259286 California Border Region ILI Surveillance and Influenza Education in Migrant Farmworker Populations

Wednesday, October 31, 2012 : 8:45 AM - 9:00 AM

Margarita Santibanez, MPH , Office of Binational Border Health, California Department of Public Health, San Diego, CA
April Fernandez, MAS , CA Department of Public Health, CA Office of Binational Border Health, San Diego, CA
To address the gaps in influenza surveillance among the migrant farm worker populations we developed an expansion to the existing influenza surveillance and included education efforts in San Diego and Imperial Counties, in southern California. Specifically, this project: 1) Enhanced influenza-like-illness surveillance to include migrant farm workers in San Diego and Imperial Counties; 2) Estimated the burden of influenza-like-illness among migrant farm workers in CA Border Counties; 3) Conducted outreach to farm worker populations through print materials and face to face education.

Project staff developed the surveillance protocol using Centers for Disease Control and Prevention (CDC) influenza-like-Illness definition. The two participating clinics each formed teams of promotores (Community Health Workers) and clinic staff to actively visit migrant farmworker homes, apartments, camps, and other farmworker congregation sites. Surveillance activities were complemented with health outreach.

In total, 19,815 individuals were screened for ILI symptoms during 10 weeks. Both clinics' surveillance followed a similar trend, though one clinic consistantly reported higher rates. Reported rates were between 0.2 - 3.9 percent. At both sites the majority of individuals reported that they had not received an influenza vaccine this season (81% & 96%) and did not have health insurance (81% & 96%). In addition to the surveillance activities, 11,340 face-to-face promotora encounters were recorded during the weeks of the project.

Learning Areas:
Diversity and culture

Learning Objectives:
Describe alternative methods to traditional influenza like illness surveillance.

Keywords: Community Health Promoters, Migrant Workers

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author on the content I am responsible for because: 1) I developed the project proposal. 2) I lead the team that facilitated the project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.