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Timothy B. Erickson - One of the best experts on this subject based on the ideXlab platform.
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pesticide exposure and heat exhaustion in a migrant Agricultural Worker a case of labor trafficking
Annals of Emergency Medicine, 2020Co-Authors: Nathan M Kunzler, Juan Carlos Jimenez Luna, Gonzalo Martinez De Vedia, Timothy B. Erickson, Hanni StoklosaAbstract:To our knowledge, there are no published reports of heat exhaustion and pesticide exposure in a labor trafficked patient in the literature. Here we represent the case of J.C.J.L., who was labor trafficked. He presented to a local emergency department with heat exhaustion and pesticide exposure related to working conditions in a Mississippi corn field. Unfortunately, while he received medical treatment, his labor trafficking condition was missed. Emergency departments should be equipped to assess for human trafficking and connect trafficked persons with the resources they need. Emergency physicians should maintain a high index of suspicion for human trafficking among migrant Workers presenting with occupation-related complaints.
Noya B. - One of the best experts on this subject based on the ideXlab platform.
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Rinoescleroma en un individuo adulto del estado Trujillo en Venezuela: a propósito de un caso
Caibco Facultad de Medicina UCV, 2013Co-Authors: González F., Lander O., Escalona M., Morón M., Fernández K., Noya B.Abstract:Paciente masculino de 26 años, natural y residente de Boconó, estado Trujillo, trabajador rural quien se dedica a la agricultura. Refiere inicio enfermedad actual hace 2 años desde cuando presenta tumoración en fosa nasal derecha, concomitantemente inflamación del ala nasal del mismo lado, sequedad de la garganta, epistaxis, dolor local, dificultad para respirar, disfonía y rinorrea fétida. Acude a facultativos en su lugar de residencia, que indican tratamiento médico que no precisa, sin mejoría aparente. Es evaluado por un especialista en otorrinolaringología evidenciándose lesión tumoral y deformidad de septum nasal. Se practica biopsia de la lesión que reporta Neuroblastoma Olfatorio. Acude a la consulta de dermatología en el Instituto de Medicina Tropical con igual sintomatología y diagnóstico. En nuestro servicio se realiza examen e historia clínica-dermatológica, se decide su ingreso hospitalario y el siguiente plan diagnostico: a) Biopsia de lesión, en la cual se pudo observar la presencia de un proceso granulomatoso crónico, con células sugerentes de rinoescleroma; b) cultivo de secreción, siendo positivo para Klebsiella pneumoniae subespecie rhinoescleromatis. Se concluye diagnóstico de rinoescleroma y se indica tratamiento antibiótico a base de Clindamicina y Ciprofloxacina obteniendo buena respuesta a estos y mejoría clínica evidenteTitleRhinoscleroma in an adult of the Trujillo state in VenezuelaAbstractMale patient 26 years of age, of Boconó, state Trujillo in western Venezuela, who is a rural Agricultural Worker, present disease started two years ago, presenting a tumor in the right nostril, with surrounding inflammation, dryness of the throat, epistaxis, local pain, difficulty to breathe, disphony and in the last 4 months: rhinitis with fetid rinorrea. He is treated without improvement, Biopsy of the lesion is reported as olfactory neuroblastoma, and is referred to our service at the Institute of Tropical Medicine. A new biopsy shows a chronic granulomatose process suggestive of rhinoscleroma. Microbiological analysis was positive for Klebsiella pneumoniae subspecies rhinoescleromatis. He is treated with Clindamicin and ciprofloxacin with a good therapeutic response
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Rinoescleroma en un individuo adulto del estado Trujillo en Venezuela: a propósito de un caso
Centro de Análisis de Imágenes Biomédicas Computarizadas-CAIBC0, 2009Co-Authors: González F., Lander O., Escalona M., Morón M., Fernández K., Noya B.Abstract:Male patient 26 years of age, of Boconó, state Trujillo in western Venezuela, who is a rural Agricultural Worker, present disease started two years ago, presenting a tumor in the right nostril, with surrounding inflammation, dryness of the throat, epistaxis, local pain, difficulty to breathe, disphony and in the last 4 months: rhinitis with fetid rinorrea. He is treated without improvement, Biopsy of the lesion is reported as olfactory neuroblastoma, and is referred to our service at the Institute of Tropical Medicine. A new biopsy shows a chronic granulomatose process suggestive of rhinoscleroma. Microbiological analysis was positive for Klebsiella pneumoniae subspecies rhinoescleromatis. He is treated with Clindamicin and ciprofloxacin with a good therapeutic response.Paciente masculino de 26 años, natural y residente de Boconó, estado Trujillo, trabajador rural quien se dedica a la agricultura. Refiere inicio enfermedad actual hace 2 años desde cuando presenta tumoración en fosa nasal derecha, concomitantemente inflamación del ala nasal del mismo lado, sequedad de la garganta, epistaxis, dolor local, dificultad para respirar, disfonía y rinorrea fétida. Acude a facultativos en su lugar de residencia, que indican tratamiento médico que no precisa, sin mejoría aparente. Es evaluado por un especialista en otorrinolaringología evidenciándose lesión tumoral y deformidad de septum nasal. Se practica biopsia de la lesión que reporta Neuroblastoma Olfatorio. Acude a la consulta de dermatología en el Instituto de Medicina Tropical con igual sintomatología y diagnóstico. En nuestro servicio se realiza examen e historia clínica-dermatológica, se decide su ingreso hospitalario y el siguiente plan diagnostico: a) Biopsia de lesión, en la cual se pudo observar la presencia de un proceso granulomatoso crónico, con células sugerentes de rinoescleroma; b) cultivo de secreción, siendo positivo para Klebsiella pneumoniae subespecie rhinoescleromatis. Se concluye diagnóstico de rinoescleroma y se indica tratamiento antibiótico a base de Clindamicina y Ciprofloxacina obteniendo buena respuesta a estos y mejoría clínica evident
Janet Mclaughlin - One of the best experts on this subject based on the ideXlab platform.
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precarious patients health professionals perspectives on providing care to mexican and jamaican migrants in canada s seasonal Agricultural Worker program
Rural and Remote Health, 2019Co-Authors: Donald C Cole, Jenna Hennebry, Janet Mclaughlin, Michelle TewAbstract:Introduction The intersecting vulnerabilities of migrant Agricultural Workers (MAWs) impact both their health and their access to health care in rural areas, yet rural clinicians' voices are rarely documented. The purpose of this study was to explore health professionals' perspectives on health care for MAWs in sending countries and rural Ontario, Canada. Methods Qualitative research design occurred over three distinct projects, using a multi-methodological approach including semi-structured interviews in Mexico, Jamaica and rural Ontario (n=43), and session field notes and questionnaires administered to healthcare providers (n=65) during knowledge exchange sessions in rural Ontario. A systematic analysis of these data was done to identify common themes, using NVivo software initially and then Microsoft Excel for application of a framework approach. Results Structural challenges posed by migrant Workers' context included difficulties preventing and managing work-related conditions, employers or supervisors compromising confidentiality, and MAWs' fears of loss of employment and return to countries of origin prior to completing treatments. Structural challenges related to health services included lack of adequate translation/interpretation services and information about insurance coverage and MAWs' work and living situations; scheduling conflicts between clinic hours and MAWs' availability; and difficulties in arranging follow-up tests, treatments and examinations. Intercultural challenges included language/communication barriers; cultural barriers /perceptions; and limited professional knowledge of MAWs' migration and work contexts and MAWs' knowledge of the healthcare system. Transnational challenges arose around continuity of care, MAWs leaving Canada during/prior to receiving care, and dealing with health problems acquired in Canada. A range of responses were suggested, some in place and others requiring additional organization, testing and funding. Conclusion Funding to strengthen responses to structural and intercultural challenges, including research assessing improved supports to rural health professionals serving MAWs, are needed in rural Canada and rural Mexico and Jamaica, in order to better address the structural and intersecting vulnerabilities and the care needs of this specific population.
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temporary Workers temporary fathers transnational family impacts of canada s seasonal Agricultural Worker program
Relations Industrielles-industrial Relations, 2018Co-Authors: Janet Mclaughlin, Don Wells, Aaraon Diaz Mendiburo, Andre Lyn, Biljana VasilevskaAbstract:Under Canada’s Seasonal Agricultural Worker Program (SAWP), migrant Workers come to Canada for up to eight months each year, without their families, to work as temporary foreign Workers in agriculture. Using a ‘whole Worker’ industrial relations approach, which emphasizes intersections among work, family and community relations, this article assesses the impacts of these repeated separations on the wellbeing and cohesion of Mexican Workers’ transnational families. The analysis is based primarily on 74 in-depth, semi-structured interviews that were conducted in Spanish with male Workers, their spouses and children, and with the children’s teachers. Assessment criteria include effects on children’s health and educational success, children’s behaviour, mothers’ abilities to cope with added roles and work, and emotional relations among Workers, children and spouses.The study findings suggest that families are often negatively impacted by these repeated separations, with particular consequences for the mental and physical health of children. Children’s behavioural challenges often include poor school performance, involvement in crime, drug and alcohol abuse (especially among sons), and early pregnancies among daughters. As temporary ‘single moms,’ wives often have difficulty coping with extra functions and burdens, and lack of support when their husbands are working in Canada. Typically, there are profound emotional consequences for Workers and, frequently, strained family relations. The article concludes by offering practical policy recommendations to lessen negative impacts on SAWP Workers and their families, including higher remittances; improved access to labour rights and standards; and new options for family reunification.
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food security at whose expense a critique of the canadian temporary farm labour migration regime and proposals for change
International Migration, 2017Co-Authors: Anelyse M Weiler, Janet Mclaughlin, Donald C ColeAbstract:Temporary farm labour migration schemes in Canada have been justified on the premise that they bolster food security for Canadians by addressing Agricultural labour shortages, while tempering food insecurity in the Global South via remittances. Such appeals hinge on an ideology defining migrants as racialized outsiders to Canada. Drawing on qualitative interviews and participant observation in Mexico, Jamaica and Canada, we critically analyse how Canada's Seasonal Agricultural Worker Program is tied to ideological claims about national food security and agrarianism, and how it purports to address migrant Workers’ own food insecurity. We argue remittances only partially, temporarily mitigate food insecurity and fail to strengthen migrant food sovereignty. Data from our clinical encounters with farm Workers illustrate structural barriers to healthy food access and negative health consequences. We propose an agenda for further research, along with policies to advance food security and food sovereignty for both migrants and residents of Canada.
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migrant Agricultural Workers in local and global contexts toward a better life
Journal of Agrarian Change, 2017Co-Authors: Janet Mclaughlin, Anelyse M WeilerAbstract:Four books published between 2013 and 2014 make a vital contribution towards understanding the political and ideological tools by which states and employers construct hyper-exploitable Agricultural Workers. In this review essay, we provide an assessment of how these books have advanced our understandings of migrant farm labour regimes in local and international perspectives. After presenting a synopsis of each text, we critically reflect on key lessons learned, offer questions that merit further attention, and suggest directions for future research. Our review finds that despite wide differences in geopolitical and legal contexts in which migrant Agricultural Workers cross borders, live and work, there are remarkable resemblances in the ways in which states use (and abuse) migrant labour. Likewise, there are glaring similarities in the consequent vulnerabilities migrants experience. While each author provides compelling and empirically rich observations based on local fields of study, generally lacking are broader global connections and policy discussions about how the problems raised can be meaningfully addressed. Given the seeming ubiquity of exploitative migrant Agricultural Worker regimes, the fundamental question left largely unanswered is: Must ‘local’ Agricultural systems depend on vulnerable imported Workers in order to provide affordable food for consumers, or are there workable alternatives to this arrangement?
Isabelle Baldi - One of the best experts on this subject based on the ideXlab platform.
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Pesticide use and risk of non-Hodgkin lymphoid malignancies in Agricultural cohorts from France, Norway and the USA: a pooled analysis from the AGRICOH consortium
International Journal of Epidemiology, 2019Co-Authors: Maria Leon, Leah Schinasi, Pierre Lebailly, Laura Beane Freeman, Karl-christian Nordby, Gilles Ferro, Alain Monnereau, Maartje Brouwer, Séverine Tual, Isabelle BaldiAbstract:BACKGROUND: Pesticides are commonly used in agriculture, and previous studies endorsed the need to further investigate the possible association between their use and risk of lymphoid malignancies in Agricultural Workers. METHODS: We investigated the relationship of ever use of 14 selected pesticide chemical groups and 33 individual active chemical ingredients with non-Hodgkin lymphoid malignancies (NHL) overall or major subtypes, in a pooled analysis of three large Agricultural Worker cohorts. Pesticide use was derived from self-reported history of crops cultivated combined with crop-exposure matrices (France and Norway) or self-reported lifetime use of active ingredients (USA). Cox regression models were used to estimate cohort-specific hazard ratios (HRs) and 95% confidence intervals (CIs), which were combined using random effects meta-analysis to calculate meta-HRs. RESULTS: During follow-up, 2430 NHL cases were diagnosed in 316 270 farmers accruing 3 574 815 person-years under risk. Most meta-HRs suggested no association. Moderately elevated meta-HRs were seen for: NHL and ever use of terbufos (meta-HR = 1.18, 95% CI: 1.00-1.39); chronic lymphocytic leukaemia/small lymphocytic lymphoma and deltamethrin (1.48, 1.06-2.07); and diffuse large B-cell lymphoma and glyphosate (1.36, 1.00-1.85); as well as inverse associations of NHL with the broader groups of organochlorine insecticides (0.86, 0.74-0.99) and phenoxy herbicides (0.81, 0.67-0.98), but not with active ingredients within these groups, after adjusting for exposure to other pesticides. CONCLUSIONS: Associations of pesticides with NHL appear to be subtype- and chemical-specific. Non-differential exposure misclassification was an important limitation, showing the need for refinement of exposure estimates and exposure-response analyses.
Hanni Stoklosa - One of the best experts on this subject based on the ideXlab platform.
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pesticide exposure and heat exhaustion in a migrant Agricultural Worker a case of labor trafficking
Annals of Emergency Medicine, 2020Co-Authors: Nathan M Kunzler, Juan Carlos Jimenez Luna, Gonzalo Martinez De Vedia, Timothy B. Erickson, Hanni StoklosaAbstract:To our knowledge, there are no published reports of heat exhaustion and pesticide exposure in a labor trafficked patient in the literature. Here we represent the case of J.C.J.L., who was labor trafficked. He presented to a local emergency department with heat exhaustion and pesticide exposure related to working conditions in a Mississippi corn field. Unfortunately, while he received medical treatment, his labor trafficking condition was missed. Emergency departments should be equipped to assess for human trafficking and connect trafficked persons with the resources they need. Emergency physicians should maintain a high index of suspicion for human trafficking among migrant Workers presenting with occupation-related complaints.