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Pesticide Exposure and Heat Exhaustion in a Migrant Agricultural Worker: A Case of Labor Trafficking

Hanni Stoklosa, Nathan Kunzler, Zheng Ben, Juan Carlos Jimenez Luna, Gonzalo Martínez de Vedia, Timothy B. Erickson

2020Annals of Emergency Medicine19 citationsDOIOpen Access PDF

Abstract

To our knowledge, there are no published reports of heat exhaustion and pesticide exposure in a labor trafficked patient in the literature. Here we represent the case of J.C.J.L., who was labor trafficked. He presented to a local emergency department with heat exhaustion and pesticide exposure related to working conditions in a Mississippi corn field. Unfortunately, while he received medical treatment, his labor trafficking condition was missed. Emergency departments should be equipped to assess for human trafficking and connect trafficked persons with the resources they need. Emergency physicians should maintain a high index of suspicion for human trafficking among migrant workers presenting with occupation-related complaints. To our knowledge, there are no published reports of heat exhaustion and pesticide exposure in a labor trafficked patient in the literature. Here we represent the case of J.C.J.L., who was labor trafficked. He presented to a local emergency department with heat exhaustion and pesticide exposure related to working conditions in a Mississippi corn field. Unfortunately, while he received medical treatment, his labor trafficking condition was missed. Emergency departments should be equipped to assess for human trafficking and connect trafficked persons with the resources they need. Emergency physicians should maintain a high index of suspicion for human trafficking among migrant workers presenting with occupation-related complaints.

Topics & Concepts

MedicineEmergency departmentOccupational safety and healthPoison controlMedical emergencyInjury preventionSuicide preventionHuman factors and ergonomicsEnvironmental healthAgricultureFarm workersPesticidePsychiatryBiologyEcologyPathologyAgronomyPesticide Exposure and ToxicityOccupational exposure and asthmaMigration, Health and Trauma
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