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It is the " hot and cold " theory I grew up with. It will take farm workers

themsleves to convince them otherwise, because it is such a strong belief

that governs so much family behavior. This will be a hard one to

overcome. Concrete

On Mon, 10 Apr 2000, Judith Becher wrote:

> We are working with a pesticide project in Yakima Valley that is

> planning

> educational interventions directed toward workers and their families to

> reduce in-home pesticide exposure. One of the behaviors that is being

> targeted is bathing after arriving at home, which is not done because of

>

> cultural beliefs that people can get arthritis or go into shock from

> showering right after work. Do others have insights or information on

> this belief, and effective paradigms to get around this? Are there

> other beliefs that others have encountered? thank you.

> Ilda Islas, Project Manager <iislas@...>

> Judith Becher, MD <becherj@...>

>

>

>

>

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Guest guest

The cultural belief that washing after work will give you arthritis is one

that we have encountered in several contexts. The " core " belief is that

when the body is warm, cold water is harmful. This comes up in the fields

as well, when we urge people to wash their hands before they eat, smoke,

etc. One approach we have taken is to say to the person, you have a

choice: on the one hand you have a poison on your body which you need to

wash off, on the other hand you think that washing may cause harm, which is

preferable to you to do? Faced with this choice the overwhelming majority

of people believe that it is better to wash off the poison. Thus, the job

becomes convincing people that the pesticides on their body are poisons --

which is the crux of the training you are giving. We also try to gently

dispel this myth, but I think that this is a long term task. Convincing

them that the pesticides are poison -- and that their forefathers didn't

face that dilemma -- is more fruitful in the near term. Hope this is helpful.

Farmworker Justice Fund, Inc.

1111 19th Street N.W. # 1000

Washington D.C. 20036

ph 202 776 1757

fax 202 776 1792

www.fwjustice.org

At 08:52 PM 4/10/00 -0700, you wrote:

>We are working with a pesticide project in Yakima Valley that is

>planning

>educational interventions directed toward workers and their families to

>reduce in-home pesticide exposure. One of the behaviors that is being

>targeted is bathing after arriving at home, which is not done because of

>

>cultural beliefs that people can get arthritis or go into shock from

>showering right after work. Do others have insights or information on

>this belief, and effective paradigms to get around this? Are there

>other beliefs that others have encountered? thank you.

>Ilda Islas, Project Manager <iislas@...>

>Judith Becher, MD <becherj@...>

>

>

>

>

>------------------------------------------------------------------------

>Enter to WIN one of 10 NEW Kenmore Ranges!

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>1/2677/0/_/339705/_/955436613/

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Guest guest

Beware of stereotypes and misinterpretations of health and hygiene practices.

The concern about bathing after a hard day at work in the sun or physical

activity causing an increase in body temperature is not without merit. Even

after a casual day in the office, I do not go into the swimming pool nor take a

cold shower, which is the qualifier for the misconception about taking a bath

after work. The fact is that some people are hypersensitive to cold and under

certain conditions, a person can go into shock if immersed in cold water.

People from low income, rural, agrarian communities do not have hot water, or

even inside water. The outside pump or river is the only place to bathe in. Get

it?

Good luck

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This message is in response to Judith Becher. I was interested in your

comment because I ran across this issue is some pesticide research we did a

few years ago and your research is the only other mention of it I have

heard. I am wondering if other people have documented this but I have not

found the references.

I can't give you much help in terms of how to get around this but I did want

to let you know that we have documented the same belief when we did some

focus groups with farmworkers about pesticide safety in Santa Clara County

California. The research project was sponsored by Santa Clara County and

was done by Aguirre International and the California Institute for Rural

Studies. During the focus groups, several workers told us that they could

not follow the recommended safety practices and take showers upon arriving

home, even though they felt strongly about protecting their children,

because showering while heated up would make them ill.

Again, I don't have ideas for solving this problem but I can provide our

research report if you are interested or need further documentation.

-----Original Message-----

From: Judith Becher [mailto:becherj@...]

Sent: Monday, April 10, 2000 8:52 PM

egroups

Subject: [ ] beliefs surrounding pesticides

We are working with a pesticide project in Yakima Valley that is

planning

educational interventions directed toward workers and their families to

reduce in-home pesticide exposure. One of the behaviors that is being

targeted is bathing after arriving at home, which is not done because of

cultural beliefs that people can get arthritis or go into shock from

showering right after work. Do others have insights or information on

this belief, and effective paradigms to get around this? Are there

other beliefs that others have encountered? thank you.

Ilda Islas, Project Manager <iislas@...>

Judith Becher, MD <becherj@...>

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Guest guest

This 'hot and cold' theory isn't too far removed from

many other cultures, including chinese. Rather than

dismiss these beliefs, it might be more successful to

try to accomodate these beliefs when discussing

behavior change. Begin with the presence of

pesticides, stressing changing clothes as a beginning

point. Maybe leaving water out in the sun to warm up

naturally, then rinsing with this water would be more

acceptable. Stress tepid water rather than cold

water. You have to begin somewhere and changing

clothes and partial bathing is better than nothing.

Also, if you want cooperation and permanent behavior

change, it is much better to work within cultural

beliefs.

Tammy Y Watkins, RN, MPH

Health Educator

--- Lou Siantz <msiantz@...> wrote:

> It is the " hot and cold " theory I grew up with. It

> will take farm workers

> themsleves to convince them otherwise, because it is

> such a strong belief

> that governs so much family behavior. This will be

> a hard one to

> overcome. Concrete

>

> On Mon, 10 Apr 2000, Judith Becher wrote:

>

> > We are working with a pesticide project in Yakima

> Valley that is

> > planning

> > educational interventions directed toward workers

> and their families to

> > reduce in-home pesticide exposure. One of the

> behaviors that is being

> > targeted is bathing after arriving at home, which

> is not done because of

> >

> > cultural beliefs that people can get arthritis or

> go into shock from

> > showering right after work. Do others have

> insights or information on

> > this belief, and effective paradigms to get around

> this? Are there

> > other beliefs that others have encountered? thank

> you.

> > Ilda Islas, Project Manager <iislas@...>

> > Judith Becher, MD <becherj@...>

> >

> >

> >

> >

> >

>

------------------------------------------------------------------------

> > Enter to WIN one of 10 NEW Kenmore Ranges!

> > Only at sears.com

> >

>

1/2677/0/_/339705/_/955436613/

> >

>

------------------------------------------------------------------------

> >

> > To Post a message, send it to:

> eGroups

> >

> > To Unsubscribe, send a blank message to:

> -unsubscribeeGroups

> >

> >

>

>

__________________________________________________

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Guest guest

I believe that beyond the perception of folk medicine lies another common factor

which may be overlooked here, that of habit. In Puerto Rico a large number of

individuals do not bathe frequently not only because of the belief aurrounding

one's physical health but also because of avaliability of water. It is not

always available or for that matter safe enough to use. One than becomes

accosutmed to what is familiar. Make sense?

Ana

>>> lopezvas@... 04/11/00 11:09AM >>>

Beware of stereotypes and misinterpretations of health and hygiene practices.

The concern about bathing after a hard day at work in the sun or physical

activity causing an increase in body temperature is not without merit. Even

after a casual day in the office, I do not go into the swimming pool nor take a

cold shower, which is the qualifier for the misconception about taking a bath

after work. The fact is that some people are hypersensitive to cold and under

certain conditions, a person can go into shock if immersed in cold water.

People from low income, rural, agrarian communities do not have hot water, or

even inside water. The outside pump or river is the only place to bathe in. Get

it?

Good luck

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Guest guest

This has been a concern for us at La Clínica del Cariño. There is not only

the concern about bathing after arriving home, but family members coming

home for lunch before they go back to the fields in the afternoon. Another

concern we have is handwashing in the field before eating lunch or going to

the bathroom.

There is a strong belief that the body is hot from working and washing with

cold or cool water will result in " riumas " , or arthritis and " hacer daño " ,

or cause harm. Eventhough many people who live in the United States have

access to warm or hot water, we have found that the preference for many

farmworkers in our area is cool water for bathing after work in the field.

A husband of a coworker works in an orchard that has showers. The workers

bring a clean change of clothes each day. At the end of the work day, they

shower and change into the clean clothes before going home.

Something I would seriously consider, and two of our promotoras agree, if I

were working on this project would be to share and dialoge as to why this is

important FOR THE SAFETY OF OUR CHILDREN AND FAMILIES. You might consider

giving a few real life, specific examples of cases in farmworker families

where there were health problems as a result of not doing so. I don't

suggest this as a fear tactic but as a situation that people can relate to -

a family, just like mine.

Sprager

Healthy Communities Director

La Clínica del Cariño

-----Original Message-----

From: Judith Becher <becherj@...>

egroups

< egroups>

Date: Tuesday, April 11, 2000 12:03 AM

Subject: [ ] beliefs surrounding pesticides

>We are working with a pesticide project in Yakima Valley that is

>planning

>educational interventions directed toward workers and their families to

>reduce in-home pesticide exposure. One of the behaviors that is being

>targeted is bathing after arriving at home, which is not done because of

>

>cultural beliefs that people can get arthritis or go into shock from

>showering right after work. Do others have insights or information on

>this belief, and effective paradigms to get around this? Are there

>other beliefs that others have encountered? thank you.

>Ilda Islas, Project Manager <iislas@...>

>Judith Becher, MD <becherj@...>

>

>

>

>

>------------------------------------------------------------------------

>Enter to WIN one of 10 NEW Kenmore Ranges!

>Only at sears.com

>1/2677/0/_/339705/_/955436613/

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>

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Guest guest

raises an important point about having showers available at the

worksite so that workers can shower immediately after work -- with cool,

warm or hot water -- and then change into clean clothes before they return

home. Unfortunately, there is no federal legal requirement that showers be

provided at the worksite.

A group of farmworker advocates has gotten together to craft a list of the

four key items we would like the Clinton Administration to do to protect

farmworkers from pesticide exposure. They are:

1. Require showers.

2. Parity of risk -- now in assessing the cancer risk for farmworkers and

the general public, the EPA will allow the use of a pesticide which poses a

1 in 10,000 cancer risk to farmworkers, while they will only permit a risk

of 1 in 1,000,000 cancer risk for the general public.

3. Right to know -- currently farmworkers are the only group without a

right to know (and be trained) concerning the health risks posed by the

specific pesticides used in their work area.

4. Closed mixing, loading systems and closed cabs -- California cut down

handler risks substantially by requiring closed mixing and loading systems

for toxicity category 1 pesticides. Similar protection is needed for

applicators -- by requiring closed cabs -- for both tox 1 and 2 pesticides.

These protections are not now required on a federal level.

If anyone would like to sign-on to a letter raising these demands to Carol

Browner, please contact me at the Farmworker Justice fund -- sdavis@....

Thanks,

At 03:21 PM 4/11/00 -0700, you wrote:

>This has been a concern for us at La Clínica del Cariño. There is not only

>the concern about bathing after arriving home, but family members coming

>home for lunch before they go back to the fields in the afternoon. Another

>concern we have is handwashing in the field before eating lunch or going to

>the bathroom.

>

>There is a strong belief that the body is hot from working and washing with

>cold or cool water will result in " riumas " , or arthritis and " hacer daño " ,

>or cause harm. Eventhough many people who live in the United States have

>access to warm or hot water, we have found that the preference for many

>farmworkers in our area is cool water for bathing after work in the field.

>

>A husband of a coworker works in an orchard that has showers. The workers

>bring a clean change of clothes each day. At the end of the work day, they

>shower and change into the clean clothes before going home.

>

>Something I would seriously consider, and two of our promotoras agree, if I

>were working on this project would be to share and dialoge as to why this is

>important FOR THE SAFETY OF OUR CHILDREN AND FAMILIES. You might consider

>giving a few real life, specific examples of cases in farmworker families

>where there were health problems as a result of not doing so. I don't

>suggest this as a fear tactic but as a situation that people can relate to -

>a family, just like mine.

>

> Sprager

>Healthy Communities Director

>La Clínica del Cariño

>-----Original Message-----

>From: Judith Becher <becherj@...>

> egroups

>< egroups>

>Date: Tuesday, April 11, 2000 12:03 AM

>Subject: [ ] beliefs surrounding pesticides

>

>

>>We are working with a pesticide project in Yakima Valley that is

>>planning

>>educational interventions directed toward workers and their families to

>>reduce in-home pesticide exposure. One of the behaviors that is being

>>targeted is bathing after arriving at home, which is not done because of

>>

>>cultural beliefs that people can get arthritis or go into shock from

>>showering right after work. Do others have insights or information on

>>this belief, and effective paradigms to get around this? Are there

>>other beliefs that others have encountered? thank you.

>>Ilda Islas, Project Manager <iislas@...>

>>Judith Becher, MD <becherj@...>

>>

>>

>>

>>

>>------------------------------------------------------------------------

>>Enter to WIN one of 10 NEW Kenmore Ranges!

>>Only at sears.com

>>1/2677/0/_/339705/_/955436613/

>>------------------------------------------------------------------------

>>

>>To Post a message, send it to: eGroups

>>

>>To Unsubscribe, send a blank message to:

> -unsubscribeeGroups

>>

>

>

>------------------------------------------------------------------------

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Guest guest

yes, thank-you I did not think of it in context of the hot-cold theory, duh

I was just going on what I had noticed in terms of showering

González

Temporary Worker Housing

Washington State Department of Health

office phone: 360.705.6787

office fax: 360.705.6654

cell phone: 360.951.5788

mail address: POB 47852 Olympia, WA 98504-7852

email natalie.gonzalez@...

" This message may be confidential. If you received it by mistake, please

notify the sender and delete the message. All messages to and from the

Department of Health may be disclosed to the public. "

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Guest guest

Hello, !

From strictly a health communication view, I agree with your last statement

about avoiding fear tactics and bringing to the forefront an indivisual's

own susceptibility through the " family just like mine " story. Research in

social influence and health communication has shown that far before behavior

change or even intention to change occurs, attention must be paid to an

issue for it to be processed. And for that to happen, the individual must

perceive the issue as relevant (i.e., individual must perceive themselves as

susceptible) and must have consequences the individual perceives as severe

enough to be concerned about. Social psychologists have termed the

combination of these two as threat. While I fully support NOT using scare

tactics, a certain level of perceived susceptibility and severity (i.e.,

threat) must be established to gain an individual's attention and a

cognitive processing of the information. for some health concerns, the

threat needs to be made evident. For others, such as cancer, the inherent

threat is already high and needs to be decreased for cognitive processing to

occur.

So, the very important NEXT STEP with any threat level is relieving it by

giving high efficacy information, such as a rinsing or changing clothes can

prevent transfer of the pesticide (response efficacy) and that an individual

can do it (self-efficacy), as evidenced by similar others.

Your recommendation of using a story about a similar family contains both

threat and efficacy in what would seem in theory to be the right combination

of elements to stimulate a cognitive processing of the message (rather than

a pure emotional processing resulting from fear) and perhaps result in at

least an intention to behave in a more protective fashion. Judith, if you

use 's suggestion, I would be very interested from a communication and

social influence standpoint to know what success you had with it.

I'm enjoying the interchange. Thanks.

Kathi , MPH, CHES

Communication and Behavioral Sciences Branch

Division of Cancer Prevention and Control

NCCDPHP/CDC

> -----Original Message-----

> From: Sprager [sMTP:Lsprager@...]

> Sent: Tuesday, April 11, 2000 6:22 PM

> egroups

> Subject: Re: [ ] beliefs surrounding pesticides

>

>

> This has been a concern for us at La Clínica del Cariño. There is not

> only

> the concern about bathing after arriving home, but family members coming

> home for lunch before they go back to the fields in the afternoon.

> Another

> concern we have is handwashing in the field before eating lunch or going

> to

> the bathroom.

>

> There is a strong belief that the body is hot from working and washing

> with

> cold or cool water will result in " riumas " , or arthritis and " hacer daño " ,

> or cause harm. Eventhough many people who live in the United States have

> access to warm or hot water, we have found that the preference for many

> farmworkers in our area is cool water for bathing after work in the field.

>

> A husband of a coworker works in an orchard that has showers. The workers

> bring a clean change of clothes each day. At the end of the work day,

> they

> shower and change into the clean clothes before going home.

>

> Something I would seriously consider, and two of our promotoras agree, if

> I

> were working on this project would be to share and dialoge as to why this

> is

> important FOR THE SAFETY OF OUR CHILDREN AND FAMILIES. You might

> consider

> giving a few real life, specific examples of cases in farmworker families

> where there were health problems as a result of not doing so. I don't

> suggest this as a fear tactic but as a situation that people can relate to

> -

> a family, just like mine.

>

> Sprager

> Healthy Communities Director

> La Clínica del Cariño

> -----Original Message-----

> From: Judith Becher <becherj@...>

> egroups

> < egroups>

> Date: Tuesday, April 11, 2000 12:03 AM

> Subject: [ ] beliefs surrounding pesticides

>

>

> >We are working with a pesticide project in Yakima Valley that is

> >planning

> >educational interventions directed toward workers and their families to

> >reduce in-home pesticide exposure. One of the behaviors that is being

> >targeted is bathing after arriving at home, which is not done because of

> >

> >cultural beliefs that people can get arthritis or go into shock from

> >showering right after work. Do others have insights or information on

> >this belief, and effective paradigms to get around this? Are there

> >other beliefs that others have encountered? thank you.

> >Ilda Islas, Project Manager <iislas@...>

> >Judith Becher, MD <becherj@...>

> >

> >

> >

> >

> >------------------------------------------------------------------------

> >Enter to WIN one of 10 NEW Kenmore Ranges!

> >Only at sears.com

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> >------------------------------------------------------------------------

> >

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> >

> >To Unsubscribe, send a blank message to:

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> >

>

>

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Guest guest

Be aware of labeling. Personal hygiene is affected by many factors. I am a

person from Cuba, we, rich and poor bath often because of the heat and

humidity. The only relieve is water! My Puerto Rican friends, as well as

my many trips to Puerto Rico, have never led me to believe that people don't

bath as often.

a Torricella

Health Program Specialist I

Department of Heath Services

Primary and Rural Health Systems Branch

Rural Demonstration Project

714 P Street, Room 550

Sacramento, CA 95814

Phone 916-657-0425

FAX 916-654-5900

-----Original Message-----

From: Ana Pizarro [mailto:ap1@...]

Sent: Tuesday, April 11, 2000 12:38 PM

becherj@...;

egroups; lopezvas@...

Subject: Re: [ ] beliefs

surrounding pesticides

I believe that beyond the perception of folk medicine lies

another common factor which may be overlooked here, that of habit. In

Puerto Rico a large number of individuals do not bathe frequently not only

because of the belief aurrounding one's physical health but also because of

avaliability of water. It is not always available or for that matter safe

enough to use. One than becomes accosutmed to what is familiar. Make sense?

Ana

>>> lopezvas@... 04/11/00 11:09AM >>>

Beware of stereotypes and misinterpretations of health and

hygiene practices.

The concern about bathing after a hard day at work in the

sun or physical activity causing an increase in body temperature is not

without merit. Even after a casual day in the office, I do not go into the

swimming pool nor take a cold shower, which is the qualifier for the

misconception about taking a bath after work. The fact is that some people

are hypersensitive to cold and under certain conditions, a person can go

into shock if immersed in cold water.

People from low income, rural, agrarian communities do not

have hot water, or even inside water. The outside pump or river is the only

place to bathe in. Get it?

Good luck

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Guest guest

Thank you for your comments, Kathi. Reading them made me think of a

resource that may be valuable to Judith and Ilda and others who share

pesticide information. The Oregon Health Division has a foto-novela

available about , a farmworker who is a husband and father. Something

happens and he harms himself and exposes his daughter to a pesticide. It is

highly popular in our community. It was produced by the Washington

Department of Health. These foto-novelas disappear more quickly

out of our lobby than any other patient education material we have. I

believe this is because the foto-novela is a highly enjoyed format by the

farmworkers we work with and because people can relate themselves to it,

" this is a family just like mine. "

To request a copy of " Cuidado con los pesticidas " write:

Washington Department of Health

Office of Environmental Health and Safety

P.O. Box 47825

Olympia, WA 98504

or call: Ganel Baker at 360-236-3360

Hope this may be of use to some of you.

Sprager

-----Original Message-----

From: , <kxw1@...>

' egroups'

< egroups>

Date: Wednesday, April 12, 2000 11:37 AM

Subject: RE: [ ] beliefs surrounding pesticides

Hello, !

From strictly a health communication view, I agree with your last statement

about avoiding fear tactics and bringing to the forefront an individual's

own susceptibility through the " family just like mine " story. Research in

social influence and health communication has shown that far before behavior

change or even intention to change occurs, attention must be paid to an

issue for it to be processed. And for that to happen, the individual must

perceive the issue as relevant (i.e., individual must perceive themselves as

susceptible) and must have consequences the individual perceives as severe

enough to be concerned about. Social psychologists have termed the

combination of these two as threat. While I fully support NOT using scare

tactics, a certain level of perceived susceptibility and severity (i.e.,

threat) must be established to gain an individual's attention and a

cognitive processing of the information. for some health concerns, the

threat needs to be made evident. For others, such as cancer, the inherent

threat is already high and needs to be decreased for cognitive processing to

occur.

So, the very important NEXT STEP with any threat level is relieving it by

giving high efficacy information, such as a rinsing or changing clothes can

prevent transfer of the pesticide (response efficacy) and that an individual

can do it (self-efficacy), as evidenced by similar others.

Your recommendation of using a story about a similar family contains both

threat and efficacy in what would seem in theory to be the right combination

of elements to stimulate a cognitive processing of the message (rather than

a pure emotional processing resulting from fear) and perhaps result in at

least an intention to behave in a more protective fashion. Judith, if you

use 's suggestion, I would be very interested from a communication and

social influence standpoint to know what success you had with it.

I'm enjoying the interchange. Thanks.

Kathi , MPH, CHES

Communication and Behavioral Sciences Branch

Division of Cancer Prevention and Control

NCCDPHP/CDC

> -----Original Message-----

> From: Sprager [sMTP:Lsprager@...]

> Sent: Tuesday, April 11, 2000 6:22 PM

> egroups

> Subject: Re: [ ] beliefs surrounding pesticides

>

>

> This has been a concern for us at La Clínica del Cariño. There is not

> only

> the concern about bathing after arriving home, but family members coming

> home for lunch before they go back to the fields in the afternoon.

> Another

> concern we have is handwashing in the field before eating lunch or going

> to

> the bathroom.

>

> There is a strong belief that the body is hot from working and washing

> with

> cold or cool water will result in " riumas " , or arthritis and " hacer daño " ,

> or cause harm. Eventhough many people who live in the United States have

> access to warm or hot water, we have found that the preference for many

> farmworkers in our area is cool water for bathing after work in the field.

>

> A husband of a coworker works in an orchard that has showers. The workers

> bring a clean change of clothes each day. At the end of the work day,

> they

> shower and change into the clean clothes before going home.

>

> Something I would seriously consider, and two of our promotoras agree, if

> I

> were working on this project would be to share and dialoge as to why this

> is

> important FOR THE SAFETY OF OUR CHILDREN AND FAMILIES. You might

> consider

> giving a few real life, specific examples of cases in farmworker families

> where there were health problems as a result of not doing so. I don't

> suggest this as a fear tactic but as a situation that people can relate to

> -

> a family, just like mine.

>

> Sprager

> Healthy Communities Director

> La Clínica del Cariño

> -----Original Message-----

> From: Judith Becher <becherj@...>

> egroups

> < egroups>

> Date: Tuesday, April 11, 2000 12:03 AM

> Subject: [ ] beliefs surrounding pesticides

>

>

> >We are working with a pesticide project in Yakima Valley that is

> >planning

> >educational interventions directed toward workers and their families to

> >reduce in-home pesticide exposure. One of the behaviors that is being

> >targeted is bathing after arriving at home, which is not done because of

> >

> >cultural beliefs that people can get arthritis or go into shock from

> >showering right after work. Do others have insights or information on

> >this belief, and effective paradigms to get around this? Are there

> >other beliefs that others have encountered? thank you.

> >Ilda Islas, Project Manager <iislas@...>

> >Judith Becher, MD <becherj@...>

> >

> >

> >

> >

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