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Andrea L. Steege, PhD, MPH, Sherry Baron, MD, MPH, Shelley Davis, JD, Judith Torres-Kilgore, MPH and Marie Haring Sweeney, PhD

Andrea L. Steege, Sherry Baron, and Marie Haring Sweeney are with the National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH. Shelley Davis is with Farmworker Justice, Washington, DC. Judith Torres-Kilgore is with the National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH, and the Ponce School of Medicine, School of Public Health, Ponce, Puerto Rico.

Correspondence: Correspondence should be sent to Andrea L. Steege, PhD, MPH, NIOSH/CDC, 4676 Columbia Pkwy MS R18, Cincinnati, OH 45226 (e-mail: asteege{at}cdc.gov). Reprints can be ordered at http://www.ajph.org by clicking on the "Reprints/Eprints" link.

Employment, social, and economic factors have the potential to affect the magnitude of an influenza pandemic among farmworkers.

Prevention efforts targeted toward livestock farmworkers, including increased access to seasonal influenza vaccine, risk reduction training, various forms of personal protection, and workplace sanitation, are needed. Crop and livestock farmworkers are at increased risk of exposure to influenza A viruses because of limited resources, substandard housing, immigration status, communication and cultural barriers, and discrimination.

Recommendations were gathered from migrant clinicians, farmworker advocates, state and federal government agencies, industry stakeholders, and researchers to overcome these barriers, including surveillance of livestock farmworkers, inclusion of farmworker service organizations in planning efforts, and separation of immigration enforcement from emergency assistance.

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