It is estimated that there are
approximately 1.5 million migrant farm workers in the US. Many of
these individuals migrate from Zika-affected countries in Central
America, with 74% of the agricultural workers surveyed in 2009-2010
reporting Mexico as their country of birth (USDA, National
Agricultural Worker Survey). They represent a vulnerable population
in terms of Zika transmission due to multiple factors, such as
working outside during the period in which the vector bites
(daylight hours), living in sub-standard housing with minimal
screens, limited to no English proficiency, and having an illegal
status in the US that may prevent them from seeking health care
services if symptomatic. Migrant farm workers often work in
isolated areas with little access to transportation – their only
source of transportation may be that provided by farm labor
contractors or other employers, which may limit their access to
health care or stores where they could purchase preventive measures
such as insect repellent. The Global Migration Task Force, in
collaboration with the US Mexico Unit (USMU)/Division of Global
Migration and Quarantine (DGMQ) proposes to do a rapid qualitative
assessment of migrant farm workers in four states (FL, GA, TX and
CA) in order to better describe farm migrant workers’ understanding
of Zika virus and Zika communication messages and their access and
willingness to use public health interventions (such as insect
repellents and condoms) to prevent the spread of Zika. Information
will also be gathered about use of health care services and major
concerns related to Zika.
CDC requests an
Emergency Clearance submission of US-based Migrant Farm Workers
Understanding and Use of Measures to Prevent Zika Transmission.
Information will be gathered to assess the following for the
Migrant Farm Worker population in the U.S.: General knowledge and
understanding of Zika virus and risk of Zika transmission, Concerns
in relation to Zika infection and transmission, Knowledge about
Zika prevention, Willingness to use preventive measures or to seek
health care if sick, Access to preventive measures and health care,
and Gaps in knowledge that indicate additional or more culturally
appropriate health communication is needed This qualitative
assessment will provide data that can inform health and risk
reduction communications that are most appropriate to this
particular at-risk population. These findings will be shared with
State and Local Health Departments, as well as their partner
migrant farm work organizations. Following the focus group
discussions and individual interviews, cleared CDC Zika
communication literature translated to Spanish can be shared with
the migrant farm workers, as well as with employers, which will
broaden the population base that receives Zika health
communication.
US Code:
42
USC 241 Name of Law: Public Health Service Act
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.