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MCN Pesticide Exposure Clinical Guidelines and Assessment Form

MCN's Pesticide Clinical Guidelines and Pesticide Exposure Assessment Form assist in the recognition and management of acute pesticide exposures in primary care settings.

The pesticide guidelines were adapted from guidelines developed by Dr. Dennis H. Penzell, a former medical director of a Community and Migrant Health Center with experience in large-scale pesticide exposure incidents.

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Occupational Exposure History Tools

The following documents are a collection of the best resources available for taking a good occupational health history.

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Rapid Clinical Assessment Tool for Adolescent Farmworker Injury and Exposure

Use the link below to access MCN's Rapid Assessment Tool to help adolescent farmworkers identify agricultural tasks they perform in agriculture and facilitate clinician understanding about the health risks associated with it.  Youth worker images are adapted and reproduced with permission from the National Children Center for Rural and Agricultural Health and Safety. Images copyrighted through Marshfield Clinic, Marshfield, Wisconsin.

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EXTOXNET

Objective, science-based information about pesticides - written for the non-expert.

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5
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Cholinesterase (ChE) Testing Protocols and Algorithm for Healthcare Providers

These Cholinesterase (ChE) clinical tools provide a concise and simple format to guide clinicians in monitoring the ChE levels for patients working with Class I and Class II organophosphates (OP) or OP and N-methyl-carbamates. 

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National Pesticide Practice Skills Guidelines for Medical and Nursing Practice

Outlines the knowledge and skills that health professionals need to have about pesticides. This document is part of a national initiative aimed at ensuring that pesticides issues become integral elements of education and practice of primary care providers. English and Spanish

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4.5
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Recognition and Management of Pesticide Poisonings

EPA’s Recognition and Management of Pesticide Poisonings, 6th Edition, is an essential guide for healthcare providers on pesticide toxicology, diagnosis, and treatment. Includes a comprehensive index of signs and symptoms and important resources.

This manual guides clinicians on how to:

  • Conduct environmental and occupational exposure screening on patients
  • Report of exposure incidents
  • Find a wealth of available pesticide information resources

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American Association of Poison Control Centers

American Association of Poison Control Centers Offers a listing of regional Poison Control Centers. Poison Control Centers provide information regarding possible or actual environmental or occupational exposures and recommended treatments. The website offers education for children and adults.

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Assessment of Maternal Occupational Pesticide Exposures during Pregnancy and Three Children with Birth Defects: North Carolina, 2004

Introduction

In August of 2005, the North Carolina Division of Public Health, Occupational and Environmental Epidemiology Branch (OEEB) was notified that three women who had worked on farms in North Carolina owned by Ag-Mart had delivered infants with birth defects.  All three births took place in Florida where the women also worked on Ag-Mart farms and lived near each other.  This report summarizes the OEEB’s investigation and assessment of the pesticide exposures likely experienced by these women while in North Carolina. 

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Clinician Guides for Farmworker Health and Safety Regulations

MCN Clinician Guides

MCN and Farmworker Justice offer these guides to assist clinicians in understanding farmworker health and safety regulations. OSHA’s Field Sanitation Standard; EPA's Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA); EPA's  Food Quality Protection Act (FQPA); EPA’s Worker Protection Standard (WPS).

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