[Solved]: Juan, an immigrant worker, and his wife, Maria, were…

Juan, an immigrant worker, and his wife, Maria, were migrant workers on a vegetable farm before expecting their first baby. When the baby was born, the baby had a life-threatening birth defect. The labor and delivery nurse remembered a similar birth a few months before. She wondered if there were any others. She contacted her friend who worked in the public health department on the healthy mothers and babies program. After a search, four other babies, born to immigrant mothers in the county, also had been born with birth defects. Step one: Begin by answering the following questions: 1. What is the nurse’s first step? 2. What might be an underlying cause? 3. What agencies might be able to assist and/or should be notified? Part two: The nurse at the public health department suspected that pesticide exposure might be the culprit since all of the mothers were migrant workers who picked vegetables. She contacted the CDC. Using the Sentinel Event Notification System for Occupational Risk (SENSOR), the CDC was able to conduct surveillance across several states. They were able to confirm cases and found that all but one of the cases involved a mother who had worked on farms owned by the same company. Answer the following questions: 1. What further information is needed to help establish a possible link between the birth defects and exposure to pesticides? 2. What possible pesticides might be responsible? 3. What business practices would have reduced harm? Part Three: The state department of agriculture and consumer services conducted an inspection of the farms owned by the company and found that there were multiple pesticide and record-keeping violations. Though they were unable to establish a clear causal link, they made several recommendations. Answer the following question: 1.What recommendations might be needed? Include recommendations at the policy level as well as interventions that could be implemented by an occupational and environmental health nurse.