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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).

A CDC resource page where there is current Zika updates and resources.

A CDC resource page where there is current Zika updates and resources.

Zika virus infection during pregnancy can cause congenital microcephaly and brain abnormalities (1,2). Since 2015, Zika virus has been spreading through much of the World Health Organization’s Region of the Americas, including U.S. territories. Zika virus is spread through the bite of Aedes aegypti or Aedes albopictus mosquitoes, by sex with an infected partner, or from a pregnant woman to her fetus during pregnancy.* CDC estimates that 41 states are in the potential range of Aedes aegypti or Aedes albopictus mosquitoes (3), and on July 29, 2016, the Florida Department of Health identified an area in one neighborhood of Miami where Zika virus infections in multiple persons are being spread by bites of local mosquitoes. Read full article here.

"Zika virus is a flavivirus transmitted primarily by Aedes aegypti and Aedes albopictus mosquitoes, and infection can be asymptomatic or result in an acute febrile illness with rash (1). Zika virus infection during pregnancy is a cause of microcephaly and other severe birth defects (2). Infection has also been associated with Guillain-Barré syndrome (GBS) (3) and severe thrombocytopenia (4,5). In December 2015, the Puerto Rico Department of Health (PRDH) reported the first locally acquired case of Zika virus infection. This report provides an update to the epidemiology of and public health response to ongoing Zika virus transmission in Puerto Rico (6,7). A confirmed case of Zika virus infection is defined as a positive result for Zika virus testing by reverse transcription–polymerase chain reaction (RT-PCR) for Zika virus in a blood or urine specimen. A presumptive case is defined as a positive result by Zika virus immunoglobulin M (IgM) enzyme-linked immunosorbent assay (MAC-ELISA)* and a negative result by dengue virus IgM ELISA, or a positive test result by Zika IgM MAC-ELISA in a pregnant woman. An unspecified flavivirus case is defined as positive or equivocal results for both Zika and dengue virus by IgM ELISA. During November 1, 2015–July 7, 2016, a total of 23,487 persons were evaluated by PRDH and CDC Dengue Branch for Zika virus infection, including asymptomatic pregnant women and persons with signs or symptoms consistent with Zika virus disease or suspected GBS; 5,582 (24%) confirmed and presumptive Zika virus cases were identified. Persons with Zika virus infection were residents of 77 (99%) of Puerto Rico’s 78 municipalities. During 2016, the percentage of positive Zika virus infection cases among symptomatic males and nonpregnant females who were tested increased from 14% in February to 64% in June. Among 9,343 pregnant women tested, 672 had confirmed or presumptive Zika virus infection, including 441 (66%) symptomatic women and 231 (34%) asymptomatic women. One patient died after developing severe thrombocytopenia (4). Evidence of Zika virus infection or recent unspecified flavivirus infection was detected in 21 patients with confirmed GBS. The widespread outbreak and accelerating increase in the number of cases in Puerto Rico warrants intensified vector control and personal protective behaviors to prevent new infections, particularly among pregnant women."

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).

From the 2016 International Union Against Tuberculosis & Lung Disease Conference

MCN

 

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 contedu@migrantclinician.org
Description

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.

la violencia domestica

 

FECHA DE GRABACION: 29 de Junio de 2016

Oradora: Victoria Adela Breckwich Vásquez, DrPH, MPH, MA and Ricardo Garay

 

 

Crédito de educación continua

Para recibir credito de Trabajador/a de Salud Comunitaria o Educacion de Continua de Enfermera después de ver alguno de estos seminarios usted debe hacer lo siguiente:

  • Completar la evaluación participante asociado a cada webinar
  • Enviar un correo electrónico con su nombre y apellido indicando que ha completado a contedu@migrantclinician.org
Descripción

Este seminario analizará la intersección de la violencia doméstica y la violencia sexual en el trabajo, con los determinantes sociales de la salud en las comunidades de migrantes. La sesión está dirigida a trabajadores de salud comunitaria / promotores y equipos médicos que se encuentran con problemas de violencia sexual y de pareja en sus prácticas. Los participantes también aprenderán sobre Migrante Los médicos de la Red de Hombres Unidos Contra la Violencia Familiar, un programa de estudios de cinco sesiones que tiene como objetivo equipar y movilizar a los latinos migrantes para detener y prevenir la violencia sexual y de pareja en sus propias comunidades.

Objetivos de aprendizaje
  1. Aprender el papel desempeñado por los determinantes sociales de la violencia sexual en el trabajo y la violencia doméstica.
  2. Identificar los dos tipos de violencia sexual que puede ocurrir en el trabajo.
  3. Aprende el impacto de la violencia sexual en el trabajo y la violencia doméstica y la forma de prevenirlos.
  4. Obtener información acerca de Hombres Unidos, el programa de prevención primaria dirigida a Migrantes de red en la comunidad latina.
Lectura Adicional

Ver en Español

MCN

 

DATE RECORDED: June 15, 2016

PRESENTED BY: Dra. Maura Patricia García Castillo, MD, MPH

 

Continuing Education Credit

To receive CNE or CHW (for Texas) 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 contedu@migrantclinician.org
Description

This webinar will provide an in-depth look at social determinants of health, cardiovascular disease risk factors, and the interactions between the two.  Social determinants, including economic stability, access to education, access to healthy natural environments, and socioeconomic conditions like high levels of poverty in the community, are associated with early-onset cardiovascular disease. The webinar will also address the most common cardiovascular conditions among underserved populations.

Learning Objectives
  1. Understand the social determinants of health
  2. Recognize cardiovascular diseases and their risk factors
  3. Understand how the social determinants of health influence cardiovascular disease risk factors
  4. Learn strategies for prevention and intervention to limit the impact of these social determinants
Further Reading

View in English

MCN

 

FECHA DE GRABACION: 15 de Junio de 2016

Oradora: Dra. Maura Patricia García Castillo, MD, MPH

 

Crédito de educación continua

Para recibir credito de Trabajador/a de Salud Comunitaria o Educacion de Continua de Enfermera después de ver alguno de estos seminarios usted debe hacer lo siguiente:

  • Completar la evaluación participante asociado a cada webinar
  • Enviar un correo electrónico con su nombre y apellido indicando que ha completado a contedu@migrantclinician.org
Descripción

Este seminario ofrecerá una mirada en profundidad a los determinantes sociales de la salud, factores de riesgo de enfermedades cardiovasculares, y las interacciones entre los dos. Los determinantes sociales, como la estabilidad económica, el acceso a la educación, el acceso a entornos naturales sanos, y las condiciones socioeconómicas como altos niveles de pobreza en la comunidad, están asociados con la enfermedad cardiovascular temprana. El seminario abordará también las condiciones cardiovasculares más comunes entre las poblaciones marginadas.

Objetivos de aprendizaje
  1. Comprender los determinantes sociales de la salud
  2. Reconocer las enfermedades cardiovasculares y sus factores de riesgo
  3. Entender cómo los determinantes sociales de la salud influyen factores de riesgo de enfermedad cardiovascular.
  4. Aprender estrategias de prevención e intervención para limitar el impacto de estos determinantes sociales.
Lectura Adicional

MCN

 

 

DATE RECORDED: June 8, 2016

PRESENTED BY: Juliana Simmons, MSPH, CHES

 

 

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 contedu@migrantclinician.org
Description

It was 95 degrees when Maria Jimenez, 17 years old, collapsed from heat exhaustion at a farm in California. She died two days later. Each year, nearly 30 workers die from heat-related illness in the United States. Outdoor work in labor-intensive industries poses serious risks for workers, but heat-related illness can be easily prevented.

This workshop will help community health workers recognize and prevent heat-related illness among at-risk workers. Case studies will show how to recognize the symptoms and health effects of heat-related illness. Participants in this workshop will receive resources for preventing heat-related illness.

Learning Objectives
  1. Recognize symptoms of heat-related illness and how to respond
  2. Identify steps workers can take to prevent heat-related illness
  3. Review employer and worker rights and responsibilities related to heat stress
  4. Become familiar with heat stress prevention resources
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.

Ver en Español

MCN

 

DATE RECORDED: May 25, 2016

PRESENTED BY: Antonio Tovar, PhD

 

 

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 contedu@migrantclinician.org
Description

It was 95 degrees when Maria Jimenez, 17 years old, collapsed from heat exhaustion at a farm in California. She died two days later. Each year, nearly 30 workers die from heat-related illness in the United States. Outdoor work in labor-intensive industries poses serious risks for workers, but heat-related illness can be easily prevented.

This workshop will help community health workers recognize and prevent heat-related illness among at-risk workers. Case studies will show how to recognize the symptoms and health effects of heat-related illness. Participants in this workshop will receive resources for preventing heat-related illness.

Learning Objectives
  1. Recognize symptoms of heat-related illness and how to respond
  2. Identify steps workers can take to prevent heat-related illness
  3. Review employer and worker rights and responsibilities related to heat stress
  4. Become familiar with heat stress prevention resources
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.

View in English

MCN

 

FECHA DE GRABACION: 25 de Mayo de 2016

PRESENTAOD POR: Antonio Tovar, PhD

 

 

Crédito de educación continua

Para recibir credito de Trabajador/a de Salud Comunitaria o Educacion de Continua de Enfermera después de ver alguno de estos seminarios usted debe hacer lo siguiente:

  • Completar la evaluación participante asociado a cada webinar
  • Enviar un correo electrónico con su nombre y apellido indicando que ha completado a contedu@migrantclinician.org
Descripción

El día era de 95 grados afuera cuando María Jiménez, una joven de 17 años, se derrumbó de agotamiento por el calor en una granja en California. María murió dos días después. Cada año, cerca de 30 trabajadores mueren por causa de enfermedades relacionadas con el calor en los Estados Unidos. El trabajo al aire libre en las industrias intensivas en mano de obra plantea riesgos serios para los trabajadores. Sin embargo, las enfermedades causadas por el calor se pueden prevenir fácilmente.

Este taller ayudará a los trabajadores de salud comunitarios reconocer y prevenir las enfermedades por causa del calor entre los trabajadores que trabajan en situaciones de riesgo. Los estudios de casos demostrará cómo reconocer las síntomas y efectos a la salud de la insolación. Los participantes de este taller también recibirán recursos para la prevención de las enfermedades causadas por el calor.

Objetivos de aprendizaje
  1. Reconocer las síntomas de la insolación y cómo responder a estas situaciones
  2. Identificar los pasos que pueden tomar los trabajadores para prevenir las enfermedades a causa del calor
  3. Revisar los derechos y obligaciones de los trabajadores y empleadores
Lectura Adicional

Este material será producido bajo la subvención número SH-27640-15-60-F-48-SH5 de la Administración de Seguridad y Salud Ocupacional del Departamento de Trabajo de los Estados Unidos. Ni los puntos de vista ni las políticas del Departamento de Trabajo de los Estados Unidos serán necesariamente reflejados; ni la mención de nombres comerciales, productos comerciales, u organizaciones implica la aprobación por el Gobierno de EE.UU.

As part of the response to the Zika outbreak, CDC, in collaboration with state, local, tribal, and territorial health departments, established a pregnancy registry for comprehensive monitoring of pregnancy and infant outcomes following possible Zika virus infection. The registry is an active surveillance system of pregnant women with laboratory evidence of possible Zika virus infection in the 50 US states and DC, and in the US territories. On May 20, 2016, CDC released detailed information about the registry and will initiate weekly reporting of the number of pregnant women followed in the registry.

The U.S. Environmental Protection Agency’s (EPA) Worker Protection Standard (WPS) provides basic workplace protections to farmworkers and pesticide handlers to minimize the adverse effects of pesticide exposure. EPA announced major revisions to the WPS in September 2015. MCN and FJ's fact sheet provides a summary of the revised regulation.

Download Resource

Aedes species mosquitoes transmit chikungunya virus, as well as dengue and Zika viruses, and bite most often during the day.* Infectious mosquito bites frequently occur in and around homes (1,2). Caribbean countries first reported local transmission of chikungunya virus in December 2013, and soon after, chikungunya virus spread throughout the Americas (3). Puerto Rico reported its first laboratory-positive chikungunya case in May 2014 (4), and subsequently identified approximately 29,000 suspected cases throughout the island by the end of 2015 ...

In May 2015, Zika virus was reported to be circulating in Brazil. This was the first identified introduction of the virus in the Region of the Americas. Since that time, Zika virus has rapidly spread throughout the region. As of April 20, 2016, the Florida Department of Health Bureau of Public Health Laboratories (BPHL) has tested specimens from 913 persons who met state criteria for Zika virus testing. Among these 913 persons, 91 met confirmed or probable Zika virus disease case criteria and all cases were travel-associated (1).

Diagnostic testing for Zika virus infection can be accomplished using molecular and serologic methods. Real-time reverse transcription–polymerase chain reaction (rRT-PCR) is the preferred test for Zika virus infection because it can be performed rapidly and is highly specific (1,2) ...

Download Resource

In 2015, for the first time in over 20 years, the Environmental Protection Agency updated the Worker Protection Standard (WPS). The WPS provides basic workplace protections for agricultural workers to reduce the risk of pesticide exposre. This issue brief overviews the major revisions that are particularly relevant for clinicians caring for agricultural workers. 

Download Resource

Ver en español

MCN Webinar

DATE RECORDED: March 30, 2016

PRESENTED BY: Ileana Ponce-González, MD, MPH

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 contedu@migrantclinician.org
Webinar Description

Milton “Tito” Rafael Barreto Hernandez was 22 years old when he died. He was killed when he was pulled into a machine at the concrete crushing facility where he worked.  This work-related death could have been prevented and would likely never have happened had the right safety procedures been followed.  Low-wage workers like Tito often work in dangerous jobs and immigrants are more likely to die or get hurt at work.  In spite of dangers on the job, all workers have the right to a safe and healthy workplace. This training for community health workers will equip you with the knowledge you need to empower people to advocate for their rights on the job. Additionally, participants will come to understand how to seek help in case of a dangerous work environment and to be familiar with resources to assist workers. 

Learning Objectives
  1. Identify worker safety and health rights and responsibilities in the United States
  2. Describe the role of government agencies in protecting workers
  3. Recognize resources to assist workers in addressing workplace 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.