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Sherry L. Baron, MD, MPH, Sharon Beard, MS, Letitia K. Davis, ScD, EdM, Linda Delp, PhD, MPH, Linda Forst, MD, MPH, Andrea Kidd-Taylor, PHD, Amy K. Liebman, MPA, MA, Laura Linnan, ScD, Laura Punnett, ScD, and Laura S. Welch, MD

Background: Nearly one of every three workers in the United States is low-income. Low-income populations have a lower life expectancy and greater rates of chronic diseases compared to those with higher incomes. Low- income workers face hazards in their workplaces as well as in their communities. Developing integrated public health programs that address these combined health hazards, especially the interaction of occupational and non-occupational risk factors, can promote greater health equity.

Methods: We apply a social-ecological perspective in considering ways to improve the health of the low-income working population through integrated health protection and health promotion programs initiated in four different settings: the worksite, state and local health departments, community health centers, and community-based organizations.

Results: Examples of successful approaches to developing integrated programs are presented in each of these settings. These examples illustrate several complementary venues for public health programs that consider the complex interplay between work related and non work-related factors, that integrate health protection with health promotion and that are delivered at multiple levels to improve health for low-income workers.

Conclusions: Whether at the workplace or in the community, employers, workers, labor and community advocates, in partnership with public health practitioners, can deliver comprehensive and integrated health protection and health promotion programs. Recommendations for improved research, training, and coordination among health departments, health practitioners, worksites and community organizations are proposed.

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Sample clinic policy for working with patients who have been sexually assaulted.
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Appropriate information and training empower midwives and other health workers to provide the care needed to reduce dangers in childbirth. Developed with the participation of dozens of community-based midwives, midwifery trainers, and medical specialists, Hesperian's new edition of Un libro para parteras/A Book for Midwives has been reorganized and extensively revised to better support care during labor and management of obstetric emergencies, and expanded to include lifesaving reproductive health information.
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a multidisciplinary unit of The University of Michigan Health System. It has been funded by the National Institutes of Health since 1977 and is one of five centers in the United States.
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Funding Opportunities from NACCHO, NACCHO's Foundation Funding Guide, Governmental, Non-Governmental
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Provides referral to private attorney when a Social Security hearing is scheduled. Free or reduced cost legal services available.
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The Lung Cancer Alliance is the only national non-profit organization dedicated solely to advocating for people living with lung cancer or those at risk for the disease
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This two-part study examines primary care clinicians' chart documentation and attitudes when confronted by a positive waiting room screen for intimate partner violence (IPV) and concludes that mandatory waiting room screening for IPV does not result in high levels of referral or safety planning by PCPs.
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What’s new: For the latest Flu news from CDC
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Please give your HIV- or HCV-infected patients copies of the educational pieces below to help them stay informed about the vaccines they need.
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Marian Clinic operates in Topeka Kansas and welcomes as its patients the low-income residents of Shawnee County who are living at or below 175% of federal poverty guidelines and have no health insurance or other means to obtain the care they need.
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Sample protocol for assessing and treating diaper rash.
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To plan for financially related tasks; which must be performed on a regular basis.
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The purpose of the Computer Virus Detection Guideline is to describe the requirements for dealing with computer virus, worm and Trojan Horse prevention, detection and cleanup.
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The town of Greenfield, CA has a high population of indigenous immigrants from Oaxaca, Mexico, many of whom speak little Spanish and/or English. This website is a compilation of work done by students from the UC,Berkeley Graduate School of Journalism and reports on what the town of Greenfield is doing to improve communications and relations with these indigenous peoples
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The Migrant Clinicians Network’s (MCN) mission is to promote the health of farmworkers by providing a framework for professional development to clinicians and other healthcare providers. MCN responds to the expressed needs of clinicians in the field who serve farmworker families, the issues voiced by farmworkers themselves as they are interviewed and known by the representative members of MCN, and the strategic initiatives of the federal and public health communities as they impact migrant health. Monographs are one mechanism used by MCN to address gaps between medical care knowledge and migrant health practice. Acute, chronic, and preventive care needs of farmworkers require the clinician and health care community to recognize interrelationships between biological risk factors, environmental exposures, social and cultural components, political and economic realities, and occupational characteristics.

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This resource from the California Department of Public Health provides facts, information for health professionals,  data and surveillance, vaccine, and prevention.

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The Environmental Protection Agency (EPA) is proposing changes to the Worker Protection Standard (WPS), the agricultural worker regulation intended to provide basic workplace protection for millions of farmworkers.

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Again, Dr. Deborah Wexler, the Executive Director of the Immunization Action Coalition provides further reading and research on the topic of parental hesitation.  In the second half, we take a brief look at adults specifically:  why do adults hesitate to receive vaccines?  Are these barriers the same as for parents on behalf of their children?  Please feel free to send responses, comments, thoughts, and ideas to the listserv administrator atkath@healthletter.com. If you send comments, we will follow up with your responses and ideas in the next listserv.

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When we traveled across the country to visit your clinics, many of you expressed concerns about lack of funding for adult immunization and testing. Reprinted from the Immunization Action Coalition, we pass along an opportunity: IAC Express, Issue Number 642, January 24, 2007.

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National Center for Infectious Diseases, Division of Parasitic Diseases - Provides overview of numerous water-borne and sanitation related diseases.

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American Academy of Pediatrics (AAP) is an organization of primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children and adolescents.

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