The food on our tables, our clothes, and the plants used to develop medicine all begin with farmworkers. Salinas Valley farmworkers, for example, are major harvesters of agricultural goods, producing nearly 70% of U.S. vegetables and fruits.
“If you’ve had a berry or a leafy green, it was likely harvested by migrant farmworkers in Salinas Valley,” said Lluvia Del Rio, program manager at Cancer Patients Alliance (CPA). “The area is rich in resources, but healthcare access remains challenging, especially for Latinos.”
In Salinas, an urban area nicknamed “the salad bowl of America,” nearly 81% of the population is Latino.
Cancer is the leading cause of death for Latinos in the United States, but the local county hospital did not provide oncology services, making cancer care inaccessible. Furthermore, agricultural work puts Latino farmworkers at increased risk of cancer from exposure to pesticides.
“Upon diagnosis or even suspicion of cancer, Latinos returned to their countries of origin in preparation to die because they did not think treatment was available,” said Dale O’Brien, MD, MPH, executive director of CPA.
Understanding the inequities in cancer care and education, CPA raised awareness of cancer symptoms and screenings in the community and demanded the county offer treatment locally. The organization built trust and community power with local Latinos through partnering with Community Solutions for Health Equity (CSHE), a national collaborative focused on engaging community members to transform local healthcare systems.
“What stood out immediately was CPA’s commitment to addressing not only cancer education, but also centering community voices,” said Alexis Major, deputy director at CSHE. “Community members didn’t just share their lived experiences. They identified barriers, informed solutions, and shaped the initiative’s direction, which is invaluable.”
CSHE and CPA launched a storytelling project with local Latinos impacted by cancer to raise awareness of cancer care gaps, demonstrating the importance of community engagement in transforming health systems. Their efforts helped establish a local infusion center for cancer treatment, shifted district hospital policies on cancer outreach, and educated Latinos in advocating for better care.
This initiative continues to inform CPA and CSHE’s work to partner authentically with communities and address health disparities. Read more about the partnership here.



