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Resources Featured | Streamline Spring 2026

Thank you for reading the Spring 2026 issue of Streamline. Here we collect all the resources from the issue, organized by article.

 

Disaster Preparedness at Health Centers

This article is eligible for 0.5 Continuing Education Credit. Please click here to complete the assessment to receive your credit or certificate of completion. This assessment is available through December 1, 2026. 

References:

  1. Draft Action Plan for Disaster Recovery: 2024 Derecho + Hurricane Beryl. City of Houston Housing and Community Development. 20 July 2025.  https://houstontx.gov/hcdrecovery/dr24/action-plan/Draft_Action_Plan-for_DR24_Derecho_Hurricane_Beryl-052725.pdf 
  2. Ibid.
  3. Martinez A and E Foxhall. Why Texas’ mass power outages continue to happen. The Texas Tribune. 18 July 2024. https://www.texastribune.org/2024/07/18/texas-energy-grid-power-outages-climate-change-infrastructure/
  4. Taft I, J Jones, and A Blinder. Hospitals in Houston ‘Backed Up’ After Hurricane, as Millions in U.S. Swelter. The New York Times. 20 July 2024. https://www.nytimes.com/2024/07/10/us/heat-power-outage-houston.html
  5. LA County Releases After-Action Review of Alert Notification Systems and Evacuation Policies for the Eaton and Palisades Fires. Los Angeles County Sheriff’s Department. Press Release. 25 September 2025. https://lacounty.gov/2025/09/25/la-county-releases-after-action-review-of-alert-notification-systems-and-evacuation-policies-for-the-eaton-and-palisades-fires/ 
  6. Chilukuri S. After Helene and Milton, Farmworkers Play an Outsized Role in the Cleanup. Scalawag. 18 December 2024. https://scalawagmagazine.org/2024/12/after-helene-and-milton-farmworkers-play-an-outsized-role-in-the-cleanup/
  7. Makwana N. Disaster and its impact on mental health: A narrative review. J Family Med Prim Care. 2019;8(10):3090-3095. Published 2019 Oct 31. doi:10.4103/jfmpc.jfmpc_893_19
  8. Mental Health and Well-Being in Agricultural Worker Communities. Migrant Clinicians Network. Archived Webinar. 10 June 2025. https://www.migrantclinician.org/webinar/mental-health-and-well-being-agricultural-worker-communities-2025-06-10.html
  9. Cancino J, Soto K, Tapia J, et al. Occupational exposure to pesticides and symptoms of depression in agricultural workers. A systematic review. Environ Res. 2023;231(Pt 2):116190. doi:10.1016/j.envres.2023.116190

Pregnancy & Organophosphate Pesticides

References:

  1. Rotkin-Ellman M, Carpenter C, Richardson MJ, English PB, Gunier RB, Harley KG. Temporal trends of agricultural organophosphate pesticide use in California and proximity to pregnant people in 2021. BMC Public Health. 2025;25(1):3121. Published 2025 Sep 30. doi:10.1186/s12889-025-23939-y
  2. Facts, Figures, and FAQs. Farm Bureau Monterey. Accessed 4 May 2026. https://montereycfb.com/facts-figures-faqs/
  3. “Toxicity-weighted use” assigns a numerical value to the chemical’s toxicity, relative to other chemicals. Learn more: https://www.epa.gov/rsei/rsei-toxicity-weights
  4. Gunier RB, Bradman A, Harley KG, Kogut K, Eskenazi B. Prenatal Residential Proximity to Agricultural Pesticide Use and IQ in 7-Year-Old Children. Environ Health Perspect. 2017;125(5):057002. Published 2017 May 25. doi:10.1289/EHP504
  5. Muñoz-Quezada MT, Lucero BA, Barr DB, et al. Neurodevelopmental effects in children associated with exposure to organophosphate pesticides: a systematic review. Neurotoxicology. 2013;39:158-168. doi:10.1016/j.neuro.2013.09.003
  6. Holzman DC. Pesticides and autism spectrum disorders: new findings from the CHARGE study. Environ Health Perspect. 2014;122(10):A280. doi:10.1289/ehp.122-A280
  7. Marks AR, Harley K, Bradman A, et al. Organophosphate pesticide exposure and attention in young Mexican-American children: the CHAMACOS study. Environ Health Perspect. 2010;118(12):1768-1774. doi:10.1289/ehp.1002056
  8. Agreement Reached to End Sale of Chlorpyrifos in California by February 2020. California Environmental Protection Agency. Press Release. 9 Oct 2019. https://calepa.ca.gov/2019/10/09/press-release-agreement-reached-to-end-sale-of-chlorpyrifos-in-ca-by-feb-2020/
  9. Ibid.
  10. Rotkin-Ellman M, Carpenter C, Richardson MJ, English PB, Gunier RB, Harley KG. Temporal trends of agricultural organophosphate pesticide use in California and proximity to pregnant people in 2021. BMC Public Health. 2025;25(1):3121. Published 2025 Sep 30. doi:10.1186/s12889-025-23939-

Cultivating Awareness in Times of Extreme Heat

References:

  1. Guzmán-Colón D, Crespo-Vélez S, Rodríguez-Cruz LA,  et. al. Guía de adaptación cambio climático en fincas y terrenos boscosos de caribe (Guidance for climate change adaptation in Puerto Rico's agricultural sector). USDA Caribbean Climate Hub. 2024. https://caribbeanclimatehub.org/wp-content/uploads/2024/05/Guia-Practica-WEB-1.pdf

  2. Sad T. Puerto Rico's agriculture sector devastated by Hurricane Maria. CSG EAST. 1 Nov 2017. https://csg-erc.org/puerto-ricos-agriculture-sector-devastated-by-hurricane-maria/

Beyond the Thermometer: The Power of Advocacy

References:

  1. Quiñones F, Torres S. El Clima de Puerto Rico. Recursos de Agua de Puerto Rico (The Climate of Puerto Rico. Puerto Rico Water Resources). 2017. https://www.recursosaguapuertorico.com/clima_pr_for_web_page_2005_rev_jan2012.pdf
  2. El clima de Puerto Rico (The Climate of Puerto Rico). EnciclopediaPR. https://enciclopediapr.org/content/el-clima-de-puerto-rico/
  3. QuickFacts: Lajas Municipality, Puerto Rico. US Census Bureau, Census Bureau QuickFacts. Accessed 4 May 2026. https://www.census.gov/quickfacts/fact/table/lajasmunicipiopuertorico/PST045224
  4. Oficina de Servicios Legislativos. Proyecto de la Cámara.. House Bill (PC0555). Retrieved from: https://sutra.oslpr.org/medidas/155331
  5.  Alfonso O. Prometieron empleos. . . y trajeron cenizas (They promised jobs... and brought ashes). Centro De Periodismo Investigativo. 8 March 2016. https://periodismoinvestigativo.com/2016/03/prometieron-empleos-y-trajeron-cenizas/
  6. Valentín A. Decisión del Supremo federal podría impactar depósito de cenizas en Puerto Rico (Federal Supreme Court Decision Could Impact Ash Dump in Puerto Rico). Microjuris al Día. 20 April 2020. https://aldia.microjuris.com/2020/04/27/decision-del-supremo-federal-podria-impactar-deposito-de-cenizas-en-puerto-rico/
  7. Protestan en Salinas por depósito de cenizas (Protests in Salinas over ash dump). NotiCel. 11 Jan 2023. https://www.noticel.com/ahora/20230111/protestan-en-salinas-por-deposito-de-cenizas/
  8. Cal/OSHA Heat Illness Prevention Guidance and Resources. State of California Department of Industrial Relations. Accessed 4 May 2026. https://www.dir.ca.gov/dosh/heatillnessinfo.html

We invite you to tell us your thoughts on Streamline. What would you like to see in future issues? What MCN resources do you use the most in your health center? Email edu@migrantclinician.org or call: 512-579-4533. Thank you!

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