This report examines information about the health status of migrant farmworkers, including specific issues related to migrant health services in Michigan. Despite the high rate of families with two wage earners, one-half of migrant farmworker families have incomes below the poverty level. Poverty is associated with poor nutrition and sanitation, which contribute to abnormally high rates of chronic illnesses and acute problems among migrant children. Evidence also suggests that due to misconceptions and lack of information, Hispanic migrants are spreading HIV in the United States and their native countries. Major health issues for adolescent migrant farmworkers include substance abuse, sexuality, mental health, physical health, and occupational health and safety. Another area of concern is tuberculosis, which occurs about 20 times more frequently among farmworkers than the general population. Other health care issues related to migrant farmworkers include confusion about medical needs, domestic violence, cigarette smoking, environmental pollution, drug abuse, poor nutrition, infectious diseases and vaccinations, childhood immunizations, dental health, disabled migrant students, expectations of Latino health professionals, and medical insurance. Recommendations to state education agencies for improving the health delivery system to migrant families by schools and local education agencies are included (pages 10-11), and the characteristics of an ideal health care delivery system for farmworkers are described. Contains 23 references and child immunization schedules in English and Spanish. (LP)