SEPTEMBER/OCTOBER 2016                                                  VOLUME 4, EDITION 5
2016 East Coast Migrant Stream Forum
Get excited! The 2016 East Coast Migrant Stream Forum will take place in Miami Beach, Florida at the Deauville Beach Resort from October 13th-15th. The East Coast Migrant Stream Forum is the oldest annual conference dedicated to migrant and seasonal agricultural worker health, and will be celebrating its 29th year. This forum, hosted by the North Carolina Community Health Center Association, serves to improve health outcomes for migrant and seasonal agricultural workers by reaching out to health care providers, outreach workers, and other staff members who work with this population. Highlights of the conference include skills-based workshops, training, professional development opportunities, and information regarding research and funding initiatives. Lectures and workshops will focus on Zika information, collecting data on sexual orientation and gender identity, pesticide safety, understanding social determinants of health, the Ag Worker Access 2020 initiative, and best practices, among many other relevant topics. To view the program, click here. To visit the official conference website and learn more, click here.
National Recovery Month and the Opioid Epidemic  
Every September we celebrate National Recovery Month, which is sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA). Recovery Month feels especially poignant in 2016 as we continue to fight and try to solve the opioid epidemic across the country. Due to the types of injuries and chronic pain that migrant and seasonal agriculture workers experience while working long days, often bending down and putting strain on their bodies, this population is susceptible to relying on pain management drugs, such as opioids. Thus, it is important for providers and medical professionals who work with the MSAW population to educate themselves and each other on best practices for prescribing pain medication. The Centers for Disease Control and Prevention (CDC) has updated their website to include revised guidelines for prescribing opioids in order to make sure patients have access to safer and more effective chronic pain treatment in a way that allows them to avoid misuse. To read the CDC's Guideline for Prescribing Opioids for Chronic Pain, click here. To read the CDC's pocket guide, click here. To take the pledge as a healthcare professional to end the opioid crisis, click here. To visit the National Recovery Month website and learn more about the various programs and initiatives available to help promote recovery from substance abuse, click here.

Rural Diabetes Prevention and Management Toolkit

Studies have shown that residents who live in rural areas experience a 17% higher rate of developing type 2 diabetes than those who live in urban areas. Not only do migrant and seasonal agricultural workers often live in rural areas, but they also have a higher chance of developing type 2 diabetes due to the lack of proper access to nutrition education, low income, and language/cultural barriers. The Rural Health Information Hub has partnered with the Federal Office of Rural Health Policy to develop a Rural Diabetes Prevention and Management Toolkit that provides seven learning modules to help providers prevent and manage diabetes in rural areas. This toolkit includes diabetes management resources as well as a list of best practices to sustain a diabetes management program. To view this toolkit, click here.
Zika Update: ECHO Clinic and Resources


The Puerto Rico Primary Care Association and Migrant Clinicians Network (MCN) have teamed up to launch a new project, called "Zika ECHO Clinic: Puerto Rico," which aims to help clinicians who are confronting the Zika virus in their clinics. While the project is designed for people on the front lines who are mostly located in Puerto Rico, the information and dialogue offered is extremely relevant to clinicians in the U.S. who serve immigrants, such as migrant and seasonal agricultural workers, that are travelling from Puerto Rico and other Latin American countries where Zika is prevalent. This new project includes ongoing monthly video conference calls, where participants will explore case studies and share up-to-date information presented by experts; concerns and best practices in dealing with patients who have Zika will also be discussed. September's monthly call took place on the 7th, and included discussions about Zika and women's health, pesticide and insecticide use, and resources from health centers who are currently supporting patients with Zika. To listen to September's call (in Spanish), click here. For more information on upcoming calls, click here to contact Jillian Hopewell of MCN. To read up on the Zika virus, click here. To read the CDC's updated interim clinical guidance for health care providers caring for infants born to mothers with Zika infection during pregnancy, click here.
Outreach Resource Corner  
Hispanic Heritage Month lasts from September 15th to October 15th and recognizes the contributions made and the powerful presence of Hispanic and Latino Americans in the U.S. To read more about how to celebrate this month, click here.
Substance Abuse and Mental Health Services Administration has released the 2016 directory of mental health treatment facilities, where you can find federal, state, and local facilities that provide mental health treatment services. To access the directory, click here.
National Center for Farmworker Health released the Health Center Pocket Directory, which provides assistance for employees, colleagues, and agricultural workers, to help guide MSAW needs in accessing health care. Click here to view the PDF version, and click here to order physical copies. Note: The CRVFHP has ordered copies for CRVFHP Partner Agencies and will be distributing them at upcoming meetings.

Farmworker Justice added a post on their blog addressing the need to update agricultural worker employment laws to end discrimination. Currently, federal law states that agricultural workers and their employers are excluded from overtime pay. While the blog post specifically focuses on the petition to change California state laws, the message resonates for all states and highlights the need for reform throughout the country. To read the full blog post, click here.

National Center for Farmworker Health produced an interactive map that displays the estimated number of agricultural workers in various service areas, which is meant to help organizations and health centers reach more of the population. To view this map, click here.
Upcoming Events 


Migrant Clinicians Network 
will host a webinar called Breathing Easy: Examining Asthma at Work on Wednesday, September 14th from 1:00 - 2:00 PM EST.   Click here to register.

AgriSafe Network presents a webinar titled Respiratory Protection for Agricultural Workers on Monday, September 19th from 1:00 PM to 2:00 PM EST. Click here to register.

CRVFHP Monthly Meeting
will be held on Tuesday, September 20th from 10:00 AM. to 12:00 PM at Baystate Brightwood Health Center in Springfield, MA.

AgriSafe Network presents Promoting Total Farmer Health, a webinar on Tuesday, September 20th from 1:00 PM to 2:00 PM EST   Click here to register.

Farmworker Justice hosts its webinar, Conversation to Facilitate Migratory and Seasonal Agricultural Worker Access to Health Insurance, on Wednesday September 21st from 2:00 PM to 3:00 PM. Click here to register.

AgriSafe Network will host Protecting Young Adults in the Agricultural Workforce, a webinar on Wednesday, September 21st from 2:30 PM to 3:30 PM EST. Click here to register.

National Center for Farmworker Health will host Migratory and Seasonal Agricultural Worker Identification, Registration and Reporting, a webinar, on Thursday, September 22nd from 2:30 PM to 3:30 PM EST. Click here to register.

AgriSafe Network presents its webinar, Optimizing Employee Health in Agribusiness, on Friday, September 23rd from 1:00 PM to 2:00 PM EST. Click here to register.


CRVFHP Monthly Meeting will be held on Tuesday, October 18th from 10:00 AM to 12:00 PM at Holyoke Health Center in Holyoke, MA.





 LGBT, Immigrant Agricultural Workers Fight for their Rights in California

Many transgender people from Latin America flee to the United States to get away from harassment and abuse in their home countries. Because migrant agricultural work is common among immigrants, it's likely that many of the same LGBT people who cross the border also end up performing agricultural work here in the U.S. NBC News recently profiled two transgender agricultural workers from Mexico, Valery and Flora, who discuss their work environments and "the layers of invisibility" both as LGBT Latinos and LGBT agricultural workers. Not only do these two women have to navigate their gender identities in their work environments, but they also live in fear of being deported and having to return to a place they left due to harassment and violence. Valery and Flora feel lucky to have the support of California Rural Legal Assistance (CRLA), an organization that has helped provide resources and assistance to both women; CRLA helped Valery legally change her name, and let Flora know that in state of California, she has the legal right to use the bathroom at work that corresponds to her gender identity, rather than the male name on her working papers. U.S. immigration laws are already complex, and navigating these laws as a LGBT individual adds another layer of difficulty. Aaron Morris, the executive director of Immigration Equality, an LGBTQ immigration rights organization, acknowledges that the system is "stacked against" LGBTQ immigrants. To read the full article, click here.
Funding Education for Immigrant Students
There are many approaches taken by federal, state, and local systems that aim to fund education for immigrant students. The Migration Policy Institute (MPI) recently released a study that looks at the various approaches and programs that are in place to ensure funding extends to immigrant-oriented education. Almost 10% of U.S. elementary and secondary students speak English as a second language and are not yet fluent, and schools are struggling to accommodate these students. Local communities have in the past been the main source of education funding, but state resources are available to even out wealth disparities in different districts, and then federal funds step in to take care of any leftover gaps. Despite the fact that many states have used cost studies to determine how much funding districts need to reach educational goals, these studies rarely focus on the specific needs of immigrant students who speak English as a second language. MPI's report compares state-level policies with local-level policies that were gathered from administrators and policymakers from  California, Colorado, and New York, and ultimately provides recommendations for improvements to better fund immigrant education. To access the full report, click here.


Where to Look for Resources: Farmworker Health Network

For key resources and farmworker health guides, please refer to the Farmworker Health Network (FHN). The FHN is a group of six National Cooperative Agreements in migrant health funded through the U.S. Department of Health and Human Services to provide technical assistance and training to migrant health centers. Click here for a comprehensive list of FHN agencies.  



If you have an article suggestion or a recommendation of what to feature in an upcoming

Notes from the Field, please send it to  Mary Ellen McIntyre.


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