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Lessons Learned from Data Collection as Health Screening in Underserved Farmworker Communities

Abstract:Background: Girasoles is an academic–community partnership investigating heat-related illness (HRI) among farm-workers. An unexpected outcome is health screening and intervention for participants without access to health care.Objectives: We present a case of renal failure in a farmworker, detected during data collection, to illustrate how academic–community collaboration can result in clinical benefits for study participants.Methods: Girasoles is examining physiologic responses to heat stress, associated vulnerability factors, and HRI symptoms. Data include blood pressure, fasting and non-fasting blood glucose, blood creatinine, blood urea nitrogen, and urine dipsticks. Participants with out-of-range findings are referred to local health care providers.Results: During two summers, health screenings of 192 workers resulted in 71 referrals (37%) for conditions to be rechecked and treated. One of these referrals involved chronic renal failure requiring extensive follow-up by research team members.Conclusions: The case of renal failure illustrates the value of collaborative research as a health intervention with vulnerable populations.