"“We realized that it must be how Latinos live and work that’s driving these disparities,” said Galvez, who works at the clinic in Hillsboro, outside Portland. The Hispanic patients, many of them immigrants, help produce some of the country’s premier Pinot Noir, maintain Nike’s sprawling headquarters and plant berries, hazelnuts and Christmas trees in the Willamette Valley. Others are seasonal workers who begin arriving by the thousands later this month for the harvest. They live in close quarters, often multiple families to a house or with several farmworkers crowded into a barrack-style room, where social distancing and self-isolation are impossible. They perform jobs that require interaction with the general public, in food service, transportation and delivery; and some also toil in meatpacking plants that have emerged as major hot spots. If they are undocumented, they cannot collect unemployment, which may compel them to work even when they feel unwell, facilitating the spread to their co-workers."