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Three concise and effective environmental/occupational health screening questions for the primary care provider. English and Spanish. MCN, 2014.

An EHR-friendly version of these screening questions was developed through MCN's Workers & Health Program. This can be used as a reference for integration into the health center's Electronic Health Record. 

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Estas herramientas clínicas sobre la colinesterasa (ChE) proporcionan a los proveedores de servicios de salud un esquema conciso y sencillo para guiar el monitoreo de los niveles de ChE en pacientes que trabajan con la Clase I y Clase II de Organofosforados (OPs) u OPs y N-metil-carbamatos.    


MCN's Pesticide Clinical Guidelines and Pesticide Exposure Assessment Form assist in the recognition and management of acute pesticide exposures in primary care settings.

The pesticide guidelines were adapted from guidelines developed by Dr. Dennis H. Penzell, a former medical director of a Community and Migrant Health Center with experience in large-scale pesticide exposure incidents.

The Acute Pesticide Exposure Form was adapted from the data collection on an acute pesticide exposed patient tool developed by Matthew C. Keifer, MD, MPH, Director of the National Farm Medicine Center, appearing in the EPA's Recognition and Management of Pesticide Exposures, 6th Edition, EPA 2013.

These resources were developed with guidance from MCN's Environmental and Occupational Health Advisory Committee - a panel of healthcare professionals and researchers with expertise in pesticides and migrant health.

The importance of clinical diagnostic tools and biomonitoring of exposures to pesticides as well the role of clinicians in pesticide reporting and the challenges clinicians face in accurately diagnosing patients exposed to pesticides are described in a presentation by Matthew Keifer, MD, MPH and Amy K. Liebman, MPA. Click on the link for an APHA policy resolution underscoring the need for clinical diagnostic tools and biomomitoring of exposures to pesticides. This policy supports the information outlined by in the presentation.

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.

Outlines the knowledge and skills that health professionals need to have about pesticides. This document is part of a national initiative aimed at ensuring that pesticides issues become integral elements of education and practice of primary care providers. English and Spanish

El manual es una guía que pueden usar los trabajadores comunitarios, educadores y promotores de salud durante sus actividades educativas en la comunidad. Ofrece información sobre los riesgos de la exposición a los contaminantes ambientales y plaguicidas y las formas de reducir esos riesgos. También incluye información y consejos útiles para trabajar en la comunidad. 

En cuanto al libro cómico, los trabajadores comunitarios, educadores y promotores de salud pueden usarlo como una herramienta educativa para informar a su comunidad sobre los riesgos de los contaminantes ambientales y los plaguicidas.