 10 years of available data (2000-2009), cancer incidence rates declined by 1.7% per year among men and 0.3% per year among women, while cancer death rates declined by 2.3% per year in men and 1.4% per year in women. Hispanics have lower incidence and death rates than non-Hispanic whites for all cancers combined and for the 4 most common cancers (breast, prostate, lung and bronchus, and colorectum). However, Hispanics have higher incidence and mortality rates for cancers of the stomach, liver, uterine cervix, and gallbladder, reflecting greater exposure to cancer-causing infectious agents, lower rates of screening for cervical cancer, differences in lifestyle and dietary patterns, and possibly genetic factors. Strategies for reducing cancer risk among Hispanics include increasing utilization of screening and available vaccines, as well as implementing effective interventions to reduce obesity, alcohol consumption, and tobacco use. CA Cancer J Clin 2012;. © 2012 American Cancer Society.

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Latinas are experiencing high rates of sexually transmitted diseases (STDs), teen childbearing, and unintended pregnancy. This report presents nine recommendations for sexual and reproductive health clinics and providers to increase young Latina women’s access to reproductive health services. The recommendations are based on findings derived from 14 focus groups conducted by Child Trends in three cities in the United States with young adult Latina women (18-24 years-old) and with reproductive health care and social service providers serving large Latina populations.

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New research out of Cornell University's College of Human Ecology found that low-income children of immigrants have much poorer health than low-income children of citizens, as reported in a special section of the journal Child Development.

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This resource for Outreach Programs provides ideas and resources for how to do outreach in an anti-immigrant climate by addressing specific barriers, providing strategies, and listing resources.It is provided by Health Outreach Partners in collaboration with Quincy Community Health Center, Lorena Sprager and Associates, Migrant Legal Action Program, and attendees from the 2011 and 2012 Western Migrant Stream Forums (WMSF).

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Robert Wood Johnson Foundation

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Abstract

STUDY OBJECTIVE:

To compare interpreter errors and their potential consequences in encounters with professional versus ad hoc versus no interpreters.

METHODS:

This was a cross-sectional error analysis of audiotaped emergency department (ED) visits during 30 months in the 2 largest pediatric EDs in Massachusetts. Participants were Spanish-speaking limited-English-proficient patients, caregivers, and their interpreters. Outcome measures included interpreter error numbers, types, and potential consequences.

RESULTS:

The 57 encounters included 20 with professional interpreters, 27 with ad hoc interpreters, and 10 with no interpreters; 1,884 interpreter errors were noted, and 18% had potential clinical consequences. The proportion of errors of potential consequence was significantly lower for professional (12%) versus ad hoc (22%) versus no interpreters (20%). Among professional interpreters, previous hours of interpreter training, but not years of experience, were significantly associated with error numbers, types, and potential consequences. The median errors by professional interpreters with greater than or equal to 100 hours of training was significantly lower, at 12, versus 33 for those with fewer than 100 hours of training. Those with greater than or equal to 100 hours of training committed significantly lower proportions of errors of potential consequence overall (2% versus 12%) and in every error category.

CONCLUSION:

Professional interpreters result in a significantly lower likelihood of errors of potential consequence than ad hoc and no interpreters. Among professional interpreters, hours of previous training, but not years of experience, are associated with error numbers, types, and consequences. These findings suggest that requiring at least 100 hours of training for interpreters might have a major impact on reducing interpreter errors and their consequences in health care while improving quality and patient safety.

Copyright © 2012. Published by Mosby, Inc.

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