"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
California's Medical Supervision Program is a biomonitoring program that measures cholinesterase activity in bloog samples from agricultural workers. Employers are required by law to contract with physicians who have registered for this program, all of whom are included in this list.
Safety and Health Practicesfor Nail Salon Workers and a Training Guide for Nail Salon Worker Safety and Health Outreach Program
- Best_Practices_HOPE.pdf (230 KB)
- Trainer_Guide_HOPE.pdf (1.34 MB)
Includes EPA manual "How to Comply With the 2015 Revised Worker Protection Standard For Agricultural Pesticides - What Owners and Employers Need To Know" and an excerpt specifically for clininicians regarding medical evaluation and respirator fit test. See also the medical evaluation questions in English and Spanish.
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.
Libro cómic educativo bilingüe sobre cómo prevenir las enfermedades zoonóticas. Desarrollado por MCN en colaboración con la Universidad Estatal de Ohio.
- Working with farm animals_1.pdf (13.33 MB)
- Trabajos con animales en un rancho_1.pdf (13.31 MB)
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—
- https://nccd.cdc.gov/uscs/?s_cid=govD_USCS2013_1
- http://links.govdelivery.com/track?type=click&enid=ZWFzPTEmbWFpbGluZ2lkPTIwMTYwNzA2LjYxMjE2OTcxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE2MDcwNi42MTIxNjk3MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE3MDg5NzQwJmVtYWlsaWQ9dGx5b25zQG1pZ3JhbnRjbGluaWNpYW4ub3JnJnVzZXJpZD10bHlvbnNAbWlncmFudGNsaW5pY2lhbi5vcmcmZmw9JmV4dHJhPU11bHRpdmFyaWF0ZUlkPSYmJg%3D%3D&101=&https%3A%2F%2Fnccd_cdc_gov%2Fuscs%2F%3Fs_cid=govD_USCS2013_2
- http://links.govdelivery.com/track?type=click&enid=ZWFzPTEmbWFpbGluZ2lkPTIwMTYwNzA2LjYxMjE2OTcxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE2MDcwNi42MTIxNjk3MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE3MDg5NzQwJmVtYWlsaWQ9dGx5b25zQG1pZ3JhbnRjbGluaWNpYW4ub3JnJnVzZXJpZD10bHlvbnNAbWlncmFudGNsaW5pY2lhbi5vcmcmZmw9JmV4dHJhPU11bHRpdmFyaWF0ZUlkPSYmJg%3D%3D&102=&https%3A%2F%2Fnccd_cdc_gov%2FDCPC_INCA%2F%3Fs_cid=govD_USCS2013_3
- http://links.govdelivery.com/track?type=click&enid=ZWFzPTEmbWFpbGluZ2lkPTIwMTYwNzA2LjYxMjE2OTcxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE2MDcwNi42MTIxNjk3MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE3MDg5NzQwJmVtYWlsaWQ9dGx5b25zQG1pZ3JhbnRjbGluaWNpYW4ub3JnJnVzZXJpZD10bHlvbnNAbWlncmFudGNsaW5pY2lhbi5vcmcmZmw9JmV4dHJhPU11bHRpdmFyaWF0ZUlkPSYmJg%3D%3D&103=&https%3A%2F%2Fnccd_cdc_gov%2FStateCancerFacts%2F%3Fs_cid=govD_USCS2013_4
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).
- OSHA's Field Sanitation Standard Clinician's Guide.pdf (747.53 KB)
- FIFRA FQPA Clinician's Guide.pdf (287.9 KB)
- WPS Clinician's Guide.pdf (843.35 KB)
MCN y Farmworker Justice ofrecen estas guías para ayudar a los médicos en la comprensión de regulaciones de salud y seguridad de los campesinos. Información de los Estándares de Saneamiento de la Administración de Seguridad y Salud Ocupacional (OSHA) para los campos; la Ley Federal de Insecticidas, Fungicidas y Rodenticidas (FIFRA) regulado por la Agencia de Protección Ambiental (EPA); la Ley de la Protección de la Calidad de los Alimentos (FQPA) también regulado por el EPA; y el estándar de protección del trabajador (WPS) establecido por el EPA.
- OSHA's Field Sanitation Standard Clinician's Guide.pdf (747.53 KB)
- FIFRA FQPA Clinician's Guide.pdf (287.9 KB)
- WPS Clinician's Guide.pdf (843.35 KB)
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).
- OSHA's Field Sanitation Standard Clinician's Guide.pdf (747.53 KB)
- FIFRA FQPA Clinician's Guide.pdf (287.9 KB)
- WPS Clinician's Guide.pdf (843.35 KB)
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—
- https://nccd.cdc.gov/uscs/?s_cid=govD_USCS2013_1
- http://links.govdelivery.com/track?type=click&enid=ZWFzPTEmbWFpbGluZ2lkPTIwMTYwNzA2LjYxMjE2OTcxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE2MDcwNi42MTIxNjk3MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE3MDg5NzQwJmVtYWlsaWQ9dGx5b25zQG1pZ3JhbnRjbGluaWNpYW4ub3JnJnVzZXJpZD10bHlvbnNAbWlncmFudGNsaW5pY2lhbi5vcmcmZmw9JmV4dHJhPU11bHRpdmFyaWF0ZUlkPSYmJg%3D%3D&101=&https%3A%2F%2Fnccd_cdc_gov%2Fuscs%2F%3Fs_cid=govD_USCS2013_2
- http://links.govdelivery.com/track?type=click&enid=ZWFzPTEmbWFpbGluZ2lkPTIwMTYwNzA2LjYxMjE2OTcxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE2MDcwNi42MTIxNjk3MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE3MDg5NzQwJmVtYWlsaWQ9dGx5b25zQG1pZ3JhbnRjbGluaWNpYW4ub3JnJnVzZXJpZD10bHlvbnNAbWlncmFudGNsaW5pY2lhbi5vcmcmZmw9JmV4dHJhPU11bHRpdmFyaWF0ZUlkPSYmJg%3D%3D&102=&https%3A%2F%2Fnccd_cdc_gov%2FDCPC_INCA%2F%3Fs_cid=govD_USCS2013_3
- http://links.govdelivery.com/track?type=click&enid=ZWFzPTEmbWFpbGluZ2lkPTIwMTYwNzA2LjYxMjE2OTcxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE2MDcwNi42MTIxNjk3MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE3MDg5NzQwJmVtYWlsaWQ9dGx5b25zQG1pZ3JhbnRjbGluaWNpYW4ub3JnJnVzZXJpZD10bHlvbnNAbWlncmFudGNsaW5pY2lhbi5vcmcmZmw9JmV4dHJhPU11bHRpdmFyaWF0ZUlkPSYmJg%3D%3D&103=&https%3A%2F%2Fnccd_cdc_gov%2FStateCancerFacts%2F%3Fs_cid=govD_USCS2013_4
DATE RECORDED: June 22, 2016
PRESENTED BY: Kerry Brennan
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: June 8, 2016
PRESENTED BY: Juliana Simmons, MSPH, CHES
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.
- https://youtu.be/qcCci3GQs04
- http://www.migrantclinician.org/
- https://www.osha.gov/SLTC/heatstress/prevention.html
- http://www.farmworkerjustice.org/sites/default/files/FJpesticidetrainingspanish2016.pdf
- https://www.osha.gov/SLTC/heatstress/index.html
- https://www.osha.gov/SLTC/heatillness/index.html
- https://www.osha.gov/SLTC/heatstress/industry_resources.html
- http://www.dir.ca.gov/dosh/heatIllnessQA.html
- http://www.lni.wa.gov/Safety/Topics/AtoZ/HeatStress/
- http://en.hesperian.org/hhg/Workers%27_Guide_to_Health_and_Safety:Dangers_from_heat
- http://www.naplesnews.com/news/crime/report-farmworkers-death-should-have-been-prevented-2738c212-4e00-109c-e053-0100007fd972-363310521.html
- http://www.cdc.gov/niosh/topics/heatstress/heatrelillness.html
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.
- WPS-2015.pdf (981.69 KB)
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.
- WPS_MCN_FJ_IssuesBrief2016.pdf (3.02 MB)
ACA Toolkit:
Available in English and Spanish
Health Insurance Guide:
Available in English and Spanish and Haitian Creole
Older Guides:
Available in English, Spanish, and Haitian Creole for workers on employer-provided health insurance
Created by Farmworker Justice.
- http://www.farmworkerjustice.org/sites/default/files/FJ_ACA_Fact_Sheet_Employer_Provided_Health_Insurance_FINAL.pdf
- http://www.farmworkerjustice.org/sites/default/files/FJ_ACA_Fact_Sheet_Employer_Provided_Health_Insurance_SPANISH_FINAL.pdf
- http://www.farmworkerjustice.org/sites/default/files/FJ_ACA_Fact_Sheet_Employer_Provided_Health_Insurance_CREOLE_FINAL.pdf
The National LGBT Health Education Center provides educational programs, resources, and consultation to health care organizations with the goal of optimizing quality, cost-effective health care for lesbian, gay, bisexual, and transgender (LGBT) people.
http://www.asbestosdiseaseawareness.org/
ADAO is the largest independent nonprofit in the U.S. dedicated to preventing asbestos exposure, eliminating asbestos-related diseases, and protecting asbestos victims' civil rights through education, advocacy, and community initiatives.
http://www.cdph.ca.gov/programs/cosmetics/Pages/default.aspx
An online, searchable database that allows salon workers and others to learn about and report toxic chemicals found in nail salon products and other cosmetics.
Migrant Clinicians Network, Inc. (MCN) will work during the next two years to engage members of our clinical network and all relevant stakeholders to advance health justice for the mobile poor. Our advocacy and education priorities focus on safe and legal entry into the United States, as well as strong and equal protection for workers in all occupations. Advancement in these areas creates the greatest opportunity for all to access high-quality, affordable healthcare.
- Comprehensive Immigration Reform
- Access to Health Care
- MCNAdcovacyAgendaFinal.pdf (148.62 KB)
This new guide from the National Center for Medical-Legal Partnership is intended to help civil legal aid practitioners message their work to health care audiences in order to build stronger cross sector medical-legal partnerships and to encourage investment in that work.
- Framing Legal Care as Health Care.docx (72.27 KB)
On Monday August 18, 2014 MCN submitted technical comments to the EPA regarding the proposed changes to the Worker Protection Standard. View MCN's recommendations for advancing stronger safeguards to protect farmworkers from pesticide exposure.
- MCN_WPS_FinalComments_2014.pdf (164.74 KB)
This proposal will I) provide a profile of the agricultural industry and Farmworkers in Washington State II) propose a theoretical framework to understand farmworker housing accessibility III) describe prior legislative actions to address farmworker housing IV) and propose a set of recommendations to address farmworker housing.
Published July 15, 2014
MCN holds the position that immigrant children fleeing violence in their home countries must receive priority consideration for their safety and health. We have provided several links with additional resources on this issue.
http://umash.umn.edu/needlestick-prevention/ 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.
Este diccionario ilustrado bilingüe de MCN, "Seguridad en Palabras/ Safety in Words", muestra los peligros que hay en el lugar de trabajo y las mejores prácticas para la salud y la seguridad en la agricultura. Desarrollado con el apoyo del Programa de Subvenciones Susan Harwood de OSHA, este recurso refuerza el vocabulario en inglés de los trabajadores que hablan español lo que ayudará a prevenir lesiones en la agricultura.
DATE RECORDED: Wednesday, June 17, 2014
PRESENTED BY: Matthew Keifer, MD, MPH, Dean Emanuel Endowed Chair/Director National Farm Medicine Center
MCN’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:
- Better recognize the signs and symptoms of pesticide overexposure
- Identify key decision points in diagnosing pesticide exposures
- 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 http://www2.epa.gov/pesticide-worker-safety/recognition-and-management-pesticide-poisonings
If you have experienced any trouble ordering your copy please contact: kbrennan@migrantclinician.org
CLINICAL TOOLS & RESOURCES |
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PATIENT EDUCATION MATERIALS |
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ARCHIVED WEBINARS & TRAINING RESOURCES |
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LOCAL PESTICIDE RESOURCES |
The following will provide information regarding the pesticides used in your areas:
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- http://migrantclinician.adobeconnect.com/p77irjl7cvq/
- http://www.marshfieldclinic.org/nfmc/
- http://www.agrisafe.org/
- http://1.usa.gov/1aF9rHY
- http://www2.epa.gov/pesticide-worker-safety/recognition-and-management-pesticide-poisonings
- http://1.usa.gov/1fFUSZm
- http://bit.ly/1imO43V
- http://npic.orst.edu/
- http://www.aapcc.org/
- http://extoxnet.orst.edu/
- http://www.pesticidemededucation.com/
- http://www.extension.umn.edu/agriculture/pesticide-safety/program-team/
- http://www3.extension.umn.edu/county
- http://web.extension.illinois.edu/psep/about/psepteam.cfm
- http://web.extension.illinois.edu/state/findoffice.cfm