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.

Realizing the need for drought preparedness in Arizona, a Governor’s Drought Task Force was created in 2003 and the Arizona Drought Preparedness Plan developed. The plan was adopted in 2004 and its continued implementation ordered in 2007. It established a framework to monitor drought, improve understanding of drought impacts, and determine mechanisms for limiting future vulnerability. The Arizona Department of Water Resources coordinates these activities and prepares the Arizona Drought Preparedness Annual Report each year.

The Arizona Department of Water Resources manages the state’s water supply. Water management includes a wide variety of activities that are intended to protect and preserve the water supply. Examples of these activities include licensing well drillers, assuring the safety of dams, and developing mandatory conservation requirements for all water use sectors in Active Management Areas, protecting the state’s Colorado River allocation and facilitating Indian water rights negotiations among tribal representatives, local interests, federal and state officials and members of Congress.

This follow-up to the 2001 landmark report, "Five Shoes Waiting to Drop on Arizona's Future," focuses on the projected future of the state if Arizona fails to address its Latino educational attainment gap. The publication is more of an economic impact statement than an education report, with indicators pointing out consequences and contributions, depending on action or inaction in closing the gap of Arizona's future workforce.

Grandparents widely consider spending time with their grandchildren one of the greatest benefits of growing older, according to a 2009 survey conducted by Pew Research Center. But, what happens when circumstances necessitate that grandparents become primary caregivers for their grandchildren? At a time when non-traditional families have become ubiquitous, the growing number of custodial grandparents and “skipped-generation families” are quietly impacting family dynamics, necessitating changes to long-standing public policies at both the federal and state level.

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.