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 Department provides a wide array of public health prevention and preparedness related services including medical and childcare licensing, the State Public Health Laboratory, the State Hospital for psychiatric care, and a system around administering behavioral health services for the Medicaid population. All ADHS programs focus on incorporating evidence-based practices, building in more e-business solutions, and continuous quality improvement.

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.

In September 2005, some concerned Walker residents contacted the Arizona Department of Health Services in regards to the quality of groundwater in the area. The residents petitioned ADHS to perform well water tests to determine the character of the water, and whether there is any potential health risk associated with consuming or using the water. In response to the concerned community members and in agreement with the Agency for Toxic Substances and Disease Registry, ADHS collected water samples from the site and completed a health consultation. This health consultation evaluates if the levels of lead and other metals in the private wells in Walker area pose any adverse health effects.

From May 2005 to June 2005, the Arizona Department of Environmental Quality conducted a study, Potable Well Sampling Task 4.0, to determine if the chromium and chromium VI plume due to the discharge of the Pacific Gas and Electronic Topock Compressor Station has migrated under the Colorado River and impacted water supplies in Arizona. The ADEQ investigated the total chromium and hexavalent chromium (chromium VI) concentrations in (1) public water supply wells, (2) combined industrial and domestic water supply wells, and (3) private domestic water supply wells at Topock and Golden Shores, Arizona. The communities of Topock and Golden Shores have expressed their concerns regarding the findings. Thus, the ADEQ requested the Arizona Department of Health Services to evaluate the potential health effects of exposure to well water contaminated with chromium.

The Stoneridge subdivision is a growing rural community with approximately 5,000 residents. The Prescott Valley Water Company (Prescott Valley, AZ) provides drinking water for residents in this area. A resident in the community indicated that there is a “paint thinner” type odor coming from the tap water. The Prescott Valley Water Company sampled the water due to request of the resident. On July 27, 2004, the resident called the Arizona Department of Health Services to express his/her concern regarding the analytical results of benzene in tap water samples collected from faucets inside the house. As a result, the Arizona Department of Health Services completed a health consultation to evaluate if benzene and other volatile organic compounds in the water supplied by the Prescott Valley Water Company pose any adverse health effects.

The Arizona Department of Environmental Quality and the California Department of Toxic Substance Control worked together to assess background levels of naturally occurring metals in groundwater wells at Topock and Golden Shores, Arizona. The communities expressed concerns regarding the findings, thus the ADEQ requested the Arizona Department of Health Services to evaluate whether these naturally occurring metals in groundwater wells are present at levels that may cause adverse health effects.

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.