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The Health Care for the Homeless (HCH) Clinicians’ Network and Migrant Clinicians Network (MCN) serve as National Partners to the HRSA Health Disparities Collaboratives. One of the critical roles for both organizations is helping health centers identify their migrant and homeless patients. Both organizations share a commitment to the principal that mobility should not be a barrier for health care access or continuity of care. What follows is a set of succinct and helpful suggestions for how to better identify homeless and migrant patients in your practice.

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HHS Deputy Secretary Bill Corr today announced the release of $13.4 million for loan repayments to nurses who agree to practice in facilities with critical shortages and for schools of nursing to provide loans to students who will become nurse faculty. The funds were made available by the American Recovery and Reinvestment Act (ARRA), signed Feb. 17, 2009, by President Obama.

“The need for more nurses is great. Over the next decade, nurse retirements and an aging U.S. population, among other factors, will create the need for hundreds of thousands of new nurses,” Deputy Secretary Corr said. “The awards from these two HRSA programs will help us meet projected demand for their services.”

This site holds many medical Spanish material, including a comprehensive medical Spanish dictionary, complete with audio.

California Department of Public Health offers numerous bilingual educational materials regarding childhood lead poisoning prevention.

Spanish brochure to help workers prevent taking lead into their homes from the CA Dept. Public Health, Occupational Health Branch - The Occupational Lead Poisoning Prevention Program.

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Bilingual flyer from the CA Department of Public Health.
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The Occupational Lead Poisoning Prevention Program (OLPPP) is a program in the California Department of Public Health that helps employers, workers, and others prevent lead poisoning in workers.

An expert panel review of the scientific literature on lead and health - Environmental Health Perspective, March 2007

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U.S. Department of Housing and Urban Development lead information

Lead information from National Institute of Environmental Health Sciences

Lead is a toxic metal that was used for many years in products found in and around our homes. Lead also can be emitted into the air from motor vehicles and industrial sources, and lead can enter drinking water from plumbing materials. Lead may cause a range of health effects, from behavioral problems and learning disabilities, to seizures and death. Children six years old and under are most at risk.

A lead fact sheet from the Agency for Toxic Substances and Disease Registry

To access information on a specific state or local area, click on the map or scroll down and pick the state or local name from the list provided.

Approximately 250,000 U.S. children aged 1-5 years have blood lead levels greater than 10 micrograms of lead per deciliter of blood, the level at which CDC recommends public health actions be initiated. Lead poisoning can affect nearly every system in the body. Because lead poisoning often occurs with no obvious symptoms, it frequently goes unrecognized. CDC’s Childhood Lead Poisoning Prevention Program is committed to the Healthy People goal of eliminating elevated blood lead levels in children by 2010.

Variations in BCG vaccination practices impact the interpretation of TB diagnostics, such as the widely used Tuberculin Skin Test (TST). The World Atlas of BCG Policies and Practices will help clinicians in your country and around the world make better diagnostic decisions concerning TB infection.

Migrant Health Promotions (MHP) and MCN have jointly sponsored a series of webcasts on promotora programs in migrant health. This link takes you to a list of these webcasts which are archived and can be viewed at a convenient time for you.

An online resource for mesothelioma patients and their families.

This website provides access to information about asbestos. You may access general information about asbestos and its health effects. You may also read about what to do if you suspect asbestos in products, in your home or in your school. There are some resources listed in Spanish.

The Nurse Oncology Education Program (NOEP) is a nonprofit project of the Texas Nurses Foundation funded by the Cancer Prevention & Research Institute of Texas (CPRIT), providing cancer education for nurses in all fields of practice.

In Texas alone, it is estimated that over 97,000 people will be diagnosed yearly with cancer (American Cancer Society, 2008). And we know that racial/ethnic minorities and the financially disadvantaged are diagnosed with cancer later and have a shorter and lower survival rate than non-minorities.

The educated nurse has an opportunity to reduce the impact of cancer throughout the continuum of care by promoting screening, delivering quality care at the bedside, through participation with professional organizations, and as advocates with friends and family members.

Mexican-made “lead-free” bean pots contain high levels of toxic metal.

Includes updates on key facts about the virus, links to oseltamivir and zanamivir information from Nursing2009 Drug Handbook, and the NursingCenter.com's printable patient education guide.

A leading online resource for comprehensive asbestos and mesothelioma information. The site contains patient education information as well as potential resources for patients suffering from mesothelioma.

A resource from SAGE in English and Spanish. A reminder to wash hands to prevent sickness from spreading. Prints legal size.

A resource from SAGE in English and Spanish. A reminder to cover your mouth when you cough or sneeze to prevent sickness from spreading. Prints legal size.

Sage Words developed a pandemic flu brochure specifically for a small clinic on the Navajo Reservation. Though the illustrations are targeted towards this population, it is available in English and Spanish, and the information is general. It includes preventative measures, and is for low-literacy users. It’s designed to be easily photocopied or printed from computers and is available to anyone who might find it appropriate to use.

This resource helps you address stigmatization by providing best practices for inhibiting and the actions to take when you encounter stigmatization when new infectious diseases and illness emerge.

Early in an outbreak, such as the 2009 H1N1 outbreak, groups of people, places, and animals can be singled out and will be at risk of being stigmatized by association with the threat this virus poses. Groups are stigmatized by an infectious disease when the risk of infection to others is not present or remote but the association of the risk is magnified by others for that population group, or place or animal.

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The Toolkit is a combination of easy-to-use reference guides for health providers and user friendly health education materials on preventing exposures to toxic chemicals and other substances that affect infant and child health.

This website offers some free online lessons which teach basic Spanish concepts. More detailed and advanced lessons can be purchased on CDs from the website.
The goal of this project is to create awareness about less common languages. This website offers a database of less commonly taught language classes, instructional materials, and other resources for teaching these languages. There are some resources for Zapoteco, Nahuatl, and Mayan indigenous languages.
The town of Greenfield, CA has a high population of indigenous immigrants from Oaxaca, Mexico, many of whom speak little Spanish and/or English. This website is a compilation of work done by students from the UC,Berkeley Graduate School of Journalism and reports on what the town of Greenfield is doing to improve communications and relations with these indigenous peoples