DENVER – Está en marcha una iniciativa piloto para reducir el cáncer de cérvix en mujeres de color y mujeres de bajos ingresos, y Colorado se perfila como modelo nacional a seguir, por sus resultados positivos en la mejoría de sus índices de chequeo.

Un nuevo programa, lanzado en Colorado para reducir el cáncer en el cuello uterino fue sometido a su chequeo anual, y los resultados son buenos.

El Dr. David Stevens, director de calidad de centros en la “National Association of Community Health Centers” (Asociación Nacional de Centros de Salud Comunitaria), terminó recientemente un circuito de visitas para monitorear el progreso del programa. En su opinión, el proceso para mejorar las tasas de revisión está ayudando a fortalecer el modelo médico local en las clínicas de Colorado.

“Y los tipos de cambios que están haciendo en sus prácticas de chequeo de cáncer en el cérvix -explicó- son los mismos tipos de cambios que se harán en otras áreas de enfermedades crónicas y prevención.”

Stevens dice que cada año Colorado se enfrenta a unos 160 nuevos casos de cáncer en el cuello uterino, y casi 40 muertes por este mal. El programa piloto fue diseñado para llegar a los segmentos de la población con mayor riesgo de esta enfermedad, que incluyen mujeres de bajos ingresos y mujeres de color.

Jessica Sánchez, vice presidenta de calidad y operaciones en la “Colorado Community Health Network” (Red de Salud Comunitaria de Colorado), grupo que supervisa el programa, comenta que la meta de mejorar las tasas de examen en por lo menos cinco por ciento en seis de sus clínicas, es perfectamente alcanzable. Agrega que las clínicas están optimizando sus flujos de trabajo, haciendo alianzas para incrementar su capacidad, y reduciendo los obstáculos para que las mujeres se sometan al examen.

“Vimos un enorme cambio en los mensajes que se enviaban, especialmente a las mujeres, que aumentaría la adhesión -puntualizó-. Así que dejó de hablarse del ‘examen Papanicolau’, y se le llamó directamente detección del cáncer.”

La Red de Salud Comunitaria de Colorado recibió 150 mil dólares en julio del año pasado para lanzar el programa piloto, y Sánchez dice que espera que el modelo pueda replicarse en todo el estado y todo el país. El año pasado la Fundación RCHN de Salud Comunitaria adjudicó montos similares para iniciativas de salud en Arizona, California, Missouri y New York.


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Farmworkers in South Carolina and across the U.S. face scorching heat with little protection at the federal and state level. However, the Farm Labor Organizing Committee is taking steps to enhance worker safety.

The group is ramping up heat protection guidelines for migrant workers in the South through an existing rule. Originally negotiated in 2006 with the North Carolina Growers Association, the rule aimed to address heat-related incidents. Now, it is being strengthened to improve conditions for more than 9,000 farmworkers.

Baldemar Velasquez, president of the committee, believes the efforts are key in safeguarding workers where legal measures do not.

"The problem with legislation, whether it's the federal or state, it takes forever," Velasquez asserted. "Enforcement is always an issue because we're not talking about big factories with a lot of workers. We're talking very remote labor camps, isolated, and so it's important that workers know how to take action on their own."

He noted under the new guidelines, workers who are a part of their union take heat safety into their own hands. The rules say if it is getting close to 85 degrees and workers have symptoms such as dizziness or nausea, they should take a break in the shade and drink water, no matter what the boss said. When it hits 95 degrees or more, breaks are supposed to happen every couple of hours.

According to the Centers for Disease Control and Prevention, 67 people died from heat-related deaths from 2016 through 2020 in South Carolina.

Mario Vargas, lead organizing development coordinator at the Campaign for Migrant Worker Justice, shared his 15 years of firsthand experience. He vividly depicted the challenges faced by workers, such as tall crops blocking the wind and constant pressure from employers.

Recognizing the urgent need for change, Vargas and his organization are teaming up with the committee to go beyond guidelines. They are prioritizing education.

"Because if you say, 'Oh, we got another 100 feet to go so we can finish the row,' you might not make it to the end of the row," Vargas pointed out. "You need to stop and find some shade and drink some water. We let them know their rights, that they have a right."

The group will be teaching farmworkers about the new guidelines, signs of heat stress, how to stay hydrated and when to seek medical help. Vargas added they will also have support channels to report issues or pushback to ensure their well-being is not compromised.

Last week, Walmart became the latest major retailer to retreat from providing direct health-care service by announcing closures of all its health clinics and virtual health-care operations.

However, Florida's health centers say they are ready to fill the gap.

Florida is home to most of the soon-to-be-shuttered health centers - 23 of the 51 centers are now winding down operations in the Sunshine State, where they offer various services, including medical, dental, and behavioral health care.

Benjamin Browning - vice president and COO of the Florida Association of Community Health Centers - said many have tried to figure out the complexities of delivering health-care services, which doesn't always work.

He said the current concern is ensuring displaced patients, often in rural underserved areas, can still access care.

"Fortunately," said Browning, "the community health centers are positioned throughout the state to be able to welcome those patients, to encourage those patients to come and visit and receive their primary-care services."

In a statement, Walmart cited the challenging health-care reimbursement landscape and rising operating costs as reasons for the closures.

Additionally, Walgreens is closing 160 VillageMD clinics, Amazon is cutting jobs at One Medical and Amazon Pharmacy, and CVS Health plans to shutter dozens of pharmacies in Target stores.

Browning said their model of providing care is embedded in their name - building community.

When a patient enters their facility, they might also be connected to additional services. He said the model is financially challenging, but they've been working to perfect it.

"There is a level of streamlining," said Browning. "There is a level of efficiency that is maximized to the extent possible, within the health centers to provide for those patients that can and cannot afford to pay the full bill."

Walmart expects the closures to occur within three months and will now focus its health business on its nearly 4,600 pharmacies and more than 3,000 vision centers across the United States.

Community Health Centers are in all of Florida's 67 counties, serving patients in more than 800 locations - including dozens of mobile units and school-based sites statewide.

Michigan farmers are responding to the new Avian Flu "Extraordinary Emergency" order from MDARD, Michigan's Department of Agriculture and Rural Development.

New safety guidelines must be in place by this Wednesday that affect all dairy and poultry operations in the state.

The guidelines include the designation of a biosecurity manager, establishing a perimeter that limits access to livestock, and implementing cleaning and disinfection procedures at those access points.

Chief Medical Executive for the state of Michigan, Dr. Natasha Bagdasarian, said the most severe cases of the Bird Flu seem to be in poultry.

"Poultry don't recover well from this virus," said Bagdasarian. "This is a highly pathogenic virus in poultry and the dairy cows do tend to recover, even though their milk production is slowed down."

M-DARD first detected Avian Flu in Michigan dairy cattle on March 29 of this year. The disease has since been detected in more dairy herds and commercial poultry flocks in 7 counties.

The emergency guidelines also include farms maintaining a record of vehicles and people who cross access points.

Regarding the health risks for humans, Bagdasarian said there is some positive news amidst the crisis.

"We had a number of workers who had been exposed, but very few have been symptomatic," said Bagdasarian. "And no one who has been symptomatic and tested for the virus, had tested positive. So, that's really good news. "

The Food and Drug Administation continues to advise against drinking raw milk and recommends that the dairy industry does not manufacture or sell raw milk or raw milk products.



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