This report was compiled by members of the Injury Prevention Advisory Council Subcommittee on Violence. Its purpose is to present an overview of youth violence in Arizona, using data from the health care and criminal justice systems. Presenting both the health care and criminal justice perspectives presents a more comprehensive picture of youth violence and provides greater opportunities for developing solutions.

Since the release of the CDC’s recommendations to improve preconception health in 2006, the Arizona Department of Health Services and its partners across the state have made steady progress in improving awareness about preconception health and increasing access to preconception health services. The Bureau of Women’s and Children’s Health assessed internal programs serving women and children to identify opportunities for integrating preconception health education and services into program policies and procedures.

The Arizona Injury Surveillance and Prevention Plan establishes objectives and proposes strategic actions to avoid injury. The actions proposed are based on the knowledge that many seemingly accidental injuries could have been prevented by taking precautions, avoiding unnecessary risks, and/or enacting and enforcing laws such as drunk driving laws or seat belt laws.

The Arizona Department of Health Services offers a vast array of programs that benefit every state resident and visitor. I like to remind people that we are with you from birth to death. In fact, we provide certificates for both events through our Office of Vital Records. If you drink the water, eat the food, require hospital or nursing home care or use a child care facility, the Arizona Department of Health Services has touched your life in some important way. Assuring the quality of our food and water, setting standards for hospitals and nursing home and child care, maintaining the State’s vital records, screening newborns for genetic diseases, protecting the public from disease and overseeing the state’s mental health system and Arizona State Hospital are just some of the duties of the Arizona Department of Health Services.

Previous studies at Lake Havasu and Lake Powell, combined with other national data indicate that carbon monoxide poisoning from recreational watercraft can create a significant health hazard. The current study was designed not to repeat the 2003 study. Instead, it was designed to explore the potential health effects of carbon monoxide under the conditions of Humbug Cove. Humbug Cove is known for congregating idling boats, higher frequency of alcohol consumption, and being a location that was secluded and sheltered from breezes or wind.

This report presents an assessment of human health risks from exposure to surface soil metals in the Old Tungsten Mill, Tucson, AZ. City of Tucson officials had planned to build a park, on a parcel of land they owned west of Silverbell Road and north of Speedway Boulevard in Tucson, Pima County, Arizona. They had raised $200,000 in bond money to study what was the Old Tungsten Mill site when they found high levels of contaminants in the soil. The Arizona Department of Health Services, Risk Assessment & Health Consultation Program offered assistance to the city. On October 13th, 2006 City Officials asked ADHS to perform a health consultation to evaluate whether exposure to contaminants in soil pose a public health hazard, either currently or during possible future reuse of the land.

The Arizona Department of Health Services received a request for a Health Consultation from the City of Litchfield Park, dated March 5, 2007. The nature of the request was for ADHS to determine if there was a risk to public health from eating fish taken from Tierra Verde Lake. The City sponsors an annual fishing derby and believed that some citizens were eating the fish they caught. The City tested their lake water and for the very first time, measurable amounts of perchlorates were detected. The probable source for the perchlorates was thought to be from a groundwater, contaminant plume originating from the Phoenix Goodyear Airport Superfund Site.

Local residents expressed their concerns regarding the tailings from the Iron King Mine and Humboldt Smelter at Dewey-Humboldt, AZ. The purpose of this health consultation is to evaluate the available water and soil sampling results to determine if the detected metal levels pose adverse health effects when residents come into contact with the water or soil. In 2008, EPA initiated the field investigation portion of the Remedial Investigation and Feasibility Study for the Site. The primary objectives of the RI/FS are to determine the nature and extent of contamination and to gather sufficient information so that EPA can select a long-term remedy that eliminates, reduces, or controls risks to human health. The investigation included the collection of airborne particulates, groundwater, surface water, surface soil, subsurface soil, and sediment data across the entire Site. Data from the RI/FS was not available at the time the health consultation was prepared and thus it was not incorporated into this health consultation.