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A Daily Practice to Restore Equanimity

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How to Re-establish Safety When You Have been Jolted into a Stress Response

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Healthy Sleep Tips

Questions for staff to address current organizational tensions

Application Deadline: 04/15/2018 at 5 pm CST

The Underserved Occupational Populations Section of ACOEM is sponsoring one $1,000 scholarship to qualified residents and medical students interested in making significant contributions to the field of underserved occupational medicine.The scholarship was established in honor of Joseph A. Fortuna, MD, FACOEM who founded the Underserved Occupational Populations Section of ACOEM and who was a tireless supporter of underserved workers and their families.

"The Global Report on Internal Displacement presents the latest information on internal displacement worldwide caused by conflict, violence and disasters."

"These materials are designed to be simple and useful in helping physicians and health-care professionals to meet the needs of their patients who may be undocumented or suffering stresses related to close family or community members being undocumented.  While there are many toolkits being developed, we hope that these materials might be very easy to use and enable the physician or other health-care professional to address the most immediate needs of such patients."

Offers basic screening questions, common occupations and ailments associated with them, as well as recommended treatment. Also includes sample letters from clinicians to employers for restricted work.

This resource offers training for community based organizations and workers in the aftermath of natural disasters. It includes educational materials as well as trainer guides and tools.

Blog post from the U.S. Department of Labor highlighting common hazards during hurricane cleanup as well as links to additional readings.

Information on keeping food and water safe for consumption and best hygiene practices in the face of disasters.

Offers tips about potential hazards and protective strategies during disaster cleanup.

This page highlights important tools for clinicians as well as diagnoses to consider when caring for disaster-affected patients.

United for Puerto Rico is an initiative brought forth by the First Lady of Puerto Rico, Beatriz Rosselló, in collaboration with the private sector, with the purpose of providing aid and support to those affected in Puerto Rico by the passage of Hurricane Irma and Hurricane María. 100% of the proceeds will go to helping the victims afteced by these natural disasters in Puerto Rico.

This site includes various helpful links including information on health hazards, mold remediation, respirator use, and related policy information.

Comprehensive flood information including links to preparedness and response/recovery pages.

Comprehensive hurricane information including links to preparedness and response/recovery pages.

"To assist health centers in obtaining Federal Emergency Management Agency (FEMA) funding for damaged or destroyed facilities, Capital Link has developed Hurricane Recovery Resources for Health Centers, supported by the Health Resources and Services Administration."

"The Human Diagnosis Project (also referred to as "Human Dx" or "the Project") is a worldwide effort created with and led by the global medical community to build an online system that maps the best steps to help any patient. By combining collective intelligence with machine learning, Human Dx intends to enable more accurate, affordable, and accessible care for all."

A resource by the CDC highlighting the symptoms and signs of carbon monoxide poisoning, which is often a cause of illness and death after a natural disaster.

"Carbon monoxide (CO) is an odorless, colorless, poisonous gas that can cause sudden illness and death if present in sufficient concentration in the ambient air. When power outages occur during emergencies such as hurricanes or winter storms, the use of alternative sources of fuel or electricity for heating, cooling, or cooking can cause CO to build up in a home, garage, or camper and poison the people and animals inside." - CDC


Safety and Health Practices
for Nail Salon Workers

Safety and Health Practicesfor Nail Salon Workers and a Training Guide for Nail Salon Worker Safety and Health Outreach Program


This 90-minute webinar was created for physicians, nurses, and other health professionals who treat and case manage patients with active TB.  The webinar introduced the 2016 Official American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America Clinical Practice Guidelines: Treatment of Drug-Susceptible Tuberculosis.  This training highlighted the guidelines development process, the key changes in recommendations, and discussed the evidence supporting the changes.  The webinar was originally presented on November 4, 2016. This training was jointly sponsored by all 5 RTMCCs.

Diabetes HealthSense provides easy access to resources to help you live well and meet your goals—whether you have diabetes or are at risk for the disease. Available in English.

The 1999–2013 United States Cancer Statistics (USCS): Incidence and Mortality Web-based Report includes the official federal statistics on cancer incidence from registries that have high-quality data, and cancer mortality statistics. It is produced by the Centers for Disease Control and Prevention (CDC) and the National Cancer Institute (NCI). This report shows that in 2013, 1,536,119 Americans received a new diagnosis of invasive cancer, and 584,872 Americans died of this disease (these counts do not include in situ cancers or the more than 1 million cases of basal and squamous cell skin cancers diagnosed each year).

This year’s report features information on invasive cancer cases diagnosed during 2013, the most recent year of incidence data available, among residents of 49 states, six metropolitan areas, and the District of Columbia—geographic areas in which about 99% of the U.S. population resides. Incidence data are from CDC’s National Program of Cancer Registries (NPCR) and NCI’s Surveillance, Epidemiology, and End Results (SEER) Program. Data from population-based central cancer registries in these states and metropolitan areas meet the criteria for inclusion in this report.

The report also provides cancer mortality data collected and processed by CDC’s National Center for Health Statistics. Mortality statistics, based on records of deaths that occurred during 2013, are available for all 50 states and the District of Columbia.

The report also includes incidence rates and counts for Puerto Rico for 2009 through 2013 by sex and age, as well brain tumor and childhood cancer data.

USCS data are presented in the following applications—




DATE RECORDED: June 22, 2016

PRESENTED BY: Kerry Brennan



Continuing Education Credit

To receive CME* or CNE credit after viewing this webinar, you must:

  • Complete the Participant Evaluation associated with this webinar
  • Send an email with your first and last name stating which webinar you completed to

José Navarro was excited for his new career after landing a job in the poultry industry. After five years on the job, 37 year-old Navarro began coughing up blood. He died soon after when his lungs and kidneys failed. His death triggered a federal investigation raising questions about the health risks associated with the use of toxic chemicals in poultry plants.

Millions of workers are exposed to chemicals everyday on the job. All workers have the right to know about the chemicals they work with and community health workers can be an important source of information and support for workers. This workshop will teach community health workers how to explain what happens when someone is exposed to chemicals and how workers can best protect themselves

Learning Objectives
  1. Recognize how workers become exposed to chemicals and illnesses
  2. Describe basic safety practices when working around chemicals
  3. Understand the role of community health workers in identifying and preventing work related illnesses and hazards
Further Reading

This material will be produced under grant number SH-27640-15-60-F-48-SH5 from the Occupational Safety and Health Administration, U.S. Department of Labor. It will not necessarily reflect the views or policies of the U.S. Department of Labor, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government. This webpage features factsheets and videos developed by the Upper Midwest Agricultural Safety and Health Center (UMASH) to educate farmworkers, producers, and veterinarians about needlestick prevention.  Resources are available in both English and Spanish.  

DATE RECORDED: Wednesday, June 17, 2014
PRESENTED BY: Matthew Keifer, MD, MPH, Dean Emanuel Endowed Chair/Director National Farm Medicine Center

Webinar: Pesticide poisonings. Are you prepared?
View Recorded WebinarParticipant Evaluation

EOH iconMCN’s Environmental and Occupational Health Programs

Learn more about MCN’s training and technical assistance programs to help clinicians and health centers improve the recognition and management of pesticide exposures and other environmental/occupational health conditions.


Mistakes can be dangerous. Accurate identification of pesticides responsible for a patient's illness is important to avoid iatrogenic errors with respect to acute treatment.  Join us for an important webinar that will focus on key decision points in the diagnosis of pesticide exposures and emphasize the usefulness of the newly revised resource for clinicians - The Recognition and Management of Pesticide Poisonings, 6th ed.  Through interactive case studies, this webinar will illustrate effective recognition and treatment of patients over exposed to pesticides. 

The webinar, sponsored by Migrant Clinicians Network, the National Farm Medicine Center and AgriSafe Network features Dr. Keifer, a board certified occupational medicine specialist and internationally renowned researcher regarding pesticides and agricultural health and safety. For over 30 years, Dr. Keifer has focused his clinical practice and research largely on farmworkers. 

SPONSORED BY: AgriSafe Network, Migrant Clinicians Network, and the National Farm Medicine Center

OBJECTIVES: Participants will be able to:

  1. Better recognize the signs and symptoms of pesticide overexposure
  2. Identify key decision points in diagnosing pesticide exposures
  3. Demonstrate an understanding of how to use The Recognition and Management of Pesticide Poisonings, 6th ed. in a clinical setting

We encourage all participants to order The Recognition and Management of Pesticide Poisonings, 6th ed. prior to attending this webinar. Order here. PDF versions are also available at
If you have experienced any trouble ordering your copy please contact: 







The following will provide information regarding the pesticides used in your areas:

Part 5 of the 6 webinar series: Essential Clinical Issues in Migration Health

DATE RECORDED: June 5, 2014
PRESENTED BY: Katherine Brieger, RD and Elizabeth Magenheimer

View Recorded Webinar

Participant Evaluation  

Presentation Slides (PDF)

To receive CME* or CNE credit after viewing any of these webinars you must do the following:
  • Complete the Participant Evaluation associated with each webinar
  • Send an email with your first and last name stating which webinar you completed to

Diabetes continues to be one of the most common and challenging health condition confronting migrants and other underserved populations. It is clear that a healthy lifestyle is critical to mitigating the impact of diabetes on individuals and the population, however effective and appropriate interventions can be difficult to design. Fairhaven Community Health Center in Connecticut and Hudson River Healthcare in New York, are two health centers that have long led the way in creating culturally appropriate lifestyle programs for migrants and other underserved patients. In this session the presenters will discuss lessons learned from the development of a variety of programs for diabetics and other patients including a community garden, nutrition classes, cooking classes, weight management and strategies to encourage exercise. The session will address the clinical core measures related to nutrition and BMI and will also discuss current research test second line drug effectiveness in Type 2 DM. Available in English

Learning Objectives:

  1. Describe culturally appropriate diabetes intervention strategies
  2. Identify strategies to address clinical core competencies related to nutrition and BMI to improve quality care.
  3. Receive “take home” examples of how to incorporate effective nutrition, weight loss, exercise and other health lifestyle strategies.



Download the Spanish Toolkit Materials

National Diabetes Information Clearinghouse,

Bright Bodies,

Part 4 of the 6 webinar series: Essential Clinical Issues in Migration Health

DATE RECORDED: May 14, 2014
PRESENTED BY:  Candace Kugel, FNP, CNM and Megan Danielson, CNM

View Recorded Webinar 

 Participant Evaluation  

 Presentation Slides (PDF)

To receive CME* or CNE credit after viewing any of these webinars you must do the following:
  • Complete the Participant Evaluation associated with each webinar
  • Send an email with your first and last name stating which webinar you completed to

Migrant women face significant disparities with an additional layer of complexity and require different intervention strategies. Among them are reproductive health, pregnancy and childbirth, sexual and intimate partner violence, and cancers that disproportionately affect women, including cervical and breast cancer. Women often face environmental and occupational health exposures both in the home and in the workplace that heighten health risks. This session will provide a follow-up to the July 2013 presentation “Women’s Health at the Intersection of Poverty and Migration” that was part of our Clinician Orientation to Migration Health webinar series.  During this presentation Candace Kugel, FNP, CNM, and Meagan Danielson, CNM will discuss quality improvement and health care services for migrant women. The HRSA clinical performance measures related to women’s health will be reviewed as well as resources and best practices for improving the health of migrant women.

Learning Objectives:

  1. Describe strategies to address clinical core measures that relate to women’s health .
  2. Discuss case studies that assist participants in understanding how creative collaborations and models of care can improve health outcomes for migrant women.
  3. Participants will be able to access clinical resources for working with female migrant patients.



Low Birth Weight Resources

Cervical Cancer Resources

Other Resources

Part 6 of the 7 webinar series: Clinician Orientation to Migration Health

DATE: presented live on July 17th, 2013

PRESENTED BY: Candace Kugel, FNP, CNM, Specialist in Clinical Systems & Women's Health and Melissa Bailey, Executive Director of North Carolina Field, Inc.

 Women's Health at the Intersection of Poverty & Migration
View Recorded WebinarParticipant EvaluationPresentation Slides


Additional Resources:

MCN Women's Health page

MCN Health Network

Any prenatal patient who may move out of your area before giving birth is eligible to be enrolled in the Health Network. MCN will provide care coordination throughout the course of her pregnancy, until her postpartum visit is completed, to help ensure that there are no gaps in her health care.  512-327-2017 or 800-825-8205.


MCN Environmental Health/Pesticides Resources
MCN Family Violence Resources
MCN Streamline articles
Other Women’s Health Resources for Migrant/Immigrant Care
  • Text4Baby:  A free service that provides health education by text to pregnant women and new mothers in English and Spanish
  • The Perinatal/HIV Hotline: The National Perinatal HIV Consultation and Referral Service (Perinatal Hotline) provides 24-hour advice from HIV experts on indications and interpretations of HIV testing in pregnancy as well as consultation on treating HIV-infected pregnant women and their infants. The Perinatal Hotline (888-448-8765) is available 24 hours, seven days per week.
  • Centering Pregnancy: A model of group prenatal care widely used in a variety of settings, including FQHCs and with immigrant populations.  Materials are available in Spanish.
  • Rural Women’s Health Project  Pregnancy fotonovelas in English and Spanish.
  • Auger Communications “Teach with Stories” Prenatal Care fotonovela series and “Pregnancy and Diabetes: Lucia’s Story”
  • Wake Forest University One-page pesticides and pregnancy handout in English and Spanish. 
  • Migrant Health Promotion Farmworker Doula Manual
  • National Women’s Health Information Center. This website and toll-free call center were created to provide free, reliable health information for women everywhere, including lots of materials in Spanish.
  • March of Dimes  An array of materials at various literacy levels and almost everything in Spanish. Pamphlets, videos, "Comenzando Bien" curriculum.
  • Centers for Disease Control The CDC's Spanish website for women's health includes handouts in Spanish that can be printed from the website
  • National Perinatal Association Published transcultural perinatal education curriculum.
  • California Diabetes and Pregnancy Program.  Catalog of patient education materials in English and Spanish for perinatal issues related to diabetes and gestational diabetes.
  • “Diabetes gestacional: Guía para la mujer embarazada”.  Spanish language guide on gestational diabetes from AHRQ.
  • Association of Farmworker Opportunity Programs: “The Fields: The Hidden Faces of Farmworker Women” Interviews and stories about the issues that matter most to farmworker women’s health and well-being
  • Human Rights Watch:  “Cultivating Fear: The Vulnerability of Immigrant Farmworkers in the US to Sexual Violence and Sexual Harassment”
  • Legal Momentum Immigrant Women Program legal rights for immigrant women
  • Trafficking information



Historically, the field of women's health consisted of issues surrounding reproduction and childbirth. However, increasingly, the health care community has come to see women as a distinct patient group that has unique health concerns over a lifetime. Migrant farmworker women experience unique risks during pregnancy and otherwise, due to the physical demands, environmental exposures and other circumstances of their lives.  The provision of healthcare services to migrant women presents distinctive challenges for both clinicians and organizations.  MCN’s Candace Kugel, CRNP, CNM, and Melissa Bailey, Executive Director of NC FIELD, Inc., both with many years of experience with this population will discuss the problems, solutions and rewards of working with migrant women, through case illustrations and review of resources.

After taking this webinar:

  • Participants will be able to identify at least 2 health risks unique to women farmworkers and the impact of those challenges on work, nutrition and health.
  • Participants will be able to describe environmental and occupational health exposures relevant to farmworker women of reproductive age.
  • Case studies will assist participants in understanding how creative collaborations and models of care can improve health outcomes for migrant women.
  • Participants will be able to access clinical resources for working with female migrant patients.


Candace Kugel, FNP, CNM, Specialist in Clinical Systems & Women's Health, Migrant Clinicians Network

Candace Kugel is a Family Nurse Practitioner and Certified Nurse-Midwife with over twenty years of experience in health care for the underserved. She has worked in various clinical settings, including family planning, migrant health, community health center, and private practice. She has worked almost exclusively in rural settings.

Candace has also been active in aspects of health care other than direct patient services. She has served as a clinical instructor for nurse practitioner, nurse-midwife, nursing, and medical students, and currently has faculty appointments with the University of Cincinnati and Penn State University’s Schools of Nursing. She has worked in program development in various arenas, including co-founding a “Stork’s Store” prenatal incentive program, initiating a natural family planning education program, and teaching childbirth education classes.

Melissa Bailey, Executive Director of North Carolina Field, Inc.

Melissa Bailey is a native of southern West Virginia. She has worked in North Carolina migrant education programs since 2001. In 2010 AFOP’s Children in the Fields Campaign assisted community workers with forming the nonprofit NC FIELD. This effort aimed to establish an organizational empowerment and advocacy model to build capacity in farmworker communities, particularly among child laborers in agriculture. In 2012 Melissa became the Executive Director of NC FIELD. 

She has presented to local, state, and national stakeholders; assisted media; has worked as a research assistant on farmworker studies; assisted with organizational development and the leadership training of child farmworkers, and is a successful field organizer, consultant, and project manager. Melissa holds a certificate in Nonprofit Management from Duke University, among other certifications related to the delivery of supplemental education services and data.

In her spare time Melissa enjoys reading, writing, gardening, and spending time with loved ones.