An update to the Flagstaff Regional Plan 2030 (FRP30), to bring its Road Network Illustration (Map 25) into compliance with Arizona Revised Statute requirements and to resolve inconsistencies between Map 25 and parts of the Flagstaff City Code. This update does not alter the intent of FRP30; it is only concerned with correcting errors, removing legal vulnerability, and improving the readability of FRP30.

The Arizona Health Care Cost Containment System has provided home and community-based services to long-term care beneficiaries through a waiver from the Centers for Medicare and Medicaid Services since 1989. Through its Arizona Long Term Care System, AHCCCS provides comprehensive coverage for members residing in their own homes or approved alternative residential settings, such as assisted living facilities or group homes. Covered services include care such as home health nursing, attendant or personal care, and home-delivered meals. Members may designate a family member or friend to provide attendant care; after completion of training, these caregivers can be paid by AHCCCS.

The potential impact of diabetes on the Arizona Long Term Care System is of significant concern to AHCCCS. Based on this and previous studies conducted by AHCCCS, the prevalence of diabetes among ALTCS members is approximately 20 percent. With the number of Arizonans age 65 and older increasing 40 percent in the last decade, the proportion of ALTCS members with diabetes is likely to increase as well.

This report includes data on preventive health and chronic disease management services provided to members enrolled with nine publicly and privately operated managed care organizations, referred to as Contractors, that contract with AHCCCS to provide services under the AHCCCS ACUTE-care program. Performance measure results for services provided through the Department of Economic Security’s Division of Developmental Disabilities are reported in a separate section of the report. Results should be viewed as indicators of utilization of services, rather than absolute rates. These data allow AHCCCS and its Contractors to identify areas for improvement and implement interventions to increase the use of preventive and evidence based chronic disease management services.

The Arizona Health Care Cost Containment System (AHCCCS) is the State's Medicaid and KidsCare program offering the following behavioral health services: Title XIX (Medicaid) Acute and Long Term Care, Acute Care, Arizona Long Term Care Services (ALTCS), Federal Emergency Services Program (FESP), and Title XXI (KidsCare).

For more information concerning comprehensive medical services and additional information regarding behavioral health services refer to the AHCCCS Medical Policy Manual.

A massive pile of wood debris caught fire and burned from October 27 to October 31, 2001, in northern Pinal County, Arizona. The fire consumed wood debris from citrus trees that had been stored in an approximately 25-acre area in Pinal County near the Queen Creek area. The fire generated a large quantity of smoke. Persons reported smelling the smoke up to 40 miles away from the fire. Meteorological conditions during the fire intermittently created conditions that limited lift, especially at night, causing smoke to settle in residential neighborhoods in the Queen Creek area. The Arizona Department of Health Services issued public health advisories for the evenings of October 29 and 30. This report summarizes the events that occurred during the fire and analyzes the data collected by the Arizona Department of Health Services and the Arizona Department of Environmental Quality to determine the extent of the public health threat from the fire.

The Rodeo-Chediski Fire Complex began as a small blaze in a remote region of east-central Arizona and within days erupted into the largest wildfire in Arizona history. Fortunately, no lives were lost. However, from June 18, 2002 to the time of its containment on July 7, 2002, the Rodeo-Chediski fire destroyed over 490 structures and 467,000 acres of ponderosa pine and pinyon-juniper woodland—an estimated 500 million to 1.3 billion board feet of timber. Jurisdictions involved included the Fort Apache Indian Reservation, the Apache-Sitgreaves National Forest, the Tonto National Forest, and private lands adjacent to Highway 260, from the Town of Forest Lakes east to the City of Show Low. Virtually all of the acres burned were in Navajo County, with some damage in the contiguous counties of Coconino, Apache, and Gila Counties. This health assessment describes the fire events and summarizes the resulting public health impacts from the fire.

The Arizona Department of Health Services Cancer Registry has identified 7 cases of childhood leukemia in the Sierra Vista, Arizona area since 1995. Five of the childhood leukemia cases were identified as a class of lymphoid leukemia and 2 of the cases were a class of myeloid leukemia. Based on random variation, a total of 6 or fewer cases of leukemia would have been expected over those seven years. An analysis of the data suggests that the number of cases is statistically elevated for the time period 1995 to 2001. The objective of this report is to determine whether there are any documented environmental exposures from drinking water, ambient air or waste sites that may have placed residents of the Sierra Vista, Arizona area at greater risk of developing childhood leukemia.

The Arizona Department of Health Services completed this health consultation at the request of the Arizona Department of Environmental Quality. This consult evaluates whether soil vapors from volatile organic compounds in the subsurface near the Silver Creek Subdivision in Tucson, Arizona are present at levels that may cause adverse health effects.