Thank you for reading the Summer 2026 issue of Streamline. Here we collect all the resources from the issue, organized by article.
Pesticide Exposure Pathways and Pediatric Health in Agricultural Communities
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.
Resources
Migrant Clinicians Network Webinar: Field to Clinic: Recognizing Pesticide-Related Illness in Children
Provides clinicians with practical guidance on recognizing, diagnosing, and managing pediatric pesticide-related illness, including exposure pathways, clinical signs, case-based learning, and exposure identification in agricultural communities.
https://www.migrantclinician.org/webinar/field-clinic-recognizing-pesticide-related-illness-children-2026-04-29.html
Migrant Clinicians Network Pesticide Webinar Series: How to Prevent Pesticide Poisonings in Farmworkers
This three-part webinar series covers diagnosis and management of pesticide illness, public health and legal issues, and culturally informed prevention for farmworker communities. It highlights the need to address both workplace and household risks. https://www.migrantclinician.org/webinar/diagnosis-and-management-pesticide-related-illness-how-prevent-pesticide-poisoning
Worker Protection Standard (WPS) Pesticide Safety Training Curriculum and Resources
These resources offer materials and tools to help meet Worker Protection Standard requirements and minimize pesticide exposure among farmworkers.
https://www.migrantclinician.org/resource/worker-protection-standard-pesticide-safety-training-curriculum-and-resources.html
Juan, Abre los Ojos: Cómo Protegerse de los Pesticidas
This Spanish-language comic book provides practical, culturally appropriate education for farmworker communities on pesticide exposure prevention and take-home contamination.
https://www.migrantclinician.org/resource/juan-abre-los-ojos-como-protegerse-de-los-pesticidas-comic.html
Migrant Clinicians Network Pesticides Resource Page
Central hub for clinical tools, training materials, patient education resources, and pesticide prevention materials for clinicians serving agricultural communities.
https://www.migrantclinician.org/explore-environmental-and-worker-health/pesticides.html
EPA Recognition and Management of Pesticide Poisonings (6th Edition)
Comprehensive clinical guidance for diagnosing, managing, and preventing pesticide-related illnesses, including occupational exposure pathways and treatment considerations.
https://www.migrantclinician.org/announcement/now-available-epas-recognition-and-management-pesticide-poisonings-6th-edition.html?language=en
Pediatric Environmental Health Specialty Units (PEHSU)
PEHSU offers clinical consultation, education, and resources on children's environmental exposures, including pesticides.
https://pehsu.net/
Asthma Community Network
Provides evidence-based educational materials, tools, and community resources to help families manage asthma, reduce environmental triggers, and improve asthma outcomes for children and families.
https://www.asthmacommunitynetwork.org/
EPA Worker Protection Standard (WPS)
Overview of federal regulations designed to reduce pesticide exposure among agricultural workers, including training, protective equipment, and safety requirements.
https://www.epa.gov/pesticide-worker-safety/agricultural-worker-protection-standard-wps
References:
U.S. Environmental Protection Agency. Pesticides Industry Sales and Usage: 2008–2012 Market Estimates. Washington, DC: U.S. Environmental Protection Agency; 2017.
U.S. Environmental Protection Agency (EPA). Recognition and Management of Pesticide Poisonings. 6th ed. Washington, DC: U.S. Environmental Protection Agency, Office of Pesticide Programs, 2013
American Academy of Pediatrics Council on Environmental Health. Pesticides. In: Etzel RA, Balk SJ, eds. Pediatric Environmental Health. 4th ed. Itasca, IL: American Academy of Pediatrics; 2019.
US Environmental Protection Agency. Pesticides and Their Impact on Children: Key Facts for Health Care Providers and the Public. 2015.
Roberts J. Field to Clinic: Recognizing Pesticide-Related Illness in Children. Migrant Clinicians Network webinar. 2026.
López-Gálvez N, Wagoner R, Quirós-Alcalá L, Ornelas Van Horne Y, Furlong M, Avila E, Beamer P. Systematic literature review of the take-home route of pesticide exposure via biomonitoring and environmental monitoring. Int J Environ Res Public Health. 2019;16(12):2177. doi:10.3390/ijerph16122177
Liebman A, Galván A, Costa M. Culture Is Key! Prevention of Farmworker Pesticide-Related Illness Using Cultural Contextual Education. Video Session 3. Migrant Clinicians Network webinar series. 2024.
Bouchard, Maryse F et al. “Prenatal exposure to organophosphate pesticides and IQ in 7-year-old children.” Environmental Health Perspectives. vol. 119,8 (2011): 1189-95. doi:10.1289/ehp.1003185
Stein, L. J., et al. “Early Childhood Adversity Potentiates the Adverse Association between Prenatal Organophosphate Pesticide Exposure and Child IQ: The CHAMACOS Cohort.” Neurotoxicology, vol. 56, 2016, pp. 180–187. doi:10.1016/j.neuro.2016.07.010.
Barr DB, Buckley B. In vivo biomarkers and biomonitoring in reproductive and developmental toxicity. In: Gupta RC, ed. Reproductive and Developmental Toxicology. Academic Press; 2011:253-265. doi:10.1016/B978-0-12-382032-7.10020-7.
Cimino AM, Boyles AL, Thayer KA, Perry MJ. Effects of neonicotinoid pesticide exposure on human health: a systematic review. Environ Health Perspect. 2017;125(2):155-162. doi:10.1289/EHP515.
Eskenazi, Brenda et al. “Association of Lifetime Exposure to Glyphosate and Aminomethylphosphonic Acid (AMPA) with Liver Inflammation and Metabolic Syndrome at Young Adulthood: Findings from the CHAMACOS Study.” Environmental health perspectives vol. 131,3 (2023): 37001. doi:10.1289/EHP11721
Arcury TA, Chen H, Arnold TJ, et al. Pesticide exposure among Latinx child farmworkers in North Carolina. Am J Ind Med. 2021;64(7):602-619.
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
Lepetit C, Gaber M, Zhou K, et al. Follicular DNA damage and pesticide exposure among Latinx children in rural and urban communities. Exposure and Health. 2024; 16:1039-1052.
Shannon B. Diagnosis and Management of Pesticide-Related Illness: How to Prevent Pesticide Poisoning. Video Session 1. Migrant Clinicians Network webinar series. 2024.
Forst L. Public Health & Legal Considerations in Pesticide-Related Illness in Farmworkers. Video Session 2. Migrant Clinicians Network webinar series. 2024.
Peter JV, Sudarsan TI, Moran JL. Clinical features of organophosphate poisoning: A review of different classification systems and approaches. Indian J Crit Care Med. 2014;18(11):735-745. doi:10.4103/0972-5229.144017.
How Health Centers Can Support Vital Conditions for Healthy Lives
Resources:
Health Network
MCN’s virtual care coordination system that assists individuals with ongoing health needs to access care for their conditions.
www.migrantclinician.org/healthnetwork.
MCN’s Comic Books in English and Spanish
www.migrantclinician.org/comics
MCN’s Respiratory Health and Protection Hub
Provides numerous resources in English and Spanish
https://www.migrantclinician.org/respiratory-health-and-protection
Aunque cerca… sano
MCN’s comic book about children’s exposure to pesticides in the home.
"Safeguarding Children in Agriculture: A National Action Plan 2025,”
From the National Children’s Center for Rural and Agricultural Health and Safety to help farms protect children that are working, visiting, and that live on farms. The report is now available in English and Spanish.
https://www.marshfieldresearch.org/nccrahs
Health Outreach Partners
Offers a variety of transportation resources for community health center
Visit https://outreach-partners.org/ to access resources and webinars.
Designing Community-Based Communication Campaigns Manual
MCN’s in-depth, 70-page guide to building and launching community campaigns assists health centers in reaching and connecting with various members of their community and partnering with community-based organizations. Available in English and Spanish:
References:
https://www.uscis.gov/tools/reports-and-studies/h-2a-employer-data-hub
https://www.greenhousegrower.com/management/h-2a-program-sees-massive-growth-in-first-half-of-2026/
These numbers represent the total number of certified H-2A positions, not unique workers. Some workers may receive more than one H-2A position per fiscal year.
Frontiers | Precarious work and chronic disease: lessons learned from the US national agricultural worker survey (1999–2020). Available at: https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1651197/full
Frontiers | Chronic disease burden among Latino farmworkers in California. Available at: https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.1024083/full
Advancing the Health of Migrant and Seasonal Farmworkers in the United States on JSTOR Available at: https://www.jstor.org/stable/27346452
https://rippel.org/vital-conditions/
https://www.nachc.org/resource/vital-conditions-for-health-and-well-being/
https://marshfieldresearch.org/nccrahs/nap/2025
https://www.migrantclinician.org/resource/how-control-your-hypertension-comic.html
https://www.migrantclinician.org/resource/those-who-seek-find
https://www.migrantclinician.org/resource/clear-air-protect-your-health-bad-air.html
https://outreach-partners.org/2025/10/transportation-quality-improvement-toolkit-2/
https://outreach-partners.org/2025/02/improving-health-outcomes-for-transportation/
Everything You Need to Know about New World Screwworm
Resources:
New World Screwworm Outbreak, from CDC:
https://www.cdc.gov/new-world-screwworm/situation-summary/index.html
Communication Resources | New World Screwworm | CDC:
https://www.cdc.gov/new-world-screwworm/communication-resources/index.html
Resurgence of New World Screwworm in the Americas: What Healthcare Providers Need to Know | COCA | CDC:
https://www.cdc.gov/coca/hcp/trainings/resurgence-new-world-screwworm.html
HHS and USDA Confirm Singular Traveler-Associated New World Screwworm Case; Precautionary and Proactive Surveillance Ongoing | USDA :
https://www.usda.gov/about-usda/news/press-releases/2025/08/26/hhs-and-usda-confirm-singular-traveler-associated-new-world-screwworm-case-precautionary-and#:~:text=(Washington,%20D.C.,%20August%2026,this%20case%20is%20very%20low.
New World Screwworm: What You Need To Know | USDA | APHIS:
https://www.aphis.usda.gov/sites/default/files/screwworm-brochure-english.pdf
Current Status of New World Screwworm | Screwworm.gov:
https://www.aphis.usda.gov/livestock-poultry-disease/stop-screwworm/current-status?page=1
Rethinking Livestock Management to Consider Screwworm - Texas A&M AgriLife Extension Service:
https://agrilifeextension.tamu.edu/rethinking-livestock-management-to-consider-screwworm/
What to Do if You Suspect New World Screwworm in Your Herd - Texas A&M AgriLife Extension Service:
https://agrilifeextension.tamu.edu/what-to-do-if-you-suspect-new-world-screwworm-in-your-herd/
Companion Animal Care in the Face of the New World Screwworm (NWS) Threat - Texas A&M AgriLife Extension Service:
https://agrilifeextension.tamu.edu/companion-animal-care-nws/
Cuidado de animales de compañía frente a la amenaza del Gusano Barrenador del Nuevo Mundo (GBNM) - Texas A&M AgriLife Extension Service: https://agrilifeextension.tamu.edu/companion-animal-care-nws/
Wildlife Monitoring and Management for New World Screwworm - Texas A&M AgriLife Extension Service:
https://agrilifeextension.tamu.edu/wildlife-monitoring-and-management-for-new-world-screwworm/
Monitoreo y manejo de fauna silvestre para el gusano barrenador del Nuevo Mundo - Texas A&M AgriLife Extension Service:
Weather-related Emergencies and Disaster Management - Information Hub | Migrant Clinicians Network:
References:
United States Department of Agriculture Animal and Plant Health Inspection Service. New World Screwworm: What You Need To Know = USDAa. USDA APHIS. June 8, 2026. https://www.aphis.usda.gov/sites/default/files/new-world-screwworm-what-you-need-to-know-brochure.pdf. Accessed: 07/08/2026.
United States Department of Agriculture. Current Status of New World Screwworm = USDAb. Screwworm.gov. July 7, 2026. https://www.aphis.usda.gov/animals/animal-health/livestock-and-poultry-disease/current-status. Accessed: 07/08/2026.
United States Department of Agriculture Animal and Plant Health Inspection Service. New World Screwworm Ready Reference Guide—Maps & Timelines. USDA APHIS. November 1, 2016. https://www.aphis.usda.gov/sites/default/files/screwworm_rrg.pdf. Accessed: 07/08/2026
Centers for Disease Control and Prevention. New World Screwworm Outbreak. CDC. June 30, 2026. https://www.cdc.gov/new-world-screwworm/situation-summary/index.html. Accessed: 07/08/2026.
Hanna J and Bynum R. What to Know About the New World Screwworm Fly and Its Reappearance in the US. Yale Climate Connections. June 8, 2026. https://yaleclimateconnections.org/2026/06/what-to-know-about-the-new-world-screwworm-fly-and-its-reappearance-in-the-us/. Accessed: 07/08/2026
Stump Denton A and Shike J. Winter: the Secret to Slowing the Spread of Screwworm. Drovers. Oct. 02, 2025. https://www.drovers.com/news/industry/winter-secret-slowing-spread-screwworm. Accessed: 07/08/2026
Steps to a Resilient Patient Navigation Program: Lessons Learned from Puerto Rican Community Health Centers
References:
Seda CH, M Pagán Santana. Disaster Preparedness at Health Centers: Resources to Help Clinicians Prepare Communities for Extreme Weather Threats. Streamline. 2026;32(2):1-4.
Colón-López V, Contreras-Mora HM, Pérez CM, et al. Breast and Colorectal Cancer Screening Utilization after Hurricane María and the COVID-19 Pandemic in Puerto Rico. Int J Environ Res Public Health. 2023;20(19):6870. Published 2023 Oct 1. doi:10.3390/ijerph20196870
Suárez-Ramos T, Verganza S, Pagán-Santana Y, et al. Evaluating the impact of hurricanes and the COVID-19 pandemic on colorectal cancer incidence in Puerto Rico: An interrupted time-series analysis. Cancer. 2025;131(8):e35793. doi:10.1002/cncr.35793
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!
