Carnival Workers

Felicia Baltazar, Ellyce Clonan, Carl Fusco-Gessick,

Viktoriya Kuchuk, Michael Nasr, Ryan Qiu

Dentist/Dental Director
Diagnose oral health problems
Promote oral health and disease
prevention
Create treatment plans
Provide education on oral health
Manage the dental office and
employees
Ensure a positive patient experience

Chief Financial Officer

Provide a plan to facilitate
carnival outreach
Apply for grants
Work with various companies to
receive donations

Receptionist/Patient
Coordinator
Provide the first point of contact
with the patients
Administrative activities
Greet and check in patients in
friendly manner
Schedule and confirm patients

Dental Hygienist
Follows through with oral hygiene procedures in
accordance with the dentists treatment plans
Prophylaxis, scaling, fluoride treatments, etc

Dental Assistant
Assist the dentist in a variety of treatment procedures
Set up/clean up operatory chairs
Take dental radiographs
Sterilization of instruments and equipment

Outreach Coordinator
Schedule outreach events
Work with the carnival to plan/setup outreach
Dental goody bags, educational
pamphlets

Video:
https://youtu.be/6JYBiVEGE0
Q

The Big E Fair

Springfield, Massachusetts
Attendance: 1,498,605

Carnival Workers
Dedicated to making kids smilelike
dentists.
However, they work in difficult
conditions.
Low salary
Long working hours
Always on the move

Carnival Workers
Lifestyle
Due to constant mobility, carnival
workers rely on employers for housing,
the trailers we live in are tiny and
disgusting.

Drug use is a common issue.

Most individuals join a traveling
carnival, to usually flee from a
problem, or to feel accepted
elsewhere.

Health
It is more likely that stationed carnival
workers will commit to seeing a dentist
as opposed to migrant carnival
workers.
According to Dr. Kilanowskis research:
56% of carnival children see private dentists
43% of migrant children see private dentists

Barriers to dental care.

1) Financial Limitations
The ability to access regular dental care is directly related to
annual income. As of April 2015 the average annual salary
is $26,000.

2) Mobile lifestyle

Frequent travels from town to town

make it extremely difficult to receive dental services that require follow up appointments such as orthodontic
care.

3) Carnival workers speak Carny Jargon

A secret language, ever-changing form of communication that designed to be impossible to
understand by an outsider. Immigrants/contractors.

4) Fragmented education and lack of knowledge of

available services.

Outreach Goals
Provide free dental care to 200 carnival workers a year
Provide on-site services for workers convenience
Provide hygiene and nutrition education to workers
Prevention is key!
Establish a dental home for fair workers
Publicity for our practice and partnering organizations

Dental Facility
Mobile dental clinic
- Partnership with Ronald McDonald House Care Mobile
- Coordination with fair facility management

Dental Facility
Mobile dental clinic
- Partnership with Ronald McDonald House Care Mobile
- Coordination with fair facility management

Dental Facility
Mobile dental clinic
- Partnership with Ronald McDonald House Care Mobile
- Coordination with fair facility management

plan continued...
Outreach will be carried out on days the office is closed.
Will we use volunteers? Yes!
-

Recruit volunteer dentists, hygienists, assistants and dental students.

-When possible, recruit bilingual volunteers who reflect the cultural
diversity of the population served.

How is this funded?

-Seek financial support from ADA foundation and partnership with
Delta Dental.
-Seek supply donations from Henry Schein and Oral-B.

Raise awareness of our program

-Target local carnival/fair with bilingual posters, flyers, and advertising.
- Reach out to local fair owners

Daily Schedule and Treatment Plan

-Assistants outside van to make new patient files for
each worker
-Separate patients into emergency and non-emergency
cases
-Patients are given 1 hour (maximum) appointments
-Oral hygiene education with the hygienist
-If the treatment plan cannot be completed, we will give
the treatment plan in writing with written follow-up
instructions.
-Everyone will get a goody-bag before

Financial Overview
We plan on providing free dental care to 200
carnival workers per year
Majority of carnival workers lack health
insurance

Project Budget
Expense

Cost to Practice

Funding

PERSONNEL
Volunteer dentist, dental assistant, hygienist,
receptionist, and translator

EQUIPMENT
Dental Van

$300K

$1K (Gas)

Seek financial support from

ADA foundation and Delta
Dental.

Protective Equipment (e.g. Gloves, masks,

gowns, cavicide, etc)

$2K

$2K

Dental Materials (e.g. resin, amalgam, local

anesthetic, etc).

$40K

Donated by Henry Schein in

exchange for our business and
advertising

$1K

Sponsored by Oral-B

SUPPLIES
Goodie Bags
Printing (e.g. 300 copies of educational
material and advertising flyer)
TOTAL PROJECT EXPENSES

$500

$500

$343K

$3.5K

References
http://www.henryschein.com/us-en/Dental/Default.aspx
http://www.labor.ny.gov/stats/lswage2.asp
http://nyshealthfoundation.org/grant-seekers/rfps/2013-special-pr
ojects-fund1
http://www.usatoday.com/story/news/nation/2013/03/18/immigrati
on-carnivals-visas/1987417/
www.nationaloralhealthconference.com/.../mobiledental
clinics.PDF
http://www.cdmigrante.org/taken-for-a-ride-migrant-workers-in-theu-s-fair-and-carnival-industry/
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2880387