During the previous decade Arizona experienced a dramatic increase in the number of people receiving health insurance coverage through the Arizona Health Care Cost Containment System (AHCCCS). If criteria for AHCCCS eligibility don’t change, it is unlikely that this trend will be reversed in the coming decade. More positive trends include increased child immunization rates and decreased smoking rates.

During the mid-part of the last decade, when the population growth rate was at its highest, the Phoenix area experienced rapid development and urban sprawl. The result has been an intensification of the Urban Heat Island effect. In this edition of Decades, author Sally Wittlinger discusses this uncomfortable consequence of urbanization.