DATE: May 24, 2017, 1 pm (ET)

SPEAKERS: Juliana Simmons, MSPH, CHES

• Recorded Webinar
• Participant Evaluation
• Presentation Slides
• Resources

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

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under cooperative agreement number U30CS09742, Technical Assistance to Community and Migrant Health Centers and Homeless for $1,094,709.00 with 0% of the total NCA project financed with non-federal sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

FECHA DE GRABACION: 3 de Mayo de 2017, 1 pm ET (zona horaria del Este)

ORADORAS: Ileana Ponce-Gonzalez, MD, MPH y Daniel Ramos, MPH

• Evaluacion de los Participantes
• Diapositivas de la Presentacion

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

​​En este seminario los participantes podrán identificar las medidas de desempeño de la Administración de Servicios de Recursos de Salud relacionadas con la depresión, podrán describir los síntomas de la depresión, entender cómo alentar a los pacientes para que ellos mismos puedan controlar su diabetes y depresión, y comprender las barreras principales que enfrentan pacientes con diabetes en el control y manejo de su enfermedad y la depresión.

Objetivos de aprendizaje

1. Definir el término ‘enfermedad mental’
2. Enumerar al menos dos síntomas de la depresión
3. Definir las medidas de calidad de HRSA para el cribado de la depresión
4. Entender al menos una barrera en el control de la diabetes y la depresión

Lectura Adicional

• https://www.cdc.gov/mentalhealthsurveillance/fact_sheet.html
• http://www.apa.org/helpcenter/data-behavioral-health.aspx
• https://en.wikipedia.org/wiki/Comorbidity
• https://www.cdc.gov/mentalhealthsurveillance/fact_sheet.html
• http://www.diabetes.org/living-with-diabetes/complications/mental-health/depression.html
• https://www.qualitymeasures.ahrq.gov/hhs/content.aspx?id=3527#.WJ4xsm8rKUk
• http://www.integration.samhsa.gov/clinical-practice/screening-tools#depression
• http://www.mentalhealthamerica.net/mental-health-screening-tools
• https://psychcentral.com/lib/diabetes-and-depression/
• http://www.diabetes.org/living-with-diabetes/complications/mental-health/stress.html
• http://www.diabetes.org/living-with-diabetes/complications/mental-health/
• https://www.adaa.org/finding-help/treatment/complementary-alternative-treatment
• https://www.psychologytoday.com/blog/when-your-adult-child-breaks-your-heart/201401/addressing-mental-health-treatment-barriers
• http://www.mayoclinic.org/diseases-conditions/diabetes/basics/risk-factors/con-20033091
• https://www.ptsd.va.gov/public/ptsd-overview/basics/symptoms_of_ptsd.asp
• https://www.psychologytoday.com/blog/hide-and-seek/201205/the-7-reasons-why-depression-is-more-common-in-women

Este proyecto cuenta con el apoyo de la Administración de Recursos y Servicios de Salud (HRSA) del Departamento de Salud y Servicios Humanos de los Estados Unidos bajo el acuerdo de cooperación número U30CS09742, Asistencia Técnica a Centros de Salud Comunitarios y Migrantes y Personas sin Hogar por $ 1,094,709.00 con 0% del total Proyecto NCA financiado con fuentes no federales. Esta información o contenido y las conclusiones son las del autor y no deben ser interpretadas como la posición o política oficial de, ni cualquier endosos deben ser inferidos por HRSA, HHS o el Gobierno de los Estados Unidos.

Available in English and Spanish!

Created by MCN, medical student Rachel Kelley of UCSF, and collaborators at East Tennessee State University, this guide is intended to be a reference for health care providers who work with people employed in the U.S. tomato industry. It aims to prepare providers with a more detailed understanding of hazards, health issues, and work processes associated with different tomato industry jobs.

This guide draws on published research, experienced health professionals’ advice, and information gathered from interviews and focus groups conducted with 36 tomato workers from diverse backgrounds and 14 community leaders familiar with tomato workers’ health in multiple states. It is important to note that health and safety conditions at any particular farm or company may vary from what is described here. Furthermore, individual workers may experience the same set of conditions differently.

The first section of the guide focuses on health hazards and health conditions commonly encountered in tomato production. The second section consists of detailed descriptions and illustrations of different tomato production tasks. The third section covers “human resources” information and policies that apply to U.S. agricultural workers generally. The appendices contain a Spanish-English glossary, further detail about different types of pesticides, information about agricultural occupational health policies and regulation, and a list of resources and readings.

DATE: February 21, 2017

SPEAKERS: Ed Zuroweste, MD

• Recorded Webinar
• Participant Evaluation
• Presentation Slides (PDF)

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

Agriculture is also one of the most dangerous industries in the United States. For vulnerable populations working in agriculture, their lack of training, poor safety precautions, regulatory exclusions, lack of health insurance, language barriers, piece-rate pay, immigration status, and geographical and cultural isolation can put these workers at increased risk for occupationally related injuries and illnesses and chronic sequelae. Exposure to pesticides and other contaminants is a particular concern to agricultural workers and their families. This continuing education training will discuss health risks facing immigrant and migrant agricultural workers and their families as a result of their working conditions and environment, with a particular focus on Kansas. It will also highlight best practices and resources for the incorporation of environmental and occupational health in the practice setting, showcasing successful initiatives in primary care settings. Participants will explore the importance of and become familiar with the methods to integrate environmental and occupational health into the practice setting from the clinical perspective as well as consider these issues within the framework of social determinants of health.

Resources

• MCN's Environmental and Occupational Health Program (Migrant Health Center Partnership Description)
• MCN's EOH Screening Tool
• Farmworker Clinicians Manual
• Pesticide Reporting and Workers’ Compensation in Agriculture - Interactive Map
• EPA Recognition and Management of Pesticide Poisonings
• MCN & Farmworker Justice Clinician Guides for Farmworker Health and Safety Regulations
• Patient Education Materials
  • Immigrant Dairy Worker Health and Safety
  • iCuídate!, a comic book aimed at preventing musculoskeletal injuries among farmworkers
  • Pesticide Comic Books

This material was produced, in part, under Assistance Agreement No. X883487601 awarded by the U.S. Environmental Protection Agency. It has not been formally reviewed by EPA. EPA does not endorse any products or commercial services mentioned in this product.

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.

DATE RECORDED: September 14, 2016 at 1 pm ET

PRESENTED BY: Robert Harrison, M.D., M.P.H.

• Recorded Webinar
• Participant Evaluation
• Presentation Slides (PDF)

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.

DATE RECORDED: August 17, 2016 at 1 pm ET

PRESENTED BY: Amy Liebman, MPA, MA and Wilson Augustave, member of MCN’s Board of Directors and Senior HIV Case Manager at Finger Lakes Community Health

• Recorded Webinar
• Participant Evaluation
• Presentation Slides (PDF)

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.

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 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."