KNOXVILLE, Tenn. Its a busy time for the tomato-producing farms in this part of the state. Farms have staffed up with hundreds of workers, most of whom are Latino. Some live locally. Others are migrant workers who travel from farm to farm, chasing the summer growing seasons. Still others come from Mexico or Central America on temporary agricultural visas to work at certain farms.

But, this year, the season is taking place under a cloud of coronavirus worries that, for these agricultural workers, hit close to home.

Almost every part of the process for picking tomatoes needs to be considered in light of COVID-19, said Ken Silver, an associate professor of environmental health at East Tennessee State University, who studies migrant worker health on Tennessee tomato farms.

After all, the workers live in close quarters, sleeping in bunk beds, and sharing bathrooms and kitchens. They ride crowded buses to fields and often work in groups. And even though farm employees are deemed essential workers, they often dont have health insurance or paid sick leave.

Farms have already reported outbreaks among hundreds of workers in states that include California, Washington, Florida and Michigan. And yet, the federal government has not established any enforceable rules either to protect farmworkers from the coronavirus or to instruct employers what to do when their workers get sick. While migrant worker advocacy groups say this allows farms to take advantage of their workers and increase their risk of exposure to the coronavirus, farms say theyre doing what they can to protect workers with the limited resources they have, while also getting their crops harvested.

The situation certainly isnt clear-cut, said Alexis Guild, director of health policy and programs at the advocacy group, Farmworker Justice.

Leaving It Up to the Farms

In June, 10 temporary workers out of about 80 at the Jones & Church Farms in Unicoi County, Tennessee, tested positive for the coronavirus. Another farm in that county had 38 workers test positive around the same time.

This was the scariest thing that could happen, said Renea Jones Rogers, the farms food safety director.

Nationally, there have been at least 3,600 cases of farmworkers testing positive for COVID-19, according to media reports gathered by the National Center for Farmworker Health.

Add to this that farm employers and workers alike acknowledge that even the most basic interventions to stop transmission social distancing and mask-wearing often arent feasible, especially in the hot temperatures.

Saul, 52, is a temporary farmworker who has traveled from Mexico to Virginia every year since 1996 to harvest tobacco. In a WhatsApp message interview, he said masks are uncomfortable on the job because he is working outdoors, writing in Spanish, En el trabajo es incmodo porque trabajamos al intemperie. (Kaiser Health News is not publishing Sauls last name so that he wont be identified by his employer.)

Saul said he does worry about the coronavirus, but because he lives at his job on the farm, he feels safe.

When he arrived in the U.S. in April, the farm provided him with information about the pandemic, masks and hand sanitizer, he said. Nobody takes his temperature, but he works in a crew of eight, lives with only three other workers and nobody on the farm has yet been diagnosed with COVID-19.

In Tennessee, the Jones & Church Farms put its own worker safety protocols in place at the beginning of the season. These included increasing sanitation, taking daily temperature readings and keeping workers in groups so they live and work with the same people.

After the 10 workers tested positive for COVID-19, the farm kept them all in the same housing unit and away from the other workers but those who were asymptomatic also kept working in the fields, though they were able to stay away from others on the job, said Jones Rogers.

While the Department of Labor has not offered enforceable federal safety standards for COVID-19, it did collaborate with the Centers for Disease Control and Prevention to publish a set of voluntary, agriculture-specific guidelines. Those were released in June, just days after Jones & Church became aware of the farms outbreak.

Much of what had already been done at Jones & Church, though, tracked closely with those recommendations, which also suggested that workers be screened every day for COVID-19 symptoms and that those who become sick be given their own space to recover apart from others.

Other suggestions in the CDC and Labor Department directive, geared more toward indoor food-processing factories such as tomato-packing plants, included installing plastic shields if 6 feet of distance isnt possible between workers, putting in hand-washing stations and providing personal protective equipment or cloth face coverings.

Advocates say these guidelines are sound, in theory. Their glaring flaw is that they are voluntary.

We dont believe that the health and safety of workers should be left to the goodwill of employers, said Mara Perales Sanchez, communications coordinator for Centro de Los Derechos del Migrante, an advocacy group with offices in both Mexico and the U.S.

A Department of Labor spokesperson offered a different take. Employers are and will continue to be responsible for providing a workplace free of known health and safety hazards, the spokesperson said, adding that the Occupational Safety and Health Administrations preexisting general-safety standards and CDC guidelines are used to determine workplace safety violations. OSHA is an agency within the Labor Department.

Farm industry groups are apprehensive of any increased federal regulation.

I dont think OSHA would be able to have some sort of mandatory regulation that wouldnt disadvantage some farmers, said Allison Crittenden, director of congressional relations for the American Farm Bureau Federation.

Farms have already put many COVID-19 protections in place, she said, and if these actions are taking place in a voluntary way, we dont see that we need to have a mandatory requirement.

Difficulties in Accessing Health Care

Migrant farmworkers, despite occupying an essential link in the countrys food supply chain, often arent provided with workplace benefits like health insurance or paid sick leave.

Saul, the Virginia tobacco farmworker, said he didnt believe he has any health insurance. If he gets sick, he would need to tell his farm employer, who would then have to drive him to the doctor. The closest city to the farm is 15 miles away. Who is responsible for these costs the worker or the farm depends on individual circumstances.

Many farms employ mostly Latino workers, and CDC data illustrates that its much more likely for Hispanic or Latino people to be infected, hospitalized or die from COVID complications than white people. Experts also warn that because the COVID pandemic is disproportionately affecting people of color, it could widen preexisting health disparities.

Also, seeking a doctors care can feel risky for migrant farmworkers. Workers who are undocumented may worry about being detained by Immigration and Customs Enforcement, while workers who have green cards may be concerned about the Trump administrations public charge rule. This controversial rule weighs immigrants use of public programs, including health care, against their applications for citizenship. However, the federal government has said seeking treatment for COVID-19 wouldnt fall under the rule.

And while contact tracing is important to stop the spread of COVID-19 among farmworkers, many health departments dont have translators on staff who can speak Spanish or Indigenous Central American languages, nor has there been a systematic nationwide tracking of farmworker outbreaks thus far, as has been done with long-term care facilities outbreaks.

So its really hard to get a grasp on how many farmworkers specifically are testing positive, said Guild, with Farmworker Justice.

That could be an issue for tracing outbreaks, especially as the harvesting season ramps up for certain crops and farms bolster their workforces.

At the end of July, almost 90 additional temporary workers arrived at Jones & Church Farms to help harvest tomatoes through October, said Jones Rogers. Though the 10 workers who had COVID-19 have recovered, she said shes scared that if more get the disease, there wont be enough housing to keep sick workers separate from others or enough healthy workers to harvest the crops.

Tomatoes dont wait until everyone is feeling good to be harvested, said Jones Rogers.

Reporter Carmen Heredia Rodriguez and Katie Saviano provided Spanish translation assistance for this story.

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As Crisis Grows, Farms Try to Balance Health of Field Workers and Food Supply - Kaiser Health News