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190,000 migrant workers and dependents are included in project areas covered by hospital service.

3,000 migrant workers and dependents have had bills paid under the program. (This is an underestimate due to the time-lag in getting paid bills in for processing.)

$1,307,836 has been obliated thus far (1967 and 1968 funds) for in-hospital services, including hospitalization ($946,576) and physician's services

($361,260). Program Needs.

441 more counties need to be covered with personal health care and 286 more counties with sanitation services in order to meet the needs in all 726 counties with an annual influx of migrants.

Approximately 700,000 additional migrant people need to be brought into contact with services.

Medical and dental services need to be expanded. At present migrants in project areas are using medical services at about one-fifth and dental services at about one-twenty-fifth the rate for the general population.

Undiagnosed and untreated conditions among migrants as the result of inadequate access to care need to be brought under treatment. Present estimates indicate that among migrants outside project areas there are

5,600 with diabetes;
5,000 with tuberculosis;
9,800 children with iron deficiency anemia;

3,000 children under 18 with cardiac damage as a result of rheumatic fever; and

many thousands of children and adults with visual, hearing, dental, and other uncorrected defects.

A DIRECTORY OF MIGRANT HEALTH PROJECTS ASSISTED BY PUBLIC HEALTH

SERVICE GRANTS

INTRODUCTION

The Migrant Health Act of 1962, as amended in 1965, authorizes the Public Health Service to make grants to assist communities in extending local health services to migrants. After local plans are approved, grants are made to public or private nonprofit organizations to pay part of the cost of health services for migrant farmworkers and family members.

The 115 projects listed here were receiving grant assistance from the Public Health Service in August 1967. Located in 36 States and Puerto Rico, these projects provide both sanitation services and personal health care in some 330 counties and sanitation services alone in 150 additional counties. The information for each project is from the project's application and report.

PURPOSE

The directory can assist project staff members and others concerned with migrants in identifying places where projects offer services to migrants along the major migratory streams. It can also facilitate intrastate and interstate patient referrals, as well as interproject communication for the exchange of information and ideas.

Each project description includes a reference to the duration of the migrant season. Projects in the northern work area are operational only during the months shown. However, many have one or two key staff members available throughout the year to answer questions between seasons, and to do the necessary postseason followup and preseason planning and negotiation.

ARRANGEMENT

The States are arranged alphabetically, and the projects are listed numerically by project grant number within the State.

The location of family health service centers is included in the description of projects which operate one or more such centers. Typically the centers are temporary facilities, open periodically at times and places conveniently accessible to migrants. At the centers, physicians provide medical treatment, immunizations, and other health services with the assistance of project staff members.

DEFINITIONS

The estimated number of migrants includes workers and family dependents present in the project area. The estimate shown for each project is that made by the project itself. It includes both persons moving within the State and those moving out of the State.

Health services provided are listed by type. The various types are defined as follows:

Medical care.-Care of the type usually provided by a family physician, including both remedial and preventive services. It may be provided in a family health service center set up for the purpose in or near a large concentration of farm migrants, or it may be provided upon referral to a cooperating physician's private office, to a hospital outpatient department, or to a preexisting clinic or health service center. Mobile units are occasionally used.

Hospitalization.—Hospital and related professional care for up to 30 days for any one admission in a general, short-stay hospital.

Dental care.—Care to remove infection and relieve pain. Some projects also provide limited restorative care, especially for children.

Nursing care.—Home visiting for casefinding, family counseling about health problems, and related purposes. Nurses and aides working under their supervision also refer migrants to sources of needed care and make followup visits to determine the outcome of referrals. In addition, nurses work in family health service centers.

Sanitation services.—Inspecting living and work sites of migrant workers and families to determine health and safety deficiencies and obtaining their correction.

Health education.-Formal or informal teaching of good personal or family health practices. Health education is shown as a service component only for projects which have a planned program of health education with part- or fulltime assistance from a professional health educator. However, informal health counseling is considered as part of the job of every project staff member. The educational work of the health educator and other professional staff also extends into the community to help develop understanding of migrants, and of their needs for health care and a safe, healthful environment.

Nutrition counseling, and social work.-Only a few projects with sufficient funds and professional manpower are able to provide these important services.

PREPARATION

This directory was prepared by the Migrant Health Branch, Public Health Service. All Regional Migrant Health Representatives and project directors cooperated in providing the basic information.

ARIZONA

Project Title: Maricopa County Migrant Family Health Clinic Project (MG 29).

Sponsor: Maricopa County Health Department, 1825 East Roosevelt, Phoenix, Ariz. 85001 ; Telephone 602–258–6381.

Director: Raymond Kaufman, M.D.
Duration of migrant season: Year round.
Estimated number of migrants : 16,671.
County served by project: Maricopa.

Health services provided: Medical care, dental care, nursing care, sanitation services, nutrition counseling, and health education.

Location of family health service centers: Avondale*, Buckeye*, El Mirage, Glendale*, Guadalupe, Harquahala, Queen Creek, Tanitas Farm, and Tolleson*.

Project Title: Assistance to Pima County Migrants (MG 49).

Sponsor: Pima County Health Department, 161 West Alameda Street, Tucson, Ariz. 85701 ; Telephone 602–623–5071.

Director: Frederick J. Brady, M.D.
Duration of migrant season: Year round.
Estimated number of migrants: 1,200.
County served by project: Pima.

*Mobile clinic.

Health services provided: Medical care, dental care, nursing care, sanitation services, nutrition counseling, and health education.

Location of family health service centers: Continental, Marana, and Sahuarita.

Project Title: Yuma County Migrant Health Project (MG 66).

Sponsor: Yuma County Health Department, 145 Third Avenue, Yuma, Ariz. 85364 ; Telephone 602-782-9221.

Director: J. C. Pinto, M.D.
Duration of migrant season: Year round.
Estimated number of migrants: 14,400.
County served by project: Yuma.

Health services provided: Medical care, hospitalization, nursing care, and sanitation services.

Location of family health service centers: Roll, Somerton, and Yuma.

Project Title: Pinal County Migrant Family Health Service Project (MG 94).

Sponsor: Pinal County Health Department, Post Office Box 807, Florence, Ariz. 85232; Telephone 602–868–5844.

Director: William C. Carpenter, M.D.
Duration of migrant season: Year round.
Estimated number of migrants: 5,230.
County served by project: Pinal.

Health services provided: Medical care, hospitalization, dental care, nursing care, sanitation services, and health education.

Project Title: Arizona State Migrant Health Program (MG 111).

Sponsor: Arizona State Department of Health, Arizona State Office Building, 1624 West Adams Street, Phoenix, Ariz. 85007; Telephone 602–291-4549.

Director: Robert C. Martens.
Duration of migrant season: Year round.
Estimated number of migrants: 39,700.
Counties served by project: All counties with migrants.

Health services provided: Nursing services in Cochise County; consultation services to local migrant health projects in nursing, sanitation, health education, and nutrition.

ARKANSAS Project Title: Northwest Arkansas Area Migrant Committee Project to Establish Springdale Family Health Service Clinic (MG 50).

Sponsor: Northwest Arkansas Area Migrant Committee, 1401 Vista Drive, Fayetteville, Ark. ; Telephone 501-442–9481.

Director: Mr. Bill E. Parette.
Duration of migrant season: April-October.
Estimated number of migrants:1,459.
Counties served by project: Benton and Washington.

Health services provided: Medical care, hospitalization, dental care, rsing care, sanitation services, health education, and nutrition counseling.

Location of family health service centers: Springdale School and labor camp.

CALIFORNIA Project Title: Health Program for Farmworkers' Families in California (MG 06).

Sponsor: California State Department of Health, 2151 Berkeley Way, Berkeley, Calif. 94704 ; Telephone 415–843–7900x201.

Director: Robert W. Day, M.D.
Duration of migrant season: Year round.
Estimated number of migrants: 80,000.

Counties served by project: Butte, Colusa, Fresno, Kern, Merced, Monterey, Riverside, San Benito, San Luis Obispo, Santa Barbara, Santa Cruz, Sutter, Yolo, and Yuba.

Health services provided: Medical care, hospitalization (Riverside County), nursing care, sanitation services, and health education through county projects; consultation services to county projects in nursing, sanitation, health education, medical care, and social work.

NOTE.—See following table for county detail.

COUNTY COMPONENTS OF CALIFORNIA HEALTH PROGRAM FOR FARMWORKERS, FAMILIES (MG 06)

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Butte County-Gridley Camp Clinic Irena Heindl, M.D. Butte County Health Department, 2430 Bird
Migrant Health Project.

Street, Oroville, Calif. 95965; Telephone

Seasonal Agricultural Workers J. Raymond Beeson, M.D. Colusa County Health Departmeat, 85 East
Program-Colusa County.

Webster Street, Colusa, Calif. 95932;

Martinez, Calif. 94553; Telephone 415

South Cedar Avenue, Fresno, Calif.

Merced County Agricultural A. Frank Brewer, M.D. Merced County Health Department, Post
Workers Project (Seasonai

Office Box 1350, 240 East 15th Street,
Farmworkers).

Merced, Calif. 95340; Telephone 209"

714-889-0111x482. LUE L'ONORE See footnotes at end of table, p. 92.

93-453-6847

County

Project title

Director

Sponsor

Butte.

916-533-1230.
Colusa.

Telephone 916-458-2919.
Contra Costa Field Public Health Program for Glen W. Kent, M.D. Health Department, Contra Costa County,
Seasonal Farmworkers.

228-3000
Fresno.
Migrant Health Project.

W. A. DeFries, M.D. Fresno County Health Department, 515

93702; Telephone 209-485-8000x371. Kern 2 Seasonal Farmworker Health Edu- Carl Miller,

Kern County Health Department, Post Office
cation Project (Community

Box 997, Bakersfield, Calif. 93302, Tele-
Aides).

phone 805-325-5051x218.
Merced.

723-2861x531. Monterey Monterey County Health Project R. S. Fraser, M.D

Monterey County Health Department, 1270
for Agricultural Laborers.

Natividad Road, Post Office Box 2137,
Salinas, Calif. 93901; Telephone 408-424-

7627.
Riverside

Family Health Services for Migrant Everett M. Stone, M.D. Riverside County Department of Public
Farmworkers in Riverside

Health, 3575 11th Street, Riverside, Calif.
County.

92501; Telephone 714-683-4000.
San Benito
San Benito County Migrant Health R. L. Hull, M.D.

San Benito County Health Department, 439
Project.

Fourth Street, Hollister, Calif. 95023;

Telephone 408-637-5367. San Bernardino 1 Migrant Farmworkers Project. -- M. E. Cosand, M.D. San Bernardino County Health Department,

San Bernardino, Calif. 94201; Telephone

750 Medical care, dental care, nursing Do.

care, sanitation services, 27,000 Medical care, sanitation services, Firebaugh, Five Points, health education.

Huron, Parlier

Housing Project. 9,500 Nursing care, sanitation services, None.

nutrition counseling, health

education.
7,000 Medical care, nursing care, sanita- Planado, South Dos Palos

tion services, nutrition coun

seling.
6,000 Medical care, nursing care, sanita- Pajaro.

tion services.

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COUNTY COMPONENTS OF CALIFORNIA HEALTH PROGRAM FOR FARMWORKERS, FAMILIES (MG 06)Continued

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Leon M. Swift, M.D. Sutter-Yuba Health Department, 370 Del

Norte Avenue, Yuba City, Calif. 95991;

Nursing Care and Health Super- Herbert Bauer, M.D. Yolo County Health Department, Post Office
vision for Families of Migrant

Box 1157, Woodland, Calif. 95695; Tele-
Workers.

5,000 Medical care, nursing care, sani

tation services.

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Project title

County

Director

Sponsor

San Joaquin 13. Environmental Health Services for J. Don Layson

San Joaquin Local Health District, San
Migrant Agricultural Workers.

Joaquin, Calif. 93660; Telephone 209–

466-6781.
Santa Barbara Migrant Health Project..

Frank Cline, Jr., M.D. Santa Barbara County Health Department,

117 East Carrillo Street, Santa Barbara,
Calif. 93102; Telephone 805–966-1611x-

385.
Santa Cruz. Farm Labor Health Services G. L. Dunnahoo, M.D. Santa Cruz County Health Department,
Project.

1060 Emeline Avenue, Post Office Box
962, Santa Cruz, Calif. 95060; Telephone

408-423-6020.
San Luis Obispo... Farm Labor Family Health Project. George L. Harper, M.D. - Department of Public Health, County of San

Luis Obispo, Post Office Box 1489, San
Luis Obispo, Calif. 93401; Telephone

805–543-1200.
Sutter.

Health Services to Migrant Farm- Thomas E. Leavenworth, Sutter County Hospital, 1965 Live Oak
workers and Their Families. M.D.

28000 Boulevard, Yuba City, Calif. 95991;

Telephone 916-743-4609.
Sutter-Yuba. Migrant Health Project.

Telephone 916–742–6407.
Yolo.

phone 916-662–3241x 250.

1 Supported by State funds only. 2 See also Kern County Seasonal Medical Care Clinic Project-MG 158.

3 See also Provision of Mobile Health Services for Migrant Agricultural Workers and Families in San Joaquin County (MG 157).

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