DETRROIT NEWS

November 4, 2009

H1N1 outbreak hits migrants

Cuts left few state inspectors to deal with spread in camps

KAREN BOUFFARD
Detroit News Lansing Bureau

Lansing -- As departments assess how to deal with cuts in the 2010 state budget, agriculture and health officials say they saw firsthand what effect those reductions could have on public health when an H1N1 outbreak swept through 10 migrant camps this past summer.

The July outbreak on blueberry farms across Van Buren and Allegan counties in southwest Michigan sickened 216 people and sent local health officials scrambling, after H1N1 was found in numerous swab tests and confirmed in five samples in state health labs.

The outbreak posed no danger to the food supply, since the virus can't spread through produce handled by infected workers, said Dr. Nigel Paneth, professor of epidemiology at Michigan State University. But the incident points to the effect of budget cuts on Michigan agriculture -- which contributes $71.3 billion annually to the state's economy -- and the workers who drive the industry.

One of the camps affected by the flu outbreak was run by Adkin Blue Ribbon Packing Co. of South Haven, which was among 35 Michigan farms fined $36,134 for housing and child labor violations last week by the U.S. Department of Labor. Adkin disputes the charges, none of which was related to the H1N1 outbreak.

Department of Agriculture officials say they were so short staffed at the beginning of the summer due to budget cuts ordered by Gov. Jennifer Granholm that they were only able to license about half the migrant farms in the state -- and they weren't able to inspect dwellings to determine if they were overcrowded or met minimum safety and sanitation rules.

Even had the staffing been available to inspect all migrant housing and force changes to overcrowded conditions, officials say those efforts might not have been enough to avoid the flu's spread.

"If we had staffing sufficient to go back and do occupancy inspections, it would certainly alleviate the overcrowding," said Mark Swartz, manager of Migrant Labor Housing program at the Department of Agriculture. "(The virus) probably would have swept through the camps anyway, but ... hopefully reducing the housing densities would reduce the risk of transfer."

Problems at the camps were compounded this year by a near-record blueberry crop that attracted a crush of migrants -- displaced by crop freezes in Georgia and Florida -- who heard there was plenty of work in Michigan.

"There was just a tremendous amount of workers this year," said Bangor blueberry farmer Michael Todd Jr., manager of Michigan Summer Blueberries farm, which was not part of the outbreak.

 

Staffing reduced

Cost-cutting early retirements reduced staff in the Migrant Labor Housing unit from eight sanitarians to five in 2002, Swartz said. Prior to that, sanitarians would inspect each mobile home before the season started, and come back after the units were occupied. With the reduction in workers, the department could no longer do the second inspection -- and had no way to determine how many people moved in.

Already short-staffed, the department lost yet another worker in May when Granholm issued an order slashing $150,000 from their budget, Swartz said. That left four sanitarians to inspect 850 migrant camps, which include 4,400 living units to house 22,000 migrants and their families.

The state has more than 90,000 seasonal workers each year, but only about a quarter of migrant housing is licensed, Swartz added. Five of the camps affected by flu were licensed, and the other five were not, according to Swartz.

While short-staffed, the problem was compounded by a rule that prevented state inspectors from working overtime during a pay period that included a furlough day. Migrant Labor Housing learned about the outbreak on a July 10, a furlough day, according to Swartz.

"With the executive order, we were down one (inspector) in the field and the furlough days further hindered our (ability to) respond," Swartz said, adding the seasonal nature of his department's work meant overtime was common that time of year.

 

Flu hits migrant camps

The H1N1 outbreak was noticed when residents of two Allegan County migrant camps arrived with flu symptoms at a clinic run by InterCare Community Health Network, a nonprofit that treats migrant workers at six health clinics across southwest Michigan's rural fruit and vegetable belt. Swab tests revealed H1N1.

"All of this broke loose on a Friday afternoon," InterCare CEO Velma Hendershott said. The Migrant Housing Labor unit had to get special approval from the state Office of Employer to bring workers back from furlough to inspect the affected camps.

More than two dozen health workers from InterCare, county health departments, state Community Health Department and the federal Centers for Disease Control and Prevention worked to halt the outbreak. Workers closed down some Head Start and summer school programs for migrant children to keep the disease from spreading, and administered roughly 300 doses of the anti-viral medication Tamiflu.

Michigan had 250 cases of flu-like illness with 38 confirmed cases of H1N1 statewide in the month of July, according to the state Department of Community Health database, including the migrant cases. The state doesn't recognize results of swab tests by health workers because they aren't always reliable.

Tony Marr, general manager of Adkin Blue Ribbon Packing, which the U.S. Labor Department cited for allowing children as young as 6 to pick blueberries, said many children were with their parents in the fields because Head Start and summer school programs were closed to stop the spread of H1N1.

"The migrant Head Start program was shut down for a week to 10 days, which left a lot of children in our camps," Marr said.

"Parents were saddled with how do we go to work and what do we do with the kids," Marr said.

"We certainly don't want anybody to think the blueberry industry promotes child labor."

 

The connections

Tom Thornburg, co-managing attorney for Farmworker Legal Services, a statewide nonprofit, said the outbreak illustrates the connections between funding decisions by the state, public policy and public health.

"It's not something advocates are eager to have broadcast when it happens, because ... when there's publication of these events it tends to fuel the fires of intolerance and migrants need to assimilate into the schools and communities where they are," Thornburg said. "(But) migrant labor housing conditions have worsened along with the continual downsizing of the state Migrant Labor Housing Inspection Program.

"Before 2002, the state would do two annual inspections. Now, by their own admission they cannot get to them to minimally inspect once before they are licensed."

The 2010 budget approved for the Department of Agriculture includes a $300,000 shortfall for the Environmental Stewardship Division, which oversees the Migrant Labor Housing unit, as well as several other programs. Agriculture officials have not decided which programs will be cut.

Swartz said the appropriations bill includes language that would allow the department to assess a fee from farmers for licensing their camps, but it would require an amendment to the public health code.

If approved by lawmakers, the license fee could generate an additional $110,000 for the Migrant Labor Housing Program.

"We're hopeful we will be able to assess a licensing fee to increase or at least maintain our staffing level," Swartz said. "We would like to be able to go out and inspect the camps after they are occupied to make sure they are not overcrowded and are still in compliance after the season starts."