The pilot project took place from January to June 2025. It employed a multi-faceted approach, including educational outreach, promotion of preventive practices, and provision of personal protective equipment (PPE). A baseline survey was distributed to healthcare providers at 40 free and charitable clinics in Texas, Idaho, and California from February 4-14, 2025, to assess their knowledge, attitudes and practices regarding HPAI diagnosis and management. Based on findings, bilingual (English/Spanish) educational materials were developed for both healthcare providers and farmworkers, encompassing HPAI risk overviews, conversation guides, management guidance and seasonal influenza vaccination promotion. PPE distribution was facilitated through state free and charitable clinic associations.

Survey results from 46 individuals indicated high awareness of HPAI risks (93.5%), yet low preparedness for managing suspected cases (28.3%). Significant training gaps were identified in awareness of testing procedures (52.2%), case reporting (54.3%), and patient management (65.2%). Seasonal influenza vaccine recommendations (71.7%), confidence in discussing HPAI risks with at-risk patients (45.7%), and consistent PPE advocacy for those at occupational risk (52.2%) were all low or limited.

These findings highlight a critical need for targeted interventions to bridge the gap between HPAI awareness and preparedness among healthcare providers serving vulnerable agricultural populations. The project's educational materials and PPE distribution, coupled with focused presentations to clinic leaders, have enhanced clinical capacity and promoted preventive behaviors. Addressing identified training gaps and confidence deficits is essential for effective HPAI risk mitigation, ultimately protecting farmworkers and broader communities.