Prior to 1967, Arizona had one of the highest infant mortality rates in the country. That year, in an effort to reduce the high infant mortality and morbidity rates, Arizona applied for and received a federal demonstration grant. The grant was designed to reduce infant death by transporting critically ill newborns born in rural hospitals into intensive care centers. As a result, there was a dramatic decrease in neonatal mortality. Part of that grant was to provide home based Community Nursing Services to the infants and their families. Community Health Nurses provided follow-up home visits for the NICP infants and their families up to one year of age.

The Project conducted a State‐level environmental scan to develop a more comprehensive picture of the early childhood‐serving environment in Arizona. An effort was made to identify current funds utilized across multiple State agencies that support programs to address the physical, emotional, social, cognitive, and behavioral health of children from birth to eight years of age. This report describes the landscape of systems, programs and other resources currently available in Arizona that are working to address challenges facing young children, birth to age eight, and their families.

Health Start is a neighborhood outreach program that helps high-risk pregnant women obtain early and consistent prenatal care and, for their children, timely immunizations. Its mission is to educate, support, and advocate for families at risk by promoting optimal use of community based family health and education services through the use of community health workers, who live in, and reflect the ethnic, cultural, and socioeconomic characteristics of the community they serve.

In order to continue to provide crucial sexual violence prevention and education services to its statewide community, the Arizona Department of Health Services, Sexual Violence Prevention and Education Program began comprehensive planning in November 2006, the second year of a five-year funding cycle. The plan was developed as a means of achieving the vision of a culture that supports healthy, respectful relationships through primary prevention efforts and zero tolerance of sexual violence in Arizona communities.

Vision screening of children, unlike hearing screening, is not currently mandated by Arizona state law. The purpose of this document is to provide information, guidance and recommendations for implementing a vision screening program for children ages 3 and older in school and community settings. This document provides guidance and practical information on the screening process, appropriate screening tools, referral criteria and follow-up procedures.

This report evaluates the potential exposure pathways associated with vermiculite concentrate processing activities at the Ari-Zonolite facility. The site is located in the near downtown area of Glendale, approximately ½ mile from the city hall, downtown shops, and other buildings. The former Ari-Zonolite facility received vermiculite from the Libby, Montana, mine. From 1951 to 1964, the site was leased the site to the Ari-Zonolite Company. Following the removal of the vermiculite concentrate processing equipment in 1964, several businesses have occupied the site. None of these businesses were involved in vermiculite processing activities. The last occupant of the former vermiculite processing building was an automotive restoration business, which vacated the site in 2002.

The objective of this assessment is to evaluate whether a public health hazard exists as a result of environmental exposures in Hayden and Winkelman, Arizona, located near a smelter operated by ASARCO, Inc. Some of the residents of these towns have expressed concerns that metals from smelter emissions over the years have been causing health problems. This report uses environmental data collected from water, soil, and air in the Hayden and Winkelman area to estimate environmental exposures. The study also evaluates available health outcome data from previous epidemiological and biological-monitoring studies conducted in the area. The report concludes that exposure to sulfur dioxide occasionally poses a short-term public health hazard to sensitive asthmatics. These episodes of higher levels of sulfur dioxide occur infrequently. They do not appear to pose a health hazard to persons without sensitive airways or asthma. Other environmental exposures do not appear to pose a public health hazard.

In March 2004, a resident of Cornville contacted the Arizona Department of Environmental Quality to request information on arsenic in drinking water. The resident collected six well water samples from their own well and neighbors’ wells and submitted them to a private laboratory for arsenic analysis. The analyses detected arsenic ranging from 15 to 952 μg/L. ADEQ and the community members asked the Arizona Department of Health Services to provide health information about using the water. Initial conversations with the well owner and other community members revealed that many people had concerns about potential health effects from arsenic exposure.

The W.R. Grace facility in Phoenix, Arizona, received vermiculite concentrate from the Libby, Montana, vermiculite mine. W.R. Grace Company has owned and operated the Arizona site since 1964. In 1964 W.R. Grace purchased the company that had previously occupied the site and, following the relocation of its vermiculite exfoliation furnace from Glendale, Arizona, began processing vermiculite concentrate and marketing it under the Zonolite® brand. The objective of this health consultation is to evaluate exposure pathways and potential health effects in those persons who, between 1964 and 2002, may have been exposed to Libby asbestos as a result of vermiculite concentrate processing activities and waste materials from the W.R. Grace exfoliation facility in Phoenix.

In September 1999, the U.S. Environmental Protection Agency contacted the Arizona Department of Health Services, Office of Environmental Health, concerning potential contamination of private drinking water wells along Lynx Creek in the Walker, Arizona, mining district. Historical mining activities in the area might have resulted in contamination of groundwater by acid mine runoff as well as metals from extraction processes. EPA and ADHS determined the historical mining activity had caused environmental damage and the potential for adverse human health impacts. ADHS initiated a private well sampling program to determine if the mining activity has had an adverse impact on the quality of water from these wells. Several area residents have expressed concerns about their water quality. The objective of this public health consultation is to evaluate the potential for health effects from exposure to contaminants in private drinking water wells in the Walker, Arizona area.